Hypersensitivity reactions to non beta-lactam antimicrobial agents, a statement of the WAO special committee on drug allergy

Antibiotics are used extensively in the treatment of various infections. Consequently, they can be considered among the most important agents involved in adverse reactions to drugs, including both allergic and non-allergic drug hypersensitivity [J Allergy Clin Immunol 113:832–836, 2004]. Most studies published to date deal mainly with reactions to the beta-lactam group, and information on hypersensitivity to each of the other antimicrobial agents is scarce. The present document has been produced by the Special Committee on Drug Allergy of the World Allergy Organization to present the most relevant information on the incidence, clinical manifestations, diagnosis, possible mechanisms, and management of hypersensitivity reactions to non beta-lactam antimicrobials for use by practitioners worldwide.

Which factors are important for crossmodal attentional effect?

Some results in the literature suggest that crossmodal attention is very sensitive to the features of the experimental protocol. The current work examined the possible contribution of the asynchrony between the onset of the cue and the target (SOA) and the kind of task performed by the observer to the manifestation of crossmodal attentional effect. In a first experiment, a target (Gabor patch), whose spatial frequency had to be discriminated, was presented 133 or 159 ms after an auditory cue, in a close location on the same side or in a distant location on the opposite side. The crossmodal attentional effect was observed only for the 159 ms SOA. In a second experiment, the SOA was again 133 ms, but the location of the target had to be discriminated, instead of its spatial frequency. A crossmodal attentional effect was observed. The results of these two experiments indicate that crossmodal attentional effect depends on the SOA and the task. It takes longer to develop when the task requires the discrimination of the spatial frequency of the target than the discrimination of its location.

The Emergence of the Post-Socialist Welfare State - The Case of the Baltic States : Estonia, Latvia and Lithuania

