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1.
Plants (Basel) ; 12(6)2023 Mar 22.
Article in English | MEDLINE | ID: mdl-36987106

ABSTRACT

By 2030, the European Commission intends to halve chemical pesticide use and its consequent risks. Among pesticides, nematicides are chemical agents used to control parasitic roundworms in agriculture. In recent decades, researchers have been looking for more sustainable alternatives with the same effectiveness but a limited impact on the environment and ecosystems. Essential oils (EOs) are similar bioactive compounds and potential substitutes. Different studies on the use of EOs as nematicides are available in the Scopus database in the scientific literature. These works show a wider exploration of EO effects in vitro than in vivo on different nematode populations. Nevertheless, a review of which EOs have been used on different target nematodes, and how, is still not available. The aim of this paper is to explore the extent of EO testing on nematodes and which of them have nematicidal effects (e.g., mortality, effects on motility, inhibition of egg production). Particularly, the review aims to identify which EOs have been used the most, on which nematodes, and which formulations have been applied. This study provides an overview of the available reports and data to date, downloaded from Scopus, through (a) network maps created by VOSviewer software (version 1.6.8, Nees Jan van Eck and Ludo Waltman, Leiden, The Netherlands) and (b) a systematic analysis of all scientific papers. VOSviewer created maps with keywords derived from co-occurrence analysis to understand the main keywords used and the countries and journals which have published most on the topic, while the systematic analysis investigated all the documents downloaded. The main goal is to offer a comprehensive understanding of the potential use of EOs in agriculture as well as which directions future research should move toward.

2.
CNS Spectr ; : 1-6, 2022 Sep 12.
Article in English | MEDLINE | ID: mdl-36093863

ABSTRACT

OBJECTIVE: Several studies showed that transcranial direct current stimulation (tDCS) enhances cognition in patients with mild cognitive impairment (MCI), however, whether tDCS leads to additional gains when combined with cognitive training remains unclear. This study aims to compare the effects of a concurrent tDCS-cognitive training intervention with either tDCS or cognitive training alone on a group of patients with MCI. METHODS: The study was a 3-parallel-arm study. The intervention consisted of 20 daily sessions of 20 minutes each. Patients (n = 62) received anodal tDCS to the left dorsolateral prefrontal cortex, cognitive training on 5 cognitive domains (orientation, attention, memory, language, and executive functions), or both. To examine intervention gains, we examined global cognitive functioning, verbal short-term memory, visuospatial memory, and verbal fluency pre- and post-intervention. RESULTS: All outcome measures improved after the intervention in the 3 groups. The improvement in global cognitive functioning and verbal fluency was significantly larger in patients who received the combined intervention. Instead, the intervention gain in verbal short-term memory and visuospatial memory was similar across the 3 groups. DISCUSSION: tDCS, regardless of the practicalities, could be an efficacious treatment in combination with cognitive training given the increased effectiveness of the combined treatment. CONCLUSIONS: Future studies will need to consider individual differences at baseline, including genetic factors and anatomical differences that impact the electric field generated by tDCS and should also consider the feasibility of at-home treatments consisting of the application of tDCS with cognitive training.

