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Pinazo-Bandera JM, Niu H, Alvarez-Alvarez I, Medina-Cáliz I, Del Campo-Herrera E, Ortega-Alonso A, Robles-Díaz M, Hernández N, Paraná R, Nunes V, Girala M, Bessone F, Lucena MI, Andrade RJ, García Cortés M. Rechallenge in idiosyncratic drug-induced liver injury: An analysis of cases in two large prospective registries according to existing definitions. Pharmacol Res 2024; 203:107183. [PMID: 38631619 DOI: 10.1016/j.phrs.2024.107183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 04/09/2024] [Accepted: 04/10/2024] [Indexed: 04/19/2024]
Abstract
INTRODUCTION Data on positive rechallenge in idiosyncratic drug-induced liver injury (DILI) are scarce. We aim to analyse the clinical presentation, outcome and drugs associated with positive rechallenge in two DILI registries. METHODS Cases from the Spanish and Latin American DILI registries were included. Demographics, clinical characteristics and outcome of cases with positive rechallenge according to CIOMS/RUCAM and current definitions were analysed. RESULTS Of 1418 patients with idiosyncratic DILI, 58 cases had positive rechallenge (4.1%). Patients with positive rechallenge had shorter duration of therapy (p=0.001) and latency (p=0.003). In patients with rechallenge, aspartate transaminase levels were increased (p=0.026) and showed a prolonged time to recovery (p=0.020), albeit no differences were seen in terms of fatal outcomes. The main drug implicated in rechallenge was amoxicillin-clavulanate (17%). The majority of re-exposure events were unintentional (71%). Using both existing definitions of positive rechallenge, there were four cases which exclusively fulfilled the current criteria and five which only meet the historical definition. All cases of positive rechallenge, irrespective of the pattern of damage, fulfilled the criteria of either alanine transaminase (ALT) ≥3 times the upper limit of normal (ULN) and/or alkaline phosphatase (ALP) ≥2 times ULN. CONCLUSIONS Episodes of rechallenge were characterised by shorter duration of therapy and latency, and longer time to resolution, but did not show an increased incidence of fatal outcome. Based on our findings, ALT ≥3 times ULN and/or ALP ≥2 times ULN, regardless of the pattern of damage, is proposed as a new definition of rechallenge in DILI.
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Affiliation(s)
- J M Pinazo-Bandera
- Service of Gastroenterology and Hepatology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain; Centro de Investigación Biomédico en Red Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain
| | - H Niu
- Service of Clinical Farmacology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain
| | - I Alvarez-Alvarez
- Service of Gastroenterology and Hepatology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain
| | - I Medina-Cáliz
- Service of Clinical Farmacology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain
| | - E Del Campo-Herrera
- Service of Gastroenterology and Hepatology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain
| | - A Ortega-Alonso
- Service of Gastroenterology and Hepatology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain; Centro de Investigación Biomédico en Red Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain
| | - M Robles-Díaz
- Service of Clinical Farmacology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain; Centro de Investigación Biomédico en Red Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain
| | | | - R Paraná
- University Hospital Prof. Edgard Santos-UFBA, Salvador, Brasil
| | - V Nunes
- University Hospital Prof. Edgard Santos-UFBA, Salvador, Brasil
| | - M Girala
- Clínicas Hospital, Asunción, Paraguay
| | - F Bessone
- Centenario Hospital, Rosario National University, Rosario, Argentina
| | - M I Lucena
- Service of Clinical Farmacology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain; Centro de Investigación Biomédico en Red Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain
| | - R J Andrade
- Service of Gastroenterology and Hepatology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain; Centro de Investigación Biomédico en Red Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain.
| | - M García Cortés
- Service of Gastroenterology and Hepatology, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, Universidad de Málaga, Málaga, Spain; Centro de Investigación Biomédico en Red Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid, Spain
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Alva NV, Méndez OR, Gasca JC, Salvador I, Hernández N, Valdez M. Liver injury due to COVID-19 in critically ill adult patients. A retrospective study. Rev Gastroenterol Mex (Engl Ed) 2024; 89:57-63. [PMID: 37117133 PMCID: PMC10110936 DOI: 10.1016/j.rgmxen.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 04/21/2022] [Accepted: 08/25/2022] [Indexed: 04/30/2023]
Abstract
INTRODUCTION AND AIM Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged, causing the current pandemic of acute respiratory disease known as COVID-19. Liver injury due to COVID-19 is defined as any liver injury occurring during the course of the disease and treatment of patients with COVID-19, with or without liver disease. The incidence of elevated liver transaminases, alanine aminotransferase (ALT) and aspartate aminotransferase (AST), ranges from 2.5 to 76.3%. The aim of the present study was to describe the hepatic biochemical abnormalities, after a SARS-CoV-2-positive polymerase chain reaction (PCR) test, and the mortality rate in critically ill patients. MATERIALS AND METHODS A retrospective study was conducted that included 70 patients seen at a private hospital in Mexico City, within the time frame of February-December 2021. Median patient age was 44.5 years (range: 37-57.2) and 43 (61.4%) of the patients were men. Liver function tests were performed on the patients at hospital admission. RESULTS Gamma glutamyl transferase (GGT) levels were elevated (p = 0.032), as were those of AST (p = 0.011) and ALT (p = 0.021). The patients were stratified into age groups: 18-35, 36-50, and > 50 years of age. The 18 to 35-year-olds had the highest liver enzyme levels and transaminase levels were higher, the younger the patient. Due to the low mortality rate (one patient whose death did not coincide with a hepatic cause), the multivariate analysis showed an R2 association of 0.689, explained by AST, GGT, and C-reactive protein levels. CONCLUSIONS Despite the increase in transaminases in our study population during the course of COVID-19, there was no increase in mortality. Nevertheless, hospitalized patient progression should be continuously followed.
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Affiliation(s)
- N V Alva
- Departamento de Terapia Intensiva, Hospital Ángeles Mocel, Mexico City, Mexico.
| | - O R Méndez
- Departamento de Medicina Interna, Hospital Star Médica Centro, Mexico City, Mexico
| | - J C Gasca
- Departamento de Terapia Intensiva, Hospital Juárez de México, Mexico City, Mexico
| | - I Salvador
- Departamento de Terapia Intensiva, Hospital Ángeles Mocel, Mexico City, Mexico
| | - N Hernández
- Departamento de Inhaloterapia, Centro Médico ABC, Mexico City, Mexico
| | - M Valdez
- Departamento de Terapia Intensiva, Hospital Bicentenario, Aguascalientes, Mexico
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3
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Alva NV, Méndez OR, Gasca JC, Salvador I, Hernández N, Valdez M. [Liver injury due to COVID-19 in critically ill adult patients. A retrospective study]. Rev Gastroenterol Mex 2023:S0375-0906(23)00002-2. [PMID: 36684811 PMCID: PMC9842624 DOI: 10.1016/j.rgmx.2022.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 08/25/2022] [Indexed: 01/19/2023]
Abstract
INTRODUCTION AND AIM Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged, causing the current pandemic of acute respiratory disease known as COVID-19. Liver injury due to COVID-19 is defined as any liver injury occurring during the course of the disease and treatment of patients with COVID-19, with or without liver disease. The incidence of elevated liver transaminases, alanine aminotransferase (ALT) and aspartate aminotransferase (AST), ranges from 2.5 to 76.3%. The aim of the present study was to describe the hepatic biochemical abnormalities, after a SARS-CoV-2-positive polymerase chain reaction (PCR) test, and the mortality rate in critically ill patients. MATERIALS AND METHODS A retrospective study was conducted that included 70 patients seen at a private hospital in Mexico City, within the time frame of February-December 2021. Median patient age was 44.5 years (range: 37-57.2) and 43 (61.4%) of the patients were men. Liver function tests were performed on the patients at hospital admission. RESULTS Gamma glutamyl transferase (GGT) levels were elevated (p = 0.032), as were those of AST (p = 0.011) and ALT (p = 0.021). The patients were stratified into age groups: 18-35, 36-50, and > 50 years of age. The 18 to 35-year-olds had the highest liver enzyme levels and transaminase levels were higher, the younger the patient. Due to the low mortality rate (one patient whose death did not coincide with a hepatic cause), the multivariate analysis showed an R2 association of 0.689, explained by AST, GGT, and C-reactive protein levels. CONCLUSIONS Despite the increase in transaminases in our study population during the course of COVID-19, there was no increase in mortality. Nevertheless, hospitalized patient progression should be continuously followed.
