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Gamez J, Carmona F, Lorenzo-Bosquet C, Cuberas-Borrós G, de Fabregues O, Gamez A. Myasthenia gravis concurrent with Parkinson's disease in a Spanish cohort. Causation or correlation? Neurol Sci 2024:10.1007/s10072-024-07349-3. [PMID: 38300400 DOI: 10.1007/s10072-024-07349-3] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 01/22/2024] [Indexed: 02/02/2024]
Abstract
BACKGROUND Comorbidity between myasthenia gravis (MG) and other autoimmune diseases is well-documented. However, concurrent MG and Parkinson's disease (PD) have rarely been described. This concurrence has mostly been considered coincidental in cases reported to date. MATERIAL/METHODS We characterized patients with concurrent MG and PD within a cohort of 631 MG patients by gender, age, MGFA class, quantitative MG score at diagnosis, UPDRS score at diagnosis, and the DaTSCAN uptake pattern, to determine the frequency and the phenotype of individuals with these two concurrent entities. Meta-analysis of cases in the literature was used for comparison with our series. RESULTS Eighteen cases were identified in which the two diseases were concurrent. The major characteristics of the phenotype are male prevalence, late-onset MG, and frequent initial symptoms of dropped head and oculobulbar involvement. DAT confirmed reduced bilateral uptake in eleven patients and reduced unilateral uptake in the others. CONCLUSIONS To our knowledge, this is the largest reported series of concurrent MG and PD. This concurrence is more common than expected (2.85%). Either MG or PD may appear first. We found no iatrogenic relationship for the order of appearance. The overlapping of symptoms sometimes leads physicians to overlook the second disease, instead viewing it as a deterioration of the first. This study describes patients with well-documented diagnoses of both MG and PD, thus providing further indications of a shared etiology of these two diseases. Prospective studies including genetic, immunological, and environmental analysis are necessary to identify possible common pathogenic mechanisms.
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Affiliation(s)
- Josep Gamez
- Neurology Department, GMA Clinic, Barcelona, Spain.
- European Reference Network On Rare Neuromuscular Diseases (ERN EURO-NMD), Paris, France.
- Autonomous University of Barcelona, Barcelona, Spain.
- GMA Clinic, Avda Diagonal 489, 08029, Barcelona, Spain.
| | - F Carmona
- Department of Genetics, Microbiology and Statistics, University of Barcelona, Barcelona, Spain
| | - C Lorenzo-Bosquet
- Autonomous University of Barcelona, Barcelona, Spain
- Servei de Medicina Nuclear, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - G Cuberas-Borrós
- Institute for Research and Innovation in Life Sciences and Health, Central Catalonia (IRIS-CC), Manresa, Spain
| | - O de Fabregues
- Autonomous University of Barcelona, Barcelona, Spain
- Servei de Medicina Nuclear, Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - A Gamez
- Neuro-Ophtalmology Department, Hospital San Rafael, Barcelona, Spain
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Gamez J, Carmona F, Gamez A, Santos M. Evidence of high compliance and fatigue in mask adherence in two mandates in Barcelona, Spain: a naturalistic observational study. Public Health 2023; 225:63-65. [PMID: 37922587 DOI: 10.1016/j.puhe.2023.09.021] [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] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 09/21/2023] [Accepted: 09/23/2023] [Indexed: 11/07/2023]
Abstract
OBJECTIVE We investigated a possible pandemic fatigue effect, comparing adherence to compulsory mask use outdoors in Barcelona during the fourth and sixth waves of the pandemic. STUDY DESIGN We used naturalistic observation to determine the degree of pedestrians' compliance. METHODS We assessed mask use outdoors in a sample of pedestrians in Barcelona between 28 December 2021 and 9 February 2022 (during the sixth wave in Spain), and compared it with the fourth wave (which was between 5 April 2021 and 29 April 2021). Masks were compulsory in both periods. RESULTS The population studied amounted to 45,116 people (21,246 in the fourth wave and 23,870 in the sixth wave). In the sixth wave, only 67.3% wore a mask correctly, 18.6% did so incorrectly and 14.1% did not wear a mask, while the figures for the fourth wave were 78.2%, 16.3% and 5.5%, respectively (P = 0.001). CONCLUSION Our results suggest that adherence was high in the population studied, but with an evident fatigue effect when the two waves were compared, as the proportion of individuals wearing a mask correctly declined compared to the fourth wave. These results suggest that policymakers need guidance on adopting clear and enforceable guidelines during future mask mandates, assessing advantages and drawbacks in terms of the population's behavior to prevent the fatigue effect.
