Epstein-Barr virus and multiple sclerosis.

PURPOSE OF REVIEW: Recent studies have revived interest in the long-scrutinized association between Epstein-Barr virus (EBV) and multiple sclerosis (MS). We review this evidence and discuss it in relation to MS pathological and clinical features and patients' response to immunosuppressive therapies. RECENT FINDINGS: Serological evidence of previous exposure to EBV in children with MS supports a role for EBV infection early in MS pathogenesis, as already indicated by prospective studies in adults. Higher antibody titers and T-cell responses to EBV in patients compared to healthy EBV carriers indicate possible continuous viral reactivation, whereas there is some evidence that EBV could break immune tolerance to myelin antigens through molecular mimicry. Detection of EBV-infected B-cells in patients' brain raises the possibility that intrathecal B-cell abnormalities and T-cell-mediated immunopathology in MS are the consequence of a persistently dysregulated EBV infection. Accordingly, targeting T-cells and/or B-cells with monoclonal antibody therapies ameliorates MS. Whether EBV has a causative or pathogenic role in MS can now be addressed in relation to genetic, hormonal and other environmental influences that may affect EBV-host interactions. SUMMARY: By shedding light on the involvement of EBV in MS, these findings will pave the way to disease prevention and increase the therapeutic index of future treatments

LATE PLIOCENE-HOLOCENE DEBRIS FLOW DEPOSITS IN THE IONIAN SEA (EASTERN MEDITERRANEAN)

Widespread coring of the Eastern Mediterranean Basin has outlined the existence of a systematic relation between lithology of debris flow deposits and physiographic setting. Whilst the topographic highs are characterized by pelagic sedimentation, the basin floors are alternatively subject to pelagic sedimentation and re-sedimentation pro cesses. Amongst the latters, turbidity flows and debris flows are the most common transport mechanisms.In this paper we present the study of the debris flow pro cess in the Ionian Sea using visual description of cores, grain size, carbonate content and smear slide analysis carried out on gravity and piston cores recovered over the past 20 years. A distinction has been made between debris flow deposits originating from the continental margins (North Africa and Malta Escarpment) and those emplaced in the small basins amidst the Calabrian and Mediterranean ridges "Cobblestone Topography". As a result of the difference in setting, the former debris flow deposits include a great variety of lithologies and ages whilst the latter involve the pelagic sediments forming the typical Eastern Mediterranean Plio-Quaternary succession. A detailed study of clast and matrix structures makes it possible to describe the flows in terms of existing classifications of sediment gravity flows and to assume a clast support mechanism. Finally, biostratigraphy coupled with the presence of widespread marker beds enabled us to estimate the age of emplacement of the deposits and to hypothesize a triggering mechanism for flow initiation. Three flows are strictly related to the pelagic turbidite named homogenite, triggered by the explosive eruption of the Santorini volcano (Minoan eruption) and therefore have an estimated age of 3,500 BP. The other deposits have ages ranging from 9,000 BP to about 70,000 BP and were originated by debris flows triggered by events such as earthquakes and glacial low sea level stands.   &nbsp

Introduzione. Abitudine e letteratura

Starting from antiquity, the concept of habit has traversed the entire history of Western philosophy and has represented one of the great themes of modern and contemporary literature. The reflection on habit has raised questions concerning the relationship between body and mind, the problem of time and the (re)construction of identity, the conscious and the unconscious, and the role of memory. This dossier addresses these questions from an aesthetic perspective, at the crossroads between the history of philosophy and the history of literature

Atmospheric anomalies over Mt.Etna using GPS signal delays and tomography of radio wave velocities

Due to the prominent topography of Mt. Etna, the use of satellite geodetic techniques may significantly suffer from atmospheric heterogeneities. This problem mainly affects the DInSAR technique. To overcome these drawbacks the present study attempts to make headway in measuring and interpreting atmospheric anomalies. We used the GAMIT software to obtain the ZTD (Zenith Total Delay) values for the GPS sessions performed on 1996-97, during ERS-2 passes at Mt. Etna. GAMIT software also allows to characterize the statistical behaviour of the tropospheric effects, by using residuals for each station-satellite pair, and to locate the atmospheric anomalies, present mostly at low altitudes. The attempt at using these results to produce a tomography of radio waves velocity of the troposphere suggests that the number of GPS stations used to investigate atmosphere is a critical point in such a study. The three stations are too few to invert anomalies eventually existing in the lower atmosphere. This result is a good starting point for better direct future study to verify the applicability of this tomographic technique to a geodetic network with a higher number of stations, with the aim of characterizing the lower atmosphere of Mt. Etna for a more accurate monitoring of ground deformations

