1
|
Peluffo L, Cabrera E, San-Román S, Baccino C, Acle S, Noboa A, Risso M, Alonso C, Piñeyro M, Cazabán L, Spagnuolo E, Buzzi C, Varela B, Fornella M, Noboa Ó, Silvariño R. Hipertensión arterial secundaria a enfermedad endocrina. Algoritmo diagnóstico y terapéutico a propósito de casos clínicos. NEFRO 2022. [DOI: 10.24875/nefro.22000028] [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: 12/24/2022] Open
|
2
|
Chabrera C, Dobrowolska B, Jackson C, Kane R, Kasimovskaya N, Kennedy S, Lovrić R, Palese A, Treslova M, Cabrera E. Simulation in Nursing Education Programs: Findings From an International Exploratory Study. Clin Simul Nurs 2021. [DOI: 10.1016/j.ecns.2021.05.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
3
|
Pérez MM, Wijma R, Scarbolo M, Cabrera E, Sosa F, Sitko EM, Giordano JO. Lactating dairy cows managed for second and greater artificial insemination services with the Short-Resynch or Day 25 Resynch program had similar reproductive performance. J Dairy Sci 2020; 103:10769-10783. [PMID: 32921468 DOI: 10.3168/jds.2020-18607] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Accepted: 07/01/2020] [Indexed: 11/19/2022]
Abstract
The objective of this randomized controlled experiment was to evaluate reproductive performance and reproductive physiological outcomes of lactating Holstein cows managed for second and greater artificial insemination (AI) services with the Short-Resynch or Day 25 Resynch program. Cows from 2 commercial farms were randomly assigned after first service to the Short-Resynch (SR; n = 870) or Day 25 Resynch (D25R; n = 917) program in which they remained until 210 d after first service or left the herd. Cows in D25R received GnRH 25 ± 3 d after AI, whereas cows in SR did not. Cows not reinseminated at detected estrus (AIE) by 32 ± 3 d after AI underwent nonpregnancy diagnosis (NPD) through transrectal ultrasonography (TUS). Nonpregnant cows from both treatments with a corpus luteum (CL) ≥15 mm and an ovarian follicle ≥10 mm (hereafter, CL cows) received 2 PGF2α treatments 24 h apart, GnRH 32 h after the second PGF2α, and timed AI 16 to 18 h later. Cows that did not meet the criteria to be included in the CL group (NoCL cows) received a modified Ovsynch protocol with progesterone (P4) supplementation [P4-Ovsynch; GnRH and controlled internal drug-release device (CIDR) in, 7 d later CIDR removal and PGF2α, 24 h later PGF2α, 32 h later GnRH, and 16 to 18 h later timed AI]. In a subgroup of cows, blood samples were collected and TUS conducted at each treatment to evaluate ovarian responses to resynchronization. Binary data were analyzed with logistic regression, continuous data by ANOVA, and time-to-event data by Cox's proportional hazard regression. A greater proportion (mean; 95% CI) of cows were AIE before NPD in the SR (60.5%; 57.0-63.8; n = 3,416) than the D25R (50.1%; 46.5-53.7; n = 3,177) treatment, whereas pregnancy per AI (P/AI) at 32 d for AIE services before NPD was greater for the D25R (41.3%; 38.8-43.8; n = 1,560) than the SR (37.6%; 35.5-39.8; n = 1,961) treatment. At NPD, a greater proportion of cows in the D25R (84.3%; 82.2-86.2) than the SR (77.0%; 74.4-79.4) treatment were considered CL cows. Pregnancy per AI at 32 d was greater for the D25R than the SR treatment for all timed AI services (D25R = 43.0%; 40.2-45.9 vs. SR = 36.8%; 33.8-39.8) and for CL cows (D25R = 42.8%; 39.7-45.9 vs. SR = 33.8%; 30.6-37.2) but did not differ for NoCL cows (D25R = 39.4%; 32.1-47.3 vs. SR = 44.0%; 36.8-51.4). The hazard ratio for time to pregnancy (1.03; 0.93-1.14) and the proportion of cows not pregnant at the end of the observation period (D25R = 5.9%; 4.4-7.8 vs. SR = 6.7%; 5.0-8.7) did not differ between SR and D25R treatments. The GnRH treatment 25 d after AI resulted in more cows with P4 >1 ng/mL (D25R = 80.5%; 75.3-84.9 vs. SR = 63.6%; 57.3-69.4) and smaller follicle diameter at NPD 32 ± 3 d after AI for D25R (16.2 ± 0.4 mm) than for SR (17.5 ± 0.4 mm); however, it did not affect follicle diameter and luteal regression risk (CL cows only) before TAI. We concluded that the use of reproductive management programs including SR and D25R for CL cows and the P4-Ovsynch protocol for NoCL cows resulted in similar hazard of pregnancy and proportion of nonpregnant cows for up to 210 d after first service.
Collapse
Affiliation(s)
- M M Pérez
- Department of Animal Science, Cornell University, Ithaca, NY 14853
| | - R Wijma
- Department of Animal Science, Cornell University, Ithaca, NY 14853
| | - M Scarbolo
- Department of Animal Science, Cornell University, Ithaca, NY 14853
| | - E Cabrera
- Department of Animal Science, Cornell University, Ithaca, NY 14853
| | - F Sosa
- Department of Animal Science, Cornell University, Ithaca, NY 14853
| | - E M Sitko
- Department of Animal Science, Cornell University, Ithaca, NY 14853
| | - J O Giordano
- Department of Animal Science, Cornell University, Ithaca, NY 14853.
| |
Collapse
|
4
|
Hernández-Pérez S, Cabrera E, Salido E, Lim M, Reid L, Lakhani SR, Khanna KK, Saunus JM, Freire R. Correction: DUB3 and USP7 de-ubiquitinating enzymes control replication inhibitor Geminin: molecular characterization and associations with breast cancer. Oncogene 2019; 38:4886. [PMID: 31068665 DOI: 10.1038/s41388-019-0753-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The final sentence of the Acknowledgements should be as follows: This work was supported by grants from Instituto de Salud Carlos III (BA15/00092), Spanish Ministry of Economy and Competitiveness/EU-ERDF (SAF2016-80626-R, SAF2013-49149-R, BFU2014-51672-REDC), Fundación CajaCanarias (AP2015/008) to RF, and the Australian National Health and Medical Research (NHMRC program grant to SRL and KKK (APP1017028).
Collapse
Affiliation(s)
- S Hernández-Pérez
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain
| | - E Cabrera
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain
| | - E Salido
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain
| | - M Lim
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia
| | - L Reid
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia
| | - S R Lakhani
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia.,Pathology Queensland, The Royal Brisbane and Women's Hospital, Herston, QLD, Australia.,The University of Queensland, School of Medicine, Herston, QLD, Australia
| | - K K Khanna
- Signal Transduction Laboratory, QIMR Berghofer Institute of Medical Research, Brisbane, QLD, Australia
| | - J M Saunus
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia. .,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia.
| | - R Freire
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain.
| |
Collapse
|
5
|
Muñoz-Arnanz J, Chirife AD, Galletti Vernazzani B, Cabrera E, Sironi M, Millán J, Attard CRM, Jiménez B. First assessment of persistent organic pollutant contamination in blubber of Chilean blue whales from Isla de Chiloé, southern Chile. Sci Total Environ 2019; 650:1521-1528. [PMID: 30308837 DOI: 10.1016/j.scitotenv.2018.09.070] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Revised: 09/04/2018] [Accepted: 09/05/2018] [Indexed: 06/08/2023]
Abstract
Persistent organic pollutants (POPs) were assessed for the first time in blue whales from the South Pacific Ocean. Concentrations of polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), hexachlorobenzene (HCB) and dichlorodiphenyltrichloroethane and its main metabolites (DDTs), were determined in 40 blubber samples from 36 free-ranging individuals and one stranded, dead animal along the coast of southern Chile between 2011 and 2013. PCBs were the most abundant pollutants (2.97-975 ng/g l.w.), followed by DDTs (3.50-537 ng/g l.w.), HCB (nd-77.5 ng/g l.w.) and PBDEs (nd-33.4 ng/g l.w). There was evidence of differences between sexes, with lower loads in females potentially due to pollutants passing to calves. POP concentrations were higher in specimens sampled in 2013; yet, between-year differences were only statistically significant for HCB and PBDEs. Lower chlorinated (penta > tetra > tri) and brominated (tetra > tri) congeners were the most prevalent among PCBs and PBDEs, respectively, mostly in agreement with findings previously reported in blue and other baleen whales. The present study provides evidence of lower levels of contamination by POPs in eastern South Pacific blue whales in comparison to those reported for the Northern Hemisphere.
