Municipal solid waste landfill: Evidence of the effect of applied landfill management on vegetation composition.

Proper management of municipal solid waste (MSW) is crucial to avoid pollution, environmental impacts and threat to public health. The problem of MSW is mainly arising from inadequate landfill site management. The objective of this study was to evaluate the impact of management practices and environmental risks at two landfill sites. The landfills were subject to long-term (10 years) vegetation monitoring. The vegetation was assessed using a floristic survey of identified plant species. The vegetation analysis showed that significant differences existed between the two landfill locations, with neophytes, invasive and expansive species dominating on one of the landfill sites, which may be attributed to climatic and geomorphological differences between the two sites, but also to variations in landfill management. These environmentally problematic species can potentially spread from the landfill into adjacent ecosystems, displace native plants and degrade adjacent farmland areas. The study of vegetation monitoring data suggests that, in addition to other types of monitoring, landfills should be subjected to regular vegetation biomonitoring, too. Landfill management practices should target the regulation of unwanted species, create conditions that are favourable to native plant species and provide as early as possible the restoration of filled cells.

Identification of deleterious germline CHEK2 mutations and their association with breast and ovarian cancer.

Germline mutations in checkpoint kinase 2 (CHEK2), a multiple cancer-predisposing gene, increase breast cancer (BC) risk; however, risk estimates differ substantially in published studies. We analyzed germline CHEK2 variants in 1,928 high-risk Czech breast/ovarian cancer (BC/OC) patients and 3,360 population-matched controls (PMCs). For a functional classification of VUS, we developed a complementation assay in human nontransformed RPE1-CHEK2-knockout cells quantifying CHK2-specific phosphorylation of endogenous protein KAP1. We identified 10 truncations in 46 (2.39%) patients and in 11 (0.33%) PMC (p = 1.1 × 10-14 ). Two types of large intragenic rearrangements (LGR) were found in 20/46 mutation carriers. Truncations significantly increased unilateral BC risk (OR = 7.94; 95%CI 3.90-17.47; p = 1.1 × 10-14 ) and were more frequent in patients with bilateral BC (4/149; 2.68%; p = 0.003), double primary BC/OC (3/79; 3.80%; p = 0.004), male BC (3/48; 6.25%; p = 8.6 × 10-4 ), but not with OC (3/354; 0.85%; p = 0.14). Additionally, we found 26 missense VUS in 88 (4.56%) patients and 131 (3.90%) PMC (p = 0.22). Using our functional assay, 11 variants identified in 15 (0.78%) patients and 6 (0.18%) PMC were scored deleterious (p = 0.002). Frequencies of functionally intermediate and neutral variants did not differ between patients and PMC. Functionally deleterious CHEK2 missense variants significantly increased BC risk (OR = 3.90; 95%CI 1.24-13.35; p = 0.009) and marginally OC risk (OR = 4.77; 95%CI 0.77-22.47; p = 0.047); however, carriers low frequency will require evaluation in larger studies. Our study highlights importance of LGR detection for CHEK2 analysis, careful consideration of ethnicity in both cases and controls for risk estimates, and demonstrates promising potential of newly developed human nontransformed cell line assay for functional CHEK2 VUS classification.

Influence of a Municipal Solid Waste Landfill on the Surrounding Environment: Landfill Vegetation as a Potential Risk of Allergenic Pollen.

When the landfill use comes to end, important subsequent steps include aftercare, safety assurance, and ecological regeneration. Landfill revegetation is cost-effective and eco-friendly approach in the management of landfill areas, which serves the purpose of stabilization and provides a pleasant landscape. There are various vegetation types that can be planted, yet grass species are often used for low-cost reasons. Plants can be important sources of air pollution, particularly by grass pollen. The main goal of our study was to identify plant species that produce allergenic pollen. Long-term vegetation monitoring took place on three sites in the growing seasons of years 2008-2018. Studied objects were landfills located in the Czech Republic. The vegetation was assessed using a floristic survey of identified plant species. Plant species that produced allergens were recorded. During the monitoring, 298 plant species were determined. Plant species with allergenic pollen have a considerable share in the landfill vegetation. Thus, landfills are potential sources of various kinds of allergenic pollen. Moreover, our results indicated that there are three periods of pollen production: early spring, late spring, and early summer; late summer; and autumn. The second period is typical for the production of highly allergenic pollen by grasses. Most detected plant species with allergenic pollen are common for all monitored sites, which demonstrates that the vegetation of landfills is a significant source of allergenic pollen.

