Searching for novel carbonic anhydrase inhibitors: from virtual screening to the lab bench

Carbonic Anhydrases (CAs) are zinc metalloenzymes that catalyze the reversible hydration of carbon dioxide to bicarbonate both in prokaryotes and eukaryotes. In this context, Computer Aided Drug Design strategies have emerged as powerful tools in the modern drug discovery paradigm. In particular, using ligand- and pharmacophore-based virtual screening approaches, we identified novel chemical entities with original chemotypes, that showed an interesting and selective inhibitory activity in nanomolar/low micromolar range toward CA I and CAII, isoforms. Herein, we present the hit-to-lead optimization process for these prototypes

Treatment of a double-giant Rhinophyma with electrocautery and Versajet hydrosurgery system

Rhinophyma is a disfiguring condition etiologically related to rosacea and due to hypertrophy of the sebaceous glands of the nose. It leads to a progressive thickening of the skin up to the development, in some cases, of severe deformities that result in significant functional deficits and serious cosmetic damage. We report a case of giant rhinophyma consisting of 2 large masses that interfered with feeding and respiration of the patient, and we describe the surgical treatment by resection with electrosurgery and razor-thin saline jet (Versajet Hydrosurgery System). This combined approach is simple and effective for the treatment of severe cases of rhinophyma

Valutazione clinico/morfologica di Amukine Med® e Braunol®, su CVC in spisilicone

La gestione infermieristica riveste un ruolo importante per la sopravvivenza dell'accesso vascolare per emodialisi, soprattutto quando per la sua realizzazione sono stati utilizzati materiali protesici etcrologhi. Scopo di questo studio è di valutare in vitro e in vivo gli eventuali effetti collaterali e l'efficacia di due disinfettanti tra i più comunemente usati (ipoclorito di sodio allo 0,057 Amukine Med® e iodopovidone al 10% Braunol®,) per le medicazioni dei cateteri venosi centrali. Lo studio è stato effettuato da gennaio 2003 a gennaio 2004. In tale periodo abbiamo valutato in vitro mediante esame morfologico gli effetti sui cateteri incubati a breve e lungo termine nei 2 disinfettanti e in vivo l'incidenza di reazioni cutanee locali e la positività dell'esame colturale del tampone cutaneo, in 17 malati uremici con "Tesio cat®" Medcomp (spisilicone) come accesso vascolare per emodialisi. Non si sono notate differenze morfologiche significative nello studio in vitro tra i campioni trattati con i due disinfettanti. Il contatto prolungato dello spisilicone con Amukine Med e Braunol anche in ambiente libero non ha determinato alterazioni morfologiche della parete all'esame macro e microscopico. Nello studio in vivo, condotto su due gruppi composti da 10 pazienti nel gruppo Amukine Med e 7 pazienti in quello con Braunol, sono state effettuate 1088 medicazioni (640 con Amukine Med pari al 58,8% medicazioni totali e 448 con Braunol pari al 41,2% medicazioni totali) pari al 40,5% delle sedute dialitiche con ambo le tecniche di disinfezione. Dagli esami colturali (271 tamponi) in 71 casi è stata riportata crescita batterica; 68 Staphilococcus Epidermidis; 2 Escherichia Coli (gruppo Amuchina Med) 1 Pseudomonas Aeruginosa (gruppo Braunol). Negli ultimi 3 casi (1/68 mesi d'esposizione) era presente sepsi locale. Non si sono rilevate differenze nell'incidenza di infezioni locali o di effetti collaterali indotti dai due disinfettanti

Porcine model for deep superior epigastric artery perforator flap harvesting: Anatomy and technique

