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Martínez-Illescas NG, Leal S, González P, Graña-Castro O, Muñoz-Oliveira JJ, Cortés-Peña A, Gómez-Gil M, Vega Z, Neva V, Romero A, Quintela-Fandino M, Ciruelos E, Sanz C, Aragón S, Sotolongo L, Jiménez S, Caleiras E, Mulero F, Sánchez C, Malumbres M, Salazar-Roa M. miR-203 drives breast cancer cell differentiation. Breast Cancer Res 2023; 25:91. [PMID: 37542268 PMCID: PMC10401798 DOI: 10.1186/s13058-023-01690-9] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 07/25/2023] [Indexed: 08/06/2023] Open
Abstract
A hallmark of many malignant tumors is dedifferentiated (immature) cells bearing slight or no resemblance to the normal cells from which the cancer originated. Tumor dedifferentiated cells exhibit a higher capacity to survive to chemo and radiotherapies and have the ability to incite tumor relapse. Inducing cancer cell differentiation would abolish their self-renewal and invasive capacity and could be combined with the current standard of care, especially in poorly differentiated and aggressive tumors (with worst prognosis). However, differentiation therapy is still in its early stages and the intrinsic complexity of solid tumor heterogeneity demands innovative approaches in order to be efficiently translated into the clinic. We demonstrate here that microRNA 203, a potent driver of differentiation in pluripotent stem cells (ESCs and iPSCs), promotes the differentiation of mammary gland tumor cells. Combining mouse in vivo approaches and both mouse and human-derived tridimensional organoid cultures, we report that miR-203 influences the self-renewal capacity, plasticity and differentiation potential of breast cancer cells and prevents tumor cell growth in vivo. Our work sheds light on differentiation-based antitumor therapies and offers miR-203 as a promising tool for directly confronting the tumor-maintaining and regeneration capability of cancer cells.
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Affiliation(s)
- Nuria G Martínez-Illescas
- Department of Biochemistry and Molecular Biology, School of Biology, Complutense University, Madrid, Spain
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain
- Cell Division and Cancer Group, Molecular Oncology Program, Spanish National Cancer Research Centre (CNIO), Madrid, Spain
| | | | | | - Osvaldo Graña-Castro
- Bioinformatics Unit, CNIO, Madrid, Spain
- Department of Basic Medical Sciences, Institute of Applied Molecular Medicine (IMMA-Nemesio Díez), San Pablo-CEU University, Madrid, Spain
| | | | - Alfonso Cortés-Peña
- Flow Cytometry and Fluorescence Microscopy Unit (CAI), Complutense University, Madrid, Spain
| | | | - Zaira Vega
- Histopathology Unit, CNIO, Madrid, Spain
| | | | | | | | - Eva Ciruelos
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain
- Hospital 12 de Octubre, Madrid, Spain
| | - Consuelo Sanz
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain
- Hospital 12 de Octubre, Madrid, Spain
| | - Sofía Aragón
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain
- Hospital 12 de Octubre, Madrid, Spain
| | - Leisy Sotolongo
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain
- Hospital 12 de Octubre, Madrid, Spain
| | - Sara Jiménez
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain
- Hospital 12 de Octubre, Madrid, Spain
| | | | | | - Cristina Sánchez
- Department of Biochemistry and Molecular Biology, School of Biology, Complutense University, Madrid, Spain.
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain.
| | - Marcos Malumbres
- Cell Division and Cancer Group, Molecular Oncology Program, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
- Cancer Cell Cycle Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
- ICREA, Passeig Lluís Companys 23, Barcelona, Spain.
| | - María Salazar-Roa
- Department of Biochemistry and Molecular Biology, School of Biology, Complutense University, Madrid, Spain.
- Breast and Gynecologic Cancer Group, Research Institute i+12, Madrid, Spain.
