Protamine-like proteins have bactericidal activity. The first evidence in Mytilus galloprovincialis.

The major acid-soluble protein components of the mussel Mytilus galloprovincialis sperm chromatin consist of the protamine-like proteins PL-II, PL-III and PL-IV, an intermediate group of sperm nuclear basic proteins between histones and protamines. The aim of this study was to investigate the bactericidal activity of these proteins since, to date, there are reports on bactericidal activity of protamines and histones, but not on protamine-like proteins. We tested the bactericidal activity of these proteins against Gram-positive bacteria: Enterococcus faecalis and two different strains of Staphylococcus aureus, as well as Gram-negative bacteria: Proteus mirabilis, Proteus vulgaris, Pseudomonas aeruginosa, Salmonella typhmurium, Enterobacter aerogenes, Enterobacter cloacae, and Escherichia coli. Clinical isolates of the same bacterial species were also used to compare their sensitivity to these proteins. The results show that Mytilus galloprovincialis protamine-like proteins exhibited bactericidal activity against all bacterial strains tested with different minimum bactericidal concentration values, ranging from 15.7 to 250 µg/mL. Furthermore, these proteins were active against some bacterial strains tested that are resistant to conventional antibiotics. These proteins showed very low toxicity as judged by red blood cell lysis and viability MTT assays and seem to act both at the membrane level and within the bacterial cell. We also tested the bactericidal activity of the product obtained from an in vitro model of gastrointestinal digestion of protamine-like proteins on a Gram-positive and a Gram-negative strain, and obtained the same results with respect to undigested protamine-like proteins on the Gram-positive bacterium. These results provide the first evidence of bactericidal activity of protamine-like-proteins

Long-term home ventilation of children in Italy: A national survey.

BACKGROUND: Improved technology, as well as professional and parental awareness, enable many ventilator-dependent children to live at home. However, the profile of this growing population, the quality and adequacy of home care, and patients' needs still require thorough assessment. OBJECTIVES: To define the characteristics of Italian children receiving long-term home mechanical ventilation (HMV) in Italy. METHODS: A detailed questionnaire was sent to 302 National Health Service hospitals potentially involved in the care of HVM in children (aged <17 years). Information was collected on patient characteristics, type of ventilation, and home respiratory care. RESULTS: A total of 362 HMV children was identified. The prevalence was 4.2 per 100,000 (95% CI: 3.8-4.6), median age was 8 years (interquartile range 4-14), median age at starting mechanical ventilation was 4 years (1-11), and 56% were male. The most frequent diagnostic categories were neuromuscular disorders (49%), lung and upper respiratory tract diseases (18%), hypoxic (ischemic) encephalopathy (13%), and abnormal ventilation control (12%). Medical professionals with nurses (for 62% of children) and physiotherapists (20%) participated in the patients' discharge from hospital, though parents were the primary care giver, and in 47% of cases, the sole care giver. Invasive ventilation was used in 41% and was significantly related to young age, southern regional residence, longer time spent under mechanical ventilation, neuromuscular disorders, or hypoxic (ischemic) encephalopathy. CONCLUSIONS: Care and technical assistance of long-term HMV children need assessment, planning, and resources. A wide variability in pattern of HMV was found throughout Italy. An Italian national ventilation program, as well as a national registry, could be useful in improving the care of these often critically ill children

Clinical autonomic nervous system laboratories in Europe: a joint survey of the European Academy of Neurology and the European Federation of Autonomic Societies

