Anti-Phospholipase A2 Receptor Antibodies in Membranous Nephropathy : from Bench to the Patient

Membranous Nephropathy (MN) is the leading cause of nephrotic syndrome in adults. Primary or idiopathic Membranous Nephropathy (iMN) has been considered as an organ-specific autoimmune disease with an unknown aetiology. By contrast, secondary membranous nephropathy has been described as the expression of a systemic autoimmune response to malignancy or bacterial/viral infections. In the majority of iMN cases, glomerular lesions are determined by autoantibodies against a podocyte membrane protein, the M-type of phospholipase A2 receptor 1 (PLA2R1). Several studies have suggested that the detection of anti-PLA2R1 in patients sera with nephrotic syndrome may be pathognomonic of iMN, thus obviating the need for a diagnostic renal biopsy and an extensive workup for underlying causes. Many authors inferred that the measurement of anti-PLA2R1 may change the diagnostic algorithm in patients with nephrotic syndrome and guide treatment decisions in patients with iMN. Measurement of anti-PLA2R1 antibodies is now possible through an easy to use, commercially available assay. The aim of this review is to describe the clinical relevance of anti-PLA2R1 assessment in patients with MN, and to extensively discuss the biotechnological methods available to measure them

SARS-COV-2 comorbidity network and outcome in hospitalized patients in Crema, Italy

We report onset, course, correlations with comorbidities, and diagnostic accuracy of nasopharyngeal swab in 539 individuals suspected to carry SARS-COV-2 admitted to the hospital of Crema, Italy. All individuals underwent clinical and laboratory exams, SARS-COV-2 reverse transcriptase-polymerase chain reaction on nasopharyngeal swab, and chest X-ray and/or computed tomography (CT). Data on onset, course, comorbidities, number of drugs including angiotensin converting enzyme (ACE) inhibitors and angiotensin-II-receptor antagonists (sartans), follow-up swab, pharmacological treatments, non-invasive respiratory support, ICU admission, and deaths were recorded. Among 411 SARS-COV-2 patients (67.7% males) median age was 70.8 years (range 5-99). Chest CT was performed in 317 (77.2%) and showed interstitial pneumonia in 304 (96%). Fatality rate was 17.5% (74% males), with 6.6% in 60-69 years old, 21.1% in 70-79 years old, 38.8% in 80-89 years old, and 83.3% above 90 years. No death occurred below 60 years. Non-invasive respiratory support rate was 27.2% and ICU admission 6.8%. Charlson comorbidity index and high Creactive protein at admission were significantly associated with death. Use of ACE inhibitors or sartans was not associated with outcomes. Among 128 swab negative patients at admission (63.3% males) median age was 67.7 years (range 1-98). Chest CT was performed in 87 (68%) and showed interstitial pneumonia in 76 (87.3%). Follow-up swab turned positive in 13 of 32 patients. Using chest CT at admission as gold standard on the entire study population of 539 patients, nasopharyngeal swab had 80% accuracy. Comorbidity network analysis revealed a more homogenous distribution 60-40 aged SARS-COV-2 patients across diseases and a crucial different interplay of diseases in the networks of deceased and survived patients. SARS-CoV-2 caused high mortality among patients older than 60 years and correlated with pre-existing multiorgan impairment. Copyright

Experimental nest cooling reveals dramatic effects of heatwaves on reproduction in a Mediterranean bird of prey

Future climatic scenarios forecast increases in average temperatures as well as in the frequency, duration, and intensity of extreme events, such as heatwaves. Whereas behavioral adjustments can buffer direct physiological and fitness costs of exposure to excessive temperature in wild animals, these may prove more difficult during specific life stages when vagility is reduced (e.g., early developmental stages). By means of a nest cooling experiment, we tested the effects of extreme temperatures on different stages of reproduction in a cavity-nesting Mediterranean bird of prey, the lesser kestrel (Falco naumanni), facing a recent increase in the frequency of heatwaves during its breeding season. Nest temperature in a group of nest boxes placed on roof terraces was reduced by shading them from direct sunlight in 2 consecutive years (2021 and 2022). We then compared hatching failure, mortality, and nestling morphology between shaded and non-shaded (control) nest boxes. Nest temperature in control nest boxes was on average 3.9 degrees C higher than in shaded ones during heatwaves, that is, spells of extreme air temperature (>37 degrees C for =2 consecutive days) which hit the study area during the nestling-rearing phase in both years. Hatching failure markedly increased with increasing nest temperature, rising above 50% when maximum nest temperatures exceeded 44 degrees C. Nestlings from control nest boxes showed higher mortality during heatwaves (55% vs. 10% in shaded nest boxes) and those that survived further showed impaired morphological growth (body mass and skeletal size). Hence, heatwaves occurring during the breeding period can have both strong lethal and sublethal impacts on different components of avian reproduction, from egg hatching to nestling growth. More broadly, these findings suggest that the projected future increases of summer temperatures and heatwave frequency in the Mediterranean basin and elsewhere in temperate areas may threaten the local persistence of even relatively warm-adapted species

