ATOPIC DERMATITIS: EXPRESSION OF IMMUNOLOGICAL IMBALANCE.

Atopic dermatitis is a chronic relapsing-remitting inflammatory skin condition, characterized by a skin barrier dysfunction resulting in epidermal damage and altered permeability to allergens and microbes. Although pathogenesis of atopic dermatitis is complex and still not fully understood, it has been hypothesized that genetic predisposition, environmental factors, and skin barrier dysfunction are involved. Innate and adaptive immune system has also a pivotal role in the development, maintenance and flare-up of atopic dermatitis. The immune-pathogenesis of atopic dermatitis is determined by the impairment of different T helper cells, of their cytokine secretion profiles as well as of their specific receptor. In this review, we focus on the current knowledge of the etiopathogenetic pathways of atopic dermatitis in relationship to the critical role of the innate and adaptive immune system, providing a unifying view.

Volatiles in raw and cooked meat from lambs fed olive cake and linseed.

This study was conducted to determine the effects of feeding olive cake and linseed to lambs on the volatile organic compounds (VOCs) in raw and cooked meat. Four groups of eight male Appenninica lambs each were fed: conventional cereal-based concentrates (diet C), concentrates containing 20% on a dry matter (DM) basis of rolled linseed (diet L), concentrates containing 35% DM of stoned olive cake (diet OC), or concentrates containing both rolled linseed (10% DM) and stoned olive cake (17% DM; diet OCL). The longissimus dorsi muscle of each lamb was sampled at slaughter and was subjected to VOC profiling through the use of SPME-GC-MS. In the raw meat, the concentration of 3-methylpentanoic acid was higher in treatment C as compared with treatments L, OC and OCL (P<0.01). Moreover the level of nonanoic acid was greater in treatments C and OC than in treatment L (P<0.05). With respect to alcohols, in raw meat the amount of 2-phenoxyethanol in treatment OCL was lower than in treatments C (P<0.01) and OC (P<0.05), while in cooked meat the amount of 1-pentanol was higher in treatment C than in treatment OC (P<0.05). Apart from these compounds, none of the lipid oxidation-derived volatiles was significantly affected by the dietary treatment. Therefore, the results suggest that the replacement of cereal concentrates with linseed and/or olive cake did not cause appreciable changes in the production of volatile organic compounds in lamb meat.

The use of stoned olive cake and rolled linseed in the diet of intensively reared lambs: effect on the intramuscular fatty-acid composition.

The aim of the present study was to evaluate the effect of the inclusion of stoned olive cake and rolled linseed in a concentrate-based diet for lambs on the fatty-acid composition of polar and non-polar intramuscular lipids of the longissimus dorsi muscle. To achieve this objective, 32 Appenninica lambs were randomly distributed into four groups of eight lambs each and were fed conventional cereal-based concentrates (diet C); concentrates containing 20% on a dry matter (DM) basis of rolled linseed (diet L); concentrates containing 35% DM of stoned olive cake (diet OC); and concentrates containing both rolled linseed (10% DM) and stoned olive cake (17% DM; diet OCL). The concentrates were administered together with grass hay at a 20:80 forage:concentrate ratio. Growing performances and carcass traits were evaluated. The fatty-acid composition was analysed in the total intramuscular lipids, as well as in the polar and neutral lipids. The average feed intake and the growth performance of lambs were not affected by the dietary treatments, as a consequence of similar nutritional characteristics of the diets. The inclusion of rolled linseed in the L and OCL diets increased the content of C18:3 n-3 in intramuscular total lipids, which was threefold higher in meat from the L lambs and more than twofold higher in meat from the OCL lambs compared with the C and OC treatments. The n-6:n-3 ratio significantly decreased in the meat from lambs in the L and OCL groups, reaching values below 3. The L treatment resulted in the highest level of trans-18:1 fatty acids in the muscle. Regardless of the dietary treatment, the t10-18:1 was the major isomer, representing 55%, 45%, 49% and 45% of total trans-18:1 for C, L, OC and OCL treatments, respectively. Neutral lipids from the OC-fed lambs contained the highest amount of c9-18:1 (more than 36% of total fatty acids); however, the content of c9-18:1 did not differ between the OC and C lambs, suggesting an intensive biohydrogenation of dietary c9-18:1 in the case of OC treatment. The highest content of c9,t11-18:2 was detected in the intramuscular fat from the L-fed lambs, followed by the OCL treatment. A similar trend was observed in the neutral lipid fraction and, to a lower extent, in the polar lipids.

