Osteoporosis and inflammatory bowel disease: prevalence and risk factors in Tunisian patients

OBJECTIVES: The study was aimed to evaluate osteoporosis prevalence in a group of Tunisian patients with inflammatory bowel disease (IBD), to determine its risk factors, and to describe its mechanisms. SUBJECTS AND METHODS: We included 67 IBD patients, 43 patients with Crohn's disease (CD) and 24 with ulcerative colitis (UC). Bone mineral density was measured at the lumbar spine and left femoral neck by dual-energy X-ray absorptiometry. We used T score to express bone loss (osteopenia: -2.5 SD 2 years and active disease tended to be associated with lumbar osteoporosis; the ORs were respectively 4.87 [0.92-25.80] (P=0.06), 4.21 [0.87-20.57] (P=0.06), and 2.33 [0.78-6.67] (P=0.13). No association was found with cumulated dose of steroids even when considering only CD. Patients with osteoporosis showed significant increased CrossLaps and interleukin-6 levels that indicate both high bone resorption and inflammatory activity. CONCLUSIONS: Osteoporosis is frequent in IBD patients, especially in CD patients. Female gender, malnutrition (body mass index <20 kg/m2), disease course (> 2 years) and active disease would be risk factors of bone mineral loss in IBD. Osteoporosis is associated with enhanced bone resorption, that seems be linked to excessive intestinal inflammation.     

Bullous amyloidosis

INTRODUCTION: The occurrence of skin damage during systemic amyloidosis is common, but the appearance of bullous lesions is rare. Only twenty-seven cases have been reported in the literature. We report our observation of bullous amyloidosis during progression of renal amyloidosis. OBSERVATION: A 61 year-old man, presented with white, soft, palpebral edemas of the lower limbs, without scutulum involvement, associated with a large cubital nerve that had appeared in March 1997. Biological explorations revealed a nephrotic syndrome. Pathologic study of the renal biopsy concluded in amyloidosis. Treatment with colchinine stabilized the renal damage. One year later, a non-pruriginous, papular and bullous eruption occurred, localized essentially in the axillary and inguinal-crural folds of the forearms and legs. In the presence of an amyloidal deposit and intra-epidermal detachment, the cutaneous biopsy was evocative of bullous amyloidosis. The search for concomitant myeloma was negative. Treatment with colchinine was effective. The bullous lesions disappeared after 2 months, and 21 months later, renal damage was still stable. DISCUSSION: These particularities in evolution are exceptional and have never been described. A hypothetical modification in the physico-chemical properties of the amyloidal protein might explain the bullous eruption and stabilization of renal damage.     

Preferential and enhanced adsorption of methyl green on different greenly synthesized magnetite nanoparticles: investigation of the influence of the mediating plant extract’s acidity

Four magnetite nanoparticle (NP) samples have been greenly synthesized using four aqueous plant extracts, which are Artemisia herba-alba (L), Rosmarinus officinalis (L), Matricaria pubescens (L), and Juniperus phoenicia (L). The pH of these extracts are acidic (5.25, 5.05, 4.63, and 3.69, respectively). The synthesized samples were characterized by XRD, SEM, ATR-FTIR, and UV-Vis. This work aimed to study the preferential and enhanced adsorption of methyl green (MG) on the four greenly synthesized Fe₃O₄ surfaces by coupling three processes: MG adsorption in ambient dark conditions as the first process, followed by the thermocatalysis of the MG/Fe₃O₄ residual solution in the second process, and finally photocatalysis by the UV irradiation of MG/Fe₃O₄ residual solution after carrying out thermocatalysis. The novelty of this study lies in highlighting the influence of the mediating plant extract’s acidity on the magnetite NPs’ physicochemical characteristics, which impact the preferential and enhanced MG adsorption. The studied physicochemical characteristics are the functional hydroxyl group density on the magnetite surface, grain size, and band gap energy. It was found that the plant extract’s acidity has a clear effect on the studied physicochemical properties. The analysis of the FTIR spectra showed that the hydroxyl group densities differ on the four magnetite samples. Furthermore, the calculated grain sizes of the magnetite samples based on XRD spectra data vary from 29.27 to 41.49 nm. The analysis of the UV-Vis spectra of the four magnetite samples showed that the estimated direct band gap energies vary from 2.87 to 2.97 eV. The obtained results showed that the decrease of the mediating plant extract’s acidity leads to an increase in the hydroxyl group density on magnetite surfaces, which resulted in an increase in the MG adsorption capacities and yields in the first process of adsorption. Thus, MG adsorption was more preferred on greenly synthesized magnetite surfaces mediated by plant extracts with low acidity (Artemisia herba-alba (L) and Rosmarinus officinalis (L)). Furthermore, the increase of the plant extract’s acidity leads to a decrease in the particle size and an increase in the band gap energy and, therefore, to the decrease of the electron/hole pair recombination speed upon electron excitation. So, magnetite greenly synthesized from a more acidic mediating plant extract showed higher thermo- and photocatalytic activities for MG adsorption (Juniperus phoenicia (L) and Matricaria pubescens (L)). However, under photocatalysis, the enhancement is even more significant compared to thermocatalysis.

Magnetite NP samples synthesized from less acidic plant extracts have more dense active sites and prefer adsorbing more MG. The increase of plant extract acidity leads to the increase of the thermo- and photocatalytic activities of Fe₃O₄ NPs.