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1.
Lancet Glob Health ; 12(4): e697-e706, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38485433

ABSTRACT

Neurological conditions are the leading cause of death and disability combined. This public health crisis has become a global priority with the introduction of WHO's Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders 2022-2031 (IGAP). 18 months after this plan was adopted, global neurology stakeholders, including representatives of the OneNeurology Partnership (a consortium uniting global neurology organisations), take stock and advocate for urgent acceleration of IGAP implementation. Drawing on lessons from relevant global health contexts, this Health Policy identifies two priority IGAP targets to expedite national delivery of the entire 10-year plan: namely, to update national policies and plans, and to create awareness campaigns and advocacy programmes for neurological conditions and brain health. To ensure rapid attainment of the identified priority targets, six strategic drivers are proposed: universal community awareness, integrated neurology approaches, intersectoral governance, regionally coordinated IGAP domestication, lived experience-informed policy making, and neurological mainstreaming (advocating to embed brain health into broader policy agendas). Contextualised with globally emerging IGAP-directed efforts and key considerations for intersectoral policy design, this novel framework provides actionable recommendations for policy makers and IGAP implementation partners. Timely, synergistic pursuit of the six drivers might aid WHO member states in cultivating public awareness and policy structures required for successful intersectoral roll-out of IGAP by 2031, paving the way towards brain health for all.


Subject(s)
Global Health , Health Policy , Humans , Policy Making , Public Health , Brain
2.
Nat Commun ; 15(1): 191, 2024 Jan 02.
Article in English | MEDLINE | ID: mdl-38167276

ABSTRACT

Biological tissues, sediments, or engineered systems are spatially structured media with a tortuous and porous structure that host the flow of fluids. Such complex environments can influence the spatial and temporal colonization patterns of bacteria by controlling the transport of individual bacterial cells, the availability of resources, and the distribution of chemical signals for communication. Yet, due to the multi-scale structure of these complex systems, it is hard to assess how different biotic and abiotic properties work together to control the accumulation of bacterial biomass. Here, we explore how flow-mediated interactions allow the gut commensal Escherichia coli to colonize a porous structure that is composed of heterogenous dead-end pores (DEPs) and connecting percolating channels, i.e. transmitting pores (TPs), mimicking the structured surface of mammalian guts. We find that in presence of flow, gradients of the quorum sensing (QS) signaling molecule autoinducer-2 (AI-2) promote E. coli chemotactic accumulation in the DEPs. In this crowded environment, the combination of growth and cell-to-cell collision favors the development of suspended bacterial aggregates. This results in hot-spots of resource consumption, which, upon resource limitation, triggers the mechanical evasion of biomass from nutrients and oxygen depleted DEPs. Our findings demonstrate that microscale medium structure and complex flow coupled with bacterial quorum sensing and chemotaxis control the heterogenous accumulation of bacterial biomass in a spatially structured environment, such as villi and crypts in the gut or in tortuous pores within soil and filters.


Subject(s)
Chemotaxis , Quorum Sensing , Animals , Escherichia coli , Biomass , Porosity , Bacteria , Lactones , Mammals
3.
J Prof Nurs ; 49: 33-39, 2023.
Article in English | MEDLINE | ID: mdl-38042559

ABSTRACT

Telehealth is becoming a vital option for increasing access to health care. Family Nurse Practitioners (FNPs) are often the primary providers for rural and disadvantaged populations. They may be the first to encounter patients experiencing depression and other psychiatric problems. This article describes a two-part simulated telehealth education initiative to build FNP student competencies in the use of telehealth technology to interview clients with depressive symptoms. In Part 1, students completed didactic modules that introduced them to telehealth concepts. In Part 2, they participated in a simulated telehealth encounter with a standardized patient experiencing depression. Preparation included a review of care of patients with depression and focused content on telehealth etiquette. After the encounter, they received feedback from the standardized patient, debriefed with faculty, and documented their simulated telehealth visit. The activity was evaluated through post-education surveys and a one-time focus group. Students were overwhelmingly positive regarding the relevance of the educational activity to their graduate preparation and future practice. Many shared suggestions for refinement of the activity. Integration into the current curriculum and use of existing resources increased the feasibility, cost-effectiveness, and potential for long-term sustainability of the educational initiative.