Collapse
Affiliation(s)
- J Muñoz-Arnanz
- Department of Instrumental Analysis and Environmental Chemistry, Institute of Organic Chemistry, (IQOG-CSIC), Juan de la Cierva 3, Madrid, Spain.
| | - A D Chirife
- Facultad de Ciencias de la Vida, Universidad Andres Bello, República 252, Santiago, Chile
| | - B Galletti Vernazzani
- Centro de Conservación Cetacea (CCC), Casilla 19178 Correo Alonso de Cordoba, Santiago, Chile
| | - E Cabrera
- Centro de Conservación Cetacea (CCC), Casilla 19178 Correo Alonso de Cordoba, Santiago, Chile
| | - M Sironi
- Instituto de Conservación de Ballenas, O'Higgins 4380, 1429 Buenos Aires, Argentina
| | - J Millán
- Facultad de Ciencias de la Vida, Universidad Andres Bello, República 252, Santiago, Chile
| | - C R M Attard
- Molecular Ecology Lab, College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia; Cetacean Ecology, Behaviour and Evolution Lab, College of Science and Engineering, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia
| | - B Jiménez
- Department of Instrumental Analysis and Environmental Chemistry, Institute of Organic Chemistry, (IQOG-CSIC), Juan de la Cierva 3, Madrid, Spain
| |
Collapse
|
6
|
Hernández-Pérez S, Cabrera E, Salido E, Lim M, Reid L, Lakhani SR, Khanna KK, Saunus JM, Freire R. DUB3 and USP7 de-ubiquitinating enzymes control replication inhibitor Geminin: molecular characterization and associations with breast cancer. Oncogene 2017. [PMID: 28650472 DOI: 10.1038/onc.2017.220] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This corrects the article DOI: 10.1038/onc.2017.21.
Collapse
|
7
|
Hernández-Pérez S, Cabrera E, Salido E, Lim M, Reid L, Lakhani SR, Khanna KK, Saunus JM, Freire R. DUB3 and USP7 de-ubiquitinating enzymes control replication inhibitor Geminin: molecular characterization and associations with breast cancer. Oncogene 2017; 36:4802-4809. [PMID: 28288134 DOI: 10.1038/onc.2017.21] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Revised: 12/15/2016] [Accepted: 01/02/2017] [Indexed: 12/11/2022]
Abstract
Correct control of DNA replication is crucial to maintain genomic stability in dividing cells. Inappropriate re-licensing of replicated origins is associated with chromosomal instability (CIN), a hallmark of cancer progression that at the same time provides potential opportunities for therapeutic intervention. Geminin is a critical inhibitor of the DNA replication licensing factor Cdt1. To properly achieve its functions, Geminin levels are tightly regulated through the cell cycle by ubiquitin-dependent proteasomal degradation, but the de-ubiquitinating enzymes (DUBs) involved had not been identified. Here we report that DUB3 and USP7 control human Geminin. Overexpression of either DUB3 or USP7 increases Geminin levels through reduced ubiquitination. Conversely, depletion of DUB3 or USP7 reduces Geminin levels, and DUB3 knockdown increases re-replication events, analogous to the effect of Geminin depletion. In exploring potential clinical implications, we found that USP7 and Geminin are strongly correlated in a cohort of invasive breast cancers (P<1.01E-08). As expected, Geminin expression is highly prognostic. Interestingly, we found a non-monotonic relationship between USP7 and breast cancer-specific survival, with both very low or high levels of USP7 associated with poor outcome, independent of estrogen receptor status. Altogether, our data identify DUB3 and USP7 as factors that regulate DNA replication by controlling Geminin protein stability, and suggest that USP7 may be involved in Geminin dysregulation during breast cancer progression.
Collapse
Affiliation(s)
- S Hernández-Pérez
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain
| | - E Cabrera
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain
| | - E Salido
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain
| | - M Lim
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia
| | - L Reid
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia
| | - S R Lakhani
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia.,Pathology Queensland, The Royal Brisbane and Women's Hospital, Herston, QLD, Australia.,The University of Queensland, School of Medicine, Herston, QLD, Australia
| | - K K Khanna
- Signal Transduction Laboratory, QIMR Berghofer Institute of Medical Research, Brisbane, QLD, Australia
| | - J M Saunus
- The University of Queensland, UQ Centre for Clinical Research, Herston, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia
| | - R Freire
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, La Laguna, Spain
| |
Collapse
|
8
|
Plata A, Reguera J, Cabrera E, Ruiz J, Vinuesa D, Martínez-Marcos F, Lomas J, Hidalgo-Tenorio C, de la Torre J, de Alarcon A. 15. Diferencias en la presentación clínica entre la endocarditis protésica precoz y la tardía, ¿realmente existen? Cirugía Cardiovascular 2017. [DOI: 10.1016/j.circv.2016.11.039] [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: 11/26/2022] Open
|
9
|
Tucker S, Sutcliffe C, Bowns I, Challis D, Saks K, Verbeek H, Cabrera E, Karlsson S, Leino-Kilpi H, Meyer G, Soto ME. Improving the mix of institutional and community care for older people with dementia: an application of the balance of care approach in eight European countries. Aging Ment Health 2016; 20:1327-1338. [PMID: 26327584 DOI: 10.1080/13607863.2015.1078285] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To examine whether the mix of community and institutional long-term care (ILTC) for people with dementia (PwD) in Europe could be improved; assess the economic consequences of providing alternative services for particular groups of ILTC entrants and explore the transnational application of the 'Balance of Care' (BoC) approach. METHOD A BoC study was undertaken in Estonia, Finland, France, Germany, the Netherlands, Spain, Sweden, and the UK as part of the RightTimePlaceCare project. Drawing on information about 2014 PwD on the margins of ILTC admission, this strategic planning framework identified people whose needs could be met in more than one setting, and compared the relative costs of the possible alternatives. RESULTS The findings suggest a noteworthy minority of ILTC entrants could be more appropriately supported in the community if enhanced services were available. This would not necessarily require innovative services, but more standard care (including personal and day care), assuming quality was ensured. Potential cost savings were identified in all countries, but community care was not always cheaper than ILTC and the ability to release resources varied between nations. CONCLUSIONS This is believed to be the first transnational application of the BoC approach, and demonstrates its potential to provide a consistent approach to planning across different health and social care systems. Better comparative information is needed on the number of ILTC entrants with dementia, unit costs and outcomes. Nevertheless, the findings offer important evidence on the appropriateness of current provision, and the opportunity to learn from different countries' experience.
Collapse
Affiliation(s)
- S Tucker
- a Personal Social Services Research Unit , University of Manchester , Manchester , UK
| | - C Sutcliffe
- a Personal Social Services Research Unit , University of Manchester , Manchester , UK
| | - I Bowns
- a Personal Social Services Research Unit , University of Manchester , Manchester , UK
| | - D Challis
- a Personal Social Services Research Unit , University of Manchester , Manchester , UK
| | - K Saks
- b Department of Internal Medicine , University of Tartu , Tartu , Estonia
| | - H Verbeek
- c Department of Health Services Research, CAPHRI School for Public Health and Primary Care , Maastricht University , Maastricht , The Netherlands
| | - E Cabrera
- d School of Health Sciences, Tecno Campus , University Pompeu Fabra , Barcelona , Spain
| | - S Karlsson
- e Department of Health Sciences , Lund University , Lund , Sweden
| | - H Leino-Kilpi
- f Department of Nursing Science , University of Turku and Turku University Hospital , Turku , Finland
| | - G Meyer
- g Faculty of Health, School of Nursing Science , University of Witten/Herdecke , Witten , Germany.,h Institute for Health and Nursing Science , Martin Luther University Halle-Wittenberg , Halle-Wittenberg , Germany
| | - M E Soto
- i Geriatrics Department, Gerontôpole , Toulouse University Hospital , Toulouse , France
| | | |
Collapse
|
10
|
Colombo TE, Vedovello D, Pacca-Mazaro CC, Mondini A, Araújo JP, Cabrera E, Lopes JC, Penha dos Santos IN, Negri Reis AF, Costa FR, Antônio Cruz LEA, Ferreira J, de Oliveira Rocha ES, Kroon EG, de Morais Bronzoni RV, Vasilakis N, Nogueira ML. Dengue virus surveillance: Detection of DENV-4 in the city of São José do Rio Preto, SP, Brazil. Acta Trop 2016; 164:84-89. [PMID: 27609639 DOI: 10.1016/j.actatropica.2016.09.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2016] [Revised: 08/31/2016] [Accepted: 09/04/2016] [Indexed: 12/14/2022]
Abstract
Dengue viruses are the most common arbovirus infection worldwide and are caused by four distinct serotypes of the dengue virus (DENV). In the present study, we assessed DENV transmission in São José do Rio Preto (SJRP) from 2010 to 2014. We analyzed blood samples from febrile patients who were attended at health care centers in SJRP. DENV detection was performed using multiplex RT-PCR, using flavivirus generic primers, based on the genes of the non-structural protein (NS5), followed by nested-PCR assay with species-specific primers. We analyzed 1549 samples, of which 1389 were positive for NS1 by rapid test. One thousand and eight-seven samples (78%) were confirmed as positive by multiplex RT-PCR: DENV-4, 48.5% (528/1087); DENV-1, 41.5% (449/1087); DENV-2, 9.5% (104/1087); and co-infection (5 DENV-1/DENV-4, 1 DENV-1/DENV-2), 0.5% (6/1087). Phylogenetic analysis of the DENV-4 grouped the isolates identified in this study with the American genotype and the showed a relationship between isolates from SJRP and isolates from the northern region of South America. Taken together, our data shows the detection and emergence of new dengue genotype in a new region and reiterate the importance of surveillance programs to detect and trace the evolution of DENV.
