Oxidative Stress in Cerebral Small Vessel Disease Dizziness Patients, Basally and After Polyphenol Compound Supplementation

Background:

Leukoaraiosis (LA) is a common radiological finding in elderly, frequently associated with several clinical disorders, including unexplained dizziness. The pathogenesis of LA is multifactorial, with a dysfunction of cerebral microcirculation resulting in chronic hypoperfusion and tissue loss, with oxidative stress involved in this cascade.

Objective:

The aim of this study was to analyse some oxidative stress biomarkers in a cohort of LA patients.

Method:

Fifty-five consecutive patients (33 males, median age 75 years) with LA were recruited. In a subgroup of 33 patients with LA and unexplained dizziness, we have then performed an open study to evaluate if 60-day supplementation with a polyphenol compound may modify these biomarkers and influence quality of life, analysed with the Dizziness Handicap Inventory (DHI) scale.

Results:

At baseline, blood oxidative stress parameters values were outside normal ranges and compared to matched healthy controls. After the two months supplementation, we observed a significant decrement of advanced oxidation protein products values and a significant improvement of DHI.

Conclusion:

Oxidative stress biomarkers may be useful to detect redox imbalance in LA and to provide non-invasive tools to monitor disease status and response to therapy.

Endothelium and Oxidative Stress: The Pandora's Box of Cerebral (and Non-Only) Small Vessel Disease?

Common cerebral small vessel disease (cSVD) abnormalities are a common neuroradiological finding, especially in the elderly. They are associated with a wide clinical spectrum that leads to an increasing disability, impaired global function outcome and a reduced quality of life. A strong association is demonstrated with age and hypertension and other common vascular risk factors, including diabetes mellitus, dyslipoproteinemia, smoking, low vitamin B12 level, and hyperomocysteinemia. Although these epidemiological associations suggest a systemic involvement, etiopathogenetic mechanisms remain unclear. This review focuses on the potential role of endothelial dysfunction and oxidative stress in the pathogenic cascade leading to cSVD. We stressed on the central role of those pathways, and suggest the importance of quantifying the cerebral (and non-only) "endotheliopathic and oxidative load" and its clinical presentation that could lead to a better determination of vascular risk degree. In addition, understanding underlying pathogenic mechanisms could allow us to slow down the progression of vascular damage and, therefore, prevent the disability due to reiterated microvascular damage.

Epidemiology and cerebrovascular events related to cervical and intracranial arteries dissection: the experience of the city of Pisa

Spontaneous dissection of cervical arteries (sCAD) is a major cause of ischemic stroke in young patients, with an incidence varying from 1.7 to 3/100,000/year for extracranial internal carotid artery (ICAD) and 1 to 1.9/100,000/year for extracranial vertebral artery (VAD). Reliable epidemiological data on stroke incidence related to sCAD are scarce in Italy. This study aims to evaluate the incidence, clinical features, and outcome of cerebrovascular events related to sCAD and spontaneous intracranial arteries dissections (sIAD) in the city of Pisa (Italy). We retrospectively analyzed consecutive patients admitted between December 1997 and June 2015 with a diagnosis of stroke, TIA, or Bernard-Horner syndrome due to acute cervical or intracranial artery dissection. Considering that our hospital collects presumptively all patients hospitalized with sCAD coming from the referral geographical area, data may provide a good approximation to real incidence of sCAD in our population. Clinical and radiological features, acute treatment and outcome were collected. Seventy-seven cases were included (mean age 48.1±10.4 years, range 23-77,72.7% males), 66 residents in the district of Pisa. Crude incidence rate of cerebrovascular events due to intra or extracranial dissection was 1.88/100,000/year. The incidence of ICAD was 0.80/100,000/year and 0.43/100,000/year for VAD. Stroke occurred in 76.6% of patients. VAD was more prone to cause ischemic stroke and present with cervical pain or focal signs (p < 0.01) than ICAD group, which had older age at onset. sIAD were more frequent in the posterior circle (p = 0.01) and more associated with ischemic lesions. A good outcome (mRS 0-2) was observed in 79% of patients. This is the first epidemiological attempt to investigate impact of sCAD and sIAD in Italy.

An apparatus for simultaneous thermodynamic and optical measurements, with large temperature excursions

We report the design and realization of an integrated system for measuring, at the same time, the thermodynamic and spectroscopic features of nanoporous materials interesting for hydrogen storage purposes. The whole investigation cycle, from thermal activation to the actual investigation of uptake and release of hydrogen, is carried out in the same vacuum tight vessel, equipped with an optical window, whose temperature can range between 10 and 750 K, up to a maximum pressure of 50 bars. The system has been designed to investigate properties of carbon nanotubes but its use can be extended to any kind of nanoporous sample such as, for example, carbon nanofibers, zeolytes, metal organic frameworks, and similar materials.

Direct determination of the magnetic structure of the delta phase of oxygen

Simple diatomic molecules exhibit a variety of exciting physical phenomena under high pressures, including structural transitions, pressure induced metallization, and superconductivity. Oxygen is of particular interest because it carries a magnetic moment. For the first time we studied the magnetic structure in solid oxygen under very high pressure by a direct method, namely, neutron diffraction. A new type of magnetic order with ferromagnetic stacking of the antiferromagnetic O2 planes was discovered in delta-O2 at P=6.2 GPa. We show that all structural transformations at pressures <7 GPa are driven by spin interactions; therefore, high-pressure oxygen should be considered as a unique "spin-controlled crystal."

Pressure tuning of electron-phonon coupling: the insulator to metal transition in manganites

An extended temperature and pressure-dependent investigation is carried out on a La0.75Ca0.25MnO3 sample exploiting the infrared absorption technique coupled to a diamond anvil cell. The pressure dependence of the insulator to metal transition temperature T(IM) is determined for the first time up to 11.2 GPa. The T(IM)(P) curve we propose to model the present data has an exponential-like behavior with an associated characteristic pressure P* playing the role of a decay constant. It is found that the equivalence between an external and an internal (chemical) pressure holds over a limited range of pressure, namely, P< or =2P*. Moreover, a certain universality character is associated with the proposed model curve in its ability to account for a large class of low-disorder manganites characterized by intermediate electron-phonon coupling.

Anisotropic interactions of hydrogen molecules from the pressure dependence of the rotational spectrum in the Ar(H2)(2) compound

We report the pressure evolution, up to 70 GPa, of the fine structure of the S0(0) rotational excitation in the high-pressure Ar(H(2))(2) compound (with almost 100% para-H(2)) at about 30 K. A perturbative theoretical analysis is developed to calculate intensities and frequency shifts of the active Raman rotational components, on the basis of the intermolecular anisotropic interaction. The comparison between experimental results up to 35 GPa and calculation allows a reliable determination of the anisotropic intermolecular potential in the solid, both for H(2)-H(2) and H(2)-Ar at short range. Such results are important for the interpretation of the high-pressure orientational properties of solid hydrogen.