Gastritis staging: interobserver agreement by applying OLGA and OLGIM systems

Atrophic gastritis remains a difficult histopathological diagnosis with low interobserver agreement. The aim of our study was to compare gastritis staging and interobserver agreement between general and expert gastrointestinal (GI) pathologists using Operative Link for Gastritis Assessment (OLGA) and Operative Link on Gastric Intestinal Metaplasia (OLGIM). We enrolled 835 patients undergoing upper endoscopy in the study. Two general and two expert gastrointestinal pathologists graded biopsy specimens according to the Sydney classification, and the stage of gastritis was assessed by OLGA and OLGIM system. Using OLGA, 280 (33.4 %) patients had gastritis (stage I–IV), whereas with OLGIM this was 167 (19.9 %). OLGA stage III– IV gastritis was observed in 25 patients, whereas by OLGIM stage III–IV was found in 23 patients. Interobserver agreement between expert GI pathologists for atrophy in the antrum, incisura angularis, and corpus was moderate (kappa?=?0.53, 0.57 and 0.41, respectively, p?<?0.0001), but almost perfect for intestinal metaplasia (kappa?=?0.82, 0.80 and 0.81, respectively, p?<?0.0001). However, interobserver agreement between general pathologists was poor for atrophy, but moderate for intestinal metaplasia. OLGIM staging provided the highest interobserver agreement, but a substantial proportion of potentially high-risk individuals would be missed if only OLGIM staging is applied. Therefore, we recommend to use a combination of OLGA and OLGIM for staging of chronic gastritis.     

Vitamin E Isoforms as Modulators of Lung Inflammation

Asthma and allergic diseases are complex conditions caused by a combination of genetic and environmental factors. Clinical studies suggest a number of protective dietary factors for asthma, including vitamin E. However, studies of vitamin E in allergy commonly result in seemingly conflicting outcomes. Recent work indicates that allergic inflammation is inhibited by supplementation with the purified natural vitamin E isoform α-tocopherol but elevated by the isoform γ-tocopherol when administered at physiological tissue concentrations. In this review, we discuss opposing regulatory effects of α-tocopherol and γ-tocopherol on allergic lung inflammation in clinical trials and in animal studies. A better understanding of the differential regulation of inflammation by isoforms of vitamin E provides a basis towards the design of clinical studies and diets that would effectively modulate inflammatory pathways in lung disease.     

Long‐term treatment with the oncolytic ECHO‐7 virus Rigvir of a melanoma stage IV M1c patient,a small cell lung cancer stage IIIA patient,and a histiocytic sarcoma stage IV patient‐three case reports

Oncolytic virotherapy is a recent addition to cancer treatment. Here, we describe positive treatment outcomes in three patients using Rigvir virotherapy. One of the patients is diagnosed with melanoma stage IV M1c, one with small cell lung cancer stage IIIA, and one with histiocytic sarcoma stage IV. The diagnoses of all patients are verified by histology or cytology. All patients started Rigvir treatment within a few months after being diagnosed and are currently continuing Rigvir treatment. The degree of regression of the disease has been determined by computed tomography. Safety assessment of adverse events graded according to NCI CTCAE did not show any value above grade 1 during Rigvir^® treatment. Using current standard treatments, the survival of patients with the present diagnoses is low. In contrast, the patients described here were diagnosed 3.5, 7.0, and 6.6 years ago, and their condition has improved and been stabile for over 1.5, 6.5, and 4 years, respectively. These observations suggest that virotherapy using Rigvir can successfully be used in long‐term treatment of patients with melanoma stage IV M1c, small cell lung cancer stage IIIA, and histiocytic sarcoma stage IV and therefore could be included in prospective clinical studies.     

