Presence of tumor necrosis factor-alpha in urine samples of patients with chronic low back pain undergoing chiropractic care: Preliminary findings from a prospective cohort study

Background and aims: Low back pain is the leading cause of years lived with disability worldwide. Chiropractors employ different interventions to treat low back pain, including spinal manipulative therapy, although the mechanisms through which chiropractic care improves low back pain are still unclear. Clinical research and animal models suggest that spinal manipulation might modulate plasma levels of inflammatory cytokines, which have been involved in different stages of low back pain. More specifically, serum levels of Tumor Necrosis Factor-alpha (TNF-α) have been found to be elevated in patients with chronic low back pain. We aimed to investigate whether urine from chronic low back pain patients could be an appropriate medium to measure concentrations of TNF-α and to examine possible changes in its levels associated to chiropractic care. Methods: Urine samples were collected from 24 patients with chronic low back pain and TNF-α levels were analyzed by ELISA before and after 4–6 weeks of care compared to a reference value obtained from 5 healthy control subjects, by means of a Welch’s t-test. Simultaneously, pain intensity and disability were also evaluated before and after care. Paired t-tests were used to compare mean pre and post urinary concentrations of TNF-α and clinical outcomes. Results: Significantly higher baseline levels of urinary TNF-α were observed in chronic low back pain patients when compared to our reference value (p < 0.001), which were significantly lower after the period of chiropractic treatment (p = 0.03). Moreover, these changes were accompanied by a significant reduction in pain and disability (both p < 0.001). However, levels of urinary TNF-α were not correlated with pain intensity nor disability. Conclusion: These results suggest that urine could be a good milieu to assess TNF-α changes, with potential clinical implications for the management of chronic low back pain. Copyright © 2022 Gevers-Montoro, Romero-Santiago, Losapio, Conesa-Buendía, Newell, Álvarez-Galovich, Piché and Ortega-De Mues

The Consequences of Glacier Retreat Are Uneven Between Plant Species

Glaciers are retreating worldwide, exposing new terrain to colonization by plants. Recently-deglaciated terrains have been a subject of ecological studies for a long time, as they represent a unique natural model system for examining the effects of global warming associated with glacier retreat on biodiversity and the spatio-temporal dynamic of communities. However, we still have a limited understanding of how physical and biotic factors interactively influence species persistence and community dynamics after glacier retreat and glacier extinction. Using hierarchical joint species distribution models, we integrated data on plant species occurrence at fine spatial scale, spatio-temporal context, environmental conditions, leaf traits, and species-to-species associations in plant communities spanning 0 to c 5,000 years on average after glacier retreat. Our results show that plant diversity initially increases with glacier retreat, but ultimately decreases after glacier extinction. The 22% of plant species non-linearly respond to glacier retreat and will locally disappear with glacier extinction. At the local scale, soil carbon enrichment and reduction of physical (topographic) disturbance positively contribute to distribution patterns in 66% of the species, indicating a strong impact of community-level environmental conditions. Furthermore, positive and negative associations among species play a relevant role (up to 34% of variance) in driving the spatio-temporal dynamic of plant communities. Global warming prompts a shift from facilitation to competition: positive associations prevail among pioneer species, whereas negative associations are relatively more common among late species. This pattern suggests a role of facilitation for enhancing plant diversity in recently ice-free terrains and of competition for decreasing species persistence in late stages. Associated to that, species persisting the most show more \u201cconservative\u201d traits than species of concern. In summary, although plant diversity initially increases with glacier retreat, more than a fifth of plant species are substantially declining and will disappear with glacier extinction. Even for the \u201cwinners,\u201d the \u201cvictory\u201d is not to be taken for granted due to the negative impact of rising competition. Integrating survey data with hierarchical and network models can help to forecast biodiversity change and anticipate cascading effects of glacier retreat on mountain ecosystems. These effects include the reduction of ecosystem services and benefits to humans, including food production from the pioneer species Artemisia genipi

Early social isolation differentially affects the glucocorticoid receptor system and alcohol-seeking behavior in male and female Marchigian Sardinian alcohol-preferring rats

Adverse early life experiences during postnatal development can evoke long-lasting neurobiological changes in stress systems, thereby affecting subsequent behaviors including propensity to develop alcohol use disorder. Here, we exposed genetically selected male and female Marchigian Sardinian alcohol-preferring (msP) and Wistar rats to mild, repeated social deprivation from postnatal day 14 (PND14) to PND21 and investigated the effect of the early social isolation (ESI) on the glucocorticoid receptor (GR) system and on the propensity to drink and seek alcohol in adulthood. We found that ESI resulted in higher levels of GR gene and protein expression in the prefrontal cortex (PFC) in male but not female msP rats. In female Wistars, ESI resulted in significant downregulation of Nr3c1 mRNA levels and lower GR protein levels. In male and female msP rats, plasma corticosterone levels on PND35 were similar and unaffected by ESI. Wistar females exhibited higher levels of corticosterone compared with males, independently from ESI. In alcohol self-administration experiments we found that the pharmacological stressor yohimbine (0.0, 0.312, 0.625, and 1.25&nbsp;mg/kg) increased alcohol self-administration in both rat lines, regardless of ESI. After extinction, 0.625&nbsp;mg/kg yohimbine significantly reinstated alcohol seeking in female rats only. ESI enhanced reinstatement in female msP rats. Overall, the present results indicate that repeated social deprivation during the third week of postnatal life affects GR expression in a strain- and sex-dependent manner: such effect may contribute, at least partially, to the heightened sensitivity of female msP rats to the effects of yohimbine-induced alcohol seeking