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Affiliation(s)
- N V Alva
- Departamento de Terapia Intensiva, Hospital Ángeles Mocel, México
| | - O R Méndez
- Departamento de Medicina Interna, Hospital Star Médica Centro, México
| | - J C Gasca
- Departamento de Terapia Intensiva, Hospital Juárez de México, México
| | - I Salvador
- Departamento de Terapia Intensiva, Hospital Ángeles Mocel, México
| | - N Hernández
- Departamento de Inhaloterapia, Centro Médico ABC, México
| | - Ma Valdez
- Departamento de Terapia Intensiva, Hospital Bicentenario, Aguascalientes, México
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Hernández N, Sánchez-Mateos S, López-Morató M, Sánchez-Margallo FM, Álvarez IS. Effect of the addition of 4OHE 2 and quercetin in culture media on ROS levels and gene expression in mouse blastocysts. Reprod Fertil Dev 2022; 34:980-990. [PMID: 36075881 DOI: 10.1071/rd22041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 08/11/2022] [Indexed: 11/23/2022] Open
Abstract
AIMS The main objective of this work is to elucidate whether Quercetin (Qc) and 4-Hidroxistradiol (4OHE2 ) decrease the level of reactive oxygen species (ROS) in in vitro obtained embryos and to analyse which genes are activated under the treatments that could explain this improvement. METHODS Oxidative stress was induced during embryo culture by H2 O2 treatment and ROS production was measured and compared with embryos treated with Qc or 4OHE2 . Gene expression was analysed by Q-PCR in control embryos obtained in utero (IU) or by IVF and compared with the levels found in embryos cultured with Qc or 4OHE2 to determine the effect of these compounds. KEY RESULTS Qc strongly reduces ROS levels in embryos after a treatment of 4h. On the contrary, 4OHE2 had no effect in reducing ROS levels in embryos. The addition of these molecules to the culture media upregulate several hypoxia-related genes when Qc is added to the culture media, and implantation-related genes when 4OHE2 is used. CONCLUSIONS Qc is a very strong antioxidant molecule that when used for short periods of time during culture can reduce ROS levels and improve embryo quality by activating antioxidant enzymes. 4OHE2 supplementation, despite having no effects in reducing ROS levels, acts directly in the molecular signalling implicated in the implantation process and could be also considered as a supplement for embryo culture during IVF. IMPLICATIONS Proper supplementation of the culture media could greatly improve the quality of embryos cultured in vitro , resulting in better results in IVF clinics.
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Affiliation(s)
- Nuria Hernández
- Criopreservation Facility, Biomedicine Institute, Seville, Spain; and Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.á
| | - Soledad Sánchez-Mateos
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.á
| | - Marta López-Morató
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.á; and Genetics Unit, Hospital HLA Vistahermosa, Alicante, Spain
| | | | - Ignacio S Álvarez
- Department of Cell Biology, University of Extremadura, Badajoz, Spain; and Instituto Extremeño de Reproduccion Asistida (IERA), Badajoz, Spain
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Pose K, Laorden D, Hernández N, Villamañán E, Quirce S, Domínguez-Ortega J. Concomitant Efficacy of Dupilumab for severe atopic dermatitis and comorbid asthma in real-life conditions. J Investig Allergol Clin Immunol 2022:0. [PMID: 35722859 DOI: 10.18176/jiaci.0837] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- K Pose
- Department of Allergy, La Paz University Hospital, Madrid, Spain
| | - D Laorden
- Department of Pulmonology, La Paz University Hospital, Madrid, Spain
| | - N Hernández
- Department of Dermatology, La Paz University Hospital, Madrid, Spain
| | - E Villamañán
- Department of Hospital Pharmacy, La Paz University Hospital, Madrid, Spain
| | - S Quirce
- Department of Allergy, La Paz University Hospital, Madrid, Spain.,La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.,CIBER of Respiratory Diseases (CIBERES), Madrid, Spain
| | - J Domínguez-Ortega
- Department of Allergy, La Paz University Hospital, Madrid, Spain.,La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.,CIBER of Respiratory Diseases (CIBERES), Madrid, Spain
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6
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Hernández N, Soenksen J, Newcombe P, Sandhu M, Barroso I, Wallace C, Asimit JL. The flashfm approach for fine-mapping multiple quantitative traits. Nat Commun 2021; 12:6147. [PMID: 34686674 PMCID: PMC8536717 DOI: 10.1038/s41467-021-26364-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 10/04/2021] [Indexed: 11/08/2022] Open
Abstract
Joint fine-mapping that leverages information between quantitative traits could improve accuracy and resolution over single-trait fine-mapping. Using summary statistics, flashfm (flexible and shared information fine-mapping) fine-maps signals for multiple traits, allowing for missing trait measurements and use of related individuals. In a Bayesian framework, prior model probabilities are formulated to favour model combinations that share causal variants to capitalise on information between traits. Simulation studies demonstrate that both approaches produce broadly equivalent results when traits have no shared causal variants. When traits share at least one causal variant, flashfm reduces the number of potential causal variants by 30% compared with single-trait fine-mapping. In a Ugandan cohort with 33 cardiometabolic traits, flashfm gave a 20% reduction in the total number of potential causal variants from single-trait fine-mapping. Here we show flashfm is computationally efficient and can easily be deployed across publicly available summary statistics for signals in up to six traits.
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Affiliation(s)
- N Hernández
- MRC Biostatistics Unit, University of Cambridge, Cambridge, UK
| | - J Soenksen
- Exeter Centre of Excellence for Diabetes Research (EXCEED), University of Exeter Medical School, Exeter, UK
- School of Life Sciences, University of Glasgow, Glasgow, UK
| | - P Newcombe
- MRC Biostatistics Unit, University of Cambridge, Cambridge, UK
| | - M Sandhu
- Dept of Epidemiology & Biostatistics, School of Public Health, Imperial College London, London, UK
| | - I Barroso
- Exeter Centre of Excellence for Diabetes Research (EXCEED), University of Exeter Medical School, Exeter, UK
| | - C Wallace
- MRC Biostatistics Unit, University of Cambridge, Cambridge, UK
- Cambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), University of Cambridge, Cambridge, UK
| | - J L Asimit
- MRC Biostatistics Unit, University of Cambridge, Cambridge, UK.
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Hernández N, López-Morató M, Perianes MJ, Sánchez-Mateos S, Casas-Rua V, Domínguez-Arroyo JA, Sánchez-Margallo FM, Álvarez IS. 4-Hydroxyestradiol improves mouse embryo quality, epidermal growth factor-binding capability in vitro and implantation rates. Mol Hum Reprod 2021; 27:gaaa075. [PMID: 33237288 DOI: 10.1093/molehr/gaaa075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 10/30/2020] [Indexed: 11/12/2022] Open
Abstract
Embryo implantation in the uterus is a critical step to achieve success following ART. Despite favorable uterine conditions, a great number of good quality embryos fail to implant, often for reasons that are unknown. Hence, improving the implantation potential of embryos is a subject of great interest. 4-Hydroxyestradiol (4-OH-E2), a metabolic product of estradiol produced by endometrial cells, plays a key role in endometrial-embryonic interactions that are necessary for implantation. Nonetheless, the effects of 4-OH-E2 on embryos obtained in vitro have not been yet described. This study was designed to determine whether culture media enriched in 4-OH-E2 could improve the quality and implantation rate of embryos obtained in vitro, using both in vitro and in vivo models. We also analyzed its effects on the epidermal growth factor (EGF)-binding capability of the embryos. Our results showed that the presence of 4-OH-E2 in the culture media of embryos during the morula to blastocyst transition increases embryo quality and attachment to endometrial cells in vitro. 4-OH-E2 can also improve viable pregnancy rates of mouse embryos produced in vitro, reaching success rates that are similar to those from embryos obtained directly from the uterus. 4-OH-E2 improved the embryos' ability to bind EGF, which could be responsible for the increased embryo implantation potential observed. Therefore, our results strongly suggest that 4-OH-E2 is a strong candidate molecule to supplement human IVF culture media in order to improve embryo implantation. However, further research is required before these findings can be translated with efficacy and safety to fertility clinics.
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Affiliation(s)
- Nuria Hernández
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Marta López-Morató
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Mario J Perianes
- Department of Cell Biology, University of Extremadura, Badajoz, Spain
| | - Soledad Sánchez-Mateos
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Vanessa Casas-Rua
- Department of Cell Biology, University of Extremadura, Badajoz, Spain
| | | | | | - Ignacio S Álvarez
- Department of Cell Biology, University of Extremadura, Badajoz, Spain
- Instituto Extremeño de Reproducción Asistida-Quirónsalud, Badajoz, Spain
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8
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Marinaro F, Macías-García B, Sánchez-Margallo FM, Blázquez R, Álvarez V, Matilla E, Hernández N, Gómez-Serrano M, Jorge I, Vázquez J, González-Fernández L, Pericuesta E, Gutiérrez-Adán A, Casado JG. Extracellular vesicles derived from endometrial human mesenchymal stem cells enhance embryo yield and quality in an aged murine model†. Biol Reprod 2020; 100:1180-1192. [PMID: 30596891 DOI: 10.1093/biolre/ioy263] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [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: 07/31/2018] [Revised: 10/22/2018] [Accepted: 12/26/2018] [Indexed: 12/21/2022] Open
Abstract
Advanced age is a risk factor undermining women's fertility. Hence, the optimization of assisted reproduction techniques is an interdisciplinary challenge that requires the improvement of in vitro culture systems. Here, we hypothesize that supplementation of embryo culture medium with extracellular vesicles from endometrial-derived mesenchymal stem cells (EV-endMSCs) may have a positive impact on the embryo competence of aged oocytes. In this work, 24 weeks old B6D2 female mice were used as egg donors and in vitro fertilization assays were performed using males from the same strain (8-12 weeks); the presumptive zygotes were incubated in the presence of 0, 10, 20, 40, or 80 μg/ml of EV-endMSCs. The results from the proteomic analysis of EV-endMSCs and the classification by Reactome pathways allowed us to identify proteins closely related with the fertilization process. Moreover, in our aged murine model, the supplementation of the embryo culture medium with EV-endMSCs improved the developmental competence of the embryos as well as the total blastomere count. Finally, gene expression analysis of murine blastocysts showed significant changes on core genes related to cellular response to oxidative stress, metabolism, placentation, and trophectoderm/inner cell mass formation. In summary, we demonstrate that EV-endMSCs increase the quality of the embryos, and according to proteomic and genomic analysis, presumably by modulating the expression of antioxidant enzymes and promoting pluripotent activity. Therefore, EV-endMSCs could be a valuable tool in human assisted reproduction improving the developmental competence of aged oocytes and increasing the odds of implantation and subsequent delivery.
