Effects of a ketogenic diet in overweight women with polycystic ovary syndrome

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women during reproductive age. It is characterised clinically by oligo-ovulation or anovulation, hyper-androgenism, and the presence of polycystic ovaries. It is associated with an increased prevalence of metabolic syndrome, cardiovascular disease and type 2 diabetes. The onset of PCOS has been associated to several hereditary and environmental factors, but insulin resistance plays a key pathogenetic role. We sought to investigate the effects of a ketogenic diet (KD) on women of childbearing age with a diagnosis of PCOS. Methods: Fourteen overweight women with diagnosis of PCOS underwent to a ketogenic Mediterranean diet with phyoextracts (KEMEPHY) for 12 week. Changes in body weight, body mass index (BMI), fat body mass (FBM), lean body mass (LBM), visceral adipose tissue (VAT), insulin, glucose, HOMA-IR, total cholesterol, low density lipoprotein (LDL), high density lipoprotein (HDL), triglycerides (TGs), total and free testosterone, luteinizing hormone (LH), follicle stimulating hormone (FSH); dehydroepiandrosterone sulfate (DHEAs), estradiol, progesterone, sex hormone binding globulin (SHBG) and Ferriman Gallwey score were evaluated. Results: After 12 weeks, anthropometric and body composition measurements revealed a significant reduction of body weight (- 9.43 kg), BMI (- 3.35), FBM (8.29 kg) and VAT. There was a significant, slightly decrease of LBM. A significant decrease in glucose and insulin blood levels were observed, together with a significant improvement of HOMA-IR. A significant decrease of triglycerides, total cholesterol and LDL were observed along with a rise in HDL levels. The LH/FSH ratio, LH total and free testosterone, and DHEAS blood levels were also significantly reduced. Estradiol, progesterone and SHBG increased. The Ferriman Gallwey Score was slightly, although not significantly, reduced. Conclusions: Our results suggest that a KD may be considered as a valuable non pharmacological treatment for PCOS. Longer treatment periods should be tested to verify the effect of a KD on the dermatological aspects of PCOS. Trial registration Clinicaltrial.gov, NCT04163120, registrered 10 November 2019, retrospectively registered, https://clinicaltrials.gov

Circulating Cell-Free DNA in Dogs with Mammary Tumors: Short and Long Fragments and Integrity Index

Circulating cell-free DNA (cfDNA) has been considered an interesting diagnostic/prognostic plasma biomarker in tumor-bearing subjects. In cancer patients, cfDNA can hypothetically derive from tumor necrosis/apoptosis, lysed circulating cells, and some yet unrevealed mechanisms of active release. This study aimed to preliminarily analyze cfDNA in dogs with canine mammary tumors (CMTs). Forty-four neoplastic, 17 non-neoplastic disease-bearing, and 15 healthy dogs were recruited. Necrosis and apoptosis were also assessed as potential source of cfDNA on 78 CMTs diagnosed from the 44 dogs. The cfDNA fragments and integrity index significantly differentiated neoplastic versus non-neoplastic dogs (P<0.05), and allowed the distinction between benign and malignant lesions (P<0.05). Even if without statistical significance, the amount of cfDNA was also affected by tumor necrosis and correlated with tumor size and apoptotic markers expression. A significant (P<0.01) increase of Bcl-2 in malignant tumors was observed, and in metastatic CMTs the evasion of apoptosis was also suggested. This study, therefore, provides evidence that cfDNA could be a diagnostic marker in dogs carrying mammary nodules suggesting that its potential application in early diagnostic procedures should be further investigated

Cardiovascular disease and the role of oral bacteria

In terms of the pathogenesis of cardiovascular disease (CVD) the focus has traditionally been on dyslipidemia. Over the decades our understanding of the pathogenesis of CVD has increased, and infections, including those caused by oral bacteria, are more likely involved in CVD progression than previously thought. While many studies have now shown an association between periodontal disease and CVD, the mechanisms underpinning this relationship remain unclear. This review gives a brief overview of the host-bacterial interactions in periodontal disease and virulence factors of oral bacteria before discussing the proposed mechanisms by which oral bacterial may facilitate the progression of CVD

Liquid biopsies come of age: towards implementation of circulating tumour DNA

Improvements in genomic and molecular methods are expanding the range of potential applications for circulating tumour DNA (ctDNA), both in a research setting and as a ‘liquid biopsy’ for cancer management. Proof-of-principle studies have demonstrated the translational potential of ctDNA for prognostication, molecular profiling and monitoring. The field is now in an exciting transitional period in which ctDNA analysis is beginning to be applied clinically, although there is still much to learn about the biology of cell-free DNA. This is an opportune time to appraise potential approaches to ctDNA analysis, and to consider their applications in personalized oncology and in cancer research.We would like to acknowledge the support of The University of Cambridge, Cancer Research UK (grant numbers A11906, A20240, A15601) (to N.R., J.D.B.), the European Research Council under the European Union's Seventh Framework Programme (FP/2007-2013)/ERC Grant Agreement n. 337905 (to N.R.), the Cambridge Experimental Cancer Medicine Centre, and Hutchison Whampoa Limited (to N.R.), AstraZeneca (to R.B., S.P.), the Cambridge Experimental Cancer Medicine Centre (ECMC) (to R.B., S.P.), and NIHR Biomedical Research Centre (BRC) (to R.B., S.P.). J.G.C. acknowledges clinical fellowship support from SEOM