Subject(s)
Family Nurse Practitioners , Nurse Practitioners , Telemedicine , Humans , Mental Health , Nurse Practitioners/education , Curriculum , Students
4.
Philos Trans A Math Phys Eng Sci ; 381(2263): 20220374, 2023 Dec 25.
Article in English | MEDLINE | ID: mdl-37926215

ABSTRACT

In this work, we deal with a one-dimensional stress-rate type model for the response of viscoelastic materials, in relation to the strain-limiting theory. The model is based on a constitutive relation of stress-rate type. Unlike classical models in elasticity, the unknown of the model under consideration is uniquely the stress, avoiding the use of the deformation. Here, we treat the case of periodic boundary conditions for a linearized model. We determine an optimal function space that ensures the local existence of solutions to the linearized model around certain steady states. This optimal space is known as the Gevrey-class [Formula: see text], which characterizes the regularity properties of the solutions. The exponent [Formula: see text] in the Gevrey-class reflects the specific dispersion properties of the equation itself. This article is part of the theme issue 'Foundational issues, analysis and geometry in continuum mechanics'.

5.
J Clin Med ; 12(9)2023 Apr 25.
Article in English | MEDLINE | ID: mdl-37176556

ABSTRACT

Persistent Müllerian Duct Syndrome (PMDS) is a rare autosomal recessive disorder of sex development characterized by the presence of fallopian tubes, uterus and upper one-third of the vagina in individuals with XY genotype and normal male phenotype. The main complications of PMDS are infertility and the rare risk of malignant degeneration of both testicular and Müllerian derivatives. We report the case of a 49-year-old man who, during repair of an incisional hernia, was incidentally found to have a uterine-like structure posterior to the bladder. In the past at the age of 18 months, he had undergone bilateral orchidopexies for bilateral cryptorchidism. The intraoperative decision was to preserve the uterine-like structure and make a more accurate diagnosis postoperatively. Evaluation revealed an XY chromosome and imaging consistent with PMDS. The patient was informed about the risk of neoplastic transformation of the residual Müller ducts and was offered surgical treatment, which he declined. Subsequent follow-up imaging studies, including testicular and pelvic ultrasound, were negative for findings suggestive of malignant testicular and Mullerian derivative degeneration. A review of the international literature showed that, when a decision is taken to remove the Mullerian derivatives, laparoscopy and especially robotic surgery allow for the successful removal of Müllerian derivatives. Whenever the removal of these structures is not possible or the patient refuses to undergo surgery, it is necessary to inform the patient of the need for adequate follow-up. Patients should undergo regular pelvic imaging examination and MRI might be a better method for that purpose.

6.
Nat Rev Neurol ; 19(6): 371-383, 2023 06.
Article in English | MEDLINE | ID: mdl-37208496

ABSTRACT

The global burden of neurological disorders is substantial and increasing, especially in low-resource settings. The current increased global interest in brain health and its impact on population wellbeing and economic growth, highlighted in the World Health Organization's new Intersectoral Global Action Plan on Epilepsy and other Neurological Disorders 2022-2031, presents an opportunity to rethink the delivery of neurological services. In this Perspective, we highlight the global burden of neurological disorders and propose pragmatic solutions to enhance neurological health, with an emphasis on building global synergies and fostering a 'neurological revolution' across four key pillars - surveillance, prevention, acute care and rehabilitation - termed the neurological quadrangle. Innovative strategies for achieving this transformation include the recognition and promotion of holistic, spiritual and planetary health. These strategies can be deployed through co-design and co-implementation to create equitable and inclusive access to services for the promotion, protection and recovery of neurological health in all human populations across the life course.


