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Nieto-Claudín A, Sacristán C, Deem SL, Lewbart GA, Colosimo G, Esperón F, Sevilla C, Gentile G. Novel herpesvirus in the critically endangered Galapagos pink land iguana. Acta Trop 2024; 252:107127. [PMID: 38316240 DOI: 10.1016/j.actatropica.2024.107127] [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: 10/22/2023] [Revised: 12/14/2023] [Accepted: 01/21/2024] [Indexed: 02/07/2024]
Abstract
Virus surveillance in wildlife is important to understanding ecosystem health, taxonomy, and evolution. Nevertheless, viruses in reptiles, and specifically in squamates, continue to be understudied. Herein, we conducted a health assessment on the critically endangered Galapagos pink land iguana (Conolophus marthae) and the vulnerable Galapagos land iguana (Conolophus subcristatus). We collected oral and/or cloacal swabs from 47 clinically healthy iguanas and tested for adenovirus (cloacal swabs, n = 47) and herpesvirus (oral swabs, n = 45) using broad-spectrum PCRs. Two out of 38 (5.3 %) Galapagos pink land iguanas tested positive for herpesvirus, while no herpesvirus was detected in all Galapagos land iguanas (n = 7). Both herpesviral sequences were identical between them and divergent (61.9 % amino acid identity) when compared to the closest herpesvirus sequences available in GenBank/EMBL/DDBJ. The genetic distance between this and other herpesviruses is consistent with its classification as a novel virus species. All iguanas were negative for adenovirus. This is the first description of a herpesvirus in iguanas of the Galapagos islands, and the first report of a potential pathogen for the iconic Galapagos pink land iguana. Further research is needed to understand the implications of this virus in the conservation and management of one of the most endangered iguana species in the world.
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Affiliation(s)
- Ainoa Nieto-Claudín
- Charles Darwin Foundation. Charles Darwin Avenue, Santa Cruz 200350, Galapagos Islands, Ecuador; Saint Louis Institute for Conservation Medicine, One Government Drive, Saint Louis, MO 63110, United States.
| | - Carlos Sacristán
- Centro de Investigación en Sanidad Animal (CISA-INIA), CSIC, Valdeolmos 28130, Spain.
| | - Sharon L Deem
- Charles Darwin Foundation. Charles Darwin Avenue, Santa Cruz 200350, Galapagos Islands, Ecuador; Saint Louis Institute for Conservation Medicine, One Government Drive, Saint Louis, MO 63110, United States
| | - Gregory A Lewbart
- North Carolina State University, College of Veterinary Medicine, 1060 William Moore Drive, Raleigh, NC 27607, United States; Universidad San Francisco de Quito (USFQ) & UNC-Chapel Hill Galápagos Science Center (GSC), Av. Alsacio Northia, San Cristobal 200150, Galapagos Islands, Ecuador
| | | | - Fernando Esperón
- Veterinary Department, School of Biomedical and Health Sciences, Universidad Europea de Madrid, Villaviciosa de Odón 28670, Spain
| | - Christian Sevilla
- Galapagos National Park Directorate, Santa Cruz 200350, Galapagos Islands, Ecuador
| | - Gabriele Gentile
- Department of Biology, Tor Vergata University, Rome 00133, Italy
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Plunkett E, Negoita L, Sevilla C, Velasco N, Jaramillo Díaz P. Enhancing restoration success of rare plants in an arid-tropical climate through water-saving technologies: a case study of Scalesia affinis ssp. brachyloba in the Galapagos Islands. PeerJ 2023; 11:e16367. [PMID: 38077418 PMCID: PMC10710167 DOI: 10.7717/peerj.16367] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 10/06/2023] [Indexed: 12/18/2023] Open
Abstract
Arid tropical archipelagos, such as the Galapagos Islands, host a high concentration of endemic plant species, many of which require restoration intervention to recover from past environmental degradation. Water-saving technologies (WSTs) have potential for hastening restoration by providing plants with additional water during the early stages of growth. However, it remains unclear whether such technologies provide an advantage for plant species of arid-tropical regions. This study examined the effect of the water-saving technology Groasis Waterboxx® (Groasis) on the rare endemic plant species Scalesia affinis ssp. brachyloba during early stages of restoration. Survival was monitored for 374 individuals planted across six sites on Santa Cruz Island, Galapagos (326 with technology and 48 as controls). Kaplan-Meier survival analysis showed that the use of Groasis reduced mortality during the first two years of the seedling survival. A mixed-effect logistic regression that modelled plant survival as a function of total precipitation, maximum temperature, and WST treatment (Groasis and no-technology control) found that despite low overall survival rates, plants grown with Groasis exhibited a three-fold higher predicted survival by the end of the 3.7 year duration of the study. Finally, through a resampling method, we demonstrate that the effect of the WST treatment is not dependent on the unbalanced design typical of a restoration project framework. We conclude that water-saving technologies such as the Groasis Waterboxx® can enhance survival of rare plant species such as S. affinis ssp. brachyloba in restoration programs in arid-tropical regions.