Effects of a ketogenic diet in overweight women with polycystic ovary syndrome

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women during reproductive age. It is characterised clinically by oligo-ovulation or anovulation, hyper-androgenism, and the presence of polycystic ovaries. It is associated with an increased prevalence of metabolic syndrome, cardiovascular disease and type 2 diabetes. The onset of PCOS has been associated to several hereditary and environmental factors, but insulin resistance plays a key pathogenetic role. We sought to investigate the effects of a ketogenic diet (KD) on women of childbearing age with a diagnosis of PCOS. Methods: Fourteen overweight women with diagnosis of PCOS underwent to a ketogenic Mediterranean diet with phyoextracts (KEMEPHY) for 12 week. Changes in body weight, body mass index (BMI), fat body mass (FBM), lean body mass (LBM), visceral adipose tissue (VAT), insulin, glucose, HOMA-IR, total cholesterol, low density lipoprotein (LDL), high density lipoprotein (HDL), triglycerides (TGs), total and free testosterone, luteinizing hormone (LH), follicle stimulating hormone (FSH); dehydroepiandrosterone sulfate (DHEAs), estradiol, progesterone, sex hormone binding globulin (SHBG) and Ferriman Gallwey score were evaluated. Results: After 12 weeks, anthropometric and body composition measurements revealed a significant reduction of body weight (- 9.43 kg), BMI (- 3.35), FBM (8.29 kg) and VAT. There was a significant, slightly decrease of LBM. A significant decrease in glucose and insulin blood levels were observed, together with a significant improvement of HOMA-IR. A significant decrease of triglycerides, total cholesterol and LDL were observed along with a rise in HDL levels. The LH/FSH ratio, LH total and free testosterone, and DHEAS blood levels were also significantly reduced. Estradiol, progesterone and SHBG increased. The Ferriman Gallwey Score was slightly, although not significantly, reduced. Conclusions: Our results suggest that a KD may be considered as a valuable non pharmacological treatment for PCOS. Longer treatment periods should be tested to verify the effect of a KD on the dermatological aspects of PCOS. Trial registration Clinicaltrial.gov, NCT04163120, registrered 10 November 2019, retrospectively registered, https://clinicaltrials.gov

Aqueous electrolytes for dye-sensitized solar cells

Dye sensitized solar cells (DSSCs) are photovoltaic systems able to convert solar energy into electricity and, nowadays, represent the most investigated alternative to conventional Si-based devices. The first cells have been fabricated with organic solvent-based liquid electrolytes, achieving high efficiency performance. However, these solvents not only present high vapor pressure, but are also toxic and flammable. In the last few years, the idea of moving towards a water-based system clearly emerged, especially for a large scale diffusion of this technology. DSSCs fabricated with water-based electrolytes may offer reduced costs, non-flammability and environmental compatibility, but the presence of water in the cell may reduce the long-term stability as well as the photovoltaic performance. In this work, the study of different truly aqueous electrolytes is presented and a chemometric approach, useful to investigate and optimize their efficiency and stability, is effectively demonstrated

Aqueous electrolytes for dye-sensitized solar cells

Dye sensitized solar cells (DSSCs) are photovoltaic systems able to convert solar energy into electricity and, nowadays, represent the most investigated alternative to conventional Si-based devices. The first cells have been fabricated with organic solvent-based liquid electrolytes, achieving high efficiency performance. However, these solvents not only present high vapor pressure, but are also toxic and flammable. In the last few years, the idea of moving towards a water-based system clearly emerged, especially for a large scale diffusion of this technology. DSSCs fabricated with water-based electrolytes may offer reduced costs, non-flammability and environmental compatibility, but the presence of water in the cell may reduce the long-term stability as well as the photovoltaic performance. In this work, the study of different truly aqueous electrolytes is presented and a chemometric approach, useful to investigate and optimize their efficiency and stability, is effectively demonstrated

Finely tuning electrolytes and photoanodes in aqueous solar cells by experimental design

If opportunely developed and optimized, aqueous dye-sensitized solar cells can be considered a truly low impact photovoltaic device, with no toxic components. Here we report the use of design of experiments as a useful chemometric technique for the concurrent investigation of a series of experimental factors that directly influence the proper operation of these photoelectrochemical cells. Results obtained enlighten that a solid mathematical-statistical approach is fundamental to support the researchers and effectively drive the experiments towards the achievements of optimal operating conditions of any new energy device, thus bypassing the energy/time consuming steps of traditional monovariate one-factor-at-a-time method

100% aqueous Dye-sensitized Solar Cells: a starting point for the choice of dyes and iodine salts

A key aspect still to be addressed in the DSSC community is the presence of water in the cell, either in the electrolyte or at the electrode/electrolyte interface. While it has been considered strongly harmful for a long time, in the last few years the scientific community suddenly turned the efforts in the direction of using water as a solvent, as demonstrated by the increasing number of research articles being published in the literature. Indeed, by means of DSSCs fabricated with water-based electrolytes, reduced costs, non-flammability, reduced volatility and improved environmental compatibility could be easily achieved. As a result, an increasing number of novel electrodes, dyes and electrolytes components are continuously proposed, being highly challenging from the materials science viewpoint and with the golden tread of producing truly water-based DSSCs. If the initial purpose of DSSCs was the construction of an artificial photosynthetic system able to convert solar light into electricity, the use of water as key component may represent a great step forward towards their widespread diffusion in the market. A starting point in this direction is given in this work, and a few curious and anomalous behaviours observed in the literature and in our laboratories are presented for this class of electrolytes. After a brief discussion of the current state of the art, this contribution proposes the investigation of both the stability of different classes of dyes (Ru complexes, squaraines, indolenines, carbazoles) in fully a aqueous environment, and the effect of the concentration of different iodine salts on the cell parameters and their stability