The Role of DNA Degradation in the Estimation of Post-Mortem Interval: A Systematic Review of the Current Literature

The determination of the post-mortal interval (PMI) is an extremely discussed topic in the literature and of deep forensic interest, for which various types of methods have been proposed. The aim of the manuscript is to provide a review of the studies on the post-mortem DNA degradation used for estimating PMI. This review has been performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the PRISMA Guidelines. Several analytical techniques have been proposed to analyse the post-mortem DNA degradation in order to use it to estimate the PMI. Studies focused mainly on animal models and on particular tissues. The results have been mixed: while on the one hand literature data in this field have confirmed that in the post-mortem several degradation processes involve nucleic acids, on the other hand some fundamental aspects are still little explored: the influence of ante and post-mortem factors on DNA degradation, the feasibility and applicability of a multiparametric mathematical model that takes into account DNA degradation and the definition of one or more target organs in order to standardize the results on human cases under standard conditions

The acetyltransferase p300 is recruited in trans to multiple enhancer sites by lncSmad7

The histone acetyltransferase p300 (also known as KAT3B) is a general transcriptional coactivator that introduces the H3K27ac mark on enhancers triggering their activation and gene transcription. Genome-wide screenings demonstrated that a large fraction of long non-coding RNAs (lncRNAs) plays a role in cellular processes and organ development although the underlying molecular mechanisms remain largely unclear (1,2). We found 122 lncRNAs that interacts directly with p300. In depth analysis of one of these, lncSmad7, is required to maintain ESC self-renewal and it interacts to the C-terminal domain of p300. lncSmad7 also contains predicted RNA-DNA Hoogsteen forming base pairing. Combined Chromatin Isolation by RNA precipitation followed by sequencing (ChIRP-seq) together with CRISPR/Cas9 mutagenesis of the target sites demonstrate that lncSmad7 binds and recruits p300 to enhancers in trans, to trigger enhancer acetylation and transcriptional activation of its target genes. Thus, these results unveil a new mechanism by which p300 is recruited to the genome

Quercetin derivatives as novel antihypertensive agents: Synthesis and physiological characterization

The antihypertensive flavonol quercetin (Q1) is endowedwith a cardioprotective effect againstmyocardial ischemic damage. Q1 inhibits angiotensin converting enzymeactivity, improves vascular relaxation, and decreases oxidative stress and gene expression. However, the clinical application of this flavonol is limited by its poor bioavailability and low stability in aqueous medium. In the aimto overcome these drawbacks and preserve the cardioprotective effects of quercetin, the present study reports on the preparation of five different Q1 analogs, in which all OH groups were replaced by hydrophobic functional moieties. Q1 derivatives have been synthesized by optimizing previously reported procedures and analyzed by spectroscopic analysis. The cardiovascular properties of the obtained compounds were also investigated in order to evaluate whether chemical modification affects their biological efficacy. The interaction with β-adrenergic receptors was evaluated by molecular docking and the cardiovascular efficacy was investigated on the ex vivo Langendorff perfused rat heart. Furthermore, the bioavailability and the antihypertensive properties of the most active derivative were evaluated by in vitro studies and in vivo administration (1month) on spontaneously hypertensive rats (SHRs), respectively. Among all studied Q1 derivatives, only the ethyl derivative reduced left ventricular pressure (at 10−8M÷10−6Mdoses) and improved relaxation and coronary dilation. NOSs inhibition by L-NAME abolished inotropism, lusitropism and coronary effects. Chronic administration of high doses of this compound on SHR reduced systolic and diastolic pressure. Differently, the acetyl derivative induced negative inotropism and lusitropism (at 10−10M and 10−8 ÷ 10−6 M doses), without affecting coronary pressure. Accordingly, docking studies suggested that these compounds bind both β1/β2-adrenergic receptors. Taking into consideration all the obtained results, the replacement of OHwith ethyl groups seems to improve Q1 bioavailability and stability; therefore, the ethyl derivative could represent a good candidate for clinical use in hypertension

