The distribution of anthropogenic microparticles (Mps), such as plastic and natural fibres used in textiles, in beach sediments was studied in a human-influenced pocket beach in Liguria (NW ...Mediterranean Sea). Information on environmental parameters such as rainfall, hydrodynamic characteristics and sediment texture was collected at the same time as the sediment samples. The Mps (416 ± 202 Mps kg−1 on average) were mainly fibres (57–100%), while fragments and spheres showed irregular abundances linked to the draining action of waves on the beach. Uni- and multivariate statistical analyses highlighted that the different spatial and seasonal distribution of fibres primarily depended on the action of the waves that force seawater into the sand, rather than on sedimentation following depositional processes. Wave height and direction had a role in fibre distribution in the sand, as well as sediment permeability and sorting. The occurrence of short-term and spatially-localised hydrodynamic events such as rip currents were observed to influence the abundance of fibres, overlapping the seasonal sequences of beach accretion and erosion that is typical of the area and increasing fibre abundance by transporting those accumulated in the sediments of the submerged beach during winter.
•Anthropogenic microparticles (Mps) were studied on a NW Mediterranean beach.•Mps abundance (416 ± 202 Mps kg−1) and distribution were related to environmental characteristics.•Fibres were the main Mps morphology (>90%).•Hydrodynamism (wave characteristics, rip current) and sediment permeability influenced fibre distribution.•Fragment accumulation depended on the efficiency of waves at removing stranded materials.
Natural killer (NK) and hepatitis B virus (HBV)‐specific T cells are functionally impaired in chronic hepatitis B (CHB). Understanding to what extent nucleos(t)ide analogue (NUC) therapy can improve ...T‐ and NK‐cell responses is important in the perspective of immunomonitoring strategies for a safe and earlier NUC withdrawal and of novel combination therapies based on modulation of antiviral immunity. To gain further insights into T/NK‐cell interplay, we studied NK‐cell phenotype and function in hepatitis B e antigen–negative chronic HBV patients either untreated (25) or NUC treated (36 hepatitis B surface antigen HBsAg+ and 10 HBsAg–/hepatitis B surface antibody anti‐HBs+). Interferon‐gamma, interleukin‐2, and tumor necrosis factor alpha (TNF‐α) production by HBV‐specific T cells was also analyzed in NUC‐treated patients. NK cells from chronic naïve patients showed an “inflammatory” phenotype defined by increased expression of TNF‐related apoptosis‐inducing ligand (TRAIL), CD38, and Ki67 that significantly declined upon viremia suppression and alanine aminotransferase normalization induced by NUC therapy. Reversion to a quiescent NK‐cell phenotype was associated with restoration of the HBV‐specific T‐cell function. T‐ and NK‐cell responses showed an inverse correlation, with an opposite behavior in individual NUC‐treated patients. NK‐cell depletion as well as TRAIL and NKG2D pathway blockade induced a significant improvement of the HBV‐specific T‐cell function. Conclusions: NK cells can express regulatory activity on T cells in NUC‐treated patients with prevalent inhibition of CD4 T cells, likely needed to limit persistent T‐cell activation. NK‐cell phenotype is modulated by NUC therapy and its reversion to quiescence mirrors efficient HBV‐specific T‐cell responses. Thus, changes of NK‐cell phenotype may predict acquisition of antiviral control before anti‐HBs seroconversion and represent the groundwork for future studies aimed at assessing whether NK phenotyping can be translated into the clinical practice to guide NUC suspension.(Hepatology 2015;62:1697–1709)
In recent years the development of alternative insulation materials has increased, such as agro-concretes, a mix between inorganic binder and aggregate of vegetable origin, including farming waste, ...such as wood fiber, rice husk, hemp hurd. These type of insulator materials are more eco-sustainable, thanks to their renewable origin, and equally thermal efficient compared to the traditional ones. In particular, this study focused on the sustainability evaluation with Life Cycle Assessment (LCA) methodology of a wall made of wheat husk and a lime-based binder. The case study was analysed considering the entire life cycle of the wall, where thermal performances of the material, investigated in previous experimental activities, were taken into account for the use phase damage calculation associated with energy demand for winter heating and summer cooling. The obtained results were compared with two alternative scenarios, consisting in a wall made of traditional bricks fitted with a cladding and a wall composed with a unique casting of mixture of wheat husk and lime, having the same thermal transmissivity. The presence of the cladding influenced the choice of the most suitable end of life for the traditional wall, identified in landfill disposal, due to the presence of heterogeneous materials joined together by glue, while material recovery through recycling could be foreseen for the wheat husk-based materials. The comparative LCA analysis demonstrates that the two wheat husk based walls are characterized by better environmental performances compared to the traditional scenario for the production phase and end of life phase, where the main observed damage contribution are the natural gas consumption for the production of clay bricks and the emissions for landfill construction, respectively.
