La artritis reumatoide de inicio en el anciano recibe terapias menos agresivas que la artritis reumatoide de inicio en el adulto en una cohorte argentina / Elderly-onset rheumatoid arthritis receives less aggressive therapies than young-onset rheumatoid arthritis in an Argentinian cohort

Antecedentes y objetivo: Cuando la artritis reumatoide (AR) comienza después de los 60años se denomina artritis reumatoide de inicio en el anciano, y cuando se inicia antes, artritis reumatoide de inicio en el adulto. Son escasos los estudios latinoamericanos que compararon ambos grupos. El objetivo del estudio fue evaluar diferencias en las características clínicas, en la evolución y en la elección terapéutica entre los pacientes con AR de inicio antes o después de los 60años. Materiales y métodos: Estudio observacional de pacientes con AR atendidos en forma consecutiva en cuatro centros de Argentina. Se recolectaron datos sociodemográficos, comorbilidades, manifestaciones clínicas al diagnóstico, presencia de factor reumatoide y/o anti-proteínas cíclicas citrulinadas (PCC) y tratamientos recibidos. En la última visita se registraron las articulaciones tumefactas o dolorosas, la evaluación de la actividad de la enfermedad por el paciente y por el médico, la presencia de erosiones radiográficas y el estado funcional mediante el HAQ-DI. Resultados: Se analizaron 51 pacientes de cada grupo. El grupo de AR del anciano tuvo significativamente mayor proporción de fumadores (58,8% vs 35,3%, p=0,029), de antecedentes cardiovasculares (54,9% vs 21,6%, p=0,001), de inicio abrupto (49% vs 29,4%, p=0,034) o con síntomas similares a la PMR (19,6% vs 0%, p=0,001), menores dosis de metotrexato: 19mg (15-25) vs 21,9mg (20-25) (p=0,0036) y con mayor frecuencia no recibieron FAMEb o FAMEsd. Discusión y conclusiones: Se han descrito los beneficios del tratamiento intensivo en pacientes con AR. En este trabajo, el empleo de FAME en el grupo de AR de inicio en el anciano fue menos intensivo, sugiriendo que la edad avanzada constituye una barrera en la elección terapéutica.(AU)

Objectives: When rheumatoid arthritis (RA) starts after the age of 60 it is called elderly-onset rheumatoid arthritis (EORA) and when it starts earlier, young-onset rheumatoid arthritis (YORA). There are few Latin American studies that compared both groups. The objective of the study was to evaluate differences in the clinical characteristics, evolution and treatment among patients with RA with onset before or after 60years of age. Materials and methods: Observational study of patients with RA attended consecutively in four centers in Argentina. Sociodemographic data, comorbidities, clinical manifestations at diagnosis, presence of rheumatoid factor and/or anti-CCP (cyclic citrullinated peptide) and treatments received were collected. At the last visit, swollen and tender joints, assessment of disease activity by the patient and physician, the presence of radiographic erosions, and functional status using the HAQ-DI were recorded. Results: Fifty-one patients from each group were analyzed. The EORA group had a significantly higher proportion of smokers (58.8% vs. 35.3%, P=.029), cardiovascular history (54.9% vs. 21.6%, P=.001), abrupt onset (49% vs. 29.4%, P=.034) or with symptoms similar to PMR (19.6% vs. 0%, P=.001). Lower methotrexate doses were used in the EORA group: 19mg (15-25) vs. 21.9mg (20-25) (P=.0036) and more frequently did not receive bDMARDs or tsDMARDs. Discussion and conclusions: The benefits of intensive treatment in patients with RA have been described. In this study, the use of DMARDs in the EORA group was less intensive, suggesting that advanced age constitutes a barrier in the therapeutic choice.(AU)

Elderly-onset rheumatoid arthritis receives less aggressive therapies than young-onset rheumatoid arthritis in an Argentinian cohort.

OBJECTIVES: When rheumatoid arthritis (RA) starts after the age of 60 it is called elderly-onset rheumatoid arthritis (EORA) and when it starts earlier, young-onset rheumatoid arthritis. (YORA). There are few Latin American studies that compared both groups. The objective of the study was to evaluate differences in the clinical characteristics, evolution and treatment among patients with RA with onset before or after 60 years of age. MATERIALS AND METHODS: Observational study of patients with RA attended consecutively in four centers in Argentina. Sociodemographic data, comorbidities, clinical manifestations at diagnosis, presence of rheumatoid factor and/or anti-CCP (cyclic citrullinated peptide) and treatments received were collected. At the last visit, swollen and tender joints, assessment of disease activity by the patient and physician, the presence of radiographic erosions, and functional status using the HAQ-DI were recorded. RESULTS: 51 patients from each group were analyzed. The EORA group had a significantly higher proportion of smokers (58.8% vs. 35.3%, p = 0.029), cardiovascular history (54.9% vs. 21.6%, p = 0.001), abrupt onset (49% vs. 29.4%, p = 0.034) or with symptoms similar to PMR (19.6% vs. 0%, p = 0.001). Lower methotrexate doses were used in the EORA group: 19 mg (15-25) vs. 21.9 mg (20-25) (p = 0.0036) and more frequently did not receive bDMARDs or tsDMARDs. DISCUSSION AND CONCLUSIONS: The benefits of intensive treatment in patients with RA have been described. In this study, the use of DMARDs in the EORA group was less intensive, suggesting that advanced age constitutes a barrier in the therapeutic choice.

