Role of angiotensin-converting enzyme and vitamin D receptor gene polymorphisms in cancer anorexia-cachexia syndrome

The ubiquitin-proteasome pathway is a crucial connection between aberrant immune system activation, systemic inflammation and Cancer Anorexia-Cachexia Syndrome (CACS), a syndrome that culminates in hyper-activation of the ubiquitin-proteasome pathway. Angiotensin directly up-regulates this pathway, while vitamin D down-regulates it indirectly through the insulin-like growth factor-1 pathway. We investigated the genetic predisposition towards CACS in a cancer population, examining Insertion/Deletion (I/D) polymorphism of angiotensin-converting enzyme gene and FokI and BsmI polymorphisms of vitamin D receptor gene. Sixty-two cancer patients were recruited and divided into three groups: primary cachectic (C1, n = 14; dysmetabolic body weight loss ≥5% in 6 months); secondary cachectic (C2, n = 34; similar weight loss, mechanic or iatrogenic origin); and non-cachectic (NC, n = 16). C2+NC were merged in the control group. The three groups showed significant differences in average prognostic inflammatory nutritional index (C1: 26.4±23.4; C2: 5.4±5.6; NC: 0.37±0.5), C-reactive protein serum levels (C1: 6.6±2.1; C2: 2.4±2.2; NC: 1.0±2.0 mg/dL), albumin serum levels (C1: 3.1±0.6; C2: 3.5±0.4; NC 3.7±0.6 g/dL), weight loss (C1: 22±8; C2: 15±6.7; NC 5±6%) and life expectancy (C1: 6.4±3.3; C2: 25±28; NC: 45±25 months). However, none of the chosen polymorphisms showed any statistically significant correlation with CACS. The complexity of the changes of the immune system in the chronic inflammation state associated with CACS is far greater than expected and further studies are required to identify genetic independent markers of progression toward CACS.

Three Dimensional Electrical Impedance Tomography

The electrical resistivity of mammalian tissues varies widely and is correlated with physiological function. Electrical impedance tomography (EIT) can be used to probe such variations in vivo, and offers a non-invasive means of imaging the internal conductivity distribution of the human body. But the computational complexity of EIT has severe practical limitations, and previous work has been restricted to considering image reconstruction as an essentially two-dimensional problem. This simplification can limit significantly the imaging capabilities of EIT, as the electric currents used to determine the conductivity variations will not in general be confined to a two-dimensional plane. A few studies have attempted three-dimensional EIT image reconstruction, but have not yet succeeded in generating images of a quality suitable for clinical applications. Here we report the development of a three-dimensional EIT system with greatly improved imaging capabilities, which combines our 64-electrode data-collection apparatus with customized matrix inversion techniques. Our results demonstrate the practical potential of EIT for clinical applications, such as lung or brain imaging and diagnostic screening

PAIRSE: A Privacy-Preserving Service-Oriented Data Integration System

International audiencePrivacy is among the key challenges to data integration in many sectors, including healthcare, e-government, etc. The PAIRSE project aims at providing a flexible, looselycoupled and privacy-preserving data integration system in P2P environments. The project exploits recent Web standards and technologies such as Web services and ontologies to export data from autonomous data providers as reusable services, and proposes the use of service composition as a viable solution to answer data integration needs on the fly. The project proposed new composition algorithms and service/composition execution models that preserve privacy of data manipulated by services and compositions. The proposed integration system was demonstrated at EDBT 2013 and VLDB 2011

Coastal sea level monitoring in the Mediterranean and Black seas

Employed for over a century, the traditional way of monitoring sea level variability by tide gauges – in combination with modern observational techniques like satellite altimetry – is an inevitable ingredient in sea level studies over the climate scales and in coastal seas. The development of the instrumentation, remote data acquisition, processing, and archiving in the last decades has allowed the extension of the applications to a variety of users and coastal hazard managers. The Mediterranean and Black seas are examples of such a transition – while having a long tradition of sea level observations with several records spanning over a century, the number of modern tide gauge stations is growing rapidly, with data available both in real time and as a research product at different time resolutions. As no comprehensive survey of the tide gauge networks has been carried out recently in these basins, the aim of this paper is to map the existing coastal sea level monitoring infrastructures and the respective data availability. The survey encompasses a description of major monitoring networks in the Mediterranean and Black seas and their characteristics, including the type of sea level sensors, measuring resolutions, data availability, and existence of ancillary measurements, altogether collecting information about 240 presently operational tide gauge stations. The availability of the Mediterranean and Black seas sea level data in the global and European sea level repositories has been also screened and classified following their sampling interval and level of quality check, pointing to the necessity of harmonization of the data available with different metadata and series in different repositories. Finally, an assessment of the networks' capabilities for their use in different sea level applications has been done, with recommendations that might mitigate the bottlenecks and ensure further development of the networks in a coordinated way, a critical need in the era of human-induced climate changes and sea level rise.En prens