Multiple-Strain Infections of Human Cytomegalovirus with High Genomic Diversity are Common In Breast Milk from HIV-Positive Women in Zambia

Background In developed countries, human cytomegalovirus (HCMV) is a major pathogen in congenitally infected and immunocompromised individuals, where multiple-strain infection appears linked to disease severity. The situation is less documented in developing countries. In Zambia, breast milk is a key route for transmitting HCMV and carries higher viral loads in human immunodeficiency virus (HIV)–infected women. We investigated HCMV strain diversity. Methods High-throughput sequence datasets were generated from 28 HCMV-positive breast milk samples donated by 22 mothers (15 HIV-infected and 7 HIV-negative) at 4–16 weeks postpartum, then analyzed by genome assembly and novel motif-based genotyping in 12 hypervariable HCMV genes. Results Among the 20 samples from 14 donors (13 HIV-infected and one HIV-negative) who yielded data meeting quality thresholds, 89 of the possible 109 genotypes were detected, and multiple-strain infections involving up to 5 strains per person were apparent in 9 HIV-infected women. Strain diversity was extensive among individuals but conserved compartmentally and longitudinally within them. Genotypic linkage was maintained within hypervariable UL73/UL74 and RL12/RL13/UL1 loci for virus entry and immunomodulation, but not between genes more distant from each other. Conclusions Breast milk from HIV-infected women contains multiple HCMV strains of high genotypic complexity and thus constitutes a major source for transmitting viral diversity

Acute Delta Hepatitis in Italy spanning three decades (1991–2019): Evidence for the effectiveness of the hepatitis B vaccination campaign

Updated incidence data of acute Delta virus hepatitis (HDV) are lacking worldwide. Our aim was to evaluate incidence of and risk factors for acute HDV in Italy after the introduction of the compulsory vaccination against hepatitis B virus (HBV) in 1991. Data were obtained from the National Surveillance System of acute viral hepatitis (SEIEVA). Independent predictors of HDV were assessed by logistic-regression analysis. The incidence of acute HDV per 1-million population declined from 3.2 cases in 1987 to 0.04 in 2019, parallel to that of acute HBV per 100,000 from 10.0 to 0.39 cases during the same period. The median age of cases increased from 27 years in the decade 1991-1999 to 44 years in the decade 2010-2019 (p < .001). Over the same period, the male/female ratio decreased from 3.8 to 2.1, the proportion of coinfections increased from 55% to 75% (p = .003) and that of HBsAg positive acute hepatitis tested for by IgM anti-HDV linearly decreased from 50.1% to 34.1% (p < .001). People born abroad accounted for 24.6% of cases in 2004-2010 and 32.1% in 2011-2019. In the period 2010-2019, risky sexual behaviour (O.R. 4.2; 95%CI: 1.4-12.8) was the sole independent predictor of acute HDV; conversely intravenous drug use was no longer associated (O.R. 1.25; 95%CI: 0.15-10.22) with this. In conclusion, HBV vaccination was an effective measure to control acute HDV. Intravenous drug use is no longer an efficient mode of HDV spread. Testing for IgM-anti HDV is a grey area requiring alert. Acute HDV in foreigners should be monitored in the years to come

Recent Changes in Drug Abuse Scenario The Novel Psychoactive Substances (NPS) Phenomenon