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Affiliation(s)
- Federica Marinaro
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre (JUMISC), Cáceres, Spain
| | - Beatriz Macías-García
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Francisco Miguel Sánchez-Margallo
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre (JUMISC), Cáceres, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Rebeca Blázquez
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre (JUMISC), Cáceres, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - Verónica Álvarez
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre (JUMISC), Cáceres, Spain
| | - Elvira Matilla
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Nuria Hernández
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - María Gómez-Serrano
- CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.,Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Inmaculada Jorge
- CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.,Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Jesús Vázquez
- CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain.,Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Lauro González-Fernández
- Research Group of Intracellular Signaling and Technology of Reproduction (SINTREP), Institute of Biotechnology in Agriculture and Livestock (INBIO G+C), University of Extremadura, Cáceres, Spain
| | | | | | - Javier G Casado
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre (JUMISC), Cáceres, Spain.,CIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
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9
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Gracia AU, López-Morató M, Mijares J, Sánchez-Mateos S, Sánchez-Margallo FM, Álvarez IS, Hernández N. Histological cut of a paraffin-embedded blastocyst: Optimized protocol for murine blastocysts. MethodsX 2019; 7:100767. [PMID: 33457212 PMCID: PMC7794613 DOI: 10.1016/j.mex.2019.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 12/09/2019] [Indexed: 11/29/2022] Open
Abstract
Paraffin-embedded tissues have been used for research and therapeutic applications for decades, as they represent a valuable tool in histology and for molecular analysis, as well as being a way to preserve tissue samples for long periods at a low cost. For tissues such as the liver, lungs, kidney, heart or brain, there are many protocols available, already optimized. The purpose of this work is to optimize and simplify the protocols already available to take a single blastocyst from a mouse, fix it and embed it into a paraffin block without using gelatin, to then perform histological cuts using a microtome, with no need of sophisticated equipment or trained personnel. •The protocol presented here preserves well the morphology of the blastocyst.•Paraffin-embedded sections of the sample can be used for studies such as in situ hybridization, immunohistochemistry, enzyme histochemistry, DNA, RNA or protein extractions, analysis of biomarkers, characterization of surface markers of stem cells integrated into the embryo, to prepare histological material for educational purposes, etc.•Some of these studies could represent a valuable source of new information for the field of reproductive biology.
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Affiliation(s)
| | | | - José Mijares
- Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | | | | | | | - Nuria Hernández
- Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
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10
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Hernández N, González-González V, Dzul-Bautista I, Ornelas-Soto N, Barandiarán J, Gutierrez J. Electrospun poly(vinylidene fluoride-trifluoroethylene) based flexible magnetoelectric nanofibers. Eur Polym J 2018. [DOI: 10.1016/j.eurpolymj.2018.09.045] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Marinaro F, Pericuesta E, Sánchez-Margallo FM, Casado JG, Álvarez V, Matilla E, Hernández N, Blázquez R, González-Fernández L, Gutiérrez-Adán A, Macías-García B. Extracellular vesicles derived from endometrial human mesenchymal stem cells improve IVF outcome in an aged murine model. Reprod Domest Anim 2018; 53 Suppl 2:46-49. [PMID: 30238659 DOI: 10.1111/rda.13314] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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: 05/15/2018] [Revised: 08/09/2018] [Accepted: 08/10/2018] [Indexed: 01/25/2023]
Abstract
Advanced age reduces the success of in vitro fertilization (IVF) being this effect partly mediated by an overproduction of reactive oxygen species (ROS) that trigger apoptosis. It has been demonstrated that extracellular vesicles derived from endometrial mesenchymal stem cells (EV-endMSCs) exert an antioxidant effect and can be used as IVF coadjutants. In this work, endMSCs were isolated from human menstrual blood (n = 4) and characterized according to multipotentiality and surface marker expression prior EV-endMSCs isolation. Oocytes were obtained from 21 B6D2 mice (24 weeks) and coincubated with sperm from young males (8-12 weeks). Presumptive zygotes were incubated in the presence of 0, 10, 20, 40 or 80 μg/ml of EV-endMSCs in KSOM medium. Blastocyst yield was evaluated, and 25 blastocysts per group were used for qPCR. Blastocyst rate was 29.4% in control; 45.2% for 10 μg/ml, 62.9% for 20 μg/ml, 55.5% for 40 μg/ml and 53.8% in the 80 μg/ml (n = 124-130 oocytes) being all the increases significantly different when compared against control (p < 0.05). The 20-80 μg/ml treatments decreased the expression of glutathione peroxidase (Gpx1), and the 10-40 μg/ml treatments reduced the expression of superoxide dismutase (Sod1; p < 0.05) compared to control; Bax mRNA expression did not vary. Our results suggest that the increased developmental competence of the embryos could be partly mediated by the EV-endMSCs' ROS scavenger activity.
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Affiliation(s)
- Federica Marinaro
- Jesús Usón Minimally Invasive Surgery Centre (CCMIJU), Cáceres, Spain
| | | | | | - Javier G Casado
- Jesús Usón Minimally Invasive Surgery Centre (CCMIJU), Cáceres, Spain.,CIBER de Enfermedades Cardiovasculares, Madrid, Spain
| | - Verónica Álvarez
- Jesús Usón Minimally Invasive Surgery Centre (CCMIJU), Cáceres, Spain
| | - Elvira Matilla
- Jesús Usón Minimally Invasive Surgery Centre (CCMIJU), Cáceres, Spain
| | - Nuria Hernández
- Jesús Usón Minimally Invasive Surgery Centre (CCMIJU), Cáceres, Spain
| | - Rebeca Blázquez
- Jesús Usón Minimally Invasive Surgery Centre (CCMIJU), Cáceres, Spain.,CIBER de Enfermedades Cardiovasculares, Madrid, Spain
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12
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Blázquez R, Sánchez-Margallo FM, Álvarez V, Matilla E, Hernández N, Marinaro F, Gómez-Serrano M, Jorge I, Casado JG, Macías-García B. Murine embryos exposed to human endometrial MSCs-derived extracellular vesicles exhibit higher VEGF/PDGF AA release, increased blastomere count and hatching rates. PLoS One 2018; 13:e0196080. [PMID: 29684038 PMCID: PMC5912768 DOI: 10.1371/journal.pone.0196080] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Accepted: 04/05/2018] [Indexed: 01/08/2023] Open
Abstract
Endometrial Mesenchymal Stromal Cells (endMSCs) are multipotent cells with immunomodulatory and pro-regenerative activity which is mainly mediated by a paracrine effect. The exosomes released by MSCs have become a promising therapeutic tool for the treatment of immune-mediated diseases. More specifically, extracellular vesicles derived from endMSCs (EV-endMSCs) have demonstrated a cardioprotective effect through the release of anti-apoptotic and pro-angiogenic factors. Here we hypothesize that EV-endMSCs may be used as a co-adjuvant to improve in vitro fertilization outcomes and embryo quality. Firstly, endMSCs and EV-endMSCs were isolated and phenotypically characterized for in vitro assays. Then, in vitro studies were performed on murine embryos co-cultured with EV-endMSCs at different concentrations. Our results firstly demonstrated a significant increase on the total blastomere count of expanded murine blastocysts. Moreover, EV-endMSCs triggered the release of pro-angiogenic molecules from embryos demonstrating an EV-endMSCs concentration-dependent increase of VEGF and PDGF-AA. The release of VEGF and PDGF-AA by the embryos may indicate that the beneficial effect of EV-endMSCs could be mediating not only an increase in the blastocyst’s total cell number, but also may promote endometrial angiogenesis, vascularization, differentiation and tissue remodeling. In summary, these results could be relevant for assisted reproduction being the first report describing the beneficial effect of human EV-endMSCs on embryo development.