Germline CHEK2 Gene Mutations in Hereditary Breast Cancer Predisposition - Mutation Types and their Biological and Clinical Relevance.

BACKGROUND: Hereditary mutations in the CHEK2 gene (which encodes CHK2 kinase) contribute to a moderately increased risk of breast cancer (BC) and other cancers. Large variations in the frequency of CHEK2 mutations and the occurrence of variants of unknown clinical significance (VUS) complicate estimation of cancer risk in carriers of germline CHEK2 mutations. PATIENTS AND METHODS: We performed mutation analysis of 1,526 high-risk Czech BC patients and 3,360 Czech controls. Functional analysis was performed for identified VUS using a model system based on a human RPE1-CHEK2-KO cell line harboring biallelic inactivation of endogenous CHEK2. RESULTS: The frequency of ten truncating CHEK2 variants differed markedly between BC patients (2.26%) and controls (0.11%; p = 4.1 × 1012). We also found 23 different missense variants in 4.5% patients and in 4.0% of controls. The most common was p.I157T, which was found in patients and controls with the same frequency. Functional analysis identified nine functionally deleterious VUS, another nine functionally neutral VUS, and four intermediate VUS (including p.I157T). We found that carriers of truncating CHEK2 mutations had a high BC risk (OR 8.19; 95% CI 4.11-17.75), and that carriers of functionally deleterious missense variants had a moderate risk (OR 4.06; 95% CI, 1.37-13.39). Carriers of these mutations developed BC at 44.4 and 50.7 years, respectively. Functionally neutral and functionally intermediate missense variants did not increase the BC risk. BC in CHEK2 mutation carriers was frequently ER-positive and of higher grade. Notably, carriers of CHEK2 mutations developed second cancers more frequently than BRCA1/BRCA2/PALB2/p53 or mutation non-carriers. CONCLUSION: Hereditary CHEK2 mutations contribute to the development of hereditary BC. The associated cancer risk in mutation carriers increases with the number of affected individuals in a family. Annual follow-up with breast ultrasound, mammography, or magnetic resonance imaging is recommended for asymptomatic mutation carriers from the age of 40. Surgical prevention and specific follow-up of other tumors should be considered based on family cancer history. The work was supported by grants from the Czech Health Research Council of the Ministry of Health of the Czech Republic NR 15-28830A, 16-29959A, NV19-03-00279, projects of the PROGRES Q28/LF1, GAUK 762216, SVV2019 / 260367, PRIMUS/17/MED/9, UNCE/MED/016, Progress Q26, LQ1604 NPU II and project AVČR Qualitas. The analysis of a set of unselected controls was made possible by the existence and support of the scientific infrastructure of the National Center for Medical Genomics (LM2015091) and its project aimed at creating a reference database of genetic variants of the Czech Republic (CZ.02.1.01/0.0/0.0/16_013/0001634). The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manuscript met the ICMJE recommendation for biomedical papers. Submitted: 2. 4. 2019 Accepted: 14. 5. 2019.

[Invasive pulmonary aspergillosis--imaging and invasive potential of diagnosis]. / Invazivní plicní aspergilóza--zobrazovací a invazivní moznosti diagnostiky.

The increasing incidence of invasive pulmonary aspergillosis (IPA), especially in haemato-oncological patients, has led to recent extension and refinement of diagnostic procedures, in particular imaging examinations. From a diagnostic point of view, chest radiography is not beneficial in most IPA cases. Today, the highest diagnostic value is achieved by CT, with an apparent correlation between CT scans and pathological-anatomical findings. A usual CT finding seen in bronchoinvasive aspergillosis is a tree-in-bud pattern. Angioinvasive aspergillosis is typically characterized by initial condensation surrounded by a halo sign--an area of opacity--and, later, by an air-crescent sign--a cavitating lesion. Although the morphology of CT findings is not entirely specific, together with the clinical condition and other assessment methods, these are essential for diagnosis. In rare cases, CT angiography is indicated to clarify the CT findings. If the diagnosis still remains unclear, biopsy examination should be considered, bearing in mind possible complications.