Cancer-Associated Thrombosis in Cirrhotic Patients with Hepatocellular Carcinoma.

It is common knowledge that cancer patients are more prone to develop venous thromboembolic complications (VTE). It is therefore not surprising that patients with hepatocellular carcinoma (HCC) present with a significant risk of VTE, with the portal vein being the most frequent site (PVT). However, patients with HCC are peculiar as both cancer and liver cirrhosis are conditions that can perturb the hemostatic balance towards a prothrombotic state. Because HCC-related hypercoagulability is not clarified at all, the aim of the present review is to summarize the currently available knowledge on epidemiology and pathogenesis of non-malignant thrombotic complications in patients with liver cirrhosis and HCC. They are at increased risk to develop both PVT and non-splanchnic VTE, indicating that both local and systemic factors can foster the development of site-specific thrombosis. Recent studies have suggested multiple and often interrelated mechanisms through which HCC can tip the hemostatic balance of liver cirrhosis towards hypercoagulability. Described mechanisms include increased fibrinogen concentration/polymerization, thrombocytosis, and release of tissue factor-expressing extracellular vesicles. Currently, there are no specific guidelines on the use of thromboprophylaxis in this unique population. There is the urgent need of prospective studies assessing which patients have the highest prothrombotic profile and would therefore benefit from early thromboprophylaxis

The Hubble Space Telescope UV Legacy Survey of Galactic Globular Clusters. X. The radial distribution of stellar populations in NGC 2808

Due to their extreme helium abundance, the multiple stellar populations of the globular cluster NGC 2808 have been widely investigated from a photometric, spectroscopic, and kinematic perspective. The most striking feature of the color-magnitude diagram of NGC 2808 is the triple main sequence (MS), with the red MS corresponding to a stellar population with primordial helium, and the middle and the blue MS being enhanced in helium up to Y$\sim$0.32 and $\sim$0.38, respectively. A recent study has revealed that this massive cluster hosts at least five distinct stellar populations (A, B, C, D, and E). Among them populations A, B, and C correspond to the red MS, while populations C and D are connected to the middle and the blue MS. In this paper we exploit Hubble-Space-Telescope photometry to investigate the radial distribution of the red, the middle and the blue MS from the cluster center out to about 8.5 arcmin. Our analysis shows that the radial distribution of each of the three MSs is different. In particular, as predicted from multiple-population formation models, both the blue MS and the middle MS appears to be more concentrated than the red MS with a significance level for this result wich is above 3{\sigma}.Comment: Accepted for publication in MNRA

Aging Reduces The Primary Humoral Response And The In Vitro Cytokine Production In Mice.

Aging is accompanied by a decrease in several physiological functions that make older individuals less responsive to environmental challenges. In the present study, we analyzed the immune response of female BALB/c mice (N = 6) of different ages (from 2 to 96 weeks) and identified significant age-related alterations. Immunization with hapten-protein (trinitrophenyl-bovine serum albumin) conjugates resulted in lower antibody levels in the primary and secondary responses of old mice (72 weeks old). Moreover, young mice (2, 16, and 32 weeks old) maintained specific antibodies in their sera for longer periods after primary immunization than did old mice. However, a secondary challenge efficiently induced memory in old mice, as shown by the increased antibody levels in their sera. The number of CD4+ and CD8+ T cells in the spleen increased until 8 weeks of age but there was no change in the CD4+/CD8+ ratio with aging. Splenic T cells from old mice that had or had not been immunized were less responsive to concanavalin-A and showed reduced cytokine production compared to young mice (IL-2: 57-127 vs 367-1104 pg/mL, IFN-gamma: 2344-12,836 vs 752-23,106 pg/mL and IL-10: 393-2172 vs 105-2869 pg/mL in old and young mice, respectively). These data suggest that there are significant changes in the organization of the immune system throughout life. However, the relevance of these alterations for the functioning of the immune system is unknown.401111-2

ProC global: a new automated screening assay for the evaluation of total function of the protein C system.

Protein C (PC) pathway represents a major physiologic inhibitory mechanism regulating the coagulation cascade. A new automated functional screening assay (ProC Global) for the evaluation of the PC-system was tested to define its ability to identify patients with known inherited defects such as factor V (FV) Leiden mutation and PC and protein S (PS) deficiency. A total of 249 patients who were symptomatic or asymptomatic for previous venous thromboembolism (VTE) were evaluated, 50 of whom had FV Leiden mutation, 36 had PC deficiency, and 34 had PS deficiency. One hundred healthy subjects were also tested, as well as 40 blood donors of both sexes in whom coagulation abnormalities were not found. Results of ProC Global test were expressed as normalized ratio (NR) and values below an established cut-off level were consistent with a positive test. ProC Global was positive in all 50 patients with the FV Leiden mutation (mean NR = 0.59; range, 0.37 to 0.69). ProC Global correctly identified 32 of 36 (89%) PC defects (mean NR = 0.63; range, 0.34 to 1.21) and 25 of 34 (73.5%) PS defects (mean NR = 0.76; range, 0.5 to 1.23). Overall, 92.5% of hereditary defects of the PC system considered in this study were identified by ProC Global test. ProC Global exhibited NR above cut-off level in all 40 blood donors without coagulation defects. ProC Global is a new automated screening test with some diagnostic potential in identifying patients with defects of the PC system. However, ProC Global in its current form cannot substitute the assay of each single component of this inhibitory system in the daily screening for thrombophilia

