A pilot study on the content and the release of Ni and other allergenic metals from cheap earrings available on the Italian market.

The capability of alloys used in cheap jewellery to release metal ions on contact with the skin causing allergic contact dermatitis (ACD) is generally acknowledged. To reduce the diffusion of the Ni-induced ACD the Council Directive 94/27/EC [Council Directive 94/27/EC of 30 June 1994. Official Journal L 188, 22/07/1994, 1.] limited the total Ni content in alloys and its release rate in artificial sweat. In this work, three different aspects were explored: i) the frequency of skin sensitization to Ni-containing earrings in patients before and after the introduction of the Directive's limit; ii) metal composition of alloys by X-ray analysis; iii) metal leaching in artificial sweat followed by Sector Field Inductively Coupled Plasma Mass Spectrometry (SF-ICP-MS) quantification. Well-known allergenic metals, as Ni, Cr and Co, and possible emergent allergens, as Al, Ag, Au, Cd, Cu, Fe, Ir, Mn, Pb, Pd, Pt, Rh, Sn, V and Zn, were studied. Results showed that the frequency of allergy due to earrings did not decrease after the introduction of the Ni limit: in 1994 and in 2005 patients positive to Ni patch tests were 54.3% and 53.5%, respectively. The earring components analyzed were Fe-based or alloys of Cu/Zn or Fe/Cr/Ni, plated with a thin film of precious metal (Ag, Au) which, in several cases, was combined with a Ni layer beneath. Five out of 10 items were not in compliance with the Ni Directive 94/27/EC having a total Ni content >0.05%. In three cases the release of Ni concentrations was higher than the safe sensitizing limit given by the above mentioned Regulation (i.e., <0.5 microg/cm(2)/week). The release of Cu and Zn was very variable among the different pieces (Cu: 0.134-30.9 microg/cm(2)/week; Zn: 0.141-160 microg/cm(2)/week); two objects released high amounts of Fe (358 and 586 microg/cm(2)/week) and one released considerable Mn (21 microg/cm(2)/week). Lead was released from 70% of the objects, while Ag, Al, Cd, Co, Cr and Sn from ca. 30% of the items and concentrations of these elements were well below 0.5 microg/cm(2)/week. Vanadium was released by only one item whereas Au, Ir, Pd, Pt and Rh were never leached.

Airborne silica levels in an urban area.

In order to evaluate the exposure levels of the general population we studied the concentrations of silica particles in the inhalable particulate fraction (PM10) in different meteorological-climate periods in an urban area of Rome. In order to determine the concentration and the granulometric spectrum of silica particles, PM10 sampled by a cascade impactor was analysed by X-ray diffractometry (XRD) and by scanning electron microscopy equipped with a thin-window system for X-ray microanalysis (SEM/EDX). Over the period September 2004-October 2005 the abundance of silica particles as evaluated by SEM/EDX ranged from 1.6 to 10.4% of the total PM10 particulate, with a weight concentration of free crystalline silica, evaluated by XRD, in the range 0.25-2.87 microg/m3. The mean diameter of silica particles ranged from 0.3 to 10.5 microm, with more than 87% of particles having a diameter of less than 2.5 microm. The correlations between SEM/EDX and XRD data seem to suggest that the airborne silica particles in the urban location studied were mainly in the form crystalline silica. A strong relationship was found between the meteorological-climate conditions and the concentration level of free crystalline silica. This result suggests that the Southern winds from the Sahara desert carry an important amount of silica particles into Mediterranean Europe.

In vitro effects on macrophages induced by noncytotoxic doses of silica particles possibly relevant to ambient exposure.