Intra-guild spatial niche overlap among three small falcon species in an area of recent sympatry

Climate warming and land-use change are reshuffling the distribution of wild organisms on a global scale. Some species may expand their ranges and colonize new regions, which may greatly affect ecological interactions among pre-existing species and colonizers. In the last decades, such processes have originated a unique condition of sympatry among three Eurasian small Falco species (common kestrel F. tinnunculus, lesser kestrel F. naumanni, red-footed falcon F. vespertinus) in the intensively cultivated farmland habitats of the Po Plain (Northern Italy). This provides an excellent opportunity to investigate patterns of spatial niche overlap during the initial phases of the establishment of sympatry. To investigate spatial niche overlap of the three falcon species, we relied on Environmental Niche Models (ENMs) based on widespread breeding occurrence data obtained through field surveys and citizen science programs (during the 2018-2020 period). ENMs were based on bioclimatic and land-use variables in an ensemble modelling framework. We estimated species-specific relative contributions of each climatic and land-use variable and its response curves effect. Eventually, we generated spatial correlation maps of the potential species' distributions to derive spatially-explicit predictions of potential co-occurrence areas among the three species. Overall, eco-climatic determinants of the distribution of lesser kestrel and red-footed falcon were similar, resulting in a strong association with intensive arable lands and dry continental climate. Consistently, we found a high spatial correlation between the suitability maps of the two species, with highly suitable areas located in the Central-Eastern area of the Po Plain, corresponding to the core range of both species. Conversely, the common kestrel emerged as a habitat generalist and was widely distributed throughout the Po Plain. Our findings suggest that the recent sympatry between lesser kestrels and red-footed falcons in the Po Plain may promote ecological interactions and intra-guild competition

Context-dependent foraging habitat selection in a farmland raptor along an agricultural intensification gradient

Gradients of agricultural intensification in agroecosystems may determine uneven resource availability for predators relying on these man-made habitats. In turn, these variations in resource availability may affect predators’ habitat selection patterns, resulting in context-dependent habitat selection. We assessed the effects of gradients of landscape composition and configuration on habitat selection of a colonial farmland bird of prey, the lesser kestrel (Falco naumanni), relying on 76 GPS-tracked nestling-rearing individuals from 10 populations scattered along an agricultural intensification gradient. Analyses were conducted considering two ecological levels of aggregation (the population and the individual) and two spatial scales of habitat availability (the colony surroundings and the individual home-range). Overall, non-irrigated croplands and semi-natural grasslands were the most preferred habitats at both spatial scales. At the colony scale, lesser kestrels showed a preference for grassland compared to non-irrigated crops, whereas the opposite was the case within individual home-ranges. Conversely, croplands were positively selected with comparable intensity at both spatial scales. Strong selection for grassland at the colony scale highlights the importance of this semi-natural habitat for the species. The weaker preference for grassland at the home-range scale is likely due to the phenology and structure of the vegetation in the late breeding season. Spatial scale differences in selection patterns may thus derive from spatiotemporal changes in resource availability through the breeding season. The strength of selection for the two most used habitats varied markedly among individuals. At the spatial scale of the colony, individual selection strength for grasslands increased with decreasing compositional diversity of the surrounding landscape, suggesting that agroecosystem heterogeneity may at least partly buffer the loss of semi-natural habitats. At the within homerange scale, higher cropland availability reduced the strength of individual preference for this habitat, suggesting a negative functional response possibly related to density-dependent processes acting on foraging movements. Our study provides evidence that farmland species show context-dependent habitat selection patterns in response to landscape gradients shaped by agricultural intensification as well as by intrinsic characteristics and habitat availability. Our findings highlight the importance of addressing both individual and population-level variability and considering multiple spatial scales in studies of habitat selection to inform species’ management and conservation