Disruption of gut barrier integrity and host-microbiome interactions underlie MASLD severity in patients with type-2 diabetes mellitus.

Aberration of the "gut-liver axis" contributes to the development and progression of metabolic dysfunction-associated steatotic liver disease (MASLD). Here, we use multi-omics to analyze the gut microbiota composition and metabolic profile of patients with type-2 diabetes mellitus (T2DM). T2DM patients were screened for liver disease by blood tests, ultrasound, and liver stiffness measurements. Stool microbiota was analyzed by 16S rRNA gene sequencing; metabolomic profiling by Nuclear Magnetic Resonance spectroscopy and Ultra-High Performance-Mass Spectrometry. Microbiome and metabolic signatures were analyzed in the whole cohort and in matched subsets to identify signatures specific for steatosis (MASLD±) or fibrosis (Fibrosis±). Gut permeability was assessed in-vitro using monolayers of MDCK cells and trans-epithelial electric resistance (TEER). Cytokine profile was assessed in serum and stools.Overall, 285 patients were enrolled: 255 serum, 252 urine and 97 stool samples were analyzed. Anaeroplasma and Escherichia/Shigella ASVs were higher, while Butyricicoccus ASVs were lower in those with normal liver. In MASLD±, Butyricicoccus ASV was significantly higher in those with steatosis. In the Fibrosis±, Butyricicoccus ASV was significantly lower in those with fibrosis. Glycochenodeoxycholic acid-3-sulfate (G-UDCA-3S) appeared to be higher in MASLD with fibrosis. Fecal water from patients with MASLD and fibrosis caused the greatest drop in the TEER vs those with normal liver; this was reversed with protease inhibitors. Finally, fecal IL-13 was lower in MASLD with fibrosis. We identified microbiome signatures which were specific for steatosis and fibrosis and independent of other metabolic risk factors. Moreover, we conclude that protease-related gut permeability plays a role in those MASLD patients with fibrosis, and that disease progression is linked to a gut-liver axis which is at least partially independent of T2DM.

Identificación de ectoparásitos en Oso melero (Tamandua tetradactyla), Estado Lara, Venezuela / Identification of ectoparasites from an Lesser anteater (Tamandua tetradactyla), Lara State, Venezuela

Objetivo. Identificar especies de ectoparásitos encontrados parasitando naturalmente un Oso melero, el cual fue encontrado muriendo en una vía cercana al pueblo de Bobare, estado Lara, Venezuela. Materiales y métodos. Al ingresar el animal a la sala de anatomía del DCV-UCLA para ser sometido a la técnica de taxidermia, se procedió a revisar a través de la palpación toda la superficie corporal del Oso, con la finalidad de tomar muestras de ectoparásitos presentes en el hospedador; los especímenes encontrados fueron colocados en un envase de vidrio conservados en alcohol isopropílico y posteriormente fueron llevados al Laboratorio de Parasitología Veterinaria del DCV-UCLA para su identificación taxonómica. Los ectoparásitos fueron observados en lupa estereoscópica y clasificados con ayuda de claves taxonómicas. Resultados. Se identificaron dos especies de artrópodos infestando naturalmente el Oso Melero, de las cuales se encuentra una garrapata macho clasificada como Amblyomma nodosum; y una pulga hembra identificada como Pulex irritans. Conclusiones. Estos artrópodos se han reportado parasitando naturalmente algunas especies de mamíferos, dentro de los cuales el Oso Melero se ha visto afectado por la acción de estos ectoparásitos; en Venezuela es el primer reporte de Pulex irritans afectando esta especie animal.

Objectives. Identify species of ectoparasites found naturally parasitizing an anteater, which was found dying on the roadside close to Bobare Village, State of Lara, Venezuela. Materials and methods. A dead anteater was brought to the anatomy Lab of the Decanato de Ciencias Veterinarias (DCV), Universidad Centroccidental “Lisandro Alvarado” (UCLA) for taxidermic purposes. First, all the skin and hairy areas of the animal were manually checked looking for ectoparasites; secondly, all detected specimens were collected, and placed in vials containing a solution of isopropilic alcohol 70°. Following this procedure, the vials were taken to the Veterinary Parasitology Laboratory at DCV-UCLA to accomplish the taxonomic identification under a stereoscopic microscope, and with taxonomic keys. Results. Two specimens of arthropods were found, the first one was a male tick identified as Amblyomma nodosum, and the other one was a female flea of the genera Pulex irritans Conclusions. These ectoparasites have been reported as natural parasites of other mammals, and among them the anteaters have been often found parasitized by these arthropods. In Venezuela this is the first case of a Pulex irritans infecting Tamandua tetradactyla.

[Comparison of traditional methods and digital technics in the study of the biliary and pancreatic systems using endoscopic retrograde cholangiopancreatography (ERCP)]. / Confronto tra metodica tradizionale e tecnica digitale nello studio delle vie biliari e pancreatiche mediante colangiopancreatografia retrograda per via endoscopica (ERCP).

ERCP holds a key role in the diagnosis of pancreatic-biliary disease. In this technical paper the authors report their experience with computed radiography (CR) in ERCP diagnostic imaging. A stimulable phosphor system was employed (Toshiba TCR-201). Fifteen pancreatic-biliary patients were studied with both conventional and CR techniques. With the same diagnostic output and radiological system, CR was superior to conventional technique in: dramatic exposure-time reduction, image post-processing (exposure error amendment, contrast change, spatial filtering, zooming, gray-scale inversion, etc.), patient exposure reduction, and digital archiving.