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Affiliation(s)
- Rebeca Blázquez
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
- CIBER de Enfermedades Cardiovasculares, Madrid, Spain
| | - Francisco Miguel Sánchez-Margallo
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
- CIBER de Enfermedades Cardiovasculares, Madrid, Spain
| | - Verónica Álvarez
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Elvira Matilla
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Nuria Hernández
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - Federica Marinaro
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | | | - Inmaculada Jorge
- CIBER de Enfermedades Cardiovasculares, Madrid, Spain
- Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Javier G. Casado
- Stem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
- CIBER de Enfermedades Cardiovasculares, Madrid, Spain
- * E-mail:
| | - Beatriz Macías-García
- Assisted Reproduction Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
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13
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Viñas M, Pineda F, Izquierdo-Domínguez A, Castillo M, Castillo MJ, Hernández N, Delavalle B, Barrena J, Ibero M. Allergy To Limanda aspera (Yellowfin Sole): Report of a Case of Food Allergy in a Child. J Investig Allergol Clin Immunol 2018; 28:137-138. [PMID: 29661744 DOI: 10.18176/jiaci.0222] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- M Viñas
- Servei d'Al·lèrgia, Consorci Sanitari de Terrassa, Barcelona, Spain
| | - F Pineda
- Dpto. Aplicaciones, Laboratorio Diater, Madrid, Spain
| | | | - M Castillo
- Dpto. Aplicaciones, Laboratorio Diater, Madrid, Spain
| | - M J Castillo
- Servei d'Al·lèrgia, Consorci Sanitari de Terrassa, Barcelona, Spain
| | - N Hernández
- Servei d'Al·lèrgia, Consorci Sanitari de Terrassa, Barcelona, Spain
| | - B Delavalle
- Servei d'Al·lèrgia, Consorci Sanitari de Terrassa, Barcelona, Spain
| | - J Barrena
- Servei d'Al·lèrgia, Consorci Sanitari de Terrassa, Barcelona, Spain
| | - M Ibero
- Servei d'Al·lèrgia, Consorci Sanitari de Terrassa, Barcelona, Spain
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14
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Macías-García B, González-Fernández L, Matilla E, Hernández N, Mijares J, Sánchez-Margallo FM. Oocyte holding in the Iberian red deer (Cervus elaphus hispanicus): Effect of initial oocyte quality and epidermal growth factor addition on in vitro maturation. Reprod Domest Anim 2017; 53:243-248. [PMID: 29110393 DOI: 10.1111/rda.13099] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 07/25/2017] [Accepted: 09/19/2017] [Indexed: 11/29/2022]
Abstract
Current in vitro embryo production protocols in the Iberian red deer (Cervus elaphus hispanicus) need to be optimized; oocyte harvesting in situ followed by overnight holding could reduce the human effort and shipping costs. In our work, post-mortem ovaries were retrieved, and the oocytes were harvested and allocated to G1 group (good quality) or G2 + G3 group (low quality). The oocytes were separately subjected to immediate in vitro maturation (IVM) or held overnight in a holding medium composed of 40% of TCM 199 with Earle's salts, 40% TCM 199 with Hanks' salts and 20% fetal bovine serum (FBS), at room temperature (16 hr). In vitro maturation was carried out in a basal medium supplemented or not with 50 ng/ml of epidermal growth factor (EGF). Our data showed that addition of EGF to the maturation medium increases the percentage of G1 oocytes reaching metaphase II (3.9% vs. 50%, basal vs. EGF; p < .001) and decreased their degeneration rate (69.9% vs. 22.2%, basal vs. EGF; p < .01) when oocytes were immediately matured. Overnight holding increased the meiotic competence of G1 oocytes (37.5% matured in basal medium) and EGF increased prophase arrest in G2 + G3 oocytes (16.1% vs. 38.8% in germinal vesicle [GV] stage in basal medium vs. EGF added medium; p < .05). Our data demonstrate that oocyte holding can be used in Iberian red deer oocytes. Interestingly, EGF addition increases the oocytes' meiotic competence in immediately matured oocytes but not after oocyte holding depending upon initial oocyte quality.
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Affiliation(s)
- B Macías-García
- Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - L González-Fernández
- Research Group of Intracellular Signalling and Technology of Reproduction (SINTREP), Institute of Biotechnology in Agriculture and Livestock (INBIO G+C), University of Extremadura, Cáceres, Spain
| | - E Matilla
- Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - N Hernández
- Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
| | - J Mijares
- Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain
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15
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Viñas M, Pineda F, Izquierdo-Domínguez A, Castillo M, Castillo M, Hernández N, Ibero M. Occupational allergy to Spagulax® (Plantago ovata seed). Eur Ann Allergy Clin Immunol 2017; 49:281-283. [DOI: 10.23822/eurannaci.1764-1489.21] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- M. Viñas
- Servicio de Alergia del Consorci Sanitari de Terrassa, Barcelona, Spain
| | - F. Pineda
- Departamento de Aplicaciones, Laboratorio Diater, Madrid, Spain
| | | | - M. Castillo
- Departamento de Aplicaciones, Laboratorio Diater, Madrid, Spain
| | - M.J. Castillo
- Servicio de Alergia del Consorci Sanitari de Terrassa, Barcelona, Spain
| | - N. Hernández
- Servicio de Alergia del Consorci Sanitari de Terrassa, Barcelona, Spain
| | - M. Ibero
- Servicio de Alergia del Consorci Sanitari de Terrassa, Barcelona, Spain
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16
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González-Neves G, Gil G, Favre G, Baldi C, Hernández N, Traverso S. Influence of Winemaking Procedure and Grape Variety on the Colour and Composition of Young Red Wines. S AFR J ENOL VITIC 2016. [DOI: 10.21548/34-1-1089] [Citation(s) in RCA: 3] [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: 11/06/2022] Open
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17
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Hernández N, Martínez-González JC, Parra-Bracamonte GM, Sifuentes-Rincón AM, López-Villalobos N, Morris ST, Briones-Encinia F, Ortega-Rivas E, Pacheco-Contreras VI, L A Meza-García A. Association of polymorphisms in growth hormone and leptin candidate genes with live weight traits of Brahman cattle. Genet Mol Res 2016; 15:gmr8449. [PMID: 27706683 DOI: 10.4238/gmr.15038449] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Polymorphisms in candidate genes can produce significant and favorable changes in the phenotype, and therefore are useful for the identification of the best combination of favorable variants for marker-assisted selection. In the present study, an assessment to evaluate the effect of 11 single nucleotide polymorphisms (SNPs) in candidate genes on live weight traits of registered Brahman cattle was performed. Data from purebred bulls were used in this assessment. The dataset included birth (BW), weaning (WW), and yearling (YW) weights. A panel of 11 SNP markers, selected by their formerly reported or apparent direct and indirect association with live weight traits, was included in an assessment previously confirming their minimum allele frequency (<0.05). Live weights were adjusted BW (aBW), WW (aWW), and YW (aYW) using a generalized linear model, which included the fixed effects of herd and season of birth and the random effect of the sire and year of birth. An SNP in a growth hormone gene (GH4.1) was significantly related to aWW (P = 0.035) with an estimate substitution effect of 3.97 kg (P = 0.0210). In addition, a leptin SNP (LEPg.978) was significantly associated with aYW (P = 0.003) with an estimate substitution effect of 9.57 kg (P = 0.0007). The results suggest that markers GH4.1 and LEPg.978 can be considered as candidate loci for assisted genetic improvement programs in Mexican Brahman cattle.
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Affiliation(s)
- N Hernández
- Facultad de Ingeniería y Ciencias, Universidad Autónoma de Tamaulipas, Centro Universitario Adolfo López Mateos, Ciudad Victoria, Tamaulipas, México
| | - J C Martínez-González
- Facultad de Ingeniería y Ciencias, Universidad Autónoma de Tamaulipas, Centro Universitario Adolfo López Mateos, Ciudad Victoria, Tamaulipas, México
| | - G M Parra-Bracamonte
- Instituto Politécnico Nacional, Centro de Biotecnología Genómica, Laboratorio de Biotecnología Animal, Reynosa, Tamaulipas, México
| | - A M Sifuentes-Rincón
- Instituto Politécnico Nacional, Centro de Biotecnología Genómica, Laboratorio de Biotecnología Animal, Reynosa, Tamaulipas, México
| | - N López-Villalobos
- Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand.,Centro Universitario UAEM Temascaltepec, Universidad Autónoma del Estado de México, Temascaltepec, Estado de México, México
| | - S T Morris
- Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
| | - F Briones-Encinia
- Facultad de Ingeniería y Ciencias, Universidad Autónoma de Tamaulipas, Centro Universitario Adolfo López Mateos, Ciudad Victoria, Tamaulipas, México
| | - E Ortega-Rivas
- Asociación Mexicana de Criadores de Cebú, Tamaulipas, México
| | - V I Pacheco-Contreras
- Instituto Politécnico Nacional, Centro de Biotecnología Genómica, Laboratorio de Biotecnología Animal, Reynosa, Tamaulipas, México
| | - And L A Meza-García
- Instituto Politécnico Nacional, Centro de Biotecnología Genómica, Laboratorio de Biotecnología Animal, Reynosa, Tamaulipas, México
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18
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Medina-Cáliz I, Robles-Díaz M, Stephens C, González-Jiménez A, Sanabria-Cabrera J, Ortega-Alonso A, García-Cortés M, Mirwani S, Thorpe B, Jiménez-Pérez M, Fernández M, Navarro J, Montané E, Barriocanal A, Prieto M, García-Eliz M, Bessone F, Hernández N, Carrera E, Mengual E, Blanco E, Montes M, Bellido I, García-Muñoz B, Andrade R, Lucena M. Hepatotoxicity related to Herbals and Dietary Supplements (HDS): a cause for concern. Clin Ther 2015. [DOI: 10.1016/j.clinthera.2015.05.351] [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: 11/29/2022]
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19
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Arnáez J, Vega C, García-Alix A, Gutiérrez E, Caserío S, Jiménez M, Castañón L, Esteban I, Hortelano M, Hernández N, Serrano M, Prada T, Diego P, Barbadillo F. Multicenter programme for the integrated care of newborns with perinatal hypoxic-ischaemic insult (ARAHIP). An Pediatr (Barc) 2015. [DOI: 10.1016/j.anpede.2014.05.004] [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: 11/28/2022] Open
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20
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Affiliation(s)
- M. Viñas
- Allergy Unit; Hospital de Terrassa; Barcelona Spain
| | | | - N. Hernández
- Allergy Unit; Hospital de Terrassa; Barcelona Spain
| | - M. Ibero
- Allergy Unit; Hospital de Terrassa; Barcelona Spain
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21
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Hernández N, Alves D, Arroyo M, Basabe N. [From fear of obesity to the obsesion with thinness; attitudes and diet]. NUTR HOSP 2013; 27:1148-55. [PMID: 23165555 DOI: 10.3305/nh.2012.27.4.5829] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2012] [Accepted: 03/27/2012] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE Investigate the relationship between body satisfaction, attitudes toward body and obesity, diet quality and emotional health in a group of university students. The initial hypothesis was that attitudes to thinness and fear of obesity induces weight control behaviours and lower diet quality. METHODS 55 women of 19-25 years. The relationship between body mass index (BMI), diet quality (DQ), restrictive behaviours, eating attitudes (EDI-2, CIMEC) and attitudes toward obesity (AFA) was analyzed. Measures of health (SF-12) and emotional state (PNA) were also collected. RESULTS 10.9% of the sample had a diet classified as "poor", 83.6% "needs improvement" and 5.5% followed a "good" diet. Most of participants were dissatisfied with their weight even when their BMI was located in the normal range. Weight-restrictive behaviors were associated with risk attitudes to eating disorders, but DQ did not discriminate among high and low BMI groups, nor was related to attitudes. The more was the anxiety (negative affect), the more were the body dissatisfaction and pressures on body image. Idealized social image of thinness was linked to the stigmatization of obesity, lower dietary diversity and more restrictive practices. CONCLUSION The results of this pilot study contributes to clarify the relationship between psychological and behavioral indices related to diet in university women students.
