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Familial Mediterranean fever (FMF) is an autosomal, recessive disease, attributed to mutations in MEFV gene encoding pyrin, which is characterized by recurrent, acute and self-limiting attacks of fever as well as an increased neutrophil and monocyte apoptosis. Most disease-associated mutations in MEFV gene reside on the C-terminal PRYSPRY (B30.2) domain of pyrin, an area found to interact with the pro-apoptotic protein Siva. Because apoptotic events may be contributing to endogenous inflammation we hypothesized that mutations in pyrin may affect Siva-mediated apoptosis. The confirmation of this hypothesis would be of a great biological significance since it would be demonstrated a connection between apoptosis and inflammation. We used homology modeling to construct a 3-D model of Siva protein and the constructed model of Siva defined structural elements with potential of binding other proteins to induce apoptosis. Given that Siva protein binds pyrin as shown by transfection and immunoprecipitation experiments, apoptosis was assessed by FACS and Western blotting. No differences in rates of apoptosis in myeloid cells (THP-1) upon transfection with either wt pyrin or mutant forms of pyrin were found. Patients with FMF did not display any mutations in the Siva-1 (full length) gene. Siva-1 was not linked to pyrin in the major predicted FMF gene network constructed using a literature-curated gene signature for FMF. These results suggest that Siva-mediated unprovoked apoptosis is not likely to be involved in the pathogenesis of FMF., (Copyright © 2010 Elsevier Inc. All rights reserved.)

Radon and progeny ((218)Po, (214)Pb, (214)Bi and (214)Po) in thermal spas are well known radioactive pollutants identified for additional radiation burden of patients due to the activity concentration peaks which appear during bath treatment or due to drinking of waters of high radon content. This burden affects additionally the working personnel of the spas. The present paper has focused on the thermal spas of Loutraki (Attica-Greece). The aim was the investigation of the health impact for patients and working personnel due to radon and progeny. Attention has been paid to radon and progeny transient concentration peaks (for bath treatment) and to radon of thermal waters (both for bath treatment and drinking therapy). Designed experiments have been carried out, which included radon and progeny activity concentration measurements in thermal waters and ambient air. Additionally, published models for description of radon and progeny transient concentration peaks were employed. The models were based on physicochemical processes involved and employed non linear first order derivative mass balance differential equations which were solved numerically with the aid of specially developed computer codes. The collected measurements were analysed incorporating these models. Results were checked via non linear statistical tests. Predictions and measurements were found in close agreement. Non linear parameters were estimated. The models were employed for dosimetric estimations of patients and working personnel. The effective doses of patients receiving bath treatment were found low but not negligible. The corresponding doses to patients receiving potable treatment were found high but below the proposed international limits. It was found that the working personnel are exposed to considerable effective doses, however well below the acceptable limits for workers. It was concluded that treatment and working in the Loutraki spas leads to intense variations of radon and progeny and consequently additional health impact both to patients and working personnel.