Survey on Drosophila suzukii and Ceratitis capitata (Diptera: Drosophilidae, Tephritidae) and Associated Eucoilinae Species (Hymenoptera: Figitidae) in Northwestern Argentina. First Record of Dicerataspis grenadensis and Leptopilina boulardi as Parasitoids of D. suzukii.

The Southeast Asian-native Drosophila suzukii (Matsumura) (Diptera: Drosophilidae), also known as "spotted-wing Drosophila," is one of the most globally invasive agricultural species. Although D. suzukii is a pest spread throughout all the Argentinian fruit-growing regions, few information has been published on its impact on local fruit production. Parasitoid species associated with D. suzukii in Argentina belong to Pteromalidae (Chalcidoidea), Diapriidae (Diaprioidea), both attacking host pupae, and Figitidae (Cynipoidea), which attack host larvae. Nine Eucoilinae (Figitidae) species, belonging to Dicerataspis, Dieucoila, Euxestophaga, Ganaspis, Hexacola, and Leptopilina genera, have been associated with D. suzukii in Argentina. Ceratitis capitata (Wiedemann), commonly known as "medfly," is native to Africa and has a worldwide distribution, covering many tropical, subtropical, and temperate regions. In Argentina, C. capitata has been associated with several native hymenopterous parasitoids belonging to Braconidae (Ichneumonioidea), Eulophidae (Chalcidoidea), Pteromalidae, Diapriidae, and Figitidae families. Only two eucoline species, Ganaspis pelleranoi (Brèthes) and Leptopilina haywardi (Blanchard) have been related to medfly in Argentina. We report new trophic associations between the parasitoids Dicerataspis grenadensis Ashmead and Leptopilina boulardi (Barbotin, Carton and Kelner-Pillault) and D. suzukii, and between the parasitoid Odontosema albinerve Kieffer and C. capitata, after surveys conducted in Tucumán, northwestern Argentina. An annotated checklist and a taxonomic key of Eucoilinae associated with both invasive pests, in Argentina, are also provided.

Assessing Natural Incidence of Resident Pupal Parasitoids on the Drosophila suzukii (Diptera: Drosophilidae) Population in Non-crop Fruits.

Drosophila suzukii (Matsumura) (Diptera: Drosophilidae), world-renowned as spotted-wing drosophila, is an invasive pest mainly affecting healthy, soft and stone fruit crops throughout Argentinian fruit-growing regions. Natural environments overgrown by exotic feral host plants apparently favour D. suzukii proliferation. This is common in the subtropical northwestern Argentina's berry-producing region. An assemblage of resident parasitoid species has been associated with D. suzukii in crop and non-crop areas of Tucumán, the Argentina's leading berries producer and exporter. Consequently, the hypothesis that the combined action of two pupal parasitoid species, Pachycrepoideus vindemiae Rondani (Hymenoptera: Pteromalidae) and Trichopria anastrephae Lima (Hymenoptera: Diapriidae), occurring in non-crop fruit areas, has a significant impact on D. suzukii natural regulation in such invaded habitats was tested. A survey of D. suzukii puparia from both feral peach [Prunus persica (L.) Batsch] (Rosaceae) and guava (Psydium guajava L.) (Myrtaceae) fallen fruits and soil surrounding them was performed in a wilderness area of Tucumán. Abundance of D. suzukii and associated parasitoids, and parasitism levels were assessed. Whole of 3437 D. suzukii puparia were recovered; 78% and 22% were surveyed from fruits and soil underneath the fruit, respectively. Tested fruits are important D. suzukii multiplying hosts. Both P. vindemiae and T. anastrephae accounted for 99.8% of total parasitoid individuals. Pupal parasitoids contribute to the D. suzukii natural mortality, as they killed a quarter of all puparia. Mostly T. anastrephae foraged on host puparia located in the fruit and P. vindemiae in both microhabitats. This information supports an augmentative biological control strategy in non-crop areas.

