Katarzyna Kowalska

Health benefits related to the reduction of PM concentration in ambient air, Silesian Voivodeship, Poland

OBJECTIVES Health Impact Assessments (HIA) approach can be executed by calculating the attributable burden of disease. The most common indicators used in the HIA methodology are: premature mortality, morbidity, life-expectancy, and Disability Adjusted Life-Year (DALY). The term Disability Adjusted Life-Years (DALYs) indicates months/years lost due to a premature death or disability. The aim of the study was to present health benefits, expressed in terms of lower total mortality and cardio-respiratory hospitalization rates, due to a decreased particulate matter (PM) concentration in ambient air, in Silesian voivodeship. MATERIAL AND METHODS In this paper, results obtained from the APHEKOM (Improving Knowledge and Communication for Decision Making on Air Pollution and Health in Europe) project, which provided specialized HIA tools, useful for assessing health benefits resulting from reducing air pollution, were used. Both short-term and long-term exposure HIA tools were applied with regard to the appropriate data for Silesian voivodeship. Exposure data were obtained from the Regional Environmental Inspectorate in Katowice, while population and health data were obtained from the Central Statistical Office of Poland or from the Silesian Voivodeship Office, respectively. RESULTS Health benefits that are related to an improvement of ambient air quality in Silesia region are similar to previous estimates obtained for Kraków city. The reduction of short-term exposure to PM10 by 5 μg/m3 results in a lower number of yearly non-external deaths (2.6-2.75 per 100 000 inhabitants). This effect was also shown to be similar in the city of Zabrze, as well as in the whole Silesia region. CONCLUSIONS The Health Impact Assessments tools developed by the World Health Organization (WHO) can help public health experts make decisions in order to improve the health of populations living in particular regions of Europe.

Knowns and Unknowns About Delirium in Stroke: A Review.

Delirium is a transient condition characterized by sudden and fluctuating disturbances in cognitive function. The condition can be considered a sign of the brain’s vulnerability and diminished resilience to insult. Among the many clinical manifestations are cognitive, psychomotor, and sleep disturbances. Delirium is associated with longer hospital stays, worse functional outcomes, and higher mortality. Although up to 48% of patients who have had a stroke develop delirium, the condition has been studied much less in these patients than in general medicine, surgical, and intensive care patients. Coexisting neurologic deficits in patients with stroke limit the use of screening tools that are widely accepted in other populations. The variability of reported assessment methods highlights the need for delirium screening guidelines in stroke. Further, risk factors that are specific to stroke may play an important role in the etiology of delirium, along with such well-known factors as older age and infections. The delirium literature lacks data on differences in clinical manifestations and course in the various types of stroke. Here we review predisposing factors, diagnostic methods, and biomarkers of delirium in stroke and discuss aspects that need further research.

Versatile approach for functional analysis of human proteins and efficient stable cell line generation using FLP-mediated recombination system

Deciphering a function of a given protein requires investigating various biological aspects. Usually, the protein of interest is expressed with a fusion tag that aids or allows subsequent analyses. Additionally, downregulation or inactivation of the studied gene enables functional studies. Development of the CRISPR/Cas9 methodology opened many possibilities but in many cases it is restricted to non-essential genes. Recombinase-dependent gene integration methods, like the Flp-In system, are very good alternatives. The system is widely used in different research areas, which calls for the existence of compatible vectors and efficient protocols that ensure straightforward DNA cloning and generation of stable cell lines. We have created and validated a robust series of 52 vectors for streamlined generation of stable mammalian cell lines using the FLP recombinase-based methodology. Using the sequence-independent DNA cloning method all constructs for a given coding-sequence can be made with just three universal PCR primers. Our collection allows tetracycline-inducible expression of proteins with various tags suitable for protein localization, FRET, bimolecular fluorescence complementation (BiFC), protein dynamics studies (FRAP), co-immunoprecipitation, the RNA tethering assay and cell sorting. Some of the vectors contain a bidirectional promoter for concomitant expression of miRNA and mRNA, so that a gene can be silenced and its product replaced by a mutated miRNA-insensitive version. Our toolkit and protocols have allowed us to create more than 500 constructs with ease. We demonstrate the efficacy of our vectors by creating stable cell lines with various tagged proteins (numatrin, fibrillarin, coilin, centrin, THOC5, PCNA). We have analysed transgene expression over time to provide a guideline for future experiments and compared the effectiveness of commonly used inducers for tetracycline-responsive promoters. As proof of concept we examined the role of the exoribonuclease XRN2 in transcription termination by RNAseq.

Influence of oral contraceptives on lipid profile and paraoxonase and commonly hepatic enzymes activities.

The aim of the study was to verify the influence of oral contraceptives (OCs) on lipid profile and the arylesterase, lactonase and phosphotriesterase activities of paraoxonase 1 (PON1). Also commonly hepatic enzymes: aspartate aminotransferase (AST), alanine aminotransferase (ALT) and γ‐glutamyltranspherase (GGT) were measured.