BACKGROUND Microsurgical training on rats before starting with clinical practice is a well-established routine. Animal model training is less widespread for perforator flaps, although these flaps represent a technical challenge. Unlike other flaps, they require specific technical skills that need to be adequately trained on a living model 1 : a cadaver is not enough because no bleeding, vessel damage, or vasospasm can be simulated. 2 The purpose of this study was to assess the suitability of the porcine abdomen as a training model for the deep inferior epigastric artery perforator (DIEAP) flap, commonly used in human breast reconstruction. METHODS A female swine (Sus scrofa domesticus, ssp; weight 25kg) was used. The procedure was performed with the pig under general anesthesia and in the supine position. A deep superior epigastric artery perforator (DSEAP) flap was harvested on the left side of the abdomen, including the 3 cranial nipples and stopping in the midline to spare the contralateral flap for another dissection (as in bilateral breast reconstructions in humans; Fig. 1). All steps of a DIEAP harvest were simulated: superficial vein harvest, suprafascial perforator dissection, intramuscular perforator harvest with preservation of the nerves, and flap isolation. Observation of capillary refill was used to confirm flap viability at the end of the dissection. The procedure was recorded by means of a GoPro camera and simultaneously with a head mounted (4 7 magnification) Loupecam system. Photographs were taken using 2 cameras during surgery at relevant time points. RESULTS At the end of the dissection, the flap was viable. The subcutaneous adipose tissue of the pig is less represented than in human and pigs have an additional muscular layer, the panniculus carnosus, which is the analogue of the human Scarpa's fascia. The rectus fascia is thinner. The perforators are lined in 2 rows: 1 lateral and 1 medial, as in the DIEAP, and the intercostal nerves cross the vessels, as happens in humans. The porcine rectus abdominis muscle is thinner than the human one, but vessels' branching faithfully reproduces the human model. 1 We identified 5 perforating vessels of more than 1mm in diameter (2 lateral and 3 medial). We isolated a lateral perforator first and a medial one last: the latter was eventually used to nourish the flap (Fig. 2). CONCLUSIONS The DSEAP flap allows one to closely reproduce all the steps of DIEAP flap harvesting and also to carry out the intramuscular dissection of 2 perforators for each side (up to 4 for each animal), confirming the adequacy of this pig model for microsurgical training. The deep superior epigastric artery is dominant in pigs. 3 Despite this anatomical difference, the DSEAP allows one to reproduce the main steps of DIEAP flap harvesting, providing an excellent training model. Moreover, the presence of double perforating rows allows simulating the dissection twice on each side

Porcine model for gluteal artery perforator flap: Anatomy and technique

Although flap anatomy is well studied on cadavers and microsurgical techniques are well practiced on rats, still there are few training models for learning the techniques of perforator flap harvesting. The cadaver has no bloodstream, so accuracy of dissection cannot be evaluated and flap viability cannot be verified. Training on humans carries a high risk of flap damage. A living model for perforator flap harvest is needed to learn the technique before starting with its clinical application

Proteomic dataset of Paracentrotus lividus gonads of different sexes and at different maturation stages

We report the proteomic dataset of gonads from wild Paracentrotus lividus related to the research article entitled "Proteomic changes occurring along gonad maturation in the edible sea urchin Paracentrotus lividus" [1]. Gonads of three individuals per sex in the recovery, pre-mature, mature, and spent stages were analyzed using a shotgun proteomics approach based on filter-aided sample preparation followed by tandem mass spectrometry, protein identification carried out using Sequest-HT as the search engine within the Proteome Discoverer informatics platform, and label-free differential analysis. The dataset has been deposited in the ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier PRIDE: PXD004200

Pedicled flaps for anterior chest wall reconstruction

Pedicled local or regional flaps are the main reconstructive tool for chest wall defects. Muscle or musculocutaneous flaps are most commonly used, with the latissimus dorsi and the pectoralis major being the workhorse flaps. However, perforator flaps have recently affirmed even for reconstruction of complex defects. A thorough knowledge of the vascular anatomy of the thorax and of the patient’s medical history is essential for selecting the best reconstructive option. The defect location, size, and depth as well as previous surgeries in the same area are the main issues affecting the reconstructive choices

Characterization of size and composition of milk fat globules from Sarda and Saanen dairy goats

The small size of goat milk fat globules (MFGs) is one of the factors contributing to the higher digestibility of goat milk compared to other milks. In this study, size, protein composition and lipid distribution of MFGs were evaluated comparatively in a popular dairy breed, Saanen, and in a minor breed, Sarda. MFGs were found to be significantly smaller in Sarda compared to Saanen goats, with average diameters of 2.73 \ub1 0.15 \u3bcm and 3.63 \ub1 0.27 \u3bcm, respectively. Raman spectroscopy revealed differences in the lipid profiles of differently sized MFGs within each breed, with MFGs of the same size class having comparable profiles between breeds. Proteomic characterization by SDS-PAGE followed by tandem mass spectrometry (GeLC-MS/MS) and label-free differential quantification highlighted significant differences in expression levels of MFG proteins from the two breeds, with a higher abundance of cytoplasmic proteins in Sarda MFGs and of membrane proteins in Saanen MFGs. Moreover, differences in the relative abundance of several major MFG proteins were observed for the two breeds. In conclusion, this study demonstrates the existence of breed-dependent differences in the lipid and protein makeup of goat MFGs, likely related to their different size distribution. This highlights once again the importance of investigating biodiversity in autochthonous and neglected breeds, which often possess valuable attributes that might be lost as a consequence of the widespread diffusion of highly productive, but more homogeneous, dairy breeds