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Affiliation(s)
- Esme Plunkett
- Charles Darwin Foundation, Puerto Ayora, Galapagos Islands, Ecuador
| | - Luka Negoita
- Charles Darwin Foundation, Puerto Ayora, Galapagos Islands, Ecuador
| | - Christian Sevilla
- Galapagos National Park Directorate, Puerto Ayora, Galapagos Islands, Ecuador
| | - Nicolás Velasco
- Charles Darwin Foundation, Puerto Ayora, Galapagos Islands, Ecuador
- Institute for Evolutionary Life Sciences, University of Groningen, Groningen, Netherlands
| | - Patricia Jaramillo Díaz
- Charles Darwin Foundation, Puerto Ayora, Galapagos Islands, Ecuador
- Department of Botany and Plant Physiology, Universidad de Málaga, Málaga, Spain
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Riegl B, Walentowitz A, Sevilla C, Chango R, Jäger H. Invasive blackberry outcompetes the endemic Galapagos tree daisy Scalesia pedunculata. Ecol Appl 2023; 33:e2846. [PMID: 36932847 DOI: 10.1002/eap.2846] [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] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 03/02/2023] [Accepted: 03/08/2023] [Indexed: 06/02/2023]
Abstract
Island florae are under threat from habitat loss and competition with introduced species worldwide. In the Galapagos Islands, the endemic tree daisy Scalesia pedunculata (Asteraceae) is the dominant tree in the cloud forest of Santa Cruz Island but suffers from competition with the invasive blackberry Rubus niveus. At the site Los Gemelos, a S. pedunculata population was monitored from 2014 to 2021 following mechanical and chemical removal of R. niveus from 17 plots and compared with 17 additional plots where R. niveus remained. The aim of this study was to evaluate the impacts of the R. niveus invasion on S. pedunculata by characterizing the effects of R. niveus removal. Parameters measured in S. pedunculata were diameter at breast height (DBH, from which annual growth rates were determined), total height, survival of individual plants, and recruitment. In the presence of R. niveus, S. pedunculata trees had smaller DBH stems and shorter asymptotic maximum heights, growth rates declined for thin trees, the mortality of larger trees was elevated, and S. pedunculata recruitment was absent. R. niveus removal resulted in DBH-ratios of S. pedunculata more frequently meeting our threshold for fast growth (1.2), trees growing significantly thicker and taller, annual mortality being lower (12.5% vs. 16.2% per year), and recruitment being successful. In the presence of R. niveus, lower survival, growth, and absent recruitment suggested that S. pedunculata could reach quasi-extinction in ~20 years. Swift and decisive management action is needed to prevent the Scalesia forest on Santa Cruz Island from disappearing in less than two decades.
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Affiliation(s)
- Bernhard Riegl
- Department of Marine and Environmental Sciences, Halmos College of Arts and Sciences, Nova Southeastern University, 8000 N. Ocean Drive, Dania, 33004, Hollywood, Florida, USA
| | - Anna Walentowitz
- University of Bayreuth, Biogeography, Universitätsstraße 30, 95440, Bayreuth, Germany
| | | | - Rafael Chango
- Galapagos National Park Directorate, Galapagos, Ecuador
| | - Heinke Jäger
- Charles Darwin Research Station, Charles Darwin Foundation, Santa Cruz, Galapagos, Ecuador
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Pathmanathan K, Mubin M, Sevilla C, Zaman M, Chan R, Hussain M, Brown E, McDevitt G, Khan R, Nandi A, Mukherjee B, Obiechina N. 970 FRAILTY IS INVERSELY CORRELATED WITH SERUM ALBUMIN IN ACUTE HIP FRACTURE. Age Ageing 2022. [DOI: 10.1093/ageing/afac126.027] [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: 11/15/2022] Open
Abstract
Abstract
Introduction
Frailty and sarcopenia have been shown to significantly increase the risk of falls, traumatic hip fractures and all-cause mortality in the elderly. The assessment of frailty using a validated clinical frailty scale such as that proposed by Rockwood et al., therefore, continues to remain an important step in determining post-operative prognosis in patients undergoing hip fracture surgery. The purpose of this study was to examine the relationship between frailty and serum albumin—an independent biochemical predictor of survival in hip fracture patients (1).
Method
This retrospective cross-sectional study analysed 190 patients, aged above 60 years, admitted to Queen’s Hospital Burton (QHB) between the 1st January and 28th December 2019 with a newly diagnosed hip fracture. Pre-operative serum albumin levels (g/L) and Rockwood clinical frailty scores (rCFS) were recorded from electronic medical records (EMR). Using the SPSS 27 statistical package, Pearson’s correlation co-efficient and linear regression analysis were carried out using these variables.
Results
A total of 190 patients were included in the study (57 male, 133 female). Mean patient age was 82.2 ± 8.47 years. More than 50% of patients had a Rockwood CFS ≥5. Mean serum albumin (g/L) was 37.3 ± 6.56. A statistically significant inverse correlation was demonstrated between pre-operative serum albumin levels and Rockwood CFS (r = −0.243, p < 0.001).
