1
|
Maestroni BM, Skerritt JH, Ferris IG, Ambrus A, Amin R, Bajet N, Dagher S, Genhai Y, Ghanem I, Guo J, Hock B, Jebakumar SRD, Maestroni B, Maqbool U, Matthews W, Merino R, Montoya A, Mukherjee PK, Prapamontol T, Skerritt J, Stanker L, Takyi E, Yücel Ü. Analysis of DDT Residues in Soil by ELISA: An International Interlaboratory Study. J AOAC Int 2019. [DOI: 10.1093/jaoac/84.1.134] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
An international interlaboratory study was conducted to determine the performance of a group of laboratories from developing and developed countries. The study used a commercial microwell ELISA on unknown samples spiked with different levels of DDT. The study design was based on Youden pairs and balanced replicates. Two soils, differing in particle size distributions, organic matter content, and cation-exchange capacities and thought to be DDT-free, were spiked at 5 DDT levels between 0.025 and 2 mg/kg. Nineteen laboratories in 17 countries took part in the collaborative trial; of these, the majority were modestly equipped laboratories in developing countries. Samples were analyzed without filtration or cleanup and using standards of pure DDT in methanol. Data were analyzed for repeatability and reproducibility, and average recoveries at the spike levels were calculated. Mean real recoveries for both soils were similar (103% for soil A and 100% for soil B), with values between 0.1 and 2 mg/kg DDT. Precision estimates were best in the linear working range of the assay (0.1–0.5 mg/kg DDT), with reproducibility relative standard deviations (RSDR) typically averaging about 38 and 46% near the upper and lower detection limits, respectively. Corresponding repeatability relative standard deviation (RSDr) values were 20–36% and 36–57%. Thus, even though much of the trial was performed under developing country conditions, performance statistics were similar to other reported results obtained with ELISAs on small molecules of agricultural importance, such as mycotoxins and pesticide and antibiotic residues.
Collapse
Affiliation(s)
- Britt M Maestroni
- Food and Agriculture Organization of the United Nations/International Atomic Energy Agency, Training and Reference Center for Food and Pesticide Control, Agriculture and Biotechnology Laboratory, A-2444 Seiberdorf, Austria
| | - John H Skerritt
- Australian Centre for International Agricultural Research, GPO Box 1571, Canberra ACT 2601, Australia
| | - Ian G Ferris
- Food and Agriculture Organization of the United Nations/International Atomic Energy Agency, Agriculture and Biotechnology Laboratory, A-2444 Seiberdorf, Austria
| | - Arpad Ambrus
- Food and Agriculture Organization of the United Nations/International Atomic Energy Agency, Agriculture and Biotechnology Laboratory, A-2444 Seiberdorf, Austria
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
2
|
Montes A, Merino R, De los Santos D, Pereyra C, Martínez de la Ossa E. Micronization of vanillin by rapid expansion of supercritical solutions process. J CO2 UTIL 2017. [DOI: 10.1016/j.jcou.2017.07.009] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
|
3
|
Alvarez P, Genre F, Iglesias M, Augustin JJ, Tamayo E, Escolà-Gil JC, Lavín B, Blanco-Vaca F, Merino R, Merino J. Modulation of autoimmune arthritis severity in mice by apolipoprotein E (ApoE) and cholesterol. Clin Exp Immunol 2016; 186:292-303. [PMID: 27571306 DOI: 10.1111/cei.12857] [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] [Accepted: 08/24/2016] [Indexed: 11/28/2022] Open
Abstract
Apolipoprotein E (ApoE) deficiency promoted an exacerbation of autoimmune arthritis in mice by inducing proinflammatory immune responses. In this study we analysed the contribution of hypercholesterolaemia and/or the absence of ApoE anti-inflammatory properties, unrelated to its function in the control of cholesterol metabolism, towards the acceleration of arthritis in these mutant animals. The induction and severity of collagen type II-induced arthritis (CIA) were compared for B10.RIII wild-type (WT), B10.RIII.ApoE+/- , B10.RIII.ApoE-/- and B10.RIII.low-density lipoprotein receptor (LDLR-/- ) mice with different concentrations of circulating ApoE and cholesterol. A 50-70% reduction in serum levels of ApoE was observed in heterozygous B10.RIII.ApoE+/- mice in comparison to B10.RIII.WT, although both strains of mice exhibited similar circulating lipid profiles. This ApoE reduction was associated with an increased CIA severity that remained lower than in homozygous B10.RIII.ApoE-/- mice. An important rise in circulating ApoE concentration was observed in hypercholesterolaemic B10.RIII.LDLR-/- mice fed with a normal chow diet, and both parameters increased further with an atherogenic hypercholesterolaemic diet. However, the severity of CIA in B10.RIII.LDLR-/- mice was similar to that of B10.RIII.WT controls. In conclusion, by comparing the evolution of CIA between several strains of mutant mice with different levels of serum ApoE and cholesterol, our results demonstrate that both hypercholesterolaemia and ApoE regulate the intensity of in-vivo systemic autoimmune responses.
Collapse
Affiliation(s)
- P Alvarez
- Instituto de Biomedicina y Biotecnología de Cantabria, Consejo Superior de Investigaciones Científicas-Universidad de Cantabria-SODERCAN, Santander, Spain
| | - F Genre
- Departamento de Biología Molecular-IDIVAL Universidad de Cantabria, Santander, Spain
| | - M Iglesias
- Departamento de Biología Molecular-IDIVAL Universidad de Cantabria, Santander, Spain
| | - J J Augustin
- Instituto de Biomedicina y Biotecnología de Cantabria, Consejo Superior de Investigaciones Científicas-Universidad de Cantabria-SODERCAN, Santander, Spain.,Departamento de Biología Molecular-IDIVAL Universidad de Cantabria, Santander, Spain
| | - E Tamayo
- Departamento de Biología Molecular-IDIVAL Universidad de Cantabria, Santander, Spain
| | - J C Escolà-Gil
- Institut d'Investigacions Biomèdiques (IIB) Sant Pau, Barcelona, Spain, Departament de Bioquímica i Biologia Molecular, Universitat Autònoma de Barcelona, Barcelona, Spain, CIBER de Diabetes y Enfermedades Metabólicas Asociadas, Barcelona, Spain
| | - B Lavín
- Servicio de Análisis Clínicos, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - F Blanco-Vaca
- Institut d'Investigacions Biomèdiques (IIB) Sant Pau, Barcelona, Spain, Departament de Bioquímica i Biologia Molecular, Universitat Autònoma de Barcelona, Barcelona, Spain, CIBER de Diabetes y Enfermedades Metabólicas Asociadas, Barcelona, Spain
| | - R Merino
- Instituto de Biomedicina y Biotecnología de Cantabria, Consejo Superior de Investigaciones Científicas-Universidad de Cantabria-SODERCAN, Santander, Spain.,Departamento de Biología Molecular-IDIVAL Universidad de Cantabria, Santander, Spain
| | - J Merino
- Departamento de Biología Molecular-IDIVAL Universidad de Cantabria, Santander, Spain
| |
Collapse
|
4
|
Calvo I, Antón J, López Robledillo J, de Inocencio J, Gamir M, Merino R, Lacruz L, Camacho M, Rua M, Bustabad S, Díaz Cordovés-Rego G. Recommendations for the use of methotrexate in patients with juvenile idiopathic arthritis. Anales de Pediatría (English Edition) 2016. [DOI: 10.1016/j.anpede.2015.05.022] [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: 11/24/2022] Open
|
5
|
Ruiz-Ortiz E, Gonzalez-Roca E, Mensa-Vilaro A, Rius J, Plaza S, Anton C, Calvo I, Modesto C, Anton J, Arnal C, Alvarez C, Alvarez-Coca J, Becerra E, Bilbao N, Camacho M, Crespo J, de Diego C, Diez-Garcia LF, Espinosa L, Garcia-Escriva D, de Gracia F, Gonzalez MI, Iglesias E, Izquierdo S, Lastra B, Llobet P, Lopez B, Lopez-Gonzalez V, Martinez R, Martin-Mateos MA, Merino R, Ortega L, Peiro ME, de Soto IP, Perez-Mendez C, Rodriguez-Valverde V, Ribes A, Ruiz A, Sanchez B, Santos JL, Sevilla B, Sotoca J, Vilas J, Villoria A, Yagüe J, Arostegui JI. Clinical and genetic features of Spanish patients with Mevalonate kinase deficiency. Pediatr Rheumatol Online J 2015. [PMCID: PMC4597073 DOI: 10.1186/1546-0096-13-s1-p36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