3.
PeerJ ; 10: e13644, 2022.
Article in English | MEDLINE | ID: mdl-35791363

ABSTRACT

The intensification of dredging and infilling activities in lagoons and on coral reefs are common practices in the Maldivian archipelago, and these activities alter the biodiversity of the bioconstructors and the functioning of the ecosystem. The alteration of environmental factors can also affect inconspicuous fauna, such as free-living nematodes. The implications of a reduction in biodiversity may transcend decreased taxonomic diversity, resulting in changes in functional diversity and redundancy; however, how the environmental conditions and human pressure affects the functionality of nematodes in Maldivian coral degradation zones (CDZs) remain poorly understood. In this paper, we examined changes in the taxonomic and functional diversity and the functional redundancy in nematode communities regarding the geographic location (atolls with various levels of human pressure), the exposure and topography of the reef (lagoon and ocean), the slope of the reef, and the depth. The functional diversity and redundancy were evaluated by considering two main biological traits of nematodes: i) the trophic strategy, and ii) the life strategy. The extremely high number of nematode genera observed in the Maldives is supported by the high complexity of the carbonate sediments. The reef exposure and depth were the most relevant environmental factors that influenced the taxonomic and functional diversity. The functional diversity, according to the trophic strategies, mirrored the taxonomic diversity because the adaptive plasticity of nematode buccal cavity structures is closely associated with the high biodiversity of the phylum. The high abundance of k-strategists in ocean reefs may indicate a higher ecological quality when compared to lagoon reefs; however, the absence of significant differences in life strategy functional diversity and functional redundancy indicates that a recovery process is underway. Analyses of nematode communities should be combined with standard investigations of reef bioconstructors during monitoring activities to assess the vulnerability of CDZ systems to future disturbances and facilitate the adoption of the most appropriate preventative actions.


Subject(s)
Anthozoa , Nematoda , Animals , Humans , Ecosystem , Coral Reefs , Biodiversity
4.
Mar Pollut Bull ; 180: 113814, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35679809

ABSTRACT

Free-living nematodes were investigated in three Mediterranean commercial ports (Ancona and Trieste, Italy; Koper, Slovenia) in terms of abundance, diversity and functionality. Results indicated that r-strategist genera were dominant in all ports and that a more diverse assemblage characterized Trieste, despite the high contamination levels, suggesting a potential adaptation to long-standing contamination. The main environmental factor that shaped the assemblage in all ports were Total Polycyclic Aromatic Hydrocarbons, while Total Organic Carbon and the grain-size were less relevant. A co-occurrence analysis was applied for identifying which genera cohesively respond to site-specific environmental conditions in order to recalibrate and implement the sets of bioindicator genera in relation to their different opportunistic behaviour. Finally, we provided some suggestions for a proper application of the nematode indices (Maturity Index, Index of Trophic Diversity, Shannon diversity) in order to encourage the use of free-living nematodes for the environmental quality assessment of commercial ports.


Subject(s)
Nematoda , Polycyclic Aromatic Hydrocarbons , Animals , Environmental Monitoring , Italy , Mediterranean Sea , Polycyclic Aromatic Hydrocarbons/analysis , Slovenia
5.
J Gambl Stud ; 38(4): 1529-1537, 2022 Dec.
Article in English | MEDLINE | ID: mdl-35596900

ABSTRACT

Gambling Disorder (GD) is a condition constituting a public health concern, with a burden of harm which is much greater than that of drug addiction. Patients with GD are generally reluctant to pharmacologic treatment and seem to prefer nonpharmacological interventions. Therefore, this proof-of-concept study aimed to investigate the feasibility of continuous Theta Burst Stimulation (cTBS) on the pre-SMA in six patients (5 males, 1 female), aged 30-64 years, with a DSM-5 diagnosis of Gambling Disorder and no comorbid mood disorders. Participants received over 10 sessions of Continuous TBS (cTBS) over pre-SMA bilaterally and have been evaluated using rating scales, including the PG-YBOCS and the CGI, before treatment (T0), at day 10 of treatment (T1) and at day 30 after treatment (T2); cTBS intervention was safe and without side effects. Since the design of our study does not allow us to draw conclusions on the effectiveness of the intervention with respect to the improvement of the functioning of the subject with GD, a more in-depth study, including a sham condition, neurocognitive measures of disinhibition and decision making, and collecting follow-up data on the sustained effect of TBS over a longer period is ongoing.


