Cruciferous vegetables: rationale for exploring potential salutary effects of sulforaphane-rich foods in patients with chronic kidney disease

Sulforaphane (SFN) is a sulfur-containing isothiocyanate found in cruciferous vegetables (Brassicaceae) and a well-known activator of nuclear factor-erythroid 2-related factor 2 (Nrf2), considered a master regulator of cellular antioxidant responses. Patients with chronic diseases, such as diabetes, cardiovascular disease, cancer, and chronic kidney disease (CKD) present with high levels of oxidative stress and a massive inflammatory burden associated with diminished Nrf2 and elevated nuclear transcription factor-κB-κB expression. Because it is a common constituent of dietary vegetables, the salutogenic properties of sulforaphane, especially it’s antioxidative and anti-inflammatory properties, have been explored as a nutritional intervention in a range of diseases of ageing, though data on CKD remain scarce. In this brief review, the effects of SFN as a senotherapeutic agent are described and a rationale is provided for studies that aim to explore the potential benefits of SFN-rich foods in patients with CKD

The effect of Brazilian green propolis extract on inflammation in patients with chronic kidney disease on peritoneal dialysis: a randomised double-blind controlled clinical trial

Background: Chronic kidney disease (CKD) patients on dialysis display a low-grade systemic inflammatory burden. Nutritional interventions designed to activate the cytoprotective nuclear factor erythroid-2-related factor 2 (Nrf2) and inhibit nuclear factor-kB (NF-κB) have been proposed to mitigate this burden. Several bioactive compounds have been investigated to achieve this, including propolis, a resin produced by Apis mellifera bees. Considering the safety and efficacy of propolis, it could be a strategy to benefit these patients. Still, there are no studies using propolis in patients with CKD on peritoneal dialysis (DP), and clinical studies to support this application are lacking. Hypothesis/Purpose: The objective and novelty of the present study are to evaluate the effects of propolis supplementation on inflammatory markers in patients with CKD on PD. Study design A longitudinal, double-blind, placebo-controlled trial with CKD patients on PD. Methods The patients were randomised into two groups: propolis that received four capsules of 100 mg (400 mg/day), containing concentrated and standardised dry EPP-AF® Brazilian green propolis extract) or placebo, four capsules of 100 mg (400 mg/day), of magnesium stearate, silicon dioxide, and microcrystalline cellulose, for two months. Plasma levels of inflammatory cytokines, including tumour necrosis factor (TNF-α) and interleukin-6 (IL-6), were evaluated by ELISA. Quantitative real-time PCR analyses were performed to evaluate the transcriptional expression levels of Nrf2 and NF-κB in peripheral blood mononuclear cells (PBMCs). Plasma malondialdehyde (MDA) levels, a lipid peroxidation marker, was measured as thiobarbituric acid reactive substances (TBARS). Routine biochemical markers, including C-reactive protein (CRP), were analysed using commercial kits. Carotid Intima-Media Thickness (CIMT) was measured with a doppler ultrasonography device. The study was registered on ClinicalTrials.gov under the number NCT04411758. Results: A total of 19 patients completed the study, ten patients in the propolis group (54 ± 1.0 years, five men, 7.2 (5.1) months on PD) and 9 in the placebo group (47.5 ± 15.2 years, three men, 10.8 (24.3) months on PD). The plasma levels of TNF-α reduced significantly (p = 0.02), and expression of Nrf2 showed a trend to increase (p = 0.07) after propolis supplementation. Conclusion: EPP-AF® Green Propolis extract (400 mg/day) supplementation for two months appears as a potential strategy to mitigate inflammation, reducing TNF-α plasma levels in CKD patients on PD

The magical smell and taste: Can coffee be good to patients with cardiometabolic disease?

Coffee is a beverage consumed globally. Although few studies have indicated adverse effects, it is typically a beneficial health-promoting agent in a range of diseases, including depression, diabetes, cardiovascular disease, and obesity. Coffee is rich in caffeine, antioxidants, and phenolic compounds, which can modulate the composition of the gut microbiota and mitigate both inflammation and oxidative stress, common features of the burden of lifestyle diseases. This review will discuss the possible benefits of coffee on complications present in patients with diabetes, cardiovascular disease and chronic kidney disease, outwith the social and emotional benefits attributed to caffeine consumption

Assessment of loose and adhered urban street sediments and trace metals: a study in the city of Po double dagger os de Caldas, Brazil

This study aims to quantify and characterise sediments accumulated in the street gutters in an urban area of Po double dagger os de Caldas, Brazil. The main research questions are: What type of urban areas, e.g. those under construction, produce most sediments and what are the main characteristics of such sediments? What differences, e.g. granulometry, can be found in loose and adhered sediments? What trace metals can be found in the sediments?Fieldwork was carried out in a residential area of Po double dagger os de Caldas, Brazil. Ten samplings were conducted between May and August 2013 to collect sediments from road gutters. The collected sediments were then divided into 'loose' and 'adhered', depending on whether they were collected in a first, gentle, sweeping with soft bristled brush or in a subsequent sweeping with a stiff bristled brush. Granulometric curves were drawn for both types of sediments. Fine sediment analyses (aecurrency sign63 mu m) were performed on samples from the last five samplings. Two techniques were used to look for trace elements: energy dispersive X-ray fluorescence (EDXRF) and inductively coupled plasma-atomic emission spectrometry (ICP-AES).Larger amounts of sediments were collected after lower intensity rainfall events. Higher intensity events seemed to wash the sediments away. A correlation was found between areas under construction and sediment mass production. A characteristic range of granulometries (medium sand), found in our study is in accordance with studies by other authors. An important presence of heavy metals (Cr, Cd, Pb, Zn, Ni and Cu) was detected and characterised. As and Sn were also detected even though they are not often mentioned in the literature on urban soil pollutants.Areas under construction were found to produce more sediments than other areas. The trace metals found in highest concentrations were Pb and As. The heavy metal concentration decreases after wet periods, showing that they are carried by runoff. It is expected that this study may serve as an input for establishing diffuse pollution control and mitigation strategies for the accumulation of pollutants in the urban environment