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Affiliation(s)
- N Hernández
- Dpto. Psicología Social, Facultad de Farmacia, Universidad del País Vasco (UPV/EHU), Vitoria/Gasteiz, España.
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22
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Medina-Cáliz I, González-Jiménez A, Bessone F, Hernández N, Sánchez A, Di Pace M, Arrese M, Brahm J, Ruíz A, Arancibia J, Kershenobich D, Loaeza A, Girala M, Mendez-Sanchez N, Dávalos M, Lizarzabal M, Mengual E, Stephens C, Robles-Díaz M, Andrade R, Lucena M. PP022—Variations in drug-induced liver injury (DILI) between different prospective dili registries. Clin Ther 2013. [DOI: 10.1016/j.clinthera.2013.07.057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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23
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Hernández N, Borrego L, Soler E, Hernández J. Dermatosis ampollosa inducida por inmunoglobulina A lineal con clínica de síndrome DRESS por sulfasalazina. Actas Dermo-Sifiliográficas 2013. [DOI: 10.1016/j.ad.2011.11.014] [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: 10/28/2022] Open
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24
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Hernández N, Borrego L, Soler E, Hernández J. Sulfasalazine-induced linear immunoglobulin A bullous dermatosis with DRESS. Actas Dermosifiliogr 2013; 104:343-6. [PMID: 23562401 DOI: 10.1016/j.adengl.2011.11.022] [Citation(s) in RCA: 2] [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] [Received: 08/01/2011] [Accepted: 11/13/2011] [Indexed: 10/27/2022] Open
Abstract
Linear immunoglobulin (Ig) A dermatosis is an immune-mediated bullous disease characterized by linear deposits of IgA along the basal membrane. While usually idiopathic, it can occasionally be induced by drug exposure. We report the case of a 60-year-old woman with rheumatoid arthritis being treated with sulfasalazine who developed linear IgA dermatosis and drug rash with eosinophilia and systemic symptoms (DRESS). The dermatosis and associated symptoms resolved following withdrawal of the drug and treatment with systemic corticosteroids for 2 months. This is the first report of sulfasalazine-induced linear IgA dermatosis in association with DRESS and we believe that sulfasalazine should be added to the list of drugs that can cause linear IgA dermatosis.
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Affiliation(s)
- N Hernández
- Servicio de Dermatología, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Las Palmas, Spain.
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25
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Aguirre CJ, Sánchez JC, Hernández N, Aguirre FJ, Torres Andres B. [Prevalence of arterial hypertension in the child population in a rural area]. Aten Primaria 2011; 44:e16-7. [PMID: 22018793 DOI: 10.1016/j.aprim.2011.05.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2011] [Revised: 05/17/2011] [Accepted: 05/24/2011] [Indexed: 10/16/2022] Open
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26
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Hernández N, Ibero M, Ridao M, Artigas R, Viñas M, Castillo MJ. Safety of specific immunotherapy using a depigmented and polymerised extract of Dermatophagoides pteronyssinus in children under five years of age. Allergol Immunopathol (Madr) 2011; 39:267-70. [PMID: 21334128 DOI: 10.1016/j.aller.2010.09.002] [Citation(s) in RCA: 5] [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] [Received: 07/22/2010] [Accepted: 09/01/2010] [Indexed: 11/17/2022]
Abstract
BACKGROUND Different opinion documents point to a patient age of under five years as a relative contraindication to specific immunotherapy, arguing that this age group has a greater risk of developing anaphylaxis, and that specially trained personnel are needed to deal with the problem if it occurs. However, insufficient evidence exists to support such an affirmation. PATIENTS AND METHODS A retrospective follow-up observational study was made of patients aged 60 months or younger who had been subjected to specific immunotherapy. We included 77 children with a diagnosis of extrinsic bronchial asthma (n=68), extrinsic spasmodic cough (n=5) and allergic rhinitis (n=4) confirmed by clinical criteria and prick-test, with specific IgE positivity to Dermatophagoides pteronyssinus. All patients received specific immunotherapy with an extract of depigmented D. pteronyssinus polymerised with glutaraldehyde, involving an initial cluster protocol of two weeks and monthly maintenance doses. All observed adverse reactions were recorded, and classified according to European Academy of Allergy and Clinical Immunology (EAACI) criteria. RESULTS A total of 1837 doses were administered to the 77 patients, with four adverse reactions being observed in three patients. Three reactions (0.16% of the administered doses) were local and immediate, while one was systemic and of grade 2 (0.05% of the administered doses) - consisting of an episode of nocturnal wheezing. CONCLUSIONS Specific immunotherapy in children under five years of age with the extract used is safe. We consider that further studies are needed, involving other types of extracts, to allow reconsideration of the relative contraindication of patient age for the administration of immunotherapy.
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MESH Headings
- Animals
- Antigens, Dermatophagoides/administration & dosage
- Antigens, Dermatophagoides/adverse effects
- Antigens, Dermatophagoides/chemistry
- Asthma/complications
- Asthma/drug therapy
- Asthma/immunology
- Asthma/physiopathology
- Child, Preschool
- Complex Mixtures/administration & dosage
- Complex Mixtures/adverse effects
- Complex Mixtures/chemistry
- Dermatophagoides pteronyssinus
- Desensitization, Immunologic
- Female
- Follow-Up Studies
- Glutaral/chemistry
- Humans
- Immunoglobulin E/immunology
- Infant
- Male
- Pigments, Biological/chemistry
- Pigments, Biological/metabolism
- Polymerization
- Retrospective Studies
- Rhinitis, Allergic, Perennial/complications
- Rhinitis, Allergic, Perennial/drug therapy
- Rhinitis, Allergic, Perennial/immunology
- Rhinitis, Allergic, Perennial/physiopathology
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Affiliation(s)
- N Hernández
- Allergy Unit, Terrassa Hospital, Barcelona (Spain)
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Zapata L, Flores R, Jurado JJ, Hernández N, Altamirano J. Success of medical therapy in a rare case of cecal ameboma. Rev Gastroenterol Mex 2011; 76:55-59. [PMID: 21592907] [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: 05/30/2023]
Abstract
Colitis caused by Entamoeba histolytica (EH) is prevalent in developing countries. Clinical presentation ranges from mild diarrhoea episodes to dysentery and liver abscess. Ameboma, a complication caused by EH invasion of the intestinal wall, is a rare presentation of amebiasis, occurring approximately in 1.5% of cases. Because of its insidious and variable clinical presentation only few cases are diagnosed previous to surgical intervention. We report a 52 years old Mexican-mestizo female, presenting with a pain-less right lower quadrant abdominal mass and diagnosed of cecal ameboma prior to surgery by colonoscopy and histopathologic examination. The present case highlights the importance of early diagnosis and medical therapy with antiparasitic drugs in order to avoid complications that could lead these patients to unnecessary surgical management.