Diet choice by goats as effect of milk production level during late lactation.

The diet self-regulation ability of goats during late lactation has been studied with regard to their production level. Two groups of seven Girgentana goats producing 1100 ± 157 g/day (H group) and 613 ± 138 g/day (L group) were housed in individual pens and were given alfalfa pelleted hay (1.5 kg), whole grains of maize (0.5 kg), barley (0.5 kg), faba bean (0.5 kg) and pelleted sunflower cake (0.5 kg) on a daily basis. During a 7-day pre-experimental period, goats received a mixed ration based on the same feeds used during the experimental period (1.5 kg of hay and 0.4 kg of each concentrate). Individual choice of feeds was continuously recorded for 7 days using a 24-h IR video surveillance system equipped with four video cameras. The nutrient intake in both groups was much higher than needed. Goats in the H group ate more (2016.3 v. 1744.3 g dry matter (DM)/day) and selected less hay (26.9% v. 34.6% DM), more high-protein feeds (faba bean and sunflower cake: 14.0% and 15.9% v. 8.8% and 7.9% DM, respectively) and less maize (21.5% v. 25.0% DM), reaching a higher CP concentration in the diet (17.3% v. 15.0% DM) compared with the goats in the L group. During the 24-h trial period, hay was more constantly selected (on average never reaching <20% of the total hourly basis feeding time, apart from the first hour after feed administration) compared with concentrate feeds. This feeding behaviour has probably exercised a 'curative' effect that enabled the goats to continue to take in very high levels of starch and protein, without manifesting any symptom of metabolic disease. Shifting goats from the pre-experimental diet, based on a mixture of the same feeds used during the experimental period, to the free-choice feeding caused more than 20% increase in milk production in both groups. From the results of the intake, we are unable to conclude that the goats can select their diet to meet their requirements, as goats consumed much more than needed. However, when free to choose their diet, the animals improved milk performance, despite the late-lactation stage.

The association between carotid or femoral atherosclerosis and low bone mass in postmenopausal women referred for osteoporosis screening. Does osteoprotegerin play a role?

Atherosclerosis and osteoporosis appear to be epidemiologically correlated. Most (but not all) animal and clinical studies suggest that osteoprotegerin (OPG) may represent a possible molecular link between bone loss and vascular calcification. The aim of this study was to investigate the association of OPG with bone mineral density (BMD) and vascular plaques, in order to contribute to a better understanding of the link between atherosclerosis and osteoporosis. The study population consisted of 100 consecutive postmenopausal women referred for routine osteoporosis screening. BMD was evaluated by dual-energy X-ray absorptiometry. Presence of carotid or femoral plaques was examined by ultrasonography. OPG was measured by enzyme immunoassay. Seventy-two subjects had low bone mass and were categorized as osteopenic (32) or osteoporotic (40). Fifty-two subjects had one or more atherosclerotic plaques at carotid or femoral level. Both lumbar spine and femoral BMD were associated with the number of plaques (r=-0.5370; p<0.0001, and r=-0.4423; p=0.0012, respectively), however only spine BMD remained significantly associated with the number of plaques after adjustment. OPG serum values showed a significant association with age (r(2)=0.057; p=0.042). The association between OPG and the number of plaques was significant only in patients with concomitant involvement of carotid and femoral districts (r(2)=0.758; p<0.0001).

Monitoring of physiological and blood parameters during perinatal and neonatal period in calves / Monitoramento de parâmetros fisiológicos e sanguíneos de bezerros durante os períodos perinatal e neonatal

Rectal temperature, heart and respiratory rates, and the course of some blood parameters were monitored in calves during perinatal and neonatal periods. The study was carried out on eight Limousine calves. From all subjects, rectal temperature, heart rate, and respiratory rate were measured. Blood samples were taken at the same hour (9am) from the external jugular vein, and then centrifuged and stored until analyses. By means of an UV spectrophotometer, the following blood parameters were assessed for each subject: total protein, total cholesterol, triglycerides, glucose, non-esterified fatty acids (NEFA), urea, creatinine, cholinesterase, lactate dehydrogenase (LDH), hydroxybutirate, glutamate pyruvate transaminases (GPT), glutamate oxalacetate transaminases (GOT), direct and total bilirubin, magnesium, iron, potassium, phosphorus, chloride and sodium. The results showed a significant effect of days of life (P<0.05) only on total cholesterol, creatinine and GOT during the first week of life and a significant effect of days of life on rectal temperature, heart rate, respiratory rate, total cholesterol, NEFA, creatinina, and GOT during the first month of life. A correlation among individual values for postnatal age (days of life) and heart rate in calves during the first month of life was observed. In conclusion, modifications of studied parameters could be attributed to functional development of calves in neonatal period and contribute to the knowledge of adaptation processes in calf during the first week and the first month of life resulting useful for the diagnosis and treatment of any neonatal diseases.

