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1.
Mar Environ Res ; 97: 58-66, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24656573

RESUMO

We propose a modelling approach relating the functioning of a transitional ecosystem with the spatial extension of its habitats. A test case is presented for the lagoon of Venice, discussing the results in the context of the application of current EU directives. The effects on food web functioning due to changes related to manageable and unmanageable drivers were investigated. The modelling procedure involved the use of steady-state food web models and network analysis, respectively applied to estimate the fluxes of energy associated with trophic interactions, and to compute indices of food web functioning. On the long term (hundred years) temporal scale, the model indicated that the expected loss of salt marshes will produce further changes at the system level, with a lagoon showing a decrease in the energy processing efficiency. On the short term scale, simulation results indicated that fishery management accompanied by seagrass restoration measures would produce a slight transition towards a more healthy system, with higher energy cycling, and maintaining a good balance between processing efficiency and resilience. Scenarios presented suggest that the effectiveness of short term management strategies can be better evaluated when contextualized in the long term trends of evolution of a system. We also remark the need for further studying the relationship between habitat diversity and indicators of food web functioning.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Modelos Biológicos , Política Ambiental/legislação & jurisprudência , União Europeia , Cadeia Alimentar , Itália
2.
Bioresour Technol ; 95(2): 159-67, 2004 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15246440

RESUMO

The concentrations and the seasonal changes of heavy metals and organic carbon in the sediments underlying a Zostera marina L. bed were measured monthly during one year, in two Mediterranean lagoons: Thau (France) and Venice (Italy). While at Thau sediments showed Cu (18.7+/-3.9 microg g-1) and Pb (13.8+/-3.8 microg g-1) average concentrations twofold higher than at Venice (Cu: 8.4+/-4.8 microg g-1; Pb: 6.1+/-0.70 microg g-1), the Italian site exhibited average concentrations of Fe (13383+/-955 microg g-1 versus 6098+/-1089 microg g-1 at Thau), Mn (339+/-12 microg g-1 versus 190+/-23 microg g-1 at Thau), Zn (61.6+/-12.7 microgg -1 versus 36.1+/-7.4 microg g-1 at Thau), Cr (47.3+/-7.3 microg g-1 versus 21.8+/-8.0 microg g-1 at Thau) and Ni (12.7+/-1.7 microg g-1 versus 8.9+/-3.1 microg g-1 at Thau) approximately 1.5-2 times as high as the French site. The organic carbon concentration was systematically higher at Thau (1.0+/-0.3) than at Venice (0.7+/-0.2). A significant seasonal fluctuation was found for Zn, Cu, Ni, Cr in both lagoons while no significant variations were recorded for Pb at Venice and for Cd at Thau. Some of those changes appeared to be significantly correlated with the biomass of Zostera at Thau and the concentration of organic carbon at Venice.


Assuntos
Monitoramento Ambiental/estatística & dados numéricos , Sedimentos Geológicos/química , Metais Pesados/análise , Estações do Ano , Análise de Variância , Animais , Biomassa , Carbono/análise , Mar Mediterrâneo , Análise de Componente Principal , Espectrofotometria Atômica , Zosteraceae/crescimento & desenvolvimento
3.
Mar Environ Res ; 56(5): 617-36, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12927742

RESUMO

Since the late 1980s the lagoon of Venice, a shallow Mediterranean coastal area, has experienced strong environmental changes. Macroalgae, which were the predominant primary producers of the lagoon, reduced markedly, but neither phytoplankton nor seagrasses replaced them. Temporal and spatial changes in macroalgal standing crop (SC) and phytoplankton concentration were investigated between 1987 and 1998. Maps of macroalgal SC show a marked declining trend. Biomass in fresh weight decreased from: 558 ktonnes in 1987, to 85 ktonnes in 1993 and to 8.7 ktonnes in 1998. As a whole, the biomass in 1998 was only 1.6% of the biomass recorded in 1987. Similarly the macroalgal net (NPP) and gross (GPP) primary production decreased from ca. 1502 and 9721 ktonnes year(-1) to ca. 44 and 229 ktonnes year(-1), respectively. In the early 1990s the clam Tapes philippinarum Adams & Reeve and seagrasses, especially Zostera marina Linnaeus, colonised the bottoms free of macroalgae, but the development of intense clam-fishing activities prevented both phytoplankton blooms and seagrass spreading. Maps of chlorophyll a drawn according to data collected in parallel to macroalgal standing crop show unchanged concentrations. Macroalgae changes are enhanced by comparing annual trends in four areas of the central lagoon during 1989-1992 and 1998-1999. In those areas phytoplankton also decreased significantly. Marked changes of some environmental variables strongly associated with the primary production were recorded both during the lagoon mapping and in the areas studied on a yearly basis.