- Cell Division and Cancer Group, Molecular Oncology Program, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
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2
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Medina G, Sanz C, León L, Pérez A, De la Rosa R. Phenolic variability in fruit from the ‘Arbequina’ olive cultivar under Mediterranean and Subtropical climatic conditions. grasasaceites 2022. [DOI: 10.3989/gya.1002202] [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] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
In the present work, we compared the phenol content and composition of fruit from the ‘Arbequina’ cultivar in four Mediterranean (in Andalucía, Southern Iberian Peninsula) and two Sub-Tropical (Canary Islands) locations throughout the harvest period. Two Mediterranean and two Sub-Tropical locations were maintained with drip irrigation, while the remaining two Mediterranean locations were in dry farming. Water availability and harvest date seemed to play more important roles than air temperature on the phenolic content and most of the studied components. The variability associated with location was a result of the high values observed in the two Mediterranean locations in dry farming, with respect to the other four maintained with drip irrigation. Few differences were found among the four drip-irrigated locations, despite the fact that two were Mediterranean and the other two Sub-Tropical. In addition, a sharp decrease was observed during the harvest period for phenolic content and most of the phenolic compounds.
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3
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Arnal JL, Fernández A, Vela AI, Sanz C, Fernández-Garyzábal JF, Cid D. Capsular type diversity of Mannheimia haemolytica determined by multiplex real-time PCR and indirect hemagglutination in clinical isolates from cattle, sheep, and goats in Spain. Vet Microbiol 2021; 258:109121. [PMID: 34020174 DOI: 10.1016/j.vetmic.2021.109121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 05/13/2021] [Indexed: 10/21/2022]
Abstract
This study compares the utility of a commercially available multiplex q-PCR assay for serotyping A1, A2, and A6 M. haemolytica serotypes with indirect hemagglutination, for determining the relative distribution of M. haemolytica capsular types associated with respiratory disorders in cattle, sheep, and goats. For the 129 isolates analyzed, both q-PCR and IHA assays exhibited nearly complete agreement for capsular types A1 (k = 0.965) and A2 (k = 0.888) and substantial agreement for A6 (k = 0.801). Despite the overall good performance of the commercial q-PCR, its effectiveness differed between the host origin of the isolates. The serotype was identified by q-PCR in 83.3 % of cattle, 77.8 % of goat, and 53.8 % of sheep isolates. Combining the results of both methods, A1 was the most prevalent in cattle and sheep (55.6 % and 22.25 %, respectively) but was not detected in goats, A2 was the most prevalent in goats (61.1 %) and the second most prevalent in cattle (16.7 %) and sheep (20.5 %). The prevalence of A6 was 7.4 %, 5.1 %, and 16.7 % in cattle, sheep, and goats, respectively. Other capsular types determined exclusively by IHA were A16 in cattle, A9 in goats, and A7, A8, A9, and A13 in sheep. Capsular type diversity was greater in sheep (H = 0.601) than in cattle (H = 0.408) and goat (H = 0.330) isolates. The commercial multiplex q-PCR is a valuable tool, alternative to IHA, for identifying isolates of capsular types A1, A2, and A6, the most frequent serotypes of M. haemolytica associated with respiratory disease in ruminants. However, when testing sheep isolates it should be complemented with immunological assays due to the wider range of serotypes implicated.
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Affiliation(s)
- J L Arnal
- Exopol. Veterinary Diagnostic and Autogenous Vaccine Laboratory, Polígono Río Gállego, D/8. 50840 San Mateo de Gállego, Zaragoza, Spain
| | - A Fernández
- Exopol. Veterinary Diagnostic and Autogenous Vaccine Laboratory, Polígono Río Gállego, D/8. 50840 San Mateo de Gállego, Zaragoza, Spain
| | - A I Vela
- Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense, Madrid, Spain; Centro de Vigilancia Sanitaria Veterinaria (VISAVET), Universidad Complutense, Madrid, Spain
| | - C Sanz
- Exopol. Veterinary Diagnostic and Autogenous Vaccine Laboratory, Polígono Río Gállego, D/8. 50840 San Mateo de Gállego, Zaragoza, Spain
| | - J F Fernández-Garyzábal
- Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense, Madrid, Spain; Centro de Vigilancia Sanitaria Veterinaria (VISAVET), Universidad Complutense, Madrid, Spain.
