Impact of cardiac surgery associated acute kidney injury on 1-year major adverse kidney events

BackgroundThe incidence of acute kidney injury following cardiac surgery (CSA-AKI) is up to 30%, and the risk of chronic kidney disease (CKD) has been found to be higher in these patients compared to the AKI-free population. The aim of our study was to assess the risk of major adverse kidney events (MAKE) [25% or greater decline in estimated glomerular filtration rate (eGFR), new hemodialysis, and death] after cardiac surgery in a Spanish cohort and to evaluate the utility of the score developed by Legouis D et al. (CSA-CKD score) in predicting the occurrence of MAKE.MethodsThis was a single-center retrospective study of patients who required cardiac surgery with cardiopulmonary bypass (CPB) during 2015, with a 1-year follow-up after the intervention. The inclusion criteria were patients over 18 years old who had undergone cardiac surgery [i.e., valve substitution (VS), coronary artery bypass graft (CABG), or a combination of both procedures].ResultsThe number of patients with CKD (eGFR < 60 mL/min) increased from 74 (18.3%) to 97 (24%) within 1 year after surgery. The median eGFR declined from 85 to 82 mL/min in the non-CSA-AKI patient group and from 73 to 65 mL/min in those with CSA-AKI (p = 0.024). Fifty-eight patients (1.4%) presented with MAKE at the 1-year follow-up. Multivariate logistic regression analysis showed that the only variable associated with MAKE was CSA-AKI [odds ratio (OR) 2.386 (1.31–4.35), p = 0.004]. The median CSA-CKD score was higher in the MAKE cohort [3 (2–4) vs. 2 (1–3), p < 0.001], but discrimination was poor, with a receiver operating characteristic curve (AUC) value of 0.682 (0.611–0.754).ConclusionAny-stage CSA-AKI is associated with a risk of MAKE after 1 year. Further research into new measures that identify at-risk patients is needed so that appropriate patient follow-up can be carried out

Assessment of a New ROS1 Immunohistochemistry Clone (SP384) for the Identification of ROS1 Rearrangements in Patients with Non–Small Cell Lung Carcinoma: the ROSING Study

Introduction: The ROS1 gene rearrangement has become an important biomarker in NSCLC. The College of American Pathologists/International Association for the Study of Lung Cancer/Association for Molecular Pathology testing guidelines support the use of ROS1 immunohistochemistry (IHC) as a screening test, followed by confirmation with fluorescence in situ hybridization (FISH) or a molecular test in all positive results. We have evaluated a novel anti-ROS1 IHC antibody (SP384) in a large multicenter series to obtain real-world data. Methods: A total of 43 ROS1 FISH-positive and 193 ROS1 FISH-negative NSCLC samples were studied. All specimens were screened by using two antibodies (clone D4D6 from Cell Signaling Technology and clone SP384 from Ventana Medical Systems), and the different interpretation criteria were compared with break-apart FISH (Vysis). FISH-positive samples were also analyzed with next-generation sequencing (Oncomine Dx Target Test Panel, Thermo Fisher Scientific). Results: An H-score of 150 or higher or the presence of at least 70% of tumor cells with an intensity of staining of 2+ or higher by the SP384 clone was the optimal cutoff value (both with 93% sensitivity and 100% specificity). The D4D6 clone showed similar results, with an H-score of at least 100 (91% sensitivity and 100% specificity). ROS1 expression in normal lung was more frequent with use of the SP384 clone (p < 0.0001). The ezrin gene (EZR)-ROS1 variant was associated with membranous staining and an isolated green signal FISH pattern (p = 0.001 and p = 0.017, respectively). Conclusions: The new SP384 ROS1 IHC clone showed excellent sensitivity without compromising specificity, so it is another excellent analytical option for the proposed testing algorithm

Higher COVID-19 pneumonia risk associated with anti-IFN-α than with anti-IFN-ω auto-Abs in children

