Association between the uremic toxins indoxyl-sulfate and p-cresyl-sulfate with sarcopenia and malnutrition in elderly patients with advanced chronic kidney disease

Abstract Background in patients with chronic kidney disease (CKD) indoxyl sulfate (IS) and p-cresyl sulfate (PCs) may induce sarcopenia either directly or via systemic inflammation. We evaluated whether IS and PCs were associated with: sarcopenia, systemic inflammation and nutritional status. Methods: we examined cross sectionally 93 patients with advanced CKD. Sarcopenia was identified according to EWGSOP2 definition. Malnutrition was assessed by Malnutrition Inflammation Score (MIS) and Protein Energy Wasting syndrome (PEW). Inflammatory status was assessed by dosing: CRP, IL6, TNFα, MCP1, IL10, IL17, IL12p70. Results: we did not find any association of sarcopenia with IS and PCs. IS was associated with LogTNFα and LogMCP-1 in the overall cohort (r = 0.30, p = 0.0043; r = 0.22 p = 0.047) and in not sarcopenic patients (r = 0.32, p = 0.0077; r = 0.25, p = 0.041). PCs was associated with LogIL10 and LogIL12p70 in sarcopenic patients (r = 0.58, p = 0.0042; r = 0.52, p = 0.013). IS was higher in patients without PEW (p = 0.029), while PCs was higher in patients with PEW (p = 0.0040). IS and PCs were not different in patients with normal or increased MIS. Conclusions: IS and PCs were not associated with sarcopenia, although they were both associated with some inflammatory pathways. Notably, we found a positive association of PCs with PEW syndrome

A Survey on the characteristics of sausage made from Sicilian and Sardinian native pigs

Four different mixtures were prepared using meat from native pigs. Mixtures 1 and 2 were made in Sardinia using meat from pigs of Sarda breed, mixtures 3 and 4 in Sicily, using meat from the Nera Siciliana breed. The manufacturing were different not only for the typology of the meat but also for the meat cuts used and the ingredients. Batches 1 and 3 were made in non conditioned natural environments, while batches 2 and 4 in conditioned environments. Chemical-physical and microbiological analyses were carried out on the fresh mixture, after 7 days of ripening (end of drying in conditioned environment and at the end of seasoning (28 days). The thermoigrometric environmental parameters and the variation in the weight of the production were measured during ripening. Regarding the Lactic Acid Bacteria and the Micrococcaceae, microorganisms of normal maturation, a rapid development, except for batch 1, was observed for all batches at 7 days of ripening. In batches 2 and 4 an increase of Enterobacteriaceae in the drying phase and a their decrease in the seasoning phase were noticed. In batch 3 their inactivation resulted slow. Such occurrences were probably due to the hygienic conditions and non inhibiting technological parameters. The initial humidity was less than 60% with the exception of batch 3; the quantity of NaCl ranged between 2 and 2.8%. The amount of fat varied between 14 and 24% at the beginning of the ripening, then reached values ranging between of 20 and 38% at the end of the seasoning phase. All the batches showed a decrease of aw included between 0.97 (mixture) and 0.87 (final product); the highest value of aw recorded in test 1 was attributable to the lower T recorded both during the drying and seasoning phase. The pH reached the lowest values at the end of the 7 days and then increased, with the exception of batch 3, which decreased during the whole seasoning phase

In Situ Formation of Zwitterionic Ligands: Changing the Passivation Paradigms of CsPbBr3 Nanocrystals

CsPbBr3 nanocrystals (NCs) passivated by conventional lipophilic capping ligands suffer from colloidal and optical instability under ambient conditions, commonly due to the surface rearrangements induced by the polar solvents used for the NC purification steps. To avoid onerous postsynthetic approaches, ascertained as the only viable stability-improvement strategy, the surface passivation paradigms of as-prepared CsPbBr3 NCs should be revisited. In this work, the addition of an extra halide source (8-bromooctanoic acid) to the typical CsPbBr3 synthesis precursors and surfactants leads to the in situ formation of a zwitterionic ligand already before cesium injection. As a result, CsPbBr3 NCs become insoluble in nonpolar hexane, with which they can be washed and purified, and form stable colloidal solutions in a relatively polar medium (dichloromethane), even when longly exposed to ambient conditions. The improved NC stability stems from the effective bidentate adsorption of the zwitterionic ligand on the perovskite surfaces, as supported by theoretical investigations. Furthermore, the bidentate functionalization of the zwitterionic ligand enables the obtainment of blue-emitting perovskite NCs with high PLQYs by UV-irradiation in dichloromethane, functioning as the photoinduced chlorine source.publishedVersionPeer reviewe

Association of Sarcopenia and Gut Microbiota Composition in Older Patients with Advanced Chronic Kidney Disease, Investigation of the Interactions with Uremic Toxins, Inflammation and Oxidative Stress