The RAW 246.7 macrophage cell line was exposed in vitro to aged crystalline silica particles of respirable size for 24 h at a range of doses starting from 15 microg/2 x 10(6) cells, which is a realistic exposure level of macrophages in the airways of ambiently exposed individuals. The particle sample used for the experiments was prepared to mimic some aspects of ambient crystalline silica particles: size distribution, morphology, and surface reactivity. Our purpose was to determine whether a nontoxic quartz load comparable to that of ambient exposure would be able to induce macrophage activation and impairment of the phagocytic ability, factors altering the lung's capacity to deal with increased particle loads (as occurs during high-pollution episodes) or infections and affecting the local and systemic responses through the release of biologically active compounds (cytokines, reactive oxygen species, NO, isoprostanes). Exposure of RAW 264.7 cells to aged silica particles induced macrophage activation (evidenced by the morphological features observed with scanning electron microscopy and by the release of TNF-alpha and IL-6) and impairment of phagocytosis of test particles, even at noncytotoxic doses. The reduction of the phagocytic function of the cells after silica treatment was dose-dependent, as evidenced by an increase of the population of unphagocytic cells, paralleled by a decrease of the actively phagocytizing cell population. We evaluated the oxidative stress induced by aged silica particles, quantifying the peroxidation products (8-isoprostanes) in the culture media of treated cells, and found a strong release at low doses. Isoprostanes are a complex family of compounds which have been used as in vivo markers of lipid peroxidation in human disorders, but that, as far as we know, have never been evaluated in relation to airborne particulate matter exposure. Lipid peroxides are involved in various cellular events in the inflammatory response, and isoprostanes are also supposed to exert important biological actions on airway and pulmonary vascular smooth muscles and on platelets.

[Characterization of PM10 in different environmental situations: studies in 2 urban sites and a rural site]. / Caratterizzazione del PM10 in differenti situazioni ambientali: indagine in due siti urbani ed in un sito rurale.

BACKGROUND: Among the atmospheric pollutants detectable in the environment, the inhalable airborne particulate (PM10) is regarded with increasing concern. Indeed a number of epidemiological studies support the correlation between both acute and chronic adverse health effects and the presence of PM10 levels even lower than the WHO guide lines. Despite these epidemiological findings, it is yet unclear and still widely debated which characteristics of particulate matter are responsible for the observed health effects. The identification of one or more components of PM10 related to the health effects observed in the urban population is a research subject of primary importance for the coming years. OBJECTIVES: The aim of the present study was to characterise from a physical-chemical point of view the "coarse" (PM10-2.1) and the "fine" (PM2.1) fractions of the airborne particulate matter (PM10) sampled in three different sites dissimilar with regard to the weather conditions, the residential density and industrial activities. METHODS: The particles were collected by an eight-stage cascade impactor (Andersen particle fractionating sampler) with a pre-separator stage able to remove particles with aerodynamic diameter > 10 microns. Analysis of the particle samples was performed by a scanning electron microscopy (SEM) equipped with a thin-window system for X-ray microanalysis by energy dispersion spectrometry. RESULTS: The Hierarchical Cluster Analysis (HCA) of the analytical data revealed the presence of seven different particulate types (particle clusters) in the sampling sites: C-rich particles (cluster 1); Ca and Mg carbonates (cluster 2); Ca sulphates (cluster 3); silica particles (cluster 4); silicates (cluster 5); Fe-rich particles (cluster 6); metal compounds (cluster 7). CONCLUSIONS: Data obtained in this study demonstrated a significant correlation between the "coarse" fraction (PM10-2.1) composition and the characteristics of the sampling site. On the contrary the "fine" fraction (PM2.1) composition showed an unexpected uniformity in all the environments.

[Characterization of thoracic fraction of airborne particular matter (PM10) in a urban area and in adjacent building]. / Caratterizzazione della frazione toracica (PM10) del particolato aerodisperso in un sito urbano ed in un ambiente indoor limitrofo.

The aim of this study was to describe from a physico-chemical point of view the particles constituting the thoracic fraction of the airborne particulate matter (PM10) collected in two sampling stations: one in an urban area and another in an adjacent office building. The different sources contributing to the PM10 were identified and the relationship between the indoor PM10 and the outdoor PM10 assessed. Also the seasonal trend of PM10's physico-chemical characteristics was evaluated. Four particulate samplings were conducted between April 1999 and February 2000. The samples were analyzed by scanning electron microscopy with EDS X-ray attachment. The data sets, consisting of the atomic concentrations of the constituent chemical elements of the particulate, were subjected to Hierarchical Cluster Analysis to determine the principal components of PM10. The statistical analysis method allowed us to identify seven groups (clusters) of similar particles in the particulate matter: C-rich particles, carbonates, silica, silicates, sulphates, Fe-rich particles, metals. The seasonal trend of PM10 showed an increase in the alumino-silicates particles and a minor increment in sulphate particles in the summer. Moreover carbonaceous particles with a surface coating containing S were observed in the fine fraction of both outdoor and indoor particulate. This sulphurous coating turned out to be a strongly season-dependent feature. On the whole, the results suggest that the characteristics of indoor PM10 largely depend on the characteristics of outdoor PM10; the outdoor particulate quality had a major influence on the indoor particulate particularly during the summer season.

