Smoking and Pulmonary Fibrosis: Novel Insights

The relationship between smoking and pulmonary fibrosis is under debate and intense investigation. The aim of this paper is to review the existing literature and identify further areas of research interest. Recently the negative influence of cigarette smoking on IPF outcome was highlighted, as non-smokers exhibit a better survival than ex-smokers and combined current- and ex-smokers. In patients with non-specific interstitial pneumonia (NSIP), a high prevalence of emphysema was recently demonstrated, providing an indirect support for a smoking pathogenetic hypothesis in NSIP. The coexistence of pulmonary fibrosis and emphysema has been extensively described in a syndrome termed combined pulmonary fibrosis and emphysema (CPFE). Connective tissue disorders (CTDs) are a group of autoimmune diseases which affect the lung, as one of the most common and severe manifestations. However, the relationship between smoking and autoimmune disorders is still conflicting. Rheumatoid arthritis results from the interaction between genetic and environmental factors, while the best established environmental factor is tobacco smoking. Smoking has also a negative impact on the response of the RA patients to treatment. The aforementioned smoking-related implications give rise to further research questions and certainly provide one more important reason for physicians to advocate smoking cessation and smoke-free environment

Pharmacological treatment of idiopathic pulmonary fibrosis: from the past to the future

During the past decade important progress has been made regarding the pathogenesis of idiopathic pulmonary fibrosis (IPF), which is the most devastating form of idiopathic interstitial pneumonia with a median survival of 3 years. The knowledge gained has been used to design multicentre, randomised, placebo-controlled trials in order to investigate agents with different mechanisms of action. Encouraging results have led to licensing of the first IPF-specific drug, pirfenidone. However, the road to successful treatment is still long. The main aim for the future should be the careful design of clinical trials, by choosing the most clinically meaningful end-point and keeping in mind that combination of various agents may be more effective. This approach has been used in the treatment of lung cancer with which IPF presents many similarities

Fluid geochemistry investigations on the volcanic system of methana

An extensive geochemical survey on the fluids released by the volcanic/geothermal system of Methana was undertaken. Characterization of the gases was made on the basis of the chemical and isotopic (He and C) analysis of 14 samples. CO2 soil gas concentration and fluxes were measured on the whole peninsula at more than 100 sampling sites. 31 samples of thermal and cold groundwaters were also sampled and analysed to characterize the geochemistry of aquifers. Anomalies referable to the geothermal system, besides at known thermal manifesta-tions, were also recognized at some anomalous degassing soil site and in some cold groundwater. These anomalies were always spatially correlated to the main active tectonic system of the area. The total CO2 output of the volcanic system has been preliminary estimated in about 0.2 kg s-1. Although this value is low compared to other volcanic systems, anomalous CO2 degassing at Methana may pose gas hazard problems. Such volcanic risk, although restricted to limited areas, cannot be neglected and further studies have to be undertaken for its better assessmen