Collapse
|
11
|
Abstract
Shrinkage results from a complex spatial strain network, producing movements within materials. The purpose of this study was to test whether microtensile bond strength (μTBS) of a light-curing resin composite to enamel depends on distance to the center of the curing mass. Labial surfaces of bovine incisors were ground flat, divided into 2 groups (n = 8), acid-etched, and coated with an unfilled resin bond. A resin-based composite was placed in one increment (group A) or separately at gingival, central, and incisal sites (group B), and light-cured. Teeth were sectioned, yielding stick-shaped specimens assigned to one of 9 groups according to distance to incisal edge of restoration (NDistanc). Microtensile bond strength was transformed to percentages of its maximum values within each tooth (PMPa). Comparisons within groups showed (group A) that mean PMPa decreased from central to gingival and from central to incisal (p < 0.01). Comparisons between groups showed that mean PMPa was significantly lower in group A compared with group B, only at gingival and incisal sites. Microtensile bond strength significantly decreased as the distance increased to the center of the curing mass.
Collapse
Affiliation(s)
- E Cabrera
- Department of Restorative Dentistry, Faculty of Odontology, Complutense University of Madrid, Plaza Ramón y Cajal s/n, Ciudad Universitaria, 28040 Madrid, Spain
| | | |
Collapse
|
12
|
Kongsema M, Zona S, Karunarathna U, Cabrera E, Man EPS, Yao S, Shibakawa A, Khoo US, Medema RH, Freire R, Lam EWF. RNF168 cooperates with RNF8 to mediate FOXM1 ubiquitination and degradation in breast cancer epirubicin treatment. Oncogenesis 2016; 5:e252. [PMID: 27526106 PMCID: PMC5007831 DOI: 10.1038/oncsis.2016.57] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Revised: 06/20/2016] [Accepted: 06/29/2016] [Indexed: 12/16/2022] Open
Abstract
The forkhead box M1 (FOXM1) transcription factor has a central role in genotoxic agent response in breast cancer. FOXM1 is regulated at the post-translational level upon DNA damage, but the key mechanism involved remained enigmatic. RNF168 is a ubiquitination E3-ligase involved in DNA damage response. Western blot and gene promoter-reporter analyses showed that the expression level and transcriptional activity of FOXM1 reduced upon RNF168 overexpression and increased with RNF168 depletion by siRNA, suggesting that RNF168 negatively regulates FOXM1 expression. Co-immunoprecipitation studies in MCF-7 cells revealed that RNF168 interacted with FOXM1 and that upon epirubicin treatment FOXM1 downregulation was associated with an increase in RNF168 binding and conjugation to the protein degradation-associated K48-linked polyubiquitin chains. Consistently, RNF168 overexpression resulted in an increase in turnover of FOXM1 in MCF-7 cells treated with the protein synthesis inhibitor cycloheximide. Conversely, RNF168, knockdown significantly enhanced the half-life of FOXM1 in both absence and presence of epirubicin. Using a SUMOylation-defective FOXM1-5x(K>R) mutant, we demonstrated that SUMOylation is required for the recruitment of RNF168 to mediate FOXM1 degradation. In addition, clonogenic assays also showed that RNF168 mediates epirubicin action through targeting FOXM1, as RNF168 could synergise with epirubicin to repress clonal formation in wild-type but not in FOXM1-deficient mouse embryo fibroblasts (MEFs). The physiological relevance of RNF168-mediated FOXM1 repression is further emphasized by the significant inverse correlation between FOXM1 and RNF168 expression in breast cancer patient samples. Moreover, we also obtained evidence that RNF8 recruits RNF168 to FOXM1 upon epirubicin treatment and cooperates with RNF168 to catalyse FOXM1 ubiquitination and degradation. Collectively, these data suggest that RNF168 cooperates with RNF8 to mediate the ubiquitination and degradation of SUMOylated FOXM1 in breast cancer genotoxic response.
Collapse
Affiliation(s)
- M Kongsema
- Department of Surgery and Cancer, Imperial College London, London, UK
| | - S Zona
- Department of Surgery and Cancer, Imperial College London, London, UK
| | - U Karunarathna
- Department of Surgery and Cancer, Imperial College London, London, UK
| | - E Cabrera
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, Ofra s/n, La Laguna, Tenerife, Spain
| | - E P S Man
- Department of Pathology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China
| | - S Yao
- Department of Surgery and Cancer, Imperial College London, London, UK
| | - A Shibakawa
- Department of Surgery and Cancer, Imperial College London, London, UK
| | - U-S Khoo
- Department of Pathology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China
| | - R H Medema
- Division of Cell Biology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - R Freire
- Unidad de Investigación, Hospital Universitario de Canarias, Instituto de Tecnologías Biomédicas, Ofra s/n, La Laguna, Tenerife, Spain
| | - E W-F Lam
- Department of Surgery and Cancer, Imperial College London, London, UK
| |
Collapse
|
13
|
Miguel S, Alvira M, Farré M, Risco E, Cabrera E, Zabalegui A. Quality of life and associated factors in older people with dementia living in long-term institutional care and home care. Eur Geriatr Med 2016. [DOI: 10.1016/j.eurger.2016.01.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
14
|
Cabrera E, Sutcliffe C, Verbeek H, Saks K, Soto-Martin M, Meyer G, Leino-Kilpi H, Karlsson S, Zabalegui A. Non-pharmacological interventions as a best practice strategy in people with dementia living in nursing homes. A systematic review. Eur Geriatr Med 2015. [DOI: 10.1016/j.eurger.2014.06.003] [Citation(s) in RCA: 49] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
15
|
Dobrowolska B, McGonagle I, Jackson C, Kane R, Cabrera E, Cooney-Miner D, Di Cara V, Pajnkihar M, Prlić N, Sigurdardottir AK, Kekuš D, Wells J, Palese A. Clinical practice models in nursing education: implication for students' mobility. Int Nurs Rev 2015; 62:36-46. [PMID: 25559068 DOI: 10.1111/inr.12162] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND In accordance with the process of nursing globalization, issues related to the increasing national and international mobility of student and qualified nurses are currently being debated. Identifying international differences and comparing similarities for mutual understanding, development and better harmonization of clinical training of undergraduate nursing students is recommended. AIMS The aim of the study was to describe and compare the nature of the nursing clinical practice education models adopted in different countries. METHODS A qualitative approach involving an expert panel of nurses was adopted. The Nominal Group Technique was employed to develop the initial research instrument for data collection. Eleven members of the UDINE-C network, representing institutions engaged in the process of professional nursing education and research (universities, high schools and clinical institutes), participated. Three data collection rounds were implemented. An analysis of the findings was performed, assuring rigour. RESULTS Differences and homogeneity are reported and discussed regarding: (a) the clinical learning requirements across countries; (b) the prerequisites and clinical learning process patterns; and (c) the progress and final evaluation of the competencies achieved. CONCLUSIONS A wider discussion is needed regarding nursing student exchange and internalization of clinical education in placements across European and non-European countries. A clear strategy for nursing education accreditation and harmonization of patterns of organization of clinical training at placements, as well as strategies of student assessment during this training, are recommended. There is also a need to develop international ethical guidelines for undergraduate nursing students gaining international experience.
Collapse
Affiliation(s)
- B Dobrowolska
- Faculty of Nursing and Health Sciences, Medical University of Lublin, Lublin, Poland
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Baracco B, Perdigão J, Cabrera E, Ceballos L. Two-Year Clinical Performance of a Low-Shrinkage Composite in Posterior Restorations. Oper Dent 2013; 38:591-600. [DOI: 10.2341/12-364-c] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives
The aim of this study was to compare the two-year clinical performance of three restorative systems in posterior restorations, which included a low-shrinkage composite and both etch-and-rinse and self-etch adhesive strategies.
