10 research outputs found

    Differential protein folding and chemical changes in lung tissues exposed to asbestos or particulates

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    Environmental and occupational inhalants may induce a large number of pulmonary diseases, with asbestos exposure being the most risky. The mechanisms are clearly related to chemical composition and physical and surface properties of materials. A combination of X-ray fluorescence (\u3bcXRF) and Fourier Transform InfraRed (\u3bcFTIR) microscopy was used to chemically characterize and compare asbestos bodies versus environmental particulates (anthracosis) in lung tissues from asbestos exposed and control patients. \u3bcXRF analyses revealed heterogeneously aggregated particles in the anthracotic structures, containing mainly Si, K, Al and Fe. Both asbestos and particulates alter lung iron homeostasis, with a more marked effect in asbestos exposure. \u3bcFTIR analyses revealed abundant proteins on asbestos bodies but not on anthracotic particles. Most importantly, the analyses demonstrated that the asbestos coating proteins contain high levels of \u3b2-sheet structures. The occurrence of conformational changes in the proteic component of the asbestos coating provides new insights into long-term asbestos effects

    Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

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    Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

    Electrode\u2013Electrolyte Compatibility in Solid-Oxide Fuel Cells: Investigation of the LSM\u2013LNC Interface with X-ray Microspectroscopy

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    Ca:LaNbO4 (LNC) constitutes the last real breakthrough in high-temperature proton conductors, with better chemical and mechanical stability with respect to cerate and zirconate perovskites. However, the low amount of bivalent dopant that can be hosted in the LaNbO4 matrix poses a limit to the proton concentration in the electrolyte. Using synchrotron X-ray microspectroscopy, we investigated the compatibility of annealed LNC/LSM electrolyte/cathode bilayers for proton-conducting SOFCs. The element maps are complemented by microEXAFS and microXANES, giving information on the fate of different cations after diffusion. The X-ray microspectroscopy approach described here is applied for the first time to the study of materials for energy, and it is proposed as a useful structural tool, complementary to electrochemical characterization, for the investigation of the compatibility between materials for SOFCs. We demonstrate that an impressive calcium drift towards the LSM cathode takes place: the dopant is depleted throughout a region of LNC several micrometers wide, causing a decrease of charge carriers in the electrolyte and eventually impairing its conductivity. This poses a significant challenge for evaluating electrolyte/electrode couples in proton-conducting SOFCs based on LNC

    The interaction of asbestos and iron in lung tissue revealed by synchrotron-based scanning X-ray microscopy.

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    Asbestos is a potent carcinogen associated with malignant mesothelioma and lung cancer but its carcinogenic mechanisms are still poorly understood. Asbestos toxicity is ascribed to its particular physico-chemical characteristics, and one of them is the presence of and ability to adsorb iron, which may cause an alteration of iron homeostasis in the tissue. This observational study reports a combination of advanced synchrotron-based X-ray imaging and micro-spectroscopic methods that provide correlative morphological and chemical information for shedding light on iron mobilization features during asbestos permanence in lung tissue. The results show that the processes responsible for the unusual distribution of iron at different stages of interaction with the fibres also involve calcium, phosphorus and magnesium. It has been confirmed that the dominant iron form present in asbestos bodies is ferritin, while the concurrent presence of haematite suggests alteration of iron chemistry during asbestos body permanence

    Analytical requirements for quantitative X-ray fluorescence nano-imaging of metal traces in solid samples

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    Quantitative nano-imaging of metal traces in a solid is a recent capability arising from the construction of hard X-ray nanoprobes dedicated to X-ray Fluorescence (XRF) imaging on upgraded third generation synchrotrons. Micrometer sample preparation valid for trace analysis is a fundamental part of the required developments to capitalize on the reduced Minimum Detection Limits. Practical guidelines lead us to propose a customized use of Focused Ion Beams (FIB) backed by state of the art Monte Carlo XRF modeling to initiate preparations of new samples and certified standards. The usefulness of these developments is illustrated by the first detection of Ni traces (4.57E+07 \ub1 3.2E+06 (7.1 %) at.\ub5m-3) in a 3.35 Ga old microstructure of putative microbial origin from Barberton (South Africa). A list of feasibility checks provides a way of getting below 5 ppm MDLs for acquisition-times of 10 seconds with an analytical precision better than 10 %