The Hubble Space Telescope UV Legacy Survey of Galactic Globular Clusters. XIII. ACS/WFC Parallel-Field Catalogues

As part of the Hubble Space Telescope UV Legacy Survey of Galactic Globular Clusters, 110 parallel fields were observed with the Wide Field Channel of the Advanced Camera for Surveys, in the outskirts of 48 globular clusters, plus the open cluster NGC 6791. Totalling about $0.3$ square degrees of observed sky, this is the largest homogeneous Hubble Space Telescope photometric survey of Galalctic globular clusters outskirts to date. In particular, two distinct pointings have been obtained for each target on average, all centred at about $6.5$ arcmin from the cluster centre, thus covering a mean area of about $23\,{\rm arcmin^{2}}$ for each globular cluster. For each field, at least one exposure in both F475W and F814W filters was collected. In this work, we publicly release the astrometric and photometric catalogues and the astrometrised atlases for each of these fields.Comment: 30 pages, 23 figures. Accepted by MNRA

Association between non-O blood group and spontaneous abortion in women with inherited thrombophilia

Abstract Background Spontaneous abortion is reported to be one of the most frequent pregnancy complications reaching a prevalence up to 15%. The association between congenital thrombophilia and pregnancy loss has been debated in several studies with conflicting results. We aimed to retrospectively evaluate the prevalence of inherited thrombophilia (i.e antithrombin, protein S and C deficiencies, factor V Leiden and prothrombin variant) in a group of women with a personal history of miscarriage. The prevalence non-O blood group, considered the most common thrombophilic condition, was concomitantly considered. Materials and methods A group of n. 566 women with a personal history of spontaneous abortion recruited among caregivers of patients admitted to the Medical Department of our University Hospital between December 2011 and December 2019 were enrolled. Women under 18 yrs, those with a personal history of venous and/or arterial thrombosis and with an acquired thrombophilic condition were excluded. An equally number of healthy women without a personal history of pregnancy loss acted as controls. The Odds Ratios (ORs) and 95% confidence intervals (CIs) were calculated as an estimate of pregnancy loss developing. Results Out of n. 566 enrolled women, n. 127 (22.4%) had an inherited thrombophilic condition. The prevalence of congenital thrombophilia was significantly higher in women with miscarriage than controls (OR 2.12; CI 95% 1.51–2.92). Non-O blood type was observed in n. 325 (57.4%) women. The prevalence of non-O blood group was significantly higher in women with pregnancy loss (p 0.01) and the association of thrombophilia and non-O blood type further increased the risk of pregnancy loss (OR 3.28; CI 95% 2.01–5.36). Conclusions Both inherited thrombophilia and non-O blood type should be considered risk factors for pregnancy loss. The knowledge of this information may help the clinician to better manage women with pregnancy loss. Further studies are required to confirm our findings. Funding Acknowledgement Type of funding sources: None

Concomitant homozygosity for the prothrombin gene variant with mild deficiency of antithrombin III in a patient with multiple hepatic infarctions: a case report

<p>Abstract</p> <p>Introduction</p> <p>Hereditary causes of visceral thrombosis or thrombosis should be sought among young patients. We present a case of a young man presenting with multiple hepatic infarctions resulting in portal hypertension due to homozygosity of the prothrombin gene mutation not previously described in literature.</p> <p>Case presentation</p> <p>A 42-year-old Caucasian man with a previous history of idiopathic deep vein thrombosis 11 years earlier presented with vague abdominal pains and mildly abnormal liver function tests. An ultrasound and computed tomography scan showed evidence of hepatic infarction and portal hypertension (splenic varices). A thrombophilia screen confirmed a homozygous mutation for the prothrombin gene mutation, with mildly reduced levels of anti-thrombin III (AT III). Subsequent testing of his father and brother revealed heterozygosity for the same gene mutation.</p> <p>Conclusion</p> <p>Hepatic infarction is unusual due to the rich dual arterial and venous blood supply to the liver. In the absence of an arterial or haemodynamic insult causing hepatic infarction, a thrombophilia should be considered. To our knowledge, this is the first reported case of a hepatic infarction due to homozygosity of the prothrombin gene mutation. It is unclear whether homozygotes have a higher risk of thrombosis than heterozygotes. In someone presenting with a first thrombosis with this mutation, the case for life-long anticoagulation is unclear, but it may be necessary to prevent a second and more severe second thrombotic event, as occurred in this case.</p

Small inner marsh area delimitation using remote sensing spectral indexes and decision tree method in southern Brazil

