Phosphatidic Acid and Lysophosphatidic Acid Induce Haptotactic Migration of Human Monocytes

The present study was aimed at defining the chemotactic activity of phosphatidic acid, which is rapidly produced by phagocytes in response to chemotactic agonists. Exogenously added phosphatidic acid induced human monocyte directional migration across polycarbonate filters with an efficacy (number of cell migrated) comparable to that of "classical" chemotactic factors. In lipid specificity studies, activity of phosphatidic acid decreased with increasing acyl chain length but was restored by introducing unsaturation in the acyl chain with the most active form being the natural occurring 18:0,20:4-phosphatidic acid. Lysophosphatidic acid was also active in inducing monocyte migration. No other phospholipid and lysophospholipid tested was effective in this response. Monocyte migration was regulated by a gradient of phosphatidic acid and lysophosphatidic acid bound to the polycarbonate filter, in the absence of detectable soluble chemoattractant. Migration was also observed if phospholipids were bound to fibronectin-coated polycarbonate filters. Thus, phosphatidic acid and lysophosphatidic acid, similarly to other physiological chemoattractants (e.g. C5a and interleukin-8), induce cell migration by an haptotactic mechanism. Phosphatidic acid caused a rapid increase of filamentous actin and, at higher concentrations, induced a rise of intracellular calcium concentration. Monocyte migration to phosphatidic acid and lysophosphatidic acid, but not to diacylglycerol, was inhibited in a concentration-dependent manner by Bordetella pertussis toxin, while cholera toxin was ineffective. In the chemotactic assay, phosphatidic acid and lysophosphatidic acid induced a complete homologous desensitization and only partially cross-desensitized one with each other, or with diacyl-glycerol and monocyte chemotactic protein-1. Suramine inhibited monocyte chemotaxis with a different efficiency phosphatidic acid > lysophosphatidic acid" diacyl-glycerol On the contrary, monocyte chemotactic protein-1-induced chemotaxis was not affected by the drug. Collectively, these data show that phosphatidic acid induces haptotactic migration of monocytes that is at least in part receptor-mediated. These results support a role for phosphatidic acid and lysophosphatidic acid in the regulation of leukocyte accumulation into tissues

Avaliação qualitativa do cardápio oferecido aos colaboradores de uma unidade de alimentação e nutrição hospitalar

The purpose of this study was to analyze the quality of the one-month lunch menu offered to the employees of a Hospital Food and Nutrition Unit of the city of São Paulo using the method of Qualitative Evaluation of the Menu Preparations. The presence of fresh fruits, fried, sweet, fried together with sweets, fatty meats, leafy vegetables, two or more foods rich in sulfur (except beans) and color monotony were analyzed. There was daily use of leafy and sweet vegetables, high frying (96,4%) and sweet frying (96,4%). There was a low supply of fruits (32,1%), fatty meat (21,4%), foods rich in sulfur (10,7%) and color monotony (3,6%). The items related to the supply of fruit, fried and sweet were considered inadequate due to their high offers, so some points should be replanned, aiming to promote the improvement of the eating habits of hospital employees.Este estudo teve por objetivo analisar a qualidade do cardápio do almoço de um mês oferecido aos colaboradores de uma Unidade de Alimentação e Nutrição hospitalar do município de São Paulo pelo método de Avaliação Qualitativa das Preparações do Cardápio. Foram analisados a presença de frutas in natura, fritura, doces, fritura em conjunto com doces, carnes gordurosas, vegetais folhosos, dois ou mais alimentos ricos em enxofre (exceto feijão) e monotonia de cores. Verificou-se a utilização diária de vegetal folhoso e doce, elevada oferta de fritura (96,4%), e, doce em conjunto com fritura (96,4%). Houve baixa oferta de frutas (32,1%), carnes gordurosas (21,4%), alimentos ricos em enxofre (10,7%) e monotonia de cores (3,6%). Os itens relativos à oferta de fruta, fritura e doce foi considerada inadequada devido suas ofertas elevadas, assim, alguns pontos devem ser replanejados, visando a promoção da melhoria dos hábitos alimentares dos colaboradores do hospital