Subject(s)
Gambling , Motor Cortex , Male , Humans , Female , Transcranial Magnetic Stimulation/methods , Motor Cortex/physiology , Gambling/psychology , Diagnostic and Statistical Manual of Mental Disorders
6.
Children (Basel) ; 9(5)2022 May 20.
Article in English | MEDLINE | ID: mdl-35626932

ABSTRACT

Children with Autism Spectrum Disorder (ASD) face several challenges due to deficits in social function and communication along with restricted patterns of behaviors. Often, they also have difficult-to-manage and disruptive behaviors. At the moment, there are no pharmacological treatments for ASD core features. Recently, there has been a growing interest in non-pharmacological interventions for ASD, such as neuromodulation. In this retrospective study, data are reported and analyzed from 21 patients (13 males, 8 females) with ASD, with an average age of 9.1 (range 5−15), who received six months of transcranial photobiomodulation (tPBM) at home using two protocols (alpha and gamma), which, respectively, modulates the alpha and gamma bands. They were evaluated at baseline, after three and six months of treatment using the Childhood Autism Rating Scale (CARS), the Home Situation Questionnaire-ASD (HSQ-ASD), the Autism Parenting Stress Index (APSI), the Montefiore Einstein Rigidity Scale−Revised (MERS−R), the Pittsburgh Sleep Quality Index (PSQI) and the SDAG, to evaluate attention. Findings show that tPBM was associated with a reduction in ASD severity, as shown by a decrease in CARS scores during the intervention (p < 0.001). A relevant reduction in noncompliant behavior and in parental stress have been found. Moreover, a reduction in behavioral and cognitive rigidity was reported as well as an improvement in attentional functions and in sleep quality. Limitations were discussed as well as future directions for research.

7.
Front Psychiatry ; 13: 1035469, 2022.
Article in English | MEDLINE | ID: mdl-36819945

ABSTRACT

Introduction: Repetitive Transcranial Magnetic Stimulation (rTMS) is not only a therapeutic option but also an investigational tool to explore circuits and subjective dimensions in pathological conditions. Obsessive-Compulsive Related Disorders (OCRDs) shared similarities with Substance Use Disorder (SUD), suggesting the involvement of the reward system. This study aimed to verify the efficacy of targeting the reward system with rTMS in OCRDs. Methods: Patients with trichotillomania, hoarding disorder and skin picking disorder were treated with rTMS over the left DorsoLateral PreFrontal Cortex (DLPFC) at 15 Hz, targeting the reward system via the connection with the nucleus accumbens and the ventral tegmental area. All patients were administered with psychometric scales assessing depression symptoms and severity of OCRDs symptoms at the baseline, at the end of the treatment and a 1-month follow-up. Results: Analysis of the results showed a reduction in symptom severity at the end of the treatment in all three groups (p < 0.0001) as well as a reduction in depression symptoms (p < 0.01). Improvements at 1-month follow-up were maintained only in younger patients. Indeed, when changes in scores at the follow-up were analyzed separately for younger (<30 years) and older patients (>60 years), the elderly showed again an increase in symptoms severity, suggesting that the stability of TMS effects over time reduces with age, possibly as an effect of age-related reduction in brain plasticity. Discussion: This study adopted with promising results a protocol (15 Hz over the left DLPFC) targeting the reward system, typically employed in addictions. These results can be in line with the view of OCRDs as behavioral addictions, suggesting the implication of common circuits, such as the reward system, in the mechanisms at the basis of these disorders.