New records of aphid species (Hemiptera: Aphididae) in Greece

Τις τελευταίες δυο δεκαετίες έχουν δημοσιευθεί αρκετές εργασίες σχετικές με την αφιδοπανίδα της Ελλάδας. Ωστόσο, ο αριθμός των καταγεγραμμένων ειδών αφίδων είναι αρκετά μικρότερος από άλλες Ευρωπαϊκές χώρες, συμπεριλαμβανομένων αυτών στη λεκάνη της Μεσογείου. Στην παρούσα εργασία συλλέξαμε δείγματα αφίδων από διάφορους ξενιστές και περιοχές της νότιας, κεντρικής και βόρειας Ελλάδας. Συνολικά συλλέχθηκαν 128 είδη αφίδων, που ανήκουν σε 55 γένη και έξι υποοικογένειες, από 200 είδη φυτών-ξενιστών. Τα περισσότερα είδη αφίδων ανήκαν στην υποοικογένεια Aphidinae (ειδικά στις φυλές Macrosiphini και Aphidini). Δεκαοκτώ από τα συλλεχθέντα είδη είναι νέες αναφορές για την Ελλάδα. Τα αποτελέσματα της παρούσας εργασίας αυξάνουν τη γνώση μας σχετικά με την αφιδοπανίδα της Ελλάδας και δείχνουν ότι ο αριθμός των καταγεγραμμένων ειδών στην Ελλάδα μπορεί να αυξηθεί σημαντικά αν πραγματοποιηθούν επιπλέον σχετικές μελέτες. Several papers have been published on aphid fauna in Greece during the last two decades, but the number of recorded species is still low compared to other European countries, including some from the Mediterranean basin. In this context, we collected aphids from various host-plants and regions in southern, central and northern Greece characterized by diverse flora, climatic conditions and ecological habitats. In total, 128 aphid species belonging to 55 genera and six subfamilies were collected on 200 host-species. Most of the species dominated the subfamily Aphidinae (especially tribes Macrosiphini and Aphidini). Among the species collected, 18 were new records in Greece. The present work improves our knowledge regarding the aphid fauna of Greece and suggests that the number of recorded species could increase further if additional studies were undertaken

Self-eating: Friend or foe? The emerging role of autophagy in idiopathic pulmonary fibrosis

Idiopathic pulmonary fibrosis is the most common and severe form of idiopathic interstitial pneumonias. Despite an exponential increase in our understanding of potentially important mediators and mechanisms, the pathogenesis remains elusive, and little therapeutic progress has been made in the last few years. Mortality in 3-5 years is still 50%. Autophagy, a highly conserved homeostatic mechanism necessary for cell survival, has been recently implicated in the pathogenesis of pulmonary disorders. In this paper we aim to highlight some key issues regarding the process of autophagy and its possible association with the pathogenesis of idiopathic pulmonary fibrosis

Adult Onset Still’s Disease: A Case Report with a Rare Clinical Manifestation and Pathophysiological Correlations

Adult-onset Still’s disease is an inflammatory multisystemic disease of unknown etiology. Pleuritis is the most common pulmonary manifestation and pleural effusions are usually exudates with a predominance of neutrophils. We report a case of an eosinophilic pleural effusion as a novel and hitherto unrecognized manifestation of active adult-onset Still’s disease. We also observed a marked NLRP3 inflammasome activation with increased production of IL-1β which coincided with the development and resolved upon remission of the pleural effusion suggesting a possible novel pathogenetic pathway for the development of pleural effusions in the context of the auto-inflammatory disorders

Morphometric Relationship, Phylogenetic Correlation, and Character Evolution in the Species-Rich Genus Aphis (Hemiptera: Aphididae)

The species-rich genus Aphis consists of more than 500 species, many of them host-specific on a wide range of plants, yet very similar in general appearance due to convergence toward particular morphological types. Most species have been historically clustered into four main phenotypic groups (gossypii, craccivora, fabae, and spiraecola groups). To confirm the morphological hypotheses between these groups and to examine the characteristics that determine them, multivariate morphometric analyses were performed using 28 characters measured/counted from 40 species. To infer whether the morphological relationships are correlated with the genetic relationships, we compared the morphometric dataset with a phylogeny reconstructed from the combined dataset of three mtDNA and one nuclear DNA regions.Based on a comparison of morphological and molecular datasets, we confirmed morphological reduction or regression in the gossypii group unlike in related groups. Most morphological characteristics of the gossypii group were less variable than for the other groups. Due to these, the gossypii group could be morphologically well separated from the craccivora, fabae, and spiraecola groups. In addition, the correlation of the rates of evolution between morphological and DNA datasets was highly significant in their diversification.The morphological separation between the gossypii group and the other species-groups are congruent with their phylogenetic relationships. Analysis of trait evolution revealed that the morphological traits found to be significant based on the morphometric analyses were confidently correlated with the phylogeny. The dominant patterns of trait evolution resulting in increased rates of short branches and temporally later evolution are likely suitable for the modality of Aphis speciation because they have adapted species-specifically, rapidly, and more recently on many different host plants