The Mediterranean monk seal (Monachus monachus) is one of the world’s most endangered marine mammals, and information on its feeding ecology is needed to support conservation planning. Here, high-throughput DNA metabarcoding of scat samples from Madeira was used to characterise the diet of this geographically isolated population. Fourteen samples were analysed using universal fish primers targeting the mitochondrial 12S rRNA gene, enabling detection of both bony and cartilaginous fishes. Across samples, 38 prey taxa were identified, including records not previously reported in monk seal diet studies, such as Fistularia petimba, as well as cartilaginous fish such as Bathytoshia centroura, Dasyatis pastinaca, and Torpedo marmorata. Frequency of occurrence indicated a diet dominated by demersal and reef-associated taxa, with frequent detection of Sparidae, alongside evidence of opportunistic prey use. Overall, these results provide a high-resolution dietary profile for monk seals in Madeira and demonstrate the utility of scat metabarcoding for monitoring trophic ecology in small, threatened populations. This approach offers a scalable framework for assessing dietary shifts over time and informing adaptive management in human-impacted coastal ecosystems.

The Romans were among the first to extensively exploit fish resources, establishing large-scale salting and preservation plants. Small pelagic fish were fermented to produce sauces like garum. Here, we recover DNA from specimens collected at Adro Vello (O Grove), Galicia, dating to the 3rd century AD. Whole genome resequencing, confirmed these as European sardines (Sardina pilchardus) and assigns all samples to a population ranging from North Morocco to the Bay of Biscay. The low admixture levels in ancient samples suggest lower connectivity in Roman times. This overlooked archaeological material can enhance our understanding of past subsistence economy, culture, and diet. ### Competing Interest Statement The authors have declared no competing interest.

The North Atlantic right whale ( Eubalaena glacialis ) was the primary target for early industrial whalers, particularly the Basques. Once widespread across temperate and subpolar waters on both sides of the North Atlantic, the species is now functionally extinct in the Northeast Atlantic and listed as critically endangered by the IUCN. Despite their fragmentary remains, bones are abundant in the archaeological and historical records and reveal a long history and extensive tradition connected to the exploitation of these marine resources. Using state-of-the-art ancient DNA techniques, here we aimed at genetically characterizing the lost Northeast Atlantic population. We sequenced 17 genomes from historical specimens collected in the Cantabrian Sea, dating from the 13 th -18 th century, and compared them with available genomes for 12 individuals from the surviving Northwest Atlantic population. Our analyses reveal a historically panmictic population and document a dramatic decline in genetic diversity from the Middle Ages to the present. These findings illuminate the profound impact of centuries of whaling, which eradicated the Northeast Atlantic population and severely depleted genetic diversity in the remnant population.

The Romans were among the first societies to extensively exploit fish resources, establishing large-scale salting and preservation plants where small pelagic fish were fermented to produce sauces such as garum . Here, the authors demonstrate that, despite being crushed and exposed to acidic conditions, usable DNA can be recovered from ichthyological residues at the bottom of fish-salting vats. At third-century AD Adro Vello (O Grove), Galicia, they confirm the use of European sardines ( Sardina pilchardus ) and move beyond morphology to explore population range and admixture and reveal the potential of this overlooked archaeological resource.

The European sardine (Sardina pilchardus, Walbaum 1792) is indisputably a commercially important species. Previous studies using uneven sampling or a limited number of makers have presented sometimes conflicting evidence of the genetic structure of S. pilchardus populations. Here, we show that whole genome data from 108 individuals from 16 sampling areas across 5000 km of the species’ distribution range (from the Eastern Mediterranean to the archipelago of Azores) support at least three genetic clusters. One includes individuals from Azores and Madeira, with evidence of substructure separating these two archipelagos in the Atlantic. Another cluster broadly corresponds to the center of the distribution, including the sampling sites around Iberia, separated by the Almeria–Oran front from the third cluster that includes all of the Mediterranean samples, except those from the Alboran Sea. Individuals from the Canary Islands appear to belong to the Mediterranean cluster. This suggests at least two important geographical barriers to gene flow, even though these do not seem complete, with many individuals from around Iberia and the Mediterranean showing some patterns compatible with admixture with other genetic clusters. Genomic regions corresponding to the top outliers of genetic differentiation are located in areas of low recombination indicative that genetic architecture also has a role in shaping population structure. These regions include genes related to otolith formation, a calcium carbonate structure in the inner ear previously used to distinguish S. pilchardus populations. Our results provide a baseline for further characterization of physical and genetic barriers that divide European sardine populations, and information for transnational stock management of this highly exploited species towards sustainable fisheries.