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Affiliation(s)
- L Zapata
- Gastroenterology Unit, Hospital Juárez de México, México City, México
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Hernández N, Codony R, Rafecas M, Boatella J. Contenidos de isómeros trans de los ácidos grasos en productos cárnicos. (I) Embutidos. Grasas y Aceites 2010. [DOI: 10.3989/gya.1991.v42.i2.1262] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Hernández N, Peñate Y, Borrego L. [Scarring alopecia in a black patient]. Actas Dermosifiliogr 2010; 101:85-86. [PMID: 20109397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Affiliation(s)
- N Hernández
- Servicio de Dermatología, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
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Pradenas M, Jara M, Hernández N, Zambrano A, Collins M, Kruze J. Antibody recognition to secreted proteins of Mycobacterium avium subsp. paratuberculosis in sera from infected ruminants. Vet Microbiol 2009; 138:378-83. [DOI: 10.1016/j.vetmic.2009.04.001] [Citation(s) in RCA: 6] [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] [Received: 10/13/2008] [Revised: 03/25/2009] [Accepted: 04/03/2009] [Indexed: 10/20/2022]
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López-Contreras J, Hernández N, Gálvez M, Benito N, Pomar V, Pericas R, Cotura A, Domingo P, Gurguí M. Clinical Characteristics of Permanent Pacemaker and Implantable Defibrillator-Related Endocarditis: An Eleven Years Experience (1996–2006). Int J Infect Dis 2008. [DOI: 10.1016/j.ijid.2008.05.984] [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: 11/29/2022] Open
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35
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Pérez de Isla L, Zamorano J, Hernández N, Contreras L, Rodrigo JL, Almería C, Aubele AL, Mataix L, Macaya C. Prognostic factors and predictors of in-hospital mortality of patients with heart failure with preserved left ventricular ejection fraction. J Cardiovasc Med (Hagerstown) 2008; 9:1011-5. [PMID: 18799963 DOI: 10.2459/jcm.0b013e3282fbca87] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND AND AIM To date, in-hospital mortality predictors of patients with heart failure and depressed left ventricular ejection fraction are well known. Nevertheless, this is not the case of patients suffering from heart failure with preserved left ventricular ejection fraction. Our aim is to describe the incidence and predictors of in-hospital mortality in patients during the first admission due to preserved left ventricular ejection fraction. METHODS Seven hundred and seventy-one consecutive patients with a first admission to hospital due to preserved left ventricular ejection fraction between January 2002 and September 2003 comprised our study group. Cardiovascular risk factors, clinical, electrical and echocardiographic variables were studied. Univariate and multivariate logistic regression analysis was performed to obtain those factors independently associated with in-hospital mortality. RESULTS The mean age was 82.6 +/- 43.6 years (551 women, 66.3%). Variables in both groups were similar except for the history of ischaemic heart disease, dilated cardiomyopathy and the presence of normal sinus rhythm. Multivariate logistic regression analysis showed that a history of ischaemic heart disease, dilated cardiomyopathy and a cardiac rhythm different from normal sinus rhythm are associated with an increased in-hospital mortality. CONCLUSION Patients with preserved left ventricular ejection fraction have high in-hospital mortality during the first admission. A history of ischaemic heart disease, a history of dilated cardiomyopathy and the presence of a cardiac rhythm different from the normal sinus rhythm (atrial fibrillation or flutter or paced rhythm) are independent predictors of in-hospital mortality in these patients. These factors must especially be considered during the admission of such patients.
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Affiliation(s)
- Leopoldo Pérez de Isla
- Cardiovascular Imaging Unit, Cardiovascular Institute, Clinico San Carlos Hospital, Madrid, Spain
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Pérez-Abalo M, Charro L, Hernández M, Hernández N, Galan L. Neurophysiologic and neuro-image methods in the candidacy for cochlear implantation in deaf and deaf blind children. Clin Neurophysiol 2008. [DOI: 10.1016/s1388-2457(08)60516-7] [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] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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37
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Paniagua-Pérez R, Madrigal-Bujaidar E, Reyes-Cadena S, Molina-Jasso D, Pérez Gallaga J, Silva-Miranda A, Velazco O, Hernández N, Chamorro G. Genotoxic and cytotoxic studies of beta-sitosterol and pteropodine in mouse. J Biomed Biotechnol 2008; 2005:242-7. [PMID: 16192682 PMCID: PMC1224701 DOI: 10.1155/jbb.2005.242] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Beta-sitosterol (BS) and pteropodine (PT) are
constituents of various plants with pharmacological activities
potentially useful to man. The chemicals themselves possess
biomedical properties related to the modulation of the immune
and the nervous systems, as well as to the inflammatory
process. Therefore, safety evaluation of the compounds is
necessary in regard to their probable beneficial use in human
health. The present study evaluates their genotoxic and cytotoxic
potential by determining the capacity of the compounds to induce
sister chromatid exchanges (SCE), or to alter cellular
proliferation kinetics (CPK) and the mitotic index (MI) in mouse
bone marrow cells. Besides, it also determines their capacity to
increase the rate of micronucleated polychromatic
erythrocytes (MNPE) in peripheral mouse blood, and the
relationship polychromatic erythrocytes/normochromatic
erythrocytes (PE/NE) as an index of cytotoxicity. For the
first assay, four doses of each compound were tested: 200, 400,
600, and 1000 mg/kg in case of BS, and 100, 200, 300, and
600 mg/kg for PT. The results in regard to both agents showed
no SCE increase induced by any of the tested doses, as well as no
alteration in the CPK, or in the MI. With respect to the second
assay, the results obtained with the two agents were also
negative for both the MNPE and the PE/NE index along the daily
evaluation made for four days. In the present study, the highest
tested dose corresponded to 80% of the LD50 obtained for BS and
to 78% in the case of PT. The results obtained establish that
the studied agents have neither genotoxic nor cytotoxic effect on
the model used, and therefore they encourage studies on their
pharmacological properties.
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Affiliation(s)
- R. Paniagua-Pérez
- Laboratorio de Bioquímica, Centro Nacional de Rehabilitación/Medicina de Rehabilitación, México DF 14389, Mexico
| | - E. Madrigal-Bujaidar
- Laboratorio de Genética, Escuela Nacional de Ciencias Biológicas, IPN, México DF 11340, Mexico
- *E. Madrigal-Bujaidar:
| | - S. Reyes-Cadena
- Laboratorio de Bioquímica, Centro Nacional de Rehabilitación/Medicina de Rehabilitación, México DF 14389, Mexico
| | - D. Molina-Jasso
- Laboratorio de Genética, Escuela Nacional de Ciencias Biológicas, IPN, México DF 11340, Mexico
| | - J. Pérez Gallaga
- Laboratorio de Bioquímica, Centro Nacional de Rehabilitación/Medicina de Rehabilitación, México DF 14389, Mexico
| | - A. Silva-Miranda
- Laboratorio de Bioquímica, Centro Nacional de Rehabilitación/Medicina de Rehabilitación, México DF 14389, Mexico
| | - O. Velazco
- Laboratorio de Bioquímica, Centro Nacional de Rehabilitación/Medicina de Rehabilitación, México DF 14389, Mexico
| | - N. Hernández
- Laboratorio de Bioquímica, Centro Nacional de Rehabilitación/Medicina de Rehabilitación, México DF 14389, Mexico
| | - G. Chamorro
- Laboratorio de Toxicología Preclínica, Escuela Nacional de Ciencias Biológicas, IPN, México DF 11340, Mexico
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Rodríguez A, Villuendas R, Yáñez L, Gómez ME, Díaz R, Pollán M, Hernández N, de la Cueva P, Marín MC, Swat A, Ruiz E, Cuadrado MA, Conde E, Lombardía L, Cifuentes F, Gonzalez M, García-Marco JA, Piris MA. Molecular heterogeneity in chronic lymphocytic leukemia is dependent on BCR signaling: clinical correlation. Leukemia 2007; 21:1984-91. [PMID: 17611561 DOI: 10.1038/sj.leu.2404831] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.8] [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: 11/08/2022]
Abstract
Chronic lymphocytic leukemia (CLL), the most frequent form of adult leukemia in Western countries, is characterized by a highly variable clinical course. Expression profiling of a series of 160 CLL patients allowed interrogating the genes presumably playing a role in pathogenesis, relating the expression of functionally relevant signatures with the time to treatment. First, we identified genes relevant to the biology and prognosis of CLL to build a CLL disease-specific oligonucleotide microarray. Second, we hybridized a training series on the CLL-specific chip, generating a biology-based predictive model. Finally, this model was validated in a new CLL series. Clinical variability in CLL is related with the expression of two gene clusters, associated with B-cell receptor (BCR) signaling and mitogen-activated protein kinase (MAPK) activation, including nuclear factor-kappaB1 (NF-kappaB1). The expression of these clusters identifies three risk-score groups with treatment-free survival probabilities at 5 years of 83, 50 and 17%. This molecular predictor can be applied to early clinical stages of CLL. This signature is related to immunoglobulin variable region somatic hypermutation and surrogate markers. There is a molecular heterogeneity in CLL, dependent on the expression of genes defining BCR and MAPK/NF-kappaB clusters, which can be used to predict time to treatment in early clinical stages.
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MESH Headings
- Adult
- Aged
- Aged, 80 and over
- Gene Expression Profiling
- Gene Expression Regulation, Leukemic
- Genetic Heterogeneity
- Humans
- Kaplan-Meier Estimate
- Leukemia, Lymphocytic, Chronic, B-Cell/genetics
- Leukemia, Lymphocytic, Chronic, B-Cell/metabolism
- Leukemia, Lymphocytic, Chronic, B-Cell/mortality
- MAP Kinase Signaling System/genetics
- Middle Aged
- Multigene Family
- NF-kappa B/metabolism
- Oligonucleotide Array Sequence Analysis
- Predictive Value of Tests
- Prognosis
- Proto-Oncogene Proteins c-bcr/genetics
- Proto-Oncogene Proteins c-bcr/metabolism
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Affiliation(s)
- A Rodríguez
- Molecular Pathology Program, Spanish National Cancer Centre (CNIO), Madrid, Spain
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Roig E, Pérez-Villa F, Cuppoletti A, Castillo M, Hernández N, Morales M, Betriu A. Programa de atención especializada en la insuficiencia cardíaca terminal. Experiencia piloto de una unidad de insuficiencia cardíaca. Rev Esp Cardiol 2006. [DOI: 10.1157/13084637] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Roig E, Pérez-Villa F, Cuppoletti A, Castillo M, Hernández N, Morales M, Betriu A. [Specialized care program for end-stage heart failure patients. Initial experience in a heart failure unit]. Rev Esp Cardiol 2006; 59:109-16. [PMID: 16540031] [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: 05/07/2023]
Abstract
INTRODUCTION AND OBJECTIVES End-stage heart failure is associated with very high morbidity and mortality. Palliative care has been little studied in affected patients. PATIENTS AND METHOD Between January 1998 and December 2004, 61 patients with end-stage heart failure participated in a specialized advanced heart failure care program. The program included patient education on advanced heart failure, with day-care and home-care elements, and involved intravenous drug administration when necessary. RESULTS The mean age of the study population was 64 (13) years (range 32-87 years), with 92% being male. Their mean ejection fraction was 23 (6%), mean systolic blood pressure 100 (16) mm Hg, mean blood sodium level 137 (4) mEq, mean creatinine level 1.7 (0.8) mg/dL, and mean hemoglobin level 12 (2) mg/dL. The number of hospitalizations, number of days in hospital per admission, and number of emergency room visits in the year before inclusion in the specialized heart failure care program were 5.7 (0.5), 53 (5), and 8.3 (1.1), respectively. After inclusion, these figures decreased significantly to 1.9 (0.2) (P=.0001), 19 (3) (P=.0001), and 1.2 (0.2) (P=.0001), respectively. During a mean follow-up period of 11 (10) months, 28 patients died (47%) and 23 (38%) underwent heart transplantation. In addition, use of the program led to a reduction in healthcare costs. CONCLUSIONS Although mortality in end-stage heart failure patients remained very high, use of a specialized advanced heart failure care program decreased the number of hospitalizations, days per hospitalization, and emergency room visits, and reduced the cost of care.