Materials and Methods
After signing an informed consent, 25 patients received three Class I (occlusal) or Class II restorations performed with one of three restorative systems: Filtek Silorane Restorative System, Adper Scotchbond 1 XT (a two-step etch-and-rinse adhesive) with Filtek Z250, and Adper Scotchbond SE (a two-step self-etch adhesive) with Filtek Z250. All materials were applied following the manufacturer's instructions. Two blind observers evaluated the restorations at three different moments (baseline; and after one and two years) according to the US Public Health Service modified criteria. Kruskal-Wallis test and Mann-Whitney U-test were used to compare the behavior of the restorative systems, while Friedman and Wilcoxon tests were applied to analyze the intra-system data (p<0.05).
Results
The three restorative systems showed a statistically similar clinical performance at two years. Intra-system comparisons between baseline and two years showed declining marginal adaptation scores in the restorations placed with all systems. In addition, marginal staining and surface roughness scores were lower after two years for the restorations placed with Adper Scotchbond SE + Filtek Z250.
Conclusions
Although the clinical performance of Filtek Silorane was considered acceptable after two years, no advantage of the silorane-based resin over the methacrylate-based composite was found. Teeth restored with Adper Scotchbond SE showed a tendency for marginal staining, which may compromise the final color of the restorations.
Collapse
Affiliation(s)
- B Baracco
- Bruno Baracco, DDS, Department of Stomatology, Rey Juan Carlos University, Madrid, Spain
| | - J Perdigão
- Jorge Perdigão, DMD, MS, PhD, Department of Restorative Sciences, University of Minnesota, Minneapolis, MN, USA
| | - E Cabrera
- Elena Cabrera, DDS, PhD, 3M ESPE Iberia, Professional Service, Madrid, Spain
| | | |
Collapse
|
17
|
Abstract
Abstract
In this paper, we present a novel injection molding approach using water containing thermoplastic polyolefin (TPO) to reduce the cycle time and to improve the dimensional stability of parts without any equipment or mold modifications. A small amount of water was pressurized into TPO pellets pre-mixed with water carrier particles such as highly porous activated carbon or tubular-shaped nanoclay. Our results showed that the cycle time could be drastically reduced with substantially reduced surface sink mark and part warpage without any adverse effects on mechanical properties. Water evaporation during molding resulted in internal cooling, which led to a large reduction in cycle time. This phenomenon, however, could not be explained by the average water content in TPO alone. It is believed that the accumulation of water in the thickest section of the mold cavity, i.e., the base of the conical shaped sprue in the molds used in the study, during injection molding played a major role. The lower sink mark and part warpage were due to water induced internal cooling and foaming. Complete filling of thin parts could also be achieved at a lower packing pressure in the presence of water, perhaps due to steam (from water evaporation) induced mold cavity heating during filling. This was supported by the measured temperature rise at the mold surface in the early stage of the molding cycle.
Collapse
Affiliation(s)
- R. Mulyana
- Department of Integrated System Engineering, The Ohio State University, Columbus, Ohio, USA
| | - E. Cabrera
- Department of Integrated System Engineering, The Ohio State University, Columbus, Ohio, USA
| | - J. M. Castro
- Department of Integrated System Engineering, The Ohio State University, Columbus, Ohio, USA
| | - L. J. Lee
- Department of Chemical and Biomolecular Engineering, The Ohio State University, Columbus, Ohio, USA
| | - Y. Min
- Nanomaterial Innovation Ltd., Columbus, Ohio, USA
| |
Collapse
|
18
|
Baracco B, Perdigão J, Cabrera E, Giráldez I, Ceballos L. Clinical Evaluation of a Low-shrinkage Composite in Posterior Restorations: One-Year Results. Oper Dent 2012; 37:117-29. [DOI: 10.2341/11-179-c] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives
The aim of this study was to compare the one-year clinical performance of three restorative systems, which included a novel low-shrinkage composite and two bonding strategies.
Materials and Methods
Twenty-five patients received three Class I (occlusal) or Class II restorations performed with one of three restorative systems: Filtek Silorane Restorative System (FS); Adper Scotchbond 1 XT, a two-step etch-and-rinse adhesive, with Filtek Z250 (XT); and Adper Scotchbond SE, a two-step self-etch adhesive, with Filtek Z250 (SE). All materials were applied following the manufacturer's instructions. Two independent observers evaluated the restorations at baseline, after six months, and after one year, according to the United States Public Health System modified criteria. The Kruskal-Wallis test and the Mann-Whitney U-test were computed to compare the behavior of the restorative systems; Friedman and Wilcoxon tests were used to analyze the intrasystem data (α=0.05).
Results
All restorations were evaluated at one year. FS and XT performed statistically similarly at one year, but marginal staining for SE was statistically worse. Intrasystem comparisons between baseline and one year also showed deterioration of marginal staining for SE, while a deterioration of the marginal adaptation was recorded for both SE and FS. XT was the only system for which there was no statistical change of the parameters measured in this study.
Conclusions
Both restorative systems using self-etch adhesives showed a tendency to degradation of marginal adaptation after one year of clinical use, compared to baseline values. Although the clinical performance of FS was deemed acceptable after one year, this study did not find any advantage of the silorane-based composite over the methacrylate-based composite. The low-shrinkage associated with FS may not be a determinant factor for clinical success.
Collapse
|
19
|
Arregui FJ, Soriano J, Cabrera E, Cobacho R. Nine steps towards a better water meter management. Water Sci Technol 2012; 65:1273-1280. [PMID: 22437026 DOI: 10.2166/wst.2012.009] [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] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The paper provides a comprehensive perspective of the critical aspects to be taken into account when planning the long-term management of water meters in a utility. In order to facilitate their quick understanding and practical implementation, they have been structured into nine steps. Ranging from an initial audit up to the final periodic meter replacement planning, these steps cover three aspects of the problem - field work, laboratory work and management tasks; and each one is developed in detail paying attention to the particular data needed and noting the practical outcome it will yield.
Collapse
Affiliation(s)
- F J Arregui
- Universitat Politècnica de València, Valencia, Spain.
| | | | | | | |
Collapse
|
20
|
Cabrera E, Ventura H, Yupanqui A, Ccahuana V, Oslin H. Mandibular reconstruction with placement of dental implants on free autologous grafts. Int J Oral Maxillofac Surg 2011. [DOI: 10.1016/j.ijom.2011.07.317] [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: 10/16/2022]
|
21
|
Noa Perez M, Veliz Rodriguez T, Cabrera E. A methodology for the selection of a routine purity test for insoluble beta(1-->3)glucan. Methods Find Exp Clin Pharmacol 2009; 31:499-503. [PMID: 19967098 DOI: 10.1358/mf.2009.31.8.1419718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 09/29/2022]
Abstract
Beta(1-->3)glucan isolated from the cell wall of Saccharomyces cerevisiae is a biological response modifier (BRM) stimulating resistance against bacterial, viral, fungal and protozoal diseases. This polysaccharide has a high molecular weight, which makes it very difficult to achieve a purity test. A comparative study of different analytical procedures for beta(1-->3)glucan from S. cerevisiae was conducted in order to establish a reliable routine analytical methodology for quality control of this active ingredient in pharmaceutical products. With this aim, different combinations of the analytical procedure steps were tested, including three alternatives for the acid hydrolysis step, three for neutralization, two for gas-liquid chromatographic derivatization and two internal standards. The glucose yield, precision, time consumption and reagent cost per sample were determined for 10 sample replicates. All gas chromatographic determinations were conducted using packed GLC columns and an FID detector. The selected analytical method showed 83.61 +/- 3.48% glucose yield, the shortest relative time consumption (54.2%) and the lowest cost of reagents (7.4%) and consisted of a combination of 72% sulfuric acid hydrolysis, 25% ammonium hydroxide neutralization and alditol acetate derivatization using xylose as internal standard.