Spent coffee waste as a renewable source for the production of sustainable poly(butylene succinate) biocomposites from a circular economy perspective

Turning waste products into useable resources is a necessity for the sustainable future of our planet. Such is the case with popular beverage coffee that produces solid waste in the form of spent coffee grounds (SCG). There is an opportunity to use SCG material as a cheap, sustainable, and biodegradable polymer filler that is received as waste from espresso machines. There have been relatively many studies that prove the concept of various agricultural and forestry waste, which can be integrated into modern green materials. Building upon this concept, we have selected a promising polyester poly(butylene succinate) (PBS) as a matrix owing to its bio-based and biodegradable nature. High loadings of SCG from 20 to 60 wt% were tested for optimal composition performance. Tensile, dynamic mechanical, thermal, and structural properties of the composites were examined, while their biodegradation in composting conditions was also analyzed. SCG filler showed different performance from various cellulose fiber-based composites, and properties significantly varied depending on loading. Compared to neat PBS, biodegradation occurred twice as fast for composite materials with high SGC loadings.

Spent coffee waste from espresso machines was used as a renewable filler for the melt processing of sustainable poly(butylene succinate) biocomposites with enhanced exploitation properties.     

Influence of IL15 gene variations on the clinical features,treatment response and risk of developing childhood acute lymphoblastic leukemia in Latvian population

Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy. Modern treatment protocols allow achievement of long-term event-free survival rates in up to 85% of cases, although the treatment response varies among different patient groups. It is hypothesized that treatment response is influenced by the IL15 gene variations, although research results are conflicting. To analyze IL15 gene variations influence treatment response, clinical course and the risk of developing ALL we performed a case–control and family-based study. The study included 81 patients with childhood ALL. DNA samples of both or one biological parent were available for 62 of ALL patients and 130 age and gender adjusted healthy samples were used as a control group. Analyzed IL15 gene variations: rs10519612, rs10519613 and rs17007695 were genotyped using PCR-RFLP assay. Our results shows that IL15 gene variations haplotypes are associated with the risk of developing childhood ALL (p < 0.05), although there is no such association for the variations separately. The variations rs10519612 and rs1059613 in a recessive pattern of inheritance were associated with hyperdiploidy (p = 0.048). Analyzed genetic variations had no impact on other clinical features and treatment response (assessed by the minimal residual disease) in our study.     

Electrical Conductivity of Glass Fiber-Reinforced Plastic with Nanomodified Matrix for Damage Diagnostic

The electrical conductivity of glass fiber-reinforced plastic (GFRP) with epoxy matrix modified by multiwall carbon nanotubes (MWCNT) was studied. The electrical conductivity of nanomodified lamina and multi-layered GFRP was investigated on several levels using a structural approach. Components of the electrical conductivity tensor for unidirectional-reinforced monolayer were calculated similarly as in micromechanics using the conductivity of the nanomodified matrix. The electrical conductivity of multilayer composite was calculated using laminate theory and compared with values measured experimentally for various fiber orientation angles. Calculated and experimental data were in good agreement. The voltage distribution measured throughout the laminate allowed detecting the damage in its volume. The electrode network located on the laminate surface could determine the location, quantification, and geometry of the damage in the GFRP lamina modified with MWCNT. Experimental and calculated electrical resistance data for GFRP double-cantilever beam specimens were investigated in Mode I interlaminar fracture toughness test. Results demonstrate that electrical resistance could be successfully used for the diagnostic of the crack propagation during interlaminar fracture of the MWCNT-modified GFRP.     

Neuroprotective properties of mildronate,a mitochondria-targeted small molecule

Mildronate, a representative of the aza-butyrobetaine class of drugs with proven cardioprotective efficacy, was recently found to prevent dysfunction of complex I in rat liver mitochondria. The present study demonstrates that mildronate also acts as a neuroprotective agent. In a mouse model of azidothymidine (anti-HIV drug) neurotoxicity, mildronate reduced the azidothymidine-induced alterations in mouse brain tissue: it normalized the increase in caspase-3, cellular apoptosis susceptibility protein (CAS) and iNOS expression assessed by quantitative and semi-quantitative analysis. Mildronate also normalized the changes in cytochrome c oxidase (COX) expression, reduced the expression of glial fibrillary acidic protein (GFAP) and cellular infiltration. The present results show that the neuroprotective action of mildronate results at least partially from anti-neurodegenerative (anti-apoptotic) and anti-inflammatory mechanisms. It might be suggested that the molecular conformation of mildronate can facilitate its easy binding to mitochondria, and regulate the expression of different signal molecules, hence maintaining cellular signaling and survival.