This dissertation takes a step towards providing a better understanding of post-socialist welfare state development from a theoretical as well as an empirical perspective. The overall analytical goal of this thesis has been to critically assess the development of social policies in Estonia, Latvia and Lithuania using them as illustrative examples of post-socialist welfare state development in the light of the theories, approaches and typologies that have been developed to study affluent capitalist democracies. The four studies included in this dissertation aspire to a common aim in a number of specific ways. The first study tries to place the ideal-typical welfare state models of the Baltic States within the well-known welfare state typologies. At the same time, it provides a rich overview of the main social security institutions in the three countries by comparing them with each other and with the previous structures of the Soviet period. It examines the social insurance institutions of the Baltic States (old-age pensions, unemployment insurance, short-term benefits, sickness, maternity and parental insurance and family benefits) with respect to conditions of eligibility, replacement rates, financing and contributions. The findings of this study indicate that the Latvian social security system can generally be labelled as a mix of the basic security and corporatist models. The Estonian social security system can generally also be characterised as a mix of the basic security and corporatist models, even if there are some weak elements of the targeted model in it. It appears that the institutional changes developing in the social security system of Lithuania have led to a combination of the basic security and targeted models of the welfare state. Nevertheless, as the example of the three Baltic States shows, there is diversity in how these countries solve problems within the field of social policy. In studying the social security schemes in detail, some common features were found that could be attributed to all three countries. Therefore, the critical analysis of the main social security institutions of the Baltic States in this study gave strong supporting evidence in favour of identifying the post-socialist regime type that is already gaining acceptance within comparative welfare state research. Study Two compares the system of social maintenance and insurance in the Soviet Union, which was in force in the three Baltic countries before their independence, with the currently existing social security systems. The aim of the essay is to highlight the forces that have influenced the transformation of the social policy from its former highly universal, albeit authoritarian, form, to the less universal, social insurance-based systems of present-day Estonia, Latvia and Lithuania. This study demonstrates that the welfare–economy nexus is not the only important factor in the development of social programs. The results of this analysis revealed that people's attitudes towards distributive justice and the developmental level of civil society also play an important part in shaping social policies. The shift to individualism in people’s mentality and the decline of the labour movement, or, to be more precise, the decline in trade union membership and influence, does nothing to promote the development of social rights in the Baltic countries and hinders the expansion of social policies. The legacy of the past has been another important factor in shaping social programs. It can be concluded that social policy should be studied as if embedded not only in the welfare-economy nexus, but also in the societal, historical and cultural nexus of a given society. Study Three discusses the views of the state elites on family policy within a wider theoretical setting covering family policy and social policy in a broader sense and attempts to expand this analytical framework to include other post-socialist countries. The aim of this essay is to explore the various views of the state elites in the Baltics concerning family policy and, in particular, family benefits as one of the possible explanations for the observed policy differences. The qualitative analyses indicate that the Baltic States differ significantly with regard to the motives behind their family policies. Lithuanian decision-makers seek to reduce poverty among families with children and enhance the parents’ responsibility for bringing up their children. Latvian policy-makers act so as to increase the birth rate and create equal opportunities for children from all families. Estonian policy-makers seek to create equal opportunities for all children and the desire to enhance gender equality is more visible in the case of Estonia in comparison with the other two countries. It is strongly arguable that there is a link between the underlying motives and the kinds of family benefits in a given country. This study, thus, indicates how intimately the attitudes of the state bureaucrats, policy-makers, political elite and researchers shape social policy. It confirms that family policy is a product of the prevailing ideology within a country, while the potential influence of globalisation and Europeanisation is detectable too. The final essay takes into account the opinions of welfare users and examines the performances of the institutionalised family benefits by relying on the recipients’ opinions regarding these benefits. The opinions of the populations as a whole regarding government efforts to help families are compared with those of the welfare users. Various family benefits are evaluated according to the recipients' satisfaction with those benefits as well as the contemporaneous levels of subjective satisfaction with the welfare programs related to the absolute level of expenditure on each program. The findings of this paper indicate that, in Latvia, people experience a lower level of success regarding state-run family insurance institutions, as compared to those in Lithuania and Estonia. This is deemed to be because the cash benefits for families and children in Latvia are, on average, seen as marginally influencing the overall financial situation of the families concerned. In Lithuania and Estonia, the overwhelming majority think that the family benefit systems improve the financial situation of families. It appears that recipients evaluated universal family benefits as less positive than targeted benefits. Some universal benefits negatively influenced the level of general satisfaction with the family benefits system provided in the countries being researched. This study puts forward a discussion about whether universalism is always more legitimate than targeting. In transitional economies, in which resources are highly constrained, some forms of universal benefits could turn out to be very expensive in relative terms, without being seen as useful or legitimate forms of help to families. In sum, by closely examining the different aspects of social policy, this dissertation goes beyond the over-generalisation of Eastern European welfare state development and, instead, takes a more detailed look at what is really going on in these countries through the examples of Lithuania, Latvia and Estonia. In addition, another important contribution made by this study is that it revives ‘western’ theoretical knowledge through ‘eastern’ empirical evidence and provides the opportunity to expand the theoretical framework for post-socialist societies.

Assessment of candidemia-attributable mortality in critically ill patients using propensity score matching analysis

[EN] Introduction: Candidemia in critically ill patients is usually a severe and life-threatening condition with a high crude mortality. Very few studies have focused on the impact of candidemia on ICU patient outcome and attributable mortality still remains controversial. This study was carried out to determine the attributable mortality of ICU-acquired candidemia in critically ill patients using propensity score matching analysis. Methods: A prospective observational study was conducted of all consecutive non-neutropenic adult patients admitted for at least seven days to 36 ICUs in Spain, France, and Argentina between April 2006 and June 2007. The probability of developing candidemia was estimated using a multivariate logistic regression model. Each patient with ICU-acquired candidemia was matched with two control patients with the nearest available Mahalanobis metric matching within the calipers defined by the propensity score. Standardized differences tests (SDT) for each variable before and after matching were calculated. Attributable mortality was determined by a modified Poisson regression model adjusted by those variables that still presented certain misalignments defined as a SDT > 10%. Results: Thirty-eight candidemias were diagnosed in 1,107 patients (34.3 episodes/1,000 ICU patients). Patients with and without candidemia had an ICU crude mortality of 52.6% versus 20.6% (P < 0.001) and a crude hospital mortality of 55.3% versus 29.6% (P = 0.01), respectively. In the propensity matched analysis, the corresponding figures were 51.4% versus 37.1% (P = 0.222) and 54.3% versus 50% (P = 0.680). After controlling residual confusion by the Poisson regression model, the relative risk (RR) of ICU- and hospital-attributable mortality from candidemia was RR 1.298 (95% confidence interval (CI) 0.88 to 1.98) and RR 1.096 (95% CI 0.68 to 1.69), respectively. Conclusions: ICU-acquired candidemia in critically ill patients is not associated with an increase in either ICU or hospital mortality.