Collapse
Affiliation(s)
- M Noa Perez
- Departamento de Salud Publica, Centro Universitario de Ciencias Biologicas y Agropecuarias, Universidad de Guadalajara, Predio Las Agujas, Zapopan, Jalisco, Mexico.
| | | | | |
Collapse
|
22
|
Cabrera E, Murguiondo MG, Arias MG, Arredondo C, Pintos C, Aguirre G, Fernández M, Basmadjián Y, Rosa R, Pacheco JP. 5-Nitro-2-furyl derivative actives against Trypanosoma cruzi: Preliminary in vivo studies. Eur J Med Chem 2009; 44:3909-14. [DOI: 10.1016/j.ejmech.2009.04.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2009] [Revised: 04/01/2009] [Accepted: 04/03/2009] [Indexed: 11/15/2022]
|
23
|
Olea-Azar C, Rigol C, Mendizabal F, Morello A, Diego Maya J, Moncada C, Cabrera E, di Maio R, González M, Cerecetto H. ESR Spin Trapping Studies of Free Radicals Generated from Nitrofuran Derivative Analogues of Nifurtimox by Electrochemical andTrypanosoma cruziReduction. Free Radic Res 2009; 37:993-1001. [DOI: 10.1080/10715760310001598141] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
24
|
Alvarez-Manzaneda EJ, Chahboun R, Cabrera E, Alvarez E, Haidour A, Ramos JM, Alvarez-Manzaneda R, Hmamouchi M, Bouanou H. Diels-Alder cycloaddition approach to puupehenone-related metabolites: synthesis of the potent angiogenesis inhibitor 8-epipuupehedione. J Org Chem 2007; 72:3332-9. [PMID: 17388632 DOI: 10.1021/jo0626663] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [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: 11/30/2022]
Abstract
A new synthetic strategy toward puupehenone-related bioactive metabolites from sclareol oxide, based on a Diels-Alder cycloaddition approach, is described. Utilizing this, marine ent-chromazonarol and the potent angiogenesis inhibitor 8-epipuupehedione have been synthesized.
Collapse
Affiliation(s)
- E J Alvarez-Manzaneda
- Departamento de Química OrgAnica, Facultad de Ciencias, Universidad de Granada, 18071 Granada, Spain.
| | | | | | | | | | | | | | | | | |
Collapse
|
25
|
Zabalegui A, Escobar M, Cabrera E, Gual M, Fortuny M, Mach G, Ginesti M, Narbona P. [Analysis of the Educational Program for Self-Care in the Elderly (PECA) for improving the quality of life of the elderly]. Aten Primaria 2006; 37:260-5. [PMID: 16595097 PMCID: PMC7676131 DOI: 10.1157/13086310] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [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: 11/21/2022] Open
Abstract
OBJECTIVE To determine the efficacy over 12 months of the educational programme on self-care of the elderly (PECA), which covers quality of life, nutritional status, and perceived social support of people over 65 living in their own homes. DESIGN Pre-test/post-test experimental study with control group. SETTING Urban population in the Manso Health District (Example, Barcelona), Spain. PARTICIPANTS Persons over 65 living in their own homes, healthy or with chronic illnesses characteristic of their age, who had a normal score in the Pfeiffer test. A total of 70 subjects (35 per group) were selected and 5 of the control group left the study. INTERVENTION Programme on self-care of the elderly, including education on physical activity, nutrition, and social support. MEASUREMENTS Dependent variables were quality of life, measured by the Nottingham Health Profile; nutritional status, measured by the Mini-Nutritional Assessment (MNA); and social support, measured by the Duke-Unk Functional Social Support Scale. RESULTS The study sample had an average age of 70.9 (SD, 3.1); 88.2% had self-perception of good health; and 21% lived alone. We only found statistically significant differences between pre- and post-intervention observations in nutritional status (P=.001). CONCLUSION Despite a statistically significant difference in the variable of nutritional status, the difference was not "clinically" relevant. The ineffectiveness of the intervention is due to our starting from a very homogeneous sample, which had good health status and well-established social networks.
Collapse
Affiliation(s)
- A. Zabalegui
- Universitat Internacional de Catalunya. Barcelona. España
| | - M.A. Escobar
- Universitat Internacional de Catalunya. Barcelona. España
- Correspondencia: M.A. Escobar. Rda. Zamentrol, 137, 6.°, 2.ª 08201 Sabadell. Barcelona. España.
| | - E. Cabrera
- Universitat Internacional de Catalunya. Barcelona. España
| | - M.P. Gual
- Universitat Internacional de Catalunya. Barcelona. España
| | - M. Fortuny
- Institut Català de la Salut. Barcelona. España
| | - G. Mach
- Hospital General de Catalunya. Barcelona. España
| | - M. Ginesti
- Hospital General de Catalunya. Barcelona. España
| | - P. Narbona
- Institut Català de la Salut. Barcelona. España
| |
Collapse
|
26
|
Alvarez-Manzaneda E, Chaboun R, Alvarez E, Cabrera E, Alvarez-Manzaneda R, Haidour A, Ramos J. Cerium(IV) Ammonium Nitrate (CAN): A Very Efficient Reagent for the Synthesis of Tertiary Ethers. Synlett 2006. [DOI: 10.1055/s-2006-947356] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
27
|
Rioja Torrejón L, Pedreño Guerao F, Deza Rodríguez P, Benítez Gumá J, Cabrera E, Redondo Camacho A, Haro Padilla J. Hipertrofia mamaria: ¿una deformidad estética? Cuándo debe sufragarse por la Seguridad Social. Cir Plást Iberlatinamer 2006. [DOI: 10.4321/s0376-78922006000200004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|
28
|
Aguirre G, Boiani M, Cabrera E, Cerecetto H, Di Maio R, González M, Denicola A, Sant'anna CMR, Barreiro EJ. New potent 5-nitrofuryl derivatives as inhibitors of Trypanosoma cruzi growth. 3D-QSAR (CoMFA) studies. Eur J Med Chem 2006; 41:457-66. [PMID: 16497414 DOI: 10.1016/j.ejmech.2005.11.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2005] [Revised: 11/16/2005] [Accepted: 11/30/2005] [Indexed: 10/25/2022]
Abstract
Growth inhibitory activity in vitro of sixteen new 5-nitrofuryl derivatives against the protozoan parasite Trypanosoma cruzi, the causative agent of American trypanosomiasis, was studied. The designed compounds combine in the same molecule the recognized 5-nitrofuryl group, an oxidative stress promoter, and lateral chains that could interact with biomolecules such as trypanothione reductase. Some of the derivatives were found to be very active against the epimastigote form of the parasite, being near to 3.0-fold more active than the reference compound, nifurtimox. Moreover, three-dimensional requirements for activity were clearly observed using a 3D-QSAR study based on a comparative molecular field analysis (CoMFA). The best CoMFA model, r(2) = 0.970 and q(2) = 0.725, points to the importance of a specific hydrogen-bonding pattern around the carbonyl or thiocarbonyl moieties, as well as the requirement for hydrophobic lateral chains. Theoretical pharmacokinetics (Lipinski's rule, PSA) supports further in vivo studies.
Collapse
Affiliation(s)
- Gabriela Aguirre
- Departamento de Química Orgánica, Facultad de Química-Facultad de Ciencias, Universidad de la República, Montevideo, Uruguay
| | | | | | | | | | | | | | | | | |
Collapse
|
29
|
Alvarez-Manzaneda EJ, Chahboun R, Barranco Pérez I, Cabrera E, Alvarez E, Alvarez-Manzaneda R. First enantiospecific synthesis of the antitumor marine sponge metabolite (-)-15-oxopuupehenol from (-)-sclareol. Org Lett 2006; 7:1477-80. [PMID: 15816731 DOI: 10.1021/ol047332j] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.9] [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: 11/30/2022]
Abstract
[reaction: see text] A new route toward puupehenone-related bioactive metabolites from (-)-sclareol, based on the palladium(II)-mediated diastereoselective cyclization of a drimenylphenol, is described. Utilizing this, the first enantiospecific synthesis of the antitumor and antimalarial (-)-15-oxopuupehenol, together with improved syntheses of (+)-puupehenone, (+)-puupehedione, and (+)-15-cyanopuupehenone, were accomplished.
