Le mutilazioni genitali femminili. Analisi delle implicazioni culturali e commento alla “Legge Consolo”

Le ‘mutilazioni genitali femminili’ (MGF) sono tutte le pratiche che portano alla rimozione parziale o totale o ad altri danni dei genitali esterni femminili compiuti sulla base di motivazioni culturali o altre motivazioni non terapeutiche. Usualmente le MGF vengono distinte in diverse tipologie. Tipo I: Incisione o ablazione del prepuzio clitorideo. Tipo II: Asportazione o più propriamente escissione del prepuzio clitorideo e/o di tutto il clitoride, con asportazione parziale o totale delle piccole labbra. Tipo III: Escissione completa del prepuzio clitorideo, delle piccole labbra e cruentazione delle grandi labbra, che vengono fatte aderire in modo da cicatrizzarle unite, ricoprendo meato uretrale ed introito vaginale. Costituisce l'infibulazione propriamente detta, ‘l’infibulazione faraonica’. Nonostante le mutilazioni genitali femminili vengano molto spesso considerate parte di alcune religioni, in realtà esse hanno una valenza puramente culturale e sociale. Recentemente, è stata promulgata la Legge 09/01/2006 n. 7, recante “Disposizioni concernenti la prevenzione e il divieto delle pratiche di mutilazione genitale femminile”, strumento legislativo con un duplice intento: ‘formativo’ e ‘repressivo’. Vengono quindi analizzati i limiti di questa Legge, ovvero fino a che punto è possibile e soprattutto giusto reprimere, forzare o imporre? E’ nel convincimento che i nostri modelli sociali e culturali siano migliori, la chiave dell’eradicazione? O piuttosto nell’educazione e nell’aiuto? La questione è aperta per molte riflessioni

Age-related changes of monoaminooxidases in rat cerebellar cortex

Age-related changes of the monoaminoxidases, evaluated by enzymatic staining, quantitative analysis of images, biochemical assay and statistical analysis of data were studied in cerebellar cortex of young (3-month-old) and aged (26- month-old) male Sprague-Dawley rats. The enzymatic staining shows the presence of monoamino-oxidases within the molecular and granular layers as well as within the Purkinje neurons of the cerebellum of young and aged animals. In molecular layer, and in Purkinje neurons the levels of monoaminooxidases were strongly increased in old rats. The granular layer showed, on the contrary, an age-dependent loss of enzymatic staining. These morphological findings were confirmed by biochemical results. The possibility that age-related changes in monoaminooxidase levels may be due to impaired energy production mechanisms and/or represent the consequence of reduced energetic needs is discussed

RELATION BETWEEN MATERNAL THROMBOPHILIA AND STILLBIRTH ACCORDING TO CAUSES/ASSOCIATED CONDITIONS OF DEATH

OBJECTIVE: To investigate maternal thrombophilia in cases of Stillbirth (SB), also an uncertain topic because most case series were not characterised for cause/associated conditions of death. STUDY DESIGN: In a consecutive, prospective, multicentre design, maternal DNA was obtained in 171 cases of antenatal SB and 326 controls (uneventful pregnancy at term, 1:2 ratio). Diagnostic work-up of SB included obstetric history, neonatologist inspection, placenta histology, autopsy, microbiology/chromosome evaluations. Results audited in each centre were classified by two of us by using CoDAC. Cases were subdivided into explained SB where a cause of death was identified and although no defined cause was detected in the remnants, 64 cases found conditions associated with placenta-vascular disorders (including preeclampsia, growth restriction and placenta abruption - PVD). In the remnant 79 cases, no cause of death or associated condition was found. Antithrombin activity, Factor V Leiden, G20210A Prothrombin mutation (FII mutation) and acquired thrombophilia were analysed. RESULTS: Overall, the presence of a thrombophilic defect was significantly more prevalent in mothers with SBs compared to controls. In particular, SB mothers showed an increased risk of carrying Factor II mutation (OR=3.2, 95\% CI: 1.3-8.3, p=0.01), namely in unexplained cases. Such mutation was significantly associated also with previous SB (OR=8.9, 95\%CI 1.2-70.5). At multiple logistic regression, Factor II mutation was the only significantly associated variable with SB (adj OR=3.8, 95\% CI: 1.3-13.5). CONCLUSION: These data suggest that Factor II mutation is the only condition specifically associated with unexplained SB and could represents a risk of recurrence. PVD-associated condition is unrelated to thrombophilia

Prediction of preterm birth with and without preeclampsia using mid-pregnancy immune and growth-related molecular factors and maternal characteristics.

