Lead contamination of soils, sediments, and vegetation in a shooting range and adjacent terrestrial and aquatic ecosystems: A holistic approach for evaluating potential risks.

It is well accepted that shooting ranges constitute hotspots of Pb contamination. This study evaluated the degree of Pb contamination of soils, sediments and vegetation within the boundaries of a highly visited shooting range, as well as the fluvial transport and dispersal of Pb, and therefore the contamination of adjacent river and water reservoir. Soils in the shooting range were severely contaminated with Pb, as indicated by the values of enrichment and contamination factor. The concentration of Pb in these soils ranged from 791 mg kg-1 to 7265 mg kg-1, being several dozens or even hundreds of times higher compared with control background samples. A temporary stream being in close proximity was also polluted, though to a much lesser extent. The degree of Pb contamination was negatively correlated with the distance from the shooting range. To this effect, the degree of contamination of the river and the water reservoir being in the vicinity of the shooting range was negligible, as sediments and water samples preserved similar Pb concentrations with control samples. However, cultivated (olives) and wild native plant species grown in the area of the shooting range were found to uptake and accumulate high concentrations of Pb in their tissues (even 50 times higher compared with control samples). The severe contamination of soils, sediments and vegetation in the studied shooting range can provoke very high ecological risks. Overall, results suggest that management measures should be undertaken within the boundaries of the studied shooting range.

Clinical course and outcome after kidney transplantation in patients with C3 glomerulonephritis due to CFHR5 nephropathy.

BACKGROUND: Complement factor H-related protein 5 (CFHR5) nephropathy is an inherited renal disease characterized by microscopic and synpharyngitic macroscopic haematuria, C3 glomerulonephritis and renal failure. It is caused by an internal duplication of exons 2-3 within the CFHR5 gene resulting in dysregulation of the alternative complement pathway. The clinical characteristics and outcomes of transplanted patients with this rare familial nephropathy remain unknown. METHODS: This is a retrospective case series study of 17 kidney transplant patients with the established founder mutation, followed-up over a span of 30 years. RESULTS: The mean (±SD) age of patients at the time of the study and at transplantation was 58.6 ± 9.9 and 46.7 ± 8.8 years, respectively. The 10- and 15-year patient survival rates were 100 and 77.8%, respectively. Proteinuria was present in 33.3% and microscopic haematuria in 58.3% of patients with a functional graft. Serum complement levels were normal in all. 'Confirmed' and 'likely' recurrence of CFHR5 nephropathy were 16.6 and 52.9%, respectively; however, 76.5% of patients had a functional graft after a median of 120 months post-transplantation. Total recurrence was not associated with graft loss (P = 0.171), but was associated with the presence of microscopic haematuria (P = 0.001) and proteinuria (P = 0.018). Graft loss was associated with the presence of proteinuria (P = 0.025). CONCLUSIONS: We describe for the first time the clinical characteristics and outcome of patients with CFHR5 nephropathy post-transplantation. Despite the recurrence of CFHR5 nephropathy, we provide evidence for a long-term favourable outcome and support the continued provision of kidney transplantation as a renal replacement option in patients with CFHR5 nephropathy.