Collapse
Affiliation(s)
- E J Alvarez-Manzaneda
- Departamento de Química Orgánica, Facultad de Ciencias, Instituto de Biotecnología, Universidad de Granada, 18071 Granada, Spain.
| | | | | | | | | | | |
Collapse
|
30
|
Bia D, Zócalo Y, Armentano R, Pérez H, Cabrera E, Saldías M, Galli C, Alvarez I. [Vascular access for haemodyalisis. Comparative analysis of the mechanical behaviour of native vessels and prosthesis]. Nefrologia 2006; 26:587-93. [PMID: 17117902] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
Abstract
INTRODUCTION The prosthesis nowadays used in the vascular access for haemodialysis have low patency rates, mainly due to the luminal obstruction, determined by the intimal hyperplasia. Several factors have been related to de development of intimal hyperplasia and graft failure. Among them are the differences in the biomechanical properties between the prosthesis and the native vessels. In the searching for vascular prosthesis that overcomes the limitations of the currently used, the cryopreserved vessels (cryografts) appear as an alternative of growing interest. However, it is unknown if the mechanical differences or mismatch between prosthesis and native vessels are lesser when using cryografts. OBJECTIVE To characterize and compare the biomechanical behaviour of native vessels used in vascular access and cryografts. Additionally, segments of expanded polytetrafluoroethylene (ePTFE) were also evaluated, so as to evaluate the potential biomechanical advantages of the cryografts respect to synthetic prosthesis used in vascular access. METHODS Segments from human humeral (n = 12), carotid (n = 12) and femoral (n = 12) arteries, and saphenous vein (n = 12), were obtained from 6 multiorgan donors. The humeral arteries were studied in fresh state. The other segments were divided into two groups, and 6 segments from each vessel were studied in fresh state, while the remaining 6 segments were evaluated after 30 days of criopreservation. For the mechanical evaluation the vascular segments and 6 segments of ePTFE were mounted in a circulation mock and submitted to haemodynamic conditions similar to those of the in vivo. Instantaneous pressure (Konigsberg) and diameter (Sonomicrometry) were measured and used to calculate the viscous and elastic indexes, the compliance, distensibility and characteristic impedance. For each mechanical parameter studied, the mismatch between the prosthesis and the native vessel was evaluated. RESULTS The ePTFE was the prosthesis with the higher mechanical mismatch (p < 0.05). The venous and arterial cryografts showed the least mismatch with native veins and arteries, respectively. The prosthesis with the least mechanical mismatch was different, depending on the native vessel evaluated, and for a native vessel, on the parameter considered. CONCLUSION The mechanical mismatch between the native vessel and the vascular prosthesis used in a vascular access could be reduced using cryografts.
Collapse
Affiliation(s)
- D Bia
- Departamento de Fisiologia, Facultad de Medicina, Universidad de la Republica, Montevideo,
| | | | | | | | | | | | | | | |
Collapse
|
31
|
Cabrera E, Yagüe C, Gallart A, Zabalegui A. Salud Pública y Genética: Nuevos retos para el profesional de enfermería. Index Enferm 2005. [DOI: 10.4321/s1132-12962005000200009] [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: 11/11/2022] Open
|
32
|
Brito B, Baginsky C, Palacios JM, Cabrera E, Ruiz-Argüeso T, Imperial J. Biodiversity of uptake hydrogenase systems from legume endosymbiotic bacteria. Biochem Soc Trans 2005; 33:33-5. [PMID: 15667257 DOI: 10.1042/bst0330033] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [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: 11/17/2022]
Abstract
Uptake hydrogenases in legume endosymbiotic bacteria recycle hydrogen produced during the nitrogen fixation process in legume nodules. Despite the described beneficial effect on plant productivity, the hydrogen oxidation capability is not widespread in the Rhizobiaceae family. Characterization of hydrogenase gene clusters in strains belonging to Rhizobium, Bradyrhizobium and Azorhizobium reveals a similar overall genetic organization along with important differences in gene regulation. In addition, phylogenetic analysis of hup genes indicates distinct evolutionary origins for hydrogenase genes in Rhizobia.
Collapse
Affiliation(s)
- B Brito
- Laboratorio de Microbiología, E.T.S. Ingenieros Agrónomos, Universidad Politécnica de Madrid, Ciudad Universitaria s/n, 28040 Madrid, Spain
| | | | | | | | | | | |
Collapse
|
33
|
Aguirre G, Cabrera E, Cerecetto H, Di Maio R, González M, Seoane G, Duffaut A, Denicola A, Gil MJ, Martínez-Merino V. Design, synthesis and biological evaluation of new potent 5-nitrofuryl derivatives as anti-Trypanosoma cruzi agents. Studies of trypanothione binding site of trypanothione reductase as target for rational design. Eur J Med Chem 2004; 39:421-31. [PMID: 15110968 DOI: 10.1016/j.ejmech.2004.02.007] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.5] [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: 09/01/2003] [Revised: 02/21/2004] [Accepted: 02/25/2004] [Indexed: 11/30/2022]
Abstract
Design, using force-field calculations on the catalytic site of trypanothione reductase from Trypanosoma cruzi, has led to the development of new 5-nitrofuryl derivatives as potential anti-trypanosomal agents. The synthesized compounds were tested in vitro against T. cruzi and more than 75% of the prepared derivatives showed higher activity than nifurtimox. Compounds 5 and 11, hexyl 4-(5-nitrofurfurylidene)carbazate and N-hexyl 3-(5-nitrofuryl)propenamide, showed the highest in vitro trypanocidal effect reported to date for members of the nitrofuran family. Partition coefficients and energies for the single-electron reduction of compounds were theoretically determined. These properties could be not the major cause of the activities' differences. The physicochemical environment around E19, W22, C53 and Y111 residues within the trypanothione binding site of trypanothione reductase resulted a valuable target for the rational design of anti-trypanosomal drugs.
Collapse
Affiliation(s)
- Gabriela Aguirre
- Departamento de Química Orgánica, Facultad de Química-Facultad de Ciencias, Iguá 4225, 11400 Montevideo, Uruguay
| | | | | | | | | | | | | | | | | | | |
Collapse
|
34
|
|
35
|
Cabrera E, Cerecetto H, González M, Gambino D, Noblia P, Otero L, Parajón-Costa B, Anzellotti A, Sánchez-Delgado R, Azqueta A, López de Ceráin A, Monge A. Ruthenium (II) nitrofurylsemicarbazone complexes: new DNA binding agents. Eur J Med Chem 2004; 39:377-82. [PMID: 15072846 DOI: 10.1016/j.ejmech.2004.01.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.3] [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: 09/01/2003] [Revised: 01/05/2004] [Accepted: 01/15/2004] [Indexed: 11/23/2022]
Abstract
Complexes of the type [Ru(II)Cl(2)(DMSO)(2)L], where L are 5-nitrofurylsemicarbazone derivatives, were prepared in an effort to combine the potential anti-tumor activity of the metal and the free ligands. The new complexes are excellent DNA binding agents for calf thymus DNA. So, their in vitro anti-tumor activity was tested in cellular models and the complexes were found to be non-cytotoxic on the tumor cell lines assayed, neither in aerobic conditions nor in the bio-reductive assay performed. Redox behavior, lipophilicity and stability were studied in order to explain the lack of cellular cytotoxic effects. The complexes resulted 10-100 times more hydrophilic than the parent ligands thus the bio-activity of these compounds would be compromised by their inadequate lipophilic properties.
Collapse
Affiliation(s)
- Eliana Cabrera
- Departamento de Química Orgánica, Facultad de Química-Facultad de Ciencias, Universidad de la República, Iguá 4225, 11400 Montevideo, Uruguay
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
36
|
|
37
|
Olea-Azar C, Rigol C, Mendizabal F, Morello A, Maya JD, Moncada C, Cabrera E, Di Maio R, González M, Cerecetto H. ESR spin trapping studies of free radicals generated from nitrofuran derivative analogues of nifurtimox by electrochemical and Trypanosoma cruzi reduction. Free Radic Res 2003; 37:993-1001. [PMID: 14670007] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
Electron spin resonance (ESR) spectra of radicals obtained from two analogues of the antiprotozoal drug nifurtimox by electrolytic and Trypanosoma cruzi reduction were analyzed. The electrochemistry of these compounds was studied using cyclic voltammetry. STO 3-21G ab initio and INDO molecular orbital calculations were performed to obtain the optimized geometries and spin distribution, respectively. The antioxidant effect of glutathione on the nitroheterocycle radical was evaluated. DMPO spin trapping was used to investigate the possible formation of free radicals in the trypanosome microsomal system. Nitro1 and Nitro2 nitrofuran analogues showed better antiparasitic activity than nifurtimox. Nitro2 produced oxygen redox cycling in T. cruzi epimastigotes. The ESR signal intensities were consistent with the trapping of either the hydroxyl radical or the Nitro2 analogue radicals. These results are in agreement with the biological observation that Nitro2 showed anti-Chagas activity by an oxidative stress mechanism.