OBJECTIVE:To evaluate if mid-pregnancy immune and growth-related molecular factors predict preterm birth (PTB) with and without (±) preeclampsia. STUDY DESIGN:Included were 400 women with singleton deliveries in California in 2009-2010 (200 PTB and 200 term) divided into training and testing samples at a 2:1 ratio. Sixty-three markers were tested in 15-20 serum samples using multiplex technology. Linear discriminate analysis was used to create a discriminate function. Model performance was assessed using area under the receiver operating characteristic curve (AUC). RESULTS:Twenty-five serum biomarkers along with maternal age <34 years and poverty status identified >80% of women with PTB ± preeclampsia with best performance in women with preterm preeclampsia (AUC = 0.889, 95% confidence interval (0.822-0.959) training; 0.883 (0.804-0.963) testing). CONCLUSION:Together with maternal age and poverty status, mid-pregnancy immune and growth factors reliably identified most women who went on to have a PTB ± preeclampsia

New insights into the wheat chromosome 4D structure and virtual gene order, revealed by survey pyrosequencing

AbstractSurvey sequencing of the bread wheat (Triticum aestivum L.) genome (AABBDD) has been approached through different strategies delivering important information. However, the current wheat sequence knowledge is not complete. The aim of our study is to provide different and complementary set of data for chromosome 4D. A survey sequence was obtained by pyrosequencing of flow-sorted 4DS (7.2×) and 4DL (4.1×) arms. Single ends (SE) and long mate pairs (LMP) reads were assembled into contigs (223Mb) and scaffolds (65Mb) that were aligned to Aegilops tauschii draft genome (DD), anchoring 34Mb to chromosome 4. Scaffolds annotation rendered 822 gene models. A virtual gene order comprising 1973 wheat orthologous gene loci and 381 wheat gene models was built. This order was largely consistent with the scaffold order determined based on a published high density map from the Ae. tauschii chromosome 4, using bin-mapped 4D ESTs as a common reference. The virtual order showed a higher collinearity with homeologous 4B compared to 4A. Additionally, a virtual map was constructed and ∼5700 genes (∼2200 on 4DS and ∼3500 on 4DL) predicted. The sequence and virtual order obtained here using the 454 platform were compared with the Illumina one used by the IWGSC, giving complementary information

A review of the main genetic factors influencing the course of COVID-19 in Sardinia: the role of human leukocyte antigen-G

Introduction: A large number of risk and protective factors have been identified during the SARS-CoV-2 pandemic which may influence the outcome of COVID-19. Among these, recent studies have explored the role of HLA-G molecules and their immunomodulatory effects in COVID-19, but there are very few reports exploring the genetic basis of these manifestations. The present study aims to investigate how host genetic factors, including HLA-G gene polymorphisms and sHLA-G, can affect SARS-CoV-2 infection. Materials and Methods: We compared the immune-genetic and phenotypic characteristics between COVID-19 patients (n = 381) with varying degrees of severity of the disease and 420 healthy controls from Sardinia (Italy). Results: HLA-G locus analysis showed that the extended haplotype HLA-G*01:01:01:01/UTR-1 was more prevalent in both COVID-19 patients and controls. In particular, this extended haplotype was more common among patients with mild symptoms than those with severe symptoms [22.7% vs 15.7%, OR = 0.634 (95% CI 0.440 – 0.913); P = 0.016]. Furthermore, the most significant HLA-G 3’UTR polymorphism (rs371194629) shows that the HLA-G 3’UTR Del/Del genotype frequency decreases gradually from 27.6% in paucisymptomatic patients to 15.9% in patients with severe symptoms (X2 = 7.095, P = 0.029), reaching the lowest frequency (7.0%) in ICU patients (X2 = 11.257, P = 0.004). However, no significant differences were observed for the soluble HLA-G levels in patients and controls. Finally, we showed that SARS-CoV-2 infection in the Sardinian population is also influenced by other genetic factors such as β-thalassemia trait (rs11549407C>T in the HBB gene), KIR2DS2/HLA-C C1+ group combination and the HLA-B*58:01, C*07:01, DRB1*03:01 haplotype which exert a protective effect [P = 0.005, P = 0.001 and P = 0.026 respectively]. Conversely, the Neanderthal LZTFL1 gene variant (rs35044562A>G) shows a detrimental consequence on the disease course [P = 0.001]. However, by using a logistic regression model, HLA-G 3’UTR Del/Del genotype was independent from the other significant variables [ORM = 0.4 (95% CI 0.2 – 0.7), PM = 6.5 x 10-4]. Conclusion: Our results reveal novel genetic variants which could potentially serve as biomarkers for disease prognosis and treatment, highlighting the importance of considering genetic factors in the management of COVID-19 patients