6
|
Montealegre G, Reinhardt A, Brogan P, Berkun Y, Zlotogorski A, Brown D, Chira P, Gao L, Dare J, Schalm S, Merino R, Chapelle D, Kim H, Judd S, O'Brien M, De Jesus AA, Kim Y, Kost B, Huang Y, Paul S, Brofferio A, Lee CC, Hadigan C, Heller T, Minniti C, Rother K, Goldbach-Mansky R. Preliminary response to Janus kinase inhibition with baricitinib in chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperatures (CANDLE). Pediatr Rheumatol Online J 2015. [PMCID: PMC4597264 DOI: 10.1186/1546-0096-13-s1-o31] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
7
|
Saavedra-Lozano J, Calvo C, Huguet Carol R, Rodrigo C, Núñez E, Pérez C, Merino R, Rojo P, Obando I, Downey F, Colino E, García J, Cilleruelo M, Torner F, García L. Documento de Consenso SEIP-SERPE-SEOP sobre etiopatogenia y diagnóstico de la osteomielitis aguda y artritis séptica no complicadas. An Pediatr (Barc) 2015; 83:216.e1-10. [DOI: 10.1016/j.anpedi.2014.08.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Accepted: 08/18/2014] [Indexed: 10/24/2022] Open
|
8
|
Saavedra-Lozano J, Calvo C, Huguet Carol R, Rodrigo C, Núñez-Cuadros E, Pérez Méndez C, Merino R, Rojo P, Obando I, Downey F, Colino E, García J, Cilleruelo M, Torner F, García L. SEIP-SERPE-SEOP consensus document on aetiopathogenesis and diagnosis of uncomplicated acute osteomyelitis and septic arthritis. Anales de Pediatría (English Edition) 2015. [DOI: 10.1016/j.anpede.2015.07.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
|
9
|
Saavedra-Lozano J, Calvo C, Huguet Carol R, Rodrigo C, Núñez E, Obando I, Rojo P, Merino R, Pérez C, Downey FJ, Colino E, García JJ, Cilleruelo MJ, Torner F, García L. [Response to the letter to the editor from SEOP as regards the SEIP-SERPE-SEOP consensus document on the treatment of uncomplicated acute osteomyelitis and septic arthritis]. An Pediatr (Barc) 2015; 83:224. [PMID: 26318251 DOI: 10.1016/j.anpedi.2015.07.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Accepted: 07/06/2015] [Indexed: 10/23/2022] Open
Affiliation(s)
| | - C Calvo
- Sociedad Española de Infectología Pediátrica (SEIP); Sociedad Española de Reumatología Pediátrica (SERPE)
| | | | - C Rodrigo
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - E Núñez
- Sociedad Española de Infectología Pediátrica (SEIP); Sociedad Española de Reumatología Pediátrica (SERPE)
| | - I Obando
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - P Rojo
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - R Merino
- Sociedad Española de Reumatología Pediátrica (SERPE)
| | - C Pérez
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - F J Downey
- Sociedad Española de Ortopedia Pediátrica (SEOP)
| | - E Colino
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - J J García
- Sociedad Española de Infectología Pediátrica (SEIP)
| | | | - F Torner
- Sociedad Española de Ortopedia Pediátrica (SEOP)
| | - L García
- Sociedad Española de Infectología Pediátrica (SEIP)
| |
Collapse
|
10
|
Calvo I, Antón J, López Robledillo JC, de Inocencio J, Gamir ML, Merino R, Lacruz L, Camacho M, Rua MJ, Bustabad S, Díaz Cordovés-Rego G. [Recommendations for the use of methotrexate in patients with juvenile idiopathic arthritis]. An Pediatr (Barc) 2015; 84:177.e1-8. [PMID: 26077957 DOI: 10.1016/j.anpedi.2015.05.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Revised: 05/04/2015] [Accepted: 05/05/2015] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVES To develop a consensus document of recommendations for the use of methotrexate (MTX) in patients with juvenile idiopathic arthritis (JIA). MATERIAL AND METHOD A group of eleven experts proposed several clinical questions on the use of MTX in patients with JIA. A systematic review was conducted and the evidence and recommendations for each question were extracted. The results were discussed and validated by the experts in a work session to establish the final recommendations. RESULTS MTX is recommended as the first drug for inducing remission in JIA, and its indication should be made according to the clinical category of the patient. Prior to treatment, it is recommended to perform a complete blood count, including white cells, levels of liver enzymes, serum creatinine, and other analytical parameters according to specific risk factors. Treatment should be initiated with a dose of 10-15 mg/m(2)/week. In cases of uveitis or polyarthritis, an initial dose of 15 mg/m(2)/week should be considered. For a better bioavailability and tolerability, it is preferable to administer MTX parenterally if the dose is ≥15 mg/m(2)/week. It is necessary to periodically perform an analytical monitoring of the patient and to assess possible alterations in liver enzymes to make changes if necessary. Combinations with biological agents may be necessary, as well as the concomitant addition of folic or folinic acid. CONCLUSIONS This document describes the main recommendations for the appropriate use of MTX in JIA patients, according to scientific evidence and clinical experience.
Collapse
Affiliation(s)
- I Calvo
- Hospital Universitario y Politécnico La Fe, Valencia, España.
| | - J Antón
- Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España
| | | | | | - M L Gamir
- Hospital Universitario Ramón y Cajal, Madrid, España
| | - R Merino
- Hospital Universitario La Paz, Madrid, España
| | - L Lacruz
- Hospital Son Espases, Palma de Mallorca, España
| | - M Camacho
- Hospital Universitario Virgen del Rocío, Sevilla, España
| | - M J Rua
- Hospital Universitario Cruces, San Vicente de Barakaldo, España
| | - S Bustabad
- Hospital Universitario de Canarias, San Cristóbal de La Laguna , Santa Cruz de Tenerife, España
| | - G Díaz Cordovés-Rego
- Hospital Materno Infantil del Hospital Regional Universitario de Málaga, Málaga, España
| |
Collapse
|
11
|
Saavedra-Lozano J, Calvo C, Huguet Carol R, Rodrigo C, Núñez E, Obando I, Rojo P, Merino R, Pérez C, Downey F, Colino E, García J, Cilleruelo M, Torner F, García L. SEIP–SERPE–SEOP Consensus document on the treatment of uncomplicated acute osteomyelitis and septic arthritis. Anales de Pediatría (English Edition) 2015. [DOI: 10.1016/j.anpede.2014.10.008] [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: 11/24/2022] Open
|
12
|
Saavedra-Lozano J, Calvo C, Huguet Carol R, Rodrigo C, Núñez E, Obando I, Rojo P, Merino R, Pérez C, Downey FJ, Colino E, García JJ, Cilleruelo MJ, Torner F, García L. [SEIP-SERPE-SEOP Consensus document on the treatment of uncomplicated acute osteomyelitis and septic arthritis]. An Pediatr (Barc) 2014; 82:273.e1-273.e10. [PMID: 25444035 DOI: 10.1016/j.anpedi.2014.10.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Accepted: 10/02/2014] [Indexed: 11/30/2022] Open
Abstract
This is a Consensus Document of the Spanish Society of Paediatric Infectious Diseases (Sociedad Española de Infectología Pediatrica), Spanish Society of Paediatric Rheumatology (Sociedad Española de Reumatología Pediátrica) and the Spanish Society of Paediatric Orthopaedics (Sociedad Española de Ortopedia Pediátrica), on the treatment of uncomplicated acute osteomyelitis and septic arthritis. A review is presented on the medical and surgical treatment of acute osteoarticular infection, defined as a process with less than 14 days of symptomatology, uncomplicated and community-acquired. The different possible options are evaluated based on the best available scientific knowledge, and a number of evidence-based recommendations for clinical practice are provided.