Collapse
Affiliation(s)
- Claudio Olea-Azar
- Department of Inorganic and Analytical Chemistry, Faculty of Chemical and Pharmaceutical Sciences, University of Chile, P.O. Box 233, Santiago 1, Chile.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
38
|
Cabrera E, Daran JC, Jeannin Y. Reaction of diethylpent-4-en-1-ynylamine with dodecacarbonyltriiron. Preparation of three dinuclear complexes with multiple shifts of hydrogen within the bridging ligand: [Fe2(CO)6(CH2CHCHCHCNEt2)], [Fe2(CO)6(CH3CCHCHCNEt2], and [Fe2(CO)6(CHCHCHCHCHNEt2)]. Organometallics 2002. [DOI: 10.1021/om00109a039] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
39
|
Ponce G, Romero JL, Hernández G, Padrón A, Cabrera E, Abad C. [The non Q wave myocardial infarction in conventional valvular surgery. Diagnosis with cardiac troponin I]. Rev Esp Cardiol 2001; 54:1175-82. [PMID: 11591298 DOI: 10.1016/s0300-8932(01)76476-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [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: 11/19/2022]
Abstract
INTRODUCTION Morbidity and mortality in elective valve surgery is still significant. The main cause of death in these patients is cardiogenic shock, of which the most frequent etiology is acute myocardial infarction (AMI) with Q wave in the ECG. However, there are patients with cardiogenic shock without Q wave in the ECG and with rises in CK-MB enzyme that makes us suspect non-Q wave AMI. OBJECTIVE To analyze the use of the determination of cardiac troponin-I, a more specific marker of AMI than CK-MB after cardiac surgery, to detect perioperative non-Q wave AMI, and to establish its clinical significance. METHODS A total of 147 patients without coronary artery disease scheduled for elective valve surgery were included. We used, based in anterior publications, ECG (presence or not of new Q wave) and cardiac troponin I to define perioperative AMI. Levels of cardiac troponin-I were analysed before surgery and 14 hours after. Non-Q wave AMI was diagnosed when troponin I was superior to 38.85 ng/ml and there was not a phatologic Q wave in ECG. RESULTS One hundred twenty-three (83.67%) of patients did not have AMI, 9 (6.12%) suffered perioperative AMI with Q wave, and 15 (10.27%) carried out criteria of non-Q wave perioperative AMI. Morbidity and mortality in this last group was similar to that in the group with Q wave AMI. Morbidity and mortality were minimum in patients without AMI. CONCLUSIONS This study suggest the possibility of in vivo identification of non-Q wave perioperative AMI, an entity with important morbidity and mortality in our series, with a simple determination of cardiac troponin I 14 hours after surgery.
Collapse
Affiliation(s)
- G Ponce
- Servicios de Cirugía Cardiovascular, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
| | | | | | | | | | | |
Collapse
|
40
|
Gallardo J, Cabrera E, Rubio B, González C, Cortés C. [Gemcitabine in the treatment of 4 patients with cholangiocarcinoma]. Rev Med Chil 2001; 129:911-6. [PMID: 11680965] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
Cholangiocarcinoma is a biliary tree cancer of unknown etiology, whose symptoms are unspecific and is usually detected in advanced stages. Surgery continues to be the only curative therapy. Median survival in patients with inoperable tumors ranges between 5 and 8 months. There are few studies on the effects of chemotherapy, with a very small response. We report four patients with advanced cholangiocarcinoma, treated with gemcitabine 1000 mg/m2, weekly for 3 weeks every 28 days. There was a stabilization of tumor size and symptoms were alleviated. Toxicity was low and there was a probable prolongation of survival.
Collapse
Affiliation(s)
- J Gallardo
- Sección Oncología, Departamento de Medicina, Hospital Clínico José Joaquín Aguirre, Universidad de Chile, Santiago.
| | | | | | | | | |
Collapse
|
41
|
Cabrera E, Velert MM, Orero A, Martínez P, Cantón E. [Effect of anti-inflammatory drugs, alone and combined with ofloxacin, on the respiratory burst of human polymorphonuclear leukocytes]. Rev Esp Quimioter 2001; 14:165-71. [PMID: 11704770] [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: 02/22/2023]
Abstract
The antibacterial activity of polymorphonuclear leukocytes (PMNs) is based on the production of superoxide anion and H(2)O(2) in the respiratory burst and can be impaired in different ways. The combination of an antibacterial agent and an antiinflammatory drug is quite common in immunodepressed patients whose respiratory burst of PMN could be impaired. In this study we examine in vitro the effect of pretreating (35 degrees C for 30 min) PMNs with the antiinflammatory drugs dexamethasone (0.4, 4 and 40 microgram/ml), methylprednisolone (0.37, 3.7 and 37 microgram/ ml), hydrocortisone (0.048, 0.48 and 4.8 microgram/ml), betamethasone (0.1, 1, 5 and 10 mg/ml), phenylbutazone (1000 microgram/ml) and acetylsalicylic acid (25, 250, 2500 microgram/ml) alone, and combined with 10 mg/ml of ofloxacin on the respiratory burst. Superoxide anion was measured by the cytochrome c reduction microtechnique and H(2)O(2) by phenol red. The antiinflammatory drugs alone decreased the production of H(2)O(2) (except dexamethasone and methylprednisolone) and superoxide anion (except betamethasone) from 15-45%, depending on the antiinflammatory drug and concentration, while ofloxacin increased the production of superoxide anion (20.2 +/- 6.7%). The combination of antiinflammatory drugs with ofloxacin neutralizes the inhibitory effect of the former on the respiratory burst of PMNs. It is therefore important to know the effect of drugs on the respiratory burst in order to choose those that have the same therapeutic effect without interfering with PMN functions.
Collapse
Affiliation(s)
- E Cabrera
- Unidad de Bacteriología Experimental, Centro de Investigación, Hospital Universitario La Fe, Valencia, Spain
| | | | | | | | | |
Collapse
|
42
|
Välimäki M, Leino-Kilpi H, Scott PA, Arndt M, Dassen T, Lemonidou C, Gasull M, Cabrera E. The role of CNSs in promoting elderly patients' autonomy in long-term institutions: problems and implications for nursing practice and research. CLIN NURSE SPEC 2001; 15:7-12; quiz 13-4. [PMID: 11855536 DOI: 10.1097/00002800-200101000-00009] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [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: 11/26/2022]
Abstract
Autonomy has become an important focus within healthcare. Elderly patients, however, are often denied the right to independent decision making on grounds of incompetence and incapacity. In long-term institutions there are several ways in which the clinical nurse specialist can promote the autonomy of elderly patients. This article provides an overview of the concept of autonomy and discusses some of the problems in its realization in long-term nursing institutions. It also outlines strategies for supporting autonomy in elderly patients and concludes with a discussion of the implications of autonomy to nursing practice and research.
Collapse
Affiliation(s)
- M Välimäki
- Faculty of Medicine, Department of Nursing, University of Turku, Finland
| | | | | | | | | | | | | | | |
Collapse
|
43
|
Gasull M, Cabrera E, Leino-Kilpi H, Välimäki M, Lemonidou C, Scott A, Dassen T, Arndt M, Gich I. Autonomía y consentimiento informado: cuestiones éticas de los cuidados maternales en España. Enfermería Clínica 2001. [DOI: 10.1016/s1130-8621(01)73716-3] [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: 10/27/2022]
|
44
|
Macías FA, Simonet AM, Pacheco PC, Barrero AF, Cabrera E, Jiménez-González D. Natural and synthetic podolactones with potential use as natural herbicide models. J Agric Food Chem 2000; 48:3003-3007. [PMID: 10898656 DOI: 10.1021/jf990321y] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A collection of 11 natural and synthetic podolactones have been tested as allelochemicals in a range between 10(-4) and 10(-9) M, and their potential use as natural herbicide models is discussed. Their effects on the germination and growth of the dicots Lactuca sativa (cv. Nigra and cv. Roman), Lepidium sativum, and Lycopersicon esculentum and the monocots Allium cepa, Hordeum vulgare, and Triticum aestivum as standard target species have been studied. An important inhibitory effect on the germination and growth of all tested species (average = 90%) was produced by compounds 9-11 at 10(-4) M. The specific structural requirements related to their activities are studied. On the basis of these results, their use as potential natural herbicide models is proposed.
Collapse
Affiliation(s)
- F A Macías
- Departamento de Química Orgánica, Facultad de Ciencias, Universidad de Cádiz, C/República Saharaui s/n, Apartado 40, 11510 Puerto Real, Cádiz, Spain.
| | | | | | | | | | | |
Collapse
|
45
|
Flores J, Cabrera E, Calderon T, Munoz E, Adem E, Hernandez J, Boldu JL, Ovalle P, Murrieta H. ESR and optical absorption studies of gamma- and electron-irradiated sugar crystals. Appl Radiat Isot 2000; 52:1229-34. [PMID: 10836435 DOI: 10.1016/s0969-8043(00)00076-2] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Electron spin resonance (ESR) studies of the free radicals induced in gamma- or electron-irradiated sugar crystals were performed. The number of radicals increases linearly, pointing out that this material can be used as a dosimeter. The optical absorption studies show the presence of several distinctive bands in the infrared and UV region, whose intensity changes with the irradiation dose. An interpretation of these results in terms of the formation of free radicals and possible crosslinking along the sugar molecular chains is presented.