8.
Dig Liver Dis ; 53(9): 1141-1147, 2021 Sep.
Article in English | MEDLINE | ID: mdl-33509737

ABSTRACT

BACKGROUND & AIM: Although acute lower GI bleeding (LGIB) represents a significant healthcare burden, prospective real-life data on management and outcomes are scanty. Present multicentre, prospective cohort study was aimed at evaluating mortality and associated risk factors and at describing patient management. METHODS: Adult outpatients acutely admitted for or developing LGIB during hospitalization were consecutively enrolled in 15 high-volume referral centers. Demographics, comorbidities, medications, interventions and outcomes were recorded. RESULTS: Overall 1,198 patients (1060 new admissions;138 inpatients) were included. Most patients were elderly (mean-age 74±15 years), 31% had a Charlson-Comorbidity-Index ≥3, 58% were on antithrombotic therapy. In-hospital mortality (primary outcome) was 3.4% (95%CI 2.5-4.6). At logistic regression analysis, independent predictors of mortality were increasing age, comorbidity, inpatient status, hemodynamic instability at presentation, and ICU-admission. Colonoscopy had a 78.8% diagnostic yield, with significantly higher hemostasis rate when performed within 24-hours than later (21.3% vs.10.8%, p = 0.027). Endoscopic hemostasis was associated with neither in-hospital mortality nor rebleeding. A definite or presumptive source of bleeding was disclosed in 90.4% of investigated patients. CONCLUSION: Mortality in LGIB patients is mainly related to age and comorbidities. Although early colonoscopy has a relevant diagnostic yield and is associated with higher therapeutic intervention rate, endoscopic hemostasis is not associated with improved clinical outcomes [ClinicalTrial.gov number: NCT04364412].


Subject(s)
Gastrointestinal Hemorrhage/mortality , Age Factors , Aged , Aged, 80 and over , Comorbidity , Female , Gastrointestinal Hemorrhage/etiology , Hospital Mortality , Hospitalization/statistics & numerical data , Humans , Male , Middle Aged , Prospective Studies
9.
J Psychiatr Res ; 130: 215-217, 2020 11.
Article in English | MEDLINE | ID: mdl-32836010

ABSTRACT

Coronavirus Disease 2019 (COVID-19), caused by SARS-CoV-2, is a disaster due to not only its psychosocial impact but it also to its direct effects on the brain. The latest evidence suggests it has neuroinvasive mechanisms, in addition to neurological manifestations, and as seen in past pandemics, long-term sequelae are expected. Specific and well-structured interventions are necessary, and that's why it's important to ensure a continuity between primary care, emergency medicine, and psychiatry. Evidence shows that 2003 SARS (Severe Acute Respiratory Syndrome) survivors developed persistent psychiatric comorbidities after the infection, in addition to Chronic Fatigue Syndrome. A proper stratification of patients according not only to psychosocial factors but also an inflammatory panel and SARS-Cov-2's direct effects on the central nervous system (CNS) and the immune system, may improve outcomes. The complexity of COVID-19's pathology and the impact on the brain requires appropriate screening that has to go beyond the psychosocial impact, taking into account how stress and neuroinflammation affects the brain. This is a call for a clinical multidisciplinary approach to treat and prevent Sars-Cov-2 mental health sequelae.


Subject(s)
Betacoronavirus , Coronavirus Infections/complications , Coronavirus Infections/psychology , Mental Disorders/complications , Mental Disorders/psychology , Neurosciences/methods , Pneumonia, Viral/complications , Pneumonia, Viral/psychology , COVID-19 , Encephalitis/complications , Encephalitis/prevention & control , Encephalitis/psychology , Humans , Mental Disorders/prevention & control , Pandemics , SARS-CoV-2 , Stress, Physiological
10.
Dev Psychol ; 54(3): 458-473, 2018 03.
Article in English | MEDLINE | ID: mdl-29239633

ABSTRACT

Humans and other animals are able to make rough estimations of quantities using what has been termed the approximate number system (ANS). Much evidence suggests that sensitivity to numerosity correlates with symbolic math capacity, leading to the suggestion that the ANS may serve as a start-up tool to develop symbolic math. Many experiments have demonstrated that numerosity perception transcends the sensory modality of stimuli and their presentation format (sequential or simultaneous), but it remains an open question whether the relationship between numerosity and math generalizes over stimulus format and modality. Here we measured precision for estimating the numerosity of clouds of dots and sequences of flashes or clicks, as well as for paired comparisons of the numerosity of clouds of dots. Our results show that in children, formal math abilities correlate positively with sensitivity for estimation and paired-comparisons of the numerosity of visual arrays of dots. However, precision of numerosity estimation for sequences of flashes or sounds did not correlate with math, although sensitivities in all estimations tasks (for sequential or simultaneous stimuli) were strongly correlated with each other. In adults, we found no significant correlations between math scores and sensitivity to any of the psychophysical tasks. Taken together these results support the existence of a generalized number sense, and go on to demonstrate an intrinsic link between mathematics and perception of spatial, but not temporal numerosity. (PsycINFO Database Record


