Oxidative Stress in Cancer-Prone Genetic Diseases in Pediatric Age: The Role of Mitochondrial Dysfunction

Oxidative stress is a distinctive sign in several genetic disorders characterized by cancer predisposition, such as Ataxia-Telangiectasia, Fanconi Anemia, Down syndrome, progeroid syndromes, Beckwith-Wiedemann syndrome, and Costello syndrome. Recent literature unveiled new molecular mechanisms linking oxidative stress to the pathogenesis of these conditions, with particular regard to mitochondrial dysfunction. Since mitochondria are one of the major sites of ROS production as well as one of the major targets of their action, this dysfunction is thought to be the cause of the prooxidant status. Deeper insight of the pathogenesis of the syndromes raises the possibility to identify new possible therapeutic targets. In particular, the use of mitochondrial-targeted agents seems to be an appropriate clinical strategy in order to improve the quality of life and the life span of the patients

Anti-HLA donor-specific antibodies in allogeneic stem cell transplantation: management and desensitization protocol

The role of antibodies directed against the human leukocyte antigen (HLA) system has been well analyzed in rejection of solid organ transplantations [1, 2] and in transfusion medicine [3]. In the setting of allogeneic hematopoietic stem cells transplantation (HSCT), only in the recent years their importance has been better defined, even though anti-HLA antibodies are frequently detectable in hematologic patients, due to sensitization from multiple transfusions, usually before the introduction of online universal leukoreduction, previous transplantations, and pregnancies in female patients

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Phosphorus dynamics in a small eutrophic Italian lake.

Phosphorous dynamics within Lake Sirio (NW Italy) were investigated, considering both water and sediments. The total phosphorus (TP) concentration in the water is about 79 ug•l-1 after the winter mixing, that is in homogeneous conditions; then TP content increases up to 360 ug•l-1 in late autumn in the deep hypolimnium (30–45 m). This deep lake portion accounts for only 1/12 of the water volume. Sediment sampled at depths of 20 and 33 m contains less than 2,000 mg•kg-1 of TP, whereas cores from the deepest sediments (46 m) display TP values of 2,000–4,000 mg•kg-1 at the water-sediment interface, increasing with depth to 16,000 mg•kg-1 at about 60–100 cm. In these deep sediments the main chemical form is the Al-Fe-Mn bound P (about 90% in the high TP cores) and Fe and Mn are also highly enriched (3 and 9 times more than in the shallow sediments respectively). The P-Fe association is confirmed by SEM-EDS and XRD analyses. The vertical distribution of the P content in the water column is consistent with its release from sediments, but in this hypothesis an unrealistic P release rate from 8.1 g m-2y-1 to 3.0 g m-2y-1 was estimated. A more complex model is therefore proposed, involving a process of P concentration in the sediments of the central (deepest) part of the lake, and a short term sediment-water exchange. The TP vertical variability and speciation in the cores suggests a change in the sediment retention capacity, connected to the lake shift to more eutrophic conditions