Learning new physics efficiently with nonparametric methods

We present a machine learning approach for model-independent new physics searches. The corresponding algorithm is powered by recent large-scale implementations of kernel methods, nonparametric learning algorithms that can approximate any continuous function given enough data. Based on the original proposal by D’Agnolo and Wulzer (Phys Rev D 99(1):015014, 2019, arXiv:1806.02350 [hep-ph]), the model evaluates the compatibility between experimental data and a reference model, by implementing a hypothesis testing procedure based on the likelihood ratio. Model-independence is enforced by avoiding any prior assumption about the presence or shape of new physics components in the measurements. We show that our approach has dramatic advantages compared to neural network implementations in terms of training times and computational resources, while maintaining comparable performances. In particular, we conduct our tests on higher dimensional datasets, a step forward with respect to previous studies

Community-based

This issue of Logoi has at least three roots and three reasons. The first one is to start a reflection on the so-called Community-based participatory research (CBPR). This dossier is opened by a paper of Meredith Minkler (University of Berkeley) who is one of the founders of the method CBPR and of reflection on it. This scenario is also linked to the two articles that we present in the section called Research Communities and ABCs, papers which on the one hand refer to the CBPR, but on the other side cross in particular another of our interests: the Abc method. In fact, Logoi is a partner of the research project called An ABC of Democratic Citizenship. “Community-Based Participatory Research” through Sciences &amp; Humanities (University of Bari). The project is presented in this section. While another focus is on Latin America. You can read the contribution of Adriana Fresquet (Río de Janeiro), Abecedarios audiovisuais comunitarios: de Perú para el mundo. Let’s come to the third root/reason of this issue: the need to reflect, in many ways and with many languages, on the theme of community. We therefore have some essays that either starting from some knowledge, disciplines, languages even extra-philosophical, or focusing on authors and specific themes, address the issue-community: Interdisciplinary issues (Simona Cohen - Tel-Aviv; et alii) and Particular issue

New Frontiers in Sepsis-Induced Acute Kidney Injury and Blood Purification Therapies: The Role of Polymethylmethacrylate Membrane Hemofilter

Acute kidney injury (AKI) is a common consequence of sepsis with a mortality rate of up to 40%. The pathogenesis of septic AKI is complex and involves several mechanisms leading to exacerbated inflammatory response associated with renal injury. A large body of evidence suggests that inflammation is tightly linked to AKI through bidirectional interaction between renal and immune cells. Preclinical data from our and other laboratories have identified in complement system activation a crucial mediator of AKI. Partial recovery following AKI could lead to long-term consequences that predispose to chronic dysfunction and may also accelerate the progression of preexisting chronic kidney disease. Recent findings have revealed striking morphological and functional changes in renal parenchymal cells induced by mitochondrial dysfunction, cell cycle arrest via the activation of signaling pathways involved in aging process, microvascular rarefaction, and early fibrosis. Although major advances have been made in our understanding of the pathophysiology of AKI, there are no available preventive and therapeutic strategies in this field. The identification of ideal clinical biomarkers for AKI enables prompt and effective therapeutic strategy that could prevent the progression of renal injury and promote repair process. Therefore, the use of novel biomarkers associated with clinical and functional criteria could provide early interventions and better outcome. Several new drugs for AKI are currently being investigated; however, the complexity of this disease might explain the failure of pharmacological intervention targeting just one of the many systems involved. The hypothesis that blood purification could improve the outcome of septic AKI has attracted much attention. New relevant findings on the role of polymethylmethacrylate-based continuous veno-venous hemofiltration in septic AKI have been reported. Herein, we provide a comprehensive literature review on advances in the pathophysiology of septic AKI and potential therapeutic approaches in this field

An ABC of Citizenship, vol. 2

E' il primo di due fascicoli monografici che raccoglie i lavori e le intuizioni nate anche in sinergia con alcune associazioni del territorio pugliese: creare degli Abbecedari della cittadinanza, legati a grappoli di eventi, capaci di coinvolgere territori, scuole e in generale agenzie educative. L'esperienza ha a sua volta sollecitato docenti e ricercatori universitari italiani e stranieri, che hanno inviato i loro contributi. La molteplicità di materiale e l'interesse del percorso teorico-pratico ci ha appunto convinto a dividere quanto giunto in redazione in due fascicoli, che raccolgono saggi legati a 21 sezioni, una per ogni lettera dell'alfabeto di questo ideale abbecedario comunitario: dalla A di amicizia alla Z di Zero povertà. Con contributi anche di tipo internazionale: B. Weber, W. Kohan, E. Cejva