Integrated care pathways for airway diseases (AIRWAYS-ICPs)

The objective of Integrated Care Pathways for Airway Diseases (AIRWAYS-ICPs) is to launch a collaboration to develop multi-sectoral care pathways for chronic respiratory diseases in European countries and regions. AIRWAYS-ICPs has strategic relevance to the European Union Health Strategy and will add value to existing public health knowledge by: 1) proposing a common framework of care pathways for chronic respiratory diseases, which will facilitate comparability and trans-national initiatives; 2) informing cost-effective policy development, strengthening in particular those on smoking and environmental exposure; 3) aiding risk stratification in chronic disease patients, using a common strategy; 4) having a significant impact on the health of citizens in the short term (reduction of morbidity, improvement of education in children and of work in adults) and in the long-term (healthy ageing); 5) proposing a common simulation tool to assist physicians; and 6) ultimately reducing the healthcare burden (emergency visits, avoidable hospitalisations, disability and costs) while improving quality of life. In the longer term, the incidence of disease may be reduced by innovative prevention strategies. AIRWAYSICPs was initiated by Area 5 of the Action Plan B3 of the European Innovation Partnership on Active and Healthy Ageing. All stakeholders are involved (health and social care, patients, and policy makers).

Magneto-responsive nanocomposites: preparation and integration of magnetic nanoparticles into films, capsules, and gels

This review reports on the latest developments in the field of magnetic nanocomposites, with a special focus on the potentials introduced by the incorporation of magnetic nanoparticles into polymer and supramolecular matrices. The general notions and the state of the art of nanocomposite materials are summarized and the results reported in the literature over the last decade on magnetically responsive films, capsules and gels are reviewed. The most promising concepts that have inspired the design of magneto-responsive nanocomposites are illustrated through remarkable examples where the integration of magnetic nanoparticles into organic architectures has successfully taken to the development of responsive multifunctional materials.

Can HLA-DRB4 Help to Identify Asthmatic Patients at Risk of Churg-Strauss Syndrome?

HLA-DRB4 gene is associated with Churg-Strauss syndrome (CSS), a systemic eosinophilic vasculitis with a prodromal phase characterized by severe asthma, eosinophilia, nasal polyposis, and sinusitis. Aim of this study was to evaluate if the presence of HLA-DRB4 in asthmatic patients is associated with a clinical picture resembling that of the prodromal phase of CSS. HLA-DRB1 was determined in a cohort of 159 asthmatic patients and its frequency was compared with that of 1808 blood donors. HLA-DRB4 presence/absence was correlated with clinical features, including sinusitis, nasal polyposis, eosinophils, antiasthmatic drugs, asthma severity, and pulmonary function tests. HLA-DRB4 gene was associated with severe persistent asthma before treatment (P < 0.02), near fatal or severe hypoxemic asthma (P < 0.01), sinusitis (P < 0.01), nasal polyposis (P < 0.01), number of patients with eosinophils >1000/ μ l: (P < 0.05), need of beclomethasone >1000-2000  μ g/daily (P < 0.001), use of a third controller (P < 0.05), and oral prednisone (P < 0.02). HLA-DRB4 gene is associated in asthmatic patients with a clinical picture characterized by asthma severity, sinusitis, nasal polyposis, and eosinophilia closely resembling that of the prodromal phase of CSS and might be useful to suspect corticosteroids-masked cases of CSS.

Micelle, microemulsions, and gels for the conservation of cultural heritage

Past restorations performed with acrylic and vinyl polymers showed detrimental effects to wall paintings that lead to the complete disfiguration of the painted surfaces. The removal of these materials performed with the traditional solvent-based methodology represents a real challenge to conservators and usually achieves very poor results. This review reports on the new palette, nowadays available to restorers, based on microemulsions, micellar systems, physical and chemical gels specifically formulated for the cleaning of cultural heritage artefacts. These systems have been developed in the last twenty years within the cultural framework of colloids and surface science.

