The evolution of vertically acquired HCV infection

Materials and methods All children with vertically acquired HCV infection who came to our attention and were regularly followed from the first months of life were included in this analysis. One child with double HCV and HIV infection was excluded. HCV associated clinical manifestations, viral genotype, persistence of viremia and HCV antibodies, liver biochemistry (ALT levels, bilirubin, alpha fetoprotein, coagulation parameters), liver ultrasound and other investigations to identify extrahepatic manifestations (e.g. the appearance of auto-antibodies or cryoglobulins, C3 and C4 concentrations) were evaluated

Covid-19 in children: Expressions of type i/ii/iii interferons, trim28, setdb1, and endogenous retroviruses in mild and severe cases

Children with the new coronavirus disease 2019 (COVID-19) have milder symptoms and a better prognosis than adult patients. Several investigations assessed type I, II, and III interferon (IFN) signatures in SARS-CoV-2 infected adults, however no data are available for pediatric patients. TRIM28 and SETDB1 regulate the transcription of multiple genes involved in the immune response as well as of human endogenous retroviruses (HERVs). Exogenous viral infections can trigger the activation of HERVs, which in turn can induce inflammatory and immune reactions. Despite the potential cross-talks between SARS-CoV-2 infection and TRIM28, SETDB1, and HERVs, information on their expressions in COVID-19 patients is lacking. We assessed, through a PCR real time Taqman amplification assay, the transcription levels of six IFN-I stimulated genes, IFN-II and three of its sensitive genes, three IFN-lIIs, as well as of TRIM28, SETDB1, pol genes of HERV-H, -K, and -W families, and of env genes of Syncytin (SYN)1, SYN2, and multiple sclerosis-associated retrovirus (MRSV) in peripheral blood from COVID-19 children and in control uninfected subjects. Higher expression levels of IFN-I and IFN-II inducible genes were observed in 36 COVID-19 children with mild or moderate disease as compared to uninfected controls, whereas their concentrations decreased in 17 children with severe disease and in 11 with multisystem inflammatory syndrome (MIS-C). Similar findings were found for the expression of TRIM-28, SETDB1, and every HERV gene. Positive correlations emerged between the transcriptional levels of type I and II IFNs, TRIM28, SETDB1, and HERVs in COVID-19 patients. IFN-III expressions were comparable in each group of subjects. This preserved induction of IFN-λs could contribute to the better control of the infection in children as compared to adults, in whom IFN-III deficiency has been reported. The upregulation of IFN-I, IFN-II, TRIM28, SETDB1, and HERVs in children with mild symptoms, their declines in severe cases or with MIS-C, and the positive correlations of their transcription in SARS-CoV-2-infected children suggest that they may play important roles in conditioning the evolution of the infection

Evaluation of Technologies to Complement/Replace Mass Spectrometers in the Tritium Facilities

The primary goal of this work is to determine the suitability of the Infraran sensor for use in the Palladium Membrane Reactor. This application presents a challenge for the sensor, since the process temperature exceeds its designed operating range. We have demonstrated that large baseline offsets, comparable to the sensor response to the analyte, are obtained if cool air is blown across the sensor. We have also shown that there is a strong environmental component to the noise. However, the current arrangement does not utilize a reference detector. The strong correlation between the CO and H{sub 2}O sensor responses to environmental changes indicate that a reference detector can greatly reduce the environmental sensitivity. In fact, incorporation of a reference detector is essential for the sensor to work in this application. We have also shown that the two sensor responses are adequately independent. Still, there are several small corrections which must to be made to the sensor response to accommodate chemical and physical effects. Interactions between the two analytes will alter the relationship between number density and pressure. Temperature and pressure broadening will alter the relationship between absorbance and number density. The individual effects are small--on the order of a few percent or less--but cumulatively significant. Still, corrections may be made if temperature and total pressure are independently measured and incorporated into a post-analysis routine. Such corrections are easily programmed and automated and do not represent a significant burden for installation. The measurements and simulations described above indicate that with appropriate corrections, the Infraran sensor can approach the 1-1.5% measurement accuracy required for effective PMR process control. It is also worth noting that the Infraran may be suitable for other gas sensing applications, especially those that do not need to be made in a high-temperature environment. Any gas with an infrared absorption (methane, ammonia, etc.) may be detected so long as an appropriate bandpass filter can be manufactured. Note that homonuclear diatomic molecules (hydrogen and its isotopes, nitrogen, oxygen) do not have infrared absorptions. We have shown that the sensor response may be adequately predicted using commercially available software. Measurement of trace concentrations is limited by the broad spectral bandpass, since the total signal includes non-absorbed frequencies. However, cells with longer pathlengths can be designed to address this problem

Sensitivity and Specificity of Soluble Triggering Receptor Expressed on Myeloid Cells-1, Midregional Proatrial Natriuretic Peptide and Midregional Proadrenomedullin for Distinguishing Etiology and to Assess Severity in Community-Acquired Pneumonia

This study aimed to evaluate the diagnostic accuracy of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1), midregional proatrial natriuretic peptide (MR-proANP) and midregional proadrenomedullin (MR-proADM) to distinguish bacterial from viral community-acquired pneumonia (CAP) and to identify severe cases in children hospitalized for radiologically confirmed CAP. Index test results were compared with those derived from routine diagnostic tests, i.e., white blood cell (WBC) counts, neutrophil percentages, and serum C-reactive protein (CRP) and procalcitonin (PCT) levels.This prospective, multicenter study was carried out in the most important children’s hospitals (n = 11) in Italy and 433 otherwise healthy children hospitalized for radiologically confirmed CAP were enrolled. Among cases for whom etiology could be determined, CAP was ascribed to bacteria in 235 (54.3%) children and to one or more viruses in 111 (25.6%) children. A total of 312 (72.2%) children had severe disease.CRP and PCT had the best performances for both bacterial and viral CAP identification. The cut-off values with the highest combined sensitivity and specificity for the identification of bacterial and viral infections using CRP were ≥7.98 mg/L and ≤7.5 mg/L, respectively. When PCT was considered, the cut-off values with the highest combined sensitivity and specificity were ≥0.188 ng/mL for bacterial CAP and ≤0.07 ng/mL for viral CAP. For the identification of severe cases, the best results were obtained with evaluations of PCT and MR-proANP. However, in both cases, the biomarker cut-off with the highest combined sensitivity and specificity (≥0.093 ng/mL for PCT and ≥33.8 pmol/L for proANP) had a relatively good sensitivity (higher than 70%) but a limited specificity (of approximately 55%).This study indicates that in children with CAP, sTREM-1, MR-proANP, and MR-proADM blood levels have poor abilities to differentiate bacterial from viral diseases or to identify severe cases, highlighting that PCT maintains the main role at this regard