Jolanta Malinowska-Borowska

Association between chemotherapy and plasma adipokines in patients with colorectal cancer.

BACKGROUND A link between chemotherapy, the serum level of selected adipokines and clinical outcome in colorectal patients was investigated. METHODS Leptin, adiponectin, resistin, visfatin and insulin were measured by ELISA in colorectal cancer patients before and 3 months after the administration of cancer therapy. From August 2012 to August 2013, 34 patients with pathologically documented advanced colorectal cancer (T3/T4 with metastases or nodal status up to N3) and measurable metastatic disease, who required palliative chemotherapy based on the combination of 5-fluorouracil, oxaliplatin and irinotecan, were prospectively recruited in this study. Patients previously underwent curative surgical tumour resection, but the disease was disseminated (metastases in the liver and/or lungs) at the time of admission to the hospital. RESULTS Of the 34 patients in this study, 5 accomplished a chemotherapy course with partial response (PR), 23 with SD (stabilisation) and 6 with progression (PD). For further study, only patients with good prognostic outcomes (i.e., PR and SD patients) were included. The mean level of leptin before chemotherapy was 26.39 ± 9.53 ng/ml. After six courses of cancer treatment, the leptin level increased by 118-57.44 ± 27.72 ng/ml (p<0.001). Additionally, the adiponectin level increased considerably (47%) from 9.89 ± 3.96 ng/ml to 14.51 ± 7.79 ng/ml (p<0.001). In contrast to leptin and adiponectin, the resistin and visfatin levels decreased significantly from 7.24 ± 1.17 and 1.98 ± 0.44 to 6.36 ± 1.36 and 1.48 ± 0.34 ng/ml (p<0.001), respectively. Insulin also declined remarkably from 16.20 ± 1.96 to 12.87 ± 1.80 (p<0.001). There were no significant differences the between male and female patients regarding age, BMI, and leptin, adiponectin, resistin, visfatin and insulin serum levels. CONCLUSIONS The results of the present study are relevant because we found that chemotherapy in colorectal cancer patients, in addition to its beneficial clinical impact on the course of disease, positively affects cytokine production and release (increases the anti-inflammatory adiponectin and decreases visfatin and resistin, which are proangiogenic and promote cancer cell proliferation). The restoration of adequate adipose tissue function is essential for patients to achieve a good survival prognosis.

Ontogenetic manganese exposure with perinatal 6-OHDA lesioning alters behavioral responses of rats to dopamine D1 and D2 agonist treatments

The effect of neonatal manganese (Mn) exposure in a 6-hydroxydopamine (6-OHDA) rat model of Parkinsons disease was investigated. Pregnant Wistar rats were given drinking water with 10,000 ppm of Manganese (MnCl₂.4H₂O) from the time of conception until weaning on the 21st day after delivery. Control rats consumed tap water. Three days after the birth, other groups of neonatal rat pups were pretreated with desipramine (20 mg/kg ip 1h) prior to bilateral ICV administration of 6-OHDA or its vehicle, saline-ascorbic (0.1%) (control). Two months after the birth, striatal dopamine and homovanilic acid efflux measured by an in vivo microdialysis method were reduced in rats lesioned with 6-OHDA. Co-exposure to perinatal Mn did not modify neurotransmission alterations. However, there were prominent abnormalities in behavioral testing in rats perinatally exposed to Mn and treated neonatally with 6-OHDA. These findings demonstrate that although Mn did not further damage neurotransmitter activity in the neostriatum, ontogenetic exposure to Mn enhances the behavioral toxicity to 6-OHDA.

Measuring Coupling Forces Woodcutters Exert on Saws in Real Working Conditions

Abstract Prolonged exposure to hand-arm vibration (HAV) generated by chainsaws can cause HAV syndrome, i.e., disorders in the upper extremities of forestry workers. Progress of HAV syndrome depends on the intensity of mechanical vibration transmitted throughout the body, which is directly proportional to coupling forces applied by the woodcutter to a vibrating tool. This study aimed to establish a method of measuring coupling forces exerted by chainsaw workers in real working conditions. Coupling forces exerted by workers with their right and left hands were measured with a hydro-electronic force meter. Wood hardness, the type of chainsaw and the kind of forest operation, i.e., felling, cross-cutting or limbing, were considered.

Exposure to impulse noise at an explosives company: a case study

Impulse noise encountered in workplaces is a threat to hearing. The aim of this study was to assess the occupational exposure to impulse noise produced by detonation of dynamite on the premises of an explosives company. Test points were located on the blast test area (inside and outside the bunker) and in work buildings across the site. Noise propagation measurement was performed during 130 blast tests at nine measurement points. At every point, at least 10 separate measurements of A-weighted equivalent sound pressure level (LAeq), maximum A-weighted sound pressure level (LAmax) and C-weighted peak sound pressure level (LCpeak) were made. Noise recorded in the blast test area exceeded occupational exposure limits (OELs). Noise levels measured in buildings did not exceed OELs. Results of the survey showed that for 62% of respondents, impulse noise causes difficulties in performing work. The most commonly reported symptoms include headaches, nervousness and irritability.