Subject(s)
Mathematical Concepts , Space Perception , Time Perception , Adult , Child , Discrimination, Psychological , Humans , Psychological Tests , Psychology, Child , Psychometrics , Psychophysics , Reproducibility of Results , Semantics , Visual Perception , Young Adult
11.
PLoS One ; 11(6): e0155967, 2016.
Article in English | MEDLINE | ID: mdl-27304619

ABSTRACT

BACKGROUND AND AIM: Liver biopsy (LB) has lost popularity to stage liver fibrosis in the era of highly effective anti-hepatitis C virus (HCV) therapy, yet diagnosis of persistent cirrhosis may have important implications following HCV eradication. As performance of serological non-invasive tests (NITs) to predict residual fibrosis in non-viremic HCV patients is unknown, we investigated accuracy of NITs to predict residual fibrosis in cirrhotics after a sustained virological response (SVR) to interferon (IFN). METHODS: Thirty-eight patients with a pre-treatment histological diagnosis of cirrhosis and a 48-104 months post-SVR LB were tested with APRI, CDS, FIB-4, FibroQ, Forns Score, GUCI Index, King Score, Lok Index, PLF, ELF. In 23 (61%) patients, cirrhosis had histologically regressed. RESULTS: All NITs values declined after SVR without any significant difference between regressors and non-regressors (AUROC 0.52-0.75). Using viremic cut-offs, PPV ranged from 34% to 100%, with lower NPV (63% - 68%). NITs performance did not improve using derived cut-offs (PPV: 40% - 80%; NPV: 66% - 100%). PLF, which combines several NITs with transient elastography, had the best diagnostic performance (AUROC 0.75, Sn 61%, Sp 90%, PPV 80%, NPV 78%). After treatment, none of the NITs resulted significantly associated with any of the histological features (activity grade, fibrosis stage, area of fibrosis). CONCLUSIONS: The diagnostic estimates obtained using both viremic and derived cut-off values of NITs were suboptimal, indicating that none of these tests helps predicting residual fibrosis and that LB remains the gold standard for this purpose.


Subject(s)
Hepacivirus/drug effects , Hepatitis C/drug therapy , Interferons/therapeutic use , Liver Cirrhosis/drug therapy , Aged , Antiviral Agents/therapeutic use , Aspartate Aminotransferases/blood , Biomarkers/blood , Biopsy , Elasticity Imaging Techniques/methods , Female , Hepacivirus/physiology , Hepatitis C/virology , Host-Pathogen Interactions/drug effects , Humans , Liver/pathology , Liver/virology , Liver Cirrhosis/diagnosis , Liver Cirrhosis/virology , Male , Middle Aged , Outcome Assessment, Health Care/methods , Platelet Count , ROC Curve , Serologic Tests
12.
Dig Liver Dis ; 46(9): 818-25, 2014 Sep.
Article in English | MEDLINE | ID: mdl-24953209

