224 research outputs found

    Autoinflammatory syndromes: diagnosis and management

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    During the last decades the description of autoinflammatory syndromes induced great interest among the scientific community. Mainly rheumatologists, immunologists and pediatricians are involved in the discovery of etiopathogenesis of these syndromes and in the recognition of affected patients. In this paper we will discuss the most important clues of monogenic and non-genetic inflammatory syndromes to help pediatricians in the diagnosis and treatment of these diseases

    Etanercept Improves Lipid Profile and Oxidative Stress Measures in Patients with Juvenile Idiopathic Arthritis

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    Objective.To investigate the effect of 1-year treatment with the anti-tumor necrosis factor-α (TNF-α) drug etanercept on lipid profile and oxidative stress in children and adolescents with juvenile idiopathic arthritis (JIA).Methods.Thirty children with JIA (22 females; mean age 12.3 ± SD 5.7 yrs), all eligible for anti-TNF-α treatment, were assessed at baseline and after 6- and 12-month treatment with etanercept. Disease activity was determined using the Juvenile Arthritis Disease Activity Score (JADAS). Blood samples were drawn to measure the acute-phase reactants C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), lipids, and the proinflammatory cytokines TNF-α, interleukin-1ÎČ (IL-1ÎČ), IL-6 and interferon-Îł. To measure the oxidative stress marker 8-iso-prostaglandin F2α, 24-h urine samples were collected.Results.Inflammatory indicators (CRP and ESR) and JADAS scores improved significantly after 1 year of etanercept treatment (all p < 0.001). Proinflammatory cytokines showed significant reduction during the study period (all p < 0.001). Similar reductions were detected in total cholesterol (p < 0.001), low-density lipoprotein cholesterol (p = 0.04), and triglycerides (p < 0.001), whereas no significant change was found in high-density lipoprotein cholesterol. No side effects were observed during the treatment period.Conclusion.This study shows for the first time that anti-TNF-α therapy for JIA is associated not only with a beneficial effect on clinical disease activity and inflammatory indexes, but also with improved lipid profile and oxidative stress. These findings suggest that TNF-α blockers might reduce atherosclerotic risk in children with JIA

    Il Nibbio reale Milvus milvus svernante in Italia, sintesi di cinque anni di monitoraggio

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    Beginning in December 2011, CISO has promoted a monitoring project for Red kite\u2019s wintering population in Italy. This paper shows the results of the first five survey seasons, ie from December 2011 to January 2016. The censuses, always done at sunset, covered the eleven Central-Southern regions for which winter roosts were already known. The number of actual kites censuses each winter varied between about 1500 and over 1700 individuals, with strong oscillations for single roosts. The population is mainly concentrated in Basilicata with more than 64% of the entire winter population. Interesting data were also been found in Lazio, Abruzzo and Molise, which altogether host about 25% of the national population. Encouraging data come from Tuscany where, following a reintroduction project, a wintering roost of about 80 units was found. Bad results are from censuses conducted in Campania, Calabria, Sicily and Sardinia, where the population seems to be greatly reduced

    Il Nibbio reale Milvus milvus svernante in Italia, sintesi di cinque anni di monitoraggio

    Get PDF
    Beginning in December 2011, CISO has promoted a monitoring project for Red kite\u2019s wintering population in Italy. This paper shows the results of the first five survey seasons, ie from December 2011 to January 2016. The censuses, always done at sunset, covered the eleven Central-Southern regions for which winter roosts were already known. The number of actual kites censuses each winter varied between about 1500 and over 1700 individuals, with strong oscillations for single roosts. The population is mainly concentrated in Basilicata with more than 64% of the entire winter population. Interesting data were also been found in Lazio, Abruzzo and Molise, which altogether host about 25% of the national population. Encouraging data come from Tuscany where, following a reintroduction project, a wintering roost of about 80 units was found. Bad results are from censuses conducted in Campania, Calabria, Sicily and Sardinia, where the population seems to be greatly reduced

    The new phylogenesis of the genus Mycobacterium

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    Abstract Phylogenetic knowledge of the genus Mycobacterium is based on comparative analysis of their genetic sequences. The 16S rRNA has remained for many years the only target of such analyses, but in the last few years, other housekeeping genes have been investigated and the phylogeny based on their concatenated sequences become a standard. It is now clear that the robustness of the phylogenetic analysis is strictly related to the size of the genomic target used. Whole genome sequencing (WGS) is nowadays becoming widely accessible and comparatively cheap. It was decided, therefore, to use this approach to reconstruct the ultimate phylogeny of the genus Mycobacterium . Over 50 types of strains of the same number of species of Mycobacterium were sequenced using the Illumina HiSeq platform. The majority of the strains of which the whole sequence was already available in GenBank were excluded from this panel with the aim of maximizing the number of the species with genome available. Following assembling and annotation with proper software, the phylogenetic analysis was conducted with PhyloPhlAn and the pan-genome analysis pipeline. The phylogenetic three which emerged was characterized by a clear-cut distinction of slowly and rapidly growing species with the latter being more ancestral. The species of the Mycobacterium terrae complex occupied an intermediate position between rapid and slow growers. Most of the species revealed clearly related and occupied specific phylogenetic branches. Thanks to the WGS technology, the genus Mycobacterium is finally approaching its definitive location
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