•Environmental burdens of wheat husk based agro-concrete wall was assessed with LCA.•Wheat husk was considered as a waste of wheat production and not as by-product.•Thanks to the homogeneous composition, complete recycling was supposed.•In the comparison, thermal performances are equated to a traditional wall.•The production and end of life are more sustainable than the traditional one.
In this study, we characterize the mineralogy and microbiology of a suite of samples from the Bagno dell’Acqua alkaline (pH ≥ 9) lake in Pantelleria, Italy. The aim of the present characterization is ...the assessment of the lake as a Martian analog site. Nineteen samples were characterized by a combination of VNIR reflectance spectroscopy, micro-Raman (μ-Raman) spectroscopy, and fluorescence microscopy. In addition, DNA extraction was performed on three selected samples to identify the bacteria phyla and to quantify their abundance. The samples were collected as push cores inside the lake and as loose sediments taken along the eastern and southeastern lake's shore. The samples underwent three thermal cycles (between 343 K and 473 K) to remove excess water and organic matter. The VNIR spectra were measured on each sample after each thermal cycle to check the variation of the spectral features as a function of thermal treatment. The mineralogical content of our push core samples is dominated by the presence of Mg-smectite clays always associated with the remanence of K-feldspars and Ca-carbonates while in the sediments we observe also additional minor phases like pyroxene (aegirine NaFe3+Si2O6), hematite (Fe2O3), anatase (TiO2), and volcanic glass. Two organic phases were detected by μ-Raman spectroscopy. One phase was attributable to carotenoids, in line with the high abundance of Bacterial Phyla that can synthesize these molecules. The second phase appeared to be visually indistinguishable from the inorganic matrix and is therefore attributed to EPS (Extracellular Polymeric Substances) forming a biofilm and extensively observed by fluorescent microscopy. The peculiar chemistry of the waters, the presence of Mg-smectite in the sediments of Lake Bagno dell’Acqua associated with Ca-carbonates and sediments derived by biological activity makes Lake Bagno dell’Acqua a very interesting and promising Martian analog site.
•Mg-smectite and carbonates associated with a rich microbic community characterize the sediments of the Lake Bagno dell’Acqua.•The presence of a rich microbial community allows to study the interactions between microbes and sediments.•Co-occurrence of carbonates and smectite is observed on Mars suggesting that the Lake can be used as a Mars analog site.
Background Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its ...population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18.5 kg/m2 underweight, 18.5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, greater than or equal to 40 kg/m2 morbidobesity), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings We used 1698 population-based data sources, with more than 19.2 million adult participants (9.9 million men and 9.3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21.7 kg/m2 (95% credible interval 21.3-22.1) in 1975 to 24.2 kg/m2 (24.0-24.4) in 2014 in men, and from 22.1 kg/m2 (21.7-22.5) in 1975 to 24.4 kg/m2 (24.2-24.6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21.4 kg/m2 in central Africa and south Asia to 29.2 kg/m2 (28.6-29.8) in Polynesia and Micronesia; for women the range was from 21.8 kg/m2 (21.4-22.3) in south Asia to 32.2 kg/m2 (31.5-32.8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13.8% (10.5-17.4) to 8.8% (7.4-10.3) in men and from 14.6% (11.6-17.9) to 9.7% (8.3-11.1) in women. South Asia had the highest prevalence of underweight in 2014, 23.4% (17.8-29.2) in men and 24.0% (18.9-29.3) in women. Age-standardised prevalence of obesity increased from 3.2% (2.4-4.1) in 1975 to 10.8% (9.7-12.0) in 2014 in men, and from 6.4% (5.1-7.8) to 14.9% (13.6-16.1) in women. 2.3% (2.0-2.7) of the world's men and 5.0% (4.4-5.6) of women were severely obese (ie, have BMI greater than or equal to 35 kg/m2). Globally, prevalence of morbid obesity was 0.64% (0.46-0.86) in men and 1.6% (1.3-1.9) in women. Interpretation If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world's poorest regions, especially in south Asia. Funding Wellcome Trust, Grand Challenges Canada.
