82 results on '"Mackiewicz B"'
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2. A Real-World Multicenter Retrospective Observational Study on Polish Experience with Nintedanib Therapy in Patients with IPF: The PolExNIB Study
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Majewski, S., primary, Białas, A.J., additional, Barczyk, A.R., additional, Batura-Gabryel, H., additional, Buchczyk, M., additional, Doboszyńska, A., additional, Górska, K., additional, Grabowska-Szkudlarz, L., additional, Jagielska-Len, H., additional, Jarzemska, A., additional, Jassem, E., additional, Jastrzębski, D., additional, Kania, A., additional, Koprowski, M., additional, Krawczyk, M., additional, Krenke, R., additional, Lewandowska, K., additional, Mackiewicz, B., additional, Martusewicz-Boros, M.M., additional, Milanowski, J., additional, Noceń-Piskorowska, M., additional, Nowicka, A., additional, Roszkowski-Śliż, K., additional, Siemińska, A., additional, Sładek, K., additional, Sobiecka, M., additional, Stachura, T., additional, Tomczak, M., additional, Tomkowski, W., additional, Trzaska-Sobczak, M., additional, Ziora, D., additional, Żołnowska, B., additional, and Piotrowski, W.J., additional
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- 2022
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3. Cathelicidin related antimicrobial peptide, laminin, Toll-like receptors and chemokines levels in experimental hypersensitivity pneumonitis in mice
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Golec, M., primary, Lemieszek, M.K., additional, Skórska, C., additional, Sitkowska, J., additional, Zwoliński, J., additional, Mackiewicz, B., additional, Góra-Florek, A., additional, Milanowski, J., additional, and Dutkiewicz, J., additional
- Published
- 2015
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4. How are allotment gardens managed? A comparative study of usage and development in contemporary urban space in Germany and Poland
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Szczepańska Magdalena, Kacprzak Ewa, Maćkiewicz Barbara, and Poniży Lidia
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allotment gardens ,plot development ,plot types ,comparative analysis ,germany ,poland ,Geography (General) ,G1-922 - Abstract
This article aims to analyse the development and use of allotment gardens (AGs) and plots in Westphalia and Lippe (Germany) and Wielkopolska (Poland) to assess what functions are feasible in their current stage, thus, contributing to an ongoing discussion on the role of AGs in contemporary urban space. The analysis considered ecosystem services, green infrastructure and urban agriculture. Characteristic features of AGs were identified by means of a survey of plot-holders, in-depth interviews with representatives of allotment associations, and exploratory walks. The management and use of AGs differs in both regions in terms of accessibility, common areas, impact on the landscape and plots development. AGs in Westphalia and Lippe are accessible and developed in a way which meets needs of external users. They fit harmoniously into the surrounding landscape. However, AGs in Wielkopolska are not as accessible, prioritise internal users, and do not always blend in with their surroundings. In Westphalia and Lippe, in addition to recreational and edible plant-growing plots, there are also educational and integration ones, while in Wielkopolska main categories of plots were more numerous and varied; from recreational with a predominance of ornamental plants to fully-cultivated. However, the considerable freedom that Polish plot-holders enjoy gives rise to the gradual marginalisation of edible-plant growing.
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- 2021
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5. Urban Agriculture as the Path to Sustainable City Development. Insights into Allotment Gardens in Andalusia
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Maćkiewicz Barbara, Asuero Raúl Puente, and Almonacid Antonio Garrido
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urban agriculture ,sustainable development ,allotment gardens ,andalusia ,spain ,Geography (General) ,G1-922 - Abstract
Increasing demand for urban agriculture (UA) can be perceived as a global phenomenon. In some parts of the world its main function is to feed the rapidly growing population while in others it is more associated with lifestyle and environmental issues. Undeniably, UA provides opportunities for sustainable city development. UA can support all pillars of sustainable development: ecological, economic, and social. However, depending on existing circumstances certain pillars may be influenced more than others. In this paper we concentrate on urban allotments in Andalusia and take Baeza as an example of a city with an interesting approach to urban gardening. We attempt to answer the question how urban allotments in Baeza affect the city’s sustainable development and what remains to be done to make this influence more effective. Our study showed that allotment gardens in Baeza endorsed all three pillars of sustainable city development. However, developing broader community relations on the city scale, revival of declining local grocery market and dissemination of environmental initiatives which allotment gardens may also promote and facilitate was missing.
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- 2019
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6. Reclaiming Urban Space: A Study of Community Gardens in Poznań
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Maćkiewicz Barbara, Puente Asuero Raúl, and Pawlak Krystyna
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community gardens ,urban agriculture ,urban space ,poznań ,Geography (General) ,G1-922 - Abstract
In this paper, we discuss the presence of community gardens in urban spaces and the types of activities performed there, using the city of Poznań as a case study. First, based on interviews with representatives of selected non-governmental organisations, analyses of available Internet sources as well as our own field research, cartographic and photographic documentation, we identify community gardens in the space of the city and explore their formation process. In the course of our study we also concentrate on the type of garden location. In addition, we devote our attention to the gardens which have disappeared from the fabric of the city. Our study reveals that community gardens currently operating in Poznań are established in non-central locations. These gardens are scattered in various parts of the city. Only in the Łazarz district there are two community gardens. Most frequently, community gardens are established on plots between old blocks of flats and tenement houses. Two gardens are located on underdeveloped greenery near the Warta River and in two city parks. A detailed examination of the events held in the community gardens in the Łazarz district in the years 2014–2017 shows that they had a very diversified character. Both of them turned out to be multifunctional, i.e. hosted meetings devoted to agriculture and horticulture, environmental education, artistic events, DIY and recreation. However, the percentage of events in the structure of the meetings organised in the gardens differed considerably.
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- 2018
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7. Agricultural Land On Built-Up Housing Lots and the Incomes of Communes: An Example of Rokietnica Commune in the Poznań Agglomeration
- Author
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Maćkiewicz Barbara and Karalus-Wiatr Cecylia
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exclusion of land from agricultural production ,farmland conversion ,incomes of communes ,real-estate tax ,agricultural tax ,urban sprawl ,decrease of agricultural land ,Geography (General) ,G1-922 - Abstract
The strong connection between urbanisation processes and the transformation of farmland into built-up areas - mostly residential - has already been tackled in the literature. Still, in Poland this process of farmland loss, generally thought to be irreversible, occurs in a specific, often irrational and not fully registered way. What is more, this development is favoured by legislation, especially rules controlling the exclusion of land from agricultural production and real-estate taxation. Among the many detrimental consequences of those regulations are incomes of communes lower than they should be. The problem tackled in the article is that of the exclusion from agricultural use of only fragments of geodetic lots on which building investments are going on. The cost of the exclusion and the difference in the rates of the agricultural tax and the real-estate tax very often result in the exclusion of only a part of a lot, while the rest of it is formally still in agricultural use, even though its owner does not conduct any agricultural activity there. In this case two taxes have to be paid from one lot: the real-estate tax, on the land taken out of agricultural use and the building erected on it, and another, the agricultural tax, on land that is still a piece of farmland. This situation, especially in areas undergoing rapid urban sprawl, is common in Poland and has unfavourable consequences for the incomes of communes. It also leads to a discrepancy between data from the real-estate cadastre and the actual area of land in agricultural use, which greatly hampers an exact measurement and control of the real losses of land performing the agricultural function, including that with high-quality soils. The conducted research demonstrated that in 2014 nearly 7% (927) of all geodetic lots in Rokietnica commune, situated in the immediate neighbourhood of Poznań, were builtup housing lots, mostly carrying detached single-family houses, with fragments of farmland. Almost a half (49.4%) of the total area of those lots, 42 ha, was still agricultural land in the real-estate cadastre and subject to taxation not by the real-estate tax, but the much lower agricultural tax. Because of this difference in the two taxes, the annual receipts of the commune budget are 186,601 zlotys (43,395 euro) lower. It also turned out that more than 50% of farmland on those lots (21.8 ha) was arable land of the good land-capability class III, which is high for the conditions in the Poznań agglomeration. This not only corroborates the findings of earlier studies highlighting significant losses of good-quality arable land taking place as a result of urban sprawl, but it also means that in the Polish conditions actual losses are much higher than would follow from records in the real-estate cadastre. It can also be stated that the Polish legal rules not only fail to adequately protect farmland situated within metropolitan areas, but even favour its excessive loss.
- Published
- 2017
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8. Health effects of exposure to herb dust in valerian growing farmers
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Skórska, C., Golec, M., Mackiewicz, B., Góra, A., and Jacek Dutkiewicz
9. Exposure to organic dust and microorganisms as a factor affecting respiratory function of workers of purebred horse farms,Narazenie na pył organiczny i drobnoustroje jako czynnik wpływajacy na stan układu oddechowego pracowników stadniny koni
- Author
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Mackiewicz, B., Prazmo, Z., Milanowski, J., Jacek Dutkiewicz, and Fafrowicz, B.
