Beyond the paradigm of weight loss in non‐alcoholic fatty liver disease: From pathophysiology to novel dietary approaches

Current treatment recommendations for non-alcoholic fatty liver disease (NAFLD) rely heavily on lifestyle interventions. The Mediterranean diet and physical activity, aiming at weight loss, have shown good results in achieving an improvement of this liver disease. However, concerns related to compliance and food accessibility limit the feasibility of this approach, and data on the long-term effects on liver-related outcomes are lacking. Insulin resistance is a central aspect in the pathophysiology of NAFLD; therefore, interventions aiming at the improvement of insulin sensitivity may be preferable. In this literature review, we provide a comprehensive summary of the available evidence on nutritional approaches in the management of NAFLD, involving low-calorie diets, isocaloric diets, and the novel schemes of intermittent fasting. In addition, we explore the harmful role of single nutrients on liver-specific key metabolic pathways, the role of gene susceptibility and microbiota, and behavioral aspects that may impact liver disease and are often underreported in clinical setting. At present, the high variability in terms of study populations and liver-specific outcomes within nutritional studies limits the generalizability of the results and highlights the urgent need of a tailored and standardized approach, as seen in regulatory trials in Non-Alcoholic Steatohepatitis (NASH)

Impact of thyroid disorders on the incidence of non-alcoholic fatty liver disease in Germany

Background Studies investigating a potential association between hypothyroidism and non-alcoholic fatty liver disease (NAFLD) showed conflicting results and large-scale population-based data from Germany on this topic are currently missing. Objective It was the aim of this analysis to investigate the impact of thyroid gland disorders on the prevalence of NAFLD in Germany. Methods In this case-control study, using the German disease Analyzer database (IQVIA), NAFLD patients were matched to patients without NAFLD by age, sex, index year, treating physician, diabetes mellitus type II, and obesity. The main outcome of the study was an association between thyroid gland disorders (hypothyroidism, hyperthyroidism and autoimmune thyroiditis) and incident NAFLD and was evaluated using logistic regression analyses. Results 57,483 patients with NAFLD were matched to 57,483 patients without liver disease. Mean age of the cohort was 60.3 years (±14.1) and 52.3% were men. In regression analyses, hypothyroidism (OR 1.17, 95% CI 1.10 - 1.24, p < 0.001) as well as autoimmune thyroiditis (OR 1.53, 95% CI 1.35–1.73, p < 0.001) were associated with a higher risk of NAFLD. In contrast, hyperthyroidism was associated with a lower risk of NAFLD (OR 0.85, 95% CI 0.77–0.94, p < 0.001). The effect of hypothyroidism on the prevalence of NAFLD remained significant across men (OR 1.31, 95% CI 1.15–1.48) as well as women (OR 1.12, 95% CI 1.05–1.21). Conclusion Hypothyroidism seems to be a risk factor for incident NAFLD

Effects of the Brookite Phase on the Properties of Different Nanostructured TiO2 Phases Photocatalytically Active Towards the Degradation of N-Phenylurea

Different sol-gel synthesis methods were used to obtain four nanostructured mesoporous TiO2 samples for an efficient photocatalytic degradation of the emerging contaminant N-phenylurea under either simulated solar light (1 Sun) or UV light. Particularly, two TiO2 samples were obtained by means of as many template-assisted syntheses, whereas other two TiO2 samples were obtained by a greener template-free procedure, implying acidic conditions and, then, calcination at either 200 °C or 600 °C. In one case, anatase was obtained, whereas in the other three cases mixed crystalline phases were obtained. The four TiO2 samples were characterized by X-ray powder diffraction (followed by Rietveld analysis); Transmission Electron Microscopy; N2 adsorption/desorption at −196 °C; Diffuse Reflectance UV/Vis spectroscopy and ζ-potential measurements. A commercial TiO2 powder (i. e., Degussa P25) was used for comparison. Differences among the synthesized samples were observed not only in their quantitative phase composition, but also in their nanoparticles morphology (shape and size), specific surface area, pore size distribution and pHIEP (pH at isoelectric point), whereas the samples band-gap did not vary sizably. The samples showed different photocatalytic behavior in terms of N-phenylurea degradation, which are ascribed to their different physico-chemical properties and, especially, to their phase composition, stemming from the different synthesis conditions

Solid-state ion exchange of Fe in small pore SSZ-13 zeolite: Characterization of the exchanged species and their relevance for the NOx SCR reaction