© 2022 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.Background and purpose: Disorders of the autonomic nervous system (ANS) are common conditions, but it is unclear whether access to ANS healthcare provision is homogeneous across European countries. The aim of this study was to identify neurology-driven or interdisciplinary clinical ANS laboratories in Europe, describe their characteristics and explore regional differences. Methods: We contacted the European national ANS and neurological societies, as well as members of our professional network, to identify clinical ANS laboratories in each country and invite them to answer a web-based survey. Results: We identified 84 laboratories in 22 countries and 46 (55%) answered the survey. All laboratories perform cardiovascular autonomic function tests, and 83% also perform sweat tests. Testing for catecholamines and autoantibodies are performed in 63% and 56% of laboratories, and epidermal nerve fiber density analysis in 63%. Each laboratory is staffed by a median of two consultants, one resident, one technician and one nurse. The median (interquartile range [IQR]) number of head-up tilt tests/laboratory/year is 105 (49-251). Reflex syncope and neurogenic orthostatic hypotension are the most frequently diagnosed cardiovascular ANS disorders. Thirty-five centers (76%) have an ANS outpatient clinic, with a median (IQR) of 200 (100-360) outpatient visits/year; 42 centers (91%) also offer inpatient care (median 20 [IQR 4-110] inpatient stays/year). Forty-one laboratories (89%) are involved in research activities. We observed a significant difference in the geographical distribution of ANS services among European regions: 11 out of 12 countries from North/West Europe have at least one ANS laboratory versus 11 out of 21 from South/East/Greater Europe (p = 0.021). Conclusions: This survey highlights disparities in the availability of healthcare services for people with ANS disorders across European countries, stressing the need for improved access to specialized care in South, East and Greater Europe.info:eu-repo/semantics/publishedVersio

EFAS/EAN survey on the influence of the COVID-19 pandemic on European clinical autonomic education and research

© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.Purpose: To understand the influence of the coronavirus disease 2019 (COVID-19) pandemic on clinical autonomic education and research in Europe. Methods: We invited 84 European autonomic centers to complete an online survey, recorded the pre-pandemic-to-pandemic percentage of junior participants in the annual congresses of the European Federation of Autonomic Societies (EFAS) and European Academy of Neurology (EAN) and the pre-pandemic-to-pandemic number of PubMed publications on neurological disorders. Results: Forty-six centers answered the survey (55%). Twenty-nine centers were involved in clinical autonomic education and experienced pandemic-related didactic interruptions for 9 (5; 9) months. Ninety percent (n = 26/29) of autonomic educational centers reported a negative impact of the COVID-19 pandemic on education quality, and 93% (n = 27/29) established e-learning models. Both the 2020 joint EAN-EFAS virtual congress and the 2021 (virtual) and 2022 (hybrid) EFAS and EAN congresses marked higher percentages of junior participants than in 2019. Forty-one respondents (89%) were autonomic researchers, and 29 of them reported pandemic-related trial interruptions for 5 (2; 9) months. Since the pandemic begin, almost half of the respondents had less time for scientific writing. Likewise, the number of PubMed publications on autonomic topics showed the smallest increase compared with other neurological fields in 2020-2021 and the highest drop in 2022. Autonomic research centers that amended their trial protocols for telemedicine (38%, n = 16/41) maintained higher clinical caseloads during the first pandemic year. Conclusions: The COVID-19 pandemic had a substantial negative impact on European clinical autonomic education and research. At the same time, it promoted digitalization, favoring more equitable access to autonomic education and improved trial design.info:eu-repo/semantics/publishedVersio

Comparison of the heavy metal bioaccumulation capacity of an epiphytic moss and an epiphytic lichen

This study compared the heavy metal bioaccumulation capacity in the epiphytic moss Scorpiurum circinatum and the epiphytic lichen Pseudevernia furfuracea, exposed in bags for 3 months in the urban area of Acerra (S Italy). The content of Al, As, Cd, Co, Cr, Cu, Fe, Mn, Mo, Ni, Pb, Ti, V, and Zn was measured by ICP-MS. The results showed that both species accumulated all the heavy metals assayed. The moss had the highest bioaccumulation capacity for all metals and showed a more constant and linear accumulation trend than the lichen. Intra-tissue heavy metal bioaccumulation was assessed by X-ray microanalysis applied to ESEM operated in high and low vacuum and ESEM modes