Over the last decade, the emergence of a vast range of new/novel/emerging psychoactive substances (NPS) has progressively changed drug market scenarios, which have shifted from the ‘street’ to a ‘virtual’/online environment. Several definitions of NPS are in use, with the term ‘new’ not necessarily referring to new inventions but to substances that have recently been made available, possibly including failed pharmaceuticals or old patents which have been ‘rediscovered’ as ‘recreational’ molecules. Conversely, the term ‘novel’ can refer to something newly created, an old drug that has come back into fashion, or a known NPS molecule being used in an innovative or unusual way and hence presenting a ‘novelty’ appeal (Corkery et al., 2018) [1]. Though misleading, the terms ‘legal highs’ and ‘research chemicals’ have been used alternately to describe these molecules. NPS includes synthetic cannabinoids, cathinone derivatives, psychedelic phenethylamines, novel stimulants, synthetic opioids, tryptamine derivatives, phencyclidine-like dissociatives, piperazines, GABA-A/B receptor agonists, a range of prescribed medications, psychoactive plants/herbs, and a large series of image- and performance-enhancing drugs (IPED) (Schifano et al., 2015) [2]. Overall, users are typically attracted to NPS because of curiosity and the diffusion of social media users’ experiences, easy availability or affordability from online drug shops, legality, intense psychoactive effects, and the likely lack of detection in routine drug screenings (Schifano et al., 2015) [2]. Between 2004 and 2017, some 700–800 examples of NPS were reported by related European and international drug agencies (UNODC, 2018 [3]; EMCDDA, 2018 [4]), with most molecules identified being synthetic cannabinoids, synthetic cathinones, phenethylamine derivatives, and synthetic opioids. However, it could be argued that the NPS scenario is much larger than that outlined by those molecules which have been seized or formally identified by EU and international agencies. Since the online NPS scenario typically predicts the real life NPS scenario (Schifano et al., 2015) [2], identifying what is being discussed online by web-based NPS enthusiasts, or ‘e-psychonauts’ (Orsolini et al., 2015) [5], may well be of interest. With this in mind, a crawling/navigating software (i.e., the ‘NPS.Finder®’) was recently designed by our group. In November 2017, it started to automatically scan, on a 24/7 basis, a vast range of psychonaut web forums for NPS. After a year of operation, it has been possible to estimate that the online/psychonaut web forum NPS scene may include some 4000 different molecules. The most popular examples of NPS mentioned in psychonaut forums have included synthetic cannabimimetics, synthetic opioids, phenethylamines, designer benzodiazepines, and prescribed drugs. NPS use, especially for synthetic cannabinoids and novel psychedelics, has been associated with a range of untoward medical consequences, including vomiting, seizures, cardiovascular complications, and kidney failure (Schifano et al., 2017) [6]. By contrast, the main focus of this special issue is on the major psychopathological consequences of NPS use. Indeed, due to their complex pharmacodynamics, there are increasing levels of concern about the onset of acute or chronic psychopathological issues associated with NPS intake. Brain Sci. 2018, 8, 221; doi:10.3390/brainsci8120221 1 www.mdpi.com/journal/brainsci Brain Sci. 2018, 8, 221 The occurrence of psychosis has been related to: (a) increased central dopamine levels, typically seen with novel psychedelic phenethylamines, novel stimulants and synthetic cathinones; (b) significant cannabinoid CB1 receptor activation, which is associated with high potency synthetic cannabimimetics; (c) 5-HT2A receptor activation, seen with latest generation phenethylamines, tryptamine derivatives and hallucinogenic plants; (d) antagonist activity at n-methyl-D-aspartate/NMDA receptors, observed with ketamine, methoxetamine/MXE, and their latest derivatives; and (e) k-opioid receptor activation, which is typically associated with both Salvia divinorum and Mitragyna speciosa/‘Kratom’ intake. By considering the above, this special issue of Brain Sciences aims to provide an overview of a range of NPS-related issues. More precisely, Sahai et al. [7] present original preclinical data relating in silico and in vitro assessment of the psychoactive properties of a few dissociative diarylethylamines. Miolo et al. [8] focus on specific analytical chemistry issues relating to amphetamine-type stimulants and ketamine, while Parrott [9] argues that there are similarities between well-known recreational drugs and NPS in terms of mood fluctuations/psychobiological instability issues. Conversely, Cohen andWeinstein [10] present original cognitive psychopharmacology data relating to the use of organic and synthetic cannabinoids. From a clinical point of view, Bonaccorso et al. [11] introduce a case series of synthetic cannabinoid users presenting to acute psychiatric services with psychosis; Frisoni et al. [12] comment on the medical consequences of novel opioid intake; Martinotti et al. [13] provide a thorough overview of hallucinogen-persisting perceptual disorder, a clear issue of interest for NPS users; Schifano et al. [14] reflect on the misuse and abuse of prescribed medicines (e.g., benzodiazepine derivatives, methylphenidate look-alikes, and fentanyl analogues) in the NPS context; and Gittins et al. [15] provide empirical data relating NPS use by clients seeking treatment in the UK. BothWadsworth et al. [16] and Miliano et al. [17] comment extensively on the role of the open/deep web in shaping and promoting changes