Revista oficial de la Asociación Española de Teledetección[EN] Vast small inner marsh (SIM) areas have been lost in the past few decades through the conversion to agricultural, urban and industrial lands. The remaining marshes face several threats such as drainage for agriculture, construction of roads and port facilities, waste disposal, among others. This study integrates 17 remote sensing spectral indexes and decision tree (DT) method to map SIM areas using Sentinel 2A images from Summer and Winter seasons. Our results showed that remote sensing indexes, although not developed specifically for wetland delimitation, presented satisfactory results in order to classify these ecosystems. The indexes that showed to be more useful for marshes classification by DT techniques in the study area were NDTI, BI, NDPI and BI_2, with 25.9%, 17.7%, 11.1% and 0.8%, respectively. In general, the Proportion Correct (PC) found was 95.9% and 77.9% for the Summer and Winter images respectively. We hypothetize that this significant PC variation is related to the rice-planting period in the Summer and/or to the water level oscillation period in the Winter. For future studies, we recommend the use of active remote sensors (e.g., radar) and soil maps in addition to the remote sensing spectral indexes in order to obtain better results in the delimitation of small inner marsh areas.[ES] En las últimas décadas se han perdido grandes áreas de pequeñas marismas interiores (SIM) a través de la conversión a tierras agrícolas, urbanas e industriales. Las marismas restantes enfrentan varias amenazas, como el drenaje para la agricultura, la construcción de carreteras e instalaciones portuarias, la eliminación de residuos, entre otras. Este estudio integra 17 índices espectrales de teledetección y un método basado en árboles de decisión (DT) para cartografiar áreas de pequeñas marismas interiores utilizando imágenes del satélite Sentinel 2A de verano e invierno. Los resultados muestran que los índices de teledetección, aunque no han sido desarrollados específicamente para la delimitación de marismas, presentan resultados satisfactorios para clasificar estos ecosistemas. Los índices que demostraron ser más útiles para la clasificación de marismas mediante técnicas de DT en el área de estudio fueron el NDTI, BI, NDPI y BI_2, con 25.9%, 17.7%, 11.1% y 0.8%, respectivamente. En general, la proporción correcta encontrada fue de 95.9% y 77.9% para las imágenes de verano e invierno, respectivamente. Nuestra hipótesis es que esta variación significativa de la proporción correcta está relacionada con el período de siembra del arroz en verano y/o con el período de oscilación del nivel del agua en invierno. Para futuras investigaciones, recomendamos el uso de sensores remotos activos (por ejemplo, radar) y mapas de suelo además de los índices espectrales de teledetección para obtener mejores resultados en la delimitación de pequeñas áreas de marismas interiores.João Paulo Delapasse Simioni thanks the CAPES agency for providing a doctoral fellowship. The au-thors acknowledge the Center for Remote Sensing and Meteorology (CEPSRM) at the Federal University of Rio Grande do Sul (UFRGS) for the support provided for this research.Simioni, JPD.; Guasselli, LA.; Ruiz, LFC.; Nascimento, VF.; De Oliveira, G. (2018). Delimitación de pequeñas marismas interiores mediante índices espectrales y árboles de decisión en el sur de Brasil. Revista de Teledetección. (52):55-66. doi:10.4995/raet.2018.10366SWORD556652Artigas, F. J., Yang, J. 2006. Spectral discrimination of marsh vegetation types in the New Jersey Meadowlands, USA. 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Pharmacological and partial biochemical characterization of Bmaj-9 isolated from Bothrops marajoensis snake venom

Bmaj-9, a basic PLA2 (13679.33 Da), was isolated from Bothrops marajoensis snake venom through only one chromatographic step in reversed phase HPLC on ¼-Bondapak C-18 column. The amino acid composition showed that Bmaj-9 had a high content of Lys, His, and Arg, typical of a basic PLA2. The sequence of Bmaj-9 contains 124 amino acid residues with a pI value of 8.55, such as DLWQWGQMIL KETGKLPFSY YTAYGCYCGW GGRGGKPKAD TDRCCFVHDC, revealing a high homology with Asp49 PLA2 from other snake venoms. It also exhibited a pronounced phospholipase A2 activity when compared with crude venom. In chick biventer cervicis preparations, the time for 50% and 100% neuromuscular paralysis was respectively (in minutes): 110 ± 10 (1 µg/mL); 40 ± 6 and 90 ± 2 (5 µg/mL); 30 ± 3 and 70 ± 5 (10 µg/mL); 42 ± 1 and 60 ± 2 (20 µg/mL), with no effect on the contractures elicited by either exogenous ACh (110 µM) or KCl (20 mM). Bmaj-9 (10 µg/mL) neither interfered with the muscular response to direct electrical stimulation in curarized preparations nor significantly altered the release of CK at 0, 15, 30 and 60 minutes incubations (27.4 ± 5, 74.2 ± 8, 161.0 ± 21 and 353.0 ± 47, respectively). The histological analysis showed that, even causing blockade at the maximum dosage (5 µg/mL), the toxin does not induce significant morphological alterations such as necrosis or infiltration of inflammatory cells. These results identified Bmaj-9 as a new member of the basic Asp49 PLA2 family able to interact with the motor nerve terminal membrane, thereby inducing a presynaptic neuromuscular blockade181627