Searching for New Biomarkers to Assess COVID-19 Patients: A Pilot Study

During the initial diagnosis of urgent medical conditions, which include acute infectious diseases, it is important to assess the severity of the patient's clinical state as quickly as possible. Unlike individual biochemical or physiological indicators, derived indices make it possible to better characterize a complex syndrome as a set of symptoms, and therefore quickly take a set of adequate measures. Recently, we reported on novel diagnostic indices containing butyrylcholinesterase (BChE) activity, which is decreased in COVID-19 patients. Also, in these patients, the secretion of von Willebrand factor (vWF) increases, which leads to thrombosis in the microvascular bed. The objective of this study was the determination of the concentration and activity of vWF in patients with COVID-19, and the search for new diagnostic indices. One of the main objectives was to compare the prognostic values of some individual and newly derived indices. Patients with COVID-19 were retrospectively divided into two groups: survivors (n = 77) and deceased (n = 24). According to clinical symptoms and computed tomography (CT) results, the course of disease was predominantly moderate in severity. The first blood sample (first point) was taken upon admission to the hospital, the second sample (second point)-within 4-6 days after admission. Along with the standard spectrum of biochemical indicators, BChE activity (BChEa or BChEb for acetylthiocholin or butyrylthiocholin, respectively), malondialdehyde (MDA), and vWF analysis (its antigen level, AGFW, and its activity, ActWF) were determined and new diagnostic indices were derived. The pooled sensitivity, specificity, and area under the receiver operating curve (AUC), as well as Likelihood ratio (LR) and Odds ratio (OR) were calculated. The level of vWF antigen in the deceased group was 1.5-fold higher than the level in the group of survivors. Indices that include vWF antigen levels are superior to indices using vWF activity. It was found that the index [Urea] × [AGWF] × 1000/(BChEb × [ALB]) had the best discriminatory power to predict COVID-19 mortality (AUC = 0.91 [0.83, 1.00], p < 0.0001; OR = 72.0 [7.5, 689], p = 0.0002). In addition, [Urea] × 1000/(BChEb × [ALB]) was a good predictor of mortality (AUC = 0.95 [0.89, 1.00], p < 0.0001; OR = 31.5 [3.4, 293], p = 0.0024). The index [Urea] × [AGWF] × 1000/(BChEb × [ALB]) was the best predictor of mortality associated with COVID-19 infection, followed by [Urea] × 1000/(BChEb × [ALB]). After validation in a subsequent cohort, these two indices could be recommended for diagnostic laboratories.

Bioreactors for the remediation of hydrocarbon-polluted water of the Bitzal River, a place of environmental emergency due to the death of manatees

The objectives of this research are: identify the hydrocarbons in water from the Bitzal River, Tabasco; select a carbon source that serves as a representative substrate of the determined compounds; and finally, design an experimental proposal for bioreactors that are capable of consuming compounds formed by complex mixtures and, therefore be effective in the elimination of specific hydrocarbons. We identified 16 compounds that belong to different hydrocarbon fractions. Pentacene (24.3 ± 0.09 mg L^-1), n-nonane (2.11 ± 0.96 mg L^-1) and benzo [a] pyrene (1.39 ± 0.57 mg L^-1) were the compounds with the highest concentrations in water. Two culture media, mineral medium and seawater were used. Diesel and Mayan crude oil were used for each culture medium, with a total of four bioreactors. Diesel represented light- and medium-fraction hydrocarbons, while Mayan crude oil represented the heavy fraction as well as the recalcitrant and polycyclic aromatic hydrocarbons (PAH). The maximum growth of suspended solids for diesel in mineral medium reached 2.95 g L^-1, and diesel was completely consumed in 8 days. In seawater, suspended solids for diesel reached 2.70 g L^-1, and diesel was consumed in 12 days. For Mayan crude oil in mineral medium, suspended solids increased from 0.8 to 2.41 g L^-1, and Mayan crude oil was completely consumed in 12 days. Using seawater, Mayan crude oil also degraded in 12 days, and suspended solids growth reached 2.11 g L^-1. Compounds that simulate complex mixtures of hydrocarbons from light to heavy fractions could be degraded, and the use of bioreactors is an alternative method of hydrocarbon pollution remediation in the Bitzal River.

Hydrocarbon water-pollution related to chronic kidney disease in Tierra Blanca, a perfect storm

Chronic kidney disease (CKD) affects the kidneys, and in severe cases is considered as end-stage renal disease which can only be treated by dialysis and transplantation. Tierra Blanca city has a higher CKD rate compared to other Mexican cities, but its principal cause has not been found yet. Main factors related to CKD are carbonated beverage consumption, diabetes, obesity, hypertension, heat stress, dehydration, and intoxication by pesticides, heavy metals, and/or hydrocarbons. The aim of this work was to evaluate hydrocarbon pollution in Tierra Blanca domestic fresh-water related to CKD and to integrate this information with other main factors in order to suggest precautionary actions taking account of key actors. We found hydrocarbons in the water wells of the city and the presence of other risk factors, which creates a perfect storm for CKD. Additionally, key actors were identified in order to follow precautionary principles related to CKD cases in Tierra Blanca.

Markers and Biomarkers of Endothelium: When Something Is Rotten in the State

Endothelium is a community of endothelial cells (ECs), which line the blood and lymphatic vessels, thus forming an interface between the tissues and the blood or lympha. This strategic position of endothelium infers its indispensable functional role in controlling vasoregulation, haemostasis, and inflammation. The state of endothelium is simultaneously the cause and effect of many diseases, and this is coupled with modifications of endothelial phenotype represented by markers and with biochemical profile of blood represented by biomarkers. In this paper, we briefly review data on the functional role of endothelium, give definitions of endothelial markers and biomarkers, touch on the methodological approaches for revealing biomarkers, present an implicit role of endothelium in some toxicological mechanistic studies, and survey the role of reactive oxygen species (ROS) in modulation of endothelial status.