We found that 19 (10.4%) of 183 unvaccinated children hospitalized for COVID-19 pneumonia had autoantibodies (auto-Abs) neutralizing type I IFNs (IFN-alpha 2 in 10 patients: IFN-alpha 2 only in three, IFN-alpha 2 plus IFN-omega in five, and IFN-alpha 2, IFN-omega plus IFN-beta in two; IFN-omega only in nine patients). Seven children (3.8%) had Abs neutralizing at least 10 ng/ml of one IFN, whereas the other 12 (6.6%) had Abs neutralizing only 100 pg/ml. The auto-Abs neutralized both unglycosylated and glycosylated IFNs. We also detected auto-Abs neutralizing 100 pg/ml IFN-alpha 2 in 4 of 2,267 uninfected children (0.2%) and auto-Abs neutralizing IFN-omega in 45 children (2%). The odds ratios (ORs) for life-threatening COVID-19 pneumonia were, therefore, higher for auto-Abs neutralizing IFN-alpha 2 only (OR [95% CI] = 67.6 [5.7-9,196.6]) than for auto-Abs neutralizing IFN-. only (OR [95% CI] = 2.6 [1.2-5.3]). ORs were also higher for auto-Abs neutralizing high concentrations (OR [95% CI] = 12.9 [4.6-35.9]) than for those neutralizing low concentrations (OR [95% CI] = 5.5 [3.1-9.6]) of IFN-omega and/or IFN-alpha 2

NK-like and oxidative burst activities are the main early cellular innate immune responses activated after virus inoculation in reservoir fish

Viral diseases are a major problem in fish farming and a deeper knowledge of the immunological mechanisms playing a part in the antiviral defence is still important. Moreover, fish farming practices (high densities, new areas of culture and egg/larvae/adult transport) are significantly increasing the spread of viruses and the number of susceptible or reservoir fish species. In this last point, no studies have focused on the immunological mechanisms playing a part in the antiviral responses in reservoir and non-susceptible fish species. Thus, we have evaluated the very early innate immune responses of gilthead seabream (Sparus aurata) to the virus causing viral haemorrhagic septicaemia (VHSV) in salmonids since this virus has been found in seabream and neighbouring farmed marine fish species acting as a viral reservoir. The virus was detected in liver, head-kidney, spleen and peritoneal cavity suggesting that the virus reached these tissues but did not replicate as viral expression was almost absent by 72 h post-inoculation. Interestingly, VHSV provoked an influx of leucocytes to the peritoneal cavity and a redistribution of peritoneal exudate (PELs) and head-kidney (HKLs) leucocytes and their innate immune responses (non-specific cytotoxic (NCC or NK-like) activity, phagocytosis, reactive oxygen intermediate (ROI) production and myeloperoxidase (MPO) activity) were generally increased demonstrating that the immune system is activated and involved in the clearance of the virus. Strikingly, NK-like, ROI and MPO were the most enhanced by the presence of VHSV in both PELs and HKLs suggesting that these early innate immune events are crucial during early viral infection stages in non-susceptible or reservoir species. Differences in the immunological mechanisms between susceptible and reservoir species and with other particulate antigens are discussed. © 2008 Elsevier Ltd. All rights reserved

Inductively coupled plasma-optical emission spectrometry/mass spectrometry for the determination of Cu, Ni, Pb and Zn in seawater after ionic imprinted polymer based solid phase extraction

The capabilities of a synthesized ionic imprinted polymer (IIP), originally prepared for Ni recognition/pre-concentration from seawater, have been evaluated for other trace elements pre-concentration. The polymer has been synthesized by the precipitation polymerization technique using a ternary pre-polymerization complex formed by the template (Ni), the monomer (2-(diethylamino) ethyl methacrylate, DEM) and a non-vinylated chelating agent (8-hydroxyquinoline, 8-HQ). Since the complexing agent (8-HQ) is trapped into the polymeric matrix, but is not linked to the polymer chains, specific interactions between the functional groups (present in the monomer and the complexing agent) and other trace elements rather than Ni may occur. Results have shown that the IIP offers imprinting properties for the template (Ni(II)) and also for Cu(II), Pb(II), Zn(II), As(V) and Cd(II), with analytical recoveries close to 100% for all elements except for As(V) and Cd(II) (around 70%), whereas the non-imprinted polymer (NIP) did not show affinity for any trace element. In addition, the polymer does not interact with alkaline or alkaline-earth metals, so Na, K, Mg and Ca from the seawater salt matrix could be effectively removed. Variables affecting the IIP-solid phase extraction (SPE) process (pH, load flow rate and concentration and volume of the eluting solution) were completely studied. Inductively coupled plasma-optical emission spectrometry (ICP-OES) and inductively coupled plasma-mass spectrometry (ICP-MS) have been used as multi-element detectors. Acidified seawater samples must only be treated to fix an alkaline pH (8.5 ± 0.5) and passed through IIP-SPE cartridges. After seawater sample loading (250 mL), analytes were eluted with 2.5 mL of 2.0 M nitric acid, offering a pre-concentration factor of 100. Therefore, the limits of detection (LODs) of the method were 0.14, 0.15, 0.18 and 0.03 μg L-1, for Ni, Cu, Pb and Zn, respectively, when using ICP-OES detection and 0.0022, 0.0065, 0.0040 and 0.009 μg L-1, for Ni, Cu, Pb and Zn, respectively, for ICP-MS detection. Accuracy of the method was assessed by analyzing SLEW-3 (estuarine water), and TM-23.3 and TM-24 (lake water) certified reference materials. © 2009 Elsevier B.V. All rights reserved