Determinantes genéticos de la calidad panadera de los trigos argentinos

Las gluteninas de alto (HMW-GS) y bajo (LMW-GS) peso molecular son las proteínas de reserva más importantes en la determinación de la calidad panadera del trigo y su caracterización es indispensable para una eficiente manipulación de la calidad durante el mejoramiento. En este trabajo se determinó la composición de HMW-GS mediante SDS-PAGE y marcadores moleculares en 112 cultivares argentinos y se calculó el índice de calidad GLU-1. Se encontró una alta frecuencia de los alelos con índice máximo en las HMW-GS de los loci GÍU-A1 (96%), Glu-Bl (72%), y GIu-D1 (88%) lo que determinó que el 63 % de los cultivares estudiados presenten una composición óptima de HMW-GS (GLU-1 = 10). La correlación positiva entre el índice GLU1 y la calidad panadera en tres subconjuntos de cultivares argentinos confirmaron el valor predictivo de este índice.Trabajo galardonado con el Premio "Molinos Brunning", versión 1996.Academia Nacional de Agronomía y Veterinaria (ANAV

Characterization of the maintained vegetative phase deletions from diploid wheat and their effect on VRN2 and FT transcript levels

Allelic differences at the VRN1 (AP1/CAL/FRU), VRN2 (ZCCT) and VRN3 (FT) vernalization genes affect flowering time in wheat. The two maintained vegetative phase (mvp) mutants from Triticummonococcum L., previously reported as carrying a single gene (VRN1) deletion, are incapable of flowering. In this study, we show that both mvp lines have larger deletions that include the genes AGLG1, CYS, PHYC, VRN1 and possibly others. The original mvp deletions were generated in lines that lack the VRN2 gene. Therefore, to study the effect of the mvp deletions on the regulation of VRN2 we generated populations segregating for both genes simultaneously. The two mvp deletions co-segregated with the non-flowering phenotype, but surprisingly, the lines homozygous for the mvp mutations showed reduced transcript levels of both VRN2 and FT relative to the wild type. The VRN1 deletion is an unlikely cause of the down-regulation of VRN2 since VRN2 transcript levels are higher in the fall, before VRN1 is expressed, and are down-regulated by VRN1. Since both VRN2 and FT are regulated by light and photoperiod, their down-regulation in the mvp mutants might be related to the deletion of the PHYC photoreceptor. However, alternative hypotheses including combinations of other genes deleted in the mvp mutants cannot be ruled out. Until the specific gene(s) responsible for the down-regulation of VRN2 and FT and the non-flowering phenotype are precisely identified, it is premature to use these results to postulate alternative flowering models

The double-sided of human leukocyte antigen-G molecules in type 1 autoimmune hepatitis

The immunomodulatory effects of HLA-G expression and its role in cancers, human liver infections and liver transplantation are well documented, but so far, there are only a few reports addressing autoimmune liver diseases, particularly autoimmune hepatitis (AIH). Method and materialsWe analyzed the genetic and phenotypic characteristics of HLA-G in 205 type 1 AIH patients (AIH-1) and a population of 210 healthy controls from Sardinia (Italy). ResultsAnalysis of the HLA-G locus showed no substantial differences in allele frequencies between patients and the healthy control population. The HLA-G UTR-1 haplotype was the most prevalent in both AIH-1 patients and controls (40.24% and 34.29%). Strong linkage was found between the HLA-G UTR-1 haplotype and HLA-DRB1*03:01 in AIH-1 patients but not controls (D' = 0.92 vs D' = 0.50 respectively; P = 1.3x10(-8)). Soluble HLA-G (sHLA-G) levels were significantly lower in AIH-1 patients compared to controls [13.9 (11.6 - 17.4) U/mL vs 21.3 (16.5 - 27.8) U/mL; P = 0.011]. Twenty-four patients with mild or moderate inflammatory involvement, as assessed from liver biopsy, showed much higher sHLA-G levels compared to the 28 patients with severe liver inflammation [33.5 (23.6 - 44.8) U/mL vs 8.8 (6.1 - 14.5) U/mL; P = 0.003]. Finally, immunohistochemistry analysis of 52 liver biopsies from AIH-1 patients did not show expression of HLA-G molecules in the liver parenchyma. However, a percentage of 69.2% (36/52) revealed widespread expression of HLA-G both in the cytoplasm and the membrane of plasma cells labeled with anti-HLA-G monoclonal antibodies. ConclusionThis study highlights the positive immunomodulatory effect of HLA-G molecules on the clinical course of AIH-1 and how this improvement closely correlates with plasma levels of sHLA-G. However, our results open the debate on the ambiguous role of HLA-G molecules expressed by plasma cells, which are pathognomonic features of AIH-1