10. Levels of adhesion molecule E-cadherin and antimicrobial peptide LL-37 in induced sputum after occupational exposure to organic dust
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Golec, M., Gora, A., Curzytek, K., Skorska, C., Mackiewicz, B., Krawczyk, P., Jankowska, O., Siwiec, J., Zaborowski, T., Marta Lemieszek, Ziesche, R., Milanowski, J., Dutkiewicz, J., and Spiewak, R.
11. Health effects of exposure to organic dust in workers of a modern hatchery
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Skórska, C., Mackiewicz, B., Golec, M., Cholewa, G., Chmielowiec-Korzeniowska, A., and Jacek Dutkiewicz
12. Cathelicidin LL-37 in bronchoalveolar lavage and epithelial lining fluids from COPD patients and healthy individuals
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Golec, M., Reichel, C., Marta Lemieszek, Mackiewicz, B., Buczkowski, J., Sitkowska, J., Skorska, C., Dutkiewicz, J., Milanowski, J., and Ziesche, R.
13. Health effects of exposure to thyme dust in a group of thyme growing farmers
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Golec, M., Skórska, C., Mackiewicz, B., and Jacek Dutkiewicz
14. Polymorphous cutaneous and chronic multisystem sarcoidosis
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Dorota Krasowska, Schwartz, R. A., Wojnowska, D., Mackiewicz, B., and Czelej, D.
15. Immunologic reactivity to work-related airborne allergens in people occupationally exposed to dust from herbs
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Golec, M., Skórska, C., Mackiewicz, B., and Jacek Dutkiewicz
16. Occupational exposure to organic dust, microorganisms, endotoxin and peptidoglycan among plants processing workers in Poland
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Góra, A., Mackiewicz, B., Paweł Krawczyk, Golec, M., Skórska, C., Sitkowska, J., Cholewa, G., Larsson, L., Jarosz, M., Wójcik-Fatla, A., and Dutkiewicz, J.
17. From leisure to necessity: Urban allotments in Alicante province, Spain in times of crisis
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Seguí, A. E., Mackiewicz, B., Marit Rosol, Universidad de Alicante. Departamento de Geografía Humana, and Geografía Humana
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Geografía Humana ,Deagrarianization ,Spain ,Urban Agriculture ,Urbanization ,Allotment Gardens ,Housing bubble ,Agriculture - Abstract
Based on a comprehensive study of allotment gardens in the province of Alicante, this article enhances research on urban agriculture in two ways. Firstly, we explain the specific histories of urban allotments in Spain, that differ from the well-rehearsed stories of North America and also Northern Europe. Secondly, we show that a focus on urban allotments can provide a better understanding of changes in the economy, in land-use and in urban-rural relations in times of crisis. After two decades of Spain’s “urbanization tsunami”, in the mid 2000s a new way of combining urban life with agricultural functions emerged: through allotments, municipalities intended to promote environmentally-oriented leisure activities, enhance urban green landscapes and revive traditional vegetable gardens (huertas). At first, these projects catered mostly to pensioners, including foreigners coming from countries with long traditions of urban allotments. As the economic recession intensified in 2009, allotments had to re-define their goals in a social environment now defined by high unemployment and impoverishment. Today, most of the projects target people at risk of poverty and social exclusion and their primary functions are productive, therapeutic and educational. We also show that the global economic crisis of 2008 in a way contributed to the revaluation of agricultural land use, although the spectre of land-speculation is still very present. Part of this research was supported through the project "Espacios y prácticas económicas alternativas para la construcción de la resiliencia en las ciudades españolas" (2016-2018), reference CSO2015-65452-R, funded by the Spanish Economy and Competitivity Ministry.
18. Explanations of the knobe effect in the context of a conflict of norms,Wyjasnienie efektu knobe'a w kontekscie konfliktu norm
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Mackiewicz, B. and Katarzyna Kuś
19. CYP1A1, GSTT1, and GSTM1 polymorphisms and lung cancer in eastern Poland
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Kamila Wojas-Krawczyk, Krawczyk, P., Chocholska, S., Góra, A., Mackiewicz, B., Ciesielka, M., Kozioł, P., and Milanowski, J.
20. Hypersensitivity pneumonitis and idiopathic pulmonary fibrosis - case report,Alergiczne zapalenie pęcherzyków płucnych i samoistne śródmiąższowe włóknienie płuc – opis przypadku
- Author
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Mackiewicz, B., Siwiec, J., Elżbieta Czekajska-Chehab, and Milanowski, J.
21. Cathelicidin LL-37 in bronchoalveolar lavage and epithelial lining fluids from healthy individuals and sarcoidosis patients
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Golec, M., Reichel, C., Marta Lemieszek, Buczkowski, J., Mackiewicz, B., Skorska, C., Dutkiewicz, J., Gora, A., Ziesche, R., and Milanowski, J.
22. Cathelicidin LL-37, granzymes, TGF-beta1 and cytokines levels in induced sputum from farmers with and without COPD
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Golec M, Reichel C, Mackiewicz B, Skorska C, Curzytek K, Lemieszek M, Dutkiewicz J, Gora A, Ziesche R, Boltuc J, Sodolska K, Milanowski J, and Radoslaw Spiewak
23. The Effects of Exposure to Organic Dust on the Respiratory System of Potato Processing Workers.
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Milanowski, J., Gora, A., Skorska, C., Mackiewicz, B., Krysinska-Traczyk, E., Cholewa, G., Sitkowska, J., and Dutkiewicz, J.
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RESPIRATORY allergy ,POTATO products industry - Abstract
Discusses the abstract of an article titled 'The Effects of Exposure to Organic Dust on the Respiratory System of Potato Processing Workers,' published in the 2002 issue of the 'Journal of Agromedicine.'
- Published
- 2003
24. Posttraumatic stress and growth in pulmonary patients recovered from COVID-19.
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Milanowska J, Mackiewicz B, Aftyka A, Mazurek P, and Samardakiewicz M
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- Humans, Female, Male, Middle Aged, Adult, Aged, Posttraumatic Growth, Psychological, SARS-CoV-2 isolation & purification, Survivors psychology, Resilience, Psychological, COVID-19 psychology, COVID-19 epidemiology, Stress Disorders, Post-Traumatic psychology
- Abstract
The COVID-19 pandemic has profoundly affected mental health, with many survivors experiencing psychological challenges, including Post-Traumatic Stress Disorder (PTSD). This study assessed PTSD symptoms and Post-Traumatic Growth (PTG) among 62 individuals recovering from COVID-19 infection, all of whom were under the care of the Department of Pneumonology, Oncology, and Allergology at the Medical University of Lublin. Results revealed that 40.32% of participants exhibited PTSD symptoms. Key predictors of PTSD severity included cognitive symptoms and post-COVID self-rated health, with cognitive symptoms positively associated and self-rated health negatively associated with PTSD severity. A positive correlation was also found between PTSD severity and PTG, suggesting that while individuals endure significant psychological distress, they may also experience personal growth, such as enhanced resilience and a redefined life perspective. These findings highlight the dual psychological impact of COVID-19 infection, particularly for individuals with preexisting pulmonary conditions. They underscore the importance of holistic, integrated care that addresses both the reduction of PTSD symptoms and the promotion of meaningful psychological growth in COVID-19 survivors., Competing Interests: Declarations. Competing interests: The authors declare no competing interests., (© 2025. The Author(s).)
- Published
- 2025
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25. Discovery of a new bacterium, Microbacterium betulae sp. nov., in birch wood associated with hypersensitivity pneumonitis in woodworkers.
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Paściak M, Pawlik KJ, Martynowski D, Łaczmański Ł, Ciekot J, Szponar B, Wójcik-Fatla A, Mackiewicz B, Farian E, Cholewa G, Cholewa A, and Dutkiewicz J
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- Genome, Bacterial genetics, Nucleic Acid Hybridization, Bacterial Typing Techniques, Sequence Analysis, DNA, Wood microbiology, Betula microbiology, RNA, Ribosomal, 16S genetics, Phylogeny, DNA, Bacterial genetics, Fatty Acids analysis, Fatty Acids chemistry, Alveolitis, Extrinsic Allergic microbiology, Microbacterium genetics, Microbacterium classification, Microbacterium isolation & purification
- Abstract
A Gram-positive, aerobic, rod-shaped mesophilic bacterium was isolated from birch wood, referred to as the AB strain. Allergological tests suggest that this strain may cause allergic alveolitis in sawmill workers. Employing a polyphasic taxonomic approach, the AB strain's 16S rRNA gene sequence showed high similarity to Microbacterium barkeri and M. oryzae, with 97.25% and 96.91%, respectively, a finding supported by rpoB and gyrB sequence analysis. Further genome sequence comparison with the closely related M. barkeri type strain indicated a digital DNA-DNA hybridization value of 25.5% and an average nucleotide identity of 82.52%. The AB strain's cell wall peptidoglycan contains ornithine, and its polar lipids comprise diphosphatidylglycerol, phosphatidylglycerol, and unidentified glycolipids. Its major fatty acids include anteiso C15:0, anteiso C17:0, and iso C16:0, while MK-10 is its predominant respiratory quinone. Comprehensive analysis through 16S rRNA, whole-genome sequencing, phenotyping, chemotaxonomy, and MALDI-TOF MS profiling indicates that the AB strain represents a new species within the Microbacterium genus. It has been proposed to name this species Microbacterium betulae sp. nov., with AB
T (PCM 3040T = CEST 30706T ) designated as the type strain., (© 2024 The Author(s). Environmental Microbiology Reports published by John Wiley & Sons Ltd.)- Published
- 2024
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26. Hypersensitivity Pneumonitis: Correct Identification of Causative Microbial Agents Is Essential for Efficient Diagnosis and Prevention.