Collapse
Affiliation(s)
| | - C Calvo
- Sociedad Española de Infectología Pediátrica (SEIP); Sociedad Española de Reumatología Pediátrica (SERPE)
| | | | - C Rodrigo
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - E Núñez
- Sociedad Española de Infectología Pediátrica (SEIP); Sociedad Española de Reumatología Pediátrica (SERPE)
| | - I Obando
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - P Rojo
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - R Merino
- Sociedad Española de Reumatología Pediátrica (SERPE)
| | - C Pérez
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - F J Downey
- Sociedad Española de Ortopedia Pediátrica (SEOP)
| | - E Colino
- Sociedad Española de Infectología Pediátrica (SEIP)
| | - J J García
- Sociedad Española de Infectología Pediátrica (SEIP)
| | | | - F Torner
- Sociedad Española de Ortopedia Pediátrica (SEOP)
| | - L García
- Sociedad Española de Infectología Pediátrica (SEIP)
| |
Collapse
|
13
|
Rose CD, Pans S, Casteels I, Anton J, Bader-Meunier B, Brissaud P, Cimaz R, Espada G, Fernandez-Martin J, Hachulla E, Harjacek M, Khubchandani R, Mackensen F, Merino R, Naranjo A, Oliveira-Knupp S, Pajot C, Russo R, Thomee C, Vastert S, Wulffraat N, Arostegui JI, Foley KP, Bertin J, Wouters CH. Blau syndrome: cross-sectional data from a multicentre study of clinical, radiological and functional outcomes. Rheumatology (Oxford) 2014; 54:1008-16. [DOI: 10.1093/rheumatology/keu437] [Citation(s) in RCA: 104] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Indexed: 11/12/2022] Open
|
14
|
Murias S, Alcobendas R, Pascual-Salcedo D, Remesal A, Peralta J, Merino R. Anti-adalimumab antibodies in paediatric rheumatology patients: a pilot experience. Rheumatology (Oxford) 2014; 53:2124-6. [DOI: 10.1093/rheumatology/keu305] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
15
|
Calvo Penadés I, Antόn Lόpez J, Bustabad S, Camacho M, De Inocencio J, Gamir M, Graña G, La Cruz L, Lόpez-Robledillo J, Medrano M, Merino R, Modesto C, Nuñez E, Rua M, Torrente V, Vargas C, Carmona L, Loza E. AB0895 Consensus Statement on the Transition Process from Pediatric Care to Adult Care in Patients with Chronic Inflammatory Rheumatic Diseases with Childhood-Onset. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5689] [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: 11/04/2022]
|
16
|
Davì S, Minoia F, Horne AC, Demirkaya E, Ilowite N, Insalaco A, Ioseliani M, Jelusic-Drazic M, Kapovic MA, Kasapcopur O, Kone-Paut I, Lepore L, Li C, Magni-Manzoni S, Maritsi D, Mccurdy D, Merino R, Miettunen P, Ruperto N, Martini A, Cron RQ, Ravelli A. PReS-FINAL-2102: Comparison of sensitivity and specificity of MAS and HLH diagnostic guidelines in 362 children with MAS complicating systemic JIA. Pediatr Rheumatol Online J 2013. [PMCID: PMC4045123 DOI: 10.1186/1546-0096-11-s2-p114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/05/2023] Open
|
17
|
Rose CD, Cimaz R, Thomee C, Khubchandani R, Espada G, Russo R, Harjacek M, Bader-Meunier B, Brissaud P, Wulffraat N, Vastert S, Merino R, Naranjo-Hernandez A, Oliveira-Knupp S, Mackensen F, Arostegui J, Anton J, Fernandez-Martin J, Wouters C. PW03-016 – Blau prospective cohort study: articular outcomes. Pediatr Rheumatol Online J 2013. [PMCID: PMC3952171 DOI: 10.1186/1546-0096-11-s1-a242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
18
|
Rose CD, Cimaz R, Thomee C, Khubchandani R, Espada G, Russo R, Harjacek M, Bader-Meunier B, Brissaud P, Wulffraat N, Vastert S, Merino R, Naranjo-Hernandez A, Knupp SO, Mackenson F, Arostegui J, Lopez JA, Fernandez-Martin J, Wouters C. OR3-002 – Blau Syndrome cohort study: ocular outcome. Pediatr Rheumatol Online J 2013. [PMCID: PMC3953341 DOI: 10.1186/1546-0096-11-s1-a4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
19
|
Lachmann HJ, Minden K, Obici L, Naselli A, Insalaco A, Hentgen V, Merino R, Modesto C, Toplak N, Berendes R, Cimaz R, Jansson A, Martini A, Woo P, Touitou I, Gattorno M. OR10-005 - Treatment responses in TRAPS: Eurofever/ Eurotraps. Pediatr Rheumatol Online J 2013. [PMCID: PMC3952127 DOI: 10.1186/1546-0096-11-s1-a188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
20
|
Nava GM, Merino R, Jarquin R, Ledesma N, Sanchez-Betancourt I, Lucio E, Martinez E, Escorcia M. A rapid test for avian influenza detects swine influenza virus. Vet Rec 2013; 173:424. [PMID: 24114732 DOI: 10.1136/vr.101527] [Citation(s) in RCA: 3] [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: 11/04/2022]
Affiliation(s)
- G M Nava
- Facultad de Quimica, Universidad Autonoma de Queretaro, Queretaro, Mexico
| | | | | | | | | | | | | | | |
Collapse
|
21
|
Lachmann HJ, Papa R, Gerhold K, Obici L, Touitou I, Cantarini L, Frenkel J, Anton J, Kone-Paut I, Cattalini M, Bader-Meunier B, Insalaco A, Hentgen V, Merino R, Modesto C, Toplak N, Berendes R, Ozen S, Cimaz R, Jansson A, Brogan PA, Hawkins PN, Ruperto N, Martini A, Woo P, Gattorno M. The phenotype of TNF receptor-associated autoinflammatory syndrome (TRAPS) at presentation: a series of 158 cases from the Eurofever/EUROTRAPS international registry. Ann Rheum Dis 2013; 73:2160-7. [PMID: 23965844 PMCID: PMC4251160 DOI: 10.1136/annrheumdis-2013-204184] [Citation(s) in RCA: 167] [Impact Index Per Article: 15.2] [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] [Indexed: 12/11/2022]
Abstract
OBJECTIVE To evaluate the genetic findings, demographic features and clinical presentation of tumour necrosis factor receptor-associated autoinflammatory syndrome (TRAPS) in patients from the Eurofever/EUROTRAPS international registry. METHODS A web-based registry collected retrospective data on patients with TNFRSF1A sequence variants and inflammatory symptoms. Participating hospitals included paediatric rheumatology centres and adult centres with a specific interest in autoinflammatory diseases. Cases were independently validated by experts in the disease. RESULTS Complete information on 158 validated patients was available. The most common TNFRSF1A variant was R92Q (34% of cases), followed by T50M (10%). Cysteine residues were disrupted in 27% of cases, accounting for 39% of sequence variants. A family history was present in 19% of patients with R92Q and 64% of those with other variants. The median age at which symptoms began was 4.3 years but 9.1% of patients presented after 30 years of age. Attacks were recurrent in 88% and the commonest features associated with the pathogenic variants were fever (88%), limb pain (85%), abdominal pain (74%), rash (63%) and eye manifestations (45%). Disease associated with R92Q presented slightly later at a median of 5.7 years with significantly less rash or eye signs and more headaches. Children were more likely than adults to present with lymphadenopathy, periorbital oedema and abdominal pains. AA amyloidosis has developed in 16 (10%) patients at a median age of 43 years. CONCLUSIONS In this, the largest reported case series to date, the genetic heterogeneity of TRAPS is accompanied by a variable phenotype at presentation. Patients had a median 70 symptomatic days a year, with fever, limb and abdominal pain and rash the commonest symptoms. Overall, there is little evidence of a significant effect of age or genotype on disease features at presentation.