Subject(s)
Brain , Global Health , International Cooperation , Nervous System Diseases , Neurology , Humans , Biomedical Research , Environmental Policy , Global Health/trends , Goals , Holistic Health , Mental Health , Nervous System Diseases/epidemiology , Nervous System Diseases/prevention & control , Nervous System Diseases/rehabilitation , Nervous System Diseases/therapy , Neurology/methods , Neurology/trends , Spiritualism , Stakeholder Participation , Sustainable Development , World Health Organization
7.
Transp Porous Media ; 146(1-2): 463-474, 2023.
Article in English | MEDLINE | ID: mdl-36685615

ABSTRACT

Molecular diffusion in liquids is a key process in numerous systems: it is often the reaction rate limiting factor in biological or chemical reaction. Molecular diffusion has been recognized as the ultimate mechanism by which substances concentration get homogenized and, thus, their mixing and dilution occur. Here, we propose a novel method to directly measure the diffusion coefficient D of solutes or suspensions in liquids. Differently from current methods, as Dynamic Light Scattering or Fluorescent Correlation Spectroscopy, our method does not rely on previous knowledge on the fluid or tracer properties, but it is based on directly measuring the concentration spatial profile of a considered tracer with optical techniques within a diffusion chamber. We test this novel method on a sample of mono-dispersed suspension of spherical colloids for which an estimate for D can be made based on Einstein-Stokes relation. We, then, use this technique to measure the diffusion coefficient of a non-spherical tracer. We further quantify mixing of the considered tracers in the confined domain of the diffusion chamber: we show that, since diffusion-limited mixing (quantified in terms of the dilution index) in a confined space happens faster than un-confined domain, the finite size of the diffusion chamber must be taken into account to properly estimate D and the tracer mixing degree.

8.
Transp Porous Media ; 146(1-2): 435-461, 2023.
Article in English | MEDLINE | ID: mdl-36685616

ABSTRACT

We investigate how diffusion-limited mixing of a layered solute concentration distribution within a porous medium impacts bulk electrical conductivity. To do so, we perform a milli-fluidic tracer test by injecting a fluorescent and electrically conductive tracer in a quasi two-dimensional (2D) water-saturated porous medium. High resolution optical- and geoelectrical monitoring of the tracer is achieved by using a fluorimetry technique and equipping the flow cell with a resistivity meter, respectively. We find that optical and geoelectrical outputs can be related by a temporal re-scaling that accounts for the different diffusion rates of the optical and electrical tracers. Mixing-driven perturbations of the electrical equipotential field lines cause apparent electrical conductivity time-series, measured perpendicularly to the layering, to peak at times that are in agreement with the diffusion transport time-scale associated with the layer width. Numerical simulations highlight high sensitivity of such electrical data to the layers' degree of mixing and their distance to the injection electrodes. Furthermore, the electrical data correlate well with time-series of two commonly used solute mixing descriptors: the concentration variance and the scalar dissipation rate.

9.
Environ Toxicol Chem ; 42(1): 154-165, 2023 01.
Article in English | MEDLINE | ID: mdl-36282013

ABSTRACT

Copper is a water and sediment pollutant that can be biomagnified by phytoplankton, and it often co-occurs with fecal bacteria. We addressed the combined effects of copper and Escherichia coli on the immune response and gill oxidative balance of the freshwater mussel Diplodon chilensis. Bivalves were sorted into four groups fed with 1) control algae, 2) bacteria (E. coli), 3) copper-enriched algae (Cu2+ ) algae, and 4) copper-enriched algae followed by bacteria (Cu2+ + E. coli). Cellular and humoral immune and cytotoxic variables were analyzed in hemolymph, and detoxifying/antioxidant enzyme activities (glutathione S-transferase [GST] and catalase [CAT]) and lipid peroxidation (thiobarbituric acid reactive substances [TBARS]) were studied in gill tissue. The total hemocyte number increased after Cu2+ exposure, independently of the E. coli challenge. The proportion of hyalinocytes significantly diminished in the E. coli and Cu2+ groups but not in Cu2+ + E. coli groups; granulocytes significantly increased with E. coli but not with Cu2+ + E. coli treatments. Phagocytic activity was higher in all treatments than in control mussels. Acid phosphatase activity was increased by E. coli and inhibited by Cu2+ and Cu2+ + E. coli. Both E. coli and Cu2+ but not Cu2+ + E. coli augmented alkaline phosphatase activity. The Cu2+ and Cu2+ + E. coli treatments reduced the lysosomal membrane stability and cell viability. Humoral bacteriolytic and phenol oxidase activities were not affected by any treatment. The Cu2+ treatment induced gill CAT and GST activities and increased TBARS levels. The Cu2+ + E. coli treatment reversed this CAT and GST stimulation and increased the Cu2+ effect on TBARS. Dietary Cu2+ affects bivalves' immunological and oxidative status and impairs defensive responses against bacteria. In turn, E. coli potentiates the gill oxidative effects of Cu2+ . Environ Toxicol Chem 2023;42:154-165. © 2022 SETAC.


