Selenium and Autoimmune Thyroiditis

The essential mineral, selenium, is of fundamental importance to human health. As a constituent of selenoproteins, selenium has structural and enzymic roles, in the latter context being best-known as an antioxidant and catalyst for the production of active thyroid hormone. Selenium is needed for the proper functioning of the immune system. An elevated selenium intake may be associated with reduced cancer ris

Una utopía hecha realidad: dos comunidades/clientes de Villaggio

[Abstract] The diocese of Vicenza, at the turn of the 1950s and 1960s, in close relation to social and ecclesiastical events, saw the utopia of an enlightened patronage designing together with architects two parish communities understood as a village come true. In biblical and liturgical rootedness, attentive listening and courageous response to the changes in the city, the faithful, guided by the authority of Fr Gianfranco Sacchiero at Villaggio del Sole (Vicenza) and Fr Nilo Rigotto at Villaggio Giardino (Arzignano), opened a fruitful dialogue with the Designers entrusted with the task of constructing not only a buildingof worship but a renewed, and in many ways unprecedented, experience of Church. The analysis of written documentary sources, architectural sources and testimonies will show the inadequacy of an authorial interpretative paradigm (awarding the merit of the architectural outcome to the architect/master alone) and the need to borrow concepts such as nascent state and charisma from the social sciences and psychology.[Resumen] A la vuelta de los años cincuenta y sesenta, la diócesis de Vicenza, en estrecha relación con los acontecimientos sociales y eclesiásticos, vio realizada la utopía de un diseño de patronato ilustrado junto a los arquitectos dos comunidades parroquiales entendidas como pueblo. Con arraigo bíblico y litúrgico, escucha atenta y respuesta valiente a los cambios de la ciudad, los fieles, guiados por la autoridad del padre Gianfranco Sacchiero en Villaggio del Sole (Vicenza) y del padre NiloRigotto en Villaggio Giardino (Arzignano), entablaron un fecundo diálogo con los proyectistas encargados de construir no sólo un edificio de culto, sino una experiencia de Iglesia renovada y, en muchos aspectos, inédita. El análisis de las fuentes documentales escritas, de las fuentes arquitectónicas y de los testimonios mostrará la inadecuación de un paradigma interpretativo autoral (que atribuye el mérito del resultado arquitectónico únicamente al arquitecto/maestro) y la necesidad de tomar prestados de las ciencias sociales y de la psicología conceptos como estado naciente y carisma

TOSC: an algorithm for the tomography of spotted transit chords

Photometric observations of planetary transits may show localized bumps, called transit anomalies, due to the possible crossing of photospheric starspots. The aim of this work is to analyze the transit anomalies and derive the temperature profile inside the transit belt along the transit direction. We develop the algorithm TOSC, a tomographic inverse-approach tool which, by means of simple algebra, reconstructs the flux distribution along the transit belt. We test TOSC against some simulated scenarios. We find that TOSC provides robust results for light curves with photometric accuracies better than 1~mmag, returning the spot-photosphere temperature contrast with an accuracy better than 100~K. TOSC is also robust against the presence of unocculted spots, provided that the apparent planetary radius given by the fit of the transit light curve is used in place of the true radius. The analysis of real data with TOSC returns results consistent with previous studies

Circulating cathepsin K and cystatin C in patients with cancer related bone disease: Clinical and therapeutic implications

The clinical significance of serum cathepsin K and cystatin C was assessed in patients with breast cancer (BCa) or prostate cancer (PCa) with confined disease (M0) or bone metastasis (BM). Cathepsin K and cystatin C circulating levels were determined by ELISAs in 63 cancer patients, in 35 patients with nonmalignant diseases and in 42 healthy blood donors (control group). In BCa patients, cathepsin K serum levels were sig- nificantly lower than in sex matched control group (HS; p ¼ 0.0008) or in patients with primary osteoporosis (OP; p ¼ 0.0009). On the contrary, cystatin C levels were significantly higher in BCa patients than in HS ( p ¼ 0.0001) or OP ( p ¼ 0.017). In PCa patients, cathepsin K concen- trations did not significantly differ from those measured in sex matched HS or in patients with benign prostatic hyperplasia (BPH). Conversely, cystatin C was more elevated in cancer patients than in controls ( p ¼ 0.0001) or BPH patients ( p ¼ 0.0078). Furthermore, in PCa patients, a pos- itive correlation was observed between cystatin C and cathepsin K (rS ¼ 0.34; p ¼ 0.047). No further relationship was highlighted between these molecules and the clinicobiological parameters of BCa or PCa progression including the number of bone lesions. Moreover, ROC curve analysis showed a poor diagnostic performance of cathepsin K and cystatin C in the detection of BM patients. Interestingly, the administration of zole- dronic acid (ZA), a bisphosphonate derivative endowed with a potent antiosteoclastic activity, induced in BM patients a marked increase of cathepsin K and cystatin C serum levels compared to baseline values. However, this phenomenon was statistically significant only in the PCa group. In conclusion Cystatin C and cathepsin K may be regarded as possible markers to monitor the therapeutic response to bisphosphonate treatments. Nevertheless, their clinical value as specific gauges of skeletal metastasis remains questionable

Lenograstim in preventing chemotherapy-induced febrile neutropenia in patients with soft tissue sarcoma

