A Rare Case of Primary Vulval Amelanotic Melanoma Involving the Urethra.

A 60-year-old woman came to the Emergency Department complaining of a vaginal formation. The urologist suspected a urethral caruncle: the patient was discharged with vaginal oestrogen cream to relieve symptoms and a follow-up was suggested. After two months the patient returned to the Emergency Department since the mass was increasing in volume and complaining of dysuria and haematuria. Ultrasound, contrast-enhanced computed tomography, and contrast-enhanced magnetic resonance revealed a mass arising from the mucosa and involving the vulva and the urethra, suspicious of malignancy. We present a challenging diagnosis of an infiltrative and rapidly progressive primary vulval amelanotic melanoma with a complete imaging evaluation and a confirmed histological diagnosis.

Polyvinylamine and Its Derivative as Effective Carrier for Targeted Delivery of Small RNAs.

Polymeric delivery systems could enable the fast- and low-side-effect transport of various RNA classes. Previously, we demonstrated that polyvinylamine (PVAm), a cationic polymer, transfects many kinds of RNAs with high efficiency and low toxicity both in vitro and in vivo. The modification of poly lactic-co-glycolic acid (PLGA) with cartilage-targeting peptide (CAP) enhances its stiffness and tissue-specific delivery of RNA to overcome the avascular nature of articular cartilage. Here we describe the protocol to use PVAm as an RNA carrier, and further, by modifying PVAm with PLGA and CAP, the corresponding co-polymer could be applied for functional RNA delivery for osteoarthritis treatment.

Operando Surface-Enhanced Raman-Scattering (SERS) for Probing CO2 Facilitated Transport Mechanisms of Amine-Functionalized Polymeric Membranes.

This work describes a new operando surface enhanced Raman spectroscopy (SERS) platform that we developed for use with polymeric membranes that includes (1) a method for preparing SERS-active polymer membranes and (2) a permeation cell with optical access for SERS characterization of membranes under realistic operating conditions. This technique enables the direct correlation of membrane structure to its performance under realistic operating conditions by combining in situ SERS characterization of the molecular structure of polymer membranes and simultaneous measurement of solute permeation rates on the same sample. Using the new operando SERS technique, this work aims to clarify the unknown mechanisms by which reactive amines facilitate CO2 transport across polyvinylamine (PVAm), a prototypical facilitated transport membrane for CO2 separations. We show that a small amount of plasmonic silver particles added to the PVAm solution prior to knife-casting selectively enhances the sensitivity to detection of chemical intermediates (e.g., carbamate) formed in the PVAm film due to the surface-enhanced Raman scattering effect with only minimal effect on the CO2 permeance and selectivity of the membrane. Operando SERS characterization of PVAm during exposure to humidified CO2/CH4 biogas mixtures at room temperature shows that CO2 permeates across PVAm primarily as carbamate species. This work clarifies the previously unknown mechanism of CO2 facilitated transport across PVAm and establishes a new operando SERS platform that can be used with a wide range of polymer membrane systems. This technique can be used to elucidate fundamental transport mechanisms in polymer membranes, to establish reliable structure-performance relationships, and for real-time diagnostics of membrane fouling, among other applications.

Particle assemblies: toward new tools for regenerative medicine.

Regenerative medicine is a demanding field in terms of design and elaboration of materials able to meet the specifications that this application imposes. The regeneration of tissue is a multiscale issue, from the signaling molecule through cell expansion and finally tissue growth requiring a large variety of cues that should be delivered in place and time. Hence, the materials should be able to accommodate cells with respect to their phenotypes, to allow cell division to the right tissue, to maintain the integrity of the surrounding sane tissue, and eventually use their signaling machinery to serve the development of the appropriate neo-tissue. They should also present the ability to deliver growth factors and regulate tissue development, to be degraded into safe products, in order not to impede tissue development, and finally be easily implanted/injected into the patients. In this context, colloid-based materials represent a very promising family of products because one can take advantage of their high specific area, their capability to carry/deliver bio-active molecules, and their capacity of assembling (eventually in vivo) into materials featuring other mechanical, rheological, physicochemical properties. Other benefits of great interest would be their ease of production even via high through-put processes and their potential manufacturing from safe, biodegradable and biocompatible parent raw material. This review describes the state-of-the-art of processes leading to complex materials from the assembly of colloids meeting, at least partially, the above-described specifications for tissue engineering and regenerative medicine.