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Affiliation(s)
- Eulàlia Roig
- Institut del Tòrax, Hospital Clínic, IDIBAPS (Institut d'Investigacions Biomèdiques August Pi i Sunyer), Universidad de Barcelona, Barcelona, España.
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Abstract
In chronic obstructive pulmonary disease (COPD) the presence of systemic inflammation has been associated with peripheral muscle abnormalities and weight loss. To study whether inflammatory factors are important in these processes, the present study compared the skeletal muscle levels of nitrite, nitrate, nitrotyrosine, neuronal, endothelial and inducible nitric oxide synthases (nNOS, eNOS, and iNOS, respectively), and inflammatory markers (tumour necrosis factor (TNF)-alpha, CD154 and CD163) in 15 patients (forced expiratory volume in one second 43+/-11%) and 14 controls. All these markers were also compared between patients with normal and low body weight. Nitrite (12.5+/-2.6 versus 17.0+/-3.4 micromol.mg(-1) protein), nitrate (20.7+/-2.4 versus 24.4+/-4.5 micromol.mg(-1) protein) and eNOS (31.9+/-4.6 versus 43.6+/-7.5 ng.mg(-1) protein) were lower in COPD patients than in controls. Nitrotyrosine (25.6+/-5.4 versus 6.6+/-3.3 ng.mg(-1) protein), iNOS expression (32+/-9.5 versus 7.16+/-2.7 ng.mg(-1) protein), TNF-alpha (257+/-160 versus 48.3+/-4.4 pg.mg(-1) protein) and CD163 (6.4+/-2.1 versus 0.8+/-0.4 ng.mg(-1) protein) were higher in COPD patients than in controls. CD154 levels were 15.7+/-7.0 ng.mg(-1) protein in COPD patients and undetectable in controls. Similar levels of all these markers were observed in COPD patients with normal and low body weight. In conclusion, these findings suggest the presence of an inflammatory process in the muscle tissue of chronic obstructive pulmonary disease patients, and argue in favour of its participation in the pathogenesis of skeletal muscle abnormalities.
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Affiliation(s)
- M Montes de Oca
- Hospital Universitario de Caracas, Piso 8 Servicio de Neumonología, Ciudad Universitaria, Caracas, Venezuela.
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Montes de Oca M, Torres S, González Y, Romero E, Hernández N, Tálamo C. Cambios en la tolerancia al ejercicio, calidad de vida relacionada con la salud y características de los músculos periféricos después de 6 semanas de entrenamiento en pacientes con EPOC. Arch Bronconeumol 2005. [DOI: 10.1157/13077951] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Montes de Oca M, Torres SH, González Y, Romero E, Hernández N, Tálamo C. Changes in Exercise Tolerance, Health Related Quality of Life, and Peripheral Muscle Characteristics of Chronic Obstructive Pulmonary Disease Patients After 6 Weeks' Training. ACTA ACUST UNITED AC 2005; 41:413-8. [PMID: 16117945 DOI: 10.1016/s1579-2129(06)60255-3] [Citation(s) in RCA: 3] [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: 10/24/2022]
Abstract
OBJECTIVE This study was designed to assess changes in skeletal muscle characteristics after 6 weeks' high-intensity physical training of patients with moderate to severe chronic obstructive pulmonary disease (COPD) and to determine how the changes were related to improvements in exercise tolerance and health related quality of life (HRQL). PATIENTS AND METHODS Ten patients with a mean (SD) age of 60 (10) years and a forced expiratory volume in 1 second of 32% (9%) were enrolled. The effect of training on the 6-minute walk test, HRQL questionnaires, and skeletal muscles was examined for the 8 patients who completed the program. The structural and chemical characteristics of skeletal muscles before and after training were studied in vastus lateralis muscle biopsies. RESULTS Training significantly modified the 6-minute walk test (P<.01), HRQL (P<.05), and citrate synthetase activity (P<.05). Changes in distances walked during the 6-minute walk test were significantly related to changes in the mean area of fibers (r=0.81). CONCLUSIONS The results of this study indicate that 6 weeks of high-intensity physical training of COPD patients produces moderate changes in skeletal muscles which could partly explain improvements observed in exercise tolerance after respiratory rehabilitation.
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Affiliation(s)
- M Montes de Oca
- Servicio de Neumonología, Hospital Universitario de Caracas, Universidad Central de Venezuela, Venezuela.
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Abstract
An inflammatory process may be involved in nitric oxide production in skeletal muscle of type 2 diabetic patients. Nitric oxide generation in skeletal muscle was assessed in 14 non-complicated type 2 diabetic patients and in 12 healthy subjects. In samples of quadriceps femoris muscle, endothelial nitric oxide synthase (eNOS), inducible nitric oxide synthase (iNOS), nitrite, nitrate and nitrotyrosine were determined. The macrophage-specific antigen CD163, the T-cell membrane factor CD154 and tumour necrosis factor-alpha (TNF-alpha) were also assayed. In six patients, ultrastructural analysis of muscle was performed. Nitrites and nitrates were increased in patients as compared to controls (22.7+/-4.5 and 32.7+/-7.0 vs 16.0+/-2.9 and 22.8+/-4.0 micromol/mg protein; P<0.001, Mann-Whitney U test). Endothelial NOS was similar in diabetic and control subjects (36.4+/-13.8 vs 36.3+/-6.8 ng/mg protein), contrasting with the significant increase of iNOS recorded in patients (34.3+/-13.0 vs 8.5+/-2.8 ng/mg protein, P<0.00002). Nitrotyrosine levels were higher in the patient than in the control group (42.1+/-24.4 vs 10.3+/-2.5 ng/mg protein, P<0.00002), as were CD163 (10-fold) and TNF-alpha (fourfold) levels. Furthermore, CD154 levels were detectable only in the patient samples (10.2+/-5.3 ng/mg protein). By multiple-regression analysis, changes in glycated haemoglobin values could predict 96% variation in nitrotyrosine. Macrophages were present in all muscle samples analysed by electromicroscopy. The increased levels of CD163, CD154 and TNF-alpha indicate that an inflammatory process occurs in skeletal muscle of type 2 diabetic patients. This may contribute to iNOS induction, muscle damage and insulin resistance.
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MESH Headings
- Adult
- Antigens, CD/analysis
- Antigens, Differentiation, Myelomonocytic/analysis
- Case-Control Studies
- Diabetes Mellitus, Type 2/drug therapy
- Diabetes Mellitus, Type 2/immunology
- Diabetes Mellitus, Type 2/metabolism
- Enzyme-Linked Immunosorbent Assay/methods
- Female
- Humans
- Hypoglycemic Agents/therapeutic use
- Inflammation
- Male
- Microscopy, Electron
- Middle Aged
- Muscle, Skeletal/immunology
- Muscle, Skeletal/metabolism
- Muscle, Skeletal/ultrastructure
- Nitric Oxide/metabolism
- Nitric Oxide Synthase/analysis
- Nitric Oxide Synthase Type II
- Nitric Oxide Synthase Type III
- Receptors, Cell Surface/analysis
- Receptors, OX40
- Receptors, Tumor Necrosis Factor/analysis
- Regression Analysis
- Tumor Necrosis Factor-alpha/analysis
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Affiliation(s)
- S H Torres
- Institute of Experimental Medicine, Section of Muscle Adaptation (SEAM), Central University of Venezuela, Caracas, Venezuela.