ABSTRACT

BACKGROUND: Aim was to select naïve patients with genotype 1 chronic hepatitis C having a high probability of response to Peg-interferon+ribavirin therapy. METHODS: In 1073 patients (derivation cohort), predictors of rapid and sustained virological response were identified by logistic analysis; regression coefficients were used to generate prediction models for sustained virological response. Probabilities at baseline and treatment week 4 were utilized to develop a decision rule to select patients with high likelihood of response. The model was then validated in 423 patients (validation cohort). RESULTS: In the derivation cohort, 257 achieved rapid virological response and 818 did not, with sustained virological response rates of 80.2% and 25.4%, respectively; interleukin-28B polymorphisms, fibrosis staging, gamma-glutamyl transferase, and viral load predicted sustained virological response. Assuming a <30% sustained virological response probability for not recommending Peg-interferon+ribavirin, 100 patients (25.6%) in the validation cohort were predicted a priori to fail this regimen. Assuming a ≥80% sustained virological response probability as a threshold to continue with Peg-interferon+ribavirin, 61 patients were predicted to obtain sustained virological response, and 55 of them (90.2%) eventually did. CONCLUSIONS: This model uses easily determined variables for a personalized estimate of the probability of sustained virological response with Peg-interferon+ribavirin, allowing to identify patients who may benefit from conventional therapy.


Subject(s)
Hepacivirus/genetics , Hepatitis C, Chronic/drug therapy , Interferon-alpha/therapeutic use , Polyethylene Glycols/therapeutic use , RNA, Viral/genetics , Ribavirin/therapeutic use , Adult , Antiviral Agents/therapeutic use , Drug Carriers , Drug Therapy, Combination , Female , Genotype , Hepatitis C, Chronic/virology , Humans , Male , Middle Aged , Predictive Value of Tests , Prognosis , Real-Time Polymerase Chain Reaction , Recombinant Proteins/therapeutic use , Treatment Outcome , Viral Load
13.
PLoS One ; 9(4): e95881, 2014.
Article in English | MEDLINE | ID: mdl-24760000

ABSTRACT

BACKGROUND: Severe anemia is a common side effect of Pegylated Interferon + Ribavirin (PR) and Telaprevir (TVR) in hepatitis C virus (HCV) genotype 1 patients with advanced fibrosis or cirrhosis (F3-F4). Inosine triphosphatase (ITPA) genetic variants are associated with RBV- induced anemia and dose reduction. AIM: To test the association of ITPA polymorphisms rs1127354 and rs7270101 with hemoglobin (Hb) decline, need for RBV dose reduction (RBV DR), erythropoietin (EPO) support and blood transfusions during the first 12 weeks of TVR triple therapy. MATERIALS AND METHODS: 69 consecutive HCV-1 patients (mean age 57 years) with F3-F4 who received PR and TVR were genotyped for ITPA polymorphisms rs1127354 and rs7270101. Estimated ITPA deficiency was graded on severity (0-3, no deficiency/mild/moderate/severe). RESULTS: ITPA deficiency was absent in 48 patients (70%), mild in 12 (17%) and moderate in 9 patients (13%). Mean week 4 Hb decline was higher in non ITPA deficient patients (3,85 g/dL) than in mildly or moderately ITPA deficient patients (3,07 g/dL and 1,67 g/dL, p<0.0001). Grade 3-4 anemia developed in 81% non ITPA deficient patients versus 67% mild deficient and 55% moderate deficient patients (p = ns). Grade of ITPA deficiency was not associated with RbvDR (no deficiency: 60%, mild: 58%, moderate: 67%; p = ns), EPO use (no deficiency: 65%, mild: 58%, moderate:56%; p = ns) or need for blood transfusion (no deficiency: 27%, mild: 17%, moderate: 33%; p = ns). CONCLUSIONS: In patients with F3-F4 chronic hepatitis C receiving TVR based therapy, ITPA genotype does not impact on the management of early anemia.


