Indagini ecologiche su sorgenti e headwaters dell'alto Appennino parmense

La presente tesi di dottorato ha come oggetto la caratterizzazione ecologica degli ambienti sorgentizi e lotici dell’alto Appennino parmense, e rappresenta inoltre il primo studio sistematico sull’ecologia delle sorgenti condotto nell’Appennino settentrionale. Le sorgenti rivestono un ruolo di grande importanza dal punto di vista ecologico e conservazionistico; tuttavia, nel complesso risultano poco studiate rispetto ad altri ambienti di acque correnti quali fiumi e laghi. Nel presente lavoro viene effettuato un censimento di diverse sorgenti presenti nella porzione sudorientale della provincia di Parma (Val Parma, Val Cedra, Val Bratica), attraverso l’acquisizione della loro localizzazione geografica ed effettuando una caratterizzazione morfologica, idrochimica e biologica. Le comunità ad invertebrati di sorgente sono state campionate attraverso metodologie (trappole, retini da drift, lavaggio di muschi) scelte opportunamente a seconda dei microhabitat presenti, efficienti ma al tempo stesso rispettose della fragilità intrinseca di questi ambienti. I campionamenti hanno consentito di identificare le comunità biologiche di invertebrati di sorgente, rappresentate prevalentemente da meiofauna e, in misura minore, da macroinvertebrati. La biodiversità dei popolamenti è risultata essere particolarmente elevata, ed addirittura superiore a quella riportata in ricerche su sorgenti di altre aree geografiche italiane; gli studi hanno inoltre consentito di ampliare gli areali di distribuzione di diversi organismi sorgentizi. Gli ambienti lotici indagati sono rappresentati dal tratto montano del torrente Parma e da alcuni suoi tributari di basso ordine. La maggior parte di questi corsi d’acqua si trova in condizioni pressoché naturali; alcuni tratti fluviali sono invece interessati dalla presenza di centrali idroelettriche e relative opere di captazione e reimmissione. I torrenti sono stati caratterizzati dal punto di vista morfologico, idrochimico e biologico; quest’ultimo aspetto ha riguardato lo studio sia delle comunità di meiofauna che di macroinvertebrati. Le indagini hanno consentito di caratterizzare in modo approfondito le comunità ad invertebrati, delle quali la meiofauna rappresenta una componente importante sebbene spesso trascurata dalle ricerche ecologiche in ambienti ad acque correnti. Sono risultati evidenti gli impatti delle attività connesse alla produzione idroelettrica, che influenzano sia quantitativamente che qualitativamente le comunità bentoniche presenti. Lo studio approfondito dell’andamento del drift, eseguito su un ciclo di 24 ore, ha consentito inoltre di identificare le normali dinamiche giornaliere di tale fenomeno e le conseguenze degli improvvisi aumenti di portata causati dalle reimmissioni di acque turbinate (hydropeaking) su densità e composizione tassonomica degli invertebrati driftati. Il lavoro ha consentito un approfondimento delle conoscenze riguardanti ambienti tradizionalmente considerati ‘minori’ e pertanto oggetto, nel loro complesso, di scarse ricerche ecologiche. Il ritrovamento di specie e biotopi di particolare pregio impone l’adozione di misure di gestione e tutela alla luce del sempre maggiore impatto delle attività umane, sia dirette che indirette, su ambienti acquatici tendenzialmente considerati di marginale importanza ma depositari di biodiversità ed importanti servizi ecosistemici, quali la conservazione della qualità idrica, il mantenimento della diversità biologica, la ricarica delle falde, la ritenzione di nutrienti, la regolazione delle piene e del trasporto di soluti e sostanza organica

Spatial and seasonal distribution of invertebrates in Northern Apennine rheocrene springs