Collapse
Affiliation(s)
- H J Lachmann
- National Amyloidosis Centre, Royal Free Campus, University College Medical School, London, UK
| | - R Papa
- Pediatria II, Istituto Giannina Gaslini, Genova, Italy
| | - K Gerhold
- Pediatric Pneumology and Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - L Obici
- Biotechnology Research Laboratories, Amyloid Centre, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - I Touitou
- Unit of Autoinflammatory Diseases, CHU Montpellier, UM1, INSERM U844, Montpellier, France
| | - L Cantarini
- Rheumatology Unit, Policlinico le Scotte, University of Siena, Siena, Italy
| | - J Frenkel
- Department of Paediatrics, University Medical Center Utrecht, Utrecht, Netherlands
| | - J Anton
- Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues (Barcelona), Spain
| | - I Kone-Paut
- Centre de référence national des maladies auto-inflammatoires, CEREMAI, rhumatologie pediatrique, CHU Le Kremlin Bicetre (University of Paris SUD, APHP), Le kremlin Bicetre (Paris), France
| | - M Cattalini
- Dipartimento di Pediatria, Unità di Immunologia e Reumatologia Pediatrica, Clinica Pediatrica dell'Università di Brescia, Spedali Civili, Brescia, Italy
| | - B Bader-Meunier
- Unité d'Immunologie, Hématologie et Rhumatologie Pediatrique, Université Paris-Descartes, Hôpital Necker-Enfants Malades, Centre de référence national pour les Arthrites Juveniles, APHP, IHU Imagine, Paris, France
| | - A Insalaco
- Reumatologia, Ospedale Pediatrico Bambin Gesù, Roma, Italy
| | - V Hentgen
- Service de pediatrie generale, Hopital A Mignot, Centre de référence national des maladies auto-inflammatoires, Le Chesnay (Paris), France
| | - R Merino
- Unidad De Reumatologia Pediatrica, Hospital Universitario La Paz, Madrid, Spain
| | - C Modesto
- Reumatologia, Hospital Valle de Hebron, Barcelona, Spain
| | - N Toplak
- Department of Allergology, Rheumatology and Clinical Immunology, University Children's Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - R Berendes
- Kinderkrankenhaus St. Marien, Landshut, Germany
| | - S Ozen
- Department of Pediatric Nephrology and Rheumatology, Hacettepe University, Ankara, Turkey
| | - R Cimaz
- Dept di Pediatria, Ospedale A Meyer, Firenze, Italy
| | - A Jansson
- Rheumatology & Immunology, Dr von Hauner Children's Hospital, Ludwig-Maximilians-University Munich, Munich, Germany
| | - P A Brogan
- Center of Paediatric and Adolescent Rheumatology-UCL, Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, UK
| | - P N Hawkins
- National Amyloidosis Centre, Royal Free Campus, University College Medical School, London, UK
| | - N Ruperto
- Pediatria II, Istituto Giannina Gaslini, Genova, Italy
| | - A Martini
- Istituto Giannina Gaslini, Pediatria II and Università degli Studi di Genova, Genova, Italy
| | - P Woo
- Center of Paediatric and Adolescent Rheumatology-UCL, Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, UK
| | - M Gattorno
- Pediatria II, Istituto Giannina Gaslini, Genova, Italy
| | | |
Collapse
|
22
|
Collado P, Merino R, Genaro G, Bustabad S, Gamir ML, Calvo I, Garcia M, Garrido J. SAT0510 Grey-Scale Ultrasonography with Power Doppler Technique: an Available Tool for the Assessment of Subclinical Joint Inflammatory Activity in Juvenile Idiopathic Arthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2234] [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: 11/03/2022]
|
23
|
Collado P, Gamir ML, Merino R, Modesto C, Monteagudo I, Lopez-Robledillo JC. OP0269 Detection of Synovitis in Clinically Inactive Juvenile Idiopathic Arthritis Patients by Ultrasonography with Power Doppler. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.474] [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: 11/04/2022]
|
24
|
Lachmann H, Touitou I, Obici L, Woo P, Naselli A, Berendes R, Anton J, Modesto C, Quartier P, Merino R, Ozen S, Cimaz R, Meini A, Ruperto N, Gattorno M. OP0107 Clinical features at presentation in a series of 86 patients with genetically confirmed traps and 33 patients with inflammatory symptoms and the r92q variant from the eurofevers/eurotraps registry:. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1790] [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: 11/04/2022]
|
25
|
Murias S, Remesal A, Salido C, Vacas B, Mendez A, Arostegui J, Merino R. AB1195 Our experience with anakinra treatment in a tertiary centre:. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1193] [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: 11/04/2022]
|
26
|
Collado P, Naredo E, Calvo C, Gamir ML, Calvo I, Garcia ML, Merino R, Grana J, Bustabab S, Garrido J. Reduced joint assessment vs comprehensive assessment for ultrasound detection of synovitis in juvenile idiopathic arthritis. Rheumatology (Oxford) 2013; 52:1477-84. [DOI: 10.1093/rheumatology/ket148] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
|
27
|
Murias S, Remesal A, Quiles M, Merino R. Características de los pacientes con cojera en Reumatología. An Pediatr (Barc) 2012; 76:290-3. [DOI: 10.1016/j.anpedi.2011.10.011] [Citation(s) in RCA: 2] [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: 08/10/2011] [Revised: 10/05/2011] [Accepted: 10/27/2011] [Indexed: 01/24/2023] Open
|
28
|
Blanes J, Clará A, Lozano F, Alcalá D, Doiz E, Merino R, González del Castillo J, Barberán J, Zaragoza R, García Sánchez J. Documento de consenso sobre el tratamiento de las infecciones en el pie del diabético. Angiología 2012. [DOI: 10.1016/j.angio.2011.11.001] [Citation(s) in RCA: 4] [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: 11/27/2022]
|
29
|
Benedetti M, Merino R, Kusuda R, Ravanelli M, Cadetti F, dos Santos P, Zanon S, Lucas G. Plasma corticosterone levels in mouse models of pain. Eur J Pain 2011; 16:803-15. [DOI: 10.1002/j.1532-2149.2011.00066.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/27/2011] [Indexed: 01/07/2023]
Affiliation(s)
- M. Benedetti
- Department of Neuroscience and Behaviour; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| | - R. Merino
- Department of Neuroscience and Behaviour; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| | - R. Kusuda
- Department of Physiology; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| | - M.I. Ravanelli
- Department of Physiology; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| | - F. Cadetti
- Department of Neuroscience and Behaviour; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| | - P. dos Santos
- Department of Neuroscience and Behaviour; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| | - S. Zanon