Subject(s)
Bivalvia , Escherichia coli , Animals , Copper/toxicity , Copper/metabolism , Gills/metabolism , Thiobarbituric Acid Reactive Substances/metabolism , Antioxidants/metabolism , Fresh Water , Catalase/metabolism , Lipid Peroxidation , Oxidative Stress , Immunity
10.
Environ Sci Technol ; 56(23): 17471-17480, 2022 12 06.
Article in English | MEDLINE | ID: mdl-36414252

ABSTRACT

Bacterial metabolisms using electron acceptors other than oxygen (e.g., methanogenesis and fermentation) largely contribute to element cycling and natural contaminant attenuation/mobilization, even in well-oxygenated porous environments, such as shallow aquifers. This paradox is commonly explained by the occurrence of small-scale anoxic microenvironments generated by the coupling of bacterial respiration and dissolved oxygen (O2) transport by pore water. Such microenvironments allow facultative anaerobic bacteria to proliferate in oxic environments. Microenvironment dynamics are still poorly understood due to the challenge of directly observing biomass and O2 distributions at the microscale within an opaque sediment matrix. To overcome these limitations, we integrated a microfluidic device with transparent O2 planar optical sensors to measure the temporal behavior of dissolved O2 concentrations and biomass distributions with time-lapse videomicroscopy. Our results reveal that bacterial colony morphology, which is highly variable in flowing porous systems, controls the formation of anoxic microenvironments. We rationalize our observations through a colony-scale Damköhler number comparing dissolved O2 diffusion and a bacterial O2 uptake rate. Our Damköhler number enables us to predict the pore space fraction occupied by anoxic microenvironments in our system for a given bacterial organization.


Subject(s)
Bacteria , Groundwater , Porosity , Bacteria/metabolism , Oxygen , Biomass
11.
Sci Rep ; 12(1): 19553, 2022 11 15.
Article in English | MEDLINE | ID: mdl-36379990

ABSTRACT

Microbially induced calcium carbonate (CaCO3) precipitation (MICP) is one of the major sustainable alternatives to the artificial cementation of granular media. MICP consists of injecting the soil with bacterial- and calcium-rich solutions sequentially to form calcite bonds among the soil particles that improve the strength and stiffness of soils. The performance of MICP is governed by the underlying microscale processes of bacterial growth, reactive transport of solutes, reaction rates, crystal nucleation and growth. However, the impact of pore-scale heterogeneity on these processes during MICP is not well understood. This paper sheds light on the effect of pore-scale heterogeneity on the spatiotemporal evolution of MICP, overall chemical reaction efficiency and permeability evolution by combining two meter-long microfluidic devices of identical dimensions and porosity with homogeneous and heterogeneous porous networks and real-time monitoring. The two chips received, in triplicate, MICP treatment with an imposed flow and the same initial conditions, while the inlet and outlet pressures were periodically monitored. This paper proposes a comprehensive workflow destined to detect bacteria and crystals from time-lapse microscopy data at multiple positions along a microfluidic replica of porous media treated with MICP. CaCO3 crystals were formed 1 h after the introduction of the cementation solution (CS), and crystal growth was completed 12 h later. The average crystal growth rate was overall higher in the heterogeneous porous medium, while it became slower after the first 3 h of cementation injection. It was found that the average chemical reaction efficiency presented a peak of 34% at the middle of the chip and remained above 20% before the last 90 mm of the reactive path for the heterogeneous porous network. The homogeneous porous medium presented an overall lower average reaction efficiency, which peaked at 27% 420 mm downstream of the inlet and remained lower than 12% for the rest of the microfluidic channel. These different trends of chemical efficiency in the two networks are due to a higher number of crystals of higher average diameter in the heterogeneous medium than in the homogeneous porous medium. In the interval between 480 and 900 mm, the number of crystals in the heterogeneous porous medium is more than double the number of crystals in the homogeneous porous medium. The average diameters of the crystals were 23-46 µm in the heterogeneous porous medium, compared to 17-40 µm in the homogeneous porous medium across the whole chip. The permeability of the heterogeneous porous medium was more affected than that of the homogeneous system, while the pressure sensors effectively captured a higher decrease in the permeability during the first two hours when crystals were formed and a less prominent decrease during the subsequent seeded growth of the existing crystals, as well as the nucleation and growth of new crystals.