Solid state ion exchange was performed for the successful introduction of Fe cations in the small pore CHA structured SSZ-13 zeolite. The produced catalysts were characterized by IR and UV-Vis spectroscopies and thermally programmed reaction techniques to probe the Fe sites formed during the exchange and the catalytic activity for the NOx SCR reaction. The results indicate that highly dispersed and heterogeneous Fe sites are formed, and the type depends on the Al distribution in the zeolite. Dimeric Fe species are formed preferentially at the start of the exchange on the 6- and 8-member rings that contain at least two Al exchange sites and once these sites are fully saturated the Fe is exchanged as isolated cations

Efficacy of a preparation based on calcium butyrate, bifidobacterium bifidum, bifidobacterium lactis, and fructooligosaccharides in the prevention of relapse in ulcerative colitis: A prospective observational study

Several compounds based on short chain fatty acids and/or probiotics/prebiotics have shown promising results in the therapy of ulcerative colitis (UC), possibly due to its key role in restoring gut homeostasis as well as intestinal barrier integrity. Here, we investigated the efficacy of a patented preparation based on calcium butyrate, Bifidobacterium bifidum, Bifidobacterium lactis, and fructooligosaccharides (FEEDColon(®), Princeps, Cuneo, Italy) in maintaining remission and improving subjective symptoms and inflammatory indices in patients with UC receiving 5-ASA therapy. A total of 42 patients were prospectively recruited and randomized in 21 patients receiving combination therapy with mesalamine (5-ASA) plus FEEDColon(®) and 21 patients treated with standard 5-ASA therapy. Patients were assessed at baseline, at 6-month, and 12-month follow-up (FU). Therapeutic success (defined as Mayo partial score ≤ 2 and faecal calprotectin (FC) < 250 µg/g at 12-month FU) was reached by 32 (76%) patients: 20 (95%) among those treated with 5-ASA + FeedColon(®), and 12 (57%) among those treated with 5-ASA only (p = 0.009). Consistently, patients treated with combination therapy improved subjective symptoms (quality of life, abdominal pain, and stool consistency) and reduced FC values, while those treated with 5-ASA alone, improved neither subjective symptoms nor FC during the FU. In conclusion, FEEDColon(®) supplementation appears to be a valid add-on therapy for the maintenance of remission in patients with UC. Further multicentre, placebo-controlled, double-blind clinical trials are needed to validate our results on larger cohorts of patients with UC

Tragacanth Gum as Green Binder for Sustainable Water-Processable Electrochemical Capacitor

Enabling green fabrication processes for energy storage devices is becoming a key aspect in order to achieve a sustainable fabrication cycle. Here, the focus was on the exploitation of the tragacanth gum, an exudated gum like arabic and karaya gums, as green binder for the preparation of carbon‐based materials for electrochemical capacitors. The electrochemical performance of tragacanth (TRGC)‐based electrodes was thoroughly investigated and compared with another water‐soluble binder largely used in this field, sodium‐carboxymethyl cellulose (CMC). Apart from the higher sustainability both in production and processing, TRGC exhibited a lower impact on the obstruction of pores in the final active material film with respect to CMC, allowing for more available surface area. This directly impacted the electrochemical performance, resulting in a higher specific capacitance and better rate capability. Moreover, the TRGC‐based supercapacitor showed a superior thermal stability compared with CMC, with a capacity retention of about 80 % after 10000 cycles at 70 °C

Tragacanth gum as green binder for sustainable water-processable electrochemical capacitor

9Enabling green fabrication processes for energy storage devices is becoming a key aspect in order to achieve a sustainable fabrication cycle. Here we focus on the exploitation of the tragacanth gum, an exudated gum like arabic and karaya gums, as green binder for the preparation of carbon-based for electrochemical capacitors. The electrochemical performance of tragacanth (TRGC)-based electrodes are thoroughly investigated and compared with another water-soluble binder largely used in this field, i.e. sodium-carboxymethyl cellulose (CMC). Apart from the higher sustainability both in production and processing, TRGC exhibits a lower impact on the obstruction of pores in the final active material film with respect to CMC, allowing for more available surface area. This directly impacts on the electrochemical performances resulting in a higher specific capacitance and better rate capability. Moreover, the TRGC-based supercapacitor shows a superior thermal stability than CMC with a capacity retention of about 80 % after 10.000 cycles at 70 °C.partially_openopenScalia, Alberto; Zaccagnini, Pietro; Armandi, Marco; Latini, Giulio; Versaci, Daniele; Lanzio, Vittorino; Varzi, Alberto; Passerini, Stefano; Lamberti, AndreaScalia, Alberto; Zaccagnini, Pietro; Armandi, Marco; Latini, Giulio; Versaci, Daniele; Lanzio, Vittorino; Varzi, Alberto; Passerini, Stefano; Lamberti, Andre