Models and methods for power monolithic microwave integrated circuits

Computer aided design of Monolithic Microwave Integrated Circuits (MMICs) depends critically on active device models that are accurate, computationally efficient, and easily extracted from measurements or device simulators. Empirical models of active electron devices, which are based on actual device measurements, do not provide a detailed description of the electron device physics. However they are numerically efficient and quite accurate. These characteristics make them very suitable for MMIC design in the framework of commercially available CAD tools. In the empirical model formulation it is very important to separate linear memory effects (parasitic effects) from the nonlinear effects (intrinsic effects). Thus an empirical active device model is generally described by an extrinsic linear part which accounts for the parasitic passive structures connecting the nonlinear intrinsic electron device to the external world. An important task circuit designers deal with is evaluating the ultimate potential of a device for specific applications. In fact once the technology has been selected, the designer would choose the best device for the particular application and the best device for the different blocks composing the overall MMIC. Thus in order to accurately reproducing the behaviour of different-in-size devices, good scalability properties of the model are necessarily required. Another important aspect of empirical modelling of electron devices is the mathematical (or equivalent circuit) description of the nonlinearities inherently associated with the intrinsic device. Once the model has been defined, the proper measurements for the characterization of the device are performed in order to identify the model. Hence, the correct measurement of the device nonlinear characteristics (in the device characterization phase) and their reconstruction (in the identification or even simulation phase) are two of the more important aspects of empirical modelling. This thesis presents an original contribution to nonlinear electron device empirical modelling treating the issues of model scalability and reconstruction of the device nonlinear characteristics. The scalability of an empirical model strictly depends on the scalability of the linear extrinsic parasitic network, which should possibly maintain the link between technological process parameters and the corresponding device electrical response. Since lumped parasitic networks, together with simple linear scaling rules, cannot provide accurate scalable models, either complicate technology-dependent scaling rules or computationally inefficient distributed models are available in literature. This thesis shows how the above mentioned problems can be avoided through the use of commercially available electromagnetic (EM) simulators. They enable the actual device geometry and material stratification, as well as losses in the dielectrics and electrodes, to be taken into account for any given device structure and size, providing an accurate description of the parasitic effects which occur in the device passive structure. It is shown how the electron device behaviour can be described as an equivalent two-port intrinsic nonlinear block connected to a linear distributed four-port passive parasitic network, which is identified by means of the EM simulation of the device layout, allowing for better frequency extrapolation and scalability properties than conventional empirical models. Concerning the issue of the reconstruction of the nonlinear electron device characteristics, a data approximation algorithm has been developed for the exploitation in the framework of empirical table look-up nonlinear models. Such an approach is based on the strong analogy between timedomain signal reconstruction from a set of samples and the continuous approximation of device nonlinear characteristics on the basis of a finite grid of measurements. According to this criterion, nonlinear empirical device modelling can be carried out by using, in the sampled voltage domain, typical methods of the time-domain sampling theory.

