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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] [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.
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Lopez-Pousa A, Leon X, Camacho M, Vila L, Quer M, Lopez M, Garcia J, De Vega JM, Farre N, Gallego O, Quintana MJ, Arqueros C, Anguera G, Condori D, Sullivan I. Expression of the CXCL12/CXCR4 chemokine axis as predictor of regional control in head and neck squamous cell carcinoma (HNSCC). J Clin Oncol 2015. [DOI: 10.1200/jco.2015.33.15_suppl.e17093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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78
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Camacho M, Piñeiro Z, Alcolea S, García J, Balart J, Terra X, Avilés-Jurado FX, Soler M, Quer M, León X, Vila L. Prostacyclin-synthase expression in head and neck carcinoma patients and its prognostic value in the response to radiotherapy. J Pathol 2014; 235:125-35. [DOI: 10.1002/path.4453] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Revised: 09/04/2014] [Accepted: 09/23/2014] [Indexed: 01/09/2023]
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79
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Dilmé JF, Bellmunt S, Camacho M, Solà-Villà D, Romero JM, Escudero JR, Vila L. Influence of Cardiovascular Risk Factors on Levels of Matrix Metalloproteinases 2 and 9 in Human Abdominal Aortic Aneurysms. J Vasc Surg 2014. [DOI: 10.1016/j.jvs.2014.08.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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80
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Dilmé JF, Bellmunt S, Camacho M, Solà-Villà D, Romero JM, Escudero JR, Vila L. Influence of cardiovascular risk factors on levels of matrix metalloproteinases 2 and 9 in human abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 2014; 48:374-81. [PMID: 24980077 DOI: 10.1016/j.ejvs.2014.05.023] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 05/27/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To evaluate the influence of cardiovascular risk factors on levels of matrix metalloproteinases (MMP) 2 and 9 in human abdominal aortic aneurysms (AAA). METHODS Aortic samples were collected from patients who underwent AAA repair (n = 89). Patients were stratified according to the maximum transverse aorta diameter: small diameter (<55 mm), moderate diameter (55-69.9 mm) and large diameter (≥70 mm). Aortic walls were studied using real-time PCR and immunohistochemistry. MMP-2, MMP-9, α-actin, CD45, and CD68 transcript levels were determined relative to β-actin. Quantitative data were expressed as median (IQ-range). RESULTS No differences were found in MMP-2 expression between the patient groups, which was mainly associated with vascular smooth muscle cells (VSMC); however, MMP-9 displayed the maximum level in the moderate-diameter group, associated with infiltrating macrophages. Current smoking (CS) and renal insufficiency (RI) significantly increased local levels of MMP-2 (CS 349.5 [219.5-414.1] vs. no-CS 184.4 [100.0-320.5]; p < .008; RI 286.8 [189.6-410.8] vs. no-RI 177.3 [99.3-326.9]; p = .047). Nevertheless, after stepwise linear regression analysis only CS remained as an independent variable predicting local levels of MMP-2 (p = .002). No risk factors influenced local levels of MMP-9. CONCLUSIONS The results show that local levels of MMP-2, an important factor for AAA development, were increased in current smoking AAA patients. MMP-2 was mainly associated with VSMC. It is suggested that MMP-2 could contribute significantly to the increased AAA growth rate observed in current smoking patients. These findings support inclusion of smokers in screening for aneurysmal disease, and emphasize the need for more aggressive monitoring of aneurysmal disease outside the surgical range in patients who smoke at the time of diagnosis and in those who continue to smoke during follow-up.