Trace element accumulation in Pseudovernia furfuracea (L.) Zopf exposed in Italy's so-colled Triangle of Death

Trace element accumulation in the lichen Pseudevernia furfuracea (L.) Zopf was studied in the district of Acerra (province of Naples, southern Italy), one of the points forming Italy's Triangle of Death. P. furfuracea thalli, collected from Mt. Faito (province of Naples), were transplanted and exposed in bags at different sites in Acerra district, classified into three different site types (urban, rural and industrial). We aimed to test the hypothesis that P. furfuracea, when transplanted in the district of Acerra, would respond to air pollution accumulating trace elements and that element concentrations in the exposed lichens were different in relation to the three different environments, characterised by different pollution sources. Samples were exposed for six months, periodically collected and examined by ICP MS spectrometer assays to measure concentrations of 10 trace elements (Al, As, Cd, Cr, Cu, Fe, Mn, Pb, V and Zn). The exposed samples showed increases in concentrations of all the examined elements; the trace element concentrations were evaluated by calculating exposed to control (EC) ratios, for each site and each trace element, to better understand the accumulation rates. EC ratios were evaluated after 3 and 6 month exposures, at the end of spring and summer respectively: 6 month EC values were the highest. The urban sites showed EC ratios generally higher than industrial and rural; the most accumulated elements were Pb and Cu (at the urban sites), Cu and Zn (at the industrial sites), and Cu and As (at the rural sites). The chemical data were then processed using a multivariate approach (ordination, PCA) to better understand environmental gradients. Bioaccumulation data and PCA analysis showed the sampling sites separated by different trace element abundance. Trace element abundance patterns in the three site types are discussed in relation to the land use and the pollution sources

Effects of heavy metals on seudoevernia furfuracea (L.) Zopf exposed in urban site and in vitro.

The lichens are effective pollution bioindicators and bioaccumulators. There are few ultrastructural studies on the effects of the environment in lichens and performed only on field exposed samples, submitted to numerous injuries, lacking comparisons with in vitro experiments that could reduce the possible causes of alterations. The aim of this study was to compare the effects of heavy metals on in vitro treated Pseudevernia furfuracea with field-exposed lichen. Lichen bags were exposed in the area of Acerra (Southern Italy). P. furfuracea, a fruticose and epiphytic lichen, was collected from Mount Faito. Nylon mesh bags containing lichen thalli (0.75 g) were exposed for six months (from March to September 2001) in 8 urban sites and 3 sites on Mount Faito (control). Heavy metal content in exposed lichen was quantitatively measured by inductively coupled plasma-mass spectrometry (ICP-MS Elan 600 of Perkin Elmer Sciex). The metals found were As, Cd, Cr, Pb, V, Cu, Zn, Fe, Al, and Mn. The heavy metals present in the highest quantity (Cu, Zn and Cd) were used for in vitro tests in the concentration range found in exposed samples. Lichen thalli were in vitro exposed to Mohr medium with the addition of Zn 10-4 M and Cu and Cd at 10-5 M and to metal free Mohr medium (control) for 24 hrs. Samples from lichen bags and in vitro experiments were fixed, dehydrated, embedded and stained for Transmission Electron Microscopy as elsewhere reported (Basile et al., 1994). Ultrastructural alterations showed by both samples (in vitro and in field exposed) were compared. The effects of stress on both kinds of specimen are very similar. The chloroplasts showed a change in thylakoid arrangement and pyrenoid morphology. Pyrenoglobuli and cytoplasmic storage droplets increased in number. The algal cells frequently contained dark vacuolar bodies only occasionally seen in the control. In the mycobiont cells abnormal and strong vacuolisation occurred. The fungal vacuoles often contained dark accumulations never seen in the control. Concluding, both symbionts are affected by stress due to atmospheric pollution and by in vitro heavy metal stress, showing similar ultrastructural alterations