in NPS scenarios. Finally, both Metastasio et al. [18] and Catalani et al. [19] offer original data which sheds further light on the expanding phenomenon of IPED misuse/abuse. In conjunction with constant changes in basic structures from which emerging molecules can be derived, designed, and synthesized, the NPS market will continue to expand. This will pose a challenge, since NPS-related toxidromes are, per se, complex and unpredictable, and clinicians need to aim to be better educated in recognizing NPS-related toxicity issues. Drug control policies should be improved worldwide, and the list of examples of NPS should be constantly updated as improvements in analytical chemistry detection methods occur. Given the implications of NPS for mental health, psychiatric services should adapt to new drug scenarios while drafting new treatment strategies. Conflicts of Interest: The author declares no conflict of interest. References 1. ReadCorkery, J.M.; Orsolini, L.; Papanti, D.; Schifano, F. Novel psychoactive substances (NPS) and recent scenarios: Epidemiological, anthropological and clinical pharmacological issues. In Light in Forensic Science: Issues and Applications; Miolo, G., Stair, J.L., Zloh, M., Eds.; Royal Society of Chemistry: London, UK, 18 April 2018; Chapter 8, pp. 207–256. 2. Schifano, F.; Orsolini, L.; Duccio Papanti, G.; Corkery, J.M. Novel psychoactive substances of interest for psychiatry. World Psychiatry 2015, 14, 15–26. [CrossRef] [PubMed] 3. United Nations Office on Drugs and Crime (UNODC). World Drug Report 2018, Volume 3—Analysis of Drug Markets: Opiates, Cocaine, Cannabis, Synthetic Drugs; United Nations Office on Drugs and Crime: Vienna, Austria, 2018; Available online: https://www.unodc.org/wdr2018/ (accessed on 23 November 2018). 4. European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). EMCDDA–Europol 2017 Annual Report on the Implementation of Council Decision 2005/387/JHA; Publications Office of the European Union: Luxembourg, 2018; Available online: http://www.emcdda.europa.eu/system/files/publications/9282/ 20183924_TDAN18001ENN_PDF.pdf (accessed on 23 November 2018). 5. Orsolini, L.; Papanti, G.D.; Francesconi, G.; Schifano, F. Mind navigators of chemicals’ experimenters? A web-based description of e-psychonauts. Cyberpsychol. Behav. Soc. Netw. 2015, 18, 296–300. [CrossRef] [PubMed] 2 Brain Sci. 2018, 8, 221 6. Schifano, F.; Orsolini, L.; Papanti, D.; Corkery, J. NPS: Medical Consequences Associated with Their Intake. Curr. Top. Behav. Neurosci. 2017, 32, 351–380. [PubMed] 7. Sahai, M.A.; Davidson, C.; Dutta, N.; Opacka-Juffry, J. Mechanistic Insights into the Stimulant Properties of Novel Psychoactive Substances (NPS) and Their Discrimination by the Dopamine Transporter—In Silico and In Vitro Exploration of Dissociative Diarylethylamines. Brain Sci. 2018, 8, 63. [CrossRef] [PubMed] 8. Miolo, G.; Tucci, M.; Menilli, L.; Stocchero, G.; Vogliardi, S.; Scrivano, S.; Montisci, M.; Favretto, D. A Study on Photostability of Amphetamines and Ketamine in Hair Irradiated under Artificial Sunlight. Brain Sci. 2018, 8, 96. [CrossRef] [PubMed] 9. Parrott, A.C. Mood Fluctuation and Psychobiological Instability: The Same Core Functions Are Disrupted by Novel Psychoactive Substances and Established Recreational Drugs. Brain Sci. 2018, 8, 43. [CrossRef] [PubMed] 10. Cohen, K.; Weinstein, A. The Effects of Cannabinoids on Executive Functions: Evidence from Cannabis and Synthetic Cannabinoids—A Systematic Review. Brain Sci. 2018, 8, 40. [CrossRef] [PubMed] 11. Bonaccorso, S.; Metastasio, A.; Ricciardi, A.; Stewart, N.; Jamal, L.; Rujully, N.U.; Theleritis, C.; Ferracuti, S.; Ducci, G.; Schifano, F. Synthetic Cannabinoid use in a Case Series of Patients with Psychosis Presenting to Acute Psychiatric Settings: Clinical Presentation and Management Issues. Brain Sci. 2018, 8, 133. [CrossRef] [PubMed] 12. Frisoni, P.; Bacchio, E.; Bilel, S.; Talarico, A.; Gaudio, R.M.; Barbieri, M.; Neri, M.; Marti, M. Novel Synthetic Opioids: The Pathologist’s Point of View. Brain Sci. 2018, 8, 170. [CrossRef] [PubMed] 13. Martinotti, G.; Santacroce, R.; Pettorruso, M.; Montemitro, C.; Spano, M.C.; Lorusso, M.; di Giannantonio, M.; Lerner, A.G. Hallucinogen Persisting Perception Disorder: Etiology, Clinical Features, and Therapeutic Perspectives. Brain Sci. 2018, 8, 47. [CrossRef] [PubMed] 14. Schifano, F.; Chiappini, S.; Corkery, J.M.; Guirguis, A. Abuse of Prescription Drugs in the Context of Novel Psychoactive Substances (NPS): A Systematic Review. Brain Sci. 2018, 8, 73. [CrossRef] [PubMed] 15. Gittins, R.; Guirguis, A.; Schifano, F.; Maidment, I. Exploration of the Use of New Psychoactive Substances by Individuals in Treatment for Substance Misuse in the UK. Brain Sci. 2018, 8, 58. [CrossRef] [PubMed] 16. Wadsworth, E.; Drummond, C.; Deluca, P. The Dynamic Environment of Crypto Markets: The Lifespan of New Psychoactive Substances (NPS) and Vendors Selling NPS. Brain Sci. 2018, 8, 46. [CrossRef] [PubMed] 17. Miliano, C.; Margiani, G.; Fattore, L.; De Luca, M.A. Sales and Advertising Channels of New Psychoactive Substances (NPS): Internet, Social Networks, and Smartphone Apps. Brain Sci. 2018, 8, 123. [CrossRef] [PubMed] 18. Metastasio, A.; Negri, A.; Martinotti, G.; Corazza, O. Transitioning Bodies. The Case of Self-Prescribing Sexual Hormones in Gender Affirmation in Individuals Attending Psychiatric Services. Brain Sci. 2018, 8, 88. [CrossRef] 19. Catalani, V.; Prilutskaya, M.; Al-Imam, A.; Marrinan, S.; Elgharably, Y.; Zloh, M.; Martinotti, G.; Chilcott, R.; Corazza, O. Octodrine: New Questions and Challenges in Sport Supplements. Brain Sci. 2018, 8, 34. [CrossRef] [PubMed] © 2018 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/)

