Effects of Bioactive Peptides from Atlantic Salmon Processing By-Products on Oxyntopeptic and Enteroendocrine Cells of the Gastric Mucosa of European Seabass and Gilthead Seabream

The present study was designed to evaluate the effects of dietary levels of bioactive peptides (BPs) derived from salmon processing by-products on the presence and distribution of peptic cells (oxyntopeptic cells, OPs) and enteric endocrine cells (EECs) that contain GHR, NPY and SOM in the gastric mucosa of European seabass and gilthead seabream. In this study, 27 seabass and 27 seabreams were divided into three experimental groups: a control group (CTR) fed a control diet and two groups fed different levels of BP to replace fishmeal: 5% BP (BP5%) and 10% BP (BP10%). The stomach of each fish was sampled and processed for immunohistochemistry. Some SOM, NPY and GHR-IR cells exhibited alternating “open type” and “closed type” EECs morphologies. The BP10% group (16.8 ± 7.5) showed an increase in the number of NPY-IR cells compared to CTR (CTR 8.5 ± 4.8) and BP5% (BP10% vs. CTR p ≤ 0.01; BP10% vs. BP5% p ≤ 0.05) in the seabream gastric mucosa. In addition, in seabream gastric tissue, SOM-IR cells in the BP 10% diet (16.8 ± 3.5) were different from those in CTR (12.5 ± 5) (CTR vs. BP 10% p ≤ 0.05) and BP 5% (12.9 ± 2.5) (BP 5% vs. BP 10% p ≤ 0.01). EEC SOM-IR cells increased at 10% BP (5.3 ± 0.7) compared to 5% BP (4.4 ± 0.8) (5% BP vs. 10% BP p ≤ 0.05) in seabass. The results obtained may provide a good basis for a better understanding of the potential of salmon BPs as feed ingredients for seabass and seabream.publishedVersio

Hermetia illucens larvae meal as an alternative protein source in practical diets for gilthead sea bream (Sparus aurata): A study on growth, plasma biochemistry and gut microbiota

The effects of dietary Hermetia illucens (HI) larvae meal on growth, plasma biochemistry and gut microbiota was tested in gilthead sea bream. Four isonitrogenous and isolipidic extruded diets (50% protein; 14% lipid) with different levels of HI larva meal (0% CTRL, 5% HI5, 10% HI10, and 15% HI15) in partial substitution to fish meal (FM) were administered to triplicate fish groups over 113 days. Diets were designed to partially replace FM, using FM level for practical application. No significant differences (p > 0.05) were observed in terms of final body weight, specific growth rate (SGR), feed intake (FI), feed conversion rate (FCR) as well as feed efficiency parameters such as protein efficiency ratio (PER), gross protein efficiency (GPE), gross lipid efficiency (GLE). At the end of the trial there were not significant differences on growth, feed intake, feed conversion rate and protein efficiency. Among over 20 plasma parameters analyzed, HI inclusion level reduced iron (Fe), potassium (K), creatinine (CREA), aspartate aminotransferase (AST), alanine amino transferase (ALT), creatine kinase (CK), alkaline phosphatase (ALP), lactate dehydrogenase (LDH). The reduction of AST, ALT and ALP might suggest a potential beneficial role of HI for liver integrity and functionality. Concerning gut microbiome (GM) layout, HI was able to induce a shift in the GM structure at any inclusion level considered compared to the control diet increasing the abundance of Bacillaceae (mainly Bacillus and Oceanobacillus) and Paenibacillaceae (Paenibacillus). Taxa that can be involved in chitin degradation and has been recently recognized as novel probiotics for aquaculture. In conclusion, the results of feed intake, growth, feed utilization and plasma biochemistry indicate that HI larvae meal can be successfully incorporated up to 15% in practical aquafeed diets to partially replace FM without any negative effects on growth and feed efficiency. Beyond being a valid alternative protein source for fish meal replacement in this species, it displays gut health functional properties already at low inclusion level

2022-RA-1401-ESGO Comparison of ADNEXmodel, O-RADSand the combinedIOTA simple rules with simple rules risk assessment and simple rules with ADNEX model in discriminating between benign and malignant adnexalmasses

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multimerin 2 maintains vascular stability and permeability