The two PM(2.5) (fine) and PM(2.5-10) (coarse) fractions: evidence of different biological activity.

Recent studies have shown that an increased concentration of environmental particulate matter (PM(10)) is related to many respiratory diseases. One major issue is whether the toxicity of the particles resides in some particular fraction as defined by chemical composition and size. The overall purpose of this study was to compare the in vitro toxicity of coarse (PM(2.5-10)) and fine (PM(2.5)) particulate matter, collected in an urban area of Rome, in relation to their physicochemical composition as assessed by analytic electron microscopy and atomic absorption spectroscopy. In particular, our aim was to evaluate the importance of particle physicochemical components in the induced toxicity. The in vitro toxicity assays used included human red blood cell hemolysis, cell viability, and nitric oxide (NO) release in the RAW 264.7 macrophage cell line. The hemolytic potential has been widely used as an in vitro toxicity screen and as a useful indicator of oxidative damage to biomembranes. We found that human erythrocytes underwent dose-dependent hemolysis when they were incubated with varying concentrations of fine and coarse particles. The hemolytic potential was greater for the fine particles than for the coarse particles in equal mass concentration. However, when data were expressed in terms of PM surface per volume unit of suspension, the two fractions did not show any significant hemolytic differences. This result suggested that the oxidative stress induced by PM on the cell membranes could be due mainly to the interaction between the particle surfaces and the cell membranes. RAW 264.7 macrophage cells challenged with particles showed decreased viability and an increased release of NO, a key inflammatory mediator, and both effects were not dose dependent in the tested concentration range. The fine particles were the most effective and the differences between the two size fractions in inducing these biological effects remained unchanged when the basis of comparison was changed from weight to surface measures. It seemed therefore that these differences relied on the different physicochemical nature of the particles. The main chemical difference between the two fractions resided in a greater abundance of C-rich particles with S traces in the fine fraction. Therefore, we cautiously suggest a role for these particles in the induction of toxicity.

[Recurrent giant retroperitoneal leiomyosarcoma. Report of a clinical case]. / Leiomiosarcoma retroperitoneale gigante recidivante. Descrizione di un caso clinico.

The Authors report the case of a male patient, 52 year old, suffering from retroperitoneal leiomyosarcoma, submitted to multiple operations in the space of about seven years, for the presence of liver metastases and local relapses; the good general health state, the moderate grade of the neoplasm and the disease's fair interval free, have justified the therapeutic attitude adopted; the patient at present enjoys good health.

[The fine fraction of airborne particulate: a pollutant of increasing environmental and health relevance. Methodologies for sampling and characterizing single particles]. / La frazione fine del particolato aerodisperso: un inquinante di crescente rilevanza ambientale e sanitaria. Metodologie di raccolta e caratterizzazione delle singole particelle.

Among the atmospheric pollutants detectable in the environment, the inhalable airborne particulate (PM10) is regarded with increasing care. Indeed a number of epidemiological studies support the correlation between both acute and chronic adverse health effects and the PM10 pollution in the urban environment. According to recent results the health effects could be related to the physico-chemical characteristics of the particulate itself. With the aim of characterising the individual particles, PM10 samples collected by multi-stage cascade impactor are examined by scanning electron microscopy (SEM) and X-ray microanalysis with energy dispersion spectroscopy (EDS). The obtained data are analysed using multivariate statistical techniques (hierarchical clustering methods, principal factor analysis) to determine the components of the particulate. By these methods a series of studies was carried out by the Istituto Superiore di Sanità to investigate the PM10 pollution in several environmental situations.

[Echographic identification of an isolated thyroid nodule]. / Identificazione ecografica del nodulo isolato tiroideo.

103 patient suffering from thyroid solitary nodule have been examined with gray-scale ultrasonography. 79 patients have been histologically confirmed. Research has been done with multi-transducer computerized water-bath equipment ( OCTOSON ). The results are discussed and a classification of the thyroid solitary nodule in four groups is proposed, according to the echographic patterns.