Realizou-se o monitoramento da temperatura retal das frequências cardíaca e respiratória e de alguns parâmetros sanguíneos em oito bezerros da raça Limousine, durante o período perinatal e neonatal. Paralelamente às mensurações da temperatura retal e das frequências cardíaca e respiratória (9h), foram pesquisados, por meio de espectrofotômetro de UV, proteína total, colesterol total, triglicérides, glicose, ácidos graxos não esterificados (NEFA), ureia, creatinina, colinesterose, lactato desidrogenase (LDH), hidroxibutirato, glutamato piruvato transaminases (GOT), direta e total bilirrubina, magnésio, fósforo, cloretos e sódio. Os resultados mostraram efeito significativo dos dias de vida (P<0,05) somente sobre o colesterol total, creatinina e GOT, durante a primeira semana e um significante efeito de dias de vida sobre a temperatura retal, as frequências cardíaca e respiratória, colesterol total, NEFA, creatina e GOT durante o primeiro mês de vida. Observou-se correlação entre os valores individuais para dias de vida e frequência cardíaca durante o primeiro mês de vida. Conclui-se que as modificações desses parâmetros podem ser atribuídas ao desenvolvimento dos bezerros no período neonatal, contribuindo para o conhecimento do processo de adaptação, em bezerros, durante a primeira semana e o primeiro mês de vida.

Bisphosphonates and atherosclerosis.

The relevance of association between osteoporosis and cardiovascular disease in clinical settings, and the evidence of a biological linkage between bone and vascular calcification, encourage the search of drugs that may act as dual-purpose therapies, concordantly enhancing bone density and reducing atherosclerosis. Bisphosphonates (BP) reduce bone resorption and fracture risk, and also seem to have the potential to reduce atherosclerotic process. This unexpected activity is the result of their interference with cholesterol synthesis, inflammatory progression, and oxidative stress. Although most animal studies show a clear anti-atherogenic activity of BP, data in humans are not consistent or conclusive, given the high affinity of BP for bone, which prevents them from accumulating in other tissues at the concentration required to exert a clear pharmacological effect.

L-arginine supplementation normalizes bone turnover and preserves bone mass in streptozotocin-induced diabetic rats.

Osteopenia, an important complication of diabetes mellitus, is responsible of an increase in bone fracture and of a delay in fracture healing. The pathogenesis of this complication is unclear, however decreased availability and synthesis of nitric oxide (NO) may be regarded as a possible cause of disregulation of bone turnover. The aim of our study was to evaluate the effect of streptozotocin (STZ)-induced diabetes in the rat on bone mineral density (BMD) and bone turnover. We also examined whether supplementation of L-arginine (which acts as a NO substrate) could be beneficial for bone. After 6 weeks of STZ treatment, diabetic rats showed a significant decrease of BMD in the whole body, at the spine, at the pelvis, and at the femur. Bone turnover evaluation revealed a significant decrease in the serum levels of osteocalcin (a marker of bone formation), and an increase of the serum levels of the C-terminal telopeptide of type I collagen (RatLaps; a marker of bone resorption). L-arginine supplementation prevented the diabetes-induced reduction of BMD and osteocalcin, and the increase of RatLaps. These pharmacological actions of L-arginine produce a new suggestion that increase of NO synthesis and availability is potentially useful for effective prevention and treatment of osteopenia associated with diabetes.

Meat quality and intramuscular fatty acid composition of Sanfratellano and Haflinger foals.