Allosteric modulators of G protein-coupled dopamine and serotonin receptors: a new class of atypical antipsychotics

Schizophrenia was first described by Emil Krapelin in the 19th century as one of the major mental illnesses causing disability worldwide. Since the introduction of chlorpromazine in 1952, strategies aimed at modifying the activity of dopamine receptors have played a major role for the treatment of schizophrenia. The introduction of atypical antipsychotics with clozapine broadened the range of potential targets for the treatment of this psychiatric disease, as they also modify the activity of the serotoninergic receptors. Interestingly, all marketed drugs for schizophrenia bind to the orthosteric binding pocket of the receptor as competitive antagonists or partial agonists. In recent years, a strong effort to develop allosteric modulators as potential therapeutic agents for schizophrenia was made, mainly for the several advantages in their use. In particular, the allosteric binding sites are topographically distinct from the orthosteric pockets, and thus drugs targeting these sites have a higher degree of receptor subunit specificity. Moreover, “pure” allosteric modulators maintain the temporal and spatial fidelity of native orthosteric ligand. Furthermore, allosteric modulators have a “ceiling effect”, and their modulatory effect is saturated above certain concentrations. In this review, we summarize the progresses made in the identification of allosteric drugs for dopamine and serotonin receptors, which could lead to a new generation of atypical antipsychotics with a better profile, especially in terms of reduced side effects

Dysregulated Epstein-Barr virus infection in the multiple sclerosis brain

Epstein-Barr virus (EBV), a ubiquitous B-lymphotropic herpesvirus, has been associated with multiple sclerosis (MS), an inflammatory disease of the central nervous system (CNS), but direct proof of its involvement in the disease is still missing. To test the idea that MS might result from perturbed EBV infection in the CNS, we investigated expression of EBV markers in postmortem brain tissue from MS cases with different clinical courses. Contrary to previous studies, we found evidence of EBV infection in a substantial proportion of brain-infiltrating B cells and plasma cells in nearly 100% of the MS cases examined (21 of 22), but not in other inflammatory neurological diseases. Ectopic B cell follicles forming in the cerebral meninges of some cases with secondary progressive MS were identified as major sites of EBV persistence. Expression of viral latent proteins was regularly observed in MS brains, whereas viral reactivation appeared restricted to ectopic B cell follicles and acute lesions. Activation of CD8+ T cells with signs of cytotoxicity toward plasma cells was also noted at sites of major accumulations of EBV-infected cells. Whether homing of EBV-infected B cells to the CNS is a primary event in MS development or the consequence of a still unknown disease-related process, we interpret these findings as evidence that EBV persistence and reactivation in the CNS play an important role in MS immunopathology

La Formazione all'inclusione degli insegnanti di sostegno con Wiki e Forum

La formazione degli studenti che si specializzano per diventare insegnanti di sostegno \ue8 finalizzata a favorire lo sviluppo di un approccio inclusivo. Nel presente studio si analizza un\u2019esperienza di tirocinio in cui ci si \ue8 avvalsi delle tecnologie Wiki e Forum per favorire un approccio collaborativo. \uc8 stata condotta un\u2019analisi categoriale sulle relazioni degli studenti per rilevare gli indici di inclusione presenti. I dati hanno evidenziato un largo utilizzo di tali parametri.Training student-teachers to become specialized support teachers for classroom inclusion entails adoption of an inclusive approach. In this light we conducted a training initiative that made use of wiki and web-forum tools as a means to promote a collaborative approach. In this study we performed a categorical analysis of students\u2019 reports on the experience, identifying inclusion indexes. The collected data reveal wide-scale use of these inclusion parameters