Museum specimens preserve genetic information that can help resolve phylogenetic relationships of now extinct species. The Caribbean monk seal, Neomonachus tropicalis, is the only marine mammal driven to extinction in tropical seas and one of the few marine mammals to go extinct in historical times. Prior to 1700 it was widely distributed throughout the coasts of North, Central and South America, and in the Bahamas, Greater and Lesser Antilles. The species was first taxonomically placed in the genus Monachus, along with the Hawaiian and Mediterranean monk seals and it was later moved together with the Hawaiian monk seal into the newly described genus Neomonachus. Here, we present the complete mitochondrial genome of the Caribbean monk seal and a phylogenetic reconstruction, confirming its sister taxa relationship with the Hawaiian monk seal, and thus the monophyly of the genus Neomonachus. Our estimates of divergence times are contemporaneous with or predate the emergence of the Isthmus of Panama. We also identify limited genetic variation among five specimens of Caribbean monk seal.

The diverse physiography of the Portuguese land and marine territory, spanning from continental Europe to the Atlantic archipelagos, has made it an important repository of biodiversity throughout the Pleistocene glacial cycles, leading to a remarkable diversity of species and ecosystems. This rich biodiversity is under threat from anthropogenic drivers, such as climate change, invasive species, land use changes, overexploitation, or pathogen (re)emergence. The inventory, characterisation, and study of biodiversity at inter- and intra-specific levels using genomics is crucial to promote its preservation and recovery by informing biodiversity conservation policies, management measures, and research. The participation of researchers from Portuguese institutions in the European Reference Genome Atlas (ERGA) initiative and its pilot effort to generate reference genomes for European biodiversity has reinforced the establishment of Biogenome Portugal. This nascent institutional network will connect the national community of researchers in genomics. Here, we describe the Portuguese contribution to ERGA’s pilot effort, which will generate high-quality reference genomes of six species from Portugal that are endemic, iconic, and/or endangered and include plants, insects, and vertebrates (fish, birds, and mammals) from mainland Portugal or the Azores islands. In addition, we outline the objectives of Biogenome Portugal, which aims to (i) promote scientific collaboration, (ii) contribute to advanced training, (iii) stimulate the participation of institutions and researchers based in Portugal in international biodiversity genomics initiatives, and (iv) contribute to the transfer of knowledge to stakeholders and engaging the public to preserve biodiversity. This initiative will strengthen biodiversity genomics research in Portugal and fuel the genomic inventory of Portuguese eukaryotic species. Such efforts will be critical to the conservation of the country’s rich biodiversity and will contribute to ERGA’s goal of generating reference genomes for European species.

Microplastics (<5 mm) are a ubiquitous marine pollutant which are highly bioavailable to marine organisms across all trophic levels. Marine predators are especially vulnerable to microplastic pollution through direct and indirect ingestion (e.g., trophic transfer) due to their high trophic position. In particular, oceanic islands are more susceptible to plastic accumulation, increasing the relative number of microplastics in the environment that are available for consumption. The dynamics of microplastic accumulation in marine predators inhabiting remote islands, however, is sparsely documented. Here we describe microplastic exposure in the Critically Endangered Mediterranean monk seal (Monachus monachus) from the Madeira archipelago (Northeast Atlantic) using scat-based analysis. Microplastics were recovered from 18 scat samples collected between 2014−2021 and were characterized to the polymer level using Fourier-Transform Infrared (u-FTIR) spectroscopy. A total of 390 microplastic particles were recovered, ranging between 0.2−8.6 particles g−1 dry weight (mean 1.84 ± 2.14 particles g−1) consisting mainly of fragments (69 %) of various sizes and polymer composition (e.g., PE, PET, PS). Microplastic prevalence (100 % of samples analysed) was higher than what has been previously recorded using scat-based analysis in other pinniped species. Our results suggest that the levels of microplastic pollution in the coastal food-web in the Madeira archipelago are relatively high, placing higher-trophic level organisms at increased risk of microplastic consumption, including humans. This study provides the first insights into microplastic exposure to Madeira's monk seals that may contribute to future management decisions for the species and their long-term survival.