Conclusion
This study showed how serum albumin, a negative acute phase reactant and marker of chronic malnutrition, is inversely associated with frailty in hip fracture patients and the important role of Rockwood CFS and pre-operative serum albumin levels in the prognostication of hip fractures in the elderly. References 1) Bohl D, Shen M, Hannon C, Fillingham Y, Darrith B, Della Valle C. Serum Albumin Predicts Survival and Postoperative Course Following Surgery for Geriatric Hip Fracture. Journal of Bone and Joint Surgery. 2017;99(24):2110–2,118.
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Affiliation(s)
- K Pathmanathan
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - M Mubin
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - C Sevilla
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - M Zaman
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - R Chan
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - M Hussain
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - E Brown
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - G McDevitt
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - R Khan
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - A Nandi
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - B Mukherjee
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
| | - N Obiechina
- Department of Elderly Medicine; University Hospitals Derby and Burton NHS Foundation Trust
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Jensen EL, Gaughran SJ, Fusco NA, Poulakakis N, Tapia W, Sevilla C, Málaga J, Mariani C, Gibbs JP, Caccone A. The Galapagos giant tortoise Chelonoidis phantasticus is not extinct. Commun Biol 2022; 5:546. [PMID: 35681083 PMCID: PMC9184544 DOI: 10.1038/s42003-022-03483-w] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 05/11/2022] [Indexed: 11/25/2022] Open
Abstract
The status of the Fernandina Island Galapagos giant tortoise (Chelonoidis phantasticus) has been a mystery, with the species known from a single specimen collected in 1906. The discovery in 2019 of a female tortoise living on the island provided the opportunity to determine if the species lives on. By sequencing the genomes of both individuals and comparing them to all living species of Galapagos giant tortoises, here we show that the two known Fernandina tortoises are from the same lineage and distinct from all others. The whole genome phylogeny groups the Fernandina individuals within a monophyletic group containing all species with a saddleback carapace morphology and one semi-saddleback species. This grouping of the saddleback species is contrary to mitochondrial DNA phylogenies, which place the saddleback species across several clades. These results imply the continued existence of lineage long considered extinct, with a current known population size of a single individual. Based on genomic data, the Galapagos giant tortoise species native to Fernandina Island appears to be alive and well, survived by at least one female after being considered extinct since 1906.
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Affiliation(s)
- Evelyn L Jensen
- School of Natural and Environmental Sciences, Newcastle University, Newcastle Upon Tyne, UK.
| | - Stephen J Gaughran
- Department of Ecology & Evolutionary Biology, Princeton University, Princeton, NJ, USA.,Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA
| | - Nicole A Fusco
- Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA
| | - Nikos Poulakakis
- Department of Biology, School of Sciences and Engineering, University of Crete, Irakleio, Greece.,The Natural History Museum of Crete, School of Sciences and Engineering, University of Crete, Heraklion, Greece.,Institute of Molecular Biology and Biotechnology, Foundation for Research and Technology-Hellas, Heraklion, Greece
| | - Washington Tapia
- Galapagos Conservancy, Fairfax, VA, USA.,University of Málaga, Campus Teatinos, Apdo, 59.29080, Málaga, Spain
| | - Christian Sevilla
- Conservation and Restoration of Insular Ecosystems Department, Galapagos National Park Directorate, Puerto Ayora, Galapagos, Ecuador
| | - Jeffreys Málaga
- Conservation and Restoration of Insular Ecosystems Department, Galapagos National Park Directorate, Puerto Ayora, Galapagos, Ecuador
| | - Carol Mariani
- Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA.,Department of Molecular, Cellular and Developmental Biology, Yale University, New Haven, CT, USA
| | - James P Gibbs
- Galapagos Conservancy, Fairfax, VA, USA.,Department of Environmental Biology, College of Environmental Science and Forestry, State University of New York, Syracuse, NY, USA
| | - Adalgisa Caccone
- Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA
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Walentowitz A, Manthey M, Bentet Preciado MB, Chango R, Sevilla C, Jäger H. Limited natural regeneration of unique Scalesia forest following invasive plant removal in Galapagos. PLoS One 2021; 16:e0258467. [PMID: 34644364 PMCID: PMC8513895 DOI: 10.1371/journal.pone.0258467] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 09/28/2021] [Indexed: 11/28/2022] Open
Abstract
More than 60% of the flora of the Galapagos Islands is introduced and some of these species have become invasive, severely altering ecosystems. An example of an affected ecosystem is the Scalesia forest, originally dominated by the endemic giant daisy tree Scalesia pedunculata (Asteraceae). The remnant patches of this unique forest are increasingly being invaded by introduced plants, mainly by Rubus niveus (blackberry, Rosaceae). To help large-scale restoration of this ecologically important forest, we seek to better understand the natural regeneration of S. pedunculata after invasive plant control. We monitored naturally recruited S. pedunculata saplings and young trees over five years in an area where invasive plant species are continuously being removed by manual means. We measured survival, height and growth of S. pedunculata saplings and young trees along permanent transects. Percent cover of surrounding plant species and of canopy shade directly above each S. pedunculata individual were determined, as well as distance to the next mature S. pedunculata tree. We identified potential factors influencing initial sapling survival and growth by applying generalized linear models. Results showed a rapid growth of saplings and young trees of up to 0.45 cm per day and a high mortality rate, as is typical for pioneer species like S. pedunculata. Sapling survival, growth and mortality seemed to be influenced by light availability, surrounding vegetation and distance to the next adult S. pedunculata tree. We concluded that natural regeneration of S. pedunculata was high only five months after the last herbicide application but that 95% of these recruits had died over the 5-year period. Further studies are needed to corroborate whether the number of surviving trees is sufficient to replace the aging adult trees and this way maintain remnants of the Scalesia forest. Urgent action is needed to help improve future restoration strategies to prevent further degradation of this rapidly shrinking threatened forest ecosystem.
