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Wang Y, Arnold ML, Smart AJ, Wang G, Androwski RJ, Morera A, Nguyen KCQ, Schweinsberg PJ, Bai G, Cooper J, Hall DH, Driscoll M, Grant BD. Large vesicle extrusions from C. elegans neurons are consumed and stimulated by glial-like phagocytosis activity of the neighboring cell. eLife 2023; 12:e82227. [PMID: 36861960 PMCID: PMC10023159 DOI: 10.7554/elife.82227] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 02/28/2023] [Indexed: 03/03/2023] Open
Abstract
Caenorhabditis elegans neurons under stress can produce giant vesicles, several microns in diameter, called exophers. Current models suggest that exophers are neuroprotective, providing a mechanism for stressed neurons to eject toxic protein aggregates and organelles. However, little is known of the fate of the exopher once it leaves the neuron. We found that exophers produced by mechanosensory neurons in C. elegans are engulfed by surrounding hypodermal skin cells and are then broken up into numerous smaller vesicles that acquire hypodermal phagosome maturation markers, with vesicular contents gradually degraded by hypodermal lysosomes. Consistent with the hypodermis acting as an exopher phagocyte, we found that exopher removal requires hypodermal actin and Arp2/3, and the hypodermal plasma membrane adjacent to newly formed exophers accumulates dynamic F-actin during budding. Efficient fission of engulfed exopher-phagosomes to produce smaller vesicles and degrade their contents requires phagosome maturation factors SAND-1/Mon1, GTPase RAB-35, the CNT-1 ARF-GAP, and microtubule motor-associated GTPase ARL-8, suggesting a close coupling of phagosome fission and phagosome maturation. Lysosome activity was required to degrade exopher contents in the hypodermis but not for exopher-phagosome resolution into smaller vesicles. Importantly, we found that GTPase ARF-6 and effector SEC-10/exocyst activity in the hypodermis, along with the CED-1 phagocytic receptor, is required for efficient production of exophers by the neuron. Our results indicate that the neuron requires specific interaction with the phagocyte for an efficient exopher response, a mechanistic feature potentially conserved with mammalian exophergenesis, and similar to neuronal pruning by phagocytic glia that influences neurodegenerative disease.
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Affiliation(s)
- Yu Wang
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Meghan Lee Arnold
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Anna Joelle Smart
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Guoqiang Wang
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Rebecca J Androwski
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Andres Morera
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Ken CQ Nguyen
- Department of Neuroscience, Albert Einstein College of Medicine, Rose F. Kennedy Center, BronxNew YorkUnited States
| | - Peter J Schweinsberg
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Ge Bai
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Jason Cooper
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - David H Hall
- Department of Neuroscience, Albert Einstein College of Medicine, Rose F. Kennedy Center, BronxNew YorkUnited States
| | - Monica Driscoll
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
| | - Barth D Grant
- Department of Molecular Biology and Biochemistry, Rutgers UniversityPiscatawayUnited States
- Rutgers Center for Lipid ResearchNew BrunswickUnited States
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Sabater V, Ferrando F, Morera A, Palomar L. Cutaneous metastasis of inflammatory breast carcinoma mimicking an erythema annulare centrifugum: a sign of locally recurrent cancer. Clin Exp Dermatol 2016; 41:906-910. [DOI: 10.1111/ced.12953] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/03/2016] [Indexed: 12/01/2022]
Affiliation(s)
- V. Sabater
- Department of Pathology; University General Hospital; Valencia Spain
- Department of Pathology; Hospital Casa de Salud; Valencia Spain
| | - F. Ferrando
- Department of Dermatology; Hospital Casa de Salud; Valencia Spain
| | - A. Morera
- Department of Pathology; Hospital Casa de Salud; Valencia Spain
| | - L. Palomar
- Department of Oncology; Hospital Casa de Salud; Valencia Spain