Objectives: In early life, children are exposed to microorgan-isms from maternal and environmental sources, which influ- ence the development of their microbiome throughout life. Several studies have demonstrated the influence of the deliv- ery mode and breastfeeding on the oral microbiome of chil-dren, mostly regarding bacterial colonization. However, their influence on the oral fungal carriage is still under explored. This study aimed to assess the association of the delivery and feed-ing mode with the oral carriage of yeasts in adulthood. Method and materials: Fungal oral carriage was evaluated by collect-ing unstimulated saliva in 185 healthy dental students (mean age of 21.51 & PLUSMN; 1.55 years old; 81.6% women). Yeast identifica- tion was performed by culture in ChromAgar Candida medium and sequencing of the 18S genes and ITS regions for determination of the species. Demographic and clinical data of each participant were recorded through questionnaires, and oral examinations were performed in a subgroup of participants (n = 49). Results: Candida species were isolated in 37.5% of all participants. The prevalence of yeasts in the oral cavity was sig- nificantly higher in those who were born by vaginal delivery compared to those born by caesarean section (P = .035), whereas no statistically significant differences were observed regarding breastfeeding (P= .398). Low salivary flow rate and frequency of dental visits also were associated with oral yeast carriage (P < .05). Conclusion: The results suggest a possible impact of the type of delivery on fungal colonization, which is sustained throughout life due to oral health-related factors.

Chest pain is a frequent symptom in patients with pulmonary arterial hypertension (PAH). Left main coronary artery (LMCA) extrinsic compression from a pulmonary artery (PA) is an increasingly recognized cause of angina or complications, such as acute myocardial infarction, left ventricular dysfunction, arrythmia, and sudden death. We report the case of a 45-year-old patient with pre-capillary pulmonary hypertension (PH), a patent ductus arteriosus corrected surgically during adolescence, and chronic constrictive bronchiolitis. In 2016, the patient began to report oppressive chest pain and worsening fatigue. Computed tomography coronary angiography (CTCA) showed extrinsic LMCA compression by a dilated PA, which was confirmed by invasive coronary angiography and intravascular ultrasound. After stent implantation, the patient reported symptom resolution, and has been asymptomatic ever since. Imaging studies, in particular CTCA, play an important role in the diagnosis of LMCA compression in patients with PAH. The reported case supports the efficacy and safety of stent implantation as a therapeutic option, as already demonstrated in the literature. It shows the complexity of decision making on the operability of systemic-to-pulmonary shunts and reinforces the importance of continuous diagnostic testing.

Human populations have been shaped by catastrophes that may have left long-lasting signatures in their ge-nomes. One notable example is the second plague pandemic that entered Europe in ca. 1,347 CE and repeat-edly returned for over 300 years, with typical village and town mortality estimated at 10%-40%.1 It is assumed that this high mortality affected the gene pools of these populations. First, local population crashes reduced genetic diversity. Second, a change in frequency is expected for sequence variants that may have affected survival or susceptibility to the etiologic agent (Yersinia pestis).2 Third, mass mortality might alter the local gene pools through its impact on subsequent migration patterns. We explored these factors using the Nor-wegian city of Trondheim as a model, by sequencing 54 genomes spanning three time periods: (1) prior to the plague striking Trondheim in 1,349 CE, (2) the 17th-19th century, and (3) the present. We find that the pandemic period shaped the gene pool by reducing long distance immigration, in particular from the British Isles, and inducing a bottleneck that reduced genetic diversity. Although we also observe an excess of large FST values at multiple loci in the genome, these are shaped by reference biases introduced by mapping our relatively low genome coverage degraded DNA to the reference genome. This implies that attempts to detect selection using ancient DNA (aDNA) datasets that vary by read length and depth of sequencing coverage may be particularly challenging until methods have been developed to account for the impact of differential refer-ence bias on test statistics.