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Affiliation(s)
- Anna Walentowitz
- Department of Biogeography, University of Bayreuth, Bayreuth, Germany
- * E-mail:
| | - Michael Manthey
- Institute of Botany and Landscape Ecology, University of Greifswald, Greifswald, Germany
| | | | - Rafael Chango
- Galapagos National Park Directorate, Galapagos, Ecuador
| | | | - Heinke Jäger
- Charles Darwin Research Station, Charles Darwin Foundation, Santa Cruz, Galapagos, Ecuador
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de León AR, de la Serna JP, Santiago JL, Sevilla C, Fernández-Arquero M, de la Concha EG, Nuñez C, Urcelay E, Vigo AG. Association between idiopathic achalasia and IL23R gene. Neurogastroenterol Motil 2010; 22:734-8, e218. [PMID: 20367798 DOI: 10.1111/j.1365-2982.2010.01497.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND Idiopathic achalasia is a primary esophageal motor disorder of unknown etiology. Different evidences have been reported in support of achalasia as the result of an autoimmune and inflammatory process leading to neuronal cell loss. According to this, idiopathic achalasia has been significantly associated with specific alleles of the human leukocyte antigen system class II, although few reports studying association with other loci can be found in the literature. Recent studies have shown association of a non-synonymous polymorphism within the IL23R gene with different chronic inflammatory disorders, including Barrett's esophagus. The purpose of this study was to assess whether the IL23R coding variant Arg381Gln polymorphism is involved in susceptibility to idiopathic achalasia. METHODS We performed a case-control study including 262 patients with idiopathic achalasia and 802 healthy subjects, all of them white Spaniards. Achalasia patients were diagnosed on the basis of clinical, radiographic, endoscopic, and manometric criteria. All samples were genotyped for the IL23R Arg381Gln polymorphism using TaqMan technology. KEY RESULTS The minor allele of the Arg381Gln polymorphism was significantly increased in patients compared with healthy controls (OR = 1.46, 95% CI = 1.01-2.11, P = 0.036). This association seems to be specific to male patients with disease onset after 40 years (OR = 2.33, 95% CI = 1.29-4.16, P = 0.002). CONCLUSIONS & INFERENCES Our results suggest a role of IL23R in idiopathic achalasia predisposition and extend the evidence of the general influence of this gene in autoimmune and inflammatory diseases.
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Affiliation(s)
- A R de León
- Gastroenterology Department, Hospital Clínico San Carlos, Madrid, Spain
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8
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Sevilla C, Jiménez Caballero PE, Alfonso V, González-Adalid M. Current treatments of Alzheimer disease: are main caregivers satisfied with the drug treatments received by their patients? Dement Geriatr Cogn Disord 2010; 28:196-205. [PMID: 19738386 DOI: 10.1159/000236015] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/08/2009] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND/AIMS A full comparison of the satisfaction with treatment using the current Alzheimer's disease (AD) therapies from the perspective of caregivers has not yet been done. The aim of this study was thus to find out the degree of satisfaction with the main available drug treatments in monotherapy for AD from this point of view. METHODS A cross-sectional, multicentre study of patients with possible/probable AD according to DSM-IV/NINCDS-ADRDA criteria, on monotherapy with donepezil, galantamine, rivastigmine or memantine, was carried out. Treatment satisfaction was measured by a caregiver proxy-administration of the generic SATMED-Q questionnaire [range: 0 (not satisfied at all) to 100 (totally satisfied)], overall and in 6 domains: tolerability, efficacy, medical care, ease and convenience, impact on daily activities and overall satisfaction. RESULTS A total of 829 patients were included: 63.3% women, aged 78.2 +/- 6.8 years; 546 (67.3%) on donepezil, 106 (13.1%) on rivastigmine, 99 (12.2%) on galantamine and 60 (7.4%) on memantine. SATMED-Q scores p values were adjusted by MMSE and treatment duration. Caregivers of patients on donepezil showed significantly higher SATMED-Q total (71.8 +/- 12.3; p < 0.05) and overall satisfaction domain scores (81.6 +/- 18.4; p < 0.01) than those of patients on any other drugs, as well as significantly higher ease and convenience of use domain (81.5 +/- 17.4; p < 0.01) and undesirable effects domain (96.0 +/- 12.9; p < 0.05) scores than those of rivastigmine- and galantamine-treated patients. Of the caregivers of donepezil-treated patients, 76.7% were satisfied with treatment versus 68.7, 61.4 and 46.7% of those caregivers whose patients were treated with galantamine, rivastigmine and memantine, respectively (p = 0.0002). CONCLUSION Caregivers of AD patients undergoing donepezil monotherapy seem to be more satisfied with treatment than those of patients receiving the other usual AD treatments in this study, particularly due to the ease and convenience of use of this drug. The higher level of satisfaction of these caregivers could be explained by the fact that, within the donepezil group, a high percentage of patients were treated with orally disintegrating tablets, which are easier for the patient to swallow.
