Intralesional Cidofovir: A Systematic Review of Administration Protocols and Long-term Recurrence Rates in Adult and Juvenile Recurrent Respiratory Papillomatosis.

OBJECTIVE: This is a systematic review aimed to explore Cidofovir administration protocols, recurrence rates, and long-term effectiveness for severe cases of recurrent respiratory papillomatosis (RRP). The primary goal was to identify current practices, determine the preferred protocol, and assess the adjuvant therapy's ability to prevent long-term papilloma recurrence in juvenile and adult-onset disease. METHODS: The following databases were searched: Pubmed, Google Scholar (pages 1-10), EMBASE, Scopus, ISI (clarivate), Cochrane Library, and Journal Storage from 1996 to June 2022. Articles that reported the use of intralesional Cidofovir in RRP and reported remission/recurrence rates with follow-up were included in the review. The systematic review was registered through PROSPERO and contains the detailed protocol for the conduction of the review. RESULTS: A total of 389 records were identified, 126 titles and abstracts screened, 45 studies fully read, and 30 studies met the inclusion criteria. Two hundred and fourteen adult-onset RRP (AORRP) and 126 juvenile-onset RRP (JORRP) cases were treated with Cidofovir across the included studies. There was no universal protocol for administering Cidofovir, with variations in concentration, treatment period, number and interval of injections, and follow-up duration. Most lesions showed human papilloma virus types 6 and 11. Recurrence rates varied, and other outcomes reported included remission rates, lesion reduction, surgical intervals, and side effects. Some studies demonstrated significant improvements in disease severity and extended intervals between recurrences after Cidofovir administration. CONCLUSIONS: The analysis of 30 studies reveals the need for greater consistency in reporting treatment parameters and outcomes. The use of recurrence-free period as an outcome measure and the potential benefits of a concentration of 7.5 mg/mL are identified. Additionally, the importance of viral typing within papilloma lesions is emphasized. To further enhance understanding and establish optimal protocols, future research should focus on uniform reporting, including severity, dosage, interval, treatment duration, functional outcome, and related procedures. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42022299549.

Distribution of trace and major elements in subarctic ecosystem soils: Sources and influence of vegetation.

Artic and subarctic environments are particularly sensitive to climate change with a faster warming compared to other latitudes. Vegetation is changing but its role on the biogeochemical cycling is poorly understood. In this study, we evaluated the distribution of trace elements in subarctic soils from different land covers at Abisko, northern Sweden: grassland, moor, broad-leaved forest, and peat bog. Using various multivariate analysis approaches, results indicated a spatial heterogeneity with a strong influence of soil horizon classes considered: lithogenic elements (e.g., Al, Cr, Ti) were accumulated in mineral horizon classes and surface process-influenced elements (e.g., Cd, Cu, Se) in organic horizon classes. Atmospheric influences included contamination by both local mines (e.g., Cu, Fe, Ni) and regional or long-range atmospheric transport (e.g., Cd, Pb, Zn). A non-negative matrix factorization was used to estimate, for each element, the contribution of various sources identified. For the first time, a comparison between geochemical and ecological data was performed to evaluate the influence of vegetation on element distribution. Apart from soil pH that could control dynamics of As, Cu, and Se, two vegetation classes were reported to be correlated to geochemical factors: forbs and shrubs/dwarf shrubs probably due to their annual vs. perennial activities, respectively. Since these are considered as the main vegetation classes that quickly evolve with climate change, we expect to see modifications in trace element biogeochemical cycling in the future.

Biological and chemical reactivity and phosphorus forms of buffalo manure compost, vermicompost and their mixture with biochar.

This study characterized the carbon and phosphorus composition of buffalo manure, its compost and vermicompost and investigated if presence of bamboo biochar has an effect on their chemical and biological reactivity. The four substrates were characterized for chemical and biochemical composition and P forms. The biological stability of the four substrates and their mixtures were determined during an incubation experiment. Their chemical reactivity was analyzed after acid dichromate oxidation. Biological reactivity of these substrates was related to their soluble organic matter content, which decreased in the order buffalo manure>compost>vermicompost. Phosphorus was labile in all organic substrates and composting transformed organic P into plant available P. The presence of biochar led to a protection of organic matter against chemical oxidation and changed their susceptibility to biological degradation, suggesting that biochar could increase the carbon sequestration potential of compost, vermicompost and manure, when applied in mixture.

Variability of 13C-labeling in plant leaves.

RATIONALE: Plant tissues artificially labeled with (13)C are increasingly used in environmental studies to unravel biogeochemical and ecophysiological processes. However, the variability of (13)C-content in labeled tissues has never been carefully investigated. Hence, this study aimed at documenting the variability of (13)C-content in artificially labeled leaves. METHODS: European beech and Italian ryegrass were subjected to long-term (13)C-labeling in a controlled-environment growth chamber. The (13)C-content of the leaves obtained after several months labeling was determined by isotope ratio mass spectrometry. RESULTS: The (13)C-content of the labeled leaves exhibited inter- and intra-leaf variability much higher than those naturally occurring in unlabeled plants, which do not exceed a few per mil. This variability was correlated with labeling intensity: the isotope composition of leaves varied in ranges of ca 60‰ and 90‰ for experiments that led to average leaf (13)C-content of ca +15‰ and +450‰, respectively. CONCLUSIONS: The reported variability of isotope composition in (13)C-enriched leaves is critical, and should be taken into account in subsequent experimental investigations of environmental processes using (13)C-labeled plant tissues.