- Department of Physiology; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| | - G. Lucas
- Department of Physiology; Ribeirão Preto School of Medicine; University of São Paulo; Av. Bandeirantes, 3900; Ribeirão Preto; SP; 14049-900; Brazil
| |
Collapse
|
30
|
Murias S, Remesal A, Latorre L, Gomez M, Merino R. Switching to an alternative biological agent in juvenile idiopathic arthritis (II). Pediatr Rheumatol Online J 2011. [PMCID: PMC3194517 DOI: 10.1186/1546-0096-9-s1-p163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
31
|
Merino R, de Inocencio J, García-Consuegra J. Diferenciación de sinovitis transitoria y artritis séptica de cadera con criterios clínicos y ecográficos. An Pediatr (Barc) 2010; 73:189-93. [PMID: 20663722 DOI: 10.1016/j.anpedi.2010.05.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2010] [Revised: 03/26/2010] [Accepted: 05/17/2010] [Indexed: 11/24/2022] Open
|
32
|
Piñana E, Lei SH, Merino R, Melgosa M, De La Vega R, Gonzales-Obeso E, Ramírez E, Borobia A, Carcas A. DRESS-syndrome on sulfasalazine and naproxen treatment for juvenile idiopathic arthritis and reactivation of human herpevirus 6 in an 11-year-old caucasian boy. J Clin Pharm Ther 2010; 35:365-70. [DOI: 10.1111/j.1365-2710.2009.01081.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
33
|
Modesto C, Patiño-García A, Sotillo-Piñeiro E, Merino J, García-Consuegra J, Merino R, Rua MJ, Sierrasesúmaga L, Arnal C. TNF‐α promoter gene polymorphisms in Spanish children with persistent oligoarticular and systemic‐onset juvenile idiopathic arthritis. Scand J Rheumatol 2009; 34:451-4. [PMID: 16393767 DOI: 10.1080/03009740510026652] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To explore the possible association/s of the first reported tumour necrosis factor (TNF-alphaTNF-) alpha promoter gene polymorphisms -308, -238, -376 and -163 (G-->A) with systemic (SoJIA) and oligoarticular subtypes of juvenile idiopathic arthritis (JIA); and to test the association between these polymorphisms and the class I/class II HLA alleles in our population. METHODS The patient group comprised 29 oligoarticular and 26 systemic Caucasian Spanish children with JIA; 68 healthy volunteers from the same ethnic group and geographical region served as controls. HLA alleles were determined using low-resolution polymerase chain reaction (PCR). TNF-alpha promoter gene polymorphisms were screened using PCR denaturing gradient gel electrophoresis (PCR-DGGE), followed, if positive, by restriction fragment length polymorphism (RFLP) analysis for identification. RESULTS No statistical association was found between the four polymorphisms studied and JIA. However, the -308 G-->A polymorphism (TNF A2) tended to be more frequent in patients with SoJIA than in the oligoarticular group. TNF A2 was strongly associated with the extended haplotype A1B8DR3 (p = 0.003), and the tandem polymorphism -238/-376 in the presence of B18 and DR3. CONCLUSION The TNF A2 allele was more frequent in SoJIA than in the oligoarticular group. TNF A2 can help to create a more inflammatory milieu in this JIA subtype, in combination with other polymorphisms involved in regulatory sequences of key molecules in the inflammatory response. The association of the -308 and -238/-376 polymorphisms with specific alleles of the HLA is reconfirmed.
Collapse
Affiliation(s)
- C Modesto
- Rheumatology Department, Hospital Valle de Hebrón, Barcelona, Spain.
| | | | | | | | | | | | | | | | | |
Collapse
|
34
|
Alvarez-Madrid C, Merino R, De Inocencio J, García-Consuegra J. Tarsitis as an initial manifestation of juvenile spondyloarthropathy. Clin Exp Rheumatol 2009; 27:691-694. [PMID: 19772808] [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: 05/28/2023]
Abstract
OBJECTIVE The aim of this study was to determine the frequency of tarsitis as one of the first symptoms of juvenile spondyloarthropathy (JSpA) and to analyze whether patients with tarsitis at onset differ from those without it. METHODS A retrospective chart review was performed, from January 1996 to September 2007, at a paediatric rheumatology unit of a tertiary university hospital. RESULTS Tarsitis was detected in one-third of the children diagnosed with JSpA. They had fever and received antibiotics due to a suspected infection more frequently than those without tarsitis. Inflammatory low back pain was extremely unusual among these patients. CONCLUSION There were some differences between children diagnosed with JSpA initially affected with tarsitis and those without it. Patients with tarsitis as one of the first symptoms were often misdiagnosed as soft tissue infections.
Collapse
Affiliation(s)
- C Alvarez-Madrid
- Paediatric Rheumatology Unit, University Hospital La Paz, Madrid, Spain
| | | | | | | |
Collapse
|
35
|
Torreblanca M, Zallo E, Pinilla E, Euba O, Merino R, Barreiro A, Arroita A, Sánchez N. Evolution of Drug use After Enforcing a Protocol in a Medium Stay Unit. Results Four Years Later. Eur Psychiatry 2009. [DOI: 10.1016/s0924-9338(09)70709-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Aims:Comorbidity between drug misuse and mental disorders affects negatively in the prognosis of psychistric illness, so it’s important to guarantee drug abstinence at least during hospitalization. This is even more significant in a medium stay unit because patients are more serious and resistant to treatment.In February 2003, a multidisciplinary group was formed to evaluate the situation of drug use in a psychiatric hospital and a drug screening protocol was then created.We evaluate if with the protocol, drug use decreases during hospitalization in a medium stay unit in a psychiatric hospital.Methods:We first compared drug use (positive results in urine samples) from 2000 to 2002 (before protocol: urine samples collected when there’s drug misuse suspicion) with the period after the protocol was enforced (from 2003 to 2006). Afterwards, we analyzed if drug use during hospitalization continues decreasing in 2007.In the protocol urine samples are collected when there’s a past misuse history, consumption suspicion, randomly and every time they leave for home.Results:It is proved that drug use decreases during hospitalization since the new protocol came into force. Drug use continues reducing since the enforcement of the drug screening protocol.Conclusion:The introduction and exhaustive completion of a protocol designed to decrease drug misuse in a psychiatric hospitalization unit, provokes a high reduction of drug use, and each year, the reduction of drug misuse is higher. So we think it’s convenient to generalize this kind of measures.
