Non-invasive cardiac imaging techniques and vascular tools for the assessment of cardiovascular disease in type 2 diabetes mellitus

Cardiovascular disease is the major cause of mortality in type 2 diabetes mellitus. The criteria for the selection of those asymptomatic patients with type 2 diabetes who should undergo cardiac screening and the therapeutic consequences of screening remain controversial. Non-invasive techniques as markers of atherosclerosis and myocardial ischaemia may aid risk stratification and the implementation of tailored therapy for the patient with type 2 diabetes. In the present article we review the literature on the implementation of non-invasive vascular tools and cardiac imaging techniques in this patient group. The value of these techniques as endpoints in clinical trials and as risk estimators in asymptomatic diabetic patients is discussed. Carotid intima–media thickness, arterial stiffness and flow-mediated dilation are abnormal long before the onset of type 2 diabetes. These vascular tools are therefore most likely to be useful for the identification of ‘at risk’ patients during the early stages of atherosclerotic disease. The additional value of these tools in risk stratification and tailored therapy in type 2 diabetes remains to be proven. Cardiac imaging techniques are more justified in individuals with a strong clinical suspicion of advanced coronary heart disease (CHD). Asymptomatic myocardial ischaemia can be detected by stress echocardiography and myocardial perfusion imaging. The more recently developed non-invasive multi-slice computed tomography angiography is recommended for exclusion of CHD, and can therefore be used to screen asymptomatic patients with type 2 diabetes, but has the associated disadvantages of high radiation exposure and costs. Therefore, we propose an algorithm for the screening of asymptomatic diabetic patients, the first step of which consists of coronary artery calcium score assessment and exercise ECG

Effects of Anacetrapib in Patients with Atherosclerotic Vascular Disease

BACKGROUND: Patients with atherosclerotic vascular disease remain at high risk for cardiovascular events despite effective statin-based treatment of low-density lipoprotein (LDL) cholesterol levels. The inhibition of cholesteryl ester transfer protein (CETP) by anacetrapib reduces LDL cholesterol levels and increases high-density lipoprotein (HDL) cholesterol levels. However, trials of other CETP inhibitors have shown neutral or adverse effects on cardiovascular outcomes. METHODS: We conducted a randomized, double-blind, placebo-controlled trial involving 30,449 adults with atherosclerotic vascular disease who were receiving intensive atorvastatin therapy and who had a mean LDL cholesterol level of 61 mg per deciliter (1.58 mmol per liter), a mean non-HDL cholesterol level of 92 mg per deciliter (2.38 mmol per liter), and a mean HDL cholesterol level of 40 mg per deciliter (1.03 mmol per liter). The patients were assigned to receive either 100 mg of anacetrapib once daily (15,225 patients) or matching placebo (15,224 patients). The primary outcome was the first major coronary event, a composite of coronary death, myocardial infarction, or coronary revascularization. RESULTS: During the median follow-up period of 4.1 years, the primary outcome occurred in significantly fewer patients in the anacetrapib group than in the placebo group (1640 of 15,225 patients [10.8%] vs. 1803 of 15,224 patients [11.8%]; rate ratio, 0.91; 95% confidence interval, 0.85 to 0.97; P=0.004). The relative difference in risk was similar across multiple prespecified subgroups. At the trial midpoint, the mean level of HDL cholesterol was higher by 43 mg per deciliter (1.12 mmol per liter) in the anacetrapib group than in the placebo group (a relative difference of 104%), and the mean level of non-HDL cholesterol was lower by 17 mg per deciliter (0.44 mmol per liter), a relative difference of -18%. There were no significant between-group differences in the risk of death, cancer, or other serious adverse events. CONCLUSIONS: Among patients with atherosclerotic vascular disease who were receiving intensive statin therapy, the use of anacetrapib resulted in a lower incidence of major coronary events than the use of placebo. (Funded by Merck and others; Current Controlled Trials number, ISRCTN48678192 ; ClinicalTrials.gov number, NCT01252953 ; and EudraCT number, 2010-023467-18 .)

Evaluation of dredged sediment co-composted with green waste as plant growing media assessed by eco-toxicological tests, plant growth and microbial community structure

Dredged sediments have currently no broad reuse options as compared to other wastes due to their peculiar physico-chemical properties, posing problems for the management of the large volumes of sediments dredged worldwide. In this study we evaluated the performance of sediment (S) co-composted with green waste (GW) as growing medium for ornamental plants. Analysis of the microbial community structure, eco-toxicological tests, were conducted on sediments at 1:1 and 3:1 S:GW composting ratios. Sediment-based growing media were then reused to growth the ornamental plant Photina x fraseri in a pilot-scale experiment and plants\u2019 physiological and chemical parameters were measured. The results showed that co-composting with green waste increased the diversity of bacteria, fungi and archaea as compared to the untreated sediments, and that both the 1:1 and 3:1 S:GW composted sediments had no substantial eco-toxicological impacts, allowing an excellent plant growth. We concluded that co-composted of sediment with green waste produce a growing medium with suitable properties for growing ornamental plants, and represent a sustainable option for beneficial use of dredged sediments

Dermorphin interaction with peripheral opioid receptors.