Astronomical site testing in the era of the extremely large telescopes

The quality of astronomical sites is the first step to be considered to have the best performances from the telescopes. In particular, the efficiency of large telescopes in UV, IR, radio etc. is critically dependent on atmospheric transparency. It is well known that the random optical effects induced on the light propagation by turbulent atmosphere also limit telescope’s performances. Nowadays, clear appears the importance to correlate the main atmospheric physical parameters with the optical quality reachable by large aperture telescopes. The sky quality evaluation improved with the introduction of new techniques, new instrumentations and with the understanding of the link between the meteorological (or synoptical parameters and the observational conditions thanks to the application of the theories of electromagnetic waves propagation in turbulent medias: what we actually call astroclimatology. At the present the site campaigns are evolved and are performed using the classical scheme of optical seeing properties, meteorological parameters, sky transparency, sky darkness and cloudiness. New concept are added and are related to the geophysical properties such as seismicity, microseismicity, local variability of the climate, atmospheric conditions related to the ground optical turbulence and ground wind regimes, aerosol presence, use of satellite data. The purpose of this project is to provide reliable methods to analyze the atmospheric properties that affect ground-based optical astronomical observations and to correlate them with the main atmospheric parameters generating turbulence and affecting the photometric accuracy. The first part of the research concerns the analysis and interpretation of longand short-time scale meteorological data at two of the most important astronomical sites located in very different environments: the Paranal Observatory in the Atacama Desert (Chile), and the Observatorio del Roque de Los Muchachos(ORM) located in La Palma (Canary Islands, Spain). The optical properties of airborne dust at ORM have been investigated collecting outdoor data using a ground-based dust monitor. Because of its dryness, Paranal is a suitable observatory for near-IR observations, thus the extinction properties in the spectral range 1.00-2.30 um have been investigated using an empirical method. Furthermore, this PhD research has been developed using several turbulence profilers in the selection of the site for the European Extremely Large Telescope(E-ELT). During the campaigns the properties of the turbulence at different heights at Paranal and in the sites located in northern Chile and Argentina have been studied. This given the possibility to characterize the surface layer turbulence at Paranal and its connection with local meteorological conditions.

Systematic studies of the interaction between amyloid beta-protein and lipids

The amyloid peptide (Aß), a normal constituent of neuronal and non-neuronal cells, has been shown to be a major component of the extracellular plaque of Alzheimer’s disease (AD). The interaction of Aß peptides with the lipid matrix of neuronal cell membranes plays an important role in the pathogenesis of AD. In this study, we have developed peptide-tethered artificial lipid membranes by the Langmuir-Blodgett and Langmuir-Schaefer methods. Anti-Aß40-mAb labeled with a fluorophore was used to probe the Aß40 binding to the model membrane system. Systematic studies on the antibody or Aß-membrane interactions were carried out in our model systems by Surface Plasmon Field-Enhanced Fluorescence Spectroscopy (SPFS). Aß adsorption is critically determined by the lipid composition of the membranes. Aß specifically binds with membranes of sphingomyelin, and this preferential adsorption was markedly amplified by the addition of sterols (cholesterol or 25-OH-Chol). Fluorescence microscopy indicated that 25-OH-Chol could also form micro-domains with sphingomyelin as cholesterol does at the conditions used for the built-up of the model membranes. Our findings suggest that micro-domains composed of sphingomyelin and the sterols could be the binding sites of Aß and the role of sphingomyelin in AD should receive much more attention. The artificial membranes provide a novel platform for the study on AD, and SPFS is a potential tool for detecting Aß-membrane interaction. Numerous investigations indicate that the ability of Aß to form fibrils is considerably dependent upon the levels of ß-sheet structure adopted by Aß. Membrane-mediated conformational transition of Aß has been demonstrated. In this study, we focus on the interaction of Aß and the membranes composed of POPC/SM/25-OH-Chol (2:1:1). The artificial membrane system was established by the methods as described above. Immunoassy based on a pair of monoclonal antibodies (mAbs) against different epitopes was employed to detect the orientation of the Aß at the model membranes. Kinetics of antibody-Aß binding was determined by surface plasmon field-enhanced fluorescence spectroscopy (SPFS). The attempt has also been made to probe the change in the conformation of Aß using SPFS combined with immunoassay. Melatonin was employed to induce the conformational change of Aß. The orientation and the conformational change of Aß are evaluated by analysing kinetic/affinity parameters. This work provides novel insight into the investigation on the structure of Aß at the membrane surface.