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Affiliation(s)
- C Sevilla
- Neurology Unit, Hospital de la Princesa, Madrid, Spain
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9
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Sevilla C, Jiménez-Caballero PE, Alfonso V. [Orally disintegrating donepezil: are the main caregivers of patients with Alzheimer's disease more satisfied with this formulation of donepezil than with the traditional one?]. Rev Neurol 2009; 49:451-457. [PMID: 19859884] [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
AIM To know whether caregivers of Alzheimer's disease (AD) patients on donepezil treatment are more satisfied with the orally disintegrating tablet (ODT) formulation than with the film-coated tablets. PATIENTS AND METHODS Multicenter, cross-sectional study of patients with probably AD by DSM-IV or NINCDS-ADRDA criteria, on monotherapy with donepezil, ODT or film-coated tablets. Satisfaction with treatment was assessed by the caregiver self-administered generic Treatment Satisfaction with Medicines Questionnaire (SATMED-Q) -range: 0, no satisfaction, to 100, maximal satisfaction-, total and in six dimensions: undesirable effects, efficacy, medical care, medication ease and convenience, medication impact on daily activities, and overall satisfaction. RESULTS 546 patients were enrolled (9,6% institutionalized); 64,8% women; 78,2 +/- 6,5 years of age; disease evolution of 22.5 +/- 24.6 months, Minimental State Examination (MMSE) mean score: 18,5 +/- 5; 67.9% on film-coated tablets and 32.1% on ODT. After adjusting by MMSE and time of treatment, caregivers of patients on ODT showed significantly higher SATMED-Q total score (74.5 +/- 11.8 vs. 70.4 +/- 12.3; p lower than 0.0004) and medication ease and convenience (84.9 +/- 16.4 vs. 79.8 +/- 17.6; p = 0.0059), impact of medication on daily activities (50.2 +/- 22.8 vs. 43.7 +/- 25.5; p = 0.0006) and satisfaction with medical care (79.4 +/- 19.5 vs. 75.6 +/- 21.8; p = 0.04894) scores. 91.6% of caregivers of patients on ODT (versus 82.9% of those on film-coated tablets; p = 0.023) stated that taking the medication was easy for their relatives. CONCLUSIONS Results show that caregivers of AD patients on donepezil treatment are more satisfied with ODT versus film-coated tablets, especially due to its better ease of use.
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Affiliation(s)
- C Sevilla
- Servicio de Neurología., Hospital Virgen de Salud, Toledo, España
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10
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Affiliation(s)
- C. Sevilla
- Laboratoire de Physiologie des Invertébrés, Université des Sciences et Techniques du Languedoc, Montpellier, France
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11
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Olazarán J, Muñiz R, Reisberg B, Peña-Casanova J, del Ser T, Cruz-Jentoft AJ, Serrano P, Navarro E, García de la Rocha ML, Frank A, Galiano M, Fernández-Bullido Y, Serra JA, González-Salvador MT, Sevilla C. Benefits of cognitive-motor intervention in MCI and mild to moderate Alzheimer disease. Neurology 2004; 63:2348-53. [PMID: 15623698 DOI: 10.1212/01.wnl.0000147478.03911.28] [Citation(s) in RCA: 209] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To evaluate the efficacy of a cognitive-motor program in patients with early Alzheimer disease (AD) who are treated with a cholinesterase inhibitor (ChEI). METHODS Patients with mild cognitive impairment (MCI) (12), mild AD (48), and moderate AD (24) (Global Deterioration Scale stages 3, 4, and 5) were randomized to receive psychosocial support plus cognitive-motor intervention (experimental group) or psychosocial support alone (control group). Cognitive-motor intervention (CMI) consisted of a 1-year structured program of 103 sessions of cognitive exercises, plus social and psychomotor activities. The primary efficacy measure was the cognitive subscale of the AD Assessment Scale (ADAS-cog). Secondary efficacy measures were the Mini-Mental State Examination, the Functional Activities Questionnaire, and the Geriatric Depression Scale. Evaluations were conducted at 1, 3, 6, and 12 months by blinded evaluators. RESULTS Patients in the CMI group maintained cognitive status at month 6, whereas patients in the control group had significantly declined at that time. Cognitive response was higher in the patients with fewer years of formal education. In addition, more patients in the experimental group maintained or improved their affective status at month 12 (experimental group, 75%; control group, 47%; p = 0.017). CONCLUSIONS A long-term CMI in ChEI-treated early Alzheimer disease patients produced additional mood and cognitive benefits.
