M1 Macrophages Activate Notch Signalling in Epithelial Cells: Relevance in Crohn's Disease

Background: The Notch signalling pathway plays an essential role in mucosal regeneration, which constitutes a key goal of Crohn's disease (CD) treatment. Macrophages coordinate tissue repair and several phenotypes have been reported which differ in the expression of surface proteins, cytokines and hypoxia-inducible factors (HIFs). We analysed the role of HIFs in the expression of Notch ligands in macrophages and the relevance of this pathway in mucosal regeneration. Methods: Human monocytes and U937-derived macrophages were polarized towards the M1 and M2 phenotypes and the expression levels of HIF-1α, HIF-2α, Jagged 1 (Jag1) and delta-like 4 (Dll4) were evaluated. The effects of macrophages on the expression of hairy and enhancer of split-1 (HES1, the main target of Notch signalling) and intestinal alkaline phosphatase (IAP, enterocyte marker) in epithelial cells in co-culture were also analysed. Phenotype macrophage markers and Notch signalling were evaluated in the mucosa of CD patients. Results: M1 macrophages were associated with HIF-1-dependent induction of Jag1 and Dll4, which increased HES1 protein levels and IAP activity in co-cultured epithelial cells. In the mucosa of CD patients a high percentage of M1 macrophages expressed both HIF-1α and Jag1 while M2 macrophages mainly expressed HIF-2α and we detected a good correlation between the ratio of M1/M2 macrophages and both HES1 and IAP protein levels. Conclusion: M1, but not M2, macrophages are associated with HIF-1-dependent induction of Notch ligands and activation of epithelial Notch signalling pathway. In the mucosa of chronic CD patients, the prevalence of M2 macrophages is associated with diminution of Notch signalling and impaired enterocyte differentiation. Key Words: MacrophagesCrohn's diseasemucosal healingNotch signallin

Alts nivells de contaminants organoclorats als túnids Thunnus thynnus i Thunnus alalunga a aigües de les Illes Balears

Persistent organochlorine polluntant levels have been analysed in the muscle and liver of Thunnus thynnus i Thunnus alalunga in the Balearic waters. These two species are apical predators of the throphic web and they are directly exposed to high organochlorine compounds and indirectly by the bioaccumulation of pollution into the throphic web. The present results show that the pollutant concentrations analyzed are higher at T. thynnus than the concentrations at T. alalunga. In fact, the PCBs, DDT derivates and PBDEs leves in the T. thynnus liver are high. It is important to note that some of the studied subtances present higher legal concentrations for human consumption. It could be necessary to establish urgent monitoring programmes to evaluate the organochlorine pollutant concentrations in the apical levels of the throphic web. Moreover, it is important to determinate the social, sanitary, economic and ecològic implications by this pollution in the Balearic environment.Peer Reviewe

Effects of hook size and barbless hooks on hooking injury, catch per unit effort, and fish size in a mixed-species recreational fishery in the western Mediterranean Sea

The effects of hook size (small vs. large) and type (conventional vs. barbless) on hooking injury, catch per unit effort (cpue), and fish size in a mixed-species recreational fishery in the Balearic Islands (western Mediterranean) are evaluated. Hook size was the most important predictor of deep-hooking, which is reduced by the use of large hooks. The size of fish captured was another predictor of deep-hooking incidence, because large fish tended to be caught in deep-hooking locations. Deep-hooking was highly correlated with the presence of bleeding, and unhooking time was reduced by the use of large hooks and barbless hooks, although differences were small. To determine the effects of different hook treatments on cpue and species composition, a mixed-effect linear model was used as a univariate procedure, and redundancy analysis was used as a multivariate analysis. Results showed a drastic decrease in cpue with barbless hooks. In contrast, large hooks reduced the incidence of hooking injuries, with a small reduction in catch rate. Moreover, large hooks were associated with a larger mean size of fish caught than small hooks. Hence, control of hook size, along with other traditional management measures that involve the release of fish, is presented as a management option for sustainable development of recreational fisheries in the western Mediterranean Sea. © 2008 International Council for the Exploration of the Sea. Published by Oxford Journals. All rights reserved.Peer Reviewe