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Yelmo S, Morera A, Henry M, Renshaw A, Gracia R. PW01-41 - Mania induced by mefloquine prophylaxis: case description and literature review. Eur Psychiatry 2010. [DOI: 10.1016/s0924-9338(10)71443-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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García Fadrique A, Bernal Sprekelsen JC, Morera A, Roig Vila JV. [Controversy in the surgical treatment of the rectal carcinoid tumor]. Rev Esp Enferm Dig 2007; 98:887-9. [PMID: 17198482 DOI: 10.4321/s1130-01082006001100012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Tárraga L, Boada M, Modinos G, Espinosa A, Diego S, Morera A, Guitart M, Balcells J, López OL, Becker JT. A randomised pilot study to assess the efficacy of an interactive, multimedia tool of cognitive stimulation in Alzheimer's disease. J Neurol Neurosurg Psychiatry 2006; 77:1116-21. [PMID: 16820420 PMCID: PMC2077529 DOI: 10.1136/jnnp.2005.086074] [Citation(s) in RCA: 115] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2005] [Revised: 06/15/2006] [Accepted: 06/20/2006] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To determine the usefulness of an interactive multimedia internet-based system (IMIS) for the cognitive stimulation of Alzheimer's disease. METHODS This is a 24-week, single-blind, randomised pilot study conducted on 46 mildly impaired patients suspected of having Alzheimer's disease receiving stable treatment with cholinesterase inhibitors (ChEIs). The patients were divided into three groups: (1) those who received 3 weekly, 20-min sessions of IMIS in addition to 8 h/day of an integrated psychostimulation program (IPP); (2) those who received only IPP sessions; and (3) those who received only ChEI treatment. The primary outcome measure was the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog). Secondary outcome measures were: Mini-Mental State Examination (MMSE), Syndrom Kurztest, Boston Naming Test, Verbal Fluency, and the Rivermead Behavioral Memory Test story recall subtest. RESULTS After 12 weeks, the patients treated with both IMIS and IPP had improved outcome scores on the ADAS-Cog and MMSE, which was maintained through 24 weeks of follow-up. The patients treated with IPP alone had better outcome than those treated with ChEIs alone, but the effects were attenuated after 24 weeks. All patients had improved scores in all of the IMIS individual tasks, attaining higher levels of difficulty in all cases. CONCLUSION Although both the IPP and IMIS improved cognition in patients with Alzheimer's disease, the IMIS program provided an improvement above and beyond that seen with IPP alone, which lasted for 24 weeks.
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Affiliation(s)
- L Tárraga
- Fundació ACE, Institut Català de Neurociències Aplicades, Marquès de Sentmenat, 35-37, 08014 Barcelona, Spain.
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Morera A, Henry M, Abreu P, Gracia R. [Melatonin therapeutic use in psychiatry: a 39 year bibliographic study]. Actas Esp Psiquiatr 2006; 34:344-51. [PMID: 16991024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
INTRODUCTION The therapeutic uses of melatonin in psychiatry are reviewed. METHODS Data source and search strategy: a 39 year period search covering a 39 year period (1966-2004) was carried out using Medline data base. The search strategy consisted in the combination of the key words ((mental disorders or psychiatry)) and ((melatonin and therapeutic use)). Two restrictive criteria were applied: a) selection of studies carried out in humans, and b) only randomized controlled trials were admitted RESULTS 56 articles were found. Twelve were excluded because they were not directly related to the study aim. Melatonin was used in 44 articles related to different clinical conditions. It was used because of its hypnotic and/or resynchronizing actions in 93.2 % of the articles, while in 4.5 % of the articles melatonin was used due to its antioxidant properties. CONCLUSIONS The main use of melatonin as a therapeutic agent in psychiatry is in sleep disorders and its use in other psychiatric is minor.
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Affiliation(s)
- A Morera
- Departamento de Medicina Interna. Facultad de Medicina. Universidad de La Laguna. Tenerife. Spain.