The goal of the trial was to evaluate meat quality, with an emphasis on intramuscular fatty acid composition, of Sanfratellano foals, compared to that from Haflinger foals,both slaughtered at 18 months of age. Thirty foals, half of Sanfratellano breed and half of Haflinger breed, naturally weaned at 7-8 months, were divided into two homogeneous groups at 15 months of age and fed a finishing diet based on polyphite hay and concentrate. The finishing period lasted three months. Sanfratellano foals showed higher slaughter weight (P<0.05) as well carcass weight (P<0.05) compared to Haflinger foals. Meat physical and proximate analyses did not discriminate the two groups. Normal pH values (5.6-5.7) measured at 4-6 day post mortem were recorded in meat from both groups. Shear force values accounted (range 55-58N) for a favourable tenderness in both groups. The intramuscular fat level was low in both groups (<2.5%) supporting the healthy image of this meat. The proportion of linolenic acid was higher (P<0.01) in Haflinger meat than in Sanfratellano one, thus causing a higher (P<0.05) total n-3 fatty acid content. Overall meat from both groups showed a favourable repartition among saturated (36-37% total FAME's), monounsaturated (33% total FAME's) and polyunsaturated fatty acids (30-31% total FAME's).

Lipid and colour stability of meat from lambs fed fresh herbage or concentrate.

Fourteen male Comisana lambs were divided into two groups at 45days of age and were individually penned for 105days. Over this period, seven lambs were fed a concentrate-based diet (C), whereas the remaining animals received vetch (Vicia sativa; H) harvested daily and given fresh to the animals. Lipid oxidation was measured in both minced cooked meat (semimembranosus muscle, SM) over 4days of aerobic refrigerated storage and on minced raw meat stored over 14days in a high oxygen atmosphere. Colour descriptors, haem pigment concentration, and metmyoglobin percentages were also determined during storage duration on the minced raw meat. Lipid oxidation increased over time in cooked and raw meat (P<0.0005), but lower TBARS values were found in both cooked and minced meat from lambs fed vetch compared to those given concentrates (P=0.001; P=0.006, respectively). Higher a* values, lower b* values and lower hue angle values were observed in meat from H-fed animals as compared to meat from C-fed lambs (P=0.006; P=0.02; P=0.005, respectively). Metmyoglobin formation increased over time (P<0.0005), but the H diet resulted in lower metmyoglobin percentages than the C diet (P=0.006). Haem pigment concentration decreased over the 14days of storage (P<0.0005). We conclude that, under conditions that promote oxidative stress in meat, a herbage-based diet can improve the oxidative stability of meat compared to a concentrate-based diet.

Effect of shearing and environmental conditions on physiological mechanisms in ewes.

The aim of this study was to establish the influence of shearing in dairy sheep during summer season. Several physiological and haematological parameters, which are closely related to thermoregulatory potential, have been investigated with the purpose to assess shearing influence on thermoregulation. Forty dairy sheep, clinically healthy and well-fed, were used. They were divided into two groups of 20 subjects each. Twenty sheep were let unshorn as a control group (Group A), and twenty sheep were shorn (Group B). On each subject of group A and Group B, rectal temperature, respiration and heart rates were recorded and blood samples were collected in order to asses the following parameters: red blood cells, white blood cells, platelets, haematocrit and haemoglobin. All measurements taken on day 0 (before shearing), were repeated after 1, 15, 30, 45 and 60 days after shearing. The statistical analysis, the ANOVA followed by the Bonferroni's test, showed statistical differences between two groups for rectal temperature (F(1.90) = 5.57, p < 0.0001), respiratory rate (F(1.90) = 18.40, p < 0. 0001) and white blood cells (F(1.190) = 7.61, p < 0.0001). These results suggest that the shearing induce adaptative responses in the organism.

Increased augmentation index and central aortic blood pressure in osteoporotic postmenopausal women.