Background
Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. We estimated worldwide trends in mean systolic and mean diastolic blood pressure, ...and the prevalence of, and number of people with, raised blood pressure, defined as systolic blood pressure of 140 mm Hg or higher or diastolic blood pressure of 90 mm Hg or higher.
Methods
For this analysis, we pooled national, subnational, or community population-based studies that had measured blood pressure in adults aged 18 years and older. We used a Bayesian hierarchical model to estimate trends from 1975 to 2015 in mean systolic and mean diastolic blood pressure, and the prevalence of raised blood pressure for 200 countries. We calculated the contributions of changes in prevalence versus population growth and ageing to the increase in the number of adults with raised blood pressure.
Findings
We pooled 1479 studies that had measured the blood pressures of 19·1 million adults. Global age-standardised mean systolic blood pressure in 2015 was 127·0 mm Hg (95% credible interval 125·7–128·3) in men and 122·3 mm Hg (121·0–123·6) in women; age-standardised mean diastolic blood pressure was 78·7 mm Hg (77·9–79·5) for men and 76·7 mm Hg (75·9–77·6) for women. Global age-standardised prevalence of raised blood pressure was 24·1% (21·4–27·1) in men and 20·1% (17·8–22·5) in women in 2015. Mean systolic and mean diastolic blood pressure decreased substantially from 1975 to 2015 in high-income western and Asia Pacific countries, moving these countries from having some of the highest worldwide blood pressure in 1975 to the lowest in 2015. Mean blood pressure also decreased in women in central and eastern Europe, Latin America and the Caribbean, and, more recently, central Asia, Middle East, and north Africa, but the estimated trends in these super-regions had larger uncertainty than in high-income super-regions. By contrast, mean blood pressure might have increased in east and southeast Asia, south Asia, Oceania, and sub-Saharan Africa. In 2015, central and eastern Europe, sub-Saharan Africa, and south Asia had the highest blood pressure levels. Prevalence of raised blood pressure decreased in high-income and some middle-income countries; it remained unchanged elsewhere. The number of adults with raised blood pressure increased from 594 million in 1975 to 1·13 billion in 2015, with the increase largely in low-income and middle-income countries. The global increase in the number of adults with raised blood pressure is a net effect of increase due to population growth and ageing, and decrease due to declining age-specific prevalence.
Interpretation
During the past four decades, the highest worldwide blood pressure levels have shifted from high-income countries to low-income countries in south Asia and sub-Saharan Africa due to opposite trends, while blood pressure has been persistently high in central and eastern Europe.
Funding
Wellcome Trust.