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Engelen MPKJ, Orozco-Levi M, Deutz NEP, Barreiro E, Hernández N, Wouters EFM, Gea J, Schols AMWJ. Glutathione and glutamate levels in the diaphragm of patients with chronic obstructive pulmonary disease. Eur Respir J 2004; 23:545-51. [PMID: 15083752 DOI: 10.1183/09031936.04.00022204] [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] [Indexed: 11/05/2022]
Abstract
Recently, decreased glutamate (Glu) and reduced glutathione (GSH) levels were reported in the quadriceps femoris of patients with chronic obstructive pulmonary disease (COPD). The aim of the present study was to investigate whether Glu and GSH levels are also modified in the diaphragm of these patients. Nine male COPD patients (forced expiratory volume in one second (FEV1) range 28-68% of the predicted value) and seven male patients with normal pulmonary function (mean +/- SD FEV1 86 +/- 3% pred) submitted to thoracotomy were included. Biopsy specimens were taken from the diaphragm (both groups) and the quadriceps femoris (COPD group alone) in order to assess fibre size, myosin heavy chain expression, GSH levels and amino acid profile. The COPD group was characterised by preserved fibre size, a higher proportion of type I fibres (mean +/- SEM 70 +/- 3 versus 26 +/- 4%), and higher Glu and GSH content in the diaphragm compared to the quadriceps muscle. However, Glu and GSH levels were similar in diaphragm from the COPD and control groups. Glu level correlated with GSH level in both muscles. No significant correlation was found between Glu or GSH level and fibre size or proportions. This study shows that glutamate and reduced glutathione levels are preserved in the diaphragm of chronic obstructive pulmonary disease patients. Alterations in glutamate and reduced glutathione metabolism are muscle-specific in chronic obstructive pulmonary disease, affecting the quadriceps femoris but not the diaphragm. Glutamate and reduced glutathione levels are strongly interrelated in both muscles, independent of fibre type distribution and fibre size.
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Affiliation(s)
- M P K J Engelen
- Dept of Respiratory Medicine, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands.
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Bouyón R, Santana H, Pérez EM, Hernández N, Furrazola G, Abrahantes MC. Development and validation of an enzyme-linked immunosorbent assay (ELISA) for recombinant human gamma interferon. J Immunoassay Immunochem 2003; 24:1-10. [PMID: 12680603 DOI: 10.1081/ias-120018465] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [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: 01/11/2023]
Abstract
A one-site ELISA for the quantification of recombinant human gamma interferon (rh-IFN-gamma) was developed and validated. A single monoclonal antibody (Mab) was used as a "catching" antibody and as a horseradish peroxidase (HRP)-labeled conjugate. Detection limit and quantification limit of this assay were estimated to be 1.26 and 15 ng/mL, respectively, and the coefficient of variation was below 15%. The ELISA was specific for rh-IFN-gamma, showing no cross reactivity to other related molecules in the range of the concentrations studied. The results correlated well with those obtained by a bioassay method. By using this assay, it was demonstrated that 0.01-1% (v/v) Tween 80 protected rh-IFN-gamma during freezing and thawing.
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Affiliation(s)
- R Bouyón
- Center for Genetic Engineering and Biotechnology, Havana, Cuba.
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47
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Hernández N, Orozco-Levi M, Belalcázar V, Pastó M, Minguella J, Broquetas JM, Gea J. Dual morphometrical changes of the deltoid muscle in patients with COPD. Respir Physiol Neurobiol 2003; 134:219-29. [PMID: 12660101 DOI: 10.1016/s1569-9048(03)00015-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The present study was specifically aimed at evaluating if the structure of the deltoid muscles is modified in patients with chronic obstructive pulmonary disease (COPD). Twenty-eight male volunteers (61+/-13 yr) were assigned, according to pulmonary function, to either the COPD (n=14, FEV(1)=22-74%pred) or control group (n=14, FEV(1)=83-121%pred). Biopsies from non-dominant deltoid muscle were obtained and processed for morphometric analysis of the fibre types. Both type I and type II muscle fibres were distributed in the typical mosaic pattern. The mean value of the fibre size was within the normal range. However, three differentiated modes were observed in the deltoid from COPD patients: a central mode of normal sized fibres, a mode of atrophic fibres and a mode of hypertrophic fibres. This observation was evident even within single fascicles and especially prevalent in the most severe COPD patients. We conclude that factors with opposite effect (promotion of either atrophy or hypertrophy) exert relevant roles in the histomorphometrical characteristics of the deltoid muscles in COPD patients.
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Affiliation(s)
- Nuria Hernández
- Grup de Recerca de Pneumologia, URRA Hospital del Mar-IMIM CEXS, Universitat Pompeu Fabra, Barcelona, Spain
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Hernández N, Torres SH, De Sanctis JB, Sosa A. Metabolic changes in DOCA-salt hypertensive rats. Res Commun Mol Pathol Pharmacol 2002; 108:201-11. [PMID: 11913712] [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: 02/24/2023]
Abstract
In a previous report, we observed an altered proportion of fiber types and a reduction of capillary per fiber ratio in extensor digitorus longus (EDL) and soleus (SOL) muscles of deoxicorticosterone acetate (DOCA)-salt hypertensive rats when compared with controls. The aim of the present study was to ascertain various carbohydrate and lipid enzyme activities and substrates that may be involved in the morphological changes reported. In the SOL muscle of hypertensive rats, glucose, glycogen and triglycerides (TG) levels were increased, citrate synthase (CS) and beta-hydroxy-acyl-CoA dehydrogenase (HAD) activities were reduced, while hexokinase (HK) and lipoprotein lipase (LPL), LPL mass, lactate and free fatty acids (FFA) levels were unchanged. In EDL muscles of hypertensive rats, glycogen levels and LPL mass were higher than in controls, while CS, HAD, HK, and LPL activities and glucose, lactate, FFA and TG levels were unmodified. Serum levels of insulin, TG, cholesterol and FFA were increased while glucose levels were decreased and high-density lipoprotein-cholesterol levels were similar in hypertensive rats when compared with controls. In conclusion, hypertensive rats showed increased glycogen in both EDL and SOL muscles, with hyperinsulinemia and reduced glycemia. Hyperinsulinemia might have been a compensatory response to insulin resistance. The oxidative capacity of SOL muscle was reduced indicating that glucose uptake was conduced via non-oxidative metabolism. TG, FFA and cholesterol were increased in serum and TG in SOL muscle.
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Affiliation(s)
- N Hernández
- Institute of Experimental Medicine, Faculty of Medicine, Central University of Venezuela, Caracas.
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Abstract
BACKGROUND The dog is one of the most widely used animals in studies of respiratory physiopathology, mainly because of its physiological characteristics. However, ethical and legal constraints are placed on the use of some species in our context. OBJECTIVE We studied the underlying structural features of respiratory and peripheral muscles in the beagle dog in order to suggest reference values for future studies. METHOD Fourteen young beagles were selected. Samples were taken from the costal diaphragm (DFG), external intercostal (EI) and vastus medialis (VM) muscles. We analyzed fiber percentages and sizes (immunohistochemistry, using myosin heavy chain [MyHC (monoclonal antibodies), percentages and absolute number of MyHC isoforms (electrophoresis and ELISA), and level of membrane damage (immunohistochemistry, using anti-fibronectin monoclonal antibodies). RESULTS In the EI muscle, type I fibers were larger (by 20%) than type II fibers. Fibers resistant to fatigue (type I) predominated greatly over fast contraction fibers (type II) in all three muscles analyzed (DFG 57% 11% vs. 45% 12%; EI 58% 5% vs. 43% 5%; and VM 70% 8% vs. 34% 7 %). Few hybrid fibers (co-expression of fast and slow MyHC) were found and their percentages were similar in all three muscles. The absolute expression of MyHC was greater in the VM than in the respiratory muscles, with a relative predominance of the MyHC I isoform in the DFG and VM muscles and a similar tendency in the EI muscle. Membrane damage was very slight in all three muscles. CONCLUSIONS The phenotype characteristics of respiratory and peripheral muscles in the beagle correspond to what we would expect functionally for a breed initially selected for hunting, with minimal lesions under normal circumstances, a predominance of fibers and proteins that are resistant to fatigue, and larger fibers in the EI, a muscle that plays a role in respiration in dogs.
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Affiliation(s)
- J B Gáldiz
- Servicio de Neumología. Hospital de Cruces. Universidad del País Vasco. Bilbao. Spain
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Hernández N, Torres SH, Vera O, De Sanctis JB, Flores E. Muscle fiber composition and capillarization in relation to metabolic alterations in hypertensive men. J Med 2001; 32:67-82. [PMID: 11321889] [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: 02/19/2023]
Abstract
The aim of this study was to determine if there is a relationship among skeletal muscle fiber composition, capillarization, blood pressure (BP) and/or the components of the metabolic syndrome. Two groups were compared: 8 recently diagnosed, untreated, hypertensive men (BP > or = 140/90) and 7 normotensive men as controls. Muscle biopsies were taken from the vastus lateralis part of quadriceps femoris muscle in order to assess: fiber type proportion, capillarization, hexokinase, citrate synthase, beta-hydroxyacyl CoA dehydrogenase activities; lipoprotein lipase mass and activity, free fatty acids and triglycerides. Serum levels of insulin, glucose, cholesterol, uric acid and triglycerides were also assayed. Hypertensive patients had higher insulin levels and insulin resistance [homeostasis model assessment (HOMA)], a decreased hexokinase activity and an increase of muscle lipoprotein lipase mass as compared to controls. Interestingly, correlations among values differ in each group. The percentage of type IIB fibers was related to diastolic BP (blood pressure) in control and to mean BP in hypertensive subjects. Serum cholesterol and glucose were inversely related to the percentage of type I fibers in the control subjects. Negative correlations between capillarization and glucose, cholesterol and uric acid levels were found in control subjects. In all subjects, a strong correlation was found between SBP (systolic BP) and DBP (diastolic BP), and insulin resistance (IR) and uric acid levels. Muscle fiber type proportion and capillarization were related to blood pressure and components of the metabolic syndrome.
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Affiliation(s)
- N Hernández
- Instituto de Medicina Experimental, Apdo. 50587, Sabana Grande, Caracas 1050, Venezuela.
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