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Hopwood P, van Asperen CJ, Borreani G, Bourret P, Decruyenaere M, Dishon S, Eisinger F, Evans DGR, Evers-Kiebooms G, Gangeri L, Hagoel L, Legius E, Nippert I, Rennert G, Schlegelberger B, Sevilla C, Sobol H, Tibben A, Welkenhuysen M, Julian-Reynier C. Cancer Genetics Service Provision: A Comparison of Seven European Centres. Public Health Genomics 2004; 6:192-205. [PMID: 15331865 DOI: 10.1159/000079381] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To conduct a survey in seven European cancer genetics centres to compare service provision, organisation and practices for familial breast and colon cancer consultations and testing. Information was obtained on aspects of services both nationally and locally. METHODS A detailed survey questionnaire was adapted collaboratively to obtain the required information. Initial survey data were collected within each centre and interim results were discussed at two European Workshops. Where differences in practice existed, details were clarified to ensure accuracy and adequacy of information. Participating centres were Haifa (Israel), Hannover (Germany), Leiden (The Netherlands), Leuven (Belgium), Manchester (UK), Marseille (France) and Milan (Italy), representing countries with populations ranging from 6.5 to 80 million. RESULTS The European countries diverged in regard to the number of cancer genetics centres nationally (from 8 in Belgium to 37 in France), and the average population served by each centre (from 0.59 million in Israel to 3.32 million in Italy). All centres offered free care at the point of access, but referral to specialist care varied according to national health care provision. At a centre level, staff roles varied due to differences in training and health care provision. The annual number of counsellees seen in each participating centre ranged from 200 to over 1,700. Access to breast surveillance or bowel screening varied between countries, again reflecting differences in medical care pathways. These countries converged in regard to the wide availability of professional bodies and published guidelines promoting aspects of service provision. Similarities between centres included provision of a multidisciplinary team, with access to psychological support, albeit with varying degrees of integration. All services were dominated (70-90%) by referrals from families with an increased risk of breast cancer despite wide variation in referral patterns. Collection of pedigree data and risk assessment strategies were broadly similar, and centres used comparable genetic testing protocols. Average consultation times ranged between 45 and 90 min. All centres had access to a laboratory offering DNA testing for breast and bowel cancer-predisposing genes, although testing rates varied, reflecting the stage of service development and the type of population. Israel offered the highest number of genetic tests for breast cancer susceptibility because of the existence of specific founder mutations, in part explaining why the cancer genetics service in Haifa differed most from the other six. CONCLUSION Despite considerable differences in service organisation, there were broad similarities in the provision of cancer genetic services in the centres surveyed.
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Affiliation(s)
- P Hopwood
- Psycho-Oncology, Christie Hospital NHS Trust, Manchester, UK.
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Taxonera C, Roncero O, Fernández S, Rey Díaz-Rubio E, Sevilla C, Pérez de la Serna J, Díaz-Rubio M. Impact of the recommendations made by Spanish Club for the Study of Helicobacter pylori on eradication indications. Rev Esp Enferm Dig 2002; 94:332-9. [PMID: 12432590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
AIM A Spanish Consensus Conference had been arranged by the Spanish Club for the Study of Helicobacter pylori to encourage the use of eradication regimens in appropriate indications. The aim of our study was to assess whether the publication of these recommendations in November 1999 induced a change on the indications of eradication in the referring primary care district. METHOD Patients who had undergone Helicobacter pylori eradication therapy indicated by a gastroenterologist and referred to perform the 13C-labelled marked urea breath test were evaluated. Indications of eradication therapy were analysed and divided in: a) use of Conference recommended procedures (duodenal or gastric ulcer, erosive duodenitis, gastric MALT lymphoma and after resection of gastric adenocarcinoma); and b) other procedures not included in the recommendations (the rest). Indications established during former and latter years of publication of the Club's recommendations were compared. RESULTS A total of 659 established eradications in 1999 against 537 in 2000, were studied. Regarding established eradications in 1999, 418 out of 659 (63%) followed the recommendations made by the Spanish Club, while 241 (37%) did not. In 2000, the proportion of eradication therapy administered using the recommendations made by the Spanish Club was similar to previous year: 338 (63%) followed the recommendations, against 199 (37%) that did not (p = not significant). In both years, considering those indications not recommended, patients either with superficial chronic gastritis with or without dyspepsia or with gastrooesophageal reflux disease were the main disorders to indicate eradication therapy. CONCLUSIONS The recommendations of the Spanish Helicobacter pylori Study Club have not triggered a significant change after their publication on the indications for Helicobacter pylori eradication therapy in the setting studied.