Magnetic nanoparticle clusters as actuators of ssDNA release

One of the major areas of research in nanomedicine is the design of drug delivery systems with remotely controllable release of the drug. Despite the enormous progress in the field, this aspect still poses a challenge, especially in terms of selectivity and possible harmful interactions with biological components other than the target. We report an innovative approach for the controlled release of DNA, based on clusters of core-shell magnetic nanoparticles. The primary nanoparticles are functionalized with a single-stranded oligonucleotide, whose pairing with a half-complementary strand in solution induces clusterization. The application of a low frequency (6 KHz) alternating magnetic field induces DNA melting with the release of the single strand that induces clusterization. The possibility of steering and localizing the magnetic nanoparticles, and magnetically actuating the DNA release discloses new perspectives in the field of nucleic-acid based therapy.

Weight loss interventions in asthma: EAACI evidence-based clinical practice guideline (part I)

BACKGROUND

Asthma and obesity are chronic multifactorial conditions that are associated with gene-environment interaction and immune function. Although the data are not fully consistent, it seems that obesity increases the risk of asthma and compromises asthma control.

OBJECTIVE

To investigate the impact that weight changes have on asthma.

METHODS

We carried out a systematic review of three large biomedical databases. Studies were scrutinized and critically appraised according to agreed exclusion and inclusion criteria. Quality assessment of eligible papers was conducted using the GRADE method. Meta-analyses of comparable studies were carried out.

RESULTS

Thirty studies met the eligibility criteria of the review. Interventions were limited to dietary manipulation in three studies, one of which also used anti-obesity drugs, and bariatric surgery in four. All the other studies reported observational data. Becoming obese increased the odds for incident asthma by 1.82 (95% CI 1.47, 2.25) in adults and 1.98 (95% CI 0.71, 5.52) in children. Weight loss was associated with significant improvement in mean scores for symptoms, rescue medication score, and asthma exacerbations in the only randomized controlled trial. Similarly, evidence gathered from observational studies, with follow-up ranging between 8 weeks to 1 year, and from changes 1 year after bariatric surgery showed improvements in all asthma control-related outcomes. Changes in lung function were reported in one randomized controlled and eight observational studies of asthmatic subjects, with conflicting results. Either improvement after weight loss, decline with weight gain, or no effects at all were reported. Changes in airway inflammation and responsiveness were reported only by observational studies.

CONCLUSION

Weight increases above the obesity threshold significantly increase the risk of asthma. The available studies show weak evidence of benefits from weight reduction on asthma outcomes.

Microarray evaluation of specific IgE to allergen components in elite athletes

BACKGROUND

Allergic sensitization and diseases have been reported to have a very high and increasing prevalence in elite athletes. Over 80% of allergic athletes are poly-sensitized.

OBJECTIVE

This study aims at evaluating the potential diagnostic added value of a microarray technology (ImmunoCAP ISAC, Phadia AB [at present Thermo Fisher Scientific] Uppsala, Sweden which detects IgE antibodies to specific or cross-reacting allergen components.

METHODS

Seventy-two poly-sensitized athletes according to skin prick test (SPT) with different allergic phenotypes (asthma n = 19; rhino-conjunctivitis n = 20; food allergy and/or oral allergy syndrome n = 13; no clinical symptoms n = 20) and two different control populations (20 poly-sensitized sedentary subjects with respiratory allergy and 20 healthy athletes with negative SPT) were studied for detecting specific IgE (sIgE) both to allergen extracts (ImmunoCAPsIgE) and to allergen components (ImmunoCAP ISAC).

RESULTS

ImmunoCAP ISAC detected the presence of sIgE in 90% of poly-sensitized athletes--in 96% with symptoms and in 75% without symptoms--and in 100% of allergic controls. The pattern of positivity towards the 103 components tested differed from subject to subject, even in those with the same sensitization to allergen extract SPT or sIgE. Based on the ISAC results, poly-sensitized athletes were classified into the following prototypical patterns, differently represented in the clinical phenotypes studied (P = 0.03): (1) One single predominant specific allergen positivity; (2) sIgE to two or more non-cross-reacting allergens; (3) sIgE to cross-reacting allergens; and (4) sIgE to components potentially responsible for severe allergic reactions.

CONCLUSIONS

The ImmunoCAP ISAC represents a useful additional tool for diagnosis and management of poly-sensitized athletes.

