Striatal Blood-Brain Barrier Opening in Parkinson's Disease Dementia: A Pilot Exploratory Study.

BACKGROUND: Parkinson's disease (PD) exhibits a high prevalence of dementia as disease severity and duration progress. Focused ultrasound (FUS) has been applied for transient blood-brain barrier (BBB) opening of cortical regions in neurodegenerative disorders. The striatum is a primary target for delivery of putative therapeutic agents in PD. OBJECTIVE: Here, we report a prospective, single-arm, nonrandomized, proof-of-concept, phase I clinical trial (NCT03608553 amended) in PD with dementia to test the safety and feasibility of striatal BBB opening in PD patients. METHODS: Seven PD patients with cognitive impairment were treated for BBB opening in the posterior putamen. This was performed in two sessions separated by 2 to 4 weeks, where the second session included bilateral putamina opening in 3 patients. Primary outcome measures included safety and feasibility of focal striatal BBB opening. Changes in motor and cognitive functions, magnetic resonance imaging (MRI), 18 F-fluorodopa (FDOPA), and ß-amyloid PET (positron emission tomography) images were determined. RESULTS: The procedure was feasible and well tolerated, with no serious adverse events. No neurologically relevant change in motor and cognitive (battery of neuropsychological tests) functions was recognized at follow-up. MRI revealed putamen BBB closing shortly after treatment (24 hours to 14 days) and ruled out hemorrhagic and ischemic lesions. There was a discrete but significant reduction in ß-amyloid uptake in the targeted region and no change in FDOPA PET. CONCLUSIONS: These initial results indicate that FUS-mediated striatal BBB opening is feasible and safe and therefore could become an effective tool to facilitate the delivery of putative neurorestorative molecules in PD. © 2022 International Parkinson and Movement Disorder Society.

Comparison of organic substrates in urban rooftop agriculture, towards improving crop production resilience to temporary drought in Mediterranean cities.

BACKGROUND: Urban agriculture contributes to meeting the growing food production demand in cities. In the context of low water availability, it is important to consider alternatives that are able to maintain production. Through a circular economy vision, this study aimed to assess the use of substrates made from local materials as an alternative for urban agriculture in periods of low water availability, due to water supply cuts. The substrates used were coir commercial organic substrate, vegetable compost from urban organic waste and perlite commercial standard substrate; a mixture of the urban compost and perlite (1:1) was used for three consecutive crop cycles of lettuce (Lactuca sativa L. var. crispa). The crop cycles were performed in the spring and summer periods of 2018 to observe the performance during warmer periods of the year in an integrated rooftop greenhouse near Barcelona. Each substrate was assessed under conventional irrigation (0-5 kPa) and temporary water restricted conditions (irrigation stopped until the water tension reached -20 kPa perlite). RESULTS: In terms of yield, our results show that the compost and mixture were similar to those obtained from perlite (11.5% and 3.7% more production under restricted water conditions). Organic substrates increased the crop's resilience to water restriction, in contrast to the perlite. In particular, water loss took longer in coir (one- and two-crop cycle); however, when dryness began, it occurred quickly. CONCLUSION: The vegetable compost and the substrate mixture presented tolerance to temporary water restriction when water restriction reached -20 kPa. © 2021 Society of Chemical Industry.

Improvement of agricultural life cycle assessment studies through spatial differentiation and new impact categories: case study on greenhouse tomato production.

This paper presents the inclusion of new, relevant impact categories for agriculture life cycle assessments. We performed a specific case study with a focus on the applicability of spatially explicit characterization factors. The main goals were to provide a detailed evaluation of these new impact category methods, compare the results with commonly used methods (ReCiPe and USEtox) and demonstrate how these new methods can help improve environmental assessment in agriculture. As an overall conclusion, the newly developed impact categories helped fill the most important gaps related to land use, water consumption, pesticide toxicity, and nontoxic emissions linked to fertilizer use. We also found that including biodiversity damage due to land use and the effect of water consumption on wetlands represented a scientific advance toward more realistic environmental assessment of agricultural practices. Likewise, the dynamic crop model for assessing human toxicity from pesticide residue in food can lead to better practice in pesticide application. In further life cycle assessment (LCA) method developments, common end point units and normalization units should be agreed upon to make it possible to compare different impacts and methods. In addition, the application of site-specific characterization factors allowed us to be more accurate regarding inventory data and to identify precisely where background flows acquire high relevance.