Subject(s)
Anemia/diagnosis , Antiviral Agents/adverse effects , Hepatitis C/drug therapy , Hepatitis C/pathology , Oligopeptides/adverse effects , Pyrophosphatases/genetics , Adult , Aged , Anemia/etiology , Antiviral Agents/administration & dosage , Drug Therapy, Combination/adverse effects , Early Diagnosis , Female , Fibrosis , Genetic Variation , Hepatitis C/genetics , Humans , Male , Middle Aged , Oligopeptides/administration & dosage , Polymorphism, Single Nucleotide , Pyrophosphatases/metabolism , Retrospective Studies , Ribavirin/administration & dosage
14.
Biomed Res Int ; 2013: 580796, 2013.
Article in English | MEDLINE | ID: mdl-23936821

ABSTRACT

BACKGROUND: The rs12979860 CC genotype of the interleukin 28B (IL28B) polymorphism is associated with high rates of sustained virological response (SVR) to peginterferon (PegIFN) and ribavirin (Rbv) in hepatitis C virus genotype-1 (HCV-1) patients. The impact of baseline predictors of treatment outcome and their interplay with viral kinetics in HCV-1 CC patients has not been fully evaluated. AIM: To identify baseline and on-therapy predictors of treatment failure in HCV-1 IL28B CC patients. METHODS: Treatment-naïve HCV-1 patients, compliant to PegIFN and Rbv who did not discontinue treatment for nonvirological reasons, were analyzed. RESULTS: 109 HCV-1 IL28B CC were studied. Sixty were males, 39 with BMI >25, 69 with >600,000 IU/mL HCV RNA, 15 with HCV1a, and 30 with cirrhosis. Overall, 75 (69%) achieved an SVR; cirrhosis was the only baseline predictor of treatment failure (OR: 2.58, 95% CI: 1.07-6.21) as SVR rates were 53% in cirrhotics versus 75% in noncirrhotics (P = 0.03). HCV RNA undetectability (<50 IU/mL) at week 4 (RVR) was achieved by 58 patients (53%). The SVR rates were independent of RVR in noncirrhotics, 76% (34/45) RVR (+) and 74% (25/34) RVR (-) (P = 0.9). In cirrhotic patients, SVR rates were significantly higher in RVR (+) compared to RVR (-) (10/13 (77%) versus 6/17 (35%) P = 0.03). CONCLUSIONS: In HCV-1 IL28B CC patients, cirrhosis is the only clinical baseline predictor of PegIFN and Rbv treatment failure. However, in IL28B CC cirrhotics, the achievement of RVR identifies those patients who still have high rates of SVR to Peg-IFN/Rbv therapy.


Subject(s)
Hepacivirus/pathogenicity , Interleukins/genetics , Liver Cirrhosis/drug therapy , Liver Cirrhosis/genetics , Adult , Antiviral Agents/administration & dosage , Female , Hepacivirus/genetics , Humans , Interferon-alpha/administration & dosage , Interferons , Liver Cirrhosis/pathology , Male , Middle Aged , Polyethylene Glycols/administration & dosage , Polymorphism, Single Nucleotide , Prognosis , Recombinant Proteins/administration & dosage , Ribavirin/administration & dosage , Risk Factors , Treatment Outcome
15.
Liver Int ; 33 Suppl 1: 35-40, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23286844

ABSTRACT

Hepatitis C Virus (HCV) Genotype 2 accounts for 10% of the patients with chronic HCV worldwide. The current standard of care (SOC) in these patients is 24 weeks of Pegylated Interferon (PEG-IFN) plus Ribavirin (RBV), with sustained virological response rates (SVR) of 80-90%. However, there are subgroups of patients with HCV-2, such as those with advanced fibrosis/cirrhosis, in whom SVR rates are still suboptimal, and highly responsive groups in whom SVR rates reach 95%. Treatment optimization is necessary to maximize efficacy in the former group and reduce treatment-related side effects in the latter. Unfortunately, any attempt to modify the duration or dosing of the SOC according to baseline factors has been disappointing and should not be continued at present. On the other hand on-treatment HCV RNA kinetics are fundamental for individualized treatment regimens because achieving negative HCV RNA at week 4 (rapid virological response, RVR) is the key factor when the duration of PEG-IFN/RBV is tailored in HCV-2 patients. Several studies have shown that treatment can be shortened to 16 weeks in HCV-2 patients with a RVR, without increasing the risk of post-treatment relapse, thus increasing tolerance to treatment while reducing healthcare costs. On the other hand, patients who do not achieve a RVR correspond to a population of difficult-to-cure HCV-2 patients who need alternative treatment strategies which are not yet available.