Subject(s)
Calcium Carbonate , Microfluidics , Chemical Precipitation , Calcium Carbonate/chemistry , Porosity , Soil , Bacteria
12.
Pestic Biochem Physiol ; 187: 105222, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36127061

ABSTRACT

The organophosphorus pesticide chlorpyrifos, detected in water and food worldwide, has also been found in the Río Negro and Neuquén Valley, North Patagonia, Argentina, where the rainbow trout, Oncorhynchus mykiss, is one of the most abundant fish species. We analyzed whether chlorpyrifos affects the transport activity of the ATP-binding cassette protein transporters from the subfamily C (ABCC), which are critical components of multixenobiotic resistance. We exposed ex vivo O. mykiss middle intestine strips (non-polarized) and segments (polarized) for one hour to 0 (solvent control), 3, 10, and 20 µg L-1 and to 0, 10, and 20 µg L-1 chlorpyrifos, respectively. We estimated the Abcc-mediated transport rate by measuring the transport rate of the specific Abcc substrate 2,4-dinitrophenyl-S-glutathione (DNP-SG). In addition, we measured the enzymatic activity of cholinesterase, carboxylesterase, glutathione-S-transferase, and 7-ethoxyresorufin-O-deethylase (EROD, indicative of the activity of cytochrome P450 monooxygenase 1A, CYP1A). We also measured lipid peroxidation using the thiobarbituric acid reactive substances method and the gene expression of Abcc2 and genes of the AhR pathway, AhR, ARNT, and cyp1a, by qRT-PCR. Chlorpyrifos induced the DNP-SG transport rate in middle intestine strips in a concentration-dependent manner (49-71%). In polarized preparations, the induction of the DNP-SG transport rate was observed only in everted segments exposed to 20 µg L-1 chlorpyrifos (40%), indicating that CPF only stimulated the apical (luminal) transport flux. Exposure to chlorpyrifos increased GST activity by 42% in intestine strips and inhibited EROD activity (47.5%). In addition, chlorpyrifos exposure inhibited cholinesterase (34-55%) and carboxylesterase (33-42.5%) activities at all the concentrations assayed and increased TBARS levels in a concentration-dependent manner (71-123%). Exposure to 20 µgL-1 chlorpyrifos did not affect the mRNA expression of the studied genes. The lack of inhibition of DNP-SG transport suggests that chlorpyrifos is not an Abcc substrate. Instead, CPF induces the activity of Abcc proteins in the apical membrane of enterocytes, likely through a post-translational pathway.


Subject(s)
Chlorpyrifos , Oncorhynchus mykiss , Pesticides , Water Pollutants, Chemical , ATP-Binding Cassette Transporters , Adenosine Triphosphate/metabolism , Animals , Carboxylic Ester Hydrolases/metabolism , Chlorpyrifos/pharmacology , Cholinesterases , Cytochrome P-450 CYP1A1/genetics , Cytochrome P-450 CYP1A1/metabolism , Cytochrome P-450 Enzyme System/metabolism , Glutathione/metabolism , Glutathione Transferase/genetics , Glutathione Transferase/metabolism , Intestines , Oncorhynchus mykiss/genetics , Oncorhynchus mykiss/metabolism , Organophosphorus Compounds/metabolism , Pesticides/metabolism , RNA, Messenger/metabolism , Solvents , Thiobarbituric Acid Reactive Substances/metabolism , Water/metabolism , Water Pollutants, Chemical/toxicity
13.
Nat Commun ; 13(1): 3820, 2022 07 02.
Article in English | MEDLINE | ID: mdl-35780187