The release of zinc and lead from mine tailings

Mining and processing of metal ores are important causes of soil and groundwater contamination in many regions worldwide. Metal contaminations are a serious risk for the environment and human health. The assessment of metal contaminations in the soil is therefore an important task. A common approach to assess the environmental risk emanating from inorganic contaminations to soil and groundwater is the use of batch or column leaching tests. In this regard, the suitability of leaching tests is a controversial issue. In the first part of this work the applicability and comparability of common leaching tests in the scope of groundwater risk assessment of inorganic contamination is reviewed and critically discussed. Soil water sampling methods (the suction cup method and centrifugation) are addressed as an alternative to leaching tests. Reasons for limitations of the comparability of leaching test results are exposed and recommendations are given for the expedient application of leaching tests for groundwater risk assessment. Leaching tests are usually carried out in open contact with the atmosphere disregarding possible changes of redox conditions. This can affect the original metal speciation and distribution, particularly when anoxic samples are investigated. The influence of sample storage on leaching test results of sulfide bearing anoxic material from a former flotation dump is investigated in a long-term study. Since the oxidation of the sulfide-bearing samples leads to a significant overestimation of metal release, a feasible modification for the conduction of common leaching tests for anoxic material is proposed, where oxidation is prevented efficiently. A comparison of leaching test results to soil water analyzes have shown that the modified saturation soil extraction (SSE) is found to be the only of the tested leaching procedures, which can be recommended for the assessment of current soil water concentrations at anoxic sites if direct investigation of the soil water is impossible due to technical reasons. The vertical distribution and speciation of Zn and Pb in the flotation residues as well as metal concentrations in soil water and plants were investigated to evaluate the environmental risk arising from this site due to the release of metals. The variations in pH and inorganic C content show an acidification of the topsoil with pH values down to 5.5 in the soil and a soil water pH of 6 in 1 m depth. This is due to the oxidation of sulfides and depletion in carbonates. In the anoxic subsoil pH conditions are still neutral and soil water collected with suction cups is in equilibrium with carbonate minerals. Results from extended x-ray absorption fine-structure (EXAFS) spectroscopy confirm that Zn is mainly bound in sphalerite in the subsoil and weathering reactions lead to a redistribution of Zn in the topsoil. A loss of 35% Zn and S from the topsoil compared to the parent material with 10 g/kg Zn has been observed. 13% of total Zn in the topsoil can be regarded as mobile or easily mobilizable according to sequential chemical extractions (SCE). Zn concentrations of 10 mg/L were found in the soil water, where pH is acidic. Electron supply and the buffer capacity of the soil were identified as main factors controlling Zn mobility and release to the groundwater. Variable Pb concentrations up to 30 µg/L were observed in the soil water. In contrast to Zn, Pb is enriched in the mobile fraction of the oxidized topsoil by a factor of 2 compared to the subsoil with 2 g/kg Pb. 80% of the cation exchange capacity in the topsoil is occupied by Pb. Therefore, plant uptake and bioavailability are of major concern. If the site is not prevented from proceeding acidification in the future, a significant release of Zn, S, and Pb to the groundwater has to be expected. Results from this study show that the assessment of metal release especially from sulfide bearing anoxic material requires an extensive comprehension of leaching mechanisms on the one hand and on weathering processes, which influence the speciation and the mobility of metals, on the other hand. Processes, which may change redox and pH conditions in the future, have to be addressed to enable sound decisions for soil and groundwater protection and remediation.

Economie locali, mondi globali. Per un'etnografia del microcredito in Italia

Local worlds, global economies. For an ethnography of microcredit in Italy. The research main purpose is to provide an anthropological analysis of a microcredit project targeting migrant women in Venice, Italy. Microcredit is a globally widespread financial strategy. Muhammad Yunus’ Grameen Bank success in Bangladesh was pivotal in promoting microfinance as one of the most important poverty alleviation strategies in the Development Countries. Post Industrial Countries adopted microcredit to foster “non bankable” categories – notably immigrants, women and young people - financial inclusion. The history of the Venice project is reconstructed starting from the perspectives of its main characters (promoters, social workers, beneficiaries and local stakeholders). Their positioned representations are analyzed in order to understand how different actors reproduced or renegotiated some of the main rhetorics underpinning the hegemonic “microcredit discourse”. Specifically, keywords such as “sustainability”, “empowerment” and “trust” are critically deconstructed to see how they are meant and translated into practice by different actors. Fieldwork data allows some considerations on the Italian way to microfinance.

