increased endothelin 1 mediated vasoconstrictor tone in human obesity effects of gut hormones

The heavy impact of obesity on the development and progression of cardiovascular disease has sparked sustained efforts to uncover the mechanisms linking excess adiposity to vascular dysfunction. Impaired vasodilator reactivity has been recognized as an early hemodynamic abnormality in obese patients, but also increased vasoconstrictor tone importantly contributes to their vascular damage. In particular, upregulation of the endothelin (ET)-1 system, consistently reported in these patients, might accelerate atherosclerosis and its complication, given the pro-inflammatory and mitogenic properties of ET-1. In recent years, a number of gut hormones, in addition to their role as modulators of food intake, energy balance, glucose and lipid metabolism, and insulin secretion and action, have demonstrated favorable vascular actions. They increase the bioavailability of vasodilator mediators like nitric oxide, but they have also been shown to inhibit the ET-1 system. These features make gut hormones promising tools for targeting both the metabolic and cardiovascular complications of obesity, a view supported by recent large-scale clinical trials indicating that novel drugs for type 2 diabetes with cardiovascular potential may translate into clinically significant advantages. Therefore, there is real hope that better understanding of the properties of gut-derived substances might provide more effective therapies for the obesity-related cardiometabolic syndrome

Discovery of the supernova remnant G351.0-5.4

Context. While searching the NRAO VLA Sky Survey (NVSS) for diffuse radio emission, we have serendipitously discovered extended radio emission close to the Galactic plane. The radio morphology suggests the presence of a previously unknown Galactic supernova remnant. An unclassified {\gamma}-ray source detected by EGRET (3EG J1744-3934) is present in the same location and may stem from the interaction between high-speed particles escaping the remnant and the surrounding interstellar medium. Aims. Our aim is to confirm the presence of a previously unknown supernova remnant and to determine a possible association with the {\gamma}-ray emission 3EG J1744-3934. Methods. We have conducted optical and radio follow-ups of the target using the Dark Energy Camera (DECam) on the Blanco telescope at Cerro Tololo Inter-American Observatory (CTIO) and the Giant Meterwave Radio Telescope (GMRT). We then combined these data with archival radio and {\gamma}-ray observations. Results. While we detected the extended emission in four different radio bands (325, 1400, 2417, and 4850 MHz), no optical counterpart has been identified. Given its morphology and brightness, it is likely that the radio emission is caused by an old supernova remnant no longer visible in the optical band. Although an unclassified EGRET source is co-located with the supernova remnant, Fermi-LAT data do not show a significant {\gamma}-ray excess that is correlated with the radio emission. However, in the radial distribution of the {\gamma}-ray events, a spatially extended feature is related with SNR at a confidence level $\sim 1.5$ {\sigma}. Conclusions. We classify the newly discovered extended emission in the radio band as the old remnant of a previously unknown Galactic supernova: SNR G351.0-5.4.Comment: 6 pages, 6 figures, accepted A&

Evolutionary vaccination dilemma in complex networks

In this work we analyze the evolution of voluntary vaccination in networked populations by entangling the spreading dynamics of an influenza-like disease with an evolutionary framework taking place at the end of each influenza season so that individuals take or do not take the vaccine upon their previous experience. Our framework thus puts in competition two well-known dynamical properties of scale-free networks: the fast propagation of diseases and the promotion of cooperative behaviors. Our results show that when vaccine is perfect, scale-free networks enhance the vaccination behavior with respect to random graphs with homogeneous connectivity patterns. However, when imperfection appears we find a crossover effect so that the number of infected (vaccinated) individuals increases (decreases) with respect to homogeneous networks, thus showing the competition between the aforementioned properties of scale-free graphs

Pathological features and outcomes of incidental renal cell carcinoma in candidate solid organ donors