ABSTRACT

Natural porous systems, such as soil, membranes, and biological tissues comprise disordered structures characterized by dead-end pores connected to a network of percolating channels. The release and dispersion of particles, solutes, and microorganisms from such features is key for a broad range of environmental and medical applications including soil remediation, filtration and drug delivery. Yet, owing to the stagnant and opaque nature of these disordered systems, the role of microscopic structure and flow on the dispersion of particles and solutes remains poorly understood. Here, we use a microfluidic model system that features a pore structure characterized by distributed dead-ends to determine how particles are transported, retained and dispersed. We observe strong tailing of arrival time distributions at the outlet of the medium characterized by power-law decay with an exponent of 2/3. Using numerical simulations and an analytical model, we link this behavior to particles initially located within dead-end pores, and explain the tailing exponent with a hopping across and rolling along the streamlines of vortices within dead-end pores. We quantify such anomalous dispersal by a stochastic model that predicts the full evolution of arrival times. Our results demonstrate how microscopic flow structures can impact macroscopic particle transport.


Subject(s)
Filtration , Microfluidics , Models, Biological , Porosity , Soil
15.
Arthritis Res Ther ; 24(1): 12, 2022 01 04.
Article in English | MEDLINE | ID: mdl-34983619

ABSTRACT

BACKGROUND: Lenabasum is a cannabinoid type 2 receptor (CB2R) reverse agonist that demonstrates anti-inflammatory effects in vivo and in vitro in dermatomyositis (DM) and is currently being investigated for therapeutic potential. The purpose of our study is to investigate CB2R distribution as well as the effects of lenabasum in DM. METHODS: Immunohistochemistry staining (IHC) was utilized to examine immune cell and cytokine production changes in lesional DM skin biopsies from lenabasum and placebo-treated patients. CB2R expression in various immune cell populations within DM skin was investigated with image mass cytometry (IMC), whereas flow cytometry elucidated CB2R expression in DM peripheral blood mononuclear cells (PBMCs) as well as cytokine production by CB2R-expressing cell populations. RESULTS: After 12 weeks of lenabasum treatment, IHC staining showed that CD4+ T cells, CB2R, IL-31, IFN-γ, and IFN-ß cytokines were downregulated. IFN-γ and IFN-ß mRNA decreased in lesional DM skin but not in PBMCs. IMC findings revealed that CB2R was upregulated in DM lesional skin compared to HC skin and DM PBMCs (p<0.05). In DM skin, CB2R was upregulated on dendritic cells, B cells, T cells, and macrophages while dendritic cells had the greatest expression in both DM skin and PBMCs (p<0.05). These CB2R+ cells in the skin produce IL-31, IL-4, IFN-γ, and IFN-ß. CONCLUSION: Our findings of differential CB2R expression based on location and cell type suggest modes by which lenabasum may exert anti-inflammatory effects in DM and highlights dendritic cells as potential therapeutic targets.


Subject(s)
Dermatomyositis , Leukocytes, Mononuclear , Dermatomyositis/pathology , Dronabinol/analogs & derivatives , Dronabinol/metabolism , Dronabinol/pharmacology , Dronabinol/therapeutic use , Humans , Leukocytes, Mononuclear/metabolism , Receptors, Cannabinoid/metabolism , Receptors, Cannabinoid/therapeutic use
16.
Pestic Biochem Physiol ; 178: 104920, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34446196

ABSTRACT

Chlorpyrifos (CPF) is an organophosphate pesticide, commonly detected in water and food. Despite CPF toxicity on aquatic species has been extensively studied, few studies analyze the effects of CPF on fish transcriptional pathways. The Pregnane X receptor (PXR) is a nuclear receptor that is activated by binding to a wide variety of ligands and regulates the transcription of enzymes involved in the metabolism and transport of many endogenous and exogenous compounds. We evaluated the mRNA expression of PXR-regulated-genes (PXR, CYP3A27, CYP2K1, ABCB1, UGT, and ABCC2) in intestine and liver of the rainbow trout, Oncorhynchus mykiss, exposed in vivo to an environmentally relevant CPF concentration. Our results demonstrate that the expression of PXR and PXR-regulated genes is increased in O. mykiss liver and intestine upon exposure to CPF. Additionally, we evaluated the impact of CPF on other cellular pathway involved in xenobiotic metabolism, the Aryl Hydrocarbon Receptor (AhR) pathway, and on the expression and activity of different biotransformation enzymes (CYP2M1, GST, FMO1, or cholinesterases (ChEs)). In contrast to PXR, the expression of AhR, and its target gene CYP1A, are reduced upon CPF exposure. Furthermore, ChE and CYP1A activities are significantly inhibited by CPF, in both the intestine and the liver. CPF activates the PXR pathway in O. mykiss in the intestine and liver, with a more profound effect in the intestine. Likewise, our results support regulatory crosstalk between PXR and AhR pathways, where the induction of PXR coincides with the downregulation of AhR-mediated CYP1A mRNA expression and activity in the intestine.