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Segura M, Alvarez-Lerma F, Tellado JM, Jiménez-Ferreres J, Oms L, Rello J, Baró T, Sánchez R, Morera A, Mariscal D, Marrugat J, Sitges-Serra A. A clinical trial on the prevention of catheter-related sepsis using a new hub model. Ann Surg 1996; 223:363-9. [PMID: 8633914 PMCID: PMC1235131 DOI: 10.1097/00000658-199604000-00004] [Citation(s) in RCA: 102] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Catheter hub contamination is being increasingly recognized as a source of catheter-related sepsis. The authors have investigated the efficacy of a new hub design in preventing endoluminal catheter contamination and catheter-related sepsis arising at the hub. METHODS Adult surgical and intensive care patients requiring a subclavian catheter for at least 1 week were randomly assigned to receive catheters with standard connectors (control group, n=73) or equipped with a new hub model (new hub group, n=78). Skin, catheter tip, and hub cultures were performed at the time the catheter was withdrawn because therapy was terminated or because of suspicion of sepsis, in which case peripheral blood cultures were taken. RESULTS Of the 151 patients included, 15 (10%) developed catheter-related sepsis. Catheters were more often withdrawn because suspicion of infection in the control group (42 vs. 19%, p<0.005). Catheter sepsis rate was higher in the control group (16 vs. 4%, p<0.01) because of the low rate of catheter sepsis arising at the hub observed in the new hub group (1 vs. 11%, p<0.01). The prevalence of culture-positive catheter hubs without associated bacteremia (colonization) was higher in the control group (18 vs. 5%, P<0.03). CONCLUSIONS A new catheter hub has proved to be useful in preventing endoluminal bacterial colonization and catheter-related sepsis in subclavian lines inserted for a mean of 2 weeks.
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Affiliation(s)
- M Segura
- Department of Surgery, Hospital Universitari del Mar, Barcelona, Spain
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Henry M, Morera A, García-Hemández A, Gracia R. Negative symptoms and behaviour in schizophrenic patients. Eur Psychiatry 1996. [DOI: 10.1016/0924-9338(96)89349-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Morera A, Henry M, García-Hernández A. Schizophrenia and immunoinflammatory proteins. Eur Psychiatry 1996. [DOI: 10.1016/0924-9338(96)89375-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Henry M, Morera A, Preciado J, Frugoni A, Morales CR. [Reactivity to stress as a modular factor in psychopathology]. Actas Luso Esp Neurol Psiquiatr Cienc Afines 1994; 22:203-206. [PMID: 7817847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The relationship between Stress Reactivity and psychopathology, mainly minor psychopathology, in a sample of medical students (n = 76) to whom the Stress Reactivity Questionnaire (CRE-32) and Derogatis' SCL-90-R Questionnaire (Symptom Checklist 90 Revised) were administered, is studied. A higher psychopathological distress, as evidenced in SCL-90-R general psychopathological indexes and psychopathological dimensions scores, is reported by subjects with high stress reactivity compared to those with low stress reactivity (p < 0.001). These results suggest that stress reactivity acts as a buffer of psychopathology. Thus, the assumption of the participation of a "high stress reactivity" in facilitating illness in general, both in psychiatric conditions as in medical ones, is discussed.
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Affiliation(s)
- M Henry
- Departamento de Medicina Interna y Psiquiatría de la Universidad de La Laguna, Santa Cruz de Tenerife
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Valenciano R, Morera A, Rodríguez-Perera F, Franández López L, Sabaté Bel MC. [Diagnosis of dementia in primary care]. Arch Neurobiol (Madr) 1989; 52:174-7. [PMID: 2818133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
We studied the level of knowledge that a group of general practitioners (N = 40), selected by means of conglomerate sampling, had about dementias. To perform this study we used a five-question open questionnaire. Our conclusions were: 1) In our sample, 80% of the GP's were not familiar with the initial symptoms of dementia; 2) The full clinical picture of dementia was well recognized; 3) There was little knowledge about the management of a possible case of dementia, the most usual procedure being to remit it to a specialist; 4) In general, they did not know what the possible causes for dementia are, arteriosclerosis being the most frequently mentioned; 5) A considerable number of doctors (40%) believed dementia to be curable.