Abstract Multimerin-2 is an extracellular matrix glycoprotein and member of the elastin microfibril interface-located (EMILIN) family of proteins. Multimerin-2 is deposited along blood vessels and we previously demonstrated that it regulates the VEGFA/VEGFR2 signaling axis and angiogenesis. However, its role in modulating vascular homeostasis remains largely unexplored. Here we identified Multimerin-2 as a key molecule required to maintain vascular stability. RNAi knockdown of Multimerin-2 in endothelial cells led to cell-cell junctional instability and increased permeability. Mechanistically cell-cell junction dismantlement occurred through the phosphorylation of VEGFR2 at Tyr951, activation of Src and phosphorylation of VE-cadherin. To provide an in vivo validation for these in vitro effects, we generated Multimerin-2−/− (Mmrn2−/−) mice. Although Mmrn2−/− mice developed normally and displayed no gross abnormalities, endothelial cells displayed cell junctional defects associated with increased levels of VEGFR2 phospho-Tyr949 (the murine counterpart of human Tyr951), impaired pericyte recruitment and increased vascular leakage. Of note, tumor associated vessels were defective in Mmrn2−/− mice, with increased number of small and often collapsed vessels, concurrent with a significant depletion of pericytic coverage. Consequently, the Mmrn2−/− vessels were less perfused and leakier, leading to increased tumor hypoxia. Chemotherapy efficacy was markedly impaired in Mmrn2−/− mice and this was associated with poor drug delivery to the tumor xenografts. Collectively, our findings demonstrate that Multimerin-2 is required for proper vessel homeostasis and stabilization, and unveil the possibility to utilize expression levels of this glycoprotein in predicting chemotherapy efficacy

ANÁLISE DO PERFIL EPIDEMIOLÓGICO DAS HEPATITES B E C NO TOCANTINS NO PERÍODO DE 2010 A 2020

Introdução: As Hepatites B (HBV) e C (HCV) são patologias virais sexualmente transmissíveis, sendo as principais causas de doença hepática crônica, cirrose hepática e carcinoma hepatocelular, provocando alta morbimortalidade. Essas infecções são consideradas pela Organização Mundial da Saúde (OMS) um problema de saúde pública mundial. No Brasil, ambas são doenças de notificação compulsória que podem ser rastreadas a partir de Testes Rápidos (TR) na Atenção Primária à Saúde (APS). No entanto, os dados do Sistema de Informação em Saúde (SIS) ainda enfrentam obstáculos como o subdiagnóstico e a subnotificação. Objetivos: Descrever o perfil epidemiológico das hepatites B e C no estado do Tocantins de 2010 a 2020. Método: Trata-se de um estudo descritivo, transversal e retrospectivo com base na coleta de dados do Departamento de Informática do Sistema Único de Saúde (DATASUS) no Tocantins, entre os períodos de 2010 a 2020. Os casos foram filtrados por sexo, raça, região de saúde, escolaridade, faixa etária e forma de transmissão. Resultados: Constatou-se, no período analisado, 882 casos confirmados de HBV e 374 de HCV. O maior número de casos por ano ocorreu em 2011 para HBV (113) e 2017 para HCV (47). Em ambas infecções, o sexo masculino (HBV= 457 e HCV= 214), a raça parda (HBV=663 e HCV=265), a região de saúde Capim Dourado (HBV=337 e HCV=134) e a escolaridade Ensino Médio Completo (HBV= 232 e HCV= 92) foram predominantes. Referente à faixa etária, houve maior prevalência de 20 a 39 anos na HBV (444) e de 40 a 59 anos na HCV (185). Quanto à forma de transmissão, a sexual teve maior registros para HBV (278) e para HCV (126) ignorados/brancos. Discussão: Dessa forma, nota-se a importância de conhecer o perfil epidemiológico dos casos de HBV e HCV para que haja o desenvolvimento de ações de abordagem multidisciplinar com enfoque nos principais grupos afetados, reduzindo as infecções e a morbimortalidade. Por isso, destaca-se a importância da APS na prevenção - por exemplo, por meio da Educação Popular em Saúde -, rastreamento, diagnóstico - através dos TR - e no controle da doença. Conclusões: Evidencia-se, por fim, a relevância da inclusão no SIS de todos os casos identificados, bem como o correto preenchimento das fichas de notificação compulsória, facilitando o processo de investigação e registro. Palavras-chave: Hepatite B. Hepatite C. Perfil Epidemiológico

Adverse Event Reporting with Immune Checkpoint Inhibitors in Older Patients: Age Subgroup Disproportionality Analysis in VigiBase