72011 BOTE 1openInternationalItalian coauthor/editorFour perennial rheocrene springs located between 919 and 1252 m a.s.l. on substrata characterized by different lithologies were studied. Water samples and invertebrates were collected seasonally for one year. The crenic fauna was collected using three sampling techniques: moss washing, drift tubes and benthic traps. Each sampling technique was particularly efficient for collecting specific taxa typical of the different habitats (crenophilous crustaceans and crenoxenic benthic insects were dominant in benthic traps and moss; crenophilic, stygophilic and stygobiotic crustaceans in drift tubes). A total of 3,284 invertebrates belonging to 54 taxa were collected. Ostracoda, Harpacticoida, and Diptera were the most abundant taxa. Species assemblages collected at each spring, in each season, in traps and mosses, differed among springs, and, based on invertebrate assemblages, the ordination of the investigated springs did not correspond to that based on environmental parameters. Of the environmental variables only pH and temperature explained the diversity pattern. Assemblages collected from different habitats also differed: benthic traps collected mainly Chironomidae, Ostracoda, other Diptera, crenophilous Harpacticoida, and Gastropoda; in moss assemblages, the fauna was mostly represented by crenophilic Harpacticoida, Ostracoda, Plecoptera, Chironomidae. Finally, the groundwater assemblages, collected with drift tubes, were dominated by crenophilous Harpacticoida, Chironomidae and Plecoptera. Variation in number of taxa over time was observed in traps and moss samples, whereas drift tubes showed no seasonality. Meiofauna (i.e., permanent meiofauna, represented by Nematoda, Copepoda, Ostracoda, and Hydrachnidia, and temporary meiofauna, represented by early instars of insect larvae) dominated all habitats, probably because of constant flow and favourable habitats such as moss. The presence of mosses was a factor that increased the species diversity of the investigated springs; drift tubes allowed most of the stygobiotic taxa to be collected, although this technique did not necessarily increase the total number of taxa collected. In addition to the array of habitats, other factors, such as geology, might influence the structure of invertebrate communities. The diversity of the investigated springs was strictly dependent on the presence of different microhabitats and local environmental conditions.openBottazzi, E.; Bruno, M.C.; Pieri, V.; Di Sabatino, A.; Silveri, L.; Carolli, M.; Rossetti, G.Bottazzi, E.; Bruno, M.C.; Pieri, V.; Di Sabatino, A.; Silveri, L.; Carolli, M.; Rossetti, G

Peri-operative red blood cell transfusion in neonates and infants: NEonate and Children audiT of Anaesthesia pRactice IN Europe: A prospective European multicentre observational study

BACKGROUND: Little is known about current clinical practice concerning peri-operative red blood cell transfusion in neonates and small infants. Guidelines suggest transfusions based on haemoglobin thresholds ranging from 8.5 to 12 g dl-1, distinguishing between children from birth to day 7 (week 1), from day 8 to day 14 (week 2) or from day 15 (≥week 3) onwards. OBJECTIVE: To observe peri-operative red blood cell transfusion practice according to guidelines in relation to patient outcome. DESIGN: A multicentre observational study. SETTING: The NEonate-Children sTudy of Anaesthesia pRactice IN Europe (NECTARINE) trial recruited patients up to 60 weeks' postmenstrual age undergoing anaesthesia for surgical or diagnostic procedures from 165 centres in 31 European countries between March 2016 and January 2017. PATIENTS: The data included 5609 patients undergoing 6542 procedures. Inclusion criteria was a peri-operative red blood cell transfusion. MAIN OUTCOME MEASURES: The primary endpoint was the haemoglobin level triggering a transfusion for neonates in week 1, week 2 and week 3. Secondary endpoints were transfusion volumes, 'delta haemoglobin' (preprocedure - transfusion-triggering) and 30-day and 90-day morbidity and mortality. RESULTS: Peri-operative red blood cell transfusions were recorded during 447 procedures (6.9%). The median haemoglobin levels triggering a transfusion were 9.6 [IQR 8.7 to 10.9] g dl-1 for neonates in week 1, 9.6 [7.7 to 10.4] g dl-1 in week 2 and 8.0 [7.3 to 9.0] g dl-1 in week 3. The median transfusion volume was 17.1 [11.1 to 26.4] ml kg-1 with a median delta haemoglobin of 1.8 [0.0 to 3.6] g dl-1. Thirty-day morbidity was 47.8% with an overall mortality of 11.3%. CONCLUSIONS: Results indicate lower transfusion-triggering haemoglobin thresholds in clinical practice than suggested by current guidelines. The high morbidity and mortality of this NECTARINE sub-cohort calls for investigative action and evidence-based guidelines addressing peri-operative red blood cell transfusions strategies. TRIAL REGISTRATION: ClinicalTrials.gov, identifier: NCT02350348