The Saiga antelope (Saiga tatarica) is one of the few megafauna species from the mammoth steppe still living today. Currently, saiga are classified as critically endangered, persisting only in small areas of Central Asian steppe and desert ecosystems. The species is divided into two subspecies: Saiga tatarica mongolica and Saiga tatarica tatarica. In this study, we have for the first time characterized the genetic diversity of the Mongolian saiga (S. t. mongolica) using both mitochondrial DNA and microsatellite markers. We also analysed S. t. tatarica specimens in order to genetically compare both subspecies. The mitochondrial control region was sequenced for a total of 89 individuals: 20 skin, 53 umbilical cord, three placentae and a muscle sample from S. t. mongolica, and a total of 12 hair samples from S. t. tatarica. Additionally, 19 microsatellites developed for saiga antelope were also screened. Our results revealed that the Mongolian saiga presents very low genetic diversity at the mitochondrial level, with no shared mitochondrial haplotype between the two subspecies. Low genetic diversity is also present at the autosomal level, with most loci having low heterozygosity (Ho/He) and a low number of alleles per locus. Despite the low genetic diversity, we found no separation between the subpopulations in Mongolia, indicating that conservation corridors are actually promoting contact between different herds. Our results validate current conservation efforts and inform the implementation of new measures to increase the viability of the S. t. mongolica subspecies.

The study of South American camelids and their domestication is a highly debated topic in zooarchaeology. Identifying the domestic species (alpaca and llama) in archaeological sites based solely on morphological data is challenging due to their similarity with respect to their wild ancestors. Using genetic methods also presents challenges due to the hybridization history of the domestic species, which are thought to have extensively hybridized following the Spanish conquest of South America that resulted in camelids slaughtered en masse. In this study, we generated mitochondrial genomes for 61 ancient South American camelids dated between 3,500 and 2,400 years before the present (Early Formative period) from two archaeological sites in Northern Chile (Tulán-54 and Tulán-85), as well as 66 modern camelid mitogenomes and 815 modern mitochondrial control region sequences from across South America. In addition, we performed osteometric analyses to differentiate big and small body size camelids. A comparative analysis of these data suggests that a substantial proportion of the ancient vicuña genetic variation has been lost since the Early Formative period, as it is not present in modern specimens. Moreover, we propose a domestication hypothesis that includes an ancient guanaco population that no longer exists. Finally, we find evidence that interbreeding practices were widespread during the domestication process by the early camelid herders in the Atacama during the Early Formative period and predating the Spanish conquest.