A quaterthiophene-based rotaxane: synthesis, spectroscopy, and self-assembly at surfaces

Threaded molecular wires are shown to feature tunable properties. A new rotaxane based on a quaterthiophene threaded through a single β-cyclodextrin exhibits delocalization of the aromatic system that is also extended onto the central phenyl rings of the m-terphenylene end-groups. The rotaxane can undergo self-assembly that is better than the analogous bithiophene derivative, due to the increased π-π interactions.

MC. Gels for the Conservation of Cultural Heritage

The consolidation of a pictorial surface or the removal of undesired material from the surface of an artifact, are the most important and delicate operations in the conservation of cultural heritage. In this contribution we report on the synthesis and characterization of two innovative systems for the cleaning of works of art: i) highly viscous polymeric dispersions (HVPDs) of poly(vinyl alcohol-co-vinyl acetate) random copolymer (PVAc), and ii) chemical gels from acrylamide - N,N’-methylene bisacrylamide, loaded with innovative aqueous cleaning systems. These systems were prepared, characterized and tested over artistic surfaces, such as wood and canvas. Rheology and FTIR spectroscopy allowed the characterization of the materials, and provided evidence that the systems allow an efficient cleaning of the substrates, without leaving residues.

[Investigation and comparison of behaviours of adults and children in swimming pools]

The swimmers health's protection must be achieved through the implementation of structures that respect safety standards, the best management of the structures and the users'compliance with rules that minimize the potential risks to health, now clearly identified by the World Health Organization in specific guidelines and by the national and regional legislation. An anonymous questionnaire has been used in order to detect the level of knowledge of hygienic risks and the behaviour of costumers (adults and children) of swimming pool. Comparing the answers, statistically significant differences in the behaviours of adults and children were found in order to protect their own and others' health. In particular children do shower and go through footbath before entering the swimming pool more than adults (respectively 89.2% versus 77.4% and 89.2% versus 79.4%). No differences in the behaviours of the two groups were found in the use of dedicated footwear and caps. Children are predisposed to follow the rules because they are more loyal to duty, while adults comply with the rules only when it is clear the advantage to protect their health. This paper underline the importance of health education programs that can help people to understand the importance of adopting certain behaviours in order to prevent risks and promote health for the benefit of all.

Removal of acrylic coatings from works of art by means of nanofluids: understanding the mechanism at the nanoscale

Conservation of works of art often involves the inappropriate application of synthetic polymers. We have proposed the use of alternative methodologies for conservation and formulated innovative cleaning nanostructured systems to remove previously applied polymer films and grime from painted surfaces. In particular, a novel "micellar system" composed of water, SDS, 1-pentanol, ethyl acetate and propylene carbonate was recently formulated and successfully used to remove acrylic and vinyl/acrylic copolymers from Mesoamerican wall paintings in the archeological site of Cholula, Mexico. This contribution reports on the mechanism of the interaction process that takes place between the nanostructured fluid and the polymer coating at the nanoscale. The structural properties of the "micellar solution" and of the polymer film are investigated before, during and after the interaction process using several surface and solution techniques. Rather than a classical detergency mechanism, we demonstrate that micelles act as solvent containers and interact with the polymer film leading to its swelling and detachment from the surface and to its segregation in a liquid droplet, which phase-separates from the aqueous bulk. After the removal process the micelles become smaller in size and undergo a structural re-arrangement due to the depletion of the organic solvents. These findings can be framed in an interaction mechanism which describes the removal process, opening up new perspectives in the design and formulation of new cleaning systems specifically tailored for intervention on particular conservation issues.

Towards supramolecular engineering of functional nanomaterials: pre-programming multi-component 2D self-assembly at solid-liquid interfaces

Materials with a pre-programmed order at the supramolecular level can be engineered with a sub-nanometer precision making use of reversible non- covalent interactions. The intrinsic ability of supramolecular materials to recognize and exchange their constituents makes them constitutionally dynamic materials. The tailoring of the materials properties relies on the full control over the self-assembly behavior of molecular modules exposing recognition sites and incorporating functional units. In this review we focus on three classes of weak-interactions to form complex 2D architectures starting from properly designed molecular modules: van der Waals, metallo-ligand and hydrogen bonding. Scanning tunneling microscopy studies will provide evidence with a sub-nanometer resolution, on the formation of responsive multicomponent architectures with controlled geometries and properties. Such endeavor enriches the scientist capability of generating more and more complex smart materials featuring controlled functions and unprecedented properties.

