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A set of 31 isolates were obtained from apricot (Prunus armeniaca L.) orchards showing symptoms of blast and gummosis in orchards located in north-eastern Italy, mostly during three subsequent growing seasons (2014–2016). These isolates were identified by means of their colony morphology, pathogenicity (hypersensitive reaction in tobacco leaves and the detection of both syringomycin and coronatine coding genes), genetic features (BLASTn analysis of the rpoD gene) and physiological tests (GATTa) as Pseudomonas syringae pv. syringae and P. syringae pv. morsprunorum race 1 and race 2 strains, respectively. Phylogenetic analysis based on the rpoD gene sequence showed that the two pathovars and two races are well separated and highlighted high intrapathovar/race variation for both P. syringae pv. syringae and P. syringae pv. morsprunorum race 2. Pseudomonas syringae pv. morsprunorum race 1 formed a unique clade that had high sequence homology. Repetitive element-based polymerase chain reaction fingerprinting analysis using the ERIC, REP and BOX primers again showed both high intra-pathovar variation within the P. syringae pv. syringae isolates, which grouped into six distinct clusters, and notable intra-race genetic diversity within both P. syringae pv. morsprunorum races. All 31 strains showed tolerance to copper at 200 ppm in vitro. Among these isolates, 13 were highly resistant (up to 500 ppm) and revealed the presence of the cusCBA gene cluster. All P. syringae pv. syringae strains showed ice nucleation activity, and nine were markedly active (up −3 °C) and characterised by the presence of the INAz gene. Finally, this study is the first report of the isolation of P. syringae pv. morsprunorum race 2 strains from apricot in Italy.

A total of 40 Pseudomonas syringae pv. actinidiae (Psa) strains isolated from past and current epidemics of kiwifruit bacterial canker worldwide were compared using repetitive-sequence PCR (rep-PCR) fingerprinting with BOX, ERIC and REP primer sets. The strains were also assessed for the presence of 23 type III secretion system effector genes, tolerance to sodium arsenite, the presence of coronatine and phaseolotoxin and for growth trends in Actinidia deliciosa leaves. Rep-PCR revealed the occurrence of 11 different Psa lineages among the strains and indicated a relevant genetic variability within the strains isolated in Japan during 1984–2011, whereas all strains obtained from the current pandemic showed the same banding pattern. All lineages showed the same growth trend when inoculated into A. deliciosa leaves. The difference between Psa strains from past and current epidemics was confirmed by the detection of different repertoires of type III effector protein genes. Not all Psa strains isolated in Japan during past epidemics of kiwifruit bacterial canker amplify genes of the argK-tox cluster of phaseolotoxin, suggesting their absence or gene mutation. The results of an arsenic tolerance assay indicated that almost all strains isolated in Italy during the current epidemic of kiwifruit bacterial canker were relatively tolerant to 0.15–0.35 mM sodium arsenite, whereas those isolated in Chile and New Zealand were very sensitive. Remarkably, the two strains from China were tolerant or very sensitive. Collectively, these data indicate a composite population structure of this pathogen, which was able to diversify in Japan during 27 years of recurrent infections to A. deliciosa. The current naming of Psa populations based on their numbering and presence/absence of phytotoxins should be reconsidered.

Breast cancer (BC) constitutes a significant public health challenge in Italy, with a considerable impact on healthcare resources and societal costs. Despite advancements in diagnostics and therapies, the economic burden of BC remains substantial, necessitating a comprehensive evaluation to inform healthcare policy and resource allocation. The aim of this study is to estimate both direct health costs and social security costs related to BC. This study utilized real-world data from the Italian Health Information System (HIS) and Local Health Unit (LHU) Umbria 2 HIS databases spanning 2010-2019. Direct health costs, encompassing hospitalizations, outpatient visits, and drug prescriptions, were assessed alongside social security costs associated with BC-related work inability. Statistical analyses and probabilistic models were employed to estimate costs and evaluate trends over time. The analysis revealed an annual cost of €273 million for hospital admissions related to BC in Italy, with metastatic BC (MBC) incurring the highest average annual cost per patient (€5018). When outpatient visits and drug consumption were incorporated, the mean annual cost per patient in LHU Umbria 2 rose to €11,380 for MBC. Social security costs, predominantly comprising disability benefits (DBs), totaled €579 million annually. Overall, the study estimated the total annual economic impact of BC in Italy to exceed €1 billion, with social costs representing 50.4% of the total burden. This comprehensive assessment underscores the substantial economic strain imposed by BC in Italy and highlights the need for early detection and intervention strategies to mitigate costs and enhance patient outcomes. These findings offer valuable insights into the economic landscape of BC, guiding policy decisions and resource allocation efforts aimed at optimizing BC management and alleviating its societal burden.