Background: Neutropenia and its complications represent one of the principal dose-limiting toxicity issues in chemotherapeutic regimens for soft tissue sarcoma. Prophylactic granulocyte colony-stimulating factor (G-CSF) reduces the risk of febrile neutropenia (FN). The correct timing of G-CSF administration should be considered in order to optimize the prophylactic treatment. Patients and Methods: Patients (≥18 years old) affected by soft tissue sarcoma and treated with epirubicin and ifosfamide, underwent prophylactic treatment with G-CSF (lenograstim at 263 μg) from day 5 to day 9. The proportion of patients experiencing FN and G4 neutropenia was considered. Results: A total of 36 patients receiving three cycles of chemotherapy with epirubicin plus ifosfamide were treated. None developed FN; G4 neutropenia was reported in 17% of patients. No treatment delay or dose reduction was required, no antibiotic therapy was administered and no hospitalization occurred. Conclusion: Five-day lenograstim treatment is efficient as prophylaxis of FN for soft tissue sarcoma chemotherapy regimens and allows maintenance of chemotherapy dose intensity

Lack of Association between Serum Chitotriosidase Activity and Arterial Stiffness in Type 2 Diabetes without Cardiovascular Complications

Chitotriosidase (CHIT), a mammalian chitinase secreted by neutrophils and activated macrophages, is increased in both cardiovascular disease (CVD) and type 2 diabetes (T2D). Arterial stiffness rises early in T2D and increases the risk of CVD. The aim of this study is to evaluate CHIT activity as an early biomarker of arterial stiffness in people with T2D free from overt vascular complications. In this cross-sectional study, arterial stiffness as measured using standard pulse wave velocity (PWV) was evaluated in 174 people with T2D without overt vascular disease. Then, we measured CHIT serum activity with an electrochemiluminescence assay in two subgroups of participants: 35 with the highest (high-PWV) and 40 with the lowest (low-PWV) PWV values. CHIT activity was no different between the low-PVW and high-PWV groups (12.7 [9.6–17.9] vs. 11.4 [8.8–15.0] nmol/mL/h, respectively). Compared with the low-PWV group, the high-PWV participants were older (p < 0.001); had a longer duration of diabetes (p = 0.03); higher ankle–brachial index ABI (p = 0.04), systolic blood pressure (p = 0.002), diastolic blood pressure (p = 0.005), fasting blood glucose (p = 0.008), and HbA1c (p = 0.005); and lower eGFR (p = 0.03) and body mass index (BMI) (p = 0.01). No association was present with sex, duration of diabetes, age, BMI, peripheral blood pressure, laboratory parameters, and glucose-lowering medications or ongoing antihypertensive therapy. Although no association was found, this study provides novel data about the association of CHIT activity with CVD, focusing on a specific outcome (arterial stiffness) in a well-defined population of subjects with T2D without established CVD

Activin A circulating levels in patients with bone metastasis from breast or prostate cancer

Recent studies have highlighted that Activin A, a member of the transforming growth factor-beta (TGF-beta) superfamily, may be involved in the regulation of osteoblastic activity and in osteoclast differentiation. Therefore, we have investigated the clinical significance of its circulating levels in patients with bone metastasis. Activin A serum concentrations were determined, by a commercially available enzyme-linked immunosorbent assay kit, in 72 patients with breast cancer (BC) or prostatic cancer (PC) with (BM+) or without (BM-) bone metastases, in 15 female patients with age-related osteoporosis (OP), in 20 patients with benign prostatic hypertrophy (BPH) and in 48 registered healthy blood donors (HS) of both sex (25 female and 23 male). Activin A serum concentrations were significantly increased in BC or PC patients as compared to OP (P < 0.0001) or BPH (P = 0.045), respectively, or to sex matched HS (P < 0.0001). Additionally, these levels resulted more elevated in PC patients as compared to BC patients (P = 0.032). Interestingly, Activin A was significantly higher in BM+ patients than in BM- patients (BC, P = 0.047; PC, P = 0.016). In BC patients, a significant correlation was observed only between Activin A and number of bone metastases (P = 0.0065) while, in PC patients, Activin A levels were strongly correlated with the Gleason score (P = 0.011) or PSA levels (P = 0.0001) and, to a lessen extent, with the number of bone metastases (P = 0.056). Receiver operating characteristic curve (ROC) analysis showed a fair diagnostic accuracy of Activin A to discriminate between BM+ and BM- patients (BC: AUC = 0.71 +/- 0.09, P = 0.03; PC: AUC = 0.73 +/- 0.081, P = 0.005). These findings indicate that Activin A may be implicated in the pathogenesis of bone metastasis. Therefore, this cytokine may be considered a novel potential target for a more selective therapeutic approach in the treatment of skeletal metastasis and may be also useful as additional biochemical marker of metastatic bone disease

Nutrition, obesity and hormones

Obesity is a chronic pathological condition with a multifactorial aetiology, characterised by an excessive body fat accumulation with multiple organ-specific consequences. Emerging evidence highlights that obesity appears to be associated with multiple alterations in the endocrine system. However, the mechanisms underlying the interactions between obesity and this system remain still controversial. This review discusses the impact of obesity on various endocrine systems and, in particular, would provide a general overview on the biochemical changes that may occur in each of these axes in association with obesity