Older patients represent a subpopulation of concern for immune checkpoint inhibitor (ICI) toxicity because of changes in the aging immune system and the potentially relevant clinical implications for their quality of life. Current evidence on ICI safety in older patients is conflicting. This study aimed to assess whether older patient age was a risk factor for increased reporting with ICIs as compared to other antineoplastic drugs in VigiBase, the World Health Organization database of suspected adverse drug reactions. Disproportionality analyses computing the reporting odds ratios (RORs) were performed by age subgroups (<18 years, 18–64 years, 65–74 years, 75–84 years and ≥85 years). There were not signals of disproportionate reporting with ICIs specifically detected in older patient age subgroups (≥65 years), which were not present in the disproportionality analysis over the entire dataset. A signal of disproportionate reporting with ICIs emerged for eye disorders only in the age subgroup 18–64 years (ROR 1.13, 95% confidence interval 1.05–1.23). These findings showed that adverse event reporting with ICIs in older patients was comparable to that in the overall patient cohort and prompt for the further investigation of eye disorders with ICIs to elucidating risk factors and defining management strategies

Comparative risk/benefit profile of biosimilar and originator erythropoiesis-stimulating agents (ESAs): data from an Italian observational study in nephrology

Purpose: The aim of this multicenter prospective study was to evaluate efficacy and safety of biosimilar erythropoiesis-stimulating agents (ESAs) vs originator, based on data from clinical practice in patients with chronic kidney disease (CKD). Methods: We collected data of the patients with diagnosis of CKD on conservative treatment from nine Italian structures. Patients were enrolled applying different exclusion criteria, and various individual parameters were registered at the beginning for descriptive analysis. Patients were treated with epoetin alfa, beta, and darbepoetin as originator and epoetin zeta as biosimilar. Hemoglobin levels have been analyzed at baseline and after 3, 6, and 12 months. Descriptive statistics were used to analyze the results. Results: At baseline, 47 patients were in the biosimilar group and 57 in the originator; the basal level of hemoglobin was similar between the groups (mean Hb 9.4 and 9.3 g/dL, respectively). Median age, weight, and comorbidities were almost comparable. After 3 months, 44 patients remained in the biosimilar group and 48 in the originator; hemoglobin increase was significantly greater in patients treated with biosimilar [absolute increase 1.6 vs 1.0 g/dL, p < 0.001]. After 6 and 12 months, number of patients fall furthermore. Hemoglobin levels increased more in the biosimilar group after 6 months (2.1 vs 1.1 g/dL, p < 0.001) and 12 months (2.0 vs 1.0 g/dL, p < 0.001). Conclusions: Biosimilar ESAs have similar risk/benefit profile compared to originators. Our data are in agreement with relevant scientific literature and, on the other hand, they are in contrast with common thought that considers biosimilar less efficacious and less safe than originators

Effect of Essential Oils on the Oxyntopeptic Cells and Somatostatin and Ghrelin Immunoreactive Cells in the European Sea Bass (Dicentrarchus labrax) Gastric Mucosa

The current work was designed to assess the effect of feed supplemented with essential oils (EOs) on the histological features in sea bass&rsquo;s gastric mucosa. Fish were fed three diets: control diet (CTR), HERBAL MIX&reg; made with natural EOs (N-EOs), or HERBAL MIX&reg; made with artificial EOs obtained by synthesis (S-EOs) during a 117-day feeding trial. Thereafter, the oxyntopeptic cells (OPs) and the ghrelin (GHR) and somatostatin (SOM) enteroendocrine cells (EECs) in the gastric mucosa were evaluated. The Na+K+-ATPase antibody was used to label OPs, while, for the EECs, anti-SOM and anti-GHR antibody were used. The highest density of OP immunoreactive (IR) area was in the CTR group (0.66 mm2 &plusmn; 0.1). The OP-IR area was reduced in the N-EO diet group (0.22 mm2 &plusmn; 1; CTR vs. N-EOs, p &lt; 0.005), while in the S-EO diet group (0.39 mm2 &plusmn; 1) a trend was observed. We observed an increase of the number of SOM-IR cells in the N-EO diet (15.6 &plusmn; 4.2) compared to that in the CTR (11.8 &plusmn; 3.7) (N-EOs vs. CTR; p &lt; 0.05), but not in the S-EOs diet. These observations will provide a basis to advance current knowledge on the anatomy and digestive physiology of this species in relation to pro-heath feeds