Collapse
|
36
|
Zallo E, Torreblanca M, Arroita A, Euba O, Sánchez N, Barreiro A, Merino R, Pinilla E. Efficacy of a Drug Screening Protocol. Eur Psychiatry 2009. [DOI: 10.1016/s0924-9338(09)70710-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Aims:Comorbidity between drug misuse and mental disorders affects negatively in the prognosis of psychiatric illness, so it’s important to guarantee drug abstinence during hospitalization.The Hospital of Zamudio contains short and medium stay units. Patients are referred to medium stay units when disorders are more serious or the symptoms are resistant to treatment.In February 2003, a multidisciplinary group was formed to evaluate the situation of drug use in a psychiatric hospital and a drug screening protocol was then created.We evaluate if the enforcement of the protocol, has decreased drug use during hospitalization.Methods:It’s compared, retrospectively, drug use (positive results in urine samples) since the screening drug protocol was enforced (2003) to 2007. Urine samples are collected when there’s a past misuse history, consumption suspicion, randomly and every time the patient leave for home. It’s also compared the differences between short and medium stay units.Results:It’s proved that drug use decreases during hospitalization since the new protocol came into force in a medium stay unit. This drug protocol is not useful in a short stay unit.Conclusions:The introduction and completion of this protocol provokes a high reduction of drug use in a medium stay unit. This design seems not to be adequate to short stay units. Probably, collecting urine samples when patients came into a short unit gives false positive results because these patients don’t come from other hospitalization units as in the case of medium stay unit.
Collapse
|
37
|
Sánchez N, Euba O, Merino R, Torreblanca M, Zallo E, Barreiro A, Arroita A, Pinilla E. Differences Between Patients of a Medium Stay Unit Depending on the Derivation Unit. Eur Psychiatry 2009. [DOI: 10.1016/s0924-9338(09)71231-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Aims:The medium stay unit of the hospital of Zamudio is a psychiatric hospitalization unit where serious patients are admitted, specially those with psychotic and affective disorders. The complexity of the pathology extends the average stay of hospitalization with an average of 60 days to improve.There are 2 derivation units from which medium stay takes patients:•Short stay unit from the Hospital of Cruces;•Short stay unit from the Hospital of Zamudio.Methods:It is analyzed, retrospecitvely, the profile of patients in a medium stay unit comparing the derivation unit they come from in 2007.Results and conlusions:There are no statistically significant differences in the number of patients derived from the diverse units.The sociodemographic and administrative profile of the patients is similar in both groups: a single middle aged (between 45-50 years old) that is hospitalized knowlingly (63%). The average stay at hospital is 55 days.Attending to the clinical profile we concluded that patients derived from the Hospital of Zamudio suffer from Bipolar disorder as main diagnosis. The rest of disorders remain similar comparing both units.
Collapse
|
38
|
Perozo F, Merino R, Afonso CL, Villegas P, Calderon N. Biological and phylogenetic characterization of virulent Newcastle disease virus circulating in Mexico. Avian Dis 2008; 52:472-9. [PMID: 18939638 DOI: 10.1637/8276-022908-reg.1] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
In 2002-2003, velogenic Newcastle Disease Virus outbreaks, closely related to the Mexican isolates, were confirmed in the United States (U.S.) in southern California, Arizona, Nevada, and Texas. In this report, virulent NDVs isolated in Mexico between 1998 and 2006 were subjected to biologic characterization, using standard pathogenicity tests, and to phylogenetic analysis. Chicken embryo mean death time (MDT) test results ranged from 39.7 to 61.5 hours, and intracerebral pathogenicity index (ICPI) values were between 1.59 and 1.94, compared to a possible maximum value of 2.0. These isolates showed a dibasic amino acid motif at the fusion protein cleavage site sequence required for host systemic replication. Phylogenetic analysis indicated that the Mexican virulent NDVs belong to the class II, genotype V viruses and can be clearly divided in two groups as follows: isolates from 1998 to 2001 with close epidemiologic relationship with the latest U.S. NDV outbreaks, and phylogenetically distinct viruses, isolated from 2004 to 2006, which showed higher virulence. The assessment of the evolution of viruses from Mexico and other neighboring countries will aid in the U.S surveillance efforts for early detection of highly virulent NDV.
Collapse
Affiliation(s)
- F Perozo
- University of Georgia, Poultry Diagnostic and Research Center, Athens, GA 30602, USA
| | | | | | | | | |
Collapse
|
39
|
Bader-Meunier B, Klein A, Aggarwal A, Merino R, Russo R, Sztajnbok F, Avcin T, Knupp S, Khubchandani R, Ozen S, Cimaz R, Quartier P. 14.2 Causes of early death in juvenile onset systemic lupus erythematosus (JSLE). Pediatr Rheumatol Online J 2008. [PMCID: PMC3334186 DOI: 10.1186/1546-0096-6-s1-s29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|
40
|
Ramos-Barrón A, Piñera-Haces C, Gómez-Alamillo C, Santiuste-Torcida I, Ruiz JC, Buelta-Carrillo L, Merino R, de Francisco ALM, Arias M. Prevention of murine lupus disease in (NZBxNZW)F1 mice by sirolimus treatment. Lupus 2008; 16:775-81. [PMID: 17895299 DOI: 10.1177/0961203307081401] [Citation(s) in RCA: 44] [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: 11/17/2022]
Abstract
Sirolimus is a new immunosuppressive drug used to avoid allograft rejection. The immunosuppressive effect of sirolimus is due to inhibition of the mammalian target of rapamycin, necessary for the proliferation and clonal expansion of activated T-cells. Because T-cells play a central role in the pathogenesis of autoimmune disease developed in (NZBxNZW)F1 mice, we evaluated the therapeutic use of sirolimus in such mice. (NZBxNZW)F1 female mice received 1mg/kg/day of sirolimus from 12 to 37 weeks of age. The development of autoimmune disease was evaluated by measuring the serum levels of auto-antibodies (autoAbs) and their immunoglobulin isotypes, prevalence of glomerulonephritis and mortality rates. Sirolimus directly inhibited production of autoAbs, glomerular deposits of immunoglobulins and development of proteinuria; also the survival of these mice was prolonged. Our results demonstrate the beneficial effects of sirolimus in preventing the development of lupus disease in (NZBxNZW)F1 female mice.
Collapse
Affiliation(s)
- A Ramos-Barrón
- Department of Nephrology, Universitary Hospital Marqués de Valdecilla, Santander, Spain.
| | | | | | | | | | | | | | | | | |
Collapse
|
41
|
Espinosa L, Melgosa M, Peña A, Picazo M, Merino R, Navarro M. 40 Nefropatía lúpica en la infancia. Evolución a largo plazo. An Pediatr (Barc) 2007. [DOI: 10.1016/s1695-4033(07)70758-0] [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: 11/25/2022] Open
|
42
|
Ruperto N, Ravelli A, Castell E, Gerloni V, Haefner R, Malattia C, Kanakoudi-Tsakalidou F, Nielsen S, Bohnsack J, Gibbas D, Rennebohm R, Voygioyka O, Balogh Z, Lepore L, Macejkova E, Wulffraat N, Oliveira S, Russo R, Buoncompagni A, Hilário MO, Alpigiani MG, Passo M, Lovell DJ, Merino R, Martini A, Giannini EH. Cyclosporine A in juvenile idiopathic arthritis. Results of the PRCSG/PRINTO phase IV post marketing surveillance study. Clin Exp Rheumatol 2006; 24:599-605. [PMID: 17181934] [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: 05/13/2023]
Abstract
OBJECTIVE To investigate the clinical use patterns, clinical effect and safety of cyclosporine A (CSA) in juvenile idiopathic arthritis (JIA) in the setting of routine clinical care. METHODS An open-ended, phase IV post marketing surveillance study was conducted among members of the Pediatric Rheumatology Collaborative Study Group (PRCSG) and of the Paediatric Rheumatology International Trials Organisation (PRINTO) to identify patients with polyarticular course JIA who had received CSA during the course of their disease. RESULTS A total of 329 patients, half of whom had systemic JIA, were collected in 21 countries. Data were collected during 1240 routine clinic visits. CSA was started at a mean of 5.8 years after disease onset and was given at a mean dose of 3.4 mg/kg/day. The drug was administered in combination with MTX in 61% and along with prednisone in 65% of the patients who were still receiving CSA. Among patients who were still receiving CSA therapy at the last reported visit, remission was documented in 9% of the patients, whereas in 61% of the patients the disease activity was rated as moderate or severe. The most frequent reason for discontinuation of CSA was insufficient therapeutic effect (61% of the patients); only 10% of the patients stopped CSA because of remission. In 17% of the patients, side effects of therapy was given as the primary reason for discontinuation. CONCLUSION This survey suggests that CSA may have a less favourable efficacy profile than MTX and etanercept, whereas the frequency of side effects may be similar. The exact place of CSA in the treatment of JIA can only be established via controlled clinical trial.