UNLABELLED: Osteoporosis has been associated with cardiovascular disease. We found increased augmentation index, a measure of wave reflections and arterial stiffness, and central pressures in osteoporotic postmenopausal women. They also showed a higher estimated aortic pulse wave velocity, indicating a stiffer aorta. These changes may increase cardiovascular risk in postmenopausal osteoporosis. INTRODUCTION: Evidence suggests a link between osteoporosis and cardiovascular disease. We investigated whether augmentation index (AIx), a measure of pulse wave reflections and arterial stiffness, is increased and related to the osteoprotegerin (OPG)/receptor activator of nuclear factor-kappa B ligand (RANKL) system in postmenopausal osteoporosis. METHODS: AIx and central aortic haemodynamics were assessed using pulse wave analysis in 182 cardiovascular disease-free osteoporotic postmenopausal women and in 160 controls. Statistical analysis was performed by unpaired t test, Mann-Whitney test, Spearman's correlation coefficient, and multivariate linear regression analysis. RESULTS: AIx (37.2 +/- 7.0 vs. 29.6 +/- 9.2 %, P < 0.0001) and central aortic systolic (117.5 +/- 12.1 vs. 111.4 +/- 12.2 mmHg, P < 0.0001) and pulse (40.5 +/- 10.3 vs. 36.4 +/- 8.1 mmHg, P = 0.0007) pressures were significantly higher in osteoporotic patients than in controls. The estimated aortic pulse wave velocity (PWV) was also significantly higher in the osteoporotic group. In multivariate analysis for osteoporotic patients, femoral neck and lumbar spine bone mineral density T scores were independent negative predictors of AIx (P < 0.0001). AIx was not correlated with serum levels of OPG and RANKL. CONCLUSIONS: Osteoporotic postmenopausal women show increased AIx and central aortic pressures, and a higher estimated aortic PWV, indicating a stiffer aorta. Such alterations may increase cardiovascular risk in postmenopausal osteoporosis.

Increased formation of 8-iso-prostaglandin F(2alpha) is associated with altered bone metabolism and lower bone mass in hypercholesterolaemic subjects.

OBJECTIVES: To investigate the relationship of 8-iso-prostaglandin (PG) F(2alpha) levels, a reliable marker of in vivo oxidative stress and lipid peroxidation, with bone mineral density (BMD), bone turnover markers, osteoprotegerin (OPG) and receptor activator of nuclear factor-kappa B ligand (RANKL) in hypercholesterolaemia. DESIGN: Cross-sectional study. SETTING: University hospital centre. METHODS: Serum 8-iso-PGF(2alpha) levels were measured in 173 hypercholesterolaemic subjects and in 152 age- and sex-matched normocholesterolaemic controls. Femoral neck and lumbar spine BMD, serum bone-specific alkaline phosphatase (BAP), osteocalcin (OC), OPG and RANKL levels, as well as urinary levels of C-terminal telopeptides of type I collagen (CTX-I), were also assessed. RESULTS: Hypercholesterolaemic subjects showed higher (P < 0.0001) serum 8-iso-PGF(2alpha) levels than controls. They also had decreased (P < 0.0001) femoral neck and lumbar spine BMD, and lower (P < 0.0001) serum BAP and OC levels. No significant differences between hypercholesterolaemic and control subjects were found when comparing urinary CTX-I levels, or serum OPG and RANKL levels. In multivariate linear regression analysis, serum 8-iso-PGF(2alpha) was the only negative predictor for femoral neck BMD and serum BAP and OC levels in hypercholesterolaemic subjects. No significant correlation (all P > 0.25) was present between serum 8-iso-PGF(2alpha) levels and urinary CTX-I levels, or serum OPG and RANKL levels, in hypercholesterolaemic subjects. CONCLUSIONS: We found an association between increased serum 8-iso-PGF(2alpha) levels and lower bone mass and reduced serum BAP and OC concentrations in hypercholesterolaemic subjects. These results would suggest a possible role for oxidative stress in the development of lower bone mass in hypercholesterolaemia.

Intramuscular fatty acid composition of lambs given a tanniniferous diet with or without polyethylene glycol supplementation.

The aim of this trial was to investigate the effects that dietary tannins have on lamb intramuscular fatty acids. Twenty-seven lambs were divided into three homogeneous groups: control group, receiving commercial concentrate based on maize; tannin group, fed a diet based on carob pulp (45% as fed basis); PEG group, receiving the same diet as the latter with addition of 42g/kg of polyethylene glycol (PEG, a binding agent that eliminates the effects of condensed tannins). The duration of the trial was 45 d. Intramuscular fatty acids were measured in the longissimus dorsi muscle. The isomer cis-9 trans-11 of linoleic acid (conjugated linoleic acid or CLA) and linolenic acid were higher in the longissimus muscle fat from animals fed the control diet compared to the other groups (P<0.0005); these fatty acids were higher in the fat from animals fed the carob diet supplemented with PEG compared to those fed the same diet without PEG (P<0.05). trans-Vaccenic acid (C18:1 trans-11) was found at higher concentration in fat from control and PEG lambs compared to tannin lambs (P<0.01); the CLA/C18:1 trans-11 ratio was lower in lambs fed control and PEG diets than in tannin-fed animals (P<0.05).

