High Doses of Ursodeoxycholic Acid Up-Regulate the Expression of Placental Breast Cancer Resistance Protein in Patients Affected by Intrahepatic Cholestasis of Pregnancy

BACKGROUND: Ursodeoxycholic acid (UDCA) administration in intrahepatic cholestasis of pregnancy (ICP) induces bile acids (BA) efflux from the foetal compartment, but the molecular basis of this transplacental transport is only partially defined. AIM: To determine if placental breast cancer resistance protein (BCRP), able to transport BA, is regulated by UDCA in ICP. METHODS: 32 pregnant women with ICP (14 untreated, 34.9\ub15.17 years; 18 treated with UDCA--25 mg/Kg/day, 32.7\ub14.62 years,) and 12 healthy controls (33.4\ub13.32 years) agreed to participate in the study. Placentas were obtained at delivery and processed for membrane extraction. BCRP protein expression was evaluated by immunoblotting techniques and chemiluminescence quantified with a luminograph measuring emitted photons; mRNA expression with real time PCR. Statistical differences between groups were evaluated by ANOVA with Dunn's Multiple Comparison test. RESULTS: BCRP was expressed only on the apical membrane of the syncytiotrophoblast. A significant difference was observed among the three groups both for mRNA (ANOVA, p\u200a=\u200a0.0074) and protein (ANOVA, p<0.0001) expression. BCRP expression was similar in controls and in the untreated ICP group. UDCA induced a significant increase in placental BCRP mRNA and protein expression compared to controls (350.7\ub1106.3 vs 100\ub118.68% of controls, p<0.05 and 397.8\ub156.02 vs 100\ub111.44% of controls, p<0.001, respectively) and untreated ICP (90.29\ub117.59% of controls, p<0.05 and 155.0\ub113.87%, p<0.01). CONCLUSION: Our results confirm that BCRP is expressed only on the apical membrane of the syncytiotrophoblast and show that ICP treatment with high dose UDCA significantly upregulates placental BCRP expression favouring BA efflux from the foetal compartment

Energy performance of diaphragm walls used as heat exchangers

The possibility of equipping diaphragm walls as ground heat exchangers to meet the full or partial heating and cooling demands of overlying or adjacent buildings has been explored in recent years. In this paper, the factors affecting the energy performance of diaphragm walls equipped as heat exchangers are investigated through finite element modelling. The numerical approach employed is first validated using available experimental data and then applied to perform parametric analyses. Parameters considered in the analysis include panel width, the ratio between the wall and excavation depths, heat transfer pipe spacing, concrete cover, heat-carrier fluid velocity, concrete thermal properties and the temperature difference between the air within the excavation and the soil behind the wall. The results indicate that increasing the number of pipes by reducing their spacing is the primary route to increasing energy efficiency in the short term. However, the thermal properties of the wall concrete and the temperature excess within the excavation space are also important, with the latter becoming the most significant in the medium to long term. This confirms the benefits of exploiting the retaining walls installed for railway tunnels and metro stations where additional sources of heat are available

Colonic metastasis from breast carcinoma detection by CESM and PET/CT: A case report

Introduction: Metastatic spread in invasive lobular carcinoma (ILC) of breast mainly occurs in bones, gynecological organs, peritoneum, retroperitoneum, and gastrointestinal (GI) tract. Metastases to the GI tract may arise many years after initial diagnosis and can affect the tract from the tongue to the anus, stomach being the most commonly involved site. Clinical presentations are predominantly nonspecific, and rarely asymptomatic. CEA, CA 15-3, and CA 19-9 may be informative for symptomatic patients who have had a previous history of breast cancer. Case presentation: We introduce the case of asymptomatic colonic metastasis from breast carcinoma in a 67-year-old woman followed-up for Luminal A ILC. Diagnosis was performed through positron emission tomography/computed tomography (PET/CT) scan and contrast-enhancement spectral mammography (CESM), steering endoscopist to spot the involved intestinal tract and in ruling out further dissemination in the breast parenchyma. Conclusion: In colonic metastases, tumor markers might not be totally reliable. In asymptomatic cases, clinical conditions might be underappreciated, missing local or distant recurrence. CT and PET/CT scan might be useful in diagnosing small volume diseases, and steering endoscopist toward GI metastasis originating from the breast. CESM represents a tolerable and feasible tool that rules out multicentricity and multifocality of breast localization. Moreover, particular patients could tolerate it better than magnetic resonance imaging (MRI)

Inquinamento ambientale e rischio sanitario

Panoramica sull'inquinamento ambientale e conseguente impatto sanitario, con speciale riguardo per i composti tossici organiciOverview of environmental pollution and related health impact, with sèecial focus on organic toxicant

Polveri sospese e superficiali indoor: contaminanti organici vecchi e nuovi

Inquinanti organici associati alle polveri sospese e alle deposizioni in ambienti indoor: chimica e rilevanza sanitari