Fingolimod versus interferon beta 1-a: Benefit-harm assessment approach based on TRANSFORMS individual patient data

BACKGROUND Fingolimod is a disease-modifying drug approved for multiple sclerosis but its benefit-harm balance has never been assessed compared to other active treatments. OBJECTIVES Our aim was to compare the benefits and harms of fingolimod with interferon beta-1a using individual patient data from TRial Assessing injectable interferon versus FTY720 Oral in RRMS trial. METHODS We modelled the health status of patients over time including Expanded Disability Status Scale measurements, relapses and any adverse events. We assessed the mean health status between arms and the proportion of patients whose health deteriorated or improved relatively to baseline, using a prespecified minimal important difference of 4.6. We performed sensitivity analyses to test our assumptions. RESULTS Main and sensitivity analyses favoured fingolimod 0.5 mg over interferon beta-1a. The average health status difference was 1.01 (95% CI 0.93-1.08). Patients on fingolimod 0.5 mg were 0.47 (95% CI: 0.35-0.63, p < 0.001) times less likely to experience a relevant decline in health status compared to interferon beta-1a patients, with a number needed to treat of 7.10 [5.18, 11.23]. CONCLUSIONS Fingolimod's net benefit over interferon beta-1a did not reach the clinical relevance over 1 year, but the decreased risk for health status deterioration may be more pronounced more long term and patients may prefer less treatment burden associated with fingolimod

Iridium-Functionalized Cellulose Microcrystals as a Novel Luminescent Biomaterial for Biocomposites

Microcrystalline cellulose (MCC) is an emerging material with outstanding properties in many scientific and industrial fields, in particular as an additive in composite materials. Its surface modification allows for the fine-tuning of its properties and the exploitation of these materials in a plethora of applications. In this paper, we present the covalent linkage of a luminescent Ir-complex onto the surface of MCC, representing the first incorporation of an organometallic luminescent probe in this biomaterial. This goal has been achieved with an easy and sustainable procedure, which employs a Bronsted-acid ionic liquid as a catalyst for the esterification reaction of -OH cellulose surface groups. The obtained luminescent cellulose microcrystals display high and stable emissions with the incorporation of only a small amount of iridium (III). Incorporation of MCC-Ir in dry and wet matrices, such as films and gels, has been also demonstrated, showing the maintenance of the luminescent properties even in possible final manufacturers

FETR-ALS Study Protocol: A Randomized Clinical Trial of Fecal Microbiota Transplantation in Amyotrophic Lateral Sclerosis

Background and Rationale: Among the key players in the pathogenesis of Amyotrophic Lateral Sclerosis (ALS), microglia and T regulatory lymphocytes (Treg) are candidate cells for modifying the course of the disease. The gut microbiota (GM) acts by shaping immune tolerance and regulating the Treg number and suppressive function, besides circulating neuropeptides, and other immune cells that play in concert through the gut-brain axis. Previous mouse models have shown an altered enteric flora in early stage ALS, pointing to a possible GM role in ALS pathogenesis. Fecal Microbial Transplantation (FMT) is a well-known therapeutic intervention used to re-establish the proper microenvironment and to modulate enteric and systemic immunity. Methods: We are going to perform a multicenter randomized double-blind clinical trial employing FMT as a therapeutic intervention for ALS patients (NCT0376632). Forty-two ALS patients, at an early stage, will be enrolled with a 2:1 allocation ratio (28 FMT-treated patients vs. 14 controls). Study duration will be 12 months per patient. Three endoscopic procedures for intestinal biopsies in FMT and control groups are predicted at baseline, month 6 and month 12; at baseline and at month 6 fresh feces from healthy donors will be infused at patients in the intervention arm. The primary outcome is a significant change in Treg number between FMT-treated patients and control arm from baseline to month 6. Secondary outcomes include specific biological aims, involving in-depth analysis of immune cells and inflammatory status changes, central and peripheral biomarkers of ALS, besides comprehensive analysis of the gut, saliva and fecal microbiota. Other secondary aims include validated clinical outcomes of ALS (survival, forced vital capacity, and modifications in ALSFRS-R), besides safety and quality of life. Expected Results: We await FMT to increase Treg number and suppressive functionality, switching the immune system surrounding motorneurons to an anti-inflammatory, neuroprotective status. Extensive analysis on immune cell populations, cytokines levels, and microbiota (gut, fecal and saliva) will shed light on early processes possibly leading the degenerative ALS course. Conclusions: This is the first trial with FMT as a potential intervention to modify immunological response to ALS and disease progression at an early stage