Collapse
Affiliation(s)
- N Ruperto
- IRCCS G. Gaslini, Pediatria II-Reumatologia, PRINTO, Genova, Italy.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
43
|
Navas JM, Merino R, Jiménez B, Rivera J, Abad E, Zanuy S, Carrillo M. Organochlorine compounds in liver and concentrations of vitellogenin and 17beta-estradiol in plasma of sea bass fed with a commercial or with a natural diet. Aquat Toxicol 2005; 75:306-15. [PMID: 16213605 DOI: 10.1016/j.aquatox.2005.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2005] [Revised: 07/29/2005] [Accepted: 07/30/2005] [Indexed: 05/04/2023]
Abstract
Results from previous experiments directed to determine the effect of different nutritional factors or the effect of xenobiotics on hormonal control of reproduction, lead to the hypothesis that hormonal perturbations repeatedly observed in sea bass (Dicentrarchus labrax) broodstock feeding commercial diets could have been caused by the presence of aryl hydrocarbon receptor (AhR) ligands, such as dioxins, furans and polychlorinated biphenyls (PCBs) in the diet. To evaluate this hypothesis, dioxins and related compounds were analysed in liver of female sea bass fed with a commercial or with a natural diet consisting of trash fish (bogue, Boops boops), and concentrations of vitellogenin (VTG) and 17beta-estradiol (E2) were determined in plasma obtained previously in monthly samplings of these animals. As observed in other experiments, females fed with a commercial diet exhibited lower VTG and higher E2 plasma levels than females fed with the natural diet. In liver, sea bass fed with the commercial diet exhibited a profile clearly dominated by high-chlorinated dioxins while in fish fed with the natural diet this profile was dominated by low chlorinated furans. However, typical AhR ligands, such as 2,3,7,8-tetrachlorodibenzo-p-dioxin showed no differences between groups or, as is the case of planar PCBs, showed higher concentrations in the liver of fish fed with the natural diet. These results do not permit to explain the observed hormonal alterations by a possible antiestrogenic effect caused by dioxins and related compounds.
Collapse
Affiliation(s)
- J M Navas
- Department of the Environment, Laboratory for Ecotoxicology, Spanish National Institute for Agriculture and Food Research and Technology (INIA), Ctra. de la Coruña, Km 7, 28040 Madrid, Spain.
| | | | | | | | | | | | | |
Collapse
|
44
|
Zuzarte-Luís V, Montero JA, Rodriguez-León J, Merino R, Rodríguez-Rey JC, Hurlé JM. A new role for BMP5 during limb development acting through the synergic activation of Smad and MAPK pathways. Dev Biol 2004; 272:39-52. [PMID: 15242789 DOI: 10.1016/j.ydbio.2004.04.015] [Citation(s) in RCA: 91] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2004] [Revised: 04/20/2004] [Accepted: 04/20/2004] [Indexed: 11/23/2022]
Abstract
In an attempt to identify new genes implicated in the control of programmed cell death during limb development, we have generated a cDNA library from the regressing interdigital tissue of chicken embryos. We have analyzed 804 sequences from this library and identified 23 genes involved in apoptosis in different models. One of the genes that came up in the screening was the Bone Morphogenetic Protein family member, Bmp5, that has not been previously involved in the control of apoptosis during limb development. In agreement with a possible role in the control of cell death, Bmp5 exhibited a regulated pattern of expression in the interdigital tissue. Transcripts of Bmp5 and BMP5 protein were abundant within the cytoplasm of the fragmenting apoptotic interdigital cells in a way suggesting that delivery of BMPs into the tissue is potentiated during apoptosis. Gain-of-function experiments demonstrated that BMP5 has the same effect as other interdigital BMPs inducing apoptosis in the undifferentiated mesoderm and growth in the prechondrogenic mesenchyme. We have characterized both Smad proteins and MAPK p38 as intracellular effectors for the action of BMPs in the developing limb autopod. Activation of Smad signaling involves the receptor-regulated genes Smad1 and -8, and the inhibitory Smad6, and results in both the upregulation of gene transcription and protein phosphorylation with subsequent nuclear translocation. MAPK p38 is also quickly phosphorylated after BMP stimulation in the limb mesoderm. Treatment with the inhibitor of p38, SB203580, revealed that there are interdigital genes induced by BMPs in a p38-dependent manner (DKK, Snail and FGFr3), and genes induced in a p38-independent manner (BAMBI, Msx2 and Smads). Together, our results suggest that Smad and MAPK pathways act synergistically in the BMP pathway controlling limb development.
Collapse
Affiliation(s)
- V Zuzarte-Luís
- Departamento de Anatomía y Biología Celular, Facultad de Medicina, Universidad de Cantabria, Santander 39011, Spain
| | | | | | | | | | | |
Collapse
|
45
|
Merino R, de Inocencio J, García-Miguel P, García-Consuegra J. Lymphoproliferative disorders in paediatric rheumatic diseases. A report of two cases. Clin Exp Rheumatol 2004; 22:649-50. [PMID: 15485023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
Lymphoproliferative disorders (LPD) are reported with a much lower frequency in children with rheumatic diseases than in their adult counterparts. We describe 2 patients who developed a lymphoma during the course of the disease. The first is a 16-year-old girl diagnosed with systemic juvenile idiopathic arthritis 6 years before who developed a mucosa-associated lymphoid tissue (MALT) lymphoma. The second report involves a boy diagnosed with systemic lupus erythematosus at 9 years of age who developed a Hodgkin's lymphoma 9 years after the disease onset. In spite of the low frequency of LPD in children with rheumatic diseases, these processes do occur.
Collapse
Affiliation(s)
- R Merino
- Paediatric Rheumatology Unit, University Hospital La Paz, Madrid, Spain.
| | | | | | | |
Collapse
|
46
|
Chimal-Monroy J, Rodriguez-Leon J, Montero JA, Gañan Y, Macias D, Merino R, Hurle JM. Analysis of the molecular cascade responsible for mesodermal limb chondrogenesis: Sox genes and BMP signaling. Dev Biol 2003; 257:292-301. [PMID: 12729559 DOI: 10.1016/s0012-1606(03)00066-6] [Citation(s) in RCA: 179] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Here, we have studied how Sox genes and BMP signaling are functionally coupled during limb chondrogenesis. Using the experimental model of TGFbeta1-induced interdigital digits, we dissect the sequence of morphological and molecular events during in vivo chondrogenesis. Our results show that Sox8 and Sox9 are the most precocious markers of limb cartilage, and their induction is independent and precedes the activation of BMP signaling. Sox10 appears also to cooperate with Sox9 and Sox8 in the establishment of the digit cartilages. In addition, we show that experimental induction of Sox gene expression in the interdigital mesoderm is accompanied by loss of the apoptotic response to exogenous BMPs. L-Sox5 and Sox6 are respectively induced coincident and after the expression of Bmpr1b in the prechondrogenic aggregate, and their activation correlates with the induction of Type II Collagen and Aggrecan genes in the differentiating cartilages. The expression of Bmpr1b precedes the appearance of morphological changes in the prechondrogenic aggregate and establishes a landmark from which the maintenance of the expression of all Sox genes and the progress of cartilage differentiation becomes dependent on BMPs. Moreover, we show that Ventroptin precedes Noggin in the modulation of BMP activity in the developing cartilages. In summary, our findings suggest that Sox8, Sox9, and Sox10 have a cooperative function conferring chondrogenic competence to limb mesoderm in response to BMP signals. In turn, BMPs in concert with Sox9, Sox6, and L-Sox5 would be responsible for the execution and maintenance of the cartilage differentiation program.