Ionic imprinted polymer for nickel recognition by using the bi-functionalized 5-vinyl-8-hydroxyquinoline as a monomer Application as a new solid phase extraction support

A new ionic imprinted polymer (IIP) for Ni(II) recognition/pre-concentration was prepared via precipitation polymerization using 2-(diethylamino) ethyl methacrylate (DEM) and divinylbenzene (DVB) as a crosslinking agent in the presence of nickel(II) and 5-vynil-8-hydroxyquinoline (5-VHQ) as a bi-functionalized ligand. An important increase on the selectivity of the synthesised IIP for nickel(II) ions was obtained when comparing to the use of 8-hydroxyquinoline (8-HQ) as a ligand. The synthesised IIP was used as a new support for solid phase extraction (SPE) of nickel(II) from seawater before inductively coupled plasma optical emission spectrometry (ICP-OES) detection. Variables affecting the SPE process, such as pH, load and elution flow rates, and concentration and volume of the eluting solution, were fully evaluated. The optimised procedure consists of a sample loading (100 mL of seawater at a pH of 9.0 ± 0.1) through IIP-SPE cartridges containing 300 mg of the synthesised IIP at a flow rate of 3.0 mL min- 1. Elution was performed by passing 2.5 mL of 2.0 M nitric acid at a flow rate of 1.5 mL min- 1, which gave a pre-concentration factor of 40. The limit of detection (LOD) of the method was 0.26 μg L- 1, while the relative standard deviation (RSD) for eleven replicated measurements was 3%. Accuracy of the method was assessed by analyzing SLEW-3 (estuarine water) and TM-23.3 (lake water) certified reference materials. In addition to the selectivity of the synthesised material for nickel(II) ions against other transition metal ions and major alkaline and alkaline-earth metals (Na+, K+, Mg2+ and Ca2+) in seawater, it can be stated that the salt matrix is efficiently removed by using the proposed IIP-SPE procedure. © 2009 Elsevier B.V. All rights reserved

Synthesis, characterization and evaluation of ionic-imprinted polymers for solid-phase extraction of nickel from seawater

Several nickel ion imprinted polymers were prepared via precipitation polymerization using 4-vinylpyridine or 2-(diethylamino) ethyl methacrylate as monomers (vinylated reagents) and a cross-linking agent divinylbenzene in the presence of nickel(II) alone or nickel(II) and 8-hydroxyquinoline (non-vinylated reagent). For all cases, 2,2′-azobisisobutyronitrile (AIBN) was used as an initiator and an acetonitrile/toluene (31) mixture was chosen as a porogen. After packing the polymer particles into empty SPE cartridges, nickel(II) ions were removed by washing with 50 mL of 2.0 M nitric acid. Characterization of the polymer particles has been carried out by scanning electron microscopy, energy dispersive X-ray fluorescence and elemental analysis. The best nickel imprinting properties were given by polymers synthesized in the presence of 8-hydroxyquinoline and 2-(diethylamino) ethyl methacrylate as a monomer. The optimum pH for quantitative nickel retention was 8.5 ± 0.5, while elution was completed with 2.5 mL of 2.0 M nitric acid. When using polymer masses of 300 mg, sample volumes until 250 mL can be passed through the cartridges without reaching the breakthrough volume. Therefore, a pre-concentration factor of 100 has been reached when eluting with 2.5 mL of the elution solution. Electrothermal atomic absorption spectrometry has been used as a detector for nickel determination. The limit of detection of the method was 0.050 μg L-1 (pre-concentration factor of 100), while the relative standard deviation for eleven replicates was 6%. Accuracy of the method was assessed by analyzing different certified reference materials SLEW-3 (estuarine water) and TM-23.3 and TM-24 (lake water). © 2008 Elsevier B.V. All rights reserved

Does otolith macrostructure record environmental or biological events? The case of black hake (Merluccius polli and Merluccius senegalensis)

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