One-Hour Esophageal String Test: A Nonendoscopic Minimally Invasive Test That Accurately Detects Disease Activity in Eosinophilic Esophagitis

OBJECTIVES: Eosinophilic esophagitis (EoE), a chronic food allergic disease, lacks sensitive and specific peripheral biomarkers. We hypothesized that levels of EoE-related biomarkers captured using a 1-hour minimally invasive Esophageal String Test (EST) would correlate with mucosal eosinophil counts and tissue concentrations of these same biomarkers. We aimed to determine whether a 1-hour EST accurately distinguishes active from inactive EoE or a normal esophagus. METHODS: In a prospective, multisite study, children and adults (ages 7–55 years) undergoing a clinically indicated esophagogastroduodenoscopy performed an EST with an esophageal dwell time of 1 hour. Subjects were divided into 3 groups: active EoE, inactive EoE, and normal esophageal mucosa. Eosinophil-associated protein levels were compared between EST effluents and esophageal biopsy extracts. Statistical modeling was performed to select biomarkers that best correlated with and predicted eosinophilic inflammation. RESULTS: One hundred thirty-four subjects (74 children, 60 adults) with active EoE (n 5 62), inactive EoE (n 5 37), and patient controls with a normal esophagus (n 5 35) completed the study. EST-captured eosinophil-associated biomarkers correlated significantly with peak eosinophils/high-power field, endoscopic visual scoring, and the same proteins extracted from mucosal biopsies. Statistical modeling, using combined eotaxin-3 and major basic protein-1 concentrations, led to the development of EoE scores that distinguished subjects with active EoE from inactive EoE or normal esophagi. Eightyseven percent of children, 95% of parents, and 92% of adults preferred the EST over endoscopy if it provided similar information. DISCUSSION: The 1-hour EST accurately distinguishes active from inactive EoE in children and adults and may facilitate monitoring of disease activity in a safe and minimally invasive fashion

One-Pot Syntheses of the First Series of Emulsion Based Hierarchical Hybrid Organic-Inorganic Open-Cell Monoliths Possessing Tunable Functionality (Organo-Si(HIPE) Series)

The elaboration of organo-silica-based hybrid monoliths exhibiting a hierarchical trimodal porous structure (micro-, synthesis, many organic functionalities that can act as network modifiers (methyl, dinitrophenylamino, benzyl, and mercaptopropyl) or co-network formers (pyrrol) have been anchored to the amorphous silica porous network. The resulting materials have been thoroughly characterized via a large set of techniques: SEM, TEM, SAXS, mercury porosimetry, nitrogen adsorption isotherms, FTIR, 29Si MAS NMR, and XPS. These sol-gel-derived hierarchical open-cell functional hybrid monoliths exhibit macroscopic void spaces ranging from 5 ím up to 30 ím and their accessible micro-and mesoporosities reveal hexagonal organization for the dinitrophenylamino-, benzyl-, and pyrrol-based hybrids. The average condensation degree for these hybrid networks ranges between 86 and 90%, yielding shaped monoliths with both good integrity and sufficient mechanical properties to be usable as functional catalytic or chromatographic supports. Also, function accessibility has been demonstrated through heterogeneous nucleation of Pd metallic nanoparticles

Varying TiO2 Macroscopic Fiber Morphologies toward Tuning Their Photocatalytic Properties

In a context of volatile organic compound photodecomposition, we haveaddressed TiO2-based macroscoscpic fiber generation. We have extruded hybrid sols ofamorphous titania nanoparticles, latex nanoparticles, and nonionic surfactant (Tergitol) as structure-directing agents into a poly(vinyl alcohol) (PVA) solution bearing salts acting as a flocculating medium. The resulting nanocomposite TiO2/latex/PVA macroscopic fibers were thermally treated in air to open porosity by organic removal while generating the photocatalytically active anatase phase of TiO2 along with residual brookite. Considering the synthetic paths, we have varied both the diameter of the latex particles as well as their concentration within the starting sol. These parameters allow tuning both the voids created through the applied thermal treatment and the fiber final diameters. For gas-phase photocatalysis, we have shown that the fiber diameters, mesoscopic roughness, and macroscopic topological defects represent indeed important orphological parameters acting cooperatively toward both acetone degradation and its mineralization processes. Particularly, triggering the fiber morphological characteristics, we have increased their efficiency toward acetone degradation of around 550% when compared with previous work