Collapse
Affiliation(s)
- J Chimal-Monroy
- Departamento de Biología Celular y Fisiología, Instituto de Investigaciones Biomédicas, UNAM, México DF 04510, México
| | | | | | | | | | | | | |
Collapse
|
47
|
Merino R, De Inocencio J, García-Consuegra J. Evaluation of ILAR classification criteria for juvenile idiopathic arthritis in Spanish children. J Rheumatol 2001; 28:2731-6. [PMID: 11764225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To evaluate the proposed International League of Associations for Rheumatology (ILAR) classification criteria for juvenile idiopathic arthritis in a cohort of Spanish children. METHODS One hundred twenty-five patients with chronic arthritis were categorized according to one of the traditional classifications and the proposed ILAR classification system after at least 6 months of disease. The traditional classifications included the European League Against Rheumatism (EULAR) criteria for pauciarticular, polyarticular rheumatoid factor (RF) negative, and systemic juvenile chronic arthritis (JCA), as well as for RF+ polyarthritis; the Vancouver criteria for juvenile psoriatic arthritis (JPsA); and the European Spondylarthropathy Study Group (ESSG) preliminary criteria for juvenile spondyloarthropathy (JSpA). RESULTS The ILAR criteria classified 106/125 patients (84.8%). All patients with systemic and polyarticular JCA, RF+ polyarthritis, and definite juvenile psoriatic arthritis were reclassified in the corresponding ILAR category. In contrast, only 80% of pauciarticular JCA and 47% of JSpA patients could be allocated to the ILAR oligoarthritis (47/59 patients, 35 persistent and 12 extended) and enthesitis related arthritis (ErA. 8/17 patients) categories. Two children with probable PsA were reclassified in the RF- polyarthritis category. Nineteen patients (15.2%) were allocated to the ILAR "other arthritis" group, 13/19 because they did not fulfill criteria for any of the other categories (12 due to family history of psoriasis and one because of family history of HLA-B27 associated disease). The remaining 6 patients met criteria for 2 categories, RF- polyarthritis and either ErA (n = 5) or PsA (n = 1). No differences other than family history of psoriasis were found in any of the variables studied between pauciarticular JCA patients classified in the oligoarthritis (n = 47) and those in the "other arthritis" (n = 11) ILAR categories. CONCLUSION The proposed ILAR criteria allocated 84.8% of the patients classified by traditional criteria. Family history of psoriasis (n = 12) and polyarticular onset of disease in patients with ErA (n = 5) were responsible for most of the exclusions from other ILAR categories.
Collapse
Affiliation(s)
- R Merino
- Unit of Pediatric Rheumatology, University Hospital La Paz, Spain
| | | | | |
Collapse
|
48
|
Ramos MA, Piñera C, Cibrián E, Setién MA, Buelta L, de Cos MA, de Francisco AL, Merino R, Arias M. Effects of mycophenolate mofetil in the development of systemic lupus erythematosus in (NZBxNZW)F1 mice. Transplant Proc 2001; 33:3316-7. [PMID: 11750419 DOI: 10.1016/s0041-1345(01)02408-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- M A Ramos
- Servicio de Nefrologia, Hospital Universitario Marqúes de Valdecilla, Santander, Spain
| | | | | | | | | | | | | | | | | |
Collapse
|
49
|
De Inocencio J, García-Consuegra J, Merino R, Calvo I, García JJ, Ruperto N. The European Spanish version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol 2001; 19:S141-5. [PMID: 11510318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
We report herein the results of the cross-cultural adaptation and validation of 2 health related quality of life instruments into the European Spanish language. The Childhood Health Assessment Questionnaire (CHAQ) is a disease specific health instrument that measures functional ability in daily living activities in children with Juvenile Idiopathic Arthritis (JIA). The Child Health Questionnaire (CHQ) is a generic health instrument designed to capture the physical and psychosocial well-being of children independently from an underlying disease. The Spanish CHQ was fully validated with 3 forward and 3 backward translations, while the Spanish CHAQ, already published, was revalidated. A total of 149 subjects were enrolled: 80 patients with JIA (28% systemic arthritis, 34% polyarthritis, 17% extended oligoarthritis, and 21% persistent oligoarthritis) and 69 healthy children. The CHAQ appropriately distinguished healthy subjects from JIA patients, with those classified in the systemic arthritis, polyarthritis and extended oligoarthritis categories having a higher degree of disability and pain, as well as a lower overall well-being than their healthy peers. The CHQ was also able to discriminate healthy subjects from JIA patients, with those allocated in the systemic arthritis, polyarthritis and extended oligoarthritis categories having a lower physical and psychosocial well-being than their healthy counterparts. In conclusion, the European Spanish version of the CHAQ-CHQ is a reliable and valid tool for the functional, physical and psychosocial assessment of children with JIA.
Collapse
|
50
|
Montero JA, Gañan Y, Macias D, Rodriguez-Leon J, Sanz-Ezquerro JJ, Merino R, Chimal-Monroy J, Nieto MA, Hurle JM. Role of FGFs in the control of programmed cell death during limb development. Development 2001; 128:2075-84. [PMID: 11493529 DOI: 10.1242/dev.128.11.2075] [Citation(s) in RCA: 68] [Impact Index Per Article: 3.0] [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: 11/20/2022]
Abstract
We have investigated the role of FGFs in the control of programmed cell death during limb development by analyzing the effects of increasing and blocking FGF signaling in the avian limb bud. BMPs are currently considered as the signals responsible for cell death. Here we show that FGF signaling is also necessary for apoptosis and that the establishment of the areas of cell death is regulated by the convergence of FGF- and BMP-mediated signaling pathways. As previously demonstrated, cell death is inhibited for short intervals (12 hours) after administration of FGFs. However, this initial inhibition is followed (24 hours) by a dramatic increase in cell death, which can be abolished by treatments with a BMP antagonist (Noggin or Gremlin). Conversely, blockage of FGF signaling by applying a specific FGF-inhibitor (SU5402) into the interdigital regions inhibits both physiological cell death and that mediated by exogenous BMPs. Furthermore, FGF receptors 1, 2 and 3 are expressed in the autopodial mesoderm during the regression of the interdigital tissue, and the expression of FGFR3 in the interdigital regions is regulated by FGFs and BMPs in the same fashion as apopotosis. Together our findings indicate that, in the absence of FGF signaling BMPs are not sufficient to trigger apoptosis in the developing limb. Although we provide evidence for a positive influence of FGFs on BMP gene expression, the physiological implication of FGFs in apoptosis appears to result from their requirement for the expression of genes of the apoptotic cascade. We have identified MSX2 and Snail as candidate genes associated with apoptosis the expression of which requires the combined action of FGFs and BMPs.
Collapse
Affiliation(s)
- J A Montero
- Departamento de Ciencias Morfológicas y Biología Celular y Animal, Universidad de Extremadura, Badajoz 06071, Spain
| | | | | | | | | | | | | | | | | |
Collapse
|