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Morera A, Valenciano R, Cuesta J, Martín Flores D. [Carbamazepine: review of its psychotropic mechanisms of action]. Actas Luso Esp Neurol Psiquiatr Cienc Afines 1988; 16:421-4. [PMID: 3071942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Latorre C, Juncosa T, Sanfeliu I, Morera A, Fontanals D, Van Esso D. [Recent isolation of Neisseria meningitidis with decreased sensitivity to penicillin]. Med Clin (Barc) 1988; 91:241-3. [PMID: 3143033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Abstract
We present a case of priapism caused by the alpha adrenoreceptor blocking action of a butyrophenone. The problem was solved surgically performing a cavernousspongiosum fistula.
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Affiliation(s)
- A Morera
- Psychiatric Hospital of Tenerife, Spain
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Iwatsuki K, Viac J, Reano A, Morera A, Staquet MJ, Thivolet J, Monier JC. Comparative studies on naturally occurring antikeratin antibodies in human sera. J Invest Dermatol 1986; 87:179-84. [PMID: 2426369 DOI: 10.1111/1523-1747.ep12695322] [Citation(s) in RCA: 27] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Comparative studies on the specificity of the so-called antiepidermal antibodies (Abs) found in human sera were performed by immunoblotting, enzyme-linked immunosorbent assay (ELISA), and immunoelectron microscopy (IEM). After a screening test by indirect immunofluorescence (IF), sera obtained from patients with various diseases and controls could be classified in 5 different groups according to the IF patterns on the epidermis: sera reactive with: (1) the stratum corneum (SC); (2) the upper layer (U-Cyt); (3) the whole epidermis (G-Cyt); (4) basal cells (B-Cyt); and (5) negative ones. By immunoblotting, all the 23 IF-positive sera were found to bind to one or more keratin bands, and did not show any reactivity with epidermal Nonidet P-40 soluble proteins. SC-Abs were mainly directed against a 67 kD Keratin band, whereas U-Cyt- and G-Cyt-Abs bound to both 58-56 kD and 67-63 kD keratins. B-Cyt-Abs reacted strongly with 63 kD Keratins and slightly with a 50 kD band. Antikeratin Abs were detected by immunoblotting even in the IF-negative sera. The ELISA study showed that sera with high IF titers contained high levels of antikeratin Abs. In the IEM study using sera containing U-Cyt- or B-Cyt-Abs, 2 distinct reaction patterns were demonstrated: U-Cyt-Abs stained tonofilaments of suprabasal keratinocytes, while B-Cyt-Abs characteristically reacted with those of basal cells. Moreover, SC-, U-Cyt-, and G-Cyt-Abs were absorbed out by insoluble epidermal proteins, and B-Cyt-Abs were decreased in titer after the absorption test. The present study provides strong evidence that most, though not all, human antiepidermal Abs are directed against different keratin polypeptides, and that antikeratin Abs commonly occur in almost all human sera.
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Gracia R, Morera A, Febles T. [Depression and cancer]. Actas Luso Esp Neurol Psiquiatr Cienc Afines 1986; 14:29-41. [PMID: 3716904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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de Rivera JL, Morera A. [Stress reactivity among patients admitted to a general hospital]. Actas Luso Esp Neurol Psiquiatr Cienc Afines 1984; 12:207-13. [PMID: 6485914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Morera A, Concepción C. L’influence du biotype sur I’apparition de la perforation des ulcères gastro-duodénaux. Pathobiology 1958. [DOI: 10.1159/000160400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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