Reduced release of TNFα and IP-10 after ex vivo blood stimulation with endotoxin is associated with poor outcome after stroke

Background and aims The immune response to acute cerebral ischemia plays an important role in the pathophysiology of stroke and could be a therapeutic target. Toll‐like receptor 4 (TLR4) is a master regulator of innate immunity. The aim of our study was to determine the association between selected cytokine release after TLR4 activation in blood cells and the outcome after ischemic stroke. Methods We included 156 ischemic stroke patients (median age: 69; 40.4% female). Venous blood was collected at day 3 after the onset of stroke and stimulated ex vivo with lipopolysaccharide (LPS). The LPS‐induced level of tumor necrosis factor alpha (TNF&agr;) was used as a proxy of the MyD88‐dependent pathway, and interferon‐gamma‐inducible protein 10 (IP‐10) was used as a proxy of the MyD88‐independent pathway. The functional outcome was assessed at 3 months after stroke onset. Results TNF&agr; (median: 2.2 vs. 3.5 pg/103 monocytes, p < .01) and IP‐10 release (median: 0.3 vs. 0. 6 pg/103 monocytes, p < .01) was reduced in patients with a poor outcome. In a multivariate logistic regression analysis adjusted for age, stroke severity, and pneumonia, low TNF&agr; release was associated with a poor outcome (OR: 4.23, 95%CI: 1.64–10.90, p = .03). Similarly, low IP‐10 release was related to an unfavorable prognosis (adjusted OR: 3.42, 95%CI: 1.49–8.21, p < .01). Conclusions The reduced release of TNF&agr; and IP‐10 after ex vivo blood stimulation with endotoxin is independently associated with poor outcome after stroke. Our results suggest that the inhibition of both the MyD88‐dependent pathway and MyD88‐independent pathway of TLR4 signaling in blood cells correlates with an unfavorable prognosis in stroke patients. HighlightsTo examine a relationship between ex vivo cytokine production and stroke outcome.Whole blood was stimulated ex vivo with LPS.TNF&agr; release was used as a proxy of MyD88‐dependent pathway.IP‐10 release was used as a proxy of MyD88‐independent pathway.Low TNF&agr; and IP‐10 release was a predictor of poor outcome after stroke.

Repetitive transcranial magnetic stimulation for the treatment of cognitive impairment in frontotemporal dementia: an open-label pilot study

Background Frontotemporal dementia (FTD) is one of the most frequent dementia types in patients under 65 years of age. Currently, no therapy can effectively improve the cognitive deficits associated with FTD. Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive method of inducing brain plasticity with therapeutic potential in neurodegenerative diseases. The purpose of this study was to evaluate the effect of rTMS on cognitive, behavioral, and emotional function in FTD. Methods Nine patients (seven women, four men, mean age 61.7±10.1 years) with the behavioral variant of FTD, one with nonfluent/agrammatic variant primary progressive aphasia, and one with progressive nonfluent aphasia (subtypes of FTD) underwent 10 daily sessions of 10 Hz rTMS over the bilateral dorsolateral prefrontal cortex. Cognitive and behavioral assessments were administered before and after therapy. Results After rTMS, the Montreal Cognitive Assessment and letter and digit cancellation test scores, as well as reading time and error number in the Stroop test improved. The caregivers’ impression of the daily functioning of patients improved in the Frontal Behavioral Inventory scores. These changes were not paralleled by an improvement of mood. Conclusion The results indicate that rTMS may improve the cognitive performance of patients with FTD and warrant sham-controlled trials.

Inhibitory activity of chokeberry, bilberry, raspberry and cranberry polyphenol-rich extract towards adipogenesis and oxidative stress in differentiated 3T3-L1 adipose cells

Berries are a rich source of antioxidants and phytochemicals that have received considerable interest for their possible relations to human health. In this study, the anti-adipogenic effect of polyphenol-rich extract obtained from chokeberry Aronia melanocarpa (Michx.) Elliot, raspberry Rubus idaeus L., bilberry Vaccinium myrtillus L. and cranberry Vaccinium macrocarpon Aiton fruits and its underlying molecular mechanisms were investigated in differentiated 3T3-L1 adipose cells. Treatment with the extract (25–100 μg/mL) significantly decreased lipid accumulation and reactive oxygen species generation in adipocytes without showing cytotoxicity. Real-time PCR analysis revealed that the extract at a concentration of 100 μg/mL suppressed adipogenesis and lipogenesis via the down-regulation of PPARγ (67%), C/EBPα (72%), SREBP1 (62%), aP2 (24%), FAS (32%), LPL (40%), HSL (39%), and PLIN1 (32%) gene expression. Moreover, the extract significantly increased the expression of adiponectin (4.4-fold) and decreased leptin expression (90%) and respectively regulated the production of these adipokines in 3T3-L1 adipocytes. The obtained results suggest that the analyzed extract may be a promising source of bioactive compounds that support long-term weight maintenance and promote the effective management of obesity.