Influence of hook size and type on short-term mortality, hooking location and size selectivity in a Spanish recreational fishery

Short-term mortality and size selectivity resulting from different hook types and sizes were studied. Special emphasis was on derbio, Trachynotus ovatus, as it is commonly caught as an undersized species in recreational fisheries of the Balearic Islands (Western Mediterranean). Results showed that mortality was generally low (0-17.9%). The anatomical hook location (AHL) (the anatomical region where the hook penetrated) was the main significant predictor of mortality, as more than 85% of fish caught in deep locations of the body, such as the oesophagus, stomach or gills, died over a 2 h-holding period. Hook size was also a significant predictor of mortality because the mortality rates caused by the smallest hooks (sizes 14 and 12) were higher than those of the largest hooks (sizes 10, 8 and 6). For circle hooks, mortality and deep-hooking incidences were not observed, confirming the conservation properties of this hook type. To estimate size selectivity parameters, applied logistic models normally used in commercial fisheries were fitted to estimate descriptors of slope of selectivity curves and L50 (length at 50% selection). Results showed that larger hooks were more size-selective than smaller hooks, but also fewer fish were caught. However, the yield (g h-1) between hook sizes did not change dramatically (large hooks 1345.0 ± 179.8 g h-1; small hooks 1467.8 ± 66.5 g h-1), since large hooks tended to catch much larger fish than the smaller hooks. As a strategy to conserve resources the use of larger hooks in recreational fisheries is therefore recommended since they result in minimal mortality to released fish and reduce incidental catch of undersized fishes. © 2008 The Authors.Peer Reviewe

Recruitment preferences of a bivalve community: Results from artificial collectors over Posidonia oceanica (L.) Delile meadows in a Marine Protected Area (MPA)

Capítulo publicado en: Pirog, Robert S. (ed.). Seagrass: Ecology, Uses and Threats. [S.l.]: Nova Science Publishers, 2011Peer Reviewe

An international assessment of the adoption of enhanced recovery after surgery (ERAS®) principles across colorectal units in 2019–2020

AimThe Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units.MethodAn online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted.ResultsOf hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017.ConclusionsUptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation.AimThe Enhanced Recovery After Surgery (ERAS®) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units.MethodAn online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted.ResultsOf hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017.ConclusionsUptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation.A

Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection: an international, multi-centre, prospective audit.

This is the peer reviewed version of the following article: , (2018), Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection: an international, multi‐centre, prospective audit. Colorectal Dis, 20: 15-32. doi:10.1111/codi.14362, which has been published in final form at https://doi.org/10.1111/codi.14362. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived VersionsINTRODUCTION: The optimal bowel preparation strategy to minimise the risk of anastomotic leak is yet to be determined. This study aimed to determine whether oral antibiotics combined with mechanical bowel preparation (MBP+Abx) was associated with a reduced risk of anastomotic leak when compared to mechanical bowel preparation alone (MBP) or no bowel preparation (NBP). METHODS: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed. Patients undergoing elective left sided colonic or rectal resection with primary anastomosis between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. RESULTS: Of 3676 patients across 343 centres in 47 countries, 618 (16.8%) received MBP+ABx, 1945 MBP (52.9%) and 1099 patients NBP (29.9%). Patients undergoing MBP+ABx had the lowest overall rate of anastomotic leak (6.1%, 9.2%, 8.7% respectively) in unadjusted analysis. After case-mix adjustment using a mixed-effects multivariable regression model, MBP+Abx was associated with a lower risk of anastomotic leak (OR 0.52, 0.30-0.92, P = 0.02) but MBP was not (OR 0.92, 0.63-1.36, P = 0.69) compared to NBP. CONCLUSION: This non-randomised study adds 'real-world', contemporaneous, and prospective evidence of the beneficial effects of combined mechanical bowel preparation and oral antibiotics in the prevention of anastomotic leak following left sided colorectal resection across diverse settings. We have also demonstrated limited uptake of this strategy in current international colorectal practice