Resumo: Introdução e objetivos: A tromboendarterectomia pulmonar (TP) é um procedimento potencialmente curativo em doentes com hipertensão pulmonar (HP) tromboembólica crónica (TEC). O objetivo deste trabalho é reportar a experiência inicial de um centro português de tratamento de HP em doentes submetidos a TP num centro de referência cirúrgico internacional. Métodos: Estudo observacional prospetivo de doentes consecutivos com diagnóstico de HPTEC seguidos em centro nacional de tratamento de HP e submetidos a TP em centro de referência cirúrgico internacional entre outubro de 2015 e março de 2019. Parâmetros clínicos, funcionais, laboratoriais, imagiológicos e hemodinâmicos foram obtidos nos 12 meses precedentes à cirurgia e repetidos entre quatro a seis meses após a TP. Resultados: Foram submetidos a TP 27 doentes consecutivos (59% do sexo feminino) com mediana de 60 (49‐71) anos. Durante um seguimento mediano de 34 (21‐48) meses, verificou‐se melhoria da classe funcional em todos os doentes, tendo ocorrido apenas um óbito de causa cardíaca. Do ponto de vista hemodinâmico, observou‐se redução da pressão média na artéria pulmonar de 48 (42‐59) mmHg para 26 (22‐38) mmHg, aumento do débito cardíaco de 3,3 (2,9‐4,0) L/min para 4,9 (4,2‐5,5) L/min e redução das resistências vasculares pulmonares de 12,1 (7,2‐15,5) uW para 3,5 (2,6‐5,2) uW. Tendo em conta os parâmetros hemodinâmicos avaliados pós‐TP e a sua evolução durante o seguimento clínico, 44% (n = 12) dos doentes deixaram de ter critérios de HP, 44% (n = 12) mantiveram HP e 11% (n =3) evoluíram com recorrência de HP. Laboratorialmente, a salientar redução do NT‐proBNP de 868 (212‐1730) pg/mL para 171 (98‐382) pg/mL. Dos parâmetros de função sistólica ventricular direita, verificou‐se melhoria da excursão e velocidade de pico sistólicas longitudinais do plano do anel tricúspide de 14 (13‐14) mm e 9 (8‐10) cm/s para 17 (16‐18) mm e 13 (11‐15) cm/s, respetivamente. Dos 26 doentes com critérios de disfunção sistólica ventricular direita pré‐cirurgia, 85% (n = 22) apresentaram critérios de recuperação. A proporção de doentes sob terapêutica vasodilatadora específica diminuiu de 93% para 44% (p < 0,001) e a proporção daqueles requerendo OLD diminuiu de 52% para 26% (p = 0,003). A distância percorrida no teste dos seis minutos de marcha aumentou em cerca de 25% relativamente ao valor prévio à intervenção cirúrgica e apenas oito doentes mantiveram dessaturação significativa durante a prova. Conclusão: A TP realizada em centro cirúrgico de elevado volume é um procedimento seguro e com impacto muito favorável em médio prazo nos parâmetros funcionais, hemodinâmicos e de função ventricular direita em doentes com HPTEC operável. É possível, para centros de tratamento de HP sem diferenciação em TP, a referenciação dos doentes com segurança e efetividade a um centro cirúrgico internacional em que para tal seja necessário aerotransporte. Abstract: Introduction and objectives: Pulmonary endarterectomy (PEA) is a potentially curative procedure in patients with chronic thromboembolic pulmonary hypertension (CTEPH). This study reports the initial experience of a Portuguese PH center with patients undergoing PEA at an international surgical reference center. Methods: Prospective observational study of consecutive CTEPH patients followed at a national PH center, who underwent PEA at an international surgical reference center between October 2015 and March 2019. Clinical, functional, laboratory, imaging and hemodynamic parameters were obtained in the 12 months preceding the surgery and repeated between four and six months after PEA. Results: 27 consecutive patients (59% female) with a median age of 60 (49‐71) years underwent PEA. During a median follow‐up of 34 (21‐48) months, there was an improvement in functional class in all patients, with only one cardiac death. From a hemodynamic perspective, there was a reduction in mean pulmonary artery pressure from 48 (42‐59) mmHg to 26 (22‐38) mmHg, an increase in cardiac output from 3.3 (2.9‐4.0) L/min to 4.9 (4.2‐5.5) L/min and a reduction in pulmonary vascular resistance from 12.1 (7.2‐15.5) uW to 3.5 (2.6‐5, 2) uW. During the follow‐up, 44% (n=12) of patients had no PH criteria, 44% (n=12) had residual PH and 11% (n = 3) had PH recurrence. There was a reduction of N‐terminal pro‐B‐type natriureticpeptide from 868 (212‐1730) pg/mL to 171 (98‐382) pg/mL. Rright ventricular systolic function parameters revealed an improvement in longitudinal systolic excursion and peak velocity of the plane of the tricuspid ring from 14 (13‐14) mm and 9 (8‐10) cm/s to 17 (16‐18) mm and 13 (11‐15) cm/s, respectively. Of the 26 patients with preoperative right ventricular dysfunction, 85% (n=22) recovered. The proportion of patients on specific vasodilator therapy decreased from 93% to 44% (p<0.001) and the proportion of those requiring oxygen therapy decreased from 52% to 26% (p=0.003). The six‐minute walk test distance increased by about 25% compared to the baseline and only eight patients had significant desaturation during the test. Conclusion: Pulmonary endarterectomy performed at an experienced high‐volume center is a safe procedure with a very favorable medium‐term impact on functional, hemodynamic and right ventricular function parameters in CTEPH patients with operable disease. It is possible for PH centers without PEA differentiation to refer patients safely and effectively to an international surgical center in which air transport is necessary.