Collapse
Affiliation(s)
- J Flores
- Instituto de Fisica, UNAM, Mexico DF, Mexico
| | | | | | | | | | | | | | | | | |
Collapse
|
46
|
Parra C, Kauffmann R, Chateau B, Cabrera E. [Subcutaneous heparin during the first trimesters of pregnancy in women with prosthetic heart valves]. Rev Med Chil 1999; 127:1475-9. [PMID: 10835755] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
BACKGROUND Oral anticoagulation therapy in pregnant women with prosthetic heart valves is associated with a greater risk of abortion, fetal malformations and thromboembolic complications. AIM To assess the use of subcutaneous heparin in women with pregnancies of less than 12 weeks as an alternative to oral anticoagulation therapy. MATERIAL AND METHODS Pregnant women were admitted to the hospital and coumarinics were replaced with not fractionated subcutaneous heparin in a dose of 10,000 IU every 12 hours, aiming at prolonging partial thromboplastin time, 2 or 2 1/2 times. During the hospitalization period, women were taught about the heparin injection technique. Coumarinics were restarted after week 13 of pregnancy until 10 days prior to the delivery date in which women were again admitted to the hospital and intravenous heparin was used until the delivery. RESULTS Between 1991 and 1997, this protocol was used during ten pregnancies in seven women aged 19 to 36 years old. Five had a Starr-Edwards prosthesis, one had a mitral Björk-Shilley prosthesis and one, a double prosthesis (mitral Starr-Machi and aortic St Jude). Subcutaneous heparin was started in the fifth week of pregnancy in 1 case, in the sixth week in seven and in the seventh week in two. There was no maternal mortality and one transient ischemic attack without sequelae. One non compliant patient had a Björk Shilley prosthetic valve dysfunction that required a valve replacement at the twelfth week of pregnancy and she had a spontaneous abortion at week 15. Other patient had a pneumonia at week 37 and gave birth to a stillbirth. There were no fetal malformations. CONCLUSIONS This therapeutic protocol can be used among Chilean patients, but must be restricted to compliant women and a strict surveillance must be maintained.
Collapse
Affiliation(s)
- C Parra
- Departamento de Medicina, Facultad de Medicina, Universidad de Chile, Hospital del Salvador, Santiago de Chile
| | | | | | | |
Collapse
|
47
|
Barrero AF, Cortés M, Manzaneda EA, Cabrera E, Chahboun R, Lara M, Rivas AR. Synthesis of 11,12-epoxydrim-8,12-en-11-ol, 11,12-diacetoxydrimane, and warburganal from (-)-sclareol. J Nat Prod 1999; 62:1488-1491. [PMID: 10579858 DOI: 10.1021/np990140q] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
The first syntheses are reported for recently isolated drimanes 11, 12-epoxydrim-8,12-en-11-ol (2) and 11,12-diacetoxydrimane (3), from (-)-sclareol (1). Furthermore, two efficient new routes to the potent bioactive warburganal (4) starting also from 1 are described.
Collapse
Affiliation(s)
- A F Barrero
- Departamento de Química Orgánica, Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada, Campus Fuentenueva s/n, 18071-Granada, Spain.
| | | | | | | | | | | | | |
Collapse
|
48
|
Cantón E, Peman J, Cabrera E, Velert M, Orero A, Pastor A, Gobernado M. Killing of gram-negative bacteria by ciprofloxacin within both healthy human neutrophils and neutrophils with inactivated O2-dependent bactericidal mechanisms. Chemotherapy 1999; 45:268-76. [PMID: 10394010 DOI: 10.1159/000007196] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [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: 11/19/2022]
Abstract
The intraphagocytic killing of Escherichia coli, Serratia marcescens, Pseudomonas aeruginosa, and Salmonella typhi by ciprofloxacin (0.1, 1 and 5 microg/ml) within human neutrophils with intact and impaired (by phenylbutazone treatment) O2-dependent killing mechanisms was studied and compared with the extracellular killing in the same medium of the intraphagocytic killing, but omitting neutrophils. The MIC/MBC of ciprofloxacin in vitro (assays performed according to NCCLS specifications) were: 0.015/0.06 for E. coli, 0.12/32 for S. marcescens, 1/16 for P. aeruginosa, and 0.007/0.06 for S. typhi. Ciprofloxacin showed bactericidal activity both extracellular and within phenylbutazone-treated and untreated neutrophils. The minimum concentration of ciprofloxacin to kill 90% of phagocytosed bacteria within neutrophils with normal O2-dependent killing power after 30 min was: 0.1 microg/ml for E. coli, and S. typhi, 1 microg/ml for P. aeruginosa, and 5 microg/ml for S. marcescens. In contrast, exposure for 60 min was required to reach this percentage within phenylbutazone treated neutrophils. The minimum concentration to kill 90% of extracellular bacteria after 30 min was: 0.1 microg/ml for E. coli, P. aeruginosa and S. typhi, and 5 microg/ml, for S. marcescens. A positive interaction between ciprofloxacin and the O2-dependent mechanisms of phagocytes was found. The reactive oxygen metabolites produced in the respiratory burst did not affect the intraphagocytic activity of ciprofloxacin. Phenylbutazone treatment of phagocytes would be a good experimental model to study the intraphagocytic killing of drugs in situations such as AIDS and chronic granulomatous disease where inefficient oxidative mechanisms of neutrophils exist.
Collapse
Affiliation(s)
- E Cantón
- Servicio de Microbiología, Centro de Investigación, Hospital Universitario La Fe, Valencia, Spain
| | | | | | | | | | | | | |
Collapse
|
49
|
Orero A, Cantón E, Bermejo MV, Velert MM, Cabrera E, Pemán J, Gobernado M. [Effect of antiinflammatory agents on the accumulation of ofloxacin in human polymorphonuclear leukocytes]. Rev Esp Quimioter 1999; 12:144-8. [PMID: 10562676] [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: 02/14/2023]
Abstract
The uptake of quinolones is a recently defined pharmacokinetic parameter which is increasing in importance in clinical practice, especially for immunocompromised patients whose polymorphonuclear leukocytes (PMNLs) have their bactericidal systems impaired, or in infections due to bacteria able to survive in the phagocytes. In both situations, antibiotics able to penetrate and be active in the phagocytes are required. The simultaneous administration of an antibiotic and an antiinflammatory drug is frequent, and previous studies have described interactions between the intracellular activity of the quinolones and the presence of phenylbutazone. We studied the effect of the presence of and the pretreatment (37 C for 30 and 60 min) of human PMNLs with the antiinflammatory drugs betamethasone (1 mg/l), hydrocortisone (1 mg/l), phenylbutazone (10 mg/ml), and acetylsalicylic acid (200 mg/l) on the uptake of ofloxacin (10 mg/l) by the PMNLs using a fluorometric method to measure the intra-PMNL concentration of ofloxacin. The presence of betamethasone did not modify the uptake of ofloxacin by PMNLs. Pretreatment of PMNLs with hydrocortisone, phenylbutazone and acetylsalicylic acid produced a significant decrease in the maximum intracellular concentration/extracellular concentration ratios compared with the maximum reached without pretreatment. These results suggest that hydrocortisone, phenylbutazone and acetylsalicylic acid interfere with the uptake of ofloxacin by PMNLs and increase the efflux of ofloxacin from PMNLs.
Collapse
Affiliation(s)
- A Orero
- Unidad de Bacteriología Experimental del Centro de Investigación, Hospital Universitario La Fe, Valencia
| | | | | | | | | | | | | |
Collapse
|
50
|
Velert MM, Cabrera E, Orero A, Pemán J, Cantón E. [Effect of fluconazole and itraconazole on human polymorphonuclear leukocyte oxidative metabolism and phagocytosis]. Rev Esp Quimioter 1998; 11:70-4. [PMID: 9795293] [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: 02/09/2023]
Abstract
The effect of pretreatment of human polymorphonuclear leukocites (PMNs), for 30 min with fluconazole (0.1, 1, 5 and 50 microgram/ml) and itraconazole (0.05, 0.5 and 5 microgram/ml) on phagocytosis and generation of free radicals (superoxide anion and hydrogen peroxide) was studied in vitro. Phorbol miristate acetate (200 nM) was used as a stimulant. The mean amount of superoxide anion generated by 2.5 x 10(5) PMNs per hour was 4.39 +/- 1.13 nmol for fluconazole-treated PMNs and 4.56 +/- 1.2 nmol for itraconazole, and that of hydrogen peroxide was 11.19 +/- 2.18 and 11.28 +/- 3.61 nmol, respectively. The phagocytosis percentages were 83.8% for the control group and 88. 7% in antifungal agent- treated PMNs; the phagocytosis index was 3.0 yeasts per PMN for both groups. The differences between the control and treated PMNs were not statistically significant at any of the tested concentrations.
Collapse
Affiliation(s)
- M M Velert
- Unidad de Bacteriología Experimental, Centro de Investigación
| | | | | | | | | |
Collapse
|