New frontiers in materials science for art conservation: responsive gels and beyond

The works of art and artifacts that constitute our cultural heritage are subject to deterioration, both from internal and from external factors. Surfaces that interact with the environment are the most prone to aging and decay; accordingly, soiling is a prime factor in the degradation of surfaces and the attendant disfigurement of a piece. Coatings that were originally intended to protect or contribute aesthetically to an artwork should be removed if they begin to have a destructive impact on its appearance or surface chemistry. Since the mid-19th century, organic solvents have been the method of choice for cleaning painted surfaces and removing degraded coatings. Care must be taken to choose a solvent mixture that minimizes swelling of or leaching from the original paint films, which would damage and compromise the physical integrity of all the layers of paint. The use of gels and poultices, first advocated in the 1980s, helps by localizing the solvent and, in some cases, by reducing solvent permeation into underlying paint layers. Unfortunately, it is not always easy to remove gels and their residues from a paint surface. In this Account, we address the removal problem by examining the properties of three classes of innovative gels for use on artwork--rheoreversible gels, magnetic gels, and "peelable" gels. Their rheological properties and efficacies for treating the surfaces of works have been studied, demonstrating uniquely useful characteristics in each class: (1) Rheoreversible gels become free-flowing on application of a chemical or thermal "switch". For art conservation, a chemical trigger is preferred. Stable gels formed by bubbling CO(2) through solutions of polyallylamine or polyethylenimines (thereby producing ammonium carbamates, which act as chain cross-links) can be prepared with a wide range of solvent mixtures. After solubilization of varnish and dirt, addition of a weak acid (mineral or organic) displaces the CO(2), and the resulting free-flowing liquid can be removed gently. (2) Incorporation of magnetic, coated-ferrite nanoparticles into polyacrylamide gels adds functionality to a versatile system comprising oil-in-water microemulsions, aqueous micellar solutions, or xerogels that act as sponges. The ferrite particles allow the use of magnets both to place the gels precisely on a surface and to lift them from it after cleaning. (3) Novel formulations of poly(vinyl alcohol)-borate gels, which accept a range of organic cosolvents, show promise for swelling and dissolving organic coatings. This family of gels can be quite stiff but can be spread. They are non-sticky and have sufficient strength to be removed by peeling or lifting them from a sensitive surface. These three classes of gels are potentially very important soft materials to augment and improve the range of options available for conserving cultural heritage, and their interesting chemical-physical properties open a rich area for future scientific investigation.

The efficacy of sublingual immunotherapy for house dust mites respiratory allergy: results of a GA2LEN meta-analysis

Recent meta-analyses documented the efficacy and safety of sublingual immunotherapy (SLIT) in patients with allergic rhinitis (AR) and asthma (AA). Although SLIT appeared globally effective, the sub-analyses for single allergens provided uncertain results. This study is aimed to investigate the efficacy of SLIT with house dust mite (HDM) extracts in AR and AA through an updated reassessment of randomized controlled trials. Electronic databases were searched up to March 31, 2008, for randomized DBPC trials, assessing the efficacy of SLIT in AR and AA due to HDM sensitization. Outcomes were symptom scores and rescue medications use. For AR, eight studies fulfilled the selection criteria. A significant reduction in symptoms of AR (SMD -0.95; CI 95%-1.77 to -0.14 P = 0.02) was found in 194 patients (adults and children) receiving SLIT compared to 188 receiving placebo. For AA, with nine studies, similar results were found for symptoms (SMD -0.95; CI 95%-1.74 to -0.15 P = 0.02) in 243 patients (adults and children) receiving SLIT compared to 209 receiving placebo. A reduction in rescue medication use was found for AR (SMD -1.88; CI 95%-3.65 to -0.12 P = 0.04) in 89 patients, and AA (SMD -1.48; CI 95%-2.70 to -0.26 P = 0.02) in 202 patients. A relevant inter-study heterogeneity was detected. Promising evidence of efficacy for SLIT, using mite extract in allergic patients suffering from AR and AA, are herein shown. These findings suggest that more data are needed, derived from large-population-based high quality studies, and corroborated by objective outcomes, mainly for AA.