Systematics, phylogeny and biogeography of Cousinia (Asteraceae)

Die Systematik, Phylogenie und Biogeographie der Gattung Cousinia (Asteraceae, Cardueae) als größter Gattung der Tribus Cardueae mit mehr als 600 Arten wurde untersucht. Diese Dissertation umfasst drei Hauptteile: Im ersten Teil wurde die Phylogenie und Evolution des Arctium-Cousinia-Komplexes Untersucht. Dieser Gattungskomplex enthält Arctium, Cousinia, Hypacanthium und Schmalhausenia und zeigt die höchste Diversität in der Irano-Turanischen Region und in den Gebirgen Zentralasiens. Es wurden ITS und rpS4-trnT-trnL-Sequenzen für insgesamt 138 Arten generiert, darunter von 129 (von ca. 600) Arten von Cousinia. Wie in früheren Analysen bereits gefunden, ist Cousinia nicht monophyletisch. Stattdessen sind Cousinia subg. Cynaroides und subg. Hypacanthodes mit insgesamt ca. 30 Arten enger mit Arctium, Hypacanthium und Schmalhausenia (Arctioid Clade) als mit subg. Cousinia (Cousinioid Clade) verwandt. Die Arctioid und Cousiniod clades werden auch durch Pollenmorphologie und Chromosomenzahl unterstützt, wie bereits früher bekannt war. In dem Arctioid Clade entsprechen morphologische Gattungsgrenzen, basierend auf Blattform, Blattbedornung und Morphologie der Involukralblätter, nicht den in der molekularen analyse gefundenen clades. Es kann keine taxonomische Lösung für diesen Konflikt gefunden werden, und die gennanten Merkmale wurden als homoplastisch betrachtet. Obwohl die phylogenetische Auflösung in dem Cousinioid Clade schlecht ist, enthalten die ITS und rpS4-trnT-trnL-Sequenzen phylogenetische Information. So gruppierten z.B. die sechs annuellen Arten in zwei Gruppen. Schlechte phylogenetische Auflösung resultiert wahrscheinlich aus dem Mangel an Merkmalen und der großen Artenzahl in dieser artenreichen und vergleichsweise jungen (ca. 8,7 mya) Linie. Artbildung in dem Cousinioid Clade scheint hauptsächlich allopatrisch zu sein. Der zweite Teil der Dissertation untersucht die Rolle der Hybridisierung in der Evolution von Cousinia s.s. Die in der Vergangenheit publizierteten 28 Hybrid-Kombinationen und 11 Zwischenformen wurden kritisch geprüft, und zwei Hybridindividuen wurden morphologisch und molekular untersucht. Die vermutlichen oder nachgewiesenen Eltern der Hybriden und Zwischenformen wurden auf die aus einer Bayesischen Analyse der ITS-Sequenzen von 216 Arten von Cousinia und verwandten Gattungen resultierenden Phylogenie aufgetragen. Weder Hybriden zwischen dem Cousinioid Clade und anderen Haupt-Claden des Arctium-Cousinia-Komplexes noch zwischen annuellen und perennirenden Arten von Cousinia s.s. wurden beobachtet. Die Ergebnisse zeigen eindeutig, dass Hybridisierung in Cousinia möglich is, und dass ca. 10,7% der Arten an interspezifischer Hybridisierung beteiligt sind. Obwohl Hybridisierung in Cousinia s.s. stattfindet und zu den Schwierigkeiten bei der Rekonstruktion ihrer phylogenetischen Geschichte beitragen könnte, war ihre Rolle für die Entwicklung und Diversität der Gruppe offenbar gering. Im dritten Teil wird eine taxonomische Revision der C. sect. Cynaroideae präsentiert. Cousinia sect. Cynaroideae, die größte Sektion der Gattung mit 110 veröffentlichten Arten, zeichnet sich durch eine Chromosomenzahl von 2n = 24 und durch ± herablaufende Blätter und Hüllblätter mit Anhängseln aus. Sie kommt im Iran, Irak, dem Kaukasus, der Türkei, Turkmenistan, Afghanistan, Pakistan, dem Libanon und Anti-Libanon vor und hat ihre Hauptzentren der Artdiversität im westlichen und nordwestlichen Iran, im Irak und in der südöstlichen Türkei. Die Revision dieser Gruppe, hauptsächlich basierend auf der Untersuchung von ca. 2250 Herbarbögen, führte zu einer Verringerung der Artenzahl auf 31 Arten mit acht Unterarten. Alle Arten werden typifiziert und ausgeschlüsselt, und Beschreibungen, Abbildungen und Verbreitungskarten werden für jede Art angegeben.