Psychological treatments and psychotherapies in the neurorehabilitation of pain. Evidences and recommendations from the italian consensus conference on pain in neurorehabilitation

BACKGROUND: It is increasingly recognized that treating pain is crucial for effective care within neurological rehabilitation in the setting of the neurological rehabilitation. The Italian Consensus Conference on Pain in Neurorehabilitation was constituted with the purpose identifying best practices for us in this context. Along with drug therapies and physical interventions, psychological treatments have been proven to be some of the most valuable tools that can be used within a multidisciplinary approach for fostering a reduction in pain intensity. However, there is a need to elucidate what forms of psychotherapy could be effectively matched with the specific pathologies that are typically addressed by neurorehabilitation teams. OBJECTIVES: To extensively assess the available evidence which supports the use of psychological therapies for pain reduction in neurological diseases. METHODS: A systematic review of the studies evaluating the effect of psychotherapies on pain intensity in neurological disorders was performed through an electronic search using PUBMED, EMBASE, and the Cochrane Database of Systematic Reviews. Based on the level of evidence of the included studies, recommendations were outlined separately for the different conditions. RESULTS: The literature search yielded 2352 results and the final database included 400 articles. The overall strength of the recommendations was medium/low. The different forms of psychological interventions, including Cognitive-Behavioral Therapy, cognitive or behavioral techniques, Mindfulness, hypnosis, Acceptance and Commitment Therapy (ACT), Brief Interpersonal Therapy, virtual reality interventions, various forms of biofeedback and mirror therapy were found to be effective for pain reduction in pathologies such as musculoskeletal pain, fibromyalgia, Complex Regional Pain Syndrome, Central Post-Stroke pain, Phantom Limb Pain, pain secondary to Spinal Cord Injury, multiple sclerosis and other debilitating syndromes, diabetic neuropathy, Medically Unexplained Symptoms, migraine and headache. CONCLUSIONS: Psychological interventions and psychotherapies are safe and effective treatments that can be used within an integrated approach for patients undergoing neurological rehabilitation for pain. The different interventions can be specifically selected depending on the disease being treated. A table of evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation is also provided in the final part of the pape

Kinematics and strain analyses of the eastern segment of the Pernicana Fault (Mt. Etna, Italy) derived from geodetic techniques (1997-2005)

This paper analyses the ground deformations occurring on the eastern part of the Pernicana Fault from 1997 to 2005. This segment of the fault was monitored with three local networks based on GPS and EDM techniques. More than seventy GPS and EDM surveys were carried out during the considered period, in order to achieve a higher temporal detail of ground deformation affecting the structure. We report the comparisons among GPS and EDM surveys in terms of absolute horizontal displacements of each GPS benchmark and in terms of strain parameters for each GPS and EDM network. Ground deformation measurements detected a continuous left-lateral movement of the Pernicana Fault. We conclude that, on the easternmost part of the Pernicana Fault, where it branches out into two segments, the deformation is transferred entirely SE-wards by a splay fault

Expression of clementine asp-rich proteins (CcASP-RICH) in tobacco plants interferes with the mechanism of pollen tube growth

Low-molecular-weight, aspartic-acid-rich proteins (ASP-RICH) have been assumed to be involved in the self-incompatibility process of clementine. The role of ASP-RICH is not known, but hypothetically they could sequester calcium ions (Ca2+) and affect Ca2+-dependent mechanisms. In this article, we analyzed the effects induced by clementine ASP-RICH proteins (CcASP-RICH) when expressed in the tobacco heterologous system, focusing on the male gametophyte. The aim was to gain insight into the mechanism of action of ASP-RICH in a well-known cellular system, i.e., the pollen tube. Pollen tubes of tobacco transgenic lines expressing CcASP-RICH were analyzed for Ca2+ distribution, ROS, proton gradient, as well as cytoskeleton and cell wall. CcASP-RICH modulated Ca2+ content and consequently affected cytoskeleton organization and the deposition of cell wall components. In turn, this affected the growth pattern of pollen tubes. Although the expression of CcASP-RICH did not exert a remarkable effect on the growth rate of pollen tubes, effects at the level of growth pattern suggest that the expression of ASP-RICH may exert a regulatory action on the mechanism of plant cell growth