The efficacy of sublingual immunotherapy for house dust mites respiratory allergy: results of a GA2LEN meta-analysis

Recent meta-analyses documented the efficacy and safety of sublingual immunotherapy (SLIT) in patients with allergic rhinitis (AR) and asthma (AA). Although SLIT appeared globally effective, the sub-analyses for single allergens provided uncertain results. This study is aimed to investigate the efficacy of SLIT with house dust mite (HDM) extracts in AR and AA through an updated reassessment of randomized controlled trials. Electronic databases were searched up to March 31, 2008, for randomized DBPC trials, assessing the efficacy of SLIT in AR and AA due to HDM sensitization. Outcomes were symptom scores and rescue medications use. For AR, eight studies fulfilled the selection criteria. A significant reduction in symptoms of AR (SMD -0.95; CI 95%-1.77 to -0.14 P = 0.02) was found in 194 patients (adults and children) receiving SLIT compared to 188 receiving placebo. For AA, with nine studies, similar results were found for symptoms (SMD -0.95; CI 95%-1.74 to -0.15 P = 0.02) in 243 patients (adults and children) receiving SLIT compared to 209 receiving placebo. A reduction in rescue medication use was found for AR (SMD -1.88; CI 95%-3.65 to -0.12 P = 0.04) in 89 patients, and AA (SMD -1.48; CI 95%-2.70 to -0.26 P = 0.02) in 202 patients. A relevant inter-study heterogeneity was detected. Promising evidence of efficacy for SLIT, using mite extract in allergic patients suffering from AR and AA, are herein shown. These findings suggest that more data are needed, derived from large-population-based high quality studies, and corroborated by objective outcomes, mainly for AA.

Sensitization, asthma and allergic disease in young soccer players

BACKGROUND

The aim of this study was to identify the prevalence of allergic disease in young soccer players compared to age-matched students and to evaluate if this prevalence changes as the intensity of training increases.

METHODS

A modified ECRHS questionnaire was administered to 194 soccer players divided by age as Beginners (8-11 years), Juniors (12-16 years) and Under 21 (17-20 years) to evaluate the prevalence of allergic diseases and symptoms as well as drug consumption. Subjects with a positive personal history of allergic diseases underwent skin prick and/or patch tests. Age-matched students (n = 136) were used as a control group.

RESULTS

The prevalence of allergic diseases was 34.5% in soccer players and 31.6% in control subjects (n.s.). Skin sensitization to inhalant allergens was detected in 14.4% of symptomatic soccer players and in 19.2% of control students (n.s.). Patch tests were positive in 35.7% of soccer players and 23.0% of controls with allergic dermatitis (n.s.). The prevalence of allergic diseases did not significantly change in relation to the intensity of training. Although the relative prevalence of sensitization to perennial allergens and asthma was less frequent in soccer players than in controls, and the occurrence of exercise-induced bronchoconstriction was similar in the two groups, soccer players used twice as many anti-allergic and anti-asthmatic drugs as control students.

CONCLUSIONS

An increasingly intensive training programme is not associated with greater risk of allergic disease in soccer players. Therapy regimens of allergic athletes and exercisers should be monitored more closely to guarantee adequate treatment yet avoid inappropriate drug use and doping practices.

Acrylamide-based magnetic nanosponges: a new smart nanocomposite material

Nanocomposite materials consisting of CoFe2O4 magnetic nanoparticles and a polyethylene glycol-acrylamide gel matrix have been synthesized. The structure of such materials was studied by means of small-angle scattering of X-rays and polarized neutrons, showing that the CoFe2O4 nanoparticles were successfully and homogeneously embedded in the gel structure. Magnetic, viscoelastic, and water retention properties of the nanocomposite gel confirm that the properties of both nanoparticles and gel are combined in the resulting nanomagnetic gel. Scanning electron microscopy highlights the nanocomposite nature of the material, showing the presence of a gel structure with different pore size distributions (pores with micron and nano-size distributions) that can be used as active sponge-like nanomagnetic container for water-based formulations as oil-in-water microemulsions.