Elimination of Bisphenol A from Wastewater through Membrane Filtration Processes

New priorities for the environment have resulted in a reassessment of modern technology for treatment of urban wastewater. Urban wastewater treatment mainly involves the elimination or reduction of anthropogenic organic micropollutants in the aquatic environment. In this paper, the effectiveness of bisphenol A elimination from wastewater, after biological treatment, through a complex ultrafiltration/reverse osmosis purification process was evaluated. The effectiveness of the wastewater treatment process in the tested system was also evaluated with a number of other physical and chemical analyses for pH, turbidity, colour, absorbance, TOC, phenol index, conductivity and the concentration of selected heavy metals. Within this study, the change in the hydraulic performance of the membranes was also investigated. The effectiveness of the reduction of bisphenol A concentrations during the process of ultrafiltration was small, due to the significant difference between the size of the pores of the membrane and the size of eliminated micropollutants. In the process of reverse osmosis, the wastewater treatment system reported that the concentration of bisphenol A was reduced by 68%. In the tested treatment system, the ultrafiltration/reverse osmosis completely removed colour, lead and chromium. Other contaminants were eliminated by more than 31%. In both membrane processes, there was evidence that the membrane pores were blocked, but this occurred to a greater extent during the process of reverse osmosis.

Qualitative analysis of activated sludge using FT-IR technique

The ability to measure and control the composition of activated sludge is an important issue, aiming at evaluating the effectiveness of changes occurring in the sludge, what determines its usefulness to treat wastewater. In this research, diffuse reflectance infrared Fourier transform (FTIR–DRIFT) technique was used, which relies on measuring the reflectance of the powdered substance’s surface layer and capturing spectra in range of infrared wave. First, spectra correlation table of the substances mostly occurring in wastewater was developed to assess the main components of the tested samples of activated sludge. The simplest compounds containing functional groups characteristic for particular chemical classes were chosen: peptides (peptone and albumin), fats (glycerin and fatty acids), carbohydrates (glucose and sucrose), nitrogen compounds (NaNO3 and NH4SO4), sulfur compounds (Na2SO4 and Na2S2O3), silicate, etc. The spectra of those substances were captured and characteristic absorption bands for respective bonds in the function groups were assigned. Second, samples of activated sludge from lab-scale membrane bioreactors (MBRs), which purifies petroleum wastewater, were taken. Samples were properly prepared (lyophilization and homogenization) and their spectra were captured. During spectra analysis, previously developed correlation table was used. In obtained spectra of activated sludge, absorption bonds characteristic for amides, peptides, carbohydrates, fats, and aliphatic was identified. The spectra profile of the sludge sample from MBR feed with petroleum wastewater was slightly different from the control MBR sample’s spectra. Intensity of bands in the area characteristic for aliphatic compounds and phenols was clearly higher. This study proves the usefulness of FT-IR technique to observe changes in the chemical composition of activated sludge.

Pre-stroke apathy symptoms are associated with an increased risk of delirium in stroke patients

Neuropsychiatric symptoms can be interrelated to delirium. We aimed to investigate an association between pre-stroke neuropsychiatric symptoms and the risk of delirium in stroke patients. We included 606 patients (median age: 73, 53% female) with stroke or transient ischemic attack admitted within 48 hours from symptoms onset. We assessed delirium on a daily basis during the first 7 days of hospitalization. To make diagnosis of delirium we used DSM-5 criteria. We used Neuropsychiatric Inventory to assess neuropsychiatric symptoms occurring within 4 weeks prior to stroke. We diagnosed delirium in 28.2% of patients. On univariate analysis, higher score of pre-stroke depression (OR: 1.58, 95% CI: 1.04–2.40, P = 0.03), apathy (OR: 2.23, 95% CI: 1.44–3.45, P < 0.01), delusions (OR: 2.00, 95% CI: 1.09–3.68, P = 0.03), hallucinations (OR: 2.39, 95% CI: 1.19–4.81, P = 0.01) and disinhibition (OR: 2.10, 95% CI: 1.04–4.25, P = 0.04) was associated with the increased risk of delirium. On multivariate analysis adjusted for age, atrial fibrillation, diabetes mellitus, stroke severity, right hemisphere lesion, pre-stroke cognitive decline, pre-stroke disability and infections, higher apathy score (OR: 2.03, 95% CI: 1.17–3.50, P = 0.01), but no other neuropsychiatric symptoms, remained independent predictor of delirium. We conclude that pre-stroke apathy symptoms are associated with increased risk of delirium in stroke patients.