| | - D Cid
- Departamento de Sanidad Animal, Facultad de Veterinaria, Universidad Complutense, Madrid, Spain
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4
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Martin MJ, Garcia-Sanchez A, Estravis M, Gil-Melcón M, Isidoro-Garcia M, Sanz C, Davila I. Genetics and Epigenetics of Nasal Polyposis: A Systematic Review. J Investig Allergol Clin Immunol 2021; 31:196-211. [PMID: 33502318 DOI: 10.18176/jiaci.0673] [Citation(s) in RCA: 5] [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] [Indexed: 11/20/2022] Open
Abstract
Chronic rhinosinusitis (CRS) is an inflammatory disease of the nose and paranasal sinuses that is often associated with nasal polyposis (CRSwNP) in the most severe cases. As in other complex diseases, genetic factors are thought to play an important role in the risk and development of the disease. Environment may also modulate the epigenetic signature in affected patients. In the present systematic review, we aimed to compile all published data on genetic and epigenetic variations in CRSwNP since 2000. We found 104 articles, 24 of which were related to epigenetic studies. We identified more than 150 genetic variants in 99 genes involved in the pathogenesis of nasal polyposis. These were clustered into 8 main networks, linking genes involved in inflammation and immune response (eg, MHC), cytokine genes (eg, TNF), leukotriene metabolism, and the extracellular matrix. A total of 89 miRNAs were also identified; these are associated mainly with biological functions such as the cell cycle, inflammation, and the immune response. We propose a potential relationship between genes and the miRNAs identified that may open new lines of investigation. An in-depth knowledge of gene variants and epigenetic traits could help us to design more tailored treatment for patients with CRSwNP.
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Affiliation(s)
- M J Martin
- IBSAL, Institute of Biomedical Research of Salamanca, Salamanca, Spain.,Network for Cooperative Research in Health-RETICS ARADyAL, Salamanca, Spain.,Department of Biochemistry and Molecular Biology, University of Salamanca, Salamanca, Spain
| | - A Garcia-Sanchez
- IBSAL, Institute of Biomedical Research of Salamanca, Salamanca, Spain.,Network for Cooperative Research in Health-RETICS ARADyAL, Salamanca, Spain.,Department of Biomedical and Diagnostics Sciences, University of Salamanca, Salamanca, Spain
| | - M Estravis
- IBSAL, Institute of Biomedical Research of Salamanca, Salamanca, Spain.,Network for Cooperative Research in Health-RETICS ARADyAL, Salamanca, Spain.,Department of Biomedical and Diagnostics Sciences, University of Salamanca, Salamanca, Spain
| | - M Gil-Melcón
- Department of Otorhinolaryngology/Servicio de Otorrinolaringología, Hospital Universitario de Salamanca, Salamanca, Spain
| | - M Isidoro-Garcia
- IBSAL, Institute of Biomedical Research of Salamanca, Salamanca, Spain.,Network for Cooperative Research in Health-RETICS ARADyAL, Salamanca, Spain.,Department of Clinical Biochemistry/Servicio de Bioquímica Clínica, Hospital Universitario de Salamanca, Salamanca, Spain.,Department of Medicine, University of Salamanca, Salamanca, Spain
| | - C Sanz
- IBSAL, Institute of Biomedical Research of Salamanca, Salamanca, Spain.,Network for Cooperative Research in Health-RETICS ARADyAL, Salamanca, Spain.,Department of Microbiology and Genetics, University of Salamanca, Salamanca, Spain
| | - I Davila
- IBSAL, Institute of Biomedical Research of Salamanca, Salamanca, Spain.,Network for Cooperative Research in Health-RETICS ARADyAL, Salamanca, Spain.,Department of Biomedical and Diagnostics Sciences, University of Salamanca, Salamanca, Spain.,Department of Immunoallergy/Servicio de Inmunoalergia, Hospital Universitario de Salamanca, Salamanca, Spain
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5
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Pérez de Isla L, Arroyo-Olivares R, Alonso R, Muñiz-Grijalvo O, Díaz-Díaz JL, Zambón D, Fuentes F, Mata N, Piedecausa M, Mañas MD, Sánchez Muñoz-Torrero JF, Miramontes-González JP, de Andrés R, Mauri M, Aguado R, Brea Á, Cepeda JM, Vidal-Pardo JI, Martínez-Faedo C, Barba MÁ, Argüeso R, Ruiz-Pérez E, Michán A, Arrieta F, Riestra Fernández M, Pérez L, Pinilla JM, Díaz-Soto G, Pintó X, Padró T, Badimón L, Mata P, Aguado R, Perez-Corral B, Almagro F, Alonso R, Arroyo R, Mata N, Mata P, Isla LPD, Saltijeral A, Arrieta F, Badimón L, Padró T, Barba MÁ, Brea Á, Mosquera D, Casañas M, Carbayo J, Cepeda JM, De Andrés R, Díaz JL, Díaz-Soto G, Diéguez M, Riestra M, Fuentes F, López-Miranda J, Galiana J, Mañas MD, García-Cruces J, Garrido JA, Irigoyen L, Martínez PL, Martínez-Faedo C, Suárez L, Mauri M, Borrallo RM, Mediavilla JD, Jaén F, González P, Michán A, Rubio P, Miramontes P, Morera JL, Muñiz O, González A, Pereyra F, Pérez L, Piedecausa M, Pastor J, Pinilla JM, Pintó X, Romero MJ, Ruiz E, Álvarez MP, Sáenz P, Sánchez JF, Sanz C, Vidal JI, Argüeso R, Zambón D. Incidencia de eventos cardiovasculares y cambios en el riesgo estimado y en el tratamiento de la hipercolesterolemia familiar: registro SAFEHEART. Rev Esp Cardiol 2020. [DOI: 10.1016/j.recesp.2019.10.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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6