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Dutkiewicz J and Mackiewicz B
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- Humans, Alveolitis, Extrinsic Allergic diagnosis, Alveolitis, Extrinsic Allergic prevention & control, Alveolitis, Extrinsic Allergic etiology
- Published
- 2023
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27. A Real-World Multicenter Retrospective Observational Study on Polish Experience with Nintedanib Therapy in Patients with Idiopathic Pulmonary Fibrosis: The PolExNIB Study.
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Majewski S, Białas AJ, Barczyk A, Batura-Gabryel H, Buchczyk M, Doboszyńska A, Górska K, Grabowska-Skudlarz L, Jagielska-Len H, Jarzemska A, Jassem E, Jastrzębski D, Kania A, Koprowski M, Krawczyk M, Krenke R, Lewandowska K, Mackiewicz B, Martusewicz-Boros MM, Milanowski J, Noceń-Piskorowska M, Nowicka A, Roszkowski-Śliż K, Siemińska A, Sładek K, Sobiecka M, Stachura T, Tomczak M, Tomkowski W, Trzaska-Sobczak M, Ziora D, Żołnowska B, and Piotrowski WJ
- Abstract
Nintedanib is a disease-modifying agent licensed for the treatment of IPF. Data on Polish experience with nintedanib in IPF are lacking. The present study aimed to describe the safety and efficacy profiles of nintedanib in a large real-world cohort of Polish patients with IPF. This was a multicenter, retrospective, observational study of IPF patients treated with nintedanib between March 2018 and October 2021. Data collection included baseline clinical characteristics, results of pulmonary function tests (PFTs), and a six-minute walk test (6MWT). Longitudinal data on PFTs, 6MWT, adverse drug reactions (ADRs), and treatment persistence were also retrieved. A total of 501 patients (70% male) with a median age of 70.9 years (IQR 65-75.7) were included in this study. Patients were followed on treatment for a median of 15 months (7-25.5). The majority of patients (66.7%) were treated with the full recommended dose of nintedanib and 33.3% of patients were treated with a reduced dose of a drug. Intermittent dose reductions or drug interruptions were needed in 20% of patients. Over up to 3 years of follow-up, pulmonary function remained largely stable with the minority experiencing disease progression. The most frequent ADRs included diarrhea (45.3%), decreased appetite (29.9%), abdominal discomfort (29.5%), weight loss (32.1%), nausea (20.8%), fatigue (19.2%), increased liver aminotransferases (15.4%), and vomiting (8.2%). A total of 203 patients (40.5%) discontinued nintedanib treatment due to diverse reasons including ADRs (10.2%), death (11.6%), disease progression (4.6%), patient's request (6.6%), and neoplastic disease (2.2%). This real-world study of a large cohort of Polish patients with IPF demonstrates that nintedanib therapy is safe, and is associated with acceptable tolerance and disease stabilization. These data support the findings of previously conducted clinical trials and observational studies on the safety and efficacy profiles of nintedanib in IPF.
- Published
- 2023
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28. Spontaneous pneumomediastinum as a complication of COVID-19.
- Author
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Zygmunt WG, Mackiewicz B, Siwiec J, and Milanowski J
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- Humans, Rare Diseases, COVID-19 complications, Mediastinal Emphysema diagnostic imaging, Mediastinal Emphysema etiology
- Abstract
In December 2019, an atypical form of severe pneumonia emerged in Wuhan in China's Hubei province, which in February 2020 was named COVID-19. The disease may have features of interstitial pneumonia and severe respiratory failure requiring intensive oxygen therapy. Spontaneous pneumomediastinum is a rare pathological condition with air in the mediastinum outside the trachea, oesophagus and bronchi. It is potentially life-threatening complication of both invasive and non-invasive mechanical ventilation. There have been reports that it may complicate the course of interstitial lung disease in the course of COVID-19. The report describes two cases of young patients who spontaneously developed this complication. Immediate diagnose is important in order to applicate adequate procedures.
- Published
- 2023
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29. Guidelines of the Polish Respiratory Society on the Diagnosis and Treatment of Progressive Fibrosing Interstitial Lung Diseases Other than Idiopathic Pulmonary Fibrosis.
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Piotrowski WJ, Martusewicz-Boros MM, Białas AJ, Barczyk A, Batko B, Błasińska K, Boros PW, Górska K, Grzanka P, Jassem E, Jastrzębski D, Kaczyńska J, Kowal-Bielecka O, Kucharz E, Kuś J, Kuźnar-Kamińska B, Kwiatkowska B, Langfort R, Lewandowska K, Mackiewicz B, Majewski S, Makowska J, Miłkowska-Dymanowska J, Puścińska E, Siemińska A, Sobiecka M, Soroka-Dąda RA, Szołkowska M, Wiatr E, Ziora D, and Śliwiński P
- Subjects
- Humans, Poland, Disease Progression, Fibrosis, Idiopathic Pulmonary Fibrosis diagnosis, Idiopathic Pulmonary Fibrosis therapy, Idiopathic Pulmonary Fibrosis complications, Lung Diseases, Interstitial diagnosis, Lung Diseases, Interstitial therapy, Lung Diseases, Interstitial complications
- Abstract
The recommendations were developed as answers to previously formulated questions concerning everyday diagnostic and therapeutic challenges. They were developed based on a review of the current literature using the GRADE methodology. The experts suggest that PF-ILD be diagnosed based on a combination of different criteria, such as the aggravation of symptoms, progression of radiological lesions, and worsening of lung function test parameters. The experts recommend a precise diagnosis of an underlying disease, with serological testing for an autoimmune disease always being included. The final diagnosis should be worked out by a multidisciplinary team (MDT). Patients with an interstitial lung disease other than IPF who do not meet the criteria for the progressive fibrosis phenotype should be monitored for progression, and those with systemic autoimmune diseases should be regularly monitored for signs of interstitial lung disease. In managing patients with interstitial lung disease associated with autoimmune diseases, an opinion of an MDT should be considered. Nintedanib rather than pirfenidon should be introduced in the event of the ineffectiveness of the therapy recommended for the treatment of the underlying disease, but in some instances, it is possible to start antifibrotic treatment without earlier immunomodulatory therapy. It is also admissible to use immunomodulatory and antifibrotic drugs simultaneously. No recommendations were made for or against termination of anti-fibrotic therapy in the case of noted progression during treatment of a PF-ILD other than IPF. The experts recommend that the same principles of non-pharmacological and palliative treatment and eligibility for lung transplantation should be applied to patients with an interstitial lung disease other than IPF with progressive fibrosis as in patients with IPF.
- Published
- 2022
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30. Timber-colonizing gram-negative bacteria as potential causative agents of respiratory diseases in woodworkers.
- Author
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Wójcik-Fatla A, Mackiewicz B, Sawczyn-Domańska A, Sroka J, Siwiec J, Paściak M, Szponar B, Pawlik K, and Dutkiewicz J
- Subjects
- Bacteria, Dust, Endotoxins, Fungi, Gram-Negative Bacteria, Humans, Wood chemistry, Hypersensitivity, Occupational Exposure adverse effects, Occupational Exposure analysis
- Abstract
Occurrence: Gram-negative bacteria occur commonly in the inner tissues of stored coniferous and deciduous timber, showing a marked variation in numbers. The greatest maximal numbers are found in the sapwood of coniferous timber. The common constituents of the Gram-negative biota are potentially pathogenic species of Enterobacteriaceae family of the genera Rahnella, Pantoea, Enterobacter, and Klebsiella. The air of wood-processing facilities is polluted with the wood-borne Gram-negative bacteria and produced by them endotoxin, as demonstrated worldwide by numerous studies., Effects: There are three potential pathways of the pathogenic impact of wood-borne Gram-negative bacteria on exposed woodworkers: allergic, immunotoxic, and infectious. Allergic impact has been underestimated for a long time with relation to Gram-negative bacteria. Hopefully, the recent demonstration of the first documented case of hypersensitivity pneumonitis (HP) in woodworkers caused by Pantoea agglomerans which developed in extremely large quantities in birch sapwood, would speed up finding of new wood-related cases of HP caused by Gram-negative bacteria. The second pathway is associated with endotoxin, exerting strong immunotoxic (excessively immunostimulative) action. It has been demonstrated that endotoxin is released into wood dust in the form of nano-sized microvesicles, by peeling off the outer membrane of bacteria. Endotoxin microvesicles are easily inhaled by humans together with dust because of small dimensions and aerodynamic shape. Afterwards, they cause a nonspecific activation of lung macrophages, which release numerous inflammatory mediators causing an inflammatory lung reaction, chest tightness, fever, gas exchange disorders, and bronchospasm, without radiographic changes. The resulting disease is known as "Organic Dust Toxic Syndrome" or "toxic pneumonitis." The potential third pathway of pathogenic impact is infection. The suspected species is Klebsiella pneumoniae that may occur commonly in wood dust; however, until now this pathway has not been confirmed., Conclusion: Summarizing, Gram-negative bacteria-inhabiting timber should be considered, besides filamentous fungi and actinobacteria, as important risk factors of occupational disease in woodworkers that could be either HP with allergenic background or toxic pneumonitis elicited by endotoxin., (© 2022. The Author(s).)