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Affiliation(s)
- J Gamez
- Department of Medicine, GMA Clinic, Universitat Autònoma de Barcelona, Barcelona, Spain.
| | - F Carmona
- Department of Genetics, Microbiology and Statistics, Universitat de Barcelona, Barcelona, Spain
| | - A Gamez
- Ophtalmology Department, Hospital San Rafael, Barcelona, Spain
| | - M Santos
- Communication and Public Health Informatic Department, Hospital San Rafael, Barcelona, Spain
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Maria BA, Lema L, Luis RD, Lopez-Martin JA, Gomez-Martin C, Adeva Alfonso J, Gravalos Castro C, Riesco Martinez MC, Diaz Serrano A, Muñoz C, Parrilla L, Irene O, Gustavo R, Enguita AB, Gamez A, Cortes-Funes H. Surgical therapy of lung metastases from colorectal carcinoma: A single institution retrospective study. J Clin Oncol 2014. [DOI: 10.1200/jco.2014.32.15_suppl.e14572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | - Laura Lema
- Hospital 12 de Octubre Avda de Córdoba, Madrid, Spain
| | | | | | | | | | | | | | | | - Cesar Muñoz
- Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Lucia Parrilla
- Medical Oncology Service, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Otero Irene
- Hospital 12 de Octubre Avda de Córdoba, Madrid, Spain
| | - Ruiz Gustavo
- Hospital 12 de Octubre Avda de Córdoba, Madrid, Spain
| | | | | | - Hernan Cortes-Funes
- Medical Oncology Department. University Hospital 12 de Octubre, Madrid, Spain
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Ciruelos EM, de Velasco GA, Castañeda C, Rodriguez-Peralto JL, Gamez A, Sepúlveda JM, Cortés-Funes H, Castellano DE, Fresno JA. Abstract P5-10-11: Clinical significance of microRNA expression as a prognostic factor in early N+ breast cancer (BC). Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-p5-10-11] [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] [Indexed: 11/16/2022]
Abstract
Abstract
Background: microRNAs (miRNAs) are small noncoding RNA molecules that post-transcriptionally regulate gene expression. In the present study, we describe miRNA expression in early node-positive BC and identify a 8-miRNA score that could contribute to prognosis assessment.
Methods: First, microarray analysis was performed using RNA samples extracted from primary breast cancer. The expression of miRNAs was analyzed by RT-qPCR using the TaqMan Arrays from Applied Biosystems. After a suitable normalization of the 677 miRNAs analyzed, 123 presented a good correlation between their levels of expression in frozen tissue and paraffin tissue. A supervised analysis was done in order to identify MIR that could predict relapse.
Results: 172 patients with node-positive chemotherapy-treated early BC were included in the present study. The median age at diagnosis was (53.7) years, 128 cases (74.4%) had positive estrogen receptor, and 163 patients (94,7%) received adjuvant chemotherapy. After a median follow up of 8,1 years, 71p (41.2%) relapsed. Supervised analyses identified 8 microRNAs (has miR-30e, miR-30a, miR-21, miR-210, miR-93, miR-150, miR-99b, miR-572) associated with higher risk of relapse (5 year PFS 50% vs 90%, HR 3.75, 95% CI 2.27–6.19) and with estimated overall survival (median not reached, HR 4.51, 95% CI 2.36–8.61). Interestingly, miRNAs defined 2 prognostic groups (high and low risk) regardless of type of adjuvant chemotherapy (with or without anthracyclines) and histological subtype (luminal A, B or triple negative).
Conclusions: This study suggests that miRNA expression could contribute to assess molecular prognosis of breast cancer and identifies clusters of miRNAs that could improve outcome prediction. A validation study in node-negative and triple negative disease is planned.
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P5-10-11.