The Population Dynamics and Parasitism Rates of Ceratitis capitata, Anastrepha fraterculus, and Drosophila suzukii in Non-Crop Hosts: Implications for the Management of Pest Fruit Flies.

Understanding the seasonal dynamics inherent to non-crop host-fruit fly-parasitoid interactions is vitally important for implementing eco-friendly pest control strategies. This study assessed the abundance and seasonal infestation levels of three pest fly species, Ceratitis capitata (Wiedemann), Anastrepha fraterculus (Wiedemann), Drosophila suzukii (Matsumura), as well as the related saprophytic drosophilids, and their natural parasitism in a disturbed wild habitat characterized by non-crop hosts in northwestern Argentina over 40 months. Juglans australis Griseb (walnut), Citrus aurantium L. (sour orange), Eriobotrya japonica (Thunb.) Lindley (loquat), Prunus persica (L.) Batsch (peach), and Psydium guajava L. (guava) were sampled throughout their fruiting seasons. Fruits were collected from both the tree canopies and the ground. The most abundant puparia was A. fraterculus, followed by C. capitata and D. suzukii. Drosophila species from the D. melanogaster group were highly abundant only in fallen fruits. Spatiotemporal overlaps of different host fruit availability provided suitable sources for pest proliferation throughout the year. The populations of both invasive pests peaked from December to January, and were related to the highest ripe peach availability, whereas the A. fraterculus population peaked from February to April, overlapping with the guava fruiting period. The three pest fly species were parasitized mainly by three generalist resident parasitoids, which are potential biocontrol agents to use within an integrated pest management approach.

Drosophila suzukii in Argentina: State of the Art and Further Perspectives.

Drosophila suzukii (Matsumura) (Diptera: Drosophilidae), commonly known as spotted-wing drosophila or SWD, is an invasive, severe, and damaging pest, which is able to inflict huge economic losses on soft thin-skinned fruits worldwide. Argentina was not excluded from the rapid invasion of this new and aggressive pest. Berries and cherries are among the most economically important fruits, showing an increasing demand from both domestic and export markets, which make necessary the application of effective and early protection measures. Although SWD is currently established almost everywhere in Argentina, the scarcity of research on and rapid regulatory actions against this pest have probably contributed to its fast spread throughout the country. In view of that, the article reviews first the current threat status of SWD in Argentina, provides summarized information on crop and non-crop host fruits, seasonal variation and population dynamics, resident natural enemy assemblages, and describes control actions implemented to date. Finally, the need to focus local control actions within an integrated national SWD management program is emphasized. The development and application of complementary eco-friendly strategies, such as Sterile Insect Technique, biological control, mass trapping, and the use of innovative lactone-derived synthetic insecticides with extremely low toxicity for SWD parasitoids, in environmentally distinguishable Argentinian regions is also highlighted.

Nutrition recommendations for patients with pseudohypoparathyroidism.

Pseudohypoparathyroidism (PHP) is a spectrum of diseases characterized by insensitivity of target tissues to the action of parathyroid hormone and, consequently, by the presence of hyperphosphatemia and hypocalcaemia of varying severity. Early-onset obesity is a feature of PHP type 1A. This article discusses the need to establish uniform criteria to guide the nutritional management of patients with PHP. A decrease in energy expenditure calls for an adjustment of the energy content of the diet. Reducing the intake of foods rich in inorganic phosphorus helps to manage hyperphosphataemia. Targeted nutrition should be part of the treatment plan of children and adolescents with PHP, since it contributes to modulating the calcium and phosphorus metabolism imbalances characteristic of these patients.

Age-associated polyamines in peripheral blood cells and plasma in 20 to 70 years of age subjects.

Dietary polyamines have been associated with slowing ageing processes and various pathologies, raising the importance of establishing reference values at different ages throughout life. This study aimed to analyse age-dependent variations in polyamine content using peripheral blood cells and plasma in a healthy and homogeneous population. Peripheral blood of 193 volunteers of both sexes (20-70 years), selected by convenience, was processed to separate cells and plasma. A pre-column derivatization method was used to determine the amines by HPLC (nmol or pmol/mg protein or nmol/ml) to analyse their association with the age (continuous or ordinal in decades) of the subjects. Putrescine and spermine weakly declined significantly in mononuclear cells with age. In erythrocytes and plasma, putrescine showed an evident decrease in the 60-70-year-old group compared to the rest. The ratios between polyamines, mainly in erythrocytes, decreased in the 60-70 years age group and increased the ratio of putrescine in mononuclear cells/erythrocytes. The ratio of putrescine in mononuclear cells/erythrocytes was higher in the 60-70-year-old age group than in the rest. In a sample of subjects (20-29 vs. 60-70 years), whole blood polyamines were not significantly different when differences existed in erythrocytes. Polyamine homeostasis in blood cells and plasma changed with age. Putrescine declined in mononuclear cells and decreased in erythrocytes and plasma in the decade of the 60 s. Further studies should establish an age-dependent phenotype and whether polyamines' supplementation could restore the decreased values and be associated with long-term overall biological benefits.

