Search Results (7)

Antarctica and the Southern Ocean are important sinks in the global mercury (Hg) cycle, and in the marine environment, inorganic Hg can be converted by bacteria to monomethylmercury (MeHg), a highly bioavailable and toxic compound that biomagnifies along food webs. In the Southern Ocean, higher concentrations of Hg and MeHg have typically been reported in the coastal waters of the Ross and Amundsen Seas, where katabatic winds can transport Hg from the Antarctic Plateau and create coastal polynyas, which results in spring depletion events of atmospheric Hg. However, some studies on MeHg biomagnification in Antarctic marine food webs have reported higher Hg concentrations in penguins from sub-Antarctic waters and, unexpectedly, higher levels in juvenile krill than those in adult Antarctic krill. In light of recent estimates of the phytoplankton and zooplankton biomass and distribution in the Southern Ocean, this review suggests that although most studies on MeHg biomagnification refer to the short diatom–krill–vertebrate food chain, alternative and more complex pelagic food webs exist in the Southern Ocean. Thus, juvenile krill and micro- and mesozooplankton grazing on very small autotrophs and heterotrophs, which have high surface-to-volume ratios for MeHg ad-/absorption, may accumulate more Hg than consumers of large diatoms, such as adult krill. In addition, the increased availability of Hg and the different diet contribute to a greater metal accumulation in the feathers of Adélie penguins from the Ross Sea than that of those from the sub-Antarctic. Full article

Despite decreasing anthropogenic mercury (Hg) emissions in Europe and the banning and restriction of many persistent organic pollutants (POPs) under the Stockholm Convention, Mediterranean marine mammals still have one of the highest body burdens of persistent pollutants in the world. Moreover, the Mediterranean basin is one of the most sensitive to climate change, with likely changes in the biogeochemical cycle and bioavailability of Hg, primary productivity, and the length and composition of pelagic food webs. The availability of food resources for marine mammals is also affected by widespread overfishing and the increasing number of alien species colonizing the basin. After reporting the most recent findings on the biogeochemical cycle of Hg in the Mediterranean Sea and the physico-chemical and bio-ecological factors determining its exceptional bioaccumulation in odontocetes, this review discusses possible future changes in the bioavailability of the metal. Recent ocean–atmosphere–land models predict that in mid-latitude seas, water warming (which in the Mediterranean is 20% faster than the global average) is likely to decrease the solubility of Hg and favor the escape of the metal to the atmosphere. However, the basin has been affected for thousands of years by natural and anthropogenic inputs of metals and climate change with sea level rise (3.6 ± 0.3 mm year⁻¹ in the last two decades), and the frequency of extreme weather events will likely remobilize a large amount of legacy Hg from soils, riverine, and coastal sediments. Moreover, possible changes in pelagic food webs and food availability could determine dietary shifts and lower growth rates in Mediterranean cetaceans, increasing their Hg body burden. Although, in adulthood, many marine mammals have evolved the ability to detoxify monomethylmercury (MMHg) and store the metal in the liver and other organs as insoluble HgSe crystals, in Mediterranean populations more exposed to the metal, this process can deplete the biological pool of Se, increasing their susceptibility to infectious diseases and autoimmune disorders. Mediterranean mammals are also among the most exposed in the world to legacy POPs, micro- and nanoplastics, and contaminants of emerging interest. Concomitant exposure to these synthetic chemicals may pose a much more serious threat than the Se depletion. Unfortunately, as shown by the literature data summarized in this review, the most exposed populations are those living in the NW basin, the main feeding and reproductive area for most Mediterranean cetaceans, declared a sanctuary for their protection since 2002. Thus, while emphasizing the adoption of all available approaches to mitigate anthropogenic pressure with fishing and maritime traffic, it is recommended to direct future research efforts towards the assessment of possible biological effects, at the individual and population levels, of chronic and simultaneous exposure to Hg, legacy POPs, contaminants of emerging interest, and microplastics. Full article