The common allergens in the Churg-Strauss syndrome

BACKGROUND

The asthmatic-prodromal phase of Churg-Strauss syndrome (CSS) is usually considered allergic, but data about the involved allergens are scarce. The aim of our work was to examine the prevalence of allergy in a group of CSS patients and in two control groups of persistent asthmatic subjects selected for eosinophilia >10% [first control group patients (CGP1)] and eosinophils <6% [second control group patients (CGP2)].

METHODS

The respiratory symptoms, and the results of prick test and/or RAST for the common allergens, performed before the vasculitic phase in 51 CSS, were retrospectively evaluated and compared with those of 46 CGP1 and 50 CGP2.

RESULTS

31.4% of CSS vs 67.4% of CGP1 (P = 0.0004) and vs 58.0% CGP2 (P = 0.007) were allergic. The number of subjects with seasonal allergies was lower in CSS vs CGP1 (P = 0.0069) and vs CGP2 (P = 0.0002). The number of perennial allergies was significantly higher in CSS than in both control groups (CSS vs CGP1, P = 0.0108; CSS vs CGP2, P = 0.0079). The subjects allergic to Dermatophagoides were prevalent in CSS vs CGP1 (P = 0.0045) but not vs CGP2.

CONCLUSIONS

The evidence of allergy, considered as the demonstration of specific IgE consistent with the clinical history, is present in less than one-third of CSS and the higher prevalence of seasonal allergies in the controls disagrees with persistent asthma. Allergy may be only one of several mechanisms triggering exacerbation of asthma or supporting chronic airway inflammation as in asthma in general. Alternatively, unidentified allergens may play a role.

Self-assembly of beta-cyclodextrin in water. 2. Electron spin resonance

The interaction of amphipilic spin labels with beta-cyclodextrin was investigated using conventional electron spin resonance (ESR) spectroscopy to explore the aggregation of cyclodextrins in water. Methyl 5-doxylstearate (5-DMS) and stearic acid spin probes (n-DSA), which contain a cyclic nitroxide moiety with unpaired electrons covalently linked to the aliphatic chain carbon in positions 5, 7, 12, and 16, show that different dynamic domains coexist in beta-CD water solutions above 3 mM. The results are consistent with the formation of beta-CD self-assembled structures in water above a critical aggregation concentration and confirm the previous findings that were reported in the part 1 article of this series.

Predictive value of allergy and pulmonary function tests for the diagnosis of asthma in elite athletes

BACKGROUND

Asthma is frequently found in athletes, often associated with rhinitis and allergy.

AIM

To study the predictive value of allergy and pulmonary function tests for the diagnosis of asthma in athletes.

SUBJECTS AND METHODS

Ninety-eight national preOlympic athletes underwent an accurate medical examination including a validated questionnaire for asthma and rhinitis, spirometric recordings and skin prick testing with a panel of the most frequent inhalant allergens. Bronchodilator and/or exercise challenge were also performed in asthmatic subjects.

RESULTS

Clinical asthma was present in 20.4% of athletes, rhinitis in 35.3% (in 21.4% of cases alone and in 13.9% associated with asthma). Positive prick tests were recorded in 44.4% of athletes (in 60.5% of asthmatics, in 95.2% of rhinitics and in 21.0% of nonasthmatic - nonrhinitic subjects). Mean spirometric values and distribution of abnormal values were not different among asthmatics, rhinitics and nonasthmatics - nonrhinitic patients. Skin-tests positivity was not related to the abnormal spirometric data found in individual cases. Provocation tests with bronchodilators or exercise did not appear sensitive enough to diagnose mild forms of asthma in subjects with normal basal spirometric values.

CONCLUSIONS

Allergy testing and spirometry should be performed routinely in athletes because of the high prevalence of allergy, rhinitis and asthma in this population. However, the predictive value of these tests and of the bronchial provocation tests performed in this study seems too low to document mild or subclinical asthma in athletes.