Assuntos
Eucariotos , Fitoplâncton , Poluentes da Água/toxicidade , Animais , Bivalves , Monitoramento Ambiental , Eutrofização , Pesqueiros , Itália , Mar Mediterrâneo , Dinâmica Populacional
4.
Chemosphere ; 47(4): 443-54, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11999620

RESUMO

The concentrations of heavy metals (Fe, Zn, Cu, Cd, Ni, Pb, Cr, As) were determined in seven seaweeds of environmental and commercial relevance (Ulva rigida C. Ag., Gracilaria gracilis (Stackhouse) Steentoft, L. Irvine and Farnham, Porphyra leucosticta Thuret, Grateloupia doryphora (Montagne) Howe., Undaria pinnatifida (Harv.) Suringar, Fucus virsoides J. Agardh, Cystoseira barbata (Good. et Wood.) Ag.) collected in four sampling sites in the lagoon of Venice, in spring and autumn 1999. Metals were extracted using hot concentrated acids in a Microwave Digestion Rotor and analysed by absorption spectrophotometry using a flame mode for Fe and Zn and a graphite furnace for Pb, Cr, Cd, Cu, Ni and As. High contamination levels, especially for Pb, were detected in Ulva and to a lesser extent in Gracilaria. Brown seaweeds, especially Cystoseira was highly contaminated by As. The least contaminated genera with all metals except As were Porphyra and Undaria. A concentration decrease for Zn and Cd was observed from the inner parts of the central lagoon, close to the industrial district, towards the lagoon openings to the sea.


Assuntos
Metais Pesados/análise , Alga Marinha/química , Poluentes da Água/análise , Monitoramento Ambiental , Indústrias , Itália , Metais Pesados/farmacocinética , Espectrofotometria Atômica , Poluentes da Água/farmacocinética
5.
Bioresour Technol ; 82(1): 27-31, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11858205

RESUMO

The growth of juvenile populations of Ulva rigida C. Agardh was measured by means of immersion in in situ cages against environmental parameters (temperature, incident light, salinity, dissolved inorganic nitrogen and dissolved reactive phosphorus) in four different eutrophicated southern sites: Channel of the Thau lagoon (France), Lido, Sacca Sessola and Fusina stations (Venice lagoon, Italy). The growth curves as a function of temperature showed that, in all cases, the maximal temperature for Ulva growth was 17 degrees C (limitation in growth below 7 degrees C and above around 25 degrees C). The growth analysis of these four sites showed seasonal differences. In the least eutrophicated and calmest Lido station, grazing and dissolved reactive phosphorus (seven times lower at Lido than at Thau) played a key role. At Thau and Fusina, which are eutrophicated and turbid environments, the incident light had a strong impact on growth. Sacca Sessola, with an intermediate position between the above two mentioned situations, showed the highest growth rate. The values and relative growth rate (RGR) curves of the Mediterranean and open-sea northern sites are discussed. In particular, the temperature defines the type of growth curve (unimodal or bimodal) and the incident light is responsible for the low Mediterranean RGR values (<10% day(-1)).


Assuntos
Clorófitas/crescimento & desenvolvimento , Eutrofização/fisiologia , Nitrogênio/metabolismo , Fósforo/metabolismo , Clorófitas/fisiologia , Luz , Mar Mediterrâneo , Estações do Ano , Temperatura
6.
Mar Environ Res ; 52(4): 323-49, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11695653