In the 1970s, the discovery of much higher mercury (Hg) concentrations in Mediterranean fish than in related species of the same size from the Atlantic Ocean raised serious concerns about the possible health effects of neurotoxic monomethylmercury (MMHg) on end consumers. After 50 years, the cycling and fluxes of the different chemical forms of the metal between air, land, and marine environments are still not well defined. However, current knowledge indicates that the anomalous Hg accumulation in Mediterranean organisms is mainly due to the re-mineralization of organic material, which favors the activity of methylating microorganisms and increases MMHg concentrations in low-oxygen waters. The compound is efficiently bio-concentrated by very small phytoplankton cells, which develop in Mediterranean oligotrophic and phosphorous-limited waters and are then transferred to grazing zooplankton. The enhanced bioavailability of MMHg together with the slow growth of organisms and more complex and longer Mediterranean food webs could be responsible for its anomalous accumulation in tuna and other long-lived predatory species. The Mediterranean Sea is a “hotspot” of climate change and has a rich biodiversity, and the increasing temperature, salinity, acidification, and stratification of seawater will likely reduce primary production and change the composition of plankton communities. These changes will likely affect the accumulation of MMHg at lower trophic levels and the biomagnification of its concentrations along the food web; however, changes are difficult to predict. The increased evasion of gaseous elemental mercury (Hg°) from warming surface waters and lower primary productivity could decrease the Hg availability for biotic (and possibly abiotic) methylation processes, but lower oxygen concentrations in deep waters, more complex food webs, and the reduced growth of top predators could increase their MMHg content. Despite uncertainties, in Mediterranean regions historically affected by Hg inputs from anthropogenic and geogenic sources, such as those in the northwestern Mediterranean and the northern Adriatic Sea, rising seawater levels, river flooding, and storms will likely favor the mobilization of Hg and organic matter and will likely maintain high Hg bioaccumulation rates for a long time. Long-term studies will, therefore, be necessary to evaluate the impact of climate change on continental Hg inputs in the Mediterranean basin, on air–sea exchanges, on possible changes in the composition of biotic communities, and on MMHg formation and its biomagnification along food webs. In this context, to safeguard the health of heavy consumers of local seafood, it appears necessary to develop information campaigns, promote initiatives for the consumption of marine organisms at lower trophic levels, and organize large-scale surveys of Hg accumulation in the hair or urine of the most exposed population groups. Full article

Objectives: Systemic sclerosis (SSc) is a disease characterized by diffuse sclerosis of skin and organs and small vessel vasculopathy. Despite it, large vessels can also be involved with ulnar artery vasculopathy, revealing as a more frequent feature of SSc. The aim of this paper is to assess the macrovascular involvement of SSc patients through an ultrasound (US) evaluation of radial and ulnar arteries. Methods: Radial and ulnar resistance indices (RIs) and peak systolic velocity (PV) (cm/s) together with clinical features of SSc patients were evaluated. Raynaud phenomenon (RP) and healthy control (HC) groups were used for comparison. Results: Forty-three SSc patients were evaluated. Twelve patients (28%) had ulnar artery occlusions (UAOs). In nine cases (75%), UAOs were bilateral. A high UAO prevalence (42%) was found in SSc patients with late nailfold-video-capillaroscopy (NVC) pattern (p = 0.0264). Patients with UAOs had digital ulcers (DUs) in 10 cases (83.3%). Radial and ulnar PVs were lower in SSc and RP patients than the HC group. Radial and ulnar RIs were higher in SSc and RP patients than the HC group. A decision tree analysis led to the classification of 70% of SSc patients with an ulnar RI > 0.82 and ulnar PV > 2.8 cm/s. The most influential variables on UAO development were interstitial lung disease (ILD) (p = 0.002) and NVC pattern (p = 0.002). A positive correlation was shown between modified Rodnan skin score (mRSS) and ILD (p = 0.283; r = 0.033), mRSS and DU (r = 0.344; p = 0.012) and DU and ILD (r = 0.303; p = 0.024). Male sex was associated with increased UAO frequency (p = 0.042). Conclusions: UAO is a peculiar feature of severe SSc present in 28% of the cases, particularly associated with the presence of ILD and late NVC pattern. In 75% of the cases, UAOs are bilateral. DUs are very frequent in patients with UAOs (83%). The RI evaluated by US could be useful to distinguish SSc from HC patients. US could be a useful tool for assessing high-risk DU development in patients. Full article