Nanomagnetic sponges for the cleaning of works of art

This letter reports the synthesis and characterization of functionalized magnetic nanoparticles associated with chemical gels and their application to the conservation of cultural heritage. Magnetic nanoparticles, which are associated with acrylamide ethylene oxide polymers, produce a sponge that can be loaded with oil-in-water microemulsions, forming a magnetically responsive gel-like system and acting as a permanent hydrogel. The magnetic gel-like system can be used for specific applications in detergents or in the release of the loaded material. The system can be magnetically manipulated and cleaned from the loaded materials and then dried and reused for a different application. We report an important application of this new nanomagnetic responsive material in the field of cultural heritage conservation.

Nonspecific provocation of target organs in allergic diseases: EAACI-GA(2)LEN consensus report

It is widely accepted that nonspecific tissue reactivity is a distinct pathophysiological hallmark of allergic diseases, influenced by genetic and environmental factors different from those involved in causing sensitization and allergen response of target organs. This consensus document aims at reviewing procedures currently used for nonspecific provocation of the bronchi, nose and eye and for measuring their responsiveness to nonspecific stimuli.

NMR diffusometry and conductometry study of the host–guest association between β-cyclodextrin and dodecane 1,12-bis(trimethylammonium bromide)

Surfactants form association complexes with cyclodextrins. In the present investigation we have used NMR-diffusometry and electrical conductivity to follow the interactions which take place between beta-cyclodextrin and a bolaform surfactant: dodecane 1,12-bis(trimethylammonium bromide). Both (1)H NMR self-diffusion and conductometry data indicate the formation of a 1:1 inclusion complex. Assuming this stoichiometry, it was possible to calculate the association constant; from the analysis of the self-diffusion coefficients of free beta-cyclodextrin and the bolaform surfactant an association constant K=3x10(3)M(-1) was obtained while the analysis of conductivity data gave a comparable value of K=2.5x10(3)M(-1).

Rhinitis and asthma in athletes: an ARIA document in collaboration with GA2LEN

This consensus document is aimed at reviewing evidence that the rhinitis-asthma links have peculiar features in athletes. Beside a review of epidemological data on the high prevalence of rhinitis and asthma in athletes, the effects on intense physical exercise on the immune system and repiratory functions are discussed, with special reference to the role of allergens and pollutants. In extending the Allergic Rhinitis and its Impact on Asthma (ARIA) recommendations to athletes, the issue is addressed of adapting diagnosis and management to criteria set by the International Olympic Committee (IOC) and regulations adopted by the World Anti-Doping Agency (WADA).

Self-assembly of beta-cyclodextrin in water. Part 1: Cryo-TEM and dynamic and static light scattering

In this article, we report evidence of beta-cyclodextrin (beta-CD) self-aggregation in water. A critical aggregation concentration (cac) between 2 and 3 mM was determined by using dynamic (DLS) and static (SLS) light scattering to investigate the presence of beta-cyclodextrin aggregates. Transmission electron microscopy at cryogenic temperature (Cryo-TEM) was used to detect the structural features of cyclodextrin self-aggregates. The results show the occurrence of polymorphism depending on the beta-CD concentration: polydisperse nearly spherical objects with diameters of about 100 nm are present at lower concentrations, whereas micrometer planar aggregates are predominant at higher concentrations.

SANS analysis of the microstructural evolution during the aging of pyrolysis oils from biomass

In this paper, we report for the first time a microstructural characterization of pyrolysis oils obtained from biomass. Bio crude oils (BCOs) are good candidates as substitutes for mineral oils as fuels. By using small-angle neutron scattering (SANS), we show that BCOs are nanostructured fluids constituted by a complex continuous phase and nanoparticles mainly formed by the association of units of pyrolytic lignins. The aggregation of these units during the time produces branched structures with fractal dimension D(f) between 1.4 and 1.5, which are responsible for BCO aging. SANS results fully support the recently formulated thermal ejection theory, accounting for the mechanism of formation of the lignin fraction in oils obtained from fast pyrolysis of biomass.