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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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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82
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Pérez-Romero L, Arroyo F, Santamaría C, Camacho M, Daza A. Comparative fruit quality parameters of ‘Ninfa’ apricot ( Prunus armeniacaL.) grafted on two different rootstocks in a newly established organic orchard. ACTA ALIMENTARIA 2014. [DOI: 10.1556/aalim.43.2014.2.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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83
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Lopez-Pousa A, Leon X, Camacho M, Vila L, SULLIVAN IVANAGABRIELA, Lopez M, Garcia J, Anguera G, Arqueros C, Condori D, De Vega JM, Farre N, Gallego Rubio O, Craven J, Quer M, Barnadas A. Expression of interleukin-1α (IL1-α) and risk of distant metastases (DM) in head and neck squamous cell carcinoma (HNSCC). J Clin Oncol 2014. [DOI: 10.1200/jco.2014.32.15_suppl.6078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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84
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Ardehali A, Esmailian F, Deng M, Soltesz E, Hsich E, Naka Y, Mancini D, Camacho M, Baran D, Zucker M, Leprince P, Madsen J, Tsui S, Simon A, Livi U, Guzzi G, Kobashigawa J. The Proceed II International Heart Transplant Trial with the Organ Care System (OCS™) Technology. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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85
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Takayama H, Kai M, Camacho M, Kalesan B, Jorde U, Truby L, Baran D, Zucker M, Sun B. Contemporary Outcome of Mechanical Circulatory Support Therapy: Analysis of Multicenter Registry, RESCUE. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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86
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Luzardo OP, Ruiz-Suarez N, Valeron PF, Camacho M, Zumbado M, Henriquez-Hernandez LA, Boada LD. Methodology for the Identification of 117 Pesticides Commonly Involved in the Poisoning of Wildlife Using GC-MS-MS and LC-MS-MS. J Anal Toxicol 2014; 38:155-63. [DOI: 10.1093/jat/bku009] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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87
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Camacho M, Orós J, Boada LD, Zaccaroni A, Silvi M, Formigaro C, López P, Zumbado M, Luzardo OP. Potential adverse effects of inorganic pollutants on clinical parameters of loggerhead sea turtles (Caretta caretta): results from a nesting colony from Cape Verde, West Africa. MARINE ENVIRONMENTAL RESEARCH 2013; 92:15-22. [PMID: 23998796 DOI: 10.1016/j.marenvres.2013.08.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2013] [Revised: 07/26/2013] [Accepted: 08/02/2013] [Indexed: 06/02/2023]
Abstract
A large number of nesting loggerhead sea turtles (n = 201) were sampled to establish the blood levels of 11 elements (Cu, Mn, Pb, Zn, Cd, Ni, Cr, As, Al, Hg, and Se). Almost all of the samples showed detectable levels of these 11 elements, and Zn and Se exhibited the highest concentrations (median values as high as 6.05 and 2.28 μg/g, respectively). The median concentrations of the most toxic compounds, As, Cd, Pb, and Hg, were relatively low (0.38, 0.24, 0.06, and 0.03 μg/g, respectively). We also determined the haematological and biochemical parameters in a subsample of 50 turtles to evaluate the potential effects of these contaminants on clinical parameters and found several associations. Our study reinforces the usefulness of blood for the monitoring of the levels of contaminating elements and their adverse effects on blood parameters in sea turtles.
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Gao Y, Lee K, Camacho M. Utility of pelvic ultrasound following negative abdominal and pelvic CT in the emergency room. Clin Radiol 2013; 68:e586-92. [DOI: 10.1016/j.crad.2013.05.101] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2013] [Revised: 05/21/2013] [Accepted: 05/24/2013] [Indexed: 11/15/2022]
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89
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Camacho M, Dilmé J, Solà-Villà D, Rodríguez C, Bellmunt S, Siguero L, Alcolea S, Romero JM, Escudero JR, Martínez-González J, Vila L. Microvascular COX-2/mPGES-1/EP-4 axis in human abdominal aortic aneurysm. J Lipid Res 2013; 54:3506-15. [PMID: 24133193 DOI: 10.1194/jlr.m042481] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
We investigated the prostaglandin (PG)E2 pathway in human abdominal aortic aneurysm (AAA) and its relationship with hypervascularization. We analyzed samples from patients undergoing AAA repair in comparison with those from healthy multiorgan donors. Patients were stratified according to maximum aortic diameter: low diameter (LD) (<55 mm), moderate diameter (MD) (55-69.9 mm), and high diameter (HD) (≥70 mm). AAA was characterized by abundant microvessels in the media and adventitia with perivascular infiltration of CD45-positive cells. Like endothelial cell markers, cyclooxygenase (COX)-2 and the microsomal isoform of prostaglandin E synthase (mPGES-1) transcripts were increased in AAA (4.4- and 1.4-fold, respectively). Both enzymes were localized in vascular cells and leukocytes, with maximal expression in the LD group, whereas leukocyte markers display a maximum in the MD group, suggesting that the upregulation of COX-2/mPGES-1 precedes maximal leukocyte infiltration. Plasma and in vitro tissue secreted levels of PGE2 metabolites were higher in AAA than in controls (plasma-controls, 19.9 ± 2.2; plasma-AAA, 38.8 ± 5.5 pg/ml; secretion-normal aorta, 16.5 ± 6.4; secretion-AAA, 72.9 ± 6.4 pg/mg; mean ± SEM). E-prostanoid receptor (EP)-2 and EP-4 were overexpressed in AAA, EP-4 being the only EP substantially expressed and colocalized with mPGES-1 in the microvasculature. Additionally, EP-4 mediated PGE2-induced angiogenesis in vitro. We provide new data concerning mPGES-1 expression in human AAA. Our findings suggest the potential relevance of the COX-2/mPGES-1/EP-4 axis in the AAA-associated hypervascularization.