Immune characterization of long pentraxin 3 in pigs infected with influenza virus

Long pentraxin 3 (PTX3) is a conserved pattern-recognition secreted protein and a host-defence-related component of the humoral innate immune system. The aim of the present study was to characterize swine PTX3 (SwPTX3) protein expression in influenza virus infected pigs. First, we performed in silico studies to evaluate the cross-reactivity of PTX3 human antibodies against SwPTX3. Secondly, we used in vitro analysis to detect SwPTX3 presence in swine bone marrow dendritic cells (SwBMDC) upon stimulation with different agents by Western blot and immunofluorescence. Finally, the levels of SwPTX3 were assessed in experimental infection of pigs with different strains of influenza virus. This is a novel study where the expression of SwPTX3 was evaluated in the context of a pathogen infection. The initial characterization of SwPTX3 in influenza virus infected pigs contributes to understand the role of PTX proteins in the immune response. This work was partly funded by the projects AGL2009-12945-C02-01 and AGL2010-22200-C02-01 by the Spanish Government and FP-7-2008-1, 228394, NADIR project funded by the EU. The contribution of Regione Lombardia (project Metadistretti–SEPSIS), the European Research Council (project HIIS) and the Fondazione Humanitas per la Ricerca is gratefully acknowledged

Spatial and seasonal distribution of invertebrates in Northern Apennine rheocrene springs

Four perennial rheocrene springs located between 919 and 1252 m a.s.l. on substrata characterized by different lithologies were studied. Water samples and invertebrates were collected seasonally for one year. The crenic fauna was collected using three sampling techniques: moss washing, drift tubes and benthic traps. Each sampling technique was particularly efficient for collecting specific taxa typical of the different habitats (crenophilous crustaceans and crenoxenic benthic insects were dominant in benthic traps and moss; crenophilic, stygophilic and stygobiotic crustaceans in drift tubes). A total of 3,284 invertebrates belonging to 54 taxa were collected. Ostracoda, Harpacticoida, and Diptera were the most abundant taxa. Species assemblages collected at each spring, in each season, in traps and mosses, differed among springs, and, based on invertebrate assemblages, the ordination of the investigated springs did not correspond to that based on environmental parameters. Of the environmental variables only pH and temperature explained the diversity pattern. Assemblages collected from different habitats also differed: benthic traps collected mainly Chironomidae, Ostracoda, other Diptera, crenophilous Harpacticoida, and Gastropoda; in moss assemblages, the fauna was mostly represented by crenophilic Harpacticoida, Ostracoda, Plecoptera, Chironomidae. Finally, the groundwater assemblages, collected with drift tubes, were dominated by crenophilous Harpacticoida, Chironomidae and Plecoptera. Variation in number of taxa over time was observed in traps and moss samples, whereas drift tubes showed no seasonality. Meiofauna (i.e., permanent meiofauna, represented by Nematoda, Copepoda, Ostracoda, and Hydrachnidia, and temporary meiofauna, represented by early instars of insect larvae) dominated all habitats, probably because of constant flow and favourable habitats such as moss. The presence of mosses was a factor that increased the species diversity of the investigated springs; drift tubes allowed most of the stygobiotic taxa to be collected, although this technique did not necessarily increase the total number of taxa collected. In addition to the array of habitats, other factors, such as geology, might influence the structure of invertebrate communities. The diversity of the investigated springs was strictly dependent on the presence of different microhabitats and local environmental conditions

Elemental enteral nutrition preserves the mucosal barrier and improves the trophysm of the villi after small bowel transplantation in piglets