RESUMO

Two areas of the Venice lagoon populated by seagrasses (three stations covered by Cymodocea nodosa (Ucria) Asherson, Zostera marina Linnaeus, Zostera noltii Hornemann) or seaweeds (two stations: one covered by Ulva rigida C. Agardh and another at present without seaweed biomass) were monitored by means of six surveys over a year in order to study macrofaunal composition and seasonal changes. The seagrass stations showed a mean species richness (28-30 S m(-2)), individual abundance (1854-4018 N m(-2)) and biomass (22.3-37.7 g m(-2) ash-free-dry-weight, AFDW) ca. 3-8 times higher than those populated by seaweeds (10-15 S m(-2), 494-1395 N m(-2) and 5.6-13.7 g m(-2) AFDW). Differences among seagrass or seaweed stations were much lower. The Ulva-dominated station showed a macrofauna completely different both from the other stations and the communities recorded ca. 30 years ago, before the prolific growth of Ulva. In this station, frequent biomass decompositions and anoxic crises created critical conditions for life favouring organisms with reduced life cycles, younger individuals and the epifaunal species instead of the infaunal ones. In particular, Ulva grazers and scrapers such as Gammarus aequicauda Stock and Gibbula adriatica Philippi were found to be by far the most abundant species, whereas the taxa characteristic of the associations found in the past, in the presence of seagrasses or seaweeds and typical of low eutrophicated environments, appear strongly reduced. Marked differences in the macrophyte dominance and in the bio-physico-chemical variables which characterise the main environmental conditions of the Venice lagoon support the different distribution and composition of macrofaunal communities. Seaweed stations appear mainly governed by the seasonal cycles of these un-rooted macrophytes which, by alternating periods of production and decomposition, are responsible for the drastic reduction of macrofauna biodiversity and biomass. Conversely, seagrass stations exhibit a better oxidisation of the environment and show conditions more favourable for macrofauna colonisation, especially in the presence of macrophytes which are characterised by very well developed below-ground systems such as Cymodocea nodosa.


Assuntos
Cadeia Alimentar , Invertebrados , Poaceae , Alga Marinha , Animais , Biomassa , Ecossistema , Monitoramento Ambiental , Dinâmica Populacional , Estações do Ano
7.
Mar Environ Res ; 52(1): 27-49, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11488355

RESUMO

The grazing pressure of the macrofaunal invertebrates associated with the biomass of Ulva rigida in the Venice lagoon, their species composition and relationship with environmental variables have been studied. Fifteen sampling campaigns were carried out during different seasons both in the central basin of the lagoon, dominated by macroalgae (especially U. rigida C. Ag.) and in the southern basin, prevalently populated by seagrasses (especially Zostera marina L.). Replicate experiments were conducted in the field by exposing Ulva fronds in net cages of 10 and 1 mm (control) mesh-sizes to allow or prevent grazer entrance. The grazing pressure was determined as Ulva growth rate difference in the cages. In the absence of invertebrate herbivores, Ulva exhibited per cent relative growth rates (%RGRs) ranging from 1.5 to 9.5% day(-1), whereas in their presence the %RGRs were significantly lower (from -2.5 to 3.4% day(-1)) and frequently negative, especially in the station dominated by macroalgae. In this area, peak grazing rates and macrofauna biomasses of up to 8.6% day(-1) and 1,480 g m(-2) fwt (84.4 ash-free dry weight), respectively, were found. On the whole, during in field experiments in the Ulva-dominated station, herbivores removed an amount of biomass whose percentage ranged from 59 to 165% (mean: 103%) of the biomass yield (grazers excluded) found in the cages. These results suggest the possibility that grazers could act as an important factor affecting Ulva production in the Venice lagoon. Macrofauna populations were analysed by means of multivaliate techniques applied to biological variables only and biological and environmental variables together. Data of individual abundance, after a log(x + 1) transformation and the calculation of the Bray-Curtis matrix, were classified using the Cluster Analysis and ordinated by means of the Non-Metric Multidimensional Scaling (MDS) technique, in accordance with the strategies used in the study of multispecies distributions. Finally, biological and environmental variables were analysed together by means of correlation matrices and the Principal Component Analysis.


Assuntos
Clorófitas , Cadeia Alimentar , Invertebrados , Animais , Biomassa , Ecossistema , Plantas Comestíveis , Dinâmica Populacional
8.
J Nephrol ; 14(6): 461-71, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11783602