Transkriptionelle Kontrolle der Entwicklung und Funktion natürlich vorkommender CD4 + CD25 + regulatorischer T-Zellen

CD4+CD25+ natürlich vorkommende regulatorische T-Zellen (nTregs) repräsentieren in Menschen und Mäusen etwa 5-10% aller peripheren CD4+ T-Zellen und besitzen eine wichtige Aufgabe im Immunsystem. nTregs sind entscheidend an der peripheren Toleranz beteiligt, da sie potenziell autoaggressive T-Zellen in ihrer Cytokinproduktion und Proliferation hemmen. Trotzdem ist der molekulare Mechanismus der nTreg-vermittelten Suppression und der Entwicklung dieser nTregs noch weitestgehend unbekannt. Vor einigen Jahren wurde der Transkriptionsfaktor FoxP3 (Forkhead Box P3) als der „Hauptregulator“ für die Entwicklung und Funktion von nTregs identifiziert. Um die suppressiven Fähigkeiten von nTregs optimal für therapeutische Zwecke einsetzen zu können, ist es daher von großer Notwendigkeit den zugrundeliegenden molekularen Mechanismus zu verstehen und Moleküle zu identifizieren, die an der Regulation des nTreg-spezifischen Faktors FoxP3 beteiligt sind. Ein Teil dieser Arbeit beschäftigt sich mit der microRNA155 (miR155) bei der nTreg-vermittelten Suppression. Es konnte gezeigt werden, dass die ektopische Expression der miR155 in konventionellen CD4+ T-Zellen zu einer Erhöhung der IL-2 Produktion führte, so dass die Zellen resistenter gegenüber der nTreg-vermittelten Suppression wurden. Die transiente Aufhebung der Suppression durch die miR155 bietet somit einen möglichen therapeutischen Einsatz bei der Behandlung von Tumorerkrankungen. Weiterhin konnte in dieser Arbeit demonstriert werden, dass der Transkriptionsfaktor HELIOS, oder vielmehr seine lange Isoform, HELIOS_long, eine entscheidende Rolle bei der Regulation der FoxP3 Expression einnimmt. Im Vergleich zu konventionellen CD4+ T-Zellen exprimieren nTregs hohe Mengen an HELIOS. In in vitro Studien zeigte sich, dass endogenes HELIOS in nTregs an den FoxP3 Promotor binden und diesen aktivieren kann. Die ektopische Expression von HELIOS_long führte in konventionellen CD4+ T-Zellen (HELIOSlowFoxP3-) nur in Gegenwart der Cytokine IL-2 und TGF-β zu einer gesteigerten FoxP3 Promotor Aktivität. Neben der Aktivierung konnte auch eine gesteigerte FoxP3 Protein Expression detektiert werden. Diese in vitro Daten konnten auch in einem in vivo Mausmodell verifiziert werden. Der adoptive Transfer HELIOS_long transfizierter CD4+ T-Zellen (HELIOSlowFoxP3-) in T-Zell-defiziente Mäuse führte zu der Induktion FoxP3+ T-Zellen mit suppressiven Fähigkeiten sowohl ex vivo als auch in vivo. Zusammengefasst zeigte sich, dass der Transkriptionsfaktor HELIOS einen stark fördernden Einfluss auf die Expression von FoxP3 besitzt. Diese Beobachtung bietet eine Möglichkeit für die Induktion stabiler regulatorischer T-Zellen als therapeutischen Einsatz für die Behandlung von Autoimmunerkrankungen.

Dynamic resolution of alpha-substituted dihydrocinnamic aldehydes. A new asymmetric synthesis of pharmaceutically important amine building blocks.