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Iglesias E, Camacho M, Delgado I, Lirola M, Bernabeu J, Neth O. AB1143 Successful control of churg-strauss syndrome with omalizumab. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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91
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Bou R, García de Vicuña C, Calvo I, Nuñez E, Bravo B, Camacho M, Bustabad S, Rúa M, Solís P, Calvo C, Hernandez V, Carmona L, Antόn J. AB1192 Epidemiology of juvenile idiopathic artritis-associated uveitis in spain: Results from a national registry. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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92
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Iglesias E, Camacho M, Hurtado A, Gomez C, Falcon L, Obando I, Neth O. AB1142 Severe life-threatening septic sacroiliitis in two otherwise healthy adolescents. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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93
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Deng M, Soltesz E, Hsich E, Naka Y, Mancini D, Esmailian F, Kobashigawa J, Camacho M, Baran D, Madsen J, LePrince P, Ardehali A. Ex-Vivo Perfusion of Human Donor Hearts Reduces Cold Ischemia Time. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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94
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Feldman D, Naka Y, Jorde U, Aaronson K, Bailey S, Murali S, Camacho M, Zucker M, Moazami N, Pagani F. Evaluation of the DuraHeart® Left Ventricular Assist Device for the Treatment of Advanced Heart Failure in Patients Awaiting Heart Transplantation. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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95
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Deng M, Soltesz E, Hsich E, Naka Y, Mancini D, Esmailian F, Kobashigawa J, Camacho M, Baran D, Madsen J, LePrince P, Ardehali A. Is Lactate Level during Warm Perfusion a Predictor for Post Transplant Outcomes? J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.363] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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96
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Baran D, Gidea C, Pieretti J, Guererro-Miranda C, Weiss J, Camacho M, Zucker M. Correlates of Long-Term Survival in the TICTAC Trial. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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97
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Baran D, Vefali H, Costa V, Guerrero-Miranda C, Weiss J, Pieretti J, Gidea C, Camacho M, Zucker M. Incidence of Malignancy on Tacrolimus Monotherapy Versus Combination Therapy: A Report from the TICTAC Trial. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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98
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Moazami N, Pagani F, Feldman D, Naka Y, Bailey S, Camacho M. Hemocompatibility of a Fully Magnetically Levitated Centrifugal LVAD: Results from the DuraHeart Pivotal Trial. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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99
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Orós J, Monagas P, Calabuig P, Luzardo OP, Camacho M. Pansteatitis associated with high levels of polychlorinated biphenyls in a wild loggerhead sea turtle Caretta caretta. DISEASES OF AQUATIC ORGANISMS 2013; 102:237-242. [PMID: 23446973 DOI: 10.3354/dao02550] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We describe the morphologic and toxicological findings in a case of pansteatitis in a stranded loggerhead sea turtle Caretta caretta. At necropsy, a large amount of adipose tissue in the celomic cavity showing very firm, yellow to orange irregular formations was observed. Histological lesions ranged from the infiltration of necrotic fat by scarce multinucleated giant cells and numerous macrophages containing xylene-insoluble lipopigment inclusions to the presence of several granulomas characterized by an irregular central necrotic area consisting of lipopigment surrounded by numerous multinucleated giant cells. Microbiological cultures were negative. Celomic fat was analyzed for PCBs and DDTs, resulting in very high levels of PCB 138, 153, 180 209 (3170, 2830, 980 and 1190 ng g-1, respectively). Although a nutritional cause cannot be ruled out, the high levels of PCBs detected in the celomic fat could have induced lipid peroxidation in adipocytes, resulting in cell damage, deposition of ceroid pigment and inflammatory response. This is the first report of pansteatitis in a wild sea turtle.
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Garcia Lorenzo J, Lopez Vilas M, Viros Porcuna D, Camacho M, Vila L, Leon Vintró X. PO-101: Prognostic Role of MMP-9 Expression in H&N Carcinoma Patients Treated with Radiotherapy or Chemoradiotherapy. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)34720-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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