Medfly Population Suppression through Augmentative Release of an Introduced Parasitoid in an Irrigated Multi-Fruit Orchard of Central-Western Argentina.

Biological control through the augmentative release of parasitoids is an important complementary tool that may be incorporated into other strategies for the eradication/eco-friendly control of pest fruit flies. However, not much information is available on the effectiveness of fruit fly parasitoids as biocontrol agents in semi-arid and temperate fruit-growing regions. Therefore, this study evaluated the effect of augmentative releases of the larval parasitoid Diachasmimorpha longicaudata (Ashmead) on Ceratitis capitata (Wiedemann) (medfly) populations over two fruit seasons (2013 and 2014) on a 10 ha irrigated fruit farm in San Juan province, central-western Argentina. The parasitoids were mass reared on irradiated medfly larvae of the Vienna-8 temperature-sensitive lethal genetic sexing strain. About 1692 (±108) parasitoids/ha were released per each of the 13 periods throughout each fruit season. Another similar farm was chosen as a control of non-parasitoid release. The numbers of captured adult flies in food-baited traps and of recovered fly puparia from sentinel fruits were considered the main variables to analyze the effect of parasitoid release on fly population suppression using a generalized least squares model. The results showed a significant decrease (p < 0.05) in the medfly population on the parasitoid release farm when compared to the Control farm, demonstrating the effectiveness of augmentative biological control using this exotic parasitoid. Thus, D. longicaudata could be used in combination with other medfly suppression strategies in the fruit production valleys of San Juan.

Implications of the Niche Partitioning and Coexistence of Two Resident Parasitoids for Drosophila suzukii Management in Non-Crop Areas.

Understanding the mechanisms associated with the coexistence of competing parasitoid species is critical in approaching any biological control strategy against the globally invasive pest spotted-wing drosophila (=SWD), Drosophila suzukii (Matsumura). This study assessed the coexistence of two resident pupal parasitoids, Trichopria anastrephae Lima and Pachycrepoideus vindemiae Rondani, in SWD-infested fruit, in disturbed wild vegetation areas of Tucumán, northwestern Argentina, based on niche segregation. Drosophilid puparia were collected between December/2016 and April/2017 from three different pupation microhabitats in fallen feral peach and guava. These microhabitats were "inside flesh (mesocarp)", "outside flesh", but associated with the fruit, and "soil", i.e., puparia buried close to fruit. Saprophytic drosophilid puparia (=SD) belonging to the Drosophila melanogaster group and SWD were found in all tested microhabitats. SD predominated in both inside and outside flesh, whereas SWD in soil. Both parasitoids attacked SWD puparia. However, T. anastrephae emerged mainly from SD puparia primarily in the inside flesh, whereas P. vindemiae mostly foraged SWD puparia in less competitive microhabitats, such as in the soil or outside the flesh. Divergence in host choice and spatial patterns of same-resource preferences between both parasitoids may mediate their coexistence in non-crop environments. Given this scenario, both parasitoids have potential as SWD biocontrol agents.

Variaciones y diferentes percepciones en la suplementación con vitamina D en la edad pediátrica en España / Variations and different perceptions in vitamin D supplementation in paediatric age in Spain

Introducción: el raquitismo es un problema de salud a nivel global. La deficiencia de vitamina D se ha convertido en una pandemia, su interés ha aumentado por la implicación de la misma en múltiples acciones extraesqueléticas. Material y métodos: se realizó una encuesta a través de correo electrónico entre pediatras españoles para estudiar su actitud en relación con la suplementación profiláctica de vitamina D. Resultados: un 83% de los pediatras tienen políticas de profilaxis de vitamina D en su área. Un 61,6% inicia la profilaxis en las dos primeras semanas y un 81,5% la mantiene el primer año. Un 57,2% realiza una búsqueda de deficiencia de vitamina D, sobre todo si trabajan en medio hospitalario. Conclusiones: las políticas de profilaxis con vitamina D son bastantes uniformes. Más de la mitad de los pediatras españoles realizan una búsqueda sistemática mediante analítica de deficiencia de vitamina D en sus pacientes con factores de riesgo durante la infancia y adolescencia (AU)