A study on photostability of amphetamines and ketamine in hair irradiated under artificial sunlight

Drugs incorporated into hair are exposed to the environment, and cosmetic and chemical treatments, with possible decreases in their content. Knowledge concerning the effect of sunlight on drug content in hair can be helpful to forensic toxicologists, in particular, when investigating drug concentrations above or below pre-determined cut-offs. Twenty authentic positive hair samples were selected which had previously tested positive for amphetamines and/or ketamine. Washed hair were divided into two identical strands, with the former exposed at 765 W/m\ub2 (300\u207b800 nm spectrum of irradiance) for 48 h in a solar simulator, and the latter kept in the dark. Hair samples were extracted and analyzed by liquid chromatography high-resolution mass spectrometry detection. The percentage of photodegradation was calculated for each analyte (i.e., amphetamine, methamphetamine, methylendioxyamphetamine, ketamine, and norketamine). In parallel, photodegradation processes of standard molecules dissolved in aqueous and organic solutions were studied. In 20 hair samples positive for the targeted analytes, exposure to artificial sunlight induced an appreciable decrease in drug concentrations. The concentration ranges in the non-irradiated hair samples were 0.01\u207b24 ng/mg, and 65% of samples exhibited a decrease in post-irradiation samples, with reduction from 3% to 100%. When more drugs were present in the same hair sample (i.e., MDMA and ketamine) the degradation yields were compound dependent. A degradation product induced by irradiation of ketamine in aqueous and methanol solutions was identified; it was also found to be present in a true positive hair sample after irradiation. Ketamine, amphetamines, and their metabolites incorporated in the hair of drug users undergo degradation when irradiated by artificial sunlight. Only for ketamine was a photoproduct identified in irradiated standard solutions and in true positive irradiated hair. When decisional cut-offs are applied to hair analysis, photodegradation must be taken into account since sunlight may produce false negative results. Moreover, new markers could be investigated as evidence of illicit drug use