Infections in nonhealing wounds remain one of the major challenges. Recently, nanomedicine approach seems a valid option to overcome the antibiotic resistance mechanisms. The aim of this study was ...the development of three types of polysaccharide-based scaffolds (chitosan-based (CH), chitosan/chondroitin sulfate-based (CH/CS), chitosan/hyaluronic acid-based (CH/HA)), as dermal substitutes, to be loaded with norfloxacin, intended for the treatment of infected wounds. The scaffolds have been loaded with norfloxacin as a free drug (N scaffolds) or in montmorillonite nanocomposite (H-hybrid-scaffolds). Chitosan/glycosaminoglycan (chondroitin sulfate or hyaluronic acid) scaffolds were prepared by means of electrospinning with a simple, one-step process. The scaffolds were characterized by 500 nm diameter fibers with homogeneous structures when norfloxacin was loaded as a free drug. On the contrary, the presence of nanocomposite caused a certain degree of surface roughness, with fibers having 1000 nm diameters. The presence of norfloxacin-montmorillonite nanocomposite (1%) caused higher deformability (90%-120%) and lower elasticity (5-10 mN/cm
), decreasing the mechanical resistance of the systems. All the scaffolds were proven to be degraded via lysozyme (this should ensure scaffold resorption) and this sustained the drug release (from 50% to 100% in 3 days, depending on system composition), especially when the drug was loaded in the scaffolds as a nanocomposite. Moreover, the scaffolds were able to decrease the bioburden at least 100-fold, proving that drug loading in the scaffolds did not impair the antimicrobial activity of norfloxacin. Chondroitin sulfate and montmorillonite in the scaffolds are proven to possess a synergic performance, enhancing the fibroblast proliferation without impairing norfloxacin's antimicrobial properties. The scaffold based on chondroitin sulfate, containing 1% norfloxacin in the nanocomposite, demonstrated adequate stiffness to sustain fibroblast proliferation and the capability to sustain antimicrobial properties to prevent/treat nonhealing wound infection during the healing process.
Background & Aims The antiviral function of peripheral hepatitis B virus (HBV)-specific T cells can be increased in patients with chronic hepatitis B by blocking the interaction of programmed death ...(PD)-1 with its ligand PD-L1. However, no information is available about the effects of this blockade on intrahepatic lymphocytes. We studied T-cell exhaustion and the effects of PD-1/PD-L1 blockade on intrahepatic and circulating HBV-specific T cells in patients with chronic hepatitis B. Methods A total of 42 patients with chronic HBV infection who underwent liver biopsy were studied. The ex vivo phenotype of peripheral and intrahepatic HBV-specific CD8+ T cells was assessed by flow cytometry with class I tetramers and antibodies to T-cell differentiation molecules. Functional recovery was evaluated by analyzing expansion and production of interferon (IFN)-γ and interleukin (IL)-2 after short-term incubation of T cells with HBV peptides in the presence of anti-PD-L1 or control antibodies. Results Intrahepatic HBV-specific CD8+ cells expressed higher levels of PD-1 and lower levels of CD127 than their peripheral counterparts. Blockade of PD-1/PD-L1 interaction increased CD8+ cell proliferation and IFN-γ and IL-2 production by circulating intrahepatic lymphocytes, even though anti-PD-L1 had a stronger effect on intrahepatic compared with peripheral T cells. Conclusions T-cell exhaustion by high antigen concentrations promotes HBV-specific T-cell dysfunction by affecting phenotype and function of peripheral and intrahepatic T cells. By restoring antiviral T-cell functions, not only in peripheral but also in intrahepatic lymphocytes, anti-PD-L1 might be a good therapeutic candidate for chronic HBV infection.
Rotavirus H (RVH) has been detected in humans, pigs and bats. Recently, RVH infections were reported in different porcine farms worldwide, suggesting epidemiological relevance. However, to date, the ...genome information of RVH strains has been limited due to the scarcity of deposited sequences. This study aimed to characterize the VP7, VP4, VP6 and NSP4 genes of RVHs from 27 symptomatic pigs, in Italy, between 2017 and 2021. RVH genes were amplified via RT-PCR using specific primers, and the amplicons were sequenced. By coupling the data generated in this study with the sequences available in the databases, we elaborated a classification scheme useful to genotype the VP7, VP4, VP6 and NSP4 genes. The nucleotide identity and phylogenetic analyses unveiled an impressive genetic heterogeneity and allowed the classification of the Italian RVH strains into 12G (VP7), 6P (VP4), 8I (VP6) and 8E (NSP4) genotypes, of which 6I, 5E and the totality of the G and P genotypes were of novel identification. Our data highlight the high genetic variability of the RVH strains circulating in pigs and underline the importance of a robust classification system to track the epidemiology of RVHs.
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