- Published
- 2022
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31. How much do we know about genetic predisposition of hypersensitivity pneumonitis?
- Author
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Błach J and Mackiewicz B
- Subjects
- Genetic Predisposition to Disease, Humans, Alveolitis, Extrinsic Allergic genetics, Idiopathic Pulmonary Fibrosis, Lung Diseases, Interstitial
- Abstract
Introduction and Objective: Hypersensitivity pneumonitis (HP) is an interstitial lung disease caused by iterative inhalation of various environmental agents. The clinical presentation is variable, acute HP commonly presents an inflammatory response, whereas the development and clinical consequences in chronic HP may be similar to IPF (idiopathic pulmonary fibrosis). The aim of the study is to present the latest discoveries regarding the genetic predisposition of HP., Material and Methods: The appropriate scientific literature was reviewed and analyzed., Results: Studies have discovered relevant gene polymorphisms in HP, including polymorphisms in the major histocompatibility complex in the metalloproteinases genes. The length of the peripheral blood leukocyte telomere has been investigated and discovered to be important. Recently, the need to study miRNAs in ILD (interstitial lung disease) has been highlighted., Conclusions: Exposed HP developed only in some people and a genetic susceptibility significantly increases the risk. Further more current studies on large groups of patients are needed to learn more about the genetic predisposition and risk factors of HP.
- Published
- 2022
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32. COVID 19 - Possible interrelations with respiratory comorbidities caused by occupational exposure to various hazardous bioaerosols. Part II. Clinical course, diagnostics, treatment and prevention.
- Author
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Mackiewicz B, Lemieszek MK, and Dutkiewicz J
- Subjects
- Aerosols adverse effects, Humans, Occupational Diseases complications, Occupational Diseases prevention & control, Occupational Exposure adverse effects, Occupational Exposure prevention & control, Respiratory Tract Diseases complications, SARS-CoV-2 genetics, SARS-CoV-2 isolation & purification, COVID-19 diagnosis, COVID-19 prevention & control, COVID-19 therapy
- Abstract
Introduction and Objective: The course of COVID-19 caused by the SARS-CoV-2 may be aggravated by bioaerosols containing other viruses, bacteria, and fungi, occurring mainly in the occupational environment. Hence, the diagnostics and treatment of COVID-19 should address such a possibility in the anamnesis, treatment and final recommendations for avoiding of adverse exposure., Abbreviated Description of the State of Knowledge: As SARS-CoV-2 attacks primarily the respiratory system and the severe manifestation of COVID-19 is interstitial pneumonia, diagnostics should include the following clinical and laboratory examinations: chest X-ray; high resolution computed tomography (HRCT); pulmonary function tests; arterial-blood gas test; genetic tests for the presence of SARS-CoV-2, in the future with the use of highly specific and sensitive nano-based biosensors; tests for the presence of specific immunity against the antigens of microorganisms causing other infectious or allergic pulmonary diseases (in the case of anamnestic indications). Because an universally accepted treatment for COVID-19 does not exist, the hitherto prescribed antiviral and immune-modulating drugs should be used be with caution. In many cases, a better alternative could be a safe supportive therapy, such as supplementation of the diet with probiotics, prebiotics, vitamins and microelements., Summary: The most important preventive measures against COVID-19 should include: vaccination; the use of filter or surgical masks; disinfection and sterilization; maintaining of well-functioning ventilation and air conditioning systems; reduction of the community air pollution which has been identified as an important factor increasing the COVID-19 severity. In the choice of preventive measures, the above should be considered for their potential efficacy against other bioaerosols as potential disease-aggravating agents.
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- 2021
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33. COVID 19 - Possible interrelations with respiratory comorbidities caused by occupational exposure to various hazardous bioaerosols. Part I. Occurrence, epidemiology and presumed origin of the pandemic.
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Dutkiewicz J, Mackiewicz B, and Lemieszek MK
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- Aerosols, Alveolitis, Extrinsic Allergic etiology, Animals, Byssinosis etiology, Comorbidity, Food-Processing Industry, Health Personnel, Humans, COVID-19 etiology, Hazardous Substances adverse effects, Occupational Exposure adverse effects, SARS-CoV-2
- Abstract
The occupational bioaerosols containing viruses, bacteria, fungi, microbial toxins and plant or animal particles, may evoke infectious, allergic or immunotoxic diseases which may co-exist as comorbidities with COVID-19 and exacerbate the course of disease. They include hypersensitivity pneumonitis (HP) caused mostly by bacteria, fungi, and particles containing animal proteins, and immunotoxic diseases such as organic dust toxic syndrome (ODTS) and byssinosis, caused mostly by bacterial and fungal toxins. The two most probable scenarios of possible interrelations between these three comorbidities (CM) and COVID-19 are: 1) 'Triggering' - when infection with SARS-CoV-2 triggers severe CM after bioaerosol exposure; 2) 'Reverse triggering' when exposure to bioaerosol exacerbates a symptomless or mild course of COVID-19, and evokes a severe disease. The occupations mostly endangered by COVID-19 as the result of exposure to SARS-CoV-2 bioaerosol, or to other bioaerosols which may exacerbate this disease, include: health care workers, social workers, breeders of fur animals, slaughterhouse workers, workers engaged in the processing and selling of seafood, and probably also agricultural workers, mainly in the developing countries. The authors present a hypothesis for the origin of the present pandemic. It assumes that a mild form of the present SARS-CoV-2 that is supposedly circulating among the Chinese population in the eastern part of the country, mutated under the influence of as yet unknown factor(s) present in the Chinese seafood markets, probably component(s) of bioaerosols, into the virulent and highly contagious form, known as the present SARS-CoV-2, under a scenario similar to that the authors have named 'Reverse triggering'.
- Published
- 2020
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34. Pantoea agglomerans chronic exposure induces epithelial-mesenchymal transition in human lung epithelial cells and mice lungs.
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Lemieszek MK, Rzeski W, Golec M, Mackiewicz B, Zwoliński J, Dutkiewicz J, and Milanowski J
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- Actins metabolism, Animals, Antigens, CD metabolism, Cadherins metabolism, Cell Line, Dust immunology, Epithelial Cells immunology, Epithelial Cells pathology, Fibroblasts immunology, Fibroblasts metabolism, Fibroblasts pathology, Humans, Lung microbiology, Lung pathology, Mice, Mice, Inbred C57BL, Pantoea chemistry, Poland, Air Microbiology, Alveolitis, Extrinsic Allergic immunology, Alveolitis, Extrinsic Allergic pathology, Epithelial-Mesenchymal Transition immunology, Inhalation Exposure adverse effects, Lung immunology, Pantoea immunology
- Abstract
Pantoea agglomerans is gram-negative bacteria widely distributed in nature. It predominates in inhalable dust from grain, herbs, and flax, and was identified as the most important cause of hypersensitivity pneumonitis (HP) in eastern Poland. To better understand the molecular mechanism of HP development studies focused on the interactions between P. agglomerans and alveolar epithelial cells as well as lung tissue with particular emphasis on the epithelial-mesenchymal transition (EMT). The studies were conducted on human normal lung epithelial NL20 cells and mice strain C57BL/6J. Cells and mice underwent chronic exposure to saline extract of P. agglomerans (SE-PA). Morphological changes were evaluated under light microscopy, the concentration of fibrosis markers was examined by the ELISA method, while the expression of genes involved in EMT was evaluated by RealTime PCR. During incubation with SE-PA epithelial cells underwent conversion and assumed fibroblast phenotype characterized by a decrease in epithelial cells markers (CDH1, CLDN1, JUP) and increase in mesenchymal cells markers (FN1, VIM, CDH2). Mice lungs collected after 14 days of SE-PA treatment revealed inflammation with marked lymphocytes infiltration. The intensified inflammatory process accompanied by increased proliferation of fibrous connective tissue was noted in mice lungs after 28 days of SE-PA exposure. Histological changes correlated with an increase of fibrosis markers (hydroxyproline, collagens), downregulation of epithelial markers (Cdh1, Cldn1, Jup, Ocln) and upregulation of myofibroblasts markers (Acta2, Cdh2, Fn1, Vim). Obtained results revealed SE-PA ability to induce EMT in human lung epithelial cells and mice lung tissue, with the scale of changes proportional to the time of treatment., Competing Interests: Declaration of competing interests ☒ The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. ☒The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript., (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Published
- 2020
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35. Acute hypersensitivity pneumonitis in woodworkers caused by inhalation of birch dust contaminated with Pantoea agglomerans and Microbacterium barkeri .