Antarctica and the Southern Ocean are the most remote regions on Earth, and their quite pristine environmental conditions are increasingly threatened by local scientific, tourism and fishing activities and long-range transport of persistent anthropogenic contaminants from lower latitudes. Plastic debris has become one of the most pervasive and ubiquitous synthetic wastes in the global environment, and even at some coastal Antarctic sites it is the most common and enduring evidence of past and recent human activities. Despite the growing scientific interest in the occurrence of microplastics (MPs) in the Antarctic environment, the lack of standardized methodologies for the collection, analysis and assessment of sample contamination in the field and in the lab does not allow us to establish their bioavailability and potential impact. Overall, most of the Southern Ocean appears to be little-affected by plastic contamination, with the exception of some coastal marine ecosystems impacted by wastewater from scientific stations and tourist vessels or by local fishing activities. Microplastics have been detected in sediments, benthic organisms, Antarctic krill and fish, but there is no clear evidence of their transfer to seabirds and marine mammals. Therefore, we suggest directing future research towards standardization of methodologies, focusing attention on nanoplastics (which probably represent the greatest biological risks) and considering the interactions of MPs with macro- and microalgae (especially sea-ice algae) and the formation of epiplastic communities. In coastal ecosystems directly impacted by human activities, the combined exposure to paint chips, metals, persistent organic pollutants (POPs), contaminants of emerging interest (CEI) and pathogenic microorganisms represents a potential danger for marine organisms. Moreover, the Southern Ocean is very sensitive to water acidification and has shown a remarkable decrease in sea-ice formation in recent years. These climate-related stresses could reduce the resilience of Antarctic marine organisms, increasing the impact of anthropogenic contaminants and pathogenic microorganisms. Full article

Background: Immune checkpoint inhibitors (ICIs) have revolutionized the therapeutic horizons of various cancers. However, immune-related adverse events have been reported, including interstitial lung diseases. Our aim was to describe the clinical and radiological features and survival of a multicentre cohort of patients who developed ICI-related lung toxicity. Methods: Six Italian centres were involved in the study. Patients who were treated with anti-PD-1/PD-L1 and CTLA-4 mAbs and developed ICI-related lung toxicity were recruited retrospectively to study clinical, radiological, immunological and survival data. Results: A total of 41 patients (25 males, 66.8 ± 9.9 years) were enrolled. Lung toxicity occurred after 204.3 ± 208.3 days of therapy, with ground glass opacities being the most common HRCT pattern (23 cases). Male sex, lung cancer and acute respiratory failure were associated with a shorter latency of toxicity (p = 0.0030, p = 0.0245 and p = 0.0390, respectively). Patients who required high-flow oxygen therapy showed significantly worse survival (p = 0.0028). Conclusions: Our cohort showed heterogeneous clinical and radiological aspects of ICI-related lung toxicity, with a latency not limited to the first year of treatment. Severity was mainly mild to moderate, although life-threatening events did occur. Our data indicate that strict long-term follow-up is needed to enable early diagnosis and appropriate management. Full article

The number of scientists and tourists visiting Antarctica is on the rise and, despite the management framework for environmental protection, some coastal areas, particularly in the Antarctic Peninsula region, are affected by plastic contamination. The few data available on the occurrence of microplastics (<5 mm) are difficult to compare, due to the different methodologies used in monitoring studies. However, indications are emerging to guide future research and to implement environmental protocols. In the surface and subsurface waters of the Southern Ocean, plastic debris >300 µm appears to be scarce and far less abundant than paint chips released from research vessels. Yet, near some coastal scientific stations, the fragmentation and degradation of larger plastic items, as well as microbeads and microfibers released into wastewater from personal care products and laundry, could potentially affect marine organisms. Some studies indicate that, through long-range atmospheric transport, plastic fibers produced on other continents can be deposited in Antarctica. Drifting plastic debris can also cross the Polar Front, with the potential to carry alien fouling organisms into the Southern Ocean. Sea ice dynamics appear to favor the uptake of microplastics by ice algae and Antarctic krill, the key species in the Antarctic marine food web. Euphausia superba apparently has the ability to fragment and expel ingested plastic particles at the nanoscale. However, most Antarctic organisms are endemic species, with unique ecophysiological adaptations to extreme environmental conditions and are likely highly sensitive to cumulative stresses caused by climate change, microplastics and other anthropogenic disturbances. Although there is limited evidence to date that micro- and nanoplastics have direct biological effects, our review aims at raising awareness of the problem and, in order to assess the real potential impact of microplastics in Antarctica, underlines the urgency to fill the methodological gaps for their detection in all environmental matrices, and to equip scientific stations and ships with adequate wastewater treatment plants to reduce the release of microfibers. Full article