RESUMO

We recently observed that the course of glomerular filtration rate (GFR) rapidly declines in a subgroup of Type 2 diabetic patients (D) with abnormalities of albumin excretion rate (AER) and typical diabetic nephropathy, despite tight blood pressure control. The aim of this study was to evaluate whether amelioration of blood glucose control, using insulin, improves the course of GFR. GFR decay was measured by spline modeling analysis of the plasma clearance rate of 51CR-EDTA, assessed every 6 months. We identified two groups of D using morphometric analysis of renal biopsy, who had values of glomerular basement membrane (GBM) and fractional mesangial volume (Vv mes/glom) respectively below (Group A: 38) or above (Group B: 50) the mean+2SD of values found in 27 kidney donors (GBM: 389 nm; Vv mes/glom: 0.25), as previously described in detail. Median AER was similar at base line in the 2 groups (109 microg/min, 29-1950, in Group A, 113 microg/min, 37-1845, in Group B; n.s.). Conventional metabolic therapy (sulphonylureas and/or biguanides) was used both in Group A and B during a 3 year follow-up period (Period 1). Group B was further divided in two subgroups with body mass index below (Group B, a) and above (Group B, b) the value of 30 kg/m2. Mean +/- SD HbA1c was 8.2 +/- 1.6% in Group A, 8.3 +/- 1.7% in Group B (a) (n.s.) and 9.1 +/- 1.7% in Group B (b) (n.s.). Tight blood pressure control was achieved and maintained using angiotensin converting enzyme inhibitors and/or beta blockers and/or calcium antagonists and/or thiazides. The mean arterial blood pressure (MAP) was 92 +/- 3 mmHg in Group A and 91 +/- 4 mmHg in Group B (n.s.). GFR decay was significantly greater in Group B than in Group A (Group A vs B: +1.21 +/- 0.71 vs -5.86 +/- 1.61 ml/min/1.73 m2/year). Median AER significantly rose in Group B (177 microg/min, p<0.05 vs base line) but not in Group A (134 microg/min, n.s.) during the third year of follow-up. Groups A and B were then followed over 4.1 years (range 3.1-4.4) (Period 2) maintaining the above described antihypertensive regimen, resulting in MAP values similar to those described during Period 1. Group A patients were treated with the same conventional glycemic control during Period 2. Group B (a) was conversely treated with intensive insulin therapy to achieve a HbA1c value below 7.5% (3 daily injections of regular and 1 or 2 daily injections of intermediate acting insulin associated with metformin 500 mg twice daily in 64% of the patients). Group B (b) patients were only treated by metformin (850 mg thrice daily) to achieve a HbA1c value below 7.5%. HbA1c decreased below the 7.5% target value in Group B (a) (7.0 +/- 1.6%, p<0.01 vs Period 1), but not in Group B (b) (8.0 +/- 1.6%, p<0.05 vs Period 1) and in Group A (8.3 +/- 1.7%, n.s. vs Period 1). The GFR decay of Group B, a during Period 2 was lower than that during Period 1 (Period 1 vs Period 2: -5.9 +/- 1.8 vs -1.8 +/- 0.7 ml/min/1.73 m2/year, p<0.01). GFR decay during Period 2 was similar to that observed during Period 1 in Group A (Period 1 vs Period 2: +1.21 +/- 0.71 vs +0.7 +/- 0.6 ml/min/1.73 ml/year, n.s.) and in Group B (b) (Period 1 vs Period 2: -4.4 +/- 0.71 vs -4.2 +/- 0.6 ml/min/1.73 m2/year, n.s.). Median AER did not significantly change in the fourth year of Period 2 , either in Group A or B (Group A vs B: 141 vs 152 microg/min, n.s.). In conclusion, our findings seem to suggest that amelioration of blood glucose control is attained both by insulin and metformin intensive treatment, but only insulin decreases and maintains HbA1c levels below 7.5%. These pattens of HbA1c appear to be a threshold value in order to significantly blunt GFR decay in a subgroup of Type 2 diabetic patients with typical diabetic glomerular lesions, who are less responsive to tight blood pressure control alone. Conversely, the cohort of patients with less severe diabetic glomerulopathy steadily show constant GFR patterns, despite similar abnormalities of albumin excretion rate, and HbA1c average values above 7.5%.