The prediction of floods in Venice: methods, models and uncertainty (review article)

This paper reviews the state of the art in storm surge forecasting and its particular application in the northern Adriatic Sea. The city of Venice already depends on operational storm surge forecasting systems to warn the population and economy of imminent flood threats, as well as help to protect the extensive cultural heritage. This will be more important in the future, with the new mobile barriers called MOSE (MOdulo Sperimentale Elettromeccanico, Experimental Electromechanical Module) that will be completed by 2021. The barriers will depend on accurate storm surge forecasting to control their operation. In this paper, the physics behind the flooding of Venice is discussed, and the state of the art of storm surge forecasting in Europe is reviewed. The challenges for the surge forecasting systems are analyzed, especially in view of uncertainty. This includes consideration of selected historic extreme events that were particularly difficult to forecast. Four potential improvements are identified: (1) improve meteorological forecasts, (2) develop ensemble forecasting, (3) assimilation of water level measurements and (4) develop a multimodel approach

The recognition of Biomedical Engineering within the International Council for Science

AbstractForty years separate the emergence ofBiomedical Engineering in a meeting in Paris at UNESCOin 1959 from its recognition together with Medical Physicsin 1999 by the International Council for Science. The mainproblems of definition and of identity of BiomedicalEngineering as a scientific discipline are discussed and thedifferent steps which have favoured this recognition areoutlined4 Halama

Massive haemoptysis from an aberrant bronchial artery in a patient with cavitary pulmonary tuberculosis

Massive haemoptysis is a life-threatening emergency requiring prompt and highly specialized intervention to identify the site of haemorrhage, protect the airways and stop bleeding. A wide variety of lung diseases may cause haemoptysis, including tuberculosis. The most common sources of pulmonary bleeding are bronchial (90%) and non-bronchial systemic arteries (5%). Aberrant bronchial vessels have also been described. We report the case of a patient affected by cavitary pulmonary tuberculosis who presented with massive haemoptysis from an aberrant bronchial artery originating from the sovrascapular branch of the left thyrocervical trunk. Successful embolization was performed by means of superselective arteriography. © 2005 Elsevier Ltd. All rights reserved

Association between vitamin D receptor gene polymorphisms and iron indices in HIV-negative patients with malnutrition-inflammation-cachexia syndrome

Malnutrition-inflammation-cachexia syndrome (MICS) is a frequent complication of end-stage AIDS. Malnutrition, with its associated adverse effects on immunocompetence contributes to the progression of AIDS independently of HIV. Iron indices are considered reliable prognostic factors because of their association with inflammation and malnutrition. Since the active form of vitamin D has immunomodulatory effects, and considering that allelic variants of the vitamin D receptor (VDR) are associated with the rates of progression to AIDS in HIV-positive patients (J Steroid Biochem Mol Biol. 2004 89-90:199-207), here we evaluated the association between VDR polymorphisms and iron indices in HIV-negative patients with MICS. 38 HIV-negative patients treated at the Unit of Clinical and Artificial Nutrition, Misericordia e Dolce Hospital, Prato (Italy) for at least 12 months were studied. The mean age of the patients (22 men and 16 women) included in this study was 65 ± 10 years. Genomic DNA was extracted from peripheral blood leucocytes and amplified by polymerase chain reaction (PCR). PCR products were digested with the respective restriction enzymes in order to identify VDR polymorphisms. Absence or presence of the BsmI, ApaI, TaqI, and FokI restriction sites were denominated B and b, A and a, T and t, F and f respectively. Serum transferrin levels showed significant association with BsmI, ApaI and TaqI polymorphisms, i.e. those polymorphisms that are located in a regulatory site at the 3’ end of the VDR gene and are in linkage disequilibrium. Patients harbouring the BB, AA and tt genotypes showed significantly higher levels of serum transferrin compared with bb, Aa, aa, TT and Tt respectively. These results are consistent with those previously obtained in HIV-positive patients (J Steroid Biochem Mol Biol. 2004 89-90:199-207; J Infect Dis. 2008 197:405-10) and highlight an inverse correlation between vitamin D signalling and AIDS progression to MISC. These results also provide a link between VDR alleles and nutritional markers which are highly predictive variables of MICS. Since MICS is one of the leading causes of mortality in AIDS patients, the determination of VDR polymorphisms could help identifying those AIDS patients with a greater risk of developing MICS, a syndrome that appears to be independent of HIV serostatus or viral load