Background: We report the findings of a single Italian center in the evaluation of renal lesions in deceased donors from 2001 to 2017. In risk evaluation, we applied the current Italian guidelines, which include donors with small (< 4 cm, stage pT1a) renal carcinomas in the category of non-standard donors with a negligible risk of cancer transmission. Methods: From the revision of our registries, 2,406 donors were considered in the Emilia Romagna region of Italy; organs were accepted from 1,321 individuals for a total of 3,406 organs. Results: The evaluation of donor safety required frozen section analysis for 51 donors, in which a renal suspicious lesion was detected by ultrasound. Thirty-two primary renal tumors were finally diagnosed: 26 identified by frozen sections and 6 in discarded kidneys. The 32 tumors included 13 clear cell renal cell carcinomas (RCCs), 6 papillary RCCs, 6 angiomyolipomas, 5 oncocytomas, 1 chromophobe RCC, and 1 papillary adenoma. No cases of tumor transmission were recorded in follow-up of the recipients. Conclusion: Donors with small RCCs can be accepted to increase the donor pool. Collaboration in a multidisciplinary setting is fundamental to accurately evaluate donor candidate risk assessment and to improve standardized protocols for surgeons and pathologists

Near-infrared spectroscopy as a tool for in vivo analysis of human muscles

Recent advances in materials and fabrication techniques provided portable, performant, sensing optical spectrometers readily operated by user-friendly cabled or wireless systems. Such systems allow rapid, non-invasive, and not destructive quantitative analysis of human tissues. This proof-of-principle investigation tested whether infrared spectroscopy techniques, currently utilized in a variety of areas, could be applied in living humans to categorize muscles. Using an ASD FieldSpec\uae 4 Standard-Res Spectroradiometer with a spectral sampling capability of 1.4 nm at 350\u20131000 nm and 1.1 nm at 1001\u20132500 nm, we acquired reflectance spectra in visible short-wave infra-red regions (350\u20132500 nm) from the upper limb muscles (flexors and extensors) of 20 healthy subjects (age 25\u201389 years, 9 women). Spectra off-line analysis included preliminary preprocessing, Principal Component Analysis, and Partial Least-Squares Discriminant Analysis. Near-infrared (NIR) spectroscopy proved valuable for noninvasive assessment of tissue optical properties in vivo. In addition to the non-invasive detection of tissue oxygenation, NIR spectroscopy provided the spectral signatures (ie, \u201cfingerprints\u201d) of upper limb flexors and extensors, which represent specific, accurate, and reproducible measures of the overall biological status of these muscles. Thus, non-invasive NIR spectroscopy enables more thorough evaluation of the muscular system and optimal monitoring of the effectiveness of therapeutic or rehabilitative interventions

AGILE Observations of the LIGO-Virgo Gravitational-wave Events of the GWTC-1 Catalog

We present a comprehensive review of AGILE follow-up observations of the Gravitational Wave (GW) events and the unconfirmed marginal triggers reported in the first LIGO-Virgo (LV) Gravitational Wave Transient Catalog (GWTC-1). For seven GW events and 13 LV triggers, the associated 90% credible region was partially or fully accessible to the AGILE satellite at the T 0; for the remaining events, the localization region was not accessible to AGILE due to passages into the South Atlantic Anomaly, or complete Earth occultations (as in the case of GW170817). A systematic search for associated transients, performed on different timescales and on different time intervals about each event, led to the detection of no gamma-ray counterparts. We report AGILE MCAL upper limit fluences in the 400 keV-100 MeV energy range, evaluated in a time window of T 0 ± 50 s around each event, as well as AGILE GRID upper limit (UL) fluxes in the 30 MeV-50 GeV energy range, evaluated in a time frame of T 0 ± 950 s around each event. All ULs are estimated at different integration times and are evaluated within the portions of GW credible region accessible to AGILE at the different times under consideration. We also discuss the possibility of AGILE MCAL to trigger and detect a weak soft-spectrum burst such as GRB 170817A

Lp-PLA 2 , a new biomarker of vascular disorders in metabolic diseases

Metabolic diseases are chronic disorders correlated to a greater risk of cardiovascular event and death. Recently, many data have sustained the biological link between microvascular dysfunction, oxidative stress, vascular inflammation, and metabolic diseases. The determination of new and specific blood biomarkers of vascular inflammation associated with obesity-related metabolic syndrome (MetS) and diabetes such as lipoprotein-associated phospholipase A 2 (Lp-PLA 2 ) could be useful to identify subject with high risk of cardiovascular events. Lp-PLA 2 participates by a crucial role in microvascular dysfunction and oxidative stress showing positive association with metabolic disorders. In this review, we will argue the evolving role of Lp-PLA 2 in predicting cardiovascular events in metabolic disease patients