Assuntos
Diabetes Mellitus Tipo 2/fisiopatologia , Nefropatias Diabéticas/fisiopatologia , Hemoglobinas Glicadas/análise , Glomérulos Renais , Rim/fisiopatologia , Idoso , Albuminúria/etiologia , Anti-Hipertensivos/uso terapêutico , Glicemia/análise , Nefropatias Diabéticas/tratamento farmacológico , Nefropatias Diabéticas/urina , Limiar Diferencial , Feminino , Seguimentos , Taxa de Filtração Glomerular , Humanos , Hipoglicemiantes/uso terapêutico , Insulina/uso terapêutico , Masculino , Metformina/uso terapêutico , Pessoa de Meia-Idade
9.
Diabetes ; 49(3): 476-84, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10868971

RESUMO

Heterogeneity in renal structure has been described in type 2 diabetic patients with both microalbuminuria and proteinuria; in fact, only a subset of type 2 diabetic patients have the typical diabetic glomerulopathy. However, it is currently unknown whether abnormalities in albumin excretion rate (AER) have a different renal prognostic value depending on the underlying renal structure. Aims of this study were: 1) to study the course of renal function in type 2 diabetic patients with altered AER; 2) to evaluate the relationship between the course of glomerular filtration rate (GFR) and renal structure; and 3) to evaluate the relationship between the course of GFR and baseline AER levels, metabolic control, and blood pressure levels during a follow-up period of 4 years. A total of 108 type 2 diabetic patients, 74 with microalbuminuria (MA) and 34 with proteinuria (P), were recruited into a prospective study that encompassed: 1) a baseline kidney biopsy with morphometric measurements of glomerular parameters; 2) intensified antihypertensive treatment for an average 4-year period (blood pressure target <140/90 mmHg); and 3) determinations of GFR at baseline and every 6 months. Mean (+/- SD) GFR significantly decreased from baseline in both MA (-1.3+/-9.4 [95% CI -3.51 to +0.86], P < 0.05) and P (-3.0+/-13.0 ml x min(-1) x 1.73 m(-2) per year [-7.71 to +1.61], P < 0.01). However, the changes in GFR were quite heterogeneous. Thus, on the basis of percent GFR change per year from baseline (delta%GFR), both MA and P patients were defined as progressors or nonprogressors when they were below or above the median, respectively. Baseline parameters of glomerular structure had a strong influence on the course of GFR. Indeed, the odds ratios of being progressors significantly increased across the quartiles of baseline glomerular basement membrane (GBM) width and mesangial fractional volume [Vv(mes/glom)], being 2.71 and 2.85 higher, respectively, in the fourth quartile than in the first quartile (P < 0.01 for both). Conversely, nonprogressors outnumbered progressors in the first quartile of GBM width (odds ratio: 2.14, P < 0.05) and in the first quartile of Vv(mes/glom) (odds ratio: 2.28, P < 0.01). Baseline albumin excretion rate (AER) did not influence delta%GFR; in fact, the number of progressors did not increase across quartiles of baseline AER among either MA or P. Similarly, mean blood pressure levels during follow-up (and intensified antihypertensive therapy) did not affect the course of GFR: the number of progressors and nonprogressors did not change across quartiles of mean blood pressure. In contrast, HbA1c during follow-up had an impact on delta%GFR: the odds ratio for being a progressor increased across quartiles of HbA1c, particularly for the highest quartile (HbA1c >9.0%). In conclusion, the course of renal function is heterogeneous in type 2 diabetic patients with microalbuminuria or proteinuria. In fact, a subset of patients has a rapid decline in GFR over a 4-year follow-up period; these patients have more advanced diabetic glomerulopathy and worse metabolic control than the remaining patients, whose GFR remains stable. These two cohorts are otherwise undistinguishable as regards the degree of AER at baseline and tight blood pressure control. Kidney biopsy has an important prognostic role in these patients. Thus, tight blood pressure control, when not associated with satisfactory glycemic control, is unable to prevent rapid GFR decline in type 2 diabetic patients with typical diabetic glomerulopathy.


Assuntos
Albuminúria/urina , Diabetes Mellitus Tipo 2/fisiopatologia , Diabetes Mellitus Tipo 2/urina , Rim/fisiopatologia , Adulto , Idoso , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Membrana Basal/patologia , Glicemia/análise , Pressão Sanguínea/efeitos dos fármacos , Estudos de Coortes , Diabetes Mellitus Tipo 2/tratamento farmacológico , Diabetes Mellitus Tipo 2/patologia , Progressão da Doença , Feminino , Taxa de Filtração Glomerular , Humanos , Rim/patologia , Glomérulos Renais/patologia , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Proteinúria/urina
10.
Am J Kidney Dis ; 34(6): 1002-9, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10585308