Altered osteoprotegerin/RANKL ratio and low bone mineral density in celiac patients on long-term treatment with gluten-free diet.

Skeletal demineralization and mineral metabolism derangement are well-recognized features of untreated celiac disease (CD). Although treatment with a gluten-free diet appears to prevent bone loss while correcting skeletal demineralization in childhood, there is evidence that bone mineral density does not return to normal in celiacs diagnosed in adulthood. Osteoprotegerin (OPG), a member of the tumor necrosis factor receptor family, and ligand of receptor activator of NFkB (RANKL) are involved in the process of bone turnover and have been implicated in the pathogenesis of osteoporosis and other metabolic bone diseases. We measured OPG, RANKL, bone mineral density (BMD), and biochemical markers of bone turnover in 32 adult female premenopausal celiac patients on a gluten-free diet, and thirty age-matched healthy women. We correlated the OPG/RANKL ratio with the severity of bone loss. Celiac patients had a mean BMD lower than controls in lumbar spine and in the femoral neck. Serum levels of bone alkaline phosphatase (BAP, marker of bone formation), and urinary excretion of telopeptides of type I collagen (a marker of bone resorption) were significantly higher than in controls. Serum OPG and RANKL levels were significantly higher in CD patients than in controls, while the OPG/RANKL ratio was significantly lower in CD patients than in controls and was positively correlated with BMD at the spine. The role of elevated OPG in CD patients is unclear, but it might represent a compensatory mechanism against other factors that promote bone damage. Further studies are required to assess a possible therapeutic potential of osteoprotegerin in optimally treated celiacs with persistent osteopenia.

Lamb meat quality as affected by a natural or artificial milk feeding regime.

Fourteen Barbaresca lambs were divided into two groups of seven at 24h from birth and reared exclusively on natural milk (NR) or on artificial milk (AR). Lambs were slaughtered at 40 days of age. The NR group tended (P<0.10) to grow faster, thus resulting in a higher (P<0.10) carcass weight as compared to the AR group. AR meat was darker (P<0.05), leaner (P<0.001) and with a higher moisture (P<0.10) and ash (P<0.05) content than its counterpart. The proportion of polyunsaturated fatty acids was higher (P<0.01), while that of saturated lower (P<0.01) in meat from the AR group, resulting in a higher (P<0.01) polyunsaturated/saturated ratio. Linoleic acid content (P<0.001) and its n-6 series derivatives, except 9-12 trans C18:2 n-6 (P<0.001), increased more in the AR group meat than in the NR group. On the other hand, α-linolenic (P<0.001) and other n-3 series fatty acids were higher in meat from the NR group than in the AR group, leading to a lower (P<0.001) n-6/n-3 ratio. Furthermore, 9 cis 11 trans CLA was higher (P<0.001) in NR meat compared to AR meat. Finally, a milk-feeding regime exclusively based on artificial milk adversely affected the dietetic value of lamb meat compared to a natural rearing system, reducing the level of desirable fatty acids such as n-3 series and CLA.

Studies involving the GH-IGF axis: Lessons from IGF-I and IGF-I receptor gene targeting mouse models.

The IGFs are ubiquitous and have pleoitropic effects. They are critical for normal growth and development, and for normal functioning of adult tissues. A liver-specific gene-deletion knockout of the IGF-I gene resulted in a mouse model with reduced circulating IGF-I levels, that led to insulin resistance due to the secondary elevation of circulating GH levels. The reduction in circulating IGF-I levels was also associated with a reduction in cancer growth and metastases in three cancer models, one for colon cancer and two for breast cancer. A second mouse model, using the transgenic approach, inhibited the IGF-I and insulin receptor function in skeletal muscle, and resulted in severe insulin resistance in muscle followed by insulin resistance in fat and liver and, eventually, beta-cell dysfunction and development of Type 2 diabetes. This progression from insulin resistance to Type 2 diabetes was most likely due to lipotoxicity with elevated serum and tissue triglyceride levels. Evidence supporting the hypothesis came from the use of fibrates and leptin injections, each of which enhanced fatty acid (FA) oxidation in liver and muscle and was associated with a reversal of the insulin resistance and diabetes.

Hepatitis C-associated osteosclerosis (HCAO): report of a new case with involvement of the OPG/RANKL system.