Subject(s)
Antiviral Agents/therapeutic use , Hepacivirus/drug effects , Hepatitis C, Chronic/drug therapy , Antiviral Agents/adverse effects , Drug Therapy, Combination , Genotype , Hepacivirus/enzymology , Hepacivirus/genetics , Hepatitis C, Chronic/complications , Hepatitis C, Chronic/diagnosis , Hepatitis C, Chronic/genetics , Humans , Interferon alpha-2 , Interferon-alpha/therapeutic use , Liver Cirrhosis/virology , Patient Selection , Polyethylene Glycols/therapeutic use , RNA, Viral/blood , Recombinant Proteins/therapeutic use , Ribavirin/therapeutic use , Risk Assessment , Risk Factors , Serine Proteinase Inhibitors/therapeutic use , Time Factors , Treatment Outcome , Viral Load
16.
Neurobiol Dis ; 30(2): 190-200, 2008 May.
Article in English | MEDLINE | ID: mdl-18353661

ABSTRACT

In this work we investigate subcellular localization and proteolytic cleavage of different forms of ataxin-3 (AT-3), the protein responsible for spinocerebellar ataxia type 3. Normal (AT-3Q6 and AT-3Q26) and pathological (AT-3Q72) ataxins-3, as well as two truncated forms lacking poly-Q, were studied. Full-length proteins were also expressed as C14A mutants, in order to assess whether AT-3 autoproteolytic activity was involved in its fragmentation. We found that both normal and pathological proteins localized in the cytoplasm and in the nucleus, as expected, but also in the mitochondria. Microsequencing showed that all ataxins-3 underwent the same proteolytic cleavage, removing the first 27 amino acids. Interestingly, while normal ataxins were further cleaved at a number of caspase sites, pathological AT-3 was proteolyzed to a much lesser extent. This may play a role in the pathogenesis, hampering degradation of aggregation-prone expanded AT-3. In addition, autolytic cleavage was apparently not involved in AT-3 proteolysis.


Subject(s)
Nerve Tissue Proteins/analysis , Nerve Tissue Proteins/metabolism , Nuclear Proteins/analysis , Nuclear Proteins/metabolism , Repressor Proteins/analysis , Repressor Proteins/metabolism , Subcellular Fractions/metabolism , Animals , Ataxin-3 , COS Cells , Cell Nucleus/chemistry , Cell Nucleus/metabolism , Chlorocebus aethiops , Humans , Hydrolysis , Machado-Joseph Disease/etiology , Machado-Joseph Disease/metabolism , Mice , Peptide Hydrolases/metabolism , Protein Isoforms/analysis , Protein Isoforms/metabolism
17.
Neurochem Res ; 33(3): 518-25, 2008 Mar.
Article in English | MEDLINE | ID: mdl-17768677

ABSTRACT

Nitration of tau protein is normally linked to neurodegeneration but, until now, no comprehensive information is available regarding tau nitration in healthy subjects. It has been previously reported that in differentiated PC12 cells, tau co-immunoprecipitated with alpha-tubulin is nitrated at tyrosine residues and that this post-translation modification doesn't impair the association of tau with the cytoskeleton. The present paper is focused on the identification of tyrosine residues endogenously modified in tau from PC12 cells and reports for the first time that tau is also nitrated in vivo in normal mouse brain and that one tyrosine is endogenously modified.


Subject(s)
Brain Chemistry/drug effects , Nitrates/metabolism , Nitric Oxide/pharmacology , Tyrosine/metabolism , tau Proteins/metabolism , Animals , Blotting, Western , Electrophoresis, Gel, Two-Dimensional , Hydrogen-Ion Concentration , Immunoprecipitation , Isomerism , Mice , PC12 Cells , Rats , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
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