Introduction: rickets is a global health problem. Vitamin D deficiency has become a pandemic, its interest has increased due to its implication in multiple extraskeletal actions.Material and methods: a survey was conducted by e-mail among spanish paediatricians to study their attitude regarding prophylactic vitamin D supplementation.Results: 83% of pediatricians have vitamin D prophylaxis policies in their area. 61.6% start prophylaxis in the first two weeks, 81.5% maintain it the first year. 57.2% search for vitamin D deficiency, especially if they work in a hospital.Conclusions: vitamin D prophylaxis policies are uniform. More than a half of Spanish pediatricians conduct a systematic search for vitamin D deficiency in their patients with risk factors during childhood and adolescence (AU)

Augmentative Releases of Two Diachasmimorpha longicaudata (Hymenoptera: Braconidae) Population Lines Under Field-Cage Conditions to Control Ceratitis capitata (Diptera: Tephritidae).

Ceratitis capitata (Wiedemann) (Diptera: Tephritidae), known as Medfly, is a severe agricultural invasive pest in Argentinian fruit-producing regions. The native habitat disturbance and introduction and spread of exotic host plants strongly favored Medfly proliferation. This scenario is common throughout the northern subtropical citrus-growing region. Environmentally friendly strategies to suppress Medfly populations by the National Fruit Fly Control and Eradication Program have currently been taken. One of these actions involves augmentative biological control through releases of the exotic parasitoid Diachasmimorpha longicaudata (Ashmead) (Hymenoptera: Braconidae). Consequently, the hypothesis that the effectiveness of D. longicaudata females, from two different population lines, in controlling Medfly larvae progressively increases as the density of released females increases was tested. One parasitoid line derives from larvae of a biparental Medfly strain. The other hails from irradiated larvae of the genetic sexing Temperature Sensitive Lethal Vienna-8 medfly strain reared at the "BioPlanta San Juan" biofactory. Parasitoids foraged for 24 h on peaches artificially inoculated with naked lab-reared biparental Medfly larvae. Peaches were placed near the roof or on the ground in field cages. Five treatments (20, 40, 80, 160, and 320 females released) and a control (no parasitoids) for each population line were carried out throughout summer and autumn 2016. Host density (200 larvae) remained constant. At 320 released parasitoid females, both D. longicaudata population lines highly increased the Medfly mortality in both testing seasons, and foraged skillfully on peaches at both fruit height levels. These data encourage the application of augmentative biological control against Medfly.

Natural Parasitism Influences Biological Control Strategies Against Both Global Invasive Pests Ceratitis capitata (Diptera: Tephritidae) and Drosophila suzukii (Diptera: Drosophilidae), and the Neotropical-Native Pest Anastrepha fraterculus (Diptera: Tephritidae).

Ceratitis capitata (Wiedemann) and Drosophila suzukii (Matsumura) are two severe invasive pests widespread in all Argentinean fruit-producing regions. Both coexist with the Neotropical pest Anastrepha fraterculus (Wiedemann) in northern Argentina. The northwestern region shelters major soft fruit and Citrus producing and exporting industries, which are heavily affected by these dipterans. Eco-friendly strategies are under assessment in Argentina. This study mainly assessed D. suzukii, C. capitata, and A. fraterculus temporal abundance variations and their natural parasitism levels on a 1.5-ha-patch of feral peach trees within a disturbed secondary subtropical rainforest of northwestern Argentina. Fly puparia were mainly collected from the soil under fallen peach. Sampling was performed over three peach fruiting seasons. The most abundant pest species was C. capitata. Drosophila suzukii was only found in the last collecting period, but outnumbered A. fraterculus. Natural parasitism distinctly affected the temporal abundance of these dipterans: it significantly depressed C. capitata abundance in last sampling weeks, it did not substantially affect D. suzukii abundance, but it increased synchronously with the increase in the A. fraterculus abundance. Parasitism on C. capitata was mostly exerted by a combination of both a cosmopolitan pupal and a native larval parasitoid, while A. fraterculus was mainly parasitized by two indigenous larval parasitoids. Only three resident pupal parasitoids were associated with D. suzukii, of which the cosmopolitan Pachycrepoideus vindemiae Rondani (Hymenoptera: Pteromalidae) was the most significant. Data on the resident parasitoid impact are relevant for designing biocontrol strategies in noncrop habitats.

The SH-SY5Y human neuroblastoma cell line, a relevant in vitro cell model for investigating neurotoxicology in human: Focus on organic pollutants.