Surfactant aggregates hosting a photoresponsive amphiphile: structure and photoinduced conformational changes

This paper reports the aggregational and photoresponsive properties of aqueous solutions of a cationic bolaform surfactant, where an azobenzene moiety connects two identical hydrophobic chains terminated by quaternary ammonium groups. In analogy to common surfactants, the cationic bolaform molecules form supramolecular assemblies in water, and both interfacial and associative properties can be modulated and controlled by shining the sample with the appropriate wavelength radiation. Binary and ternary (BTHA/SDS/water) systems were investigated as a function of the photosurfactant concentration, sample composition and degree of irradiation. Structural properties of the supramolecular assemblies, obtained by QELS, SANS and cryo-TEM, have been correlated to the isomerization state of the surfactant, inferred from UV-vis spectroscopy.

Oxygen reactive radicals production in cell culture by okadaic acid and their implication in protein synthesis inhibition

Okadaic acid (OA), a diarrhetic shellfish toxin is a potent promoter of tumours in mouse skin and a specific inhibitor of protein phosphatases 1 and 2A. Recently it has been shown that OA inhibited protein synthesis in a cell-free system, with 50% inhibitory concentration of 6.3x10(-12) M but the mechanism whereby this inhibition is mediated was still unclear. In the present study, the effect of OA on protein synthesis in Vero cell cultures was investigated. Protein synthesis was inhibited by OA alone in Vero cells in a concentration-dependent manner (IC50=27 ng/ml i.e. 3. 3x10(-8) M). Since OA also induced lipid peroxidation and likely oxygen reactive radicals, it was interesting to know whether these radicals impair the protein synthesis process. Therefore, SOD+catalase known as scavenger of active oxygen radicals were added in the culture medium in the presence of OA and labelled leucine. These enzymes partially prevented the inhibition of protein synthesis induced by OA, indicating that the formation of high reactive oxygen free radicals could be one of the pathways this marine toxin induces its toxicity. Since the prevention by SOD+catalase was only partial (the IC50 increased from 27 ng/ml to 48 ng/ml i.e. 3.3x10(-8) M to 5.9x10(-8) M) it was speculated that the production of oxygen reactive radical scavengered by SOD+catalase is not the main mechanism whereby OA induces its cytotoxicity. Vitamins E and C completely prevent the lipid peroxidation induced by OA in cells, but failed to reduce the inhibition of protein synthesis to the same level, indicating that a more specific mechanism might be responsible for protein synthesis inhibition. That is the hyperphosphorylation of elongation factor EF-2 in the protein synthesis machinery. However our results pointed to lipid peroxidation being a precocious phenomenon following the OA exposure, since a concentration with enhanced MDA production was lower than that inducing significant cellular protein synthesis inhibition.

Synergistic effects of some metals contaminating mussels on the cytotoxicity of the marine toxin okadaic acid

Okadaic acid (OA), a marine toxin is cytotoxic and promotes tumours in mouse skin. It is a specific and potent inhibitor of protein synthesis and also inhibits phosphatases A1 and A2 in vitro. In the present study, we investigated the influence of metals found at acceptable levels in mussels as environmental pollutants on the cytotoxicity of OA in Vero cells. Among the metals found in mussels (Mytilus edulis), the most represented, in terms of molar quantities per gram of dried weight are aluminium (230 nmol/g), copper (58 nmol/g), lead (16 nmol/g), mercury (14 nmol/g) and cadmium (7.4 nmol/g). A solution containing these five metals Al(3+), Cu(2+), Pb(2+), Hg(2+) and Cd(2+) combined at the concentrations detected in mussels, stimulated protein synthesis (+25%, P < 0.01), whereas different dilutions of this solution in the presence of okadaic acid (15 ng/ml, i.e. 18.7 x 10(-9) M) increased the percentage of protein synthesis inhibition from 35 to 79%. The metals also increased the lactate dehydrogenase (LDH) release into the medium and the lipid peroxidation induced by this algal toxin. In addition, these metals reduced the cell viability for an incubation period of 24 h especially at the two higher concentrations. These results indicate that metals (Al(3+), Cu(2+), Pb(2+), Hg(2+), Cd(2+)) in concentration ranges largely below the acceptable levels, synergistically increase the cytotoxicity of low concentrations of OA in cultured cells.