Lung on fire. A very severe case of fire-eater's lung

A 19-year-old male smoker presented in the emergency room after accidental aspiration of an unquantifiable amount of Pyrofluid, a liquid mixture of high-boiling aliphatic/paraffin aromatic free hydrocarbons, during a fire-eating performance. A few minutes after the aspiration he started to feel sick, with shortness of breath and mild dry cough. On admission to our hospital, he had an episode of emesis and presented burning retrosternal chest pain and dyspnoea. Physical examination revealed oxygen saturation (SpO2) on ambient air of 92%, tachypnoea, tachycardia, normal temperature. Chest auscultation showed the presence of breath sounds without additional pathological sounds. The rest of the systemic examination was normal. Oropharyngoscopy was negative for oral lesions. Laboratory exams showed a neutrophilic leukocytosis (white cell count (WCC) 15.56×109/L, neutrophil 10.91×109/L), without increased C reactive protein (CRP) levels. Arterial blood gases on room air revealed PaO2 8.9 kPa, PaCO2 5.5 kPa, pH 7.30, (HCO3 -) 20 mmol/L, (Lac) 3.8 mmol/L, and PaO2/inspired oxygen fraction (FiO2) 42.4 kPa. Chest X-ray demonstrated mild accentuation of the broncho-vascular structure with a consolidation in the left basal area (figure 1A). High-resolution chest CT (HRCT) showed bilateral parenchymal consolidation involving most of the inferior lobes and a complete occlusion of the lower lobar bronchus bilaterally; moreover, fluid-dense effusion was present in the right basal area (figure 1B). Although blood cultures and microbiological tests on sputum were negative, a broad-spectrum antibiotic therapy was initiated with piperacillin/tazobactam. The patient was also treated with systemic steroids, analgesics and oxygen therapy via a Venturi mask at FiO2 of 0.4

Differential regulation of interleukin-6 expression in human fibroblasts by tumor necrosis factor-α and lymphotoxin

AbstractThe treatment of human diploid fibroblasts with tumor necrosis factor (TNP)-α and with lymphotoxin (LT) is associated with induction of interleuk-in-6 (IL-6) transcripts with TNF-α being 10-fold more potent than LT. Here we report on the TNF-α/LT-induced signaling mechanisms responsible for the regulation of IL-6 gene expression in these cells. Run-on assays demonstrated that both TNF-α and LT increase IL-6 mRNA levels by transcriptional activation of this gene. Stability studies of IL-6 transcripts in fibroblasts showed that TNF-α delayed IL-6 mRNA decay but not LT. The induction of IL-6 transcripts by TNF-α and LT was not inhibited by the isoquinoline sulfonamide derivative H7. Similarly, depletion of protein kinase C (PKC) by 12-O-tetradecanoyl-phorbol 13-acetate (TPA) did not change the ability of TNF-α and LT to induce IL-6 transcripts, demonstrating that stimulation by these agents may not be mediated by activation of PKC. Stimulation of IL-6 transcripts in fibroblasts did also not require new protein synthesis as exposure to the protein synthesis inhibitor cycloheximide (CHX) enhanced accumulation of IL-6 mRNA in the presence or absence of TNF-α or LT

Amino acid-driven adsorption of emerging contaminants in water by modified graphene oxide nanosheets