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Affiliation(s)
- C Taxonera
- Servicio Aparato Digestivo, Hospital Clínico San Carlos, Prof. Martín Lagos s/n. 28040 Madrid, Spain.
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Portman D, Maloney J, Arbit D, Sevilla C, Flack M. Use of a rigorous global assessment measure to support the effects of a low-dose oral contraceptive in the treatment of women with moderate acne vulgaris. Fertil Steril 2001. [DOI: 10.1016/s0015-0282(01)02556-0] [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: 11/30/2022]
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Barbier S, Pariser D, Arbit D, Sevilla C, Flack M. The consistent effects of a low-dose oral contraceptive in the treatment of women with moderate acne vulgaris across age and race. Fertil Steril 2001. [DOI: 10.1016/s0015-0282(01)02174-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cornejo W, Huiza A, Espinoza Y, Alva P, Sevilla C, Centurion W. Paragonimosis in the Cajabamba and Condebamba districts, Cajamarca, Peru. Rev Inst Med Trop Sao Paulo 2000; 42:245-7. [PMID: 11058933 DOI: 10.1590/s0036-46652000000500002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Stool samples from 409 pre-school and school students, living in six villages of the Cajabamba and Condebamba districts, Cajamarca, Perú, were examined using wet preparations and Lumbreras' method, looking for Paragonimus eggs. Fecal and sputum samples from two children (0. 5%) of 6 and 8 year-old showed eggs of Paragonimus. One hundred and twenty freshwater crabs, Hypolobocera chilensis eigenmanni, were collected from the Condebamba valley and 21 (17.5%) of them were infected with P. mexicanus (syn. P. peruvianus) metacercariae. Our results show the persistence of Paragonimus in human beings and in the main source of infection, the crabs.
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Affiliation(s)
- W Cornejo
- Departamento de Microbiología Médica, Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú
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Mead A, Powell DJ, Sevilla C. Automated outpatient scheduling: a step toward the integrated delivery system. Healthc Inf Manage 1997; 10:11-21. [PMID: 10163168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- A Mead
- Family Medicine Center, Rochester, NY, USA
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Marti J, Commes T, Defacque H, Sevilla C. Vitamin D and 9-cis retinoic acid: an efficient partnership for the induction of myelomonocytic cell growth inhibition and differentiation. Leuk Res 1997; 21:173-6. [PMID: 9112435 DOI: 10.1016/s0145-2126(96)00026-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- J Marti
- Laboratory of Cell Biology, INSERM U431, University of Montpellier II, France
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Defacque H, Commes T, Legouffe E, Sevilla C, Rossi JF, Rochette-Egly C, Marti J. Expression of Retinoid X Receptor alpha is increased upon monocytic cell differentiation. Biochem Biophys Res Commun 1996; 220:315-22. [PMID: 8645303 DOI: 10.1006/bbrc.1996.0403] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
1 alpha, 25-Dihydroxyvitamin D3 (VD) is a potent inducer of monocytic differentiation of both normal and leukemic cells. Its effects are mediated by its nuclear receptor (VDR). Efficient gene activation requires the heterodimerization of VDR with Retinoid X Receptors (RXR). In the present study using specific antibodies, we analyzed the expression of the RXR alpha protein in blood mononuclear cells from acute myeloid patients (AML) (10 cases) and from myelomonocytic cell lines arrested at different stages of differentiation. We observed that the RXR alpha expression increased during myelomonocytic differentiation, since the highest levels were found in AML samples and in myelomonocytic cell lines having the highest amounts of monocytic precursors. We also demonstrated that fresh leukemic cells, whatever their stage of differentiation, as well as myelomonocytic cell lines, respond to VD by an increase in RXR alpha levels. Combinations of all-trans retinoic acid (RA) and VD, in some cases, increased this effect. This response suggests the involvement of RXR alpha in monocytic differentiation upon VD treatment.
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Affiliation(s)
- H Defacque
- INSERM U431, Laboratoire de Biologie Cellulaire, Université de Montpellier II, France
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Defacque H, Commes T, Contet V, Sevilla C, Marti J. Differentiation of U937 myelomonocytic cell line by all-trans retinoic acid and 1,25-dihydroxyvitamin D3: synergistic effects on tissue transglutaminase. Leukemia 1995; 9:1762-7. [PMID: 7564522] [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: 01/26/2023]
Abstract
We studied tissue transglutaminase (TGase) expression in human myelomonocytic leukemia cells treated by combinations of all-trans retinoic acid (RA) and 1,25 dihydroxyvitamin D3 (VD). We found that in U937 cells, as in HL-60 and THP-1 cells, RA alone caused an early induction of enzyme activity, correlated with increased mRNA expression. VD alone also induced rapid TGase mRNA expression but in this case TGase enzymatic activity was not measurable until 96 h following onset of treatment. Combinations of both agents had no additional effects over those of RA alone on HL-60 cells, THP-1, and U937 cells during the first 48 h. However, following further incubation, U937 cells expressed increased levels of TGase when treated by both agents. By many criteria, including their sensitivity to various inducers of oxidative burst, lipopolysaccharide-induced production of monokines and in the present work, lysozyme secretion and TGase expression, U937 cells exposed to combinations of RA and VD exhibit a behavior different from those of HL-60 and THP-1 cells. They represent a type of leukemia cell amenable by this treatment to a stage close to that of a terminally differentiated macrophage.