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Mackiewicz B, Dutkiewicz J, Siwiec J, Kucharczyk T, Siek E, Wójcik-Fatla A, Cholewa G, Cholewa A, Paściak M, Pawlik K, Szponar B, and Milanowski J
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- Actinobacteria genetics, Actinobacteria physiology, Acute Disease, Adult, Air Pollutants, Occupational analysis, Alveolitis, Extrinsic Allergic etiology, Female, Humans, Inhalation Exposure analysis, Male, Microbacterium, Middle Aged, Pantoea genetics, Pantoea physiology, Poland, Wood microbiology, Actinobacteria isolation & purification, Air Pollutants, Occupational adverse effects, Alveolitis, Extrinsic Allergic microbiology, Betula microbiology, Dust analysis, Inhalation Exposure adverse effects, Pantoea isolation & purification
- Abstract
Case Description: Five workers (2 males and 3 females) employed in a furniture factory located in eastern Poland developed hypersensitivity pneumonitis (HP) after the pine wood used for furniture production was replaced by birch wood. All of them reported onset of respiratory and general symptoms (cough, shortness of breath, general malaise) after inhalation exposure to birch dust, showed crackles at auscultation, ground-glass attenuations in HRCT examination, and lymphocytosis in the BAL examination. The diagnosis of acute HP was set in 4 persons and the diagnosis of subacute HP in one., Identification of Specific Allergen: Samples of birch wood associated with evoking disease symptoms were subjected to microbiological analysis with the conventional and molecular methods. Two bacterial isolates were found to occur in large quantities (of the order 10
8 CFU/g) in examined samples: Gram-negative bacterium of the species Pantoea agglomerans and a non-filamentous Gram-positive actinobacterium of the species Microbacterium barkeri . In the test for inhibition of leukocyte migration, 4 out of 5 examined patients showed a positive reaction in the presence of P. agglomerans and 2 in the presence of M. barkeri . Only one person showed the presence of precipitins to P. agglomerans and none to M. barkeri . In the inhalation challenge, which is the most relevant allergological test in the HP diagnostics, all patients reacted positively to P. agglomerans and only one to M. barkeri . The results indicate that P. agglomerans developing in birch wood was the main agent causing HP in the workers exposed to the inhalation of dust from this wood, while the etiologic role of M. barkeri is probably secondary., Conclusion: The results demonstrate that apart from fungi and filamentous actinobacteria, regarded until recently as causative agents of HP in woodworkers, Gram-negative bacteria and non-filamentous actinobacteria may also elicit disease symptoms in the workers processing wood infected with large amounts of these microorganisms. The results obtained also seem to indicate that cellular-mediated reactions are more significant for causing disease symptoms compared to those that are precipitin-mediated.- Published
- 2019
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36. Thiram - Toxic inhalational lung injury.
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Siwiec J, Siek E, Grzywa-Celińska A, Mackiewicz B, and Czekajska-Chehab E
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- Female, Humans, Lung diagnostic imaging, Lung drug effects, Lung Injury diagnostic imaging, Middle Aged, Fungicides, Industrial toxicity, Inhalation Exposure adverse effects, Lung Injury etiology, Thiram toxicity
- Abstract
Introduction: Thiram, a fungicides, is widely used on seeds and as foliar agent on turf, vegetables and fruit. It is also used in the rubber industry as a vulcanization accelerator. When absorbed through the respiratory system, it is rapidly metabolised to dimethylthiocarbamate and carbon disulphide, causing noxious effects. A brief review is presented of the literature, centering on the interesting case of a 45-year-old woman admitted to the hospital suffering from acute respiratory failure., Results: Computer tomography in angiographic option (angio-CT) showed an extensive, irregular area of ground glass in both upper lobes and apical segments of the lower lobes of the lungs. A significant enlargement of both atria was also described. There was no improvement after cardiac treatment and patient was transferred to the pulmonary department where she was succesfully treated with systemic glucocortycosteroids. The patient remains under the supervision of the pulmonary out-patient department.
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- 2019
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37. [Hypersensitivity pneumonitis and idiopathic pulmonary fibrosis - case report].
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Mackiewicz B, Siwiec J, Czekajska-Chehab E, and Milanowski J
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- Alveolitis, Extrinsic Allergic diagnostic imaging, Alveolitis, Extrinsic Allergic drug therapy, Diagnosis, Differential, Humans, Idiopathic Pulmonary Fibrosis diagnostic imaging, Male, Middle Aged, Alveolitis, Extrinsic Allergic diagnosis, Idiopathic Pulmonary Fibrosis diagnosis
- Abstract
Hypersensitivity pneumonitis (HP), called extrinsic allergic alveolitis, is a syndrome characterized by diffuse inflammation of lung parenchyma and airways in response to the inhalation of antigens to witch the patient has been previously sensitized. The clinical presentation of HP have been categorized as acute, subacute and chronic. The patient with chronic HP may lack a history of acute episodes and usually reports the insidious onset of cough, dyspnoea, fatigue, and weight los. Idiopathic pulmonary fibrosis (IPF) is a type of lung disease that results in scarring (fibrosis) of the lungs for an unknown reason. Symptoms of IPF are the same as in chronic hypersensitivity pneumonitis and differentiation may be difficult. We present a case of patient with chronic HP, in whom the course of the end stage of the disease mimic acute exacerbations idiopathic pulmonary fibrosis., (© 2018 MEDPRESS.)
- Published
- 2018
38. The quality of life of farmers with chronic obstructive pulmonary disease (COPD).
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Milanowska J, Mackiewicz B, Węgorowski P, Milanowski J, Milanowski P, and Makara-Studzińska M
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- Adult, Aged, Aged, 80 and over, Farmers psychology, Female, Humans, Male, Middle Aged, Poland, Quality of Life, Agricultural Workers' Diseases psychology, Pulmonary Disease, Chronic Obstructive psychology
- Abstract
Introduction and objective. COPD is a medical state characterized by chronically poor airflow, and typically worsens over time. Farmers have an increased risk of COPD because of being exposed to ammonia, hydrogen sulfide, inorganic dust, and organic dust. The quality of life of the ill depends on biomedical as well as psychosocial factors, the impact of which has not been a frequent subject of studies among COPD patients. The aim of the study was to indicate the factors that have negative and positive influence on the quality of life of farmers suffering from COPD. Materials and method. The study was conducted among 84 farmers treated for COPD in the Department of Pneumology, Oncology and Allergology of the Medical University in Lublin, Poland. The differences between the farmers concerned: severity of the disease, level of education and income, frequency of smoking tobacco and drinking alcohol, kinds of support they receive from their families, and the level of depression and anxiety experienced by the patients. Results. The study revealed that most patients suffered from depressive and anxiety disorders, and the level of depression higher among the patients who smoked more. Lack of family support had significant influence on exacerbation of the patient's depressive and anxiety symptoms. Patients who had recently experienced a critical situation presented with more severe COPD symptoms, lower quality of life and a higher level of depression. Higher income of the patients had positive influence on their quality of life. Farmers addicted to alcohol suffered from a higher level of anxiety.
- Published
- 2017
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39. Middle age enhances expression of innate immunity genes in a female mouse model of pulmonary fibrosis.
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Golec M, Wielscher M, Lemieszek MK, Vierlinger K, Skórska C, Huetter S, Sitkowska J, Mackiewicz B, Góra-Florek A, Ziesche R, Yanai H, Fraifeld VE, Milanowski J, and Dutkiewicz J
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- Animals, Female, Gene Expression Regulation immunology, Mice, Mice, Inbred C57BL, Pantoea immunology, Aging immunology, Cytokines immunology, Disease Models, Animal, Immunity, Innate immunology, Immunologic Factors immunology, Pulmonary Fibrosis immunology
- Abstract
The lungs are highly sensitive to tissue fibrosis, with a clear age-related component. Among the possible triggers of pulmonary fibrosis are repeated inhalations of fine organic particles. How age affects this response, is still far from being fully understood. We examined the impact of middle-age on gene expression in pulmonary fibrosis, using the novel "inhalation challenge set" mouse model. Our results demonstrate that the response of female mice to exposure of Pantoea agglomerans extract primarily involves various immune-related pathways and cell-cell/cell-extracellular matrix interactions. We found that middle-age had a strong effect on the response to the P. agglomerans-induced lung fibrosis, featured by a more rapid response and increased magnitude of expression changes. Genes belonging to innate immunity pathways (such as the TLR signaling and the NK-cell mediated cytotoxicity) were particularly up-regulated in middle-aged animals, suggesting that they may be potential targets for the treatment of pulmonary fibrosis caused by inhalations of organic particles. Our analysis also highlights the relevance of the "inhalation challenge set" mouse model to lung aging and related pathology.
- Published
- 2017
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40. When Trust in God Means Preemptive Refusal of C-Section.