Recent studies based on multiple, comparative taxonomic analyses, including MLSA and average nucleotide identity (ANI) approaches, revealed the clear existence of strains associated with bacterial canker and decline of Corylus avellana trees belonging to two different genomospecies: Pseudomonas avellanae and Pseudomonas syringae. Strains of the latter were tentatively named P. s. pv. avellanae. The distinctiveness of the two phytopathogens, both associated with the same symptoms to C. avellana, requires the formal emended description of P. s. pv. avellanae. In fact, the strain BPIC 631 = NCPPB 3487, originally described as P. s. pv. avellanae and subsequently elevated to species/genomospecies level, was confirmed as the pathotype strain of P. avellanae. In this paper, the emended description of Pseudomonas syringae pv. avellanae, causal agent of European hazelnut bacterial canker and decline, is provided. P. s. pv. avellanae DSMZ 100307 = CRAPAV 013 is designed as the pathotype strain of this pathovar which infect solely C. avellana trees.

In 2010 the International Society of Plant Pathology Committee on the Taxonomy of Plant Pathogenic Bacteria published the Comprehensive List of Names of Plant Pathogenic Bacteria, 1980-2007 to provide an authoritative register of names of plant pathogens. In this manuscript we update the list of names by cataloguing names published from 2008 to 2010. We provide those names that have been validly and effectively published in this time frame, the proposed names that we judged to be invalid and names published earlier that did not make the previous lists. We also discuss problems that arise in the naming of strains that fall into the status Candidatus and nomenclatural problems in the genus Xanthomonas.

Mango (Mangifera indica) is grown throughout a wide range of frost-free climates and is one of the world's most important fruit crops. During 2010-2014, severe symptoms of bacterial apical necrosis (BAN) caused by Pseudomonas syringae pv. syringae (Pss) were observed on mango plants throughout all mango-growing areas in Sicily (southern Italy). The causal agent was identified based on phenotypic, genotypic and pathogenicity tests. The genetic variability of strains obtained from different areas and cultivars were assessed by rep-PCR and allowed clear differentiation of the Pss strains isolated from mango from other representative strains of the pathovar. In addition, the respective production of syringomycin, syringopeptin and mangotoxin was checked by in vitro tests and PCR detection. All tested strains showed the presence of mgoA and mgoB of the mangotoxin operon. Some copper-resistant Pss strains showing cusCBA genes were also found in some orchards. This feature could explain the failure of the disease control using copper compounds. Among 71 strains tested using in vitro assay, no copper-sensitive strains were detected, whereas 44 strains (62%) had high resistance, 16 strains (22.5%) were resistant and 11 strains (15.5%) had low resistance to copper sulfate. To our knowledge, this is the first report of copper resistance among Pss strains causing BAN on mango in Sicily.

Some Pseudomonas fluorescens strains, consistently isolated from the rhizosphere of wild plants grown in a soil that was highly polluted with illegal waste of smelter residues, were utilised for Mirabilis jalapa seed bioinoculation to verify their effects on seed germination and on promoting a higher heavy metal accumulation in the plant rhizosphere and/or uptake in the leaves. The high content of heavy metals in the soil induced a decrease in either the leaf dry weight or photosynthetic pigment concentration during all vegetative phase of M . jalapa . Bioinoculation with P . fluorescen s strains significantly increased the germination of seeds and the root length in the contaminated soil. In some bacterial strain/seed combination, bioinoculation significantly increased the accumulation of heavy metals in M . jalapa rhizosphere. For Cd, the concentration of this metal in the rhizospheres of bioinoculated plants ranged from 270 to 910 μg g −1 of dry weight compared with 200 μg g −1 of dry weight for the non-coated plants. Two P . fluorescens strains, AA27 and MO49, which were isolated from Artemisia annua and Melilotus officinalis , respectively, induced a significantly higher rhizosphere availability also for Cr, Cu, Ni and Zn. However, despite the relevant accumulation of the heavy metals in the plant rhizosphere, generally the metal uptake into the leaves was rather low. Both analysis of variance and principal component analysis confirmed this finding. However, one P . fluorescens strain, CD1, which was isolated from the multi-metal accumulator Cynodon dactylon , significantly promoted the M . jalapa leaf uptake for Cr, Cu and Zn. The plant metal uptake assessment, confirmed the per se capability of M . jalapa to effectively uptake Cd (30 %) and Cu (12.72 %) from the rhizosphere to the leaves, whereas the uptake for the other metals was low: Ni (2.66 %), Zn (2.46 %), Cr (1.75 %), Pb (0.73 %).