Sarcopenia is a prevalent condition in chronic kidney disease (CKD). We determined gut microbiota (gMB) composition in CKD patients with or without sarcopenia. Furthermore, we investigated whether in these patients, there was any association between gMB, uremic toxins, inflammation and oxidative stress. We analyzed gMB composition, uremic toxins (indoxyl sulphate and p-cresyl sulphate), inflammatory cytokines (interleukin 10, tumor necrosis factor α, interleukin 6, interleukin 17, interleukin 12 p70, monocyte chemoattractant protein-1 and fetuin-A) and oxidative stress (malondialdehyde) of 64 elderly CKD patients (10 < eGFR < 45 mL/min/1.73 m2, not on dialysis) categorized as sarcopenic and not-sarcopenic. Sarcopenia was defined according to European Working Group on Sarcopenia in Older People 2 criteria. Sarcopenic patients had a greater abundance of the Micrococcaceae and Verrucomicrobiaceae families and of Megasphaera, Rothia, Veillonella, Akkermansia and Coprobacillus genera. They had a lower abundance of the Gemellaceae and Veillonellaceae families and of Acidaminococcus and Gemella genera. GMB was associated with uremic toxins, inflammatory cytokines and MDA. However, uremic toxins, inflammatory cytokines and MDA were not different in sarcopenic compared with not-sarcopenic individuals, except for interleukin 10, which was higher in not-sarcopenic patients. In older CKD patients, gMB was different in sarcopenic than in not-sarcopenic ones. Several bacterial families and genera were associated with uremic toxins and inflammatory cytokines, although none of these latter substantially different in sarcopenic versus not-sarcopenic patients

Revisiting [PtCl2(cis-1,4-DACH)]: an underestimated antitumor drug with potential application to the treatment of oxaliplatin-refractory colorectal cancer

Although the encouraging antitumor activity of [PtCl2(cis-1,4-DACH)] (1; DACH = diaminocyclohexane) was shown in early studies almost 20 years ago, the compound has remained nearly neglected. In contrast, oxaliplatin, containing isomeric 1R,2R-DACH carrier ligand, enjoys worldwide clinic application as a most important therapeutic agent in the treatment of colorectal cancer. By extending the investigation to human chemo-resistant cancer cells, we have demonstrated the real effectiveness of 1 in circumventing cisplatin and oxaliplatin resistance in LoVo colon cancer cells. The uptake of compound 1 by the latter cells was similar to that of sensitive LoVo cells. This is not the case for all other compounds considered in this investigation. Interaction with ds-DNA, investigated by a biosensor assay and by QM/MM geometry optimization of the 1,2-GG intrastrand cross-link, does not show significant differences between 1 and oxaliplatin. However, the DNA adducts of 1 are removed from repair systems with lower efficiency and are more effective in inhibiting DNA and RNA polymerase

Gut microbiota composition and frailty in elderly patients with Chronic Kidney Disease

Background: Frailty is common in older patients affected by chronic kidney disease (CKD). Since gut microbiota (gMB) may contribute to frailty, we explored possible associations between gMB and frailty in CKD. Methods: We studied 64 CKD patients (stage 3b-4), categorized as frail (F, 38) and not frail (NF, 26) according to Fried criteria, and 15 controls (C), all older than 65 years. In CKD we assessed serum C-reactive protein, blood neutrophil/lymphocyte ratio, Malnutrition-inflammation Score (MIS); gMB was studied by denaturing gel gradient electrophoresis (DGGE), high-throughput sequencing (16S ribosomal RNA), and quantitative real-time PCR (qPCR). Results: No differences in alpha and beta diversity between CKD and C and between F and NF patients emerged, but high-throughput sequencing showed significantly higher abundance of potentially noxious bacteria (Citrobacter, Coprobacillus, etc) and lower abundance of saccharolytic and butyrate-producing bacteria (Prevotella, F. prausnitzii, Roseburia), in CKD respect to C. Mogibacteriaceae and Oscillospira abundance was positively related to inflammatory indices in the whole CKD cohort, while that of Akkermansia, Ruminococcus and Eubacterium was negatively related. Compared with NF, in F there was a higher abundance of some bacteria (Mogibacteriacee, Coriobacteriacee, Eggerthella, etc), many of which have been described as more abundant in other diseases. Conclusions: These results suggest that inflammation and frailty could be associated to gMB modifications in CKD

Molecular insights into growth and time evolution of surface states of CsPbBr3 nanoparticles synthesized by scalable room temperature approach

Room temperature ligand-assisted reprecipitation syntheses of CsPbBr3 nanoparticles (NPs) in open air condition and nonpolar solvent are recently emerging as viable strategies for large-scale production of highly emissive NPs. These procedures encounter some of the relevant requirements for industrial perspectives i.e. high-quality materials, low cost, and synthesis scalability. Here, starting from reported protocols, ad hoc mixtures in anhydrous toluene of precursors (Cs2CO3 and PbBr2) and surfactants, as oleyl amine, alkylcarboxylic acid, didodecyl dimethyl ammonium bromide, tetraoctylammonium bromide, octyl phosphonic acid and phosphine oxide, are selected. The careful analysis of NPs morphology, emission properties, reactive species in the mixtures and composition of the ligands bound at NP surface or free in the final colloidal solution allows to tackle still open issues, including achievement of NP monodispersity, high NP production yield and to unveil the mechanisms behind changes of the emission properties in time. NP size dispersion is proved to depend not solely on ligands interaction to NP surface, but also on the bromoplumbates species in situ generated in the reaction mixture at caesium-precursor solution injection. Purification methods are carefully adjusted so as not to reduce the NP production yield, caused by aggregation phenomena induced by displacement of loosely bound ligands. Meanwhile, the residual species, left in in the reaction mixture due to limited purification, are demonstrated to effectively contribute over time to the fate of the NP properties. Emission is exploited as effective macroscopic evidence of the NPs molecular and structural modifications. In fact, the emission properties, which could be, in principle, predicted on the basis of the ligand density and binding energy, on long time scales are found to evolve in time due to reaction of the residual molecules with the adsorbed ligands