    Morphological and chemical information in fresh and vitrified ovarian tissues revealed by X-ray Microscopy and Fluorescence: Observational study

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    Many clinical circumstances impose the necessity of collection and prolonged storage of gametes and/or ovarian tissue in order to preserve the reproduction potential of subjects. This is particularly appropriate in the case of young women and pre-pubertal girls undergoing chemotherapeutic treatments. The success of later assisted fertilization will depend on the suitable cooling protocols minimizing cryo-damages and preserving their biological function. The freeze-thaw processes of cryopreservation may induce, in fact, morphological and structural damages of oocytes and tissue mainly due to the formation of intracellular ice and to the toxicity of cryoprotectant. The most used cryo-protocol is the slow freezing procedure, but recently many authors have proposed vitrification as an alternative, because of its simplicity. The damage extent and the quality of follicles after cryopreservation are usually evaluated morphologically by conventional histological procedures, light and electron microscopy. Our laboratory, to further improve the evaluation and to better investigate damages, is adopting a combination of Synchrotron soft X-ray Microscopy (at TwinMic \u2013 Elettra) and XRF at different incident energies (at TwinMic \u2013 Elettra and ID21 \u2013 ESRF). X-ray techniques were performed on histological sections at micro and sub-micron resolution. Phase contrast and absorption images revealed changes in the compactness of the tissues, as well as cellular abnormalities revealed at sub-micrometric resolution. The distributions of the elements detected at 7.3 and 1.5 keV were compared and particularly Cl resulted to be indicative of follicle integrity. The results demonstrate the utility and the potential of X-ray microscopy and fluorescence in this research field

    HR-TEM characterization of Ca-carbonate nanophases in a 3.334 Ga-old microbial mat from the Barberton greenstone belt, South Africa

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    Microorganisms indirectly precipitate many minerals, including a variety of carbonates. Carbonate mineralisation within microbial mats is one of the key signatures of photosynthetic microbial mats and is related to a number of microbial metabolisms, principally heterotrophic sulphur reducing bacterial degradation of the carbonaceous remains of photosynthetic organisms. Microbial mats have been described in Early Archaean sediments from the Barberton greenstone belt in South Africa and the Pilbara of Australia. It has been hypothesised that the microbial mats were photosynthetic on the basis of their morphology, shallow-water environment of formation, and fractionated carbon isotope signature. Unfortunately, the C isotope signature for photosynthesis overlaps with that produced by the abiogenic Fischer Tropsch synthesis. With respect to stromatolites, a priori, the identification of a structure as stromatolitic implies that it was formed by photosynthetic microorganisms. However, the biogenicity of the Early Archaean stromatolites is still controversial. We have identified two carbonate phases in a silicified 3.33 Ga-old microbial mat from Barberton. The 5-10 \ub5m thick filamentous mat formed in a littoral environment. It shows a distinct lamination. Much of the lower part of the mat has been calcified, the alveolar degraded organic matter acting as a template for the growth of nanocrystals of carbonate. HR-TEM analysis of the nanoparticles indicates that two Ca-carbonate phases are present, calcite and aragonite with crystalline and non-crystalline diffraction. Synchrotron mapping documents additional metals associated with the carbonate phase, Fe and Cr, while Mg has been detected by EDX. This is the oldest known occurrence of aragonite. Both aragonite and calcite can be microbially precipitated in a calcifying mat but is also possible that some conversion of aragonite to calcite has taken place. NanoSIMS elemental mapping demonstrates that the mat has been thoroughly permeated by silica of hydrothermal origin that killed and \u201cfixed\u201d the living mat. It is the silica matrix that preserved the aragonite from conversion to calcite. Thus, the unequivocal evidence for calcification in a filamentous microbial mat formed in a littoral environment is also unequivocal evidence of photosynthesis
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