The main goals for a successful small bowel transplantation (SBTx) are the control of acute rejection and maintenance of the mucosal barrier, which plays a key role in preventing bacterial translocation and preserving absorptive capacity. According to recent evidence that sustaining enteral nutrition (EN) as rehabilitative therapy improves the integrity of the mucosal barrier after SBTx, we studied the trophic effect of a new elemental enteral solution whose proteinic supply is represented by oligomeric-aminoacidic chains. In a swine SBTx model we studied three groups, divided by the different postoperative feeding: group 1 (n = 5): standard swine chow, group 2 (n = 5): polymeric enteral solution, group 3 (n = 5): elemental enteral solution (Peptamen, Nestle Corp). All animals were immunosuppressed with a tacrolimus/FK778 combined oral therapy. The nutritional indices evaluated were: body weight, episodes of diarrhea, D-xylose absorption test, and histopatological and villi morphometric analysis. Three pigs died before the end of the study, two in group I (pneumonia and sepsis), one in group 2 (pneumonia). Mean days of diarrhea were 15, 10, and 3 in groups 1, 2, and 3, respectively (P <.05). The final/starting weight ratio was 1.08 for group 3 and 0.92 for group 2 (P < .05); the D-xylose curves showed a statistically significant difference for group 3 versus the groups 2 and 1 (P < .05), as well as for the villi height (P < .01) and width (P < .05). In conclusion, elemental enteral solution, with its basic protein supply, does not require a very complex enzymatic system to be metabolized. Thus, it may contribute to a faster recovery of the mucosal barrier and to limit the hypercatabolic state

Prolonged survival with FK778 (Malononitrilamide) monotherapy after small bowel transplantation: a large animal study

Malononitrilamide 715 (FK778) is a new class of immunosuppressant, derived from the active metabolite of leflunomide A77 1726. We investigated the efficacy of two different immunosuppressive induction protocols with tacrolimus plus FK778 followed by FK778 monotherapy. In a swine model of small bowel transplantation, we observed three groups, divided by different therapy regimens: group 1 (n = 5): no immunosuppressant (control group); group 2 (n = 10): oral tacrolimus (from postoperative day [POD] 0 to 30) and FK778 (from POD 0 to 60); group 3 (n = 8): oral tacrolimus, as group 2, and FK778 (from POD 7 to POD 60). Median survival was 11, 60, and 21 days in groups 1, 2, and 3, respectively. In group 1 all animals died of acute rejection; in group 2 the causes of death were technical complication (n = 1) and sepsis (n = 1); in group 3, one animal died from obstruction, two from pneumonia, one from peritonitis, one from sepsis. Group 2 accounted for 0.5 infection episode/animal versus 0.62 in group 3 (P < .05). Acute rejection was absent or mild in 66% and 75% of group 3 and 2 biopsies, respectively (P < .05). The D-xylose absorption curves from groups 2 and 3 were similar to those of the nontransplanted healthy animals. In conclusion, FK778 monotherapy after a consistent induction period with tacrolimus combined immunosuppression is able to extend survival and preserve optimal absorptive capacity of the small bowel allograft in our pig model. The association of tacrolimus and FK778 from day 1, compared to the delayed administration of FK778 from day 7, results in a significant reduction of infections and postoperative complications

Imbalance between angiogenic and anti-angiogenic factors in sera from patients with large-vessel vasculitis

Objective. To investigate serum levels of a panel of angiogenic inducers (VEGF, FGF-2, Angiopoietin 1, -2, soluble VCAM-1) and inhibitors (angiostatin, endostatin, pentraxin-3) in patients with giant cell arteritis (GCA) and Takayasu’s arteritis (TAK), in order to gain further insights into the molecular mechanisms driving angiogenesis dysregulation in large-vessel vasculitis (LVV). Methods. Sera were obtained from 33 TAK patients and 14 GCA patients and from two groups of age-matched normal controls (NC). Disease activity was assessed using 18F-FDG PET/CT and clinical indices including NIH/ Kerr criteria and ITAS. Angiogenic and anti-angiogenic factor serum levels were evaluated using commercial ELISA kits. Pentraxin 3 (PTX3) serum levels were evaluated by non-commercial ELISA, as already described. Results. Among the angiogenic factors, only VEGF serum levels were significantly higher in TAK patients compared to NC. No difference was found between angiogenic factor levels in GCA patients compared to those detected in NC. Anti-angiogenic factor (Angiostatin, Endostatin, PTX3) serum levels were significantly higher in both GCA and TAK patients compared to NC. Significant associations were observed between VEGF and PTX3 levels and disease activity evaluated using PET scan and clinical indices. Cluster analysis based on PET scan scores in TAK patients showed significant ordered differences in VEGF and angiostatin serum levels. Indeed, we noted a progressive increase of VEGF and angiostatin from NC to the cluster including patients with the highest and more diffuse scan positivity. Conclusion. Our overall results demonstrate a circulating molecular profile characterised by a prevailing expression of anti-angiogenic soluble factors