RESUMO

Familial clustering of altered albumin excretion and nephropathy risk has been described in both type 1 and type 2 diabetes; moreover, an association of micro-macroalbuminuria and diabetic retinopathy has been recently reported in a large number of white families with type 2 diabetes. Conflicting reports, mainly comparing affected with unaffected unrelated subjects, have suggested a possible role of some genotypes of the renin-angiotensin system in conferring nephropathy risk in type 2 diabetes. To examine the role of genetic factors in influencing albuminuria in families, we studied the relation of angiotensin-converting enzymes (ACE) and angiotensinogen (AGN) genotypes with albumin excretion rate in a population of affected siblings of type 2 diabetic probands. We determined ACE insertion/deletion polymorphism and two polymorphisms of the AGN gene (T174M and M235T) in 160 families with at least one affected member. Defining proband as the patient with the longest known duration of diabetes, we compared the allelic distribution in diabetic probands with and without altered albumin excretion and in their siblings. Allelic distribution of these polymorphisms was similar in the two groups of probands, as well as in their siblings. Identity-by-State (IBS) analysis showed a link between AGN locus and arterial hypertension in these siblings, which was independent from the degree of renal involvement. Thus, our findings suggest that in white families with type 2 diabetes, there is no linkage between the degree of albumin excretion and ACE and AGN polymorphisms, whereas the latter is related to arterial hypertension, as previously found in patients without diabetes but with essential hypertension.


Assuntos
Albuminúria , Angiotensinogênio/genética , Diabetes Mellitus Tipo 2/genética , Peptidil Dipeptidase A/genética , Polimorfismo Genético , Albuminúria/genética , Alelos , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/urina , Nefropatias Diabéticas/genética , Nefropatias Diabéticas/urina , Retinopatia Diabética/genética , Retinopatia Diabética/urina , Feminino , Ligação Genética , Genótipo , Humanos , Hipertensão/complicações , Hipertensão/genética , Itália , Masculino , Pessoa de Meia-Idade
11.
Nephrol Dial Transplant ; 13 Suppl 8: 44-8, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9870425

RESUMO

The mechanism underlying the pathogenesis of microangiopathy and macroangiopathy in diabetes mellitus is hypothesized to be chronic hyperglycaemia. However, the values of blood glucose at which chronic diabetic complications develop at the renal and cardiac level are quite different. It is not clear whether this is due to different responses of kidney and heart tissues to the metabolic challenge of diabetes, or to the simultaneous role of other mechanisms contributing differently to the pathogenesis of chronic diabetic complications in renal and cardiac tissues. One of these mechanisms could be the simultaneous occurrence of arterial hypertension along with hyperglycaemia in diabetic patients. We reviewed the available evidence in the recent medical literature and provide information on the relationships between hyperglycaemia and cardiovascular and renal complications in insulin-dependent diabetes mellitus (IDDM) and non-insulin-dependent diabetes mellitus (NIDDM). The majority of reports indicate that the values of blood glucose appearing to be at threshold level for the development of cardiovascular complications are significantly lower than those determining renal complications (5.4 vs 10.0 mmol/l blood glucose concentrations 2 h after an oral glucose tolerance test). This was the case both in cross-sectional and prospective studies and also in intervention studies aimed at decreasing blood glucose concentrations by using strict metabolic control methods (The Diabetes Control and Complications Trial Research Group), which succeeded in delaying the rate of occurrence of microangiopathic complications at the kidney and retinal level but not so effectively at the cardiac level. Therefore, alternative therapeutic or supplementary strategies to blood glucose control should be adopted in diabetes to prevent diabetic complications. To date, the most effective approach, from our point of view, is antihypertensive therapy in order to prevent end-stage renal disease. We extensively reviewed the available literature which reported comparisons between angiotensin-converting enzyme inhibitors (ACE inhibitors) and calcium channel blockers (CCBs) in the treatment of arterial hypertension in diabetes. Intensified antihypertensive therapy achieving a blood pressure level below 130/85 mmHg has been shown to be useful in decreasing the rate of occurrence of chronic diabetic complications in diabetes mellitus. Both ACE inhibitors and CCBs have been shown to significantly improve the course of renal function in diabetic patients with incipient and overt nephropathy.