Subject(s)
Chlorpyrifos , Insecticides , Oncorhynchus mykiss , Animals , Chlorpyrifos/toxicity , Insecticides/toxicity , Liver , Oncorhynchus mykiss/genetics , Pregnane X Receptor/genetics , Receptors, Aryl Hydrocarbon/genetics
17.
iScience ; 24(2): 102067, 2021 Feb 19.
Article in English | MEDLINE | ID: mdl-33598641

ABSTRACT

Biofilms are surface-attached and matrix-enclosed microbial communities that dominate microbial life in numerous ecosystems. Using flumes and automated optical coherence tomography, we studied the morphogenesis of phototrophic biofilms along a gradient of hydraulic conditions. Compact and coalescent biofilms formed under elevated bed shear stress, whereas protruding clusters separated by troughs formed under reduced shear stress. This morphological differentiation did not linearly follow the hydraulic gradient, but a break point emerged around a shear stress of ~0.08 Pa. While community composition did not differ between high and low shear environments, our results suggest that the morphological differentiation was linked to biomass displacement and reciprocal interactions between the biofilm structure and hydraulics. Mapping oxygen concentrations within and around biofilm structures, we provide empirical evidence for biofilm-induced alterations of oxygen mass transfer. Our findings suggest that architectural plasticity, efficient mass transfer, and resistance to shear stress contribute to the success of phototrophic biofilms.

18.
Pathologica ; 113(6): 475-480, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34974555

ABSTRACT

Rectal prolapse is a disorder in which the rectum protrudes from the anal canal. Solitary rectal ulcer may coexist. Both conditions have been associated with chronic constipation and excessive straining during defecation. Rectal prolapse has been rarely reported in women suffering from anorexia nervosa. Lack of rectal support because of loss of ischiorectal fat has been proposed as one of the possible mechanisms in this condition, together with chronic constipation and abuse of laxative. We report the case of an anorexic woman with a severe rectal prolapse and bleeding requiring urgent Altmeier's procedure. Surgery was complicated by dehiscence of the anastomosis and volvulus, requiring ileostomy and laciniae debridement. Pathological analysis of all the surgical samples taken from different abdominal sites highlighted changes in the visceral adipose tissue consisting in nodular aggregates of small adipocytes dispersed in a myxoid matrix surrounding blood vessels within abundant fibrosis. The morphologic features resemble those observed in primordial fetal fat and are comparable to those observed in cancer associated cachexia. The diffuse myxoid degeneration of visceral adipose tissue may play a role in the pathogenesis of rectal prolapse in patients with anorexia nervosa. Besides starvation, the mechanism sustaining myxoid degeneration of the adipose tissue is not entirely clear. Whenever possible improving nutritional and clinical conditions should be ideal before any surgical approach.


Subject(s)
Appetite Depressants , Rectal Diseases , Rectal Prolapse , Female , Humans , Intra-Abdominal Fat , Rectal Prolapse/complications , Rectal Prolapse/surgery , Ulcer
19.
Ecotoxicol Environ Saf ; 208: 111394, 2021 Jan 15.
Article in English | MEDLINE | ID: mdl-33031985