Graphene oxide nanosheets have shown promising adsorption properties toward emerging organic contaminants in drinking water. Here, we report a family of graphene oxide nanosheets covalently modified with amino acids and the study on their adsorption properties toward a mixture of selected contaminants, including pharmaceuticals, additives, and dyes. Graphene oxides modified with l-glutamic acid and l-methionine (GO-Glu and GO-Met) were synthesized and purified with a scalable and fast synthetic and purification procedure, and their structure was studied by combined X-ray photoelectron spectroscopy and elemental analysis. An amino acid loading of about 5% and a slight reduction (from 27% down to 14-20% oxygen) were found and associated with the adsorption selectivity. They were compared to unmodified GO, reduced GO (rGO), GO-lysine, and to the reference sample GO-NaOH. Each type of modified GO possesses a higher adsorption capacity toward bisphenol A (BPA), benzophenone-4 (BP4), and carbamazepine (CBZ) than standard GO and rGO, and the adsorption occurred within the first hour of contact time. The maximum adsorption capacity (estimated from the adsorption isotherms) was strictly related to the amino acid loading. Accordingly, molecular dynamics simulations highlighted higher interaction energies for the modified GOs than unmodified GO, as a result of higher van der Waals and hydrophobic interactions between the contaminants and the amino acid side chains on the nanosheet surface

Chemical Tailoring of β-Cyclodextrin-Graphene Oxide for Enhanced Per- and Polyfluoroalkyl Substances (PFAS) Adsorption from Drinking Water

We report on the synthesis of β-cyclodextrin (βCD) modified graphene oxide (GO) nanosheets, having different sized alkyl linkers (GO-Cn-βCD) and their exploitation as sorbent of per- and polyfluoroalkyl substances (PFAS) from drinking water. βCD were functionalized with a pending amino group, and the resulting precursors grafted to GO nanosheets by epoxide ring opening reaction. Loading of βCD units in the range 12 %–36 % was estimated by combined XPS and elemental analysis. Adsorption tests on perfluorobutanoic acid (PFBA), a particularly persistent PFAS selected as case study, revealed a strong influence of the alkyl linker length on the adsorption efficiency, with the hexyl linker derivative GO-C6-βCD outperforming both pristine GO and granular activated carbon (GAC), the standard sorbent benchmark. Molecular dynamic simulations ascribed this evidence to the favorable orientation of the βCD unit on the surface of GO which enables a strong contaminant molecules retention

The societal burden of chronic liver diseases: results from the COME study.

OBJECTIVE: Chronic liver diseases (CLDs) impose a significant socioeconomic burden on patients and the healthcare system, but to what extent remains underexplored. We estimated costs and health-related-quality-of-life (HRQoL) among patients with CLDs at different stages and with different aetiologies. DESIGN: A cost-of-illness study was conducted. Direct costs, productivity loss and HRQoL were estimated in patients with chronic hepatitis, cirrhosis hepatocellular carcinoma (HCC) or where orthotopic liver transplantation (OLT) had been performed, for hepatitis C virus (HCV) infection, hepatitis B virus (HBV) infection, or in those with liver disease from other causes. Patients were retrospectively observed for 6 months. The societal perspective was adopted to calculate costs. RESULTS: In total, 1088 valid patients (median age=59.5 years, 60% men) were enrolled. 61% had chronic hepatitis, 20% cirrhosis, 8% HCC and 12% underwent OLT. HCV infection was identified in 52% and HBV infection in 29% of the patients. Adjusted mean direct costs increased from €3000/patient-month in HBV infected patients with OLT. Antiviral treatment was the cost driver in patients with hepatitis, while hospital costs were the driver in the other subgroups. Absenteeism increased from HBV-infected patients with hepatitis (0.7 day/patient-month) to patients with OLT with other aetiologies (3.7 days/patient-month). HRQoL was on average more compromised in cirrhosis and patients with HCC, than in hepatitis and patients with OLT. HBV-infected patients generated higher direct costs, patients with other aetiologies generated the highest productivity loss and HCV-infected patients reported the worst HRQoL levels. CONCLUSIONS: The present study can be considered a benchmark for future research and to guide policies aimed at maximising the cost-effective of the interventions

Facile high-yield synthesis and purification of lysine-modified graphene oxide for enhanced drinking water purification

Lysine-covalently modified graphene oxide (GO-Lys) was prepared by an innovative procedure. Lysine brushes promote enhanced adsorption of bisphenol A, benzophenone-4 and carbamazepine contaminants from tap water, with a removal capacity beyond the state of the art