Investigation of the toxicity triggered by chemicals on the human brain has traditionally relied on approaches using rodent in vivo models and in vitro cell models including primary neuronal cultures and cell lines from rodents. The issues of species differences between humans and rodents, the animal ethical concerns and the time and cost required for neurotoxicity studies on in vivo animal models, do limit the use of animal-based models in neurotoxicology. In this context, human cell models appear relevant in elucidating cellular and molecular impacts of neurotoxicants and facilitating prioritization of in vivo testing. The SH-SY5Y human neuroblastoma cell line (ATCC® CRL-2266™) is one of the most used cell lines in neurosciences, either undifferentiated or differentiated into neuron-like cells. This review presents the characteristics of the SH-SY5Y cell line and proposes the results of a systematic review of literature on the use of this in vitro cell model for neurotoxicity research by focusing on organic environmental pollutants including pesticides, 2, 3, 7, 8-tetrachlorodibenzo-p-dioxin (TCDD), flame retardants, PFASs, parabens, bisphenols, phthalates, and PAHs. Organic environmental pollutants are widely present in the environment and increasingly known to cause clinical neurotoxic effects during fetal & child development and adulthood. Their effects on cultured SH-SY5Y cells include autophagy, cell death (apoptosis, pyroptosis, necroptosis, or necrosis), increased oxidative stress, mitochondrial dysfunction, disruption of neurotransmitter homeostasis, and alteration of neuritic length. Finally, the inherent advantages and limitations of the SH-SY5Y cell model are discussed in the context of chemical testing.

Increasing radiation doses in Anastrepha obliqua (Diptera: Tephritidae) larvae improve parasitoid mass-rearing attributes.

Doses of 40, 80, 120, and 160 Gy were applied to 5-, 6-, 7-, and 8-day-old Anastrepha obliqua larvae, which were exposed to the Neotropical-native braconids Doryctobracon crawfordi and Utetes anastrephae and the Asian braconid Diachasmimorpha longicaudata. These tests were performed to know the effect of the increase in host radiation on the emergence of the aforementioned parasitoids and the related consequences of oviposition on the host. The study was based on the fact that higher radiation doses may cause a decrease in the host immune activity. There was a direct relationship between the increase in radiation dose and the parasitoid emergence. Both, the weight and the mortality of the host larvae were not affected by radiation. Although the larval weight of the larvae was lower and the mortality was higher in the younger larvae. Both, the number of scars and immature stages per host puparium originated from the younger larvae were lower than those from older larvae. Only U. anastrephae superparasitized more at lower radiation. Superparasitism by D. longicaudata was more frequent at 160 Gy. Qualitative measurements of melanin in the larvae parasitized showed that the levels were lower with increasing radiation. As radiation doses increased, the antagonistic response of the A. obliqua larva was reduced. Host larvae aged 5- and 6-day-old irradiated at 120-160 Gy significantly improve parasitoid emergence. This evidence is relevant for the mass production of the three tested parasitoid species.

Anticuerpos anti-RNA polimerasa III en esclerosis sistémica: estudio multicéntrico de Argentina / Anti-RNA Polymerase III Antibodies in Systemic Sclerosis: Multicentric Study from Argentina

Objetivo: Describir la frecuencia del anticuerpo anti-RNA polimerasa III positivo en pacientes con esclerosis sistémica (ES) de un grupo de centros asistenciales de Argentina, y explorar las diferencias entre pacientes con anti-RNA polimerasa III positivo y negativo. Pacientes y métodos: Se recopilaron datos de las historias clínicas, anamnesis y exámenes físicos de 135 pacientes con ES (ACR/EULAR 2013), de los cuales se obtuvo una muestra de suero para la detección de anti-RNA polimerasa III IgG por ELISA. Resultados: El 92,6% fueron mujeres, la mediana de edad al diagnóstico fue de 53 años (rango: 12-87), el 77,7% tenía ES limitada, el 19,3% tenía ES difusa y el 2,9% con ES sine esclerodermia. El 67,5% de los pacientes pertenecían a la etnia mestiza o amerindia. La frecuencia de anti-RNA polimerasa III positivo fue del 5,9%. En 36 pacientes los anticuerpos anticentrómero (ACA) y anti-Scl70 fueron negativos; el anti-RNA polimerasa III fue positivo en el 16,7% de estos 36 pacientes. El grupo de pacientes con anti-RNA polimerasa III positivo tuvo una mayor frecuencia de cicatrices puntiformes e hipertensión arterial pulmonar, y una mayor edad al diagnóstico. No se encontró asociación con ectasia vascular gástrica antral. La única paciente con crisis renal esclerodérmica, fue anti-RNA polimerasa III positiva. Conclusiones: La frecuencia de anti-RNA polimerasa III encontrada en este estudio fue una de las más bajas reportadas, lo cual podría estar relacionado con el predominio de la etnia mestiza y amerindia. Si bien se necesitan más estudios, es posible que la detección del anti-RNA polimerasa III permita clasificar mejor a los pacientes con ES, conocer su pronóstico y mejorar el seguimiento.(AU)

