The introduction of Citrus to Italy, with reference to the identification problems of seed remains

While some consensus exists about the roles of southwestern China and northeastern India in the origin and diversification of the genus Citrus, the scarcity of its archaeological remains, as well as some methodological limits in unequivocally identifying taxa, do not facilitate reconstruction of the tempo and mode of spread of the genus towards other areas, notably the Mediterranean. Recent discoveries of archaeobotanical macro-remains (seeds and fruits) and pollen records from some important Italian sites in the Vesuvius area and Rome can be used to shed new light on this history. However, due to their morphological variability and the changes derived from the preservation processes, Citrus seeds appear difficult to recognise. In this paper, we present criteria to facilitate their precise identification, based on the observation of the morphology of modern seeds, and most of all the seed-coat patterns. The reference material consisted of “archaic” varieties of C. medica L. (citron), C. × limon (L.) Burm. f. (lemon) and seeds of C. × aurantium L. (bitter or Seville orange), C. × aurantiifolia (Christm.) Swingle (lime) and C. reticulata Blanco (tangerine, mandarin orange). Considering the fact that the general morphology of seeds, especially when mineralised, can confuse the identification of Citrus with Maloideae types, we also add criteria for the recognition of Cydonia oblonga Mill. (quince), Malus domestica Borkh. (apple), Pyrus communis L. (pear), Sorbus aria (L.) Crantz (whitebeam) and S. domestica L. (service tree). The observation of the keels and cell patterns was mostly useful to identify new material from Pompeii and Rome dating from the 3rd/2nd century b.c. and the Augustan period around the beginning of the Common (Christian) Era as C. medica L. (citron) and C. cf. × limon (L.) Burm. f. (possible lemon). The classical Greek and Latin sources helped us to understand the use and status of citrus fruits in the ancient world and, in combination with all available archaeobotanical remains compiled in this paper, have allowed us to discuss the spread of Citrus from its regions of origin to the eastern Mediterranean and then within the Mediterranean.     

The Role of Biological Agents in the Management of Large Vessel Vasculitis (LVV): A Systematic Review and Meta-Analysis

Background

Giant cell arteritis (GCA) and Takayasu''s arteritis (TAA) are large vessel vasculitides (LVV) for which corticosteroids (CS) are the mainstay for treatment. In patients with LVV unable to tolerate CS, biological agents have been used with variable effectiveness.

Objective

To systematically review the effectiveness and safety of biological agents in patients with LVV.

Methods

We searched 5 electronic databases (inception to October 2012) and conference abstracts with no language restrictions. Two reviewers independently selected studies, extracted data and assessed methodological quality. Our protocol was registered in PROSPERO.

Results

We included 25 studies (3 RCTs and 22 case series with ≥2 cases). 95 GCA and 98 TAA patients received biological agents. The RCTs using anti-TNF agents (infliximab, etanercept and adalimumab) did not suggest a benefit in GCA. GCA patients receiving tocilizumab, in case series, achieved remission (19 patients) and reduction of corticosteroid dose (mean difference, –16.55 mg/day (95% CI: –26.24, –6.86)). In case series, 75 patients with refractory TAA treated with infliximab discontinued CS 32% of the time. Remission was variably defined and the studies were clinically heterogeneous which precluded further analysis.

Conclusion

This systematic review demonstrated a weak evidence base on which to assess the effectiveness of biological treatment in LVV. Evidence from RCTs suggests that anti-TNF agents are not effective for remission or reduction of CS use. Tocilizumab and infliximab may be effective in the management of LVV and refractory TAA, respectively, although the evidence comes from case series. Future analytical studies are needed to confirm these findings.     

Tracking the history of grapevine cultivation in Georgia by combining geometric morphometrics and ancient DNA

Vegetation History and Archaeobotany - The Near East and the Caucasus are commonly regarded as the original domestication centres of Vitis vinifera (grapevine), and the region continues to be home...     

More than meets the eye: new archaeobotanical evidence on Bronze Age viticulture and wine making in the Peloponnese,Greece

Vegetation History and Archaeobotany - Viticulture and wine making have been at the heart of discussions concerning the Mycenaean society with elite groups which emerged in the Mediterranean during...     

Linking classification and therapeutic management of vasculitides

Vasculitides are classified by the size, type and location of the predominantly involved vessels and by their primary or secondary nature. Their treatment depends on the type of vasculitis, its etiology (when known), and its severity and must be further adjusted by the individual characteristics and comorbidities of patients. In this paper, we review how the classification and definition of vasculitides have evolved over the past years and how it has affected therapeutic changes. As new genetic markers are being discovered and the pathogenesis of vasculitides continues to be elucidated, further modifications in classification and treatment can be expected.