We report a new case of hepatitis C-associated osteosclerosis (HCAO). The clinical presentation of the patient was an acquired deep severe bone pain with increased serum bone alkaline phosphatase activity (up to 12 times the upper limit of normal), and generalized bone sclerosis, temporally related to the hepatitis C-virus (HCV) infection. We documented in this patient an increase of circulating osteoprotegerin (OPG), and a concentration of circulating receptor activator for nuclear factor-kB ligand (RANKL) below the lower limit of the reference range. The observed abnormalities of the OPG/RANKL system may contribute to the maintenance of the positive balance of bone remodeling that characterizes patients with HCAO.

Low bone density and abnormal bone turnover in patients with atherosclerosis of peripheral vessels.

Patients with vascular calcifications often have low bone mineral density (BMD), but it is still uncertain if osteoporosis and peripheral vascular disease (VD) are interrelated and linked by a common pathomechanism. Moreover, data on bone turnover in patients with advanced atherosclerosis are lacking. We measured BMD by dual-energy X-ray absorptiometry (DXA) and quantitative bone ultrasound (QUS), as well as the serum levels of osteocalcin (OC), bone-specific alkaline phosphatase (BAP), osteoprotegerin (OPG) and its ligand RANKL, and the urinary concentration of the C-terminal telopeptides of type I collagen (CrossLaps), in 36 patient (20 male and 16 female) with serious atherosclerotic involvement of the carotid and/or femoral artery to investigate the underlying mechanism of vascular and osseous disorders. Thirty age-matched and gender matched healthy individuals served as controls. After adjustment for age, BMD was significantly reduced at the lumbar spine in 23/36 (63%) patients (mean T score -1.71+/-1.42) and at the proximal femur in 34/36 (93%) patients (neck mean T score -2.5+/-0.88). Ten patients (27%) had abnormal QUS parameters. Gender and diabetes had no effect on the relationship between vascular calcification and bone density at any site measured. VD subjects had OC and BAP serum levels lower than controls (13.3+/-3.1 vs 27.7+/-3.3 ng/ml, P<0.01, and 8.4+/-2.3 vs 12.5+/-1.4 microg/l, P<0.01, respectively). Urinary CrossLaps excretion was not significantly different in patients with VD and in controls (257.9+/-138.9 vs 272.2+/-79.4 micro g/mmol Cr, respectively). Serum OPG and RANKL levels were similar in patients and in controls (3.5+/-1.07 vs 3.4+/-1.05 pmol/l, and 0.37+/-0.07 vs 0.36+/-0.06 pmol/l, respectively). We proved high occurrence of osteoporosis in VD, with evidence of age and gender independence. Negative bone remodelling balance would be a consequence of reduced bone formation, with no apparent increased activation of the OPG-RANKL system.

Citrus pulp as an ingredient in ostrich diet: effects on meat quality.

The purpose of this trial was to study the effects of citrus pulp inclusion in ostrich diets on meat quality, evaluated on iliofibularis and gastrocnemius muscles. M. iliofibularis had a lower ultimate pH (P<0.05) and was lighter in colour (P<0.05) than M. gastrocnemius. The latter had higher moisture (P<0.05) and lower crude protein contents (P<0.05) as compared to M. iliofibularis. M. gastrocnemius had a lower proportion of C14:0 (P<0.05), C16:0 (P<0.05) and C16:1 (P<0.05) and a higher percentage of C18:0 (P<0.05), C20:2ω6 (P<0.05), C20:4ω6 (P<0.05) and C20:5ω3 (P<0.05) than M. iliofibularis. Citrus pulp diet increased (P<0.05) meat ultimate pH and reduced cooking losses (P<0.05) as compared to the control diet. Meat from animals given citrus pulp had lower crude fat (P<0.05) and ash percentages (P<0.05) in comparison to that from the control group. The proportions of intramuscular saturated and monounsaturated fatty acids were lower (P<0.05) in the citrus pulp group as compared to the control one. Meat from the citrus pulp treatment group had a higher (P<0.05) percentage of polyunsaturated fatty acids than meat from the control treatment. In particular, meat from ostriches given citrus pulp diet exhibited higher C18:2ω6 (P<0.05) and C20:4ω6 (P<0.05) contents that accounted for a higher ω6/ω3 ratio (P<0.05) as compared to the control group. Overall, the use of a citrus pulp-included diet in ostrich feeding did not adversely affect meat quality and, therefore, citrus pulp seems to be a possible ingredient to reduce feeding costs.