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Sujdak Mackiewicz B and Thompson S
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- Female, Humans, Pregnancy, Cesarean Section, Trust
- Published
- 2017
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41. Pantoea agglomerans: a mysterious bacterium of evil and good. Part III. Deleterious effects: infections of humans, animals and plants.
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Dutkiewicz J, Mackiewicz B, Kinga Lemieszek M, Golec M, and Milanowski J
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- Animals, Animals, Domestic, Cross Infection microbiology, Cross Infection physiopathology, Humans, Pantoea pathogenicity, Arthropods microbiology, Enterobacteriaceae Infections microbiology, Enterobacteriaceae Infections physiopathology, Pantoea physiology, Plant Diseases microbiology
- Abstract
Pantoea agglomerans, a bacterium associated with plants, is not an obligate infectious agent in humans. However, it could be a cause of opportunistic human infections, mostly by wound infection with plant material, or as a hospital-acquired infection, mostly in immunocompromised individuals. Wound infection with P. agglomerans usually follow piercing or laceration of skin with a plant thorn, wooden splinter or other plant material and subsequent inoculation of the plant-residing bacteria, mostly during performing of agricultural occupations and gardening, or children playing. Septic arthritis or synovitis appears as a common clinical outcome of exogenous infection with P. agglomerans, others include endophthalmitis, periostitis, endocarditis and osteomyelitis. Another major reason for clinical infection with P. agglomerans is exposure of hospitalized, often immunodeficient individuals to medical equipment or fluids contaminated with this bacterium. Epidemics of nosocomial septicemia with fatal cases have been described in several countries, both in adult and paediatric patients. In most cases, however, the clinical course of the hospital-acquired disease was mild and application of the proper antibiotic treatment led to full recovery. Compared to humans, there are only few reports on infectious diseases caused by Pantoea agglomerans in vertebrate animals. This species has been identified as a possible cause of equine abortion and placentitis and a haemorrhagic disease in dolphin fish (Coryphaena hippurus). P. agglomerans strains occur commonly, usually as symbionts, in insects and other arthropods. Pantoea agglomerans usually occurs in plants as an epi- or endophytic symbiont, often as mutualist. Nevertheless, this species has also also been identified as a cause of diseases in a range of cultivable plants, such as cotton, sweet onion, rice, maize, sorghum, bamboo, walnut, an ornamental plant called Chinese taro (Alocasia cucullata), and a grass called onion couch (Arrhenatherum elatius). Some plant-pathogenic strains of P. agglomerans are tumourigenic, inducing gall formation on table beet, an ornamental plant gypsophila (Gypsophila paniculata), wisteria, Douglas-fir and cranberry. Recently, a Pantoea species closely related to P. agglomerans has been identified as a cause of bacterial blight disease in the edible mushroom Pleurotus eryngii cultivated in China. The genetically governed determinants of plant pathogenicity in Pantoea agglomerans include such mechanisms as the hypersensitive response and pathogenicity (hrp) system, phytohormones, the quorum-sensing (QS) feedback system and type III secretion system (T3SS) injecting the effector proteins into the cytosol of a plant cell.
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- 2016
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42. Pantoea agglomerans: a mysterious bacterium of evil and good. Part IV. Beneficial effects.
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Dutkiewicz J, Mackiewicz B, Lemieszek MK, Golec M, and Milanowski J
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- Biological Control Agents pharmacology, Pantoea physiology, Adjuvants, Immunologic chemistry, Biological Control Agents chemistry, Communicable Disease Control methods, Environmental Restoration and Remediation methods, Fertilizers analysis, Pantoea chemistry
- Abstract
Pantoea agglomerans, a gammaproteobacterium of plant origin, possesses many beneficial traits that could be used for the prevention and/or treatment of human and animal diseases, combating plant pathogens, promotion of plant growth and bioremediation of the environment. It produces a number of antibiotics (herbicolin, pantocins, microcin, agglomerins, andrimid, phenazine, among others) which could be used for combating plant, animal and human pathogens or for food preservation. Japanese researchers have demonstrated that the low-molecular-mass lipopolysaccharide of P. agglomerans isolated by them and described as 'Immunopotentiator from Pantoea agglomerans 1 (IP-PA1)' reveals the extremely wide spectrum of healing properties, mainly due to its ability for the maintenance of homeostasis by macrophage activation. IP-PA1 was proved to be effective in the prevention and treatment of a broad range of human and animal disorders, such as tumours, hyperlipidaemia, diabetes, ulcer, various infectious diseases, atopic allergy and stress-induced immunosuppression; it also showed a strong analgesic effect. It is important that most of these effects could be achieved by the safe oral administration of IP-PA1. Taking into account that P. agglomerans occurs commonly as a symbiont of many species of insects, including mosquitoes transmitting the Plasmodium parasites causing malaria, successful attempts were made to apply the strategy of paratransgenesis, in which bacterial symbionts are genetically engineered to express and secrete anti-Plasmodium effector proteins. This strategy shows prospects for a successful eradication of malaria, a deadly disease killing annually over one million people, as well as of other vector-borne diseases of humans, animals and plants. Pantoea agglomerans has been identified as an antagonist of many plant pathogens belonging to bacteria and fungi, as a result of antibiotic production, competition mechanisms or induction of plant resistance. Its use as a biocontrol agent permits the decrease of pesticide doses, being a healthy and environmental-friendly procedure. The application of the preparations of this bacterium efficiently protects the stored pome, stone and citrus fruits against invasion of moulds. P. agglomerans strains associated with both rhizosphere and plant tissues (as endophytes) efficiently promote the growth of many plants, including rice and wheat, which are the staple food for the majority of mankind. The promotion mechanisms are diverse and include fixation of atmospheric nitrogen, production of phytohormones, as well as degradation of phytate and phosphate solubilizing which makes the soil phosphorus available for plants. Accordingly, P. agglomerans is regarded as an ideal candidate for an environmental-friendly bioinoculant replacing chemical fertilizers. It has been documented that the Pantoea strains show biodegradation activity on various chemical pollutants of soil and water, including petroleum hydrocarbons and toxic metals. P. agglomerans prevents the penetration of harmful industrial contaminants into deeper parts of soil by biofilm formation, and has an ability to produce hydrogen from waste. Thus, this bacterium appears as a valuable bioremediator which, in some cases, may be acquired as a cheap form of energy. In conclusion, in spite of the proven pathologic role of P. agglomerans in causing occupational diseases of allergic and/or immunotoxic background and accidental infections, the beneficial traits of this species, and of related species of Pantoea genus, are of great value for potential use in many areas of biotechnology. Hence, any restrictions on the use of these organisms and their products should be declined, providing safety precautions at work with the Pantoea biopreparations are maintained.
- Published
- 2016
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43. Impact of I/D polymorphism of ACE gene on risk of development and course of chronic obstructive pulmonary disease.
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Mlak R, Homa-Mlak I, Powrózek T, Mackiewicz B, Michnar M, Krawczyk P, Dziedzic M, Rubinsztajn R, Chazan R, Milanowski J, and Małecka-Massalska T
- Abstract
Introduction: Chronic obstructive pulmonary disease (COPD) affects more than 10% of the world's population over 40 years of age. The main exogenous risk factor is cigarette smoking; however, only 20% of smokers develop COPD, indicating that some other factors, e.g. genetic, may play an important role in the disease pathogenesis. Recent research indicates that ACE (angiotensin-converting enzyme) may be a susceptibility gene for asthma or COPD. The aim of our study was to determine the influence of I/D (insertion/deletion) polymorphism of the ACE gene (AluYa5, rs4646994) on the risk and course of COPD., Material and Methods: We investigated ACE I/D polymorphism in 206 COPD and 165 healthy Caucasian subjects., Results: In the generalized linear model (GLZ) analysis of the influence of selected factors on presence of COPD we found a significant independent effect for male sex (repeatedly increases the risk of COPD, OR = 7.7, p = 0.049), as well as smoking or lower body mass index, but only in combination with older age (OR = 0.96, p = 0.003 and OR = 1.005, p = 0.04 respectively). Interestingly, analysis of factors which may influence the risk of a higher number of exacerbations demonstrated that occurrence of DD genotype, but only in men, is associated with a lower risk (OR = 0.7, p = 0.03) of this complication., Conclusions: We suggest that ACE may not be a susceptibility gene for the origin of COPD but a disease-modifying gene. Since the impact of I/D polymorphism of the ACE gene on COPD risk is moderate or negligible, other molecular changes, that will help predict the development of this disease, should still be sought.
- Published
- 2016
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44. Pantoea agglomerans: a mysterious bacterium of evil and good. Part II--Deleterious effects: Dust-borne endotoxins and allergens--focus on grain dust, other agricultural dusts and wood dust.