Evidence on the health effects of extreme temperatures and air pollution is copious. However few studies focused on their interaction. The aim of this study is to evaluate daily PM10 and ozone as potential effect modifiers of the relationship between temperature and natural mortality in 25 Italian cities. Time-series analysis was run for each city. To evaluate interaction, a tensor product between mean air temperature (lag 0–3) and either PM10 or ozone (both lag 0–5) was defined and temperature estimates were extrapolated at low, medium, and high levels of pollutants. Heat effects were estimated as percent change in mortality for increases in temperature between 75th and 99th percentiles. Results were pooled by geographical area. Differential temperature-mortality risks by air pollutants were found. For PM10, estimates ranged from 3.9% (low PM10) to 14.1% (high PM10) in the North, from 3.6% to 24.4% in the Center, and from 7.5% to 21.6% in the South. Temperature-related mortality was similarly modified by ozone in northern and central Italy, while no effect modification was observed in the South. This study underlines the synergistic effects of heat and air pollution on mortality. Considering the predicted increase in heat waves and stagnation events in the Mediterranean countries such as Italy, it is time to enclose air pollution within public health heat prevention plans.

Pseudomonas syringae pv. actinidiae, the causal agent of bacterial canker of Actinidia chinensis and A. deliciosa, is currently causing severe economic losses worldwide. A study was conducted to verify if a highly virulent Psa strain, solated during the current outbreaks of bacterial canker of kiwifruit in Italy, produces phytotoxic metabolites in vitro. Culture filtrate, obtained from 14-day-old cells grown in Pseudomonas minimal medium, induced an evident hypersensitivity-like reaction to both tobacco and kiwifruit leaves. From culture filtrates, extracts were obtained using different solvents and pH values. The extracts and their corresponding aqueous phases, were further tested for phytotoxicity. Basic, hydrophilic, low- molecular weight and hydrophilic, high-molecular weight compounds belonging to exopolysaccharides were isolated and analyzed. These compounds proved highly phytotoxic to kiwifruit, tobacco leaves and lemon fruits. Gas-chromatography mass-spectrometry analysis carried out on crude exopolysaccharides showed glucose as the main monosaccharide constituent. These results suggest that phytotoxic metabolites, other than the antimetabolite phaseolotoxin, could be involved in the virulence of the pathogen to kiwifruit species.

AbstractObjectiveTo assess short term mortality risks and excess mortality associated with exposure to ozone in several cities worldwide.DesignTwo stage time series analysis.Setting406 cities in 20 countries, with overlapping periods between 1985 and 2015, collected from the database of Multi-City Multi-Country Collaborative Research Network.PopulationDeaths for all causes or for external causes only registered in each city within the study period.Main outcome measuresDaily total mortality (all or non-external causes only).ResultsA total of 45 165 171 deaths were analysed in the 406 cities. On average, a 10 µg/m3 increase in ozone during the current and previous day was associated with an overall relative risk of mortality of 1.0018 (95% confidence interval 1.0012 to 1.0024). Some heterogeneity was found across countries, with estimates ranging from greater than 1.0020 in the United Kingdom, South Africa, Estonia, and Canada to less than 1.0008 in Mexico and Spain. Short term excess mortality in association with exposure to ozone higher than maximum background levels (70 µg/m3) was 0.26% (95% confidence interval 0.24% to 0.28%), corresponding to 8203 annual excess deaths (95% confidence interval 3525 to 12 840) across the 406 cities studied. The excess remained at 0.20% (0.18% to 0.22%) when restricting to days above the WHO guideline (100 µg/m3), corresponding to 6262 annual excess deaths (1413 to 11 065). Above more lenient thresholds for air quality standards in Europe, America, and China, excess mortality was 0.14%, 0.09%, and 0.05%, respectively.ConclusionsResults suggest that ozone related mortality could be potentially reduced under stricter air quality standards. These findings have relevance for the implementation of efficient clean air interventions and mitigation strategies designed within national and international climate policies.