Objective: To describe the frequency of anti-RNA polymerase III antibody in patients with Systemic Sclerosis (SSc) of a group of healthcare centres from Argentina and to explore differences among patients with positive and negative anti-RNA polymerase III antibody. Patients and Methods: Data from clinical records, anamnesis and physical examination were collected from 135 patients with SSc (ACR/EULAR 2013). A serum sample from each patient was obtained for the detection of anti-RNA polymerase III IgG antibodies by ELISA. Results: In all, 97.8% were women and the median age at diagnosis was 53 years (range: 12-87), 77.7% had limited cutaneous SSc (lcSSC), 19,3% patients had diffuse cutaneous SSc (dcSSC) and 2.9% had scleroderma sine scleroderma. The 67.5% of the patients were from a Mestizos or Amerindian ethnic group. Anti-RNA polymerase III was positive in 5.9% of the patients. In 36 patients, the anticentromere (ACA) and anti-Scl70 antibodies were negative; anti-RNA polymerase III was positive in 16.7% of these 36 patients. Pitting scars and pulmonary artery hypertension were more frequent in anti-RNA polymerase III positive patients who were also older at diagnosis. No association with gastric antral vascular ectasia was found. The only patient with scleroderma renal crisis was anti-RNA polymerase III positive. Conclusions: Anti-RNA polymerase III frequency found in this study was one of the lowest reported, which could be related to the predominance of the Amerindian and Mestizo ethnic group. It is possible that the detection of anti-RNA polymerase III allows better classification of SSc patients, to know their prognosis and to improve their follow-up, therefore more studies are needed.(AU)

Human Biomonitoring Data in Health Risk Assessments Published in Peer-Reviewed Journals between 2016 and 2021: Confronting Reality after a Preliminary Review.

Human biomonitoring (HBM) is a rapidly developing field that is emphasized as an important approach for the assessment of health risks. However, its value for health risk assessment (HRA) remains to be clarified. We performed a review of publications concerned with applications of HBM in the assessment of health risks. The selection of publications for this review was limited by the search engines used (only PubMed and Scopus) and a timeframe of the last five years. The review focused on the clarity of 10 HRA elements, which influence the quality of HRA. We show that the usage of HBM data in HRA is limited and unclear. Primarily, the key HRA elements are not consistently applied or followed when using HBM in such assessments, and secondly, there are inconsistencies regarding the understanding of fundamental risk analysis principles and good practices in risk analysis. Our recommendations are as follows: (i) potential usage of HBM data in HRA should not be non-critically overestimated but rather limited and aligned to a specific value for exposure assessment or for the interpretation of health damage; (ii) improvements to HRA approaches, using HBM information or not, are needed and should strictly follow theoretical foundations of risk analysis.

Anti-RNA polymerase III antibodies in systemic sclerosis: Multicentric study from Argentina.

OBJECTIVE: To describe the frequency of anti-RNA polymerase III antibody in patients with Systemic Sclerosis (SSc) of a group of healthcare centres from Argentina and to explore differences among patients with positive and negative anti-RNA polymerase III antibody. PATIENTS AND METHODS: Data from clinical records, anamnesis and physical examination were collected from 135 patients with SSc (ACR/EULAR 2013). A serum sample from each patient was obtained for the detection of anti-RNA polymerase III IgG antibodies by ELISA. RESULTS: In all, 97.8% were women and the median age at diagnosis was 53 years (range 12-87), 77.7% had limited cutaneous SSc (lcSSC), 19,3% patients had diffuse cutaneous SSc (dcSSC) and 2.9% had scleroderma sine scleroderma. The 67.5% of the patients were from a Mestizos or Amerindian ethnic group. Anti-RNA polymerase III was positive in 5.9% of the patients. In 36 patients, the anticentromere (ACA) and anti-Scl70 antibodies were negative; anti-RNA polymerase III was positive in 16.7% of these 36 patients. Pitting scars and pulmonary artery hypertension were more frequent in anti-RNA polymerase III positive patients who were also older at diagnosis. No association with gastric antral vascular ectasia was found. The only patient with scleroderma renal crisis was anti-RNA polymerase III positive. CONCLUSIONS: Anti-RNA polymerase III frequency found in this study was one of the lowest reported, which could be related to the predominance of the Amerindian and Mestizo ethnic group. It is possible that the detection of anti RNA polymerase III allows better classification of SSc patients, to know their prognosis and to improve their follow-up, therefore more studies are needed.