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MESH Headings
- Calcitriol/pharmacology
- Drug Synergism
- Enzyme Induction/drug effects
- Humans
- Keratolytic Agents/pharmacology
- Leukemia, Monocytic, Acute/enzymology
- Leukemia, Monocytic, Acute/pathology
- Leukemia, Promyelocytic, Acute/enzymology
- Leukemia, Promyelocytic, Acute/pathology
- Neoplasm Proteins/biosynthesis
- RNA, Messenger/biosynthesis
- Transglutaminases/biosynthesis
- Tretinoin/pharmacology
- Tumor Cells, Cultured
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Affiliation(s)
- H Defacque
- INSERM U431, Laboratoire de Biologie Cellulaire, Université de Montpellier II, France
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Defacque H, Dornand J, Commes T, Cabane S, Sevilla C, Marti J. Different combinations of retinoids and vitamin D3 analogs efficiently promote growth inhibition and differentiation of myelomonocytic leukemia cell lines. J Pharmacol Exp Ther 1994; 271:193-9. [PMID: 7965714] [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: 01/28/2023] Open
Abstract
The efficacy of all-trans retinoic acid (RA) in the treatment of acute promyelocytic leukemia results from the ability of RA to differentiate these peculiar leukemic cells. The efficacy of differentiation therapy could be improved and extended to other forms of leukemia by associating retinoids with other differentiating agents. Here we have compared the effects of different combinations of retinoids with 1 alpha,25-dihydroxyvitamin D3 (VD3) analogs on myelomonocytic cell lines HL-60, U937 and THP-1. All-trans RA, its natural isomer 9-cis RA and the arotinoid TTNPB, which differ by their respective specificities for the RA receptor families (retinoic acid receptor and retinoid X receptor), were found to cooperate with VD3 in inhibiting cell growth of the leukemic cell lines. Although the three cell lines displayed different susceptibilities to retinoids, each molecule was able to cooperate with VD3 in inducing U937 cell differentiation. Because the effects of VD3 on calcium metabolism limit its therapeutic use, we studied the effects of two synthetic analogs, MC903 and KH1060. Both agents cooperate with RA, acting more efficiently than the natural molecule in inhibiting cell growth and inducing some parameters of U937 cell differentiation. These results extend our previous data demonstrating that RA and VD3 exert synergistic effects on the differentiation of the myelomonocytic cell line U937. They demonstrate that combinations of agents able to inhibit leukemia cell growth with limited side effects may be found among a wide array of retinoids and vitamin D3 analogs.
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Affiliation(s)
- H Defacque
- Institut National de la Santé et de la Recherche Médicale U65, Université Montpellier II, France
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Defacque H, Commes T, Sevilla C, Rochette-Egly C, Marti J. Synergistic differentiation of U937 cells by all-trans retinoic acid and 1 alpha, 25-dihydroxyvitamin D3 is associated with the expression of retinoid X receptor alpha. Biochem Biophys Res Commun 1994; 203:272-80. [PMID: 8074666 DOI: 10.1006/bbrc.1994.2178] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Among the nuclear hormone receptors, the retinoid X receptors (RXRs) play a central role through their ability to heterodimerize with other members of this family of transcription factors, including retinoic acid (RA) and vitamin D (VD3) receptors. We have previously found that all-trans retinoic acid and 1 alpha, 25-dihydroxyvitamin D3 cooperate to induce monocytic differentiation of U937 human leukemic cells. Here the expression of RXR alpha protein in myelomonocytic cells was studied by immunodetection using polyclonal antibodies. RXR alpha was detected upon exposure of cells to VD3 and higher levels were found in cells treated by combinations of RA and VD3 under conditions where both agents synergized for inducing monocytic properties.
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Affiliation(s)
- H Defacque
- INSERM U65, Université de Montpellier II, France
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Sevilla C. [Oniscoidea hemocyanins. Effect of pH on dissociation and structural data]. Arch Int Physiol Biochim 1977; 85:125-31. [PMID: 68717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The pH has an influence on the molecular dissociation of the Oniscoidea hemocyanins. The dissociation electrophoretic patterns are characteristic for the species investigated. This method allows to confirm the systematic evolution and the adaptative possibilities of terrestrial Isopods. The hemocyanins of Oniscoidea are similar to those of Decapoda having a structure of comparable molecular weight protomers.
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