1
|
Torres R, Reina M, Olivares O, Rosselli C, Montoya M, Reales M, Andrade D, Centeno C, Briceño R, Buitrago D, Hernández L, Morales J, Delgado C, Gresott E, Gutiérrez G, Molina C. Incidence of major cardiovascular events at 1, 2, and 5 years and mortality in incident patients on peritoneal dialysis regarding their nutritional status by bioimpedanciometry: A multicenter study in Colombia. Semin Dial 2024; 37:228-233. [PMID: 38099410 DOI: 10.1111/sdi.13190] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 11/14/2023] [Accepted: 11/24/2023] [Indexed: 04/26/2024]
Abstract
BACKGROUND The nutritional status of incident patients on peritoneal dialysis (PD) has been associated with survival outcomes. Bioimpedanciometry (BCM) enables to establish a nutritional diagnosis, the volume status, and correlates these findings with survival. METHODS This study used a retrospective multicenter historical cohort. RESULTS In this study, which included 420 incident patients on peritoneal dialysis with a 5-year follow-up, a cumulative incidence of major adverse cardiovascular events (MACE) of 28.8% was found, being higher in the diabetic population at 36.8%. In regard to the nutritional status in this population, it was found that approximately 44% had altered nutritional status; 34% were found to be in sarcopenia; 6.7% sarcopenic obesity; and 2.8% in obesity (p < 0.001). In the survival analysis, a lower probability of survival was found in patients with overhydration (OH) greater than 3 L (p < 0.001) and in patients with altered nutritional status due to sarcopenia, sarcopenic obesity, and obesity (p 0.016). According to survival in the subgroup of the diabetic population, a lower probability of survival was found in this group of patients (p: 0.011). The overall mortality of the study population was 18%, being higher in the first 2 years, with the most important causes of mortality being cardiovascular. Of the deceased population, 51% were diabetic patients (p: 0.012). CONCLUSION In incident patients on peritoneal dialysis, sarcopenic obesity, sarcopenia, overhydration status determined by BCM, and having a diagnosis of diabetes are related to a lower probability of survival; MACE outcomes are more frequent in the diabetic population.
Collapse
Affiliation(s)
- Rodolfo Torres
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Maricely Reina
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Orlando Olivares
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Carlos Rosselli
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - María Montoya
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
| | - Marginis Reales
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
| | - David Andrade
- Department of Nephrology, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia
| | - Carlos Centeno
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Robert Briceño
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - David Buitrago
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | | | - Jesús Morales
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Caterin Delgado
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | - Ella Gresott
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| | | | - Carolina Molina
- Department of Nephrology, Fresenius Medical Care, Bogotá, Colombia
| |
Collapse
|
2
|
Stiles B, Adusumilli P, Narula N, Wagner P, Buitrago D, Nasar A, Lee P, Port J, Paul S, Altorki N. P-275CD44HIGH/CD24LOW LUNG CANCERS COORDINATELY OVEREXPRESS CANCER TESTIS ANTIGENS. Interact Cardiovasc Thorac Surg 2015. [DOI: 10.1093/icvts/ivv204.275] [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: 11/14/2022] Open
|
3
|
Buitrago D, Keutgen XM, Crowley M, Filicori F, Aldailami H, Hoda R, Liu YF, Hoda RS, Scognamiglio T, Jin M, Fahey TJ, Zarnegar R. Intercellular adhesion molecule-1 (ICAM-1) is upregulated in aggressive papillary thyroid carcinoma. Ann Surg Oncol 2011; 19:973-80. [PMID: 21879273 DOI: 10.1245/s10434-011-2029-0] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2011] [Indexed: 01/08/2023]
Abstract
BACKGROUND Intercellular adhesion molecule-1 (ICAM-1) is implicated in carcinogenesis. In this study we examined the expression of ICAM-1 in papillary thyroid cancer (PTC). We hypothesized that ICAM-1 correlates with indicators of tumor aggressiveness in PTC. METHODS Thirty-five primary and metastatic PTCs, five follicular adenomas, five Hashimoto thyroiditis, five nodular hyperplasia, and eight normal thyroid tissue samples were analyzed for ICAM-1 gene expression using quantitative reverse-transcription polymerase chain reaction (RT-PCR). ICAM-1 gene expression was analyzed at protein level by immunohistochemistry (IHC) using a semiquantitative score. Gene expression and intensity levels were correlated with markers of tumor aggressiveness including BRAF V600E mutation, tumor size, extrathyroidal extension (ETE), angiolymphatic invasion, and lymph node metastasis. RESULTS ICAM-1 gene expression was higher in PTC (p = 0.01) and lymph node metastases (p = 0.03) when compared with benign tumors and Hashimoto's. Furthermore, PTCs exhibiting BRAF V600E mutation (p = 0.01), ETE (p < 0.01), and lymph node metastasis (p = 0.02) were associated with higher ICAM-1 levels. Gene expression correlated with protein levels on IHC. Additionally, poorly differentiated thyroid carcinoma had a higher ICAM-1 intensity score compared with well-differentiated carcinoma (p = 0.03). CONCLUSIONS ICAM-1 expression is upregulated in papillary thyroid carcinoma. Furthermore, ICAM-1 upregulation correlated with aggressive tumor features such as BRAF V600E mutation, ETE, and lymph node metastasis, suggesting that ICAM-1 plays a role in thyroid cancer progression.
Collapse
Affiliation(s)
- D Buitrago
- Division of Endocrine and Minimally Invasive Surgery, Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, New York, USA
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
5
|
Abstract
The antimicrobial activity of ethanol, acetone and aqueous extracts of the aerial parts of Pseudognaphalium moritzianum was evaluated. Ethanol and acetone extracts showed activity against Staphlococcus aureus, Enterococcus faecalis and Pseudomonas aeruginosa. The aqueous extract was active against S. aureus and P. aeruginosa.
Collapse
Affiliation(s)
- D Rangel
- Departamento de Microbiología y Parasitología, Escuela de Bioanálisis, Facultad de Farmacia, Universidad de Los Andes, Apartado Postal 5101, Mérida, Venezuela
| | | | | | | | | |
Collapse
|