Untangling the role of biotic and abiotic ageing of various environmental plastics toward the sorption of metals

Plastic particles can impact the environmental fate and bioavailability of essential inorganic micronutrients and non-essential (toxic) metals. The sorption of metals to environmental plastic has been demonstrated to be facilitated by plastic ageing, a phenomenon encompassing an array of physical, chemical, and biological processes. This study deploys a factorial experiment to untangle the role of different ageing processes in determining the sorption of metals. Plastics made of three different polymer types were aged both through abiotic (ultraviolet irradiation, UV) and biotic (through the incubation with a multispecies algal inoculum forming a biofilm) processes under controlled laboratory conditions. Pristine and aged plastic samples were characterized for their physiochemical properties through Fourier-transformed infrared spectroscopy, scanning electron microscopy and water contact angle measurements. Their sorption affinity toward aluminum (Al) and copper (Cu) in aqueous solutions was then assessed as a response variable. All ageing processes (alone or combined) influenced plastic surface properties resulting in reduced hydrophobicity, changes in surface functional groups (i.e., increase of oxygen containing functional groups after UV ageing and the appearance of marked bands as amides and polysaccharides after biofouling), as well as in nanomorphology. The sorption of Al and Cu was instead statistically dependent (p < 0.01) on the degree of biofouling covering the specimens. Biofouled plastic displayed in fact substantial affinity for metal sorption causing the depletion of up to tenfold Cu and Al compared to pristine polymers, regardless of the polymer type and presence or absence of other ageing treatments. These results confirm the hypothesis that the accumulation of metals on plastic is substantially driven by the biofilm present on environmental plastics. These findings also highlight the importance of investigating the implications of environmental plastic for metal and inorganic nutrients availability in environments impacted by this pollution.publishedVersio

Synthesis and functionalization of casein nanoparticles with aptamers for triple-negative breast cancer targeting

This work shows the synthesis of a drug delivery system made of casein nanoparticles able to host hydrophobic molecules and be functionalized with aptamers targeting the epidermal growth factor receptor. In vitro cell viability and uptake analyses, performed on triple-negative breast cancer cells, confirmed the safety profile and the target selectivity

Spin dynamics in molecular ring nanomagnets: Significant effect of acoustic phonons and magnetic anisotropies

The nuclear spin-lattice relaxation rate 1/T_1_ is calculated for magnetic ring clusters by fully diagonalizing their microscopic spin Hamiltonians. Whether the nearest-neighbor exchange interaction J is ferromagnetic or antiferromagnetic, 1/T_1_ versus temperature T in ring nanomagnets may be peaked at around k_B_T=|J| provided the lifetime broadening of discrete energy levels is in proportion to T^3^. Experimental findings for ferromagnetic and antiferromagnetic Cu^II^ rings are reproduced with crucial contributions of magnetic anisotropies as well as acoustic phonons.Comment: 5 pages with 5 figures embedded, to be published in J. Phys. Soc. Jpn. 75, No. 10 (2006

Amorphous NiCu Thin Films Sputtered on TiO2 Nanotube Arrays: A Noble-Metal Free Photocatalyst for Hydrogen Evolution

In this work, NiCu co-catalysts on TiO2 are studied for photocatalytic hydrogen evolution. NiCu co-catalyst films are deposited at room temperature by argon plasma sputtering on high aspect-ratio anodic TiO2 nanotubes. To tune the Ni : Cu atomic ratio, alloys of various compositions were used as sputtering targets. Such co-catalyst films are found to be amorphous with small nanocrystalline domains. A series of parameters is investigated, i. e., i) Ni : Cu relative ratio in the sputtered films, ii) NiCu film thickness, and iii) thickness of the TiO2 nanotube layers. The highest photocatalytic activity is obtained with 8 μm long TiO2 nanotubes, sputter-coated with a 10 nm-thick NiCu films with a 1 : 1 Ni : Cu atomic ratio. This photocatalyst reaches a stable hydrogen evolution rate of 186 μL h−1 cm−2, 4.6 and 3 times higher than that of Ni- and Cu-TiO2, respectively, demonstrating a synergistic co-catalytic effect of Ni and Cu in the alloy co-catalyst film

Shorelines changes and human settlements dynamics in the Lagoon of Mistras- river Tirso coastal plane in the last 3 ky (Middle Bronze-High Middle Ages)

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