Systematic Review and Metanalysis of Oncomarkers in IPF Patients and Serial Changes of Oncomarkers in a Prospective Italian Real-Life Case Series

Background: Idiopathic pulmonary fibrosis (IPF) is a severe progressive interstitial lung disease. At 5-year follow-up, 15% of IPF patients develop lung cancer, which significantly reduces the survival rate. Here we review the literature on the clinical role of oncomarkers in IPF progression, and describe the trend of routine oncomarkers in IPF patients over the longest follow-up yet reported. Materials and methods: A systematic search of the literature in PubMed was performed to find relevant studies published up to 24 September 2020. The most common oncomarkers were chosen to select papers related to pulmonary fibrosis. Then, 24 IPF patients and 25 non-IPF patients, followed at Careggi ILD Referral Centre and Siena Regional Referral Centre for ILD, were enrolled consecutively. Results: A few studies reported an association between serum oncomarkers and severity of IPF. NSE, CEA, Ca19.9, and Ca125 were higher in the IPF, than in the non-IPF, group at every follow-up (p < 0.05). Ca15.3 concentrations were higher in the IPF, than the non-IPF, group at t3 (p = 0.0080) and t4 (p = 0.0168). To improve the specificity and sensitivity of Ca15.3, a panel of biomarkers was analyzed, with the IPF group as dependent variable, and chitotriosidase, Cyfra 21.1, Ca15.3, Ca125, and Ca19.9 as independent variables. Conclusions: This study focused on the discovery of multiple biomarker signatures, such as combinations of oncomarkers, that are widely and routinely available in biochemistry laboratories. The combination of clinical parameters and biological markers could help achieve more accurate results regarding prognosis and response to treatment in IPF. Our results could pave the way for a more “personalized” medical approach to patients affected by IPF

Evaluation of umbilical cord pulsatility after vaginal delivery in singleton pregnancies at term.

Abstract Objectives To define the duration of umbilical cord pulsatility (UCP) after vaginal delivery and to evaluate its possible association with maternal characteristics and obstetric and neonatal variables. Study design Prospective observational study on women with a singleton pregnancy at term who had a vaginal delivery and cord clamping at the cessation of pulsations. The collection of UCP duration was performed through a stopwatch and by manual palpation of the umbilical cord. Maternal (age, BMI, parity, antepartum hemoglobin), obstetric (pregnancy characteristics, gestational age at delivery, induction of labor, duration of the first, the second and the third stage of labor, post-partum blood loss, umbilical cord length) and neonatal (birthweight, Apgar score, hematocrit, hemoglobin) variables were then compared between two groups: long-term vs. short-term UCP. Results A total of 102 women were identified. The median duration of UCP after birth was 213 s (IQR 120, 420), corresponding to 3 min and 33 s. The long-term UCP group (n = 51) had a significantly longer duration of third stage of labor (median 12 vs. 8 min, p  Conclusion For the first time we have reported the duration of UCP after vaginal delivery. An increased duration of UCP is associated with a prolonged duration of third stage of labor and a higher birthweight

Antimicrobial activity of commercial calcium phosphate based materials functionalized with vanillin

[EN] Infections represent one of the most frequent causes of arthroplasty revision. Thus, design of new antimi-crobial scaffolds to reduce implant rejections, bone infections and associated medical costs is highlydesired. In recent years, essential oil components (EOCs) have merged as compounds with signi¿cantantimicrobial activity that can be attached to speci¿c surfaces to enhance and prolong their antimicrobialeffect. Herein calcium phosphate CaP regenerative materials have been coated with a vanillin derivativeto combine its original bone regeneration properties with antimicrobial action of EOCs. Materials in formof microparticles and blocks were prepared and fully characterized. Clonogenic viability tests demon-strated that low concentrations of material (10 mg/mL-1) resulted effective to kill 100% of E. coli DH5abacteria. Additionally, vanillin containing scaffolds did not display any toxic effect over cells, yet theypreserve the ability to express alkaline phosphatase (ALPL), collagen type 1, chaina1(COL1A1) and bonegamma-carboxyglutamic acid-containing protein or osteocalcin (BGLAP), which are genes typicallyexpressed by osteoblasts. These results demonstrate that commercially available scaffolds can be func-tionalized with EOCs, achieving antimicrobial activity and open up a new approach for the treatmentand prevention of infection.The authors thank the Spanish Government, Spain for projects MAT2015-64139-C04-01-R (MINECO/FEDER). Also, Generalitat Valenciana, Spain (project PROMETEOII/2014/047) is acknowledged for their support. L. P. thanks Universitat Politecnica de Valencia, Spain for her FPI and mobility grants. B.D. thanks to Ministerio de Economia, Ciencia y Competitividad, Spain for his Juan de la Cierva-Formation fellowship. The authors also thank the Electron Microscopy Service at the UPV for their support. The authors are grateful to IRCCS Rizzoli Orthopaedic Institute, Italy (funds 5 X 1000 year 2015, cod. 6879).Polo, L.; Díaz De Greñu-Puertas, B.; Della Bella, E.; Pagani, S.; Torricelli, P.; Vivancos, J.; Ruiz Rico, M.... (2018). Antimicrobial activity of commercial calcium phosphate based materials functionalized with vanillin. Acta Biomaterialia. 81:293-303. https://doi.org/10.1016/j.actbio.2018.09.033S2933038

