Outcomes of Lower Extremity Endovascular Revascularization: Potential Predictors and Prevention Strategies

Peripheral artery disease (PAD) is a manifestation of atherosclerosis, which may affect arteries of the lower extremities. The most dangerous PAD complication is chronic limb-threatening ischemia (CLTI). Without revascularization, CLTI often causes limb loss. However, neither open surgical revascularization nor endovascular treatment (EVT) ensure long-term success and freedom from restenosis and revascularization failure. In recent years, EVT has gained growing acceptance among all vascular specialties, becoming the primary approach of revascularization in patients with CLTI. In clinical practice, different clinical outcomes after EVT in patients with similar comorbidities undergoing the same procedure (in terms of revascularization technique and localization of the disease) cause unsolved issues that need to be addressed. Nowadays, risk management of revascularization failure is one of the major challenges in the vascular field. The aim of this literature review is to identify potential predictors for lower extremity endovascular revascularization outcomes and possible prevention strategies.     

Differential Expression of Sphingolipid Metabolizing Enzymes in Spontaneously Hypertensive Rats: A Possible Substrate for Susceptibility to Brain and Kidney Damage

Alterations in the metabolism of sphingolipids, a class of biologically active molecules in cell membranes with direct effect on vascular homeostasis, are increasingly recognized as important determinant in different vascular disorders. However, it is not clear whether sphingolipids are implicated in the pathogenesis of hypertension-related cerebrovascular and renal damage. In this study, we evaluated the existence of possible abnormalities related to the sphingolipid metabolism in the brain and kidneys of two well validated spontaneously hypertensive rat strains, the stroke-prone (SHRSP) and the stroke-resistant (SHRSR) models, as compared to the normotensive Wistar Kyoto (WKY) rat strain. Our results showed a global alteration in the metabolism of sphingolipids in both cerebral and renal tissues of both hypertensive strains as compared to the normotensive rat. However, few defects, such as reduced expression of enzymes involved in the metabolism/catabolism of sphingosine-1-phosphate and in the de novo biosynthetic pathways, were exclusively detected in the SHRSP. Although further studies are necessary to fully understand the significance of these findings, they suggest that defects in specific lipid molecules and/or their related metabolic pathways may likely contribute to the pathogenesis of hypertensive target organ damage and may eventually serve as future therapeutic targets to reduce the vascular consequences of hypertension.     

Mechanical energy losses in commercial crosslinked low-density polyethylene in the temperature range between 200 and 400 K

Aging treatments in water and in air and controlled neutron irradiation were performed on commercial crosslinked low-density polyethylene (XLPE) for promoting different mesostructural arrangements of crystallites and crosslinking degree. Infrared spectroscopy, differential scanning calorimetry, differential thermal analysis, thermogravimetry, and dynamic mechanical analysis were used as characterization techniques. The relaxation peak related to the mobility of the grain boundaries from crystalline zones in XLPE was identified at around 260 K (at 7 Hz), involving an activation energy of 90 ± 4 kJ mol⁻¹. The usual equation for describing the grain boundary mobility in metals involving the movement of grain boundary dislocations was adapted for studying the mobility of the boundaries among the crystalline zones, successfully. In addition, a new mechanical relaxation peak that appears at around 300 K (at 7 Hz), which involves an activation energy of 94 ± 5 kJ mol⁻¹, was found. The driving force controlling this peak was determined as the dragging of the polymer chains at the amorphous zones adjacent to the crystals controlled by the mobility of the crystallites boundaries. The chains movement was done with break away from the physical pinning points. © 2019 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2019 , 136, 47605.     

A Triazolotriazine-Based Dual GSK-3β/CK-1δ Ligand as a Potential Neuroprotective Agent Presenting Two Different Mechanisms of Enzymatic Inhibition

Glycogen synthase kinase 3β (GSK-3β) and casein kinase 1δ (CK-1δ) are emerging targets for the treatment of neuroinflammatory disorders, including Parkinson's disease. An inhibitor able to target these two kinases was developed by docking-based design. Compound 12 , 3-(7-amino-5-(cyclohexylamino)-[1,2,4]triazolo[1,5-a][1,3,5]triazin-2-yl)-2-cyanoacrylamide, showed combined inhibitory activity against GSK-3β and CK-1δ [IC₅₀(GSK-3β)=0.17 μm ; IC₅₀(CK-1δ)=0.68 μm ]. In particular, classical ATP competition was observed against CK-1δ, and a co-crystal of compound 12 inside GSK-3β confirmed a covalent interaction between the cyanoacrylamide warhead and Cys199, which could help in the development of more potent covalent inhibitors of GSK-3β. Preliminary studies on in vitro models of Parkinson's disease revealed that compound 12 is not cytotoxic and shows neuroprotective activity. These results encourage further investigations to validate GSK-3β/CK-1δ inhibition as a possible new strategy to treat neuroinflammatory/degenerative diseases.     

Elastic and Plastic Strains Misfits During the Reverse Martensitic Transformation

Metallurgical and Materials Transactions A - The properties of technological interest of ferromagnetic shape memory alloys (FSMAs) are linked to the occurrence of a thermoelastic martensitic...     

A Sentinel-1 based hot-spot analysis: landslide mapping in north-western Italy

The 6-days repeatability of Sentinel-1 constellation allows building up an interferometric stack with unprecedented velocity. Easily updatable hot-spot analyses, frequently repeated following the update of Sentinel-1 images, represent very useful tools for MTInSAR (Multi-Temporal Interferometric Synthetic Aperture Radar) data analysis. Mountain regions are a challenging environment for interferometric analyses because of their climatic, morphological and land cover characteristics. In this context, MTInSAR data can retrieve reliable information over wide areas, with high cost-benefits ratio and where the installation of ground-based devices is not feasible. Considering the well-known limitations of interferometric techniques (such as fast motions or temporal and spatial decorrelation), hot-spot analyses are a viable solution for semi-automatic ground movements extraction over mountain regions. In this work, we present an example of a hot-spot analysis applied to a large stack of MTInSAR products generated by means of SqueeSAR technique over an alpine region (Valle d’Aosta, north-western Italy). The obtained outputs allow detecting 277 moving areas connected to landslides and mass wasting processes in general. These products are intended to be implemented in the landslide risk management chain of the region, focusing on landslide state of activity definition and landslide mapping.