ABSTRACT

The development of oil and gas production together with the fruit production in nearby areas of North Patagonia, Argentina, suggests aquatic pollution scenarios which include permanent oil pollution combined with short events of pesticides application. It has been reported that oil hydrocarbons activate the aryl hydrocarbon receptor (AhR) pathway in the rainbow trout, Oncorhynchus mykiss, and that the insecticide Chlorpyrifos (CPF) interacts with these effects. Thus, it is interesting to investigate whether hydrocarbons and insecticides, applied by separate or combined, can affect fish health and reproductive signaling by acting on different nuclear receptors' regulatory pathways. To study this kind of interactions, we exposed juvenile rainbow trout to water accommodated fraction (WAF) of crude oil (62 µg L-1 TPH) for 48 h and subsequently exposed the livers ex vivo to the insecticide Chlorpyrifos (CPF) (20 µg L-1) for 1 h. We analyzed the mRNA expression of nuclear receptors and proteins involved in detoxifying, antioxidant, immune and apoptosis responses by qRT-PCR. We also performed histopathological analysis. WAF induced the expression of the androgen (AR) and the Liver X receptor (LXR) by 8- and 3-fold, respectively. AR induction was reversed by subsequent exposure to CPF. The progesterone receptor (PR) and glucocorticoid receptor (GR) were increased 2-fold and 3-fold by WAF respectively, while estrogen and mineralocorticoid receptors were not affected. GR was also induced by CPF with an additive effect in the WAF-CPF treatment. The antioxidant genes, gamma glutamyl transferase (GGT), superoxide dismutase (SOD1) were induced by WAF (2-3-fold). WAF upregulated the ATP Binding Cassette Subfamily C Member 2 (ABCC2, MRP2) (4-fold) and downregulated alkaline phosphatase. WAF also induced the inflammatory interleukins (IL) IL-8, and IL-6 and the anti-inflammatory IL-10, while CPF induced the inflammatory tumor necrosis factor (-α) and IL-6, and activated the intrinsic apoptotic pathway through the induction of caspases 3 and 9. Both, WAF and CPF downregulated the expression of the extrinsic apoptosis initiator caspase 8 and the inflammatory caspase 1. In conclusion, WAF hydrocarbons alter O. mykiss endocrine regulation by inducing AR, PR and GR. The subsequent exposure to CPF reverses AR, suggesting a complex interaction of different pollutants in contaminated environments, WAF hydrocarbons alter liver metabolism by inducing the expression of LXR, GR, antioxidant and detoxifying enzymes, and both inflammatory and anti-inflammatory cytokines, and causing mild hepatic steatosis. CPF activates inflammatory and stress responses associated with the induction of inflammatory cytokines together with apoptosis initiator and executioner caspases.


Subject(s)
Chlorpyrifos/toxicity , Hydrocarbons/toxicity , Oncorhynchus mykiss/physiology , Water Pollutants, Chemical/toxicity , Animals , Antioxidants/metabolism , Argentina , Chlorpyrifos/metabolism , Hydrocarbons/metabolism , Immunity , Insecticides/toxicity , Liver/drug effects , Petroleum/metabolism , Petroleum Pollution , Receptors, Cytoplasmic and Nuclear/metabolism , Water Pollutants, Chemical/metabolism
20.
J Vis Exp ; (165)2020 11 25.
Article in English | MEDLINE | ID: mdl-33311432

ABSTRACT

Understanding the transport, dispersion and deposition of microorganisms in porous media is a complex scientific task comprising topics as diverse as hydrodynamics, ecology and environmental engineering. Modeling bacterial transport in porous environments at different spatial scales is critical to better predict the consequences of bacterial transport, yet current models often fail to up-scale from laboratory to field conditions. Here, we introduce experimental tools to study bacterial transport in porous media at two spatial scales. The aim of these tools is to obtain macroscopic observables (such as breakthrough curves or deposition profiles) of bacteria injected into transparent porous matrices. At the small scale (10-1000 µm), microfluidic devices are combined with optical video-microscopy and image processing to obtain breakthrough curves and, at the same time, to track individual bacterial cells at the pore scale. At larger scale, flow cytometry is combined with a self-made robotic dispenser to obtain breakthrough curves. We illustrate the utility of these tools to better understand how bacteria are transported in complex porous media such as the hyporheic zone of streams. As these tools provide simultaneous measurements across scales, they pave the way for mechanism-based models, critically important for upscaling. Application of these tools may not only contribute to the development of novel bioremediation applications but also shed new light on the ecological strategies of microorganisms colonizing porous substrates.


Subject(s)
Flow Cytometry , Microfluidics , Microscopy , Pseudomonas putida/metabolism , Automation , Biological Transport , Dimethylpolysiloxanes/chemistry , Hydrodynamics , Image Processing, Computer-Assisted , Polymethyl Methacrylate/chemistry , Porosity
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