Crystallization-induced diastereoisomer transformation (CIDT) was successfully employed in the enantioselective synthesis of 2-alkyl-3-aryl-propan-1-amines. These products are seen as potentially useful building blocks in the field of asymmetric organic chemistry, notably for pharmaceutically relevant compounds. The procedure was based on a recently reported protocol for deracemization of dihydrocinnamic aldehydes in which enantiomerically enriched 1-(amino(phenyl)methyl)naphthalen-2-ol (Betti base) is employed as a resolving agent. Additionally, fenpropimorph, a biologically active substance which contains the 2-alkyl-3-aryl-propan-1-amine moiety was synthetized, as an attempt to assess the usefulness of the enantiomerically enriched amines.

Use of essential oils and biocontrol cultures for the improvement of shelf-life of fresh cut products

The demand of minimally processed fruits and vegetables has increased in the last years. However, their intrinsic characteristics may favor the growth of pathogens and spoilage microbiota. The negative effects on human health reported for some traditional chemical sanitizers have justified the search for substitutes to guarantee food safety and quality. In this work we have evaluate the potential of some essential oils and their components to improve the safety and the shelf life of Lamb’s lettuce (Valerianella locusta) and apples (Golden delicious). Moreover, the effects of selected lactic acid bacteria alone or in combination with essential oils or their components, on the shelf-life and safety as well as organoleptic properties of minimally processed products, were evaluated. Since the lack of knowledge of microbial cell targets of essential oils represent one of the most important limit to the use of these molecules at industrial level, another aim of this thesis was the study of the action mechanisms of essential oils and their components. The results obtained showed the beneficial effects of the natural antimicrobials as well as the selected lactic acid bacteria on minimally processed fruit and vegetable safety and shelf-life, without detrimental effects on the quality parameters. The beneficial effects obtained by the use of the selected biocontrol agents were further increased combining them with selected natural antimicrobials. The natural antimicrobial employed induced noticeable modifications of membrane fatty acid profiles and volatile compounds produced by microbial cells during the growth. The modification of the expression in genes involved in fatty acid biosynthesis suggesting that the cytoplasmic membrane of microbial cells is one of the major cellular target of essential oils and their components. The comprehension of microbial stress response mechanisms can contribute to the scaling up of natural antimicrobials and bio-control agents at industrial level.

Il Foro Bonaparte: l'architettura della citta'

La ricerca ha per oggetto il progetto del Foro Bonaparte a Milano redatto da Giovanni Antonio Antolini a seguito del decreto del 23 giugno 1800 che stabiliva l’abbattimento delle mura del Castello Sforzesco. Si affronta il tema dell’architettura avendo come obiettivo una lettura critica di tale progetto servendosi dell’analisi compositiva come strumento in grado di stabilire i rapporti che intercorrono tra la città, l’architettura e il tipo. Attraverso lo studio del progetto urbano la ricerca conferma l’ipotesi per la quale la grande forma totalizzante, perentoria e assoluta è capace di mutare la struttura urbana, offrendo un nuovo modello con cui rinnovare la città. L’ambizione di Antolini di veder realizzata l’opera è destinata a svanire nell’arco di pochi anni, ma il progetto per il Foro Bonaparte continuerà per lungo tempo ad evocare la sua idea innovativa fino ai giorni nostri. Sebbene l’opera sia destinata a rimanere un’architettura solo disegnata, le varie pubblicazioni continuano a circolare nelle accademie prima e nelle università successivamente, costituendo un importante patrimonio di studio e di ricerca per generazioni di architetti, fino alla riscoperta avvenuta con Aldo Rossi e Manfredo Tafuri negli anni sessanta del secolo scorso. Dalle lezioni formulate nelle architetture del passato è possibile avanzare nuove ipotesi e alimentare riflessioni e dibattiti sul ruolo dell’architettura nella città contemporanea. La ricerca si occupa del progetto d’architettura per offrire un ulteriore contributo al tema, attraverso una lettura di carattere compositivo, supportata da una serie di schemi e disegni di studio necessari per completare il testo e per verificare i concetti esposti. Dopo aver raccolto, catalogato ed analizzato il materiale iconografico relativo al progetto per il Foro Bonaparte si è scelto di basare il ridisegno sulla raccolta di disegni conservati presso la Biblioteca Nazionale di Francia.