Whole genome sequence data is an ideal tool for characterizing processesin ecology and evolution. Despite the lowering in sequencing costs, itcan be challenging to produce a genome and high-coverage resequencingdata for a non-model species. New population genomics data analysispipelines based on genotype likelihoods allow for a significantreduction in cost by efficiently extracting information from lowcoverage sequence data. We demonstrate the robustness of such approacheswith a genomic data set consisting of two draft genomes of the Europeansardine (Sardina pilchardus, Walbaum 1792), and resequencing data(~1.5 X depth) for 78 individuals from 12 samplinglocations across the 5,000 Km of the species’ distribution range (fromthe Eastern Mediterranean to the archipelagos of Madeira and Azores).Our results clearly show at least three genetic clusters. One includesindividuals from Azores and Madeira (two archipelagos in the Atlantic),the second corresponds to Iberia (the center of the samplingdistribution), and the third gathers the Mediterranean samples and thosefrom the Canary Islands. This suggests at least two important barriersto gene flow, even though these do not seem complete, with individualsfrom Iberia showing some degree of admixture. These results togetherwith the genetic resources generated for this commercially importanttaxon provide a baseline for further studies aiming at identifying thenature of these barriers between Sardine populations, and informationfor transnational stock management of this highly exploited speciestowards sustainable fisheries.

Migration allows animals to exploit spatially separated and seasonally available resources at a continental to global scale. However, responding to global climatic changes might prove challenging, especially for long-distance intercontinental migrants. During glacial periods, when conditions became too harsh for breeding in the north, avian migrants have been hypothesized to retract their distribution to reside within small refugial areas. Here, we present data showing that an Afro-Palearctic migrant continued seasonal migration, largely within Africa, during previous glacial-interglacial cycles with no obvious impact on population size. Using individual migratory track data to hindcast monthly bioclimatic habitat availability maps through the last 120,000 y, we show altered seasonal use of suitable areas through time. Independently derived effective population sizes indicate a growing population through the last 40,000 y. We conclude that the migratory lifestyle enabled adaptation to shifting climate conditions. This indicates that populations of resource-tracking, long-distance migratory species could expand successfully during warming periods in the past, which could also be the case under future climate scenarios.

Late Quaternary climatic fluctuations in the Northern Hemisphere had drastic effects on large mammal species, leading to the extinction of a substantial number of them. The giant deer (Megaloceros giganteus) was one of the species that became extinct in the Holocene, around 7660 calendar years before present. In the Late Pleistocene, the species ranged from western Europe to central Asia. However, during the Holocene, its range contracted to eastern Europe and western Siberia, where the last populations of the species occurred. Here, we generated 35 Late Pleistocene and Holocene giant deer mitogenomes to explore the genetics of the demise of this iconic species. Bayesian phylogenetic analyses of the mitogenomes suggested five main clades for the species: three pre-Last Glacial Maximum clades that did not appear in the post-Last Glacial Maximum genetic pool, and two clades that showed continuity into the Holocene. Our study also identified a decrease in genetic diversity starting in Marine Isotope Stage 3 and accelerating during the Last Glacial Maximum. This reduction in genetic diversity during the Last Glacial Maximum, coupled with a major contraction of fossil occurrences, suggests that climate was a major driver in the dynamics of the giant deer.