- Author
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Dutkiewicz J, Mackiewicz B, Lemieszek MK, Golec M, Skórska C, Góra-Florek A, and Milanowski J
- Subjects
- Allergens immunology, Dust analysis, Enterobacteriaceae Infections immunology, Enterobacteriaceae Infections microbiology, Humans, Pantoea chemistry, Agriculture, Allergens toxicity, Edible Grain, Endotoxins toxicity, Enterobacteriaceae Infections physiopathology, Pantoea physiology, Wood
- Abstract
Pantoea agglomerans, a Gram-negative bacterium developing in a variety of plants as epiphyte or endophyte is particularly common in grain and grain dust, and has been identified by an interdisciplinary group from Lublin, eastern Poland, as a causative agent of work-related diseases associated with exposure to grain dust and other agricultural dusts. The concentration of P. agglomerans in grain as well as in the settled grain and flour dust was found to be high, ranging from 10(4)-10(8) CFU/g, while in the air polluted with grain or flour dust it ranged from 10(3)-10(5) CFU/m(3) and formed 73.2-96% of the total airborne Gram-negative bacteria. The concentration of P. agglomerans was also relatively high in the air of the facilities processing herbs and other plant materials, while it was lower in animal farms and in wood processing facilities. Pantoea agglomerans produces a biologically-potent endotoxin (cell wall lipopolysaccharide, LPS). The significant part of this endotoxin occurs in dusts in the form of virus-sized globular nanoparticles measuring 10-50 nm that could be described as the 'endotoxin super-macromolecules'. A highly significant relationship was found (R=0.804, P=0.000927) between the concentration of the viable P. agglomerans in the air of various agricultural and wood industry settings and the concentration of bacterial endotoxin in the air, as assessed by the Limulus test. Although this result may be interfered by the presence of endotoxin produced by other Gram-negative species, it unequivocally suggests the primary role of the P. agglomerans endotoxin as an adverse agent in the agricultural working environment, causing toxic pneumonitis (ODTS). Numerous experiments by the inhalation exposure of animals to various extracts of P. agglomerans strains isolated from grain dust, including endotoxin isolated with trichloroacetic acid (LPS-TCA), endotoxin nanoparticles isolated in sucrose gradient (VECN), and mixture of proteins and endotoxin obtained by extraction of bacterial mass in saline (CA-S), showed the ability of these extracts to evoke inflammatory and fibrotic changes in the lungs, to stimulate alveolar macrophages to produce superoxide anion (O2(-)), interleukin-1 (IL-1) and chemotactic factors for other macrophages and neutrophils, and to increase the pulmonary concentrations of toll-like receptors and chemokines. The most potent properties showed the CA-S which may be attributed to the allergenic properties of P. agglomerans proteins enhanced by the presence of the autologous endotoxin. The results of these experiments are in accord with the clinical studies which revealed a high reactivity of the agricultural and grain industry workers to allergenic extracts of P. agglomerans, and the presence in these populations of hypersensitivity pneumonitis and asthma cases caused by this bacterium. P. agglomerans has been also identified as a potential causative agent of allergic dermatitis in farmers and of allergic pulmonary disorders in cattle. In conclusion, similar to the cotton industry, also in the grain industry and in agriculture, Pantoea agglomerans should be regarded as one of the major causative agents of work-related diseases, caused by the adverse effects of protein allergens and endotoxin produced by this bacterium.
- Published
- 2016
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45. Relationship between concentrations of microbiological agents in the air of agricultural settings and occurrence of work-related symptoms in exposed persons.
- Author
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Mackiewicz B, Skórska C, and Dutkiewicz J
- Subjects
- Agricultural Workers' Diseases microbiology, Animal Husbandry, Bacteria isolation & purification, Bacterial Infections microbiology, Endotoxins analysis, Fungi isolation & purification, Lung Diseases, Fungal epidemiology, Lung Diseases, Fungal microbiology, Poland epidemiology, Respiratory Tract Diseases microbiology, Agricultural Workers' Diseases epidemiology, Agriculture, Air Microbiology, Bacterial Infections epidemiology, Respiratory Tract Diseases epidemiology
- Abstract
For assessment of the dose-response relationship between concentrations of microbial agents in the air of various agricultural settings and occurrence of work-related symptoms in exposed workers, a meta-analysis of the results obtained in 1994-2007 on the territory of eastern Poland was performed. The studies on the airborne concentrations of total culturable microorganisms, mesophilic bacteria, Gram-negative bacteria, thermophilic actinomycetes, fungi, and bacterial endotoxins, as well as on the frequency of work-related respiratory and general symptoms in the exposed workers, were carried out at grain, thyme, valerian, flax, and hop handling on farms, in cow barns, piggeries, horse stables and in a modern hatchery. The airborne concentrations of the total microorganisms were in the range of 9.2-1236.5 × 10(3) CFU/m(3) , of the total mesophilic bacteria 3.5-1225.8 × 10(3) CFU/m(3) , of Gram-negative bacteria 0.0- 46.2 × 10(3) CFU/m(3) , of thermophilic actinomycetes 0.0-7.1 × 10(3) CFU/m(3) , of fungi 2.1-77.9 × 10(3) CFU/m(3) , and of bacterial endotoxin 0.00925-429.55 µg/m(3) . The frequency of work-related symptoms ranged between 21.7-63.8%. In a meta-analysis for assessment of the correlations between the log-transformed concentrations of airborne microbial agents and the occurrence of work-related symptoms, the multiple regression test was applied. Statistically significant correlations were found between the occurrence of work-related symptoms and the concentration of total airborne microorganisms (R=0.748555; P=0.020317), mesophilic bacteria (R=0.7573; P=0.029548), Gram-negative bacteria (R=0.835938; P=0.019129), and endotoxins (R=0.705356; P=0.03378). The correlations between the concentrations of thermophilic actinomycetes and fungi, on one side, and frequency of work-related symptoms on the other, did not attain the threshold of significance (P=0.087049 and P=0.062963, respectively). Results of the meta-analysis confirm harmful health effects of the total airborne microorganisms, total airborne mesophilic bacteria, airborne Gram-negative bacteria, and airborne bacterial endotoxin on the occupationally-exposed agricultural workers, and indicate a need for the establishment of internationally recognized occupational exposure limits for these microbial agents.
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- 2015
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46. Age influence on mice lung tissue response to Aspergillus fumigatus chronic exposure.
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Lemieszek MK, Dutkiewicz J, Golec M, Chilosi M, Skórska C, Huaux F, Pastena C, Pedica F, Sitkowska J, Lisowska W, Cholewa G, Zwoliński J, Mackiewicz B, Góra-Florek A, Ziesche R, and Milanowski J
- Subjects
- Age Factors, Animals, Cytokines metabolism, Female, Lung microbiology, Mice, Aspergillus fumigatus physiology, Cytokines genetics, Immunity, Innate, Lung immunology
- Abstract
Introduction and Objective: Exposure to conidia of Aspergillus fumigatus was described as a causative factor of a number of the respiratory system diseases, including asthma, chronic eosinophilic pneumonia, hypersensitivity pneumonitis and bronchopulmonary aspergillosis. The study investigates the effects of the repeated exposure to A. fumigatus in mice pulmonary compartment. Our work tackles two, so far insufficiently addressed, important aspects of interaction between affected organism and A. fumigatus: 1) recurrent character of exposure (characteristic for pathomechanism of the abovementioned disease states) and 2) impact of aging, potentially important for the differentiation response to an antigen., Materials and Methods: In order to dissect alterations of the immune system involved with both aging and chronic exposure to A. fumigatus, we used 3- and 18-month-old C57BL/6J mice exposed to repeated A. fumigatus inhalations for 7 and 28 days. Changes in lung tissue were monitored by histological and biochemical evaluation. Concentration of pro- and anti-inflammatory cytokines in lung homogenates was assessed by ELISA tests., Results and Conclusions: Our study demonstrated that chronic inflammation in pulmonary compartment, characterized by the significant increase of proinflammatory cytokines (IL1, IL6, IL10) levels, was the dominant feature of mice response to repeated A. fumigatus inhalations. The pattern of cytokines' profile in the course of exposure was similar in both age groups, however in old mice the growth of the cytokines' levels was more pronounced (especially in case of IL1).
- Published
- 2015
- Full Text
- View/download PDF
47. Pantoea agglomerans: a marvelous bacterium of evil and good.Part I. Deleterious effects: Dust-borne endotoxins and allergens - focus on cotton dust.