Clinical characteristics and prognostic factors in an argentinian cohort with ANCA-associated vasculitis / Características clínicas y factores pronósticos en una cohorte argentina de vasculitis asociada a ANCA

Abstract ANCA-associated vasculitis is a heterogeneous group of rare autoimmune conditions of unknown cause. Clinical characteristics and prognostic factors were analyzed in 47 patients: 20 (42.5%) with granulomatosis with polyangiitis, 17 (36.2%) with microscopic polyangiitis, 6 (12.8%) with renal-limited vasculitis, and 4 (8.5%) with eosinophilic granulomatosis with polyangiitis. Mean age at diagnosis was 53.5 ± 16.5 years and the median of BVAS (Birmingham Vasculitis Activity Score) was 14 (4-42). The most frequent clinical manifesta tions were: general in 44 (93.6%), renal in 30 (63.8%) and respiratory in 28 (59.6%). All received corticosteroids at the beginning of treatment. Intravenous cyclophosphamide was associated in 20 (42.5%) and oral route in 14 (29.8%); azathioprine in 3 (6.4%) and rituximab in 2 (4.2%). At a median follow-up of 35.5 months (range 0.14- 234), 21 relapses were recorded in 14 patients. Overall mortality was 3.5 deaths per 100 patient-year in the whole group. Those over 55 years old, the presence of alveolar hemorrhage, those with FFS (Five Factor Score) of 2, and patients with MPA had poor prognosis. Renal involvement, ANCA pattern and BVAS were not associated to a poorer prognosis.

Resumen Las vasculitis asociadas a ANCA son un grupo heterogéneo de entidades autoinmunes, poco frecuentes, de etiología desconocida. Analizamos las características clínicas y factores pronóstico en 47 pacientes: 20 (42.5%) granulomatosis con poliangeítis, 17 (36.2%) poliangeítis microscópica, 6 (12.8%) vasculitis limitada al riñón y 4 (8.5%) granulomatosis eosinofílica con poliangeítis. La edad promedio al diagnóstico fue 53.5 ± 16.5 años y la mediana de BVAS (Birmingham Vasculitis Activity Score) 14 (4-42). Las manifestaciones clínicas más frecuentes fueron: generales en 44 (93.6%), renales 30 (63.8%) y respiratorias en 28 (59.6%). Todos recibieron corticoides al inicio del tratamiento. Se asoció ciclofosfamida endovenosa en 20 (42.5%) y oral en 14 (29.8%); azatioprina en 3 (6.4%) y rituximab en 2 (4.2%). En una mediana de seguimiento de 35.5 meses (rango 0.14-234), se registraron 21 recaídas en 14 pacientes. La mortalidad fue 3.5 por cien pacientes-año en todo el grupo. Los mayores de 55 años, con presencia de hemorragia alveolar, FFS (Five Factor Score) de 2, y los casos con poliangeítis microscópica tuvieron peor pronóstico. El compromiso renal, el patrón de ANCA y el BVAS no se asociaron a peor pronóstico.

Anti-RNA Polymerase III Antibodies in Systemic Sclerosis: Multicentric Study from Argentina. / Anticuerpos anti-RNA polimerasa III en esclerosis sistémica: estudio multicéntrico de Argentina.

OBJECTIVE: To describe the frequency of anti-RNA polymerase III antibody in patients with Systemic Sclerosis (SSc) of a group of healthcare centres from Argentina and to explore differences among patients with positive and negative anti-RNA polymerase III antibody. PATIENTS AND METHODS: Data from clinical records, anamnesis and physical examination were collected from 135 patients with SSc (ACR/EULAR 2013). A serum sample from each patient was obtained for the detection of anti-RNA polymerase III IgG antibodies by ELISA. RESULTS: In all, 97.8% were women and the median age at diagnosis was 53 years (range: 12-87), 77.7% had limited cutaneous SSc (lcSSC), 19,3% patients had diffuse cutaneous SSc (dcSSC) and 2.9% had scleroderma sine scleroderma. The 67.5% of the patients were from a Mestizos or Amerindian ethnic group. Anti-RNA polymerase III was positive in 5.9% of the patients. In 36 patients, the anticentromere (ACA) and anti-Scl70 antibodies were negative; anti-RNA polymerase III was positive in 16.7% of these 36 patients. Pitting scars and pulmonary artery hypertension were more frequent in anti-RNA polymerase III positive patients who were also older at diagnosis. No association with gastric antral vascular ectasia was found. The only patient with scleroderma renal crisis was anti-RNA polymerase III positive. CONCLUSIONS: Anti-RNA polymerase III frequency found in this study was one of the lowest reported, which could be related to the predominance of the Amerindian and Mestizo ethnic group. It is possible that the detection of anti-RNA polymerase III allows better classification of SSc patients, to know their prognosis and to improve their follow-up, therefore more studies are needed.