Assuntos
Anti-Hipertensivos/uso terapêutico , Diabetes Mellitus/tratamento farmacológico , Angiopatias Diabéticas/tratamento farmacológico , Angiopatias Diabéticas/prevenção & controle , Nefropatias Diabéticas/prevenção & controle , Hipertensão/tratamento farmacológico , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Bloqueadores dos Canais de Cálcio/uso terapêutico , Humanos
12.
Kidney Int ; 50(2): 618-26, 1996 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8840294

RESUMO

Intracellular calcium ([(Ca2+)i]) plays a role in many cellular functions, and is involved in the pathogenesis of some conditions observed in non-insulin dependent diabetic patients (NIDDM), such as hypertension and insulin resistance. Hyperinsulinemia and hyperglycemia are also implicated in the pathogenesis of chronic diabetes complications. It is not clear whether disturbances in [(Ca2+)i] are accounted for only by metabolic abnormalities of diabetes or by other mechanisms. The aim of this study was to investigate [(Ca2+)i] handling by skin fibroblasts in NIDDM patients with similar features regarding diabetes duration and metabolic control, but who differ concerning blood pressure levels and albumin excretion rate. Using a fluorimetric technique with the indicator Fura-2/ AM, we investigated the effect of chronic exposure to insulin and glucose on [(Ca2+)i] after FGF stimulation in fibroblasts from NIDDM with hypertension alone (NIDDM H+M-) and with hypertension and microalbuminuria (NIDDM H+M+) in comparison with normotensive normoalbuminuric NIDDM (NIDDM H-M-) and control subjects (C). We studied also a group of hypertensive non-diabetic subjects (HYPER). We found that (1) FGF increases [(Ca2+)i] in all subjects; (2) insulin or high glucose per se increase [(Ca2+)i] in NIDDM H+M+ and NIDDM H+M- with respect to NIDDM H-M- and C; (3) HYPER show a [(Ca2+)i] response similar to that of NIDDM H+M- and NIDDM H+M+; (4) when stimuli are combined, all NIDDM have altered [(Ca2+)i] with respect to C, but NIDDM H+M-, NIDDM H+M+ and HYPER have higher values than NIDDM H-M-. This disorder in [(Ca2+)i] appears to be an intrinsic feature of a subgroup of hypertensive NIDDM patients, which persists in cultured cells, at least partially independent of the metabolic challenge of diabetes in vivo, and could contribute to the development of their renal and cardiovascular complications.


Assuntos
Albuminúria/complicações , Albuminúria/metabolismo , Cálcio/metabolismo , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/metabolismo , Fibroblastos/metabolismo , Hipertensão/complicações , Hipertensão/metabolismo , Estudos de Casos e Controles , Células Cultivadas , Angiopatias Diabéticas/complicações , Angiopatias Diabéticas/metabolismo , Nefropatias Diabéticas/complicações , Nefropatias Diabéticas/metabolismo , Feminino , Fatores de Crescimento de Fibroblastos/farmacologia , Fibroblastos/efeitos dos fármacos , Glucose/farmacologia , Humanos , Insulina/farmacologia , Líquido Intracelular/metabolismo , Masculino , Manganês/metabolismo , Pessoa de Meia-Idade
13.
Sci Total Environ ; 91: 13-21, 1990 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2108494

RESUMO

The concentrations of polychlorinated biphenyls have been determined over a period of 1 year in surface sediments sampled monthly and semi-monthly in the lagoon of Venice. At the sampling station, due to the poor water circulation and an over-abundance of nutrients, macroalgae thrive in spring-summer and standing crops greater than 12 kg m-2 were determined. As a consequence of rapid algal decomposition, sediment PCB concentrations were observed to increase. In particular, on occasions when anoxia occurred at the end of July and all the biomass had decayed, PCB concentrations increased by more than one order of magnitude. In March, when macroalgae started to grow, concentrations were 13 ng g-1 (dry wt); in July-August they exceeded 100 ng g-1. The sediment PCB concentrations were restored to the previous values after algal biomass became negligible, in November. Concentrations of PCBs in young algae fronds were 27 +/- 12 ng g-1, and 121 +/- 4 ng g-1 in older fronds.


Assuntos
Bifenilos Policlorados/análise , Poluentes Químicos da Água/análise , Poluentes da Água/análise , Eucariotos/análise , Eucariotos/crescimento & desenvolvimento , Itália , Oxirredução , Bifenilos Policlorados/efeitos adversos , Estações do Ano , Solo/análise , Poluentes Químicos da Água/efeitos adversos
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