Biomimetic fabrication of antibacterial calcium phosphates mediated by polydopamine

In this work we developed new antibacterial composite materials using polydopamine (PDA) to trigger the deposition of silver nanoparticles (AgNPs) onto calcium phosphates, namely octacalcium phosphate (OCP) and α-tricalcium phosphate (αTCP). Functionalization of OCP and αTCP with a self-polymerized polydopamine layer was obtained by soaking the calcium phosphates in dopamine solution. The PDA surface of functionalized calcium phosphates (OCPd and αTCPd) promoted the deposition of AgNPs by reducing silver ions when soaked in a silver nitrate solution. The amount of deposited AgNPs can be modulated by varying the concentration of silver nitrate solution and the type of substrate. The results of in vitro tests carried out with osteoblast-like MG63 cells indicate that the combination of AgNPs with OCP provides more biocompatible materials than those obtained using αTCP as substrate. In particular, the study of osteoblast activity and differentiation was focused on the samples OCPdAg5 (silver content = 8.2 wt%) and αTCPdAg5 (silver content = 4.7 wt%), which did not show any cytotoxicity, and compared with those obtained on pure OCP and αTCP. The results demonstrate that the AgNPs loaded materials support osteoblast viability and differentiation, whereas they significantly inhibit the growth of relevant antibiotic-resistant pathogenic bacteria

A Multi-Wavelength Perspective of Flares on HR 1099: Four Years of Coordinated Campaigns

We report on four years of multiple wavelength observations of the RS CVn system V711 Tau (HR 1099) from 1993, 1994, 1996, and 1998. This combination of radio, ultraviolet, extreme ultraviolet, and X-ray observations allows us to view, in the most comprehensive manner currently possible, the coronal and upper atmospheric variability of this active binary system. We report on the changing activity state of the system as recorded in the EUV and radio across the four years of the observations, and study the high energy variability using an assemblage of X-ray telescopes. (Longer abstract in paper).Comment: manuscript is 110 pages in length; 36 figures tota

Household financial fragility across Europe

We investigate households’ financial fragility in 12 European countries using the first wave of the Household Finance and Consumption Survey. Financial fragility is defined by accounting for both income constraints and portfolio composition and modelled by means of a bivariate probit. We find that in all countries holding an illiquid portfolio increases the likelihood of being financially fragile, while having a mortgage generally reduces it, albeit there are relevant differences across countries. Decomposing the observed differences wrt Germany (reference country), we prove that household characteristics drive all countries towards higher financial fragility, while in the Netherlands and Luxemburg the institutional set-up is able to counterbalance this effect

Financial Fragility across Europe and the US: The Role of Portfolio Choices, Household Features and Economic-institutional Setup

This paper investigates households’ financial fragility in twelve European countries and in the US by employing the first wave of the Household Finance and Consumption Survey (HFCS) and the 2010 Survey of Consumer Finances (SCF), respectively. Financial fragility is defined by taking into account both income constraints and portfolio composition (liquidity and indebtedness). Three main results emerge. First, the estimation of bivariate probit models reveals that in all countries holding an illiquid portfolio increases the likelihood of being financially fragile, while having a mortgage generally reduces it. Second, there are relevant differences among countries in their estimated average probability of financial fragility. Finally, decomposition of these differences by means of counterfactual methods provides evidence of a significant role of the country’s economic-institutional setup in providing a safety net against financial fragility. This is more true in Europe than in the US

Atypical HRCT manifestations of pulmonary sarcoidosis

Purpose: To present our experience of cases of pulmonary sarcoidosis with atypical HRCT patterns found during 2016 focusing on the differential diagnosis to contribute to the difficult role of the radiologist in the disease identification and to help the clinicians to reach the diagnosis. Materials and methods: The HRCT examinations of 47 patients with sarcoidosis were studied retrospectively. All patients had a histopathological confirm of the disease. 29 (61.7%) show a typical pulmonary pattern and 18 (38.3%) an atypical pattern. The latter were evaluated by three experienced radiologists dedicated to thoracic disease to radiologically define the predominant pattern of presentation. Results: In the 18 patients (38.3%) with atypical sarcoidosis, the following parenchymal patterns were observed: four patients (22.2%) had interstitial fibrotic alterations, three patients (16.6%) with reticular pattern with inter–intralobular septal thickening, two patients (11.1%) with small-airway involvement with mosaic oligoemia, two patients (11.1%) with pleural involvement (pneumothorax and pleural plaques), one patient (5.5%) with fibrocystic changes, 1 (5.5%) with halo-sign, 1 (5.5%) with diffuse bilateral ground-glass opacities, and 1 (5.5%) with isolated lung mass; in addition, three patients (16.6%) with atypical lymph node pattern were also found. Conclusions and Discussion: The atypical pulmonary alterations found in CT examination can be confused with other lung diseases and they are always a challenge even for the most experienced radiologist. In our experience, cases with atypical pulmonary sarcoidosis patterns evaluated in the study are consistent with similar cases described in the literature, both in lymph node and atypical parenchymal involvement. All the atypical characteristics of the work should alert the radiologist to consider sarcoidosis among the possible differential diagnoses, always correlating the results of the computed tomography examination with appropriate clinical-laboratory evaluations. © 2017 Italian Society of Medical Radiolog