- Author
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Dutkiewicz J, Mackiewicz B, Lemieszek MK, Golec M, and Milanowski J
- Subjects
- Allergens immunology, Byssinosis immunology, Byssinosis microbiology, Enterobacteriaceae Infections immunology, Enterobacteriaceae Infections microbiology, Humans, Pantoea chemistry, Allergens toxicity, Byssinosis physiopathology, Cotton Fiber, Dust analysis, Endotoxins toxicity, Enterobacteriaceae Infections physiopathology, Pantoea physiology
- Abstract
The ubiquitous Gram-negative bacterium Pantoea agglomerans (synonyms: Enterobacter agglomerans, Erwinia herbicola) is known both as an epiphytic microbe developing on the surface of plants and as an endophytic organism living inside the plants. The bacterium occurs also abundantly in plant and animal products, in the body of arthropods and other animals, in water, soil, dust and air, and occasionally in humans. From the human viewpoint, the role of this organism is ambiguous, both deleterious and beneficial: on one side it causes disorders in people exposed to inhalation of organic dusts and diseases of crops, and on the other side it produces substances effective in the treatment of cancer and other diseases of humans and animals, suppresses the development of various plant pathogens, promotes plant growth, and appears as a potentially efficient biofertilizer and bioremediator. P. agglomerans was identified as a predominant bacterium on cotton plant grown all over the world, usually as an epiphyte, rarely as pathogen. It is particularly numerous on cotton bract after senescence. During processing of cotton in mills, bacteria and their products are released with cotton dust into air and are inhaled by workers, causing respiratory and general disorders, usually defined as byssinosis. The most adverse substance is endotoxin, a heteropolymer macromolecule present in the outermost part of the cell wall, consisting of lipopolysaccharide (LPS) as a major constituent, phospholipids and protein. The numerous experiments carried out in last quarter of XXth century on laboratory animals and human volunteers supported a convincing evidence that the inhaled endotoxin produced by P. agglomerans causes numerous pathologic effects similar to those elicited by cotton dust, such as influx of free lung cells into airways and activation of alveolar macrophages which secrete mediators (prostaglandins, platelet-activating factor, interleukin-1, tumor necrosis factor) that cause accumulation of platelets in pulmonary capillaries initiating an acute and chronic inflammation resulting in endothelial cell damage and extravasation of cells and fluids into the lung interstitium. These changes cause bronchoconstriction, the decrement of lung function expressed as reduction of forced expiratory volume in one second (FEV1) and/or diffusion capacity, increase in the airway hyperreactivity and subjective symptoms such as fever, airway irritation and chest tightness. The conclusions from these experiments, performed mostly 2-3 decades ago, did not loose their actuality until recently as so far no other cotton dust component was identified as a more important work-related hazard than bacterial endotoxin. Though also other microbial and plant constituents are considered as potential causative agents of byssinosis, the endotoxin produced by Pantoea agglomerans and other Gram-negative bacteria present in cotton dust is still regarded as a major cause of this mysterious disease.
- Published
- 2015
- Full Text
- View/download PDF
48. Cathelicidin LL-37 in bronchoalveolar lavage and epithelial lining fluids from healthy individuals and sarcoidosis patients.
- Author
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Golec M, Reichel C, Lemieszek M, Buczkowski J, Mackiewicz B, Skórska C, Dutkiewicz J, Góra A, Ziesche R, and Milanowski J
- Subjects
- Adult, Cross-Sectional Studies, Female, Humans, Male, Cathelicidins, Antimicrobial Cationic Peptides analysis, Bronchoalveolar Lavage Fluid chemistry, Sarcoidosis, Pulmonary immunology
- Abstract
Sarcoidosis is a granulomatous disease of unknown etiology most often characterized by pulmonary manifestations. Changes in an innate immune system, involving antimicrobial peptides, have been noted during the course of pulmonary sarcoidosis. This study focuses on the level of LL-37 peptide, the only human cathelicidin, additionally characterized by a wide range of pleiotropic activities, in pulmonary sarcoidosis. A cross-sectional study was conducted in groups of 32 patients with sarcoidosis and 12 healthy individuals. Bronchoalveolar lavage fluid (BALF) sampling, followed by LL-37 measurements by mass spectrometry combined with previous immunoaffinity purification, was performed. Based on urea levels, concentrations of LL-37 in epithelial lining fluid (ELF) were calculated. The levels of LL-37 peptide in BALF samples derived from patients with pulmonary sarcoidosis (median: 17.45 pg/ml, 25th-75th percentile: 8.05-28.33 pg/ml) were significantly higher compared to the healthy group (median: 6.38 pg/ml, 25th-75th percentile: 4.90-11.55 pg/ml) (U Mann-Whitney test, p=0.04). Assessment of LL-37 in ELF confirmed the differences across the groups that were observed in BALF. The level of LL-37 in patients with sarcoidosis (median: 2.25 ng/ml, 25th-75th percentile: 1.03-5.06 ng/ml) was again higher compared to healthy individuals (median: 0.62 ng/ml, 25th-75th percentile: 0.43-2.17 ng/ml) (p=0.06, Mann-Whitney U test). The results of this study demonstrate that the level of LL-37 peptide is elevated in pulmonary compartment affected by sarcoidosis. This might have a meaning in the pathomechanism of the disease, especially taking into consideration versatile activity of human cathelicidin revealed in numerous experimental studies during the last years.
- Published
- 2014
49. Age influence on hypersensitivity pneumonitis induced in mice by exposure to Pantoea agglomerans.
- Author
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Lemieszek MK, Chilosi M, Golec M, Skórska C, Dinnyes A, Mashayekhi K, Vierlinger K, Huaux F, Wielscher M, Hofner M, Yakoub Y, Pastena C, Daniele I, Cholewa G, Sitkowska J, Lisowska W, Zwoliński J, Milanowski J, Mackiewicz B, Góra-Florek A, Ziesche R, and Dutkiewicz J
- Subjects
- Alveolitis, Extrinsic Allergic etiology, Alveolitis, Extrinsic Allergic pathology, Animals, Cytokines immunology, Female, Hydroxyproline immunology, Lung immunology, Lung pathology, Mice, Mice, Inbred C57BL, Aging immunology, Alveolitis, Extrinsic Allergic immunology, Complex Mixtures toxicity, Pantoea
- Abstract
Hypersensitivity pneumonitis (HP) represents the immunologically mediated lung disease induced by repeated inhalations of a wide variety of certain finely dispersed organic antigens. In susceptible subjects, these inhalations provoke a hypersensitivity reaction characterized by intense inflammation of the terminal bronchioles, the interstitium and the alveolar tree. The inflammation often organizes into granulomas and may progress to pulmonary fibrosis. Our previous work indicated that cell extract of gram-negative bacteria Pantoea agglomerans (SE-PA) causes, in young C57BL/6J mice, pulmonary changes that are very similar to the clinical manifestations of HP in men. The purpose of presented studies was to describe the response of mice immune system while exposed to SE-PA. Particular attention was paid to examine the age influence on SE-PA induced inflammation and fibrosis in lung tissue. We used 3- and 18-month-old C57BL/6J mice. Lung samples were collected from untreated mice and animals exposed to harmful agent for 7 and 28 days. HP development was monitored by histological and biochemical evaluation. Using ELISA tests, we examined concentration of pro- and anti-inflammatory cytokines in lung homogenates. Our study demonstrated again that SE-PA provokes in mice changes typical for the clinical picture of HP, and that successive stages of disease (acute, subacute and chronic) might be obtained by modulation of time exposure. Furthermore, we found that animals' age at the time of sensitization influences the nature of observed changes (cytokine expression pattern) and the final outcome (reaction intensity and scale of fibrosis).
- Published
- 2013
- Full Text
- View/download PDF
50. Cathelicidin LL-37 in bronchoalveolar lavage and epithelial lining fluids from COPD patients and healthy individuals.
- Author
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Golec M, Reichel C, Lemieszek M, Mackiewicz B, Buczkowski J, Sitkowska J, Skòrska C, Dutkiewicz J, Milanowski J, and Ziesche R
- Subjects
- Adult, Aged, Antimicrobial Cationic Peptides physiology, Cross-Sectional Studies, Female, Humans, Immunity, Innate, Lung physiopathology, Male, Middle Aged, Prospective Studies, Pulmonary Disease, Chronic Obstructive physiopathology, Cathelicidins, Antimicrobial Cationic Peptides analysis, Bronchoalveolar Lavage Fluid chemistry, Pulmonary Disease, Chronic Obstructive immunology
- Abstract
Innate immunity is currently under scope of interest concerning its role in the development of chronic obstructive pulmonary disease (COPD). Antimicrobial peptides constitute a potent part of this fast response system. Here, we focus on the role of a specific antimicrobial peptide, the only human cathelicidin, the pleiotropic LL-37 peptide, in the development of COPD under clinical conditions. A cross-sectional study was conducted in groups of 43 patients with COPD (previously classified according to GOLD) and 12 healthy individuals. Bronchoalveolar lavage fluid (BALF) sampling, followed by LL-37 measurements by mass spectrometry combined with previous immunoaffinity purification, was performed. Based on urea levels, concentrations of LL-37 in epithelial lining fluid (ELF) were calculated. Additionally, an antimicrobial assay of growth inhibition of two bacterial species, often involved in COPD development mechanisms, by purchased LL-37 was conducted. Altogether, 55 BALF samples were analyzed. LL-37 levels were significantly higher in BALF from patients in early stages of COPD (GOLD I-II) compared to BALFs from healthy individuals. The same was true for ELF. Cathelicidins concentration was significantly lower in both BALF and ELF from patients in advanced COPD (GOLD III-IV). The significantly elevated LL-37 levels both in BALF and ELF in patients with COPD at stage GOLD I-II together with reduced levels in advanced (COPD stage III-IV) further supports the innate immunity involvement in COPD pathology and suggests a profound change in non-specific immunity during the disease progression.
- Published
- 2012
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