Quercetin derivatives as novel antihypertensive agents: Synthesis and physiological characterization

The antihypertensive flavonol quercetin (Q1) is endowed with a cardioprotective effect against myocardial ischemic damage. Q1 inhibits angiotensin converting enzyme activity, improves vascular relaxation, and decreases oxidative stress and gene expression. However, the clinical application of this flavonol is limited by its poor bioavailability and low stability in aqueous medium. In the aim to overcome these drawbacks and preserve the cardioprotective effects of quercetin, the present study reports on the preparation of five different Q1 analogs, in which all OH groups were replaced by hydrophobic functional moieties. Q1 derivatives have been synthesized by optimizing previously reported procedures and analyzed by spectroscopic analysis. The cardiovascular properties of the obtained compounds were also investigated in order to evaluate whether chemical modification affects their biological efficacy. The interaction with β-adrenergic receptors was evaluated by molecular docking and the cardiovascular efficacy was investigated on the ex vivo Langendorff perfused rat heart. Furthermore, the bioavailability and the antihypertensive properties of the most active derivative were evaluated by in vitro studies and in vivo administration (1 month) on spontaneously hypertensive rats (SHRs), respectively. Among all studied Q1 derivatives, only the ethyl derivative reduced left ventricular pressure (at 10− 8 M ÷ 10− 6 M doses) and improved relaxation and coronary dilation. NOSs inhibition by L-NAME abolished inotropism, lusitropism and coronary effects. Chronic administration of high doses of this compound on SHR reduced systolic and diastolic pressure. Differently, the acetyl derivative induced negative inotropism and lusitropism (at 10− 10 M and 10− 8 ÷ 10− 6 M doses), without affecting coronary pressure. Accordingly, docking studies suggested that these compounds bind both β1/β2-adrenergic receptors. Taking into consideration all the obtained results, the replacement of OH with ethyl groups seems to improve Q1 bioavailability and stability; therefore, the ethyl derivative could represent a good candidate for clinical use in hypertension