Introduction and objectives: Pulmonary endarterectomy (PEA) is a potentially curative procedure in patients with chronic thromboembolic pulmonary hypertension (CTEPH). This study reports the initial experience of a Portuguese PH center with patients undergoing PEA at an international surgical reference center. Methods: Prospective observational study of consecutive CTEPH patients followed at a national PH center, who underwent PEA at an international surgical reference center between October 2015 and March 2019. Clinical, functional, laboratory, imaging and hemodynamic parameters were obtained in the 12 months preceding the surgery and repeated between four and six months after PEA. Results: 27 consecutive patients (59% female) with a median age of 60 (49-71) years underwent PEA. During a median follow-up of 34 (21-48) months, there was an improvement in functional class in all patients, with only one cardiac death. From a hemodynamic perspective, there was a reduction in mean pulmonary artery pressure from 48 (42-59) mmHg to 26 (22.38) mmHg, an increase in cardiac output from 3.3 (2.9-4.0) L/min to 4.9 (4.2-5.5) L/min and a reduction in pulmonary vascular resistance from 12.1 (7.2-15.5) uW to 3.5 (2.6-5, 2) uW. During the follow-up, 44% (n=12) of patients had no PH criteria, 44% (n=12) had residual PH and 11% (n = 3) had PH recurrence. There was a reduction of N-terminal pro-B-type natriureticpeptide from 868 (212-1730) pg/mL to 171 (98-382) pg/mL. Rright ventricular systolic function parameters revealed an improvement in longitudinal systolic excursion and peak velocity of the plane of the tricuspid ring from 14 (13-14) mm and 9 (8-10) cm/s to 17 (16-18) mm and 13 (11-15) cm/s, respectively. Of the 26 patients with preoperative right ventricular dysfunction, 85% (n=22) recovered. The proportion of patients on specific vasodilator therapy decreased from 93% to 44% (p<0.001) and the proportion of those requiring oxygen therapy decreased from 52% to 26% (p=0.003). The six-minute walk test distance increased by about 25% compared to the baseline and only eight patients had significant desaturation during the test. Conclusion: Pulmonary endarterectomy performed at an experienced high-volume center is a safe procedure with a very favorable medium-term impact on functional, hemodynamic and right ventricular function parameters in CTEPH patients with operable disease. It is possible for PH centers without PEA differentiation to refer patients safely and effectively to an international surgical center in which air transport is necessary. (C) 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, S.L.U.

BACKGROUND AND PURPOSE Acute lung injury (ALI) is a critical disorder that has high mortality rates, and pharmacological therapies are so far ineffective. The pathophysiology of ALI involves pulmonary oxidative stress and inflammatory response. Fullerol is a carbon nanocomposite that possesses antioxidant and anti-inflammatory properties. Here, we evaluated the therapeutic potential of fullerol and its mechanisms in a model of paraquat-induced ALI. EXPERIMENTAL APPROACH Rats were divided into ALI (paraquat alone), fullerol (paraquat plus fullerol), and control groups. Survival curves were estimated using the Kaplan-Meier method. The myeloperoxidase assay, ELISA, and hematoxylin and eosin staining were used to determine neutrophils infiltration, cytokines production, and histopathological parameters in lung samples, respectively. The antioxidant effect of fullerol was evaluated in vitro and ex vivo. KEY RESULTS Fullerol (0.01 to 0.3 mg/kg) markedly reduced the severe lung injury and high mortality rates observed in ALI rats. Moreover, fullerol (0.03 mg/kg) inhibited the reactive oxygen species formation and lipid peroxidation seen in lungs from ALI rats, and exhibited a potent concentration-dependent (10 to 10 mg/ml) in vitro antioxidant activity. Importantly, fullerol (0.03 mg/kg) inhibited neutrophils accumulation in bronchoalveolar lavage and lungs, and the increase in pulmonary levels of TNF-α, IL-1β, IL-6, and CINC-1 in ALI rats. CONCLUSIONS AND IMPLICATIONS Fullerol treatment was effective in reducing pulmonary damage and ALI-induced mortality, highlighting its therapeutic potential in an ALI condition. Searching for new pharmacological therapies to treat ALI may be desirable especially in view of the new coronavirus disease 2019 that currently plagues the world.

The Mediterranean monk seal Monachus monachus is one of the most threatened marine mammals, with only 600–700 individuals restricted to three populations off the coast of Western Sahara and Madeira (North Atlantic) and between Greece and Turkey (eastern Mediterranean). Its original range was from the Black Sea (eastern Mediterranean) to Gambia (western African coast), but was drastically reduced by commercial hunting and human persecution since the early stages of marine exploitation. We here analyse 42 mitogenomes of Mediterranean monk seals, from across their present and historical geographic ranges to assess the species population dynamics over time. Our data show a decrease in genetic diversity in the last 200 years. Extant individuals presented an almost four-fold reduction in genetic diversity when compared to historical specimens. We also detect, for the first time, a clear segregation between the two North Atlantic populations, Madeira and Cabo Blanco, regardless of their geographical proximity. Moreover, we show the presence of historical gene-flow between the two water basins, the Atlantic Ocean and the Mediterranean Sea, and the presence of at least one extinct maternal lineage in the Mediterranean. Our work demonstrates the advantages of using full mitogenomes in phylogeographic and conservation genomic studies of threatened species.