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Affiliation(s)
- EM Ciruelos
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - GA de Velasco
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - C Castañeda
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - JL Rodriguez-Peralto
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - A Gamez
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - JM Sepúlveda
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - H Cortés-Funes
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - DE Castellano
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
| | - JA Fresno
- Hospital Universitario 12 de Octubre, Madrid, Spain; Instituto de Enfermedades Neoplásicas, Lima, Peru; Hospital Universitario La Paz, Madrid, Spain
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Gamez A, Castillo JC, Bonilla JL, Anguita MP. Infective endocarditis after the Ross procedure. Int J Cardiol 2011; 147:e53-4. [DOI: 10.1016/j.ijcard.2009.01.039] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2009] [Accepted: 01/15/2009] [Indexed: 10/21/2022]
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Boada J, Roig T, Perez X, Gamez A, Bartrons R, Cascante M, Bermúdez J. Cells overexpressing fructose-2,6-bisphosphatase showed enhanced pentose phosphate pathway flux and resistance to oxidative stress. FEBS Lett 2000; 480:261-4. [PMID: 11034341 DOI: 10.1016/s0014-5793(00)01950-5] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Changes in the content of fructose-2,6-bisphosphate, a modulator of glycolytic flux, also affect other metabolic fluxes such as the non-oxidative pentose phosphate pathway. Since this is the main source of precursors for biosynthesis in proliferating cells, PFK-2/FBPase-2 has been proposed as a potential target for neoplastic treatments. Here we provide evidence that cells with a low content of fructose-2,6-bisphosphate have a lower energy status than controls, but they are also less sensitive to oxidative stress. This feature is related to the activation of the oxidative branch of the pentose phosphate pathway and the increased production of NADPH.
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Affiliation(s)
- J Boada
- Departament de Ciències Fisiològiques II, Universitat de Barcelona, L'Hospitalet de Llobregat, Spain
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Catania K, Gamez A, Cukr P. The public image of nurse practitioners. Nurse Pract 2000; 25:79-82. [PMID: 10971937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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Gamez A, Richard D, Gallezot P, Gloaguen F, Faure R, Durand R. Oxygen reduction on well-defined platinum nanoparticles inside recast ionomer. Electrochim Acta 1996. [DOI: 10.1016/0013-4686(95)00305-x] [Citation(s) in RCA: 104] [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: 10/27/2022]
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Affiliation(s)
- A Gamez
- Divisió de Farmacologia, Facultat de Veterinària, Universitat Autònoma de Barcelona, Spain
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Weber C, Feind C, DiBella F, logerfo P, Hardy M, Hriata R, Strong D, Light J, Gamez A, Wilkinson D, Ozzello L, Fenoglio C, Reemtsma K. The role of human parathyroid cryopreservation. Cryobiology 1982. [DOI: 10.1016/0011-2240(82)90249-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
Malignant fibrous histiocytoma is an uncommon soft-tissue sarcoma. Patients with malignant fibrous histiocytoma may present with unusual clinical findings and an apparent association with malignant hematopoietic disease has been reported. We describe a patient in whom a diagnosis of chronic lymphocytic leukemia was made simultaneously with discovery of a large, retroperitoneal malignant fibrous histiocytoma. Following surgical debulking of the tumor, the patient's blood and bone marrow findings returned to normal.
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Friedman AC, Munderloh S, Madewell JE, Gamez A, Nadalo LA. Case report 184: Mycotic aneurysm of the deep femoral artery causing bone resorption and production, simulating a primary bone neoplasm. Skeletal Radiol 1982; 7:289-92. [PMID: 6896098 DOI: 10.1007/bf00361990] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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Weber C, Hirata R, Strong D, Gamez A, Wilkinson D, Pi-Sunyer F, Hardy M, Reemtsma K. Quality control in human islet autotransplantation. Transplant Proc 1980; 12:199-201. [PMID: 6784311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Weber C, Strong D, Hirata R, Collins J, Light J, Nichols J, Press H, Gamez A, Wilkinson D, Budd R, Jones L, Reemtsma K. New approaches to islet salvage: cryopreservation, culture, and perfusion of pancreatic fragments. Transplant Proc 1980; 12:195-8. [PMID: 6784310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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