The interaction of dermorphin with different peripheral opioid receptor subtypes was investigated in vitro, using the guinea pig ileum as representative tissue for \u3bc, the mouse vas deferens for \u3b4, the rabbit vas deferens for \u3ba and the rat vas deferens for \u3b5. The effect of dermorphin on each tissue preparation was compared with that of selective \u3bc,\u3b4, \u3ba, \u3b5 agonists respectively morphine, met-enkephalinamide, ethylketocyclazocine and camel \u3b2-endorphin. Antagonism with naloxone was also tested and calculated as Ke. It is concluded that dermorphin mainly interacts with the \u3bc receptors, although it also binds to \u3b5 receptors; the interaction with \u3b4 receptors is questionable, and the \u3ba receptors are unaffected

New rapid methods cannot replace the current method to diagnose bloodstream infections

Immunogenetics and cellular immunology of bacterial infectious disease

Soil volatile analysis by proton transfer reaction-time of flight mass spectrometry (PTR-TOF-MS)

We analyzed the volatile organic compounds (VOCs) emitted from different soils by using the PTR-MS-TOF technique under laboratory conditions and compared them with soil chemical biochemical activities. The emitted VOCs were related to soil microbial biomass, soil respiration and some soil enzyme activities so as to evaluate if size and activity of soil microbial communities influenced the soil VOCs profiles. Our results showed that the emitted VOCs discriminated between soils with different properties and management, and differences in the VOCs emission profiles were likely related to the active metabolic pathways in the microbial communities of the three studied soil. Our results also showed that some soil enzyme activities such as \u3b2-glucosidase and arylsulfatase were possibly involved in the release of compounds fueling microbial metabolic pathways leading to the production of specific VOCs. It was concluded that the PTR-MS-TOF technique is suitable for analyze VOCs emission from soil and that studies comparing soil enzyme activities and soil volatile profiles can reveal the origin of VOCs and give further insights on microbial activity and soil functionality

Biological restoration of urban soils after de-sealing interventions

Most urban greening interventions involve soil de-sealing and management to enhance fertility. Management typically requires translocating fertile topsoil to the site, which comes at great environmental costs. We hypothesized that de-sealed urban soils would undergo an increase of their fertility without exogenous topsoil application. We assessed experimental plots with de-sealed soil with topsoil, and de-sealed soil without topsoil. Both treatments were vegetated with two ornamental shrub species and irrigated. Soil fertility was analyzed by chemical (total and organic carbon) and biological indicators of soils (biological quality index and microbial activities). Since metal contamination is related to urban de-sealed soil, we also monitored the concentration of Zn, Cu and Pb in soil and detected it in plant leaves. The results demonstrate that de-sealed urban soils rapidly restore their biological quality and fertility. Restoration of de-sealing soils can contribute to the recent growing interest reclamation of urban soils for improving the urban environment quality through the restoration of soil functions and related ecosystem services. Overall, the results of this study demonstrate that de-sealed soils can improve their functionality and can contribute to the recent growing interest in reclamation of urban soils for improving the urban environment quality

Volatile organic compound emission and biochemical properties of degraded Ultisols ameliorated by no tillage and liming

The Ultisols in the Ra\uf1a de Ca\uf1amero area in Southwest Spain showed aluminum (Al) phytotoxicity, and the clearance of natural vegetation and decades of intensive conventional agriculture caused the deplation of soil organic matter (SOM). Therefore, we studied the long-term effects of no tillage and liming using sugar beet foam (SF) and red gypsum (RG), alone or in combination, on the restoration of Ultisols affected by acidification, Al phytotoxicity, and SOM depletion. We measured the main soil chemical properties, soil microbial biomass, soil enzyme activities involved in carbon, nitrogen, phosphorus, and sulfur mineralization, and the emission of volatile organic compounds (VOCs). The results indicated that liming effectively neutralized the soil acidity in the long term and, in combination with no tillage, significantly increased soil microbial biomass and enzyme activities. Twenty-three VOCs were detected using the proton transfer reaction-time of flight (PTR-ToF) technique, and both liming and tillage changed the VOC emission patterns. The greatest difference in VOC emission pattern was observed between no-tilled un-amended soils and tilled lime-amended soils, suggesting the activation of different metabolic pathways within the microbial communities of soils under different management. Differences in VOC emission patterns could be attributed to the decomposition of carbohydrates, which were also sustained by the higher enzyme activities in the lime-amended soils

Soil enzymology: Classical and molecular approaches

It is still problematic to use enzyme activities as indicators of soil functions because: (1) enzyme assays determine potential and not real enzyme activities; (2) the meaning of measured enzyme activities is not known; (3) the assumption that a single enzyme activity is an indicator of nutrient dynamics in soil neglects that the many enzyme activities are involved in such dynamic processes; (4) spatio-temporal variations in natural environments are not always considered when measuring enzyme activities; and (5) many direct and indirect effects make difficult the interpretation of the response of the enzyme activity to perturbations, changes in the soil management, changes in the plant cover of soil, etc. This is the first review discussing the links between enzyme-encoding genes and the relative enzyme activity of soil. By combining measurements of enzyme activity in soil with expression (transcriptomics and proteomics) of genes, encoding the relative enzymes may contribute to understanding the mode and timing of microbial communities' responses to substrate availability and persistence and stabilization of enzymes in the soil