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Perez-Leal M, Perez Fidalgo J, Sanz C, Poveda J, Milara J, Martinez P, Cervantes A, Cortijo J. 1820P Taxane-related skin toxicity: Analysis of an in vivo and 3D in vitro model study of the impact of paclitaxel on skin. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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7
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Pedrera M, Serrano P, Terriza A, Cruz J, Varela C, Salamanca A, Garcia N, Salgado C, Sanz C, Hernández L, Alemany M, Muñoz A. Defining a Standardized Information Model for Multi-Source Representation of Breast Cancer Data. Stud Health Technol Inform 2020; 270:1243-1244. [PMID: 32570600 DOI: 10.3233/shti200383] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This work aims to define a standardized information model for representation of multiple data sources in breast cancer. A set of data elements has been identified using ICHOM Breast Cancer as the minimum data set and adapting it to the needs of Hospital Universitario 12 de Octubre. With this, an information model has been defined according to ISO 13606 and SNOMED CT standards.
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Affiliation(s)
| | | | - Ana Terriza
- Hospital Universitario 12 de Octubre, Madrid, Spain
| | - Jaime Cruz
- Hospital Universitario 12 de Octubre, Madrid, Spain
| | | | | | - Noelia Garcia
- Instituto de Investigación Sanitaria Hospital 12 de Octubre, Madrid, Spain
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8
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Rivera-Reigada ML, Moreno E, Sanz C, García-Sánchez A, Cornejo-García JA, Dávila I, Isidoro-García M. Atopy Can Be an Interfering Factor in Genetic Association Studies of ß-Lactam Allergy. J Investig Allergol Clin Immunol 2019; 30:63-65. [PMID: 31530517 DOI: 10.18176/jiaci.0441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- M L Rivera-Reigada
- Department of Clinical Biochemistry, University Hospital of Salamanca, Salamanca, Spain.,Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain
| | - E Moreno
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Allergy, University Hospital of Salamanca, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
| | - C Sanz
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Microbiology and Genetics. University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
| | - A García-Sánchez
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
| | - J A Cornejo-García
- Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain.,Allergy Research Group, Instituto de Investigación Biomédica de Málaga-IBIMA, Málaga, Spain
| | - I Dávila
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Allergy, University Hospital of Salamanca, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain
| | - M Isidoro-García
- Department of Clinical Biochemistry, University Hospital of Salamanca, Salamanca, Spain.,Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Medicine, University Hospital of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
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9
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Balana C, Sepulveda J, Pineda E, Vaz M, Mesia C, Fuster J, Girones R, Muñoz-Langa J, Navarro M, Alonso M, Gil Gil M, Herrero A, Estival A, Gallego O, Peralta S, Olier C, Pérez-Segura P, Covela M, Martinez García M, Domenech M, Carrato C, Sanz C, Velarde J, Berrocal A, Luque R, De las Peñas R, Del Barco S. P14.58 Extending adjuvant temozolomide longer than six cycles doesn’t add any benefit to glioblastoma patients according to the randomized GEINO-014 TRIAL. Neuro Oncol 2019. [DOI: 10.1093/neuonc/noz126.293] [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: 11/12/2022] Open
Abstract
Abstract
BACKGROUND
Standard treatment of glioblastoma (GBM) is focal radiation with concomitant and adjuvant temozolomide (TMZ) for 6 cycles. The GEINO-14-01 trial (NCT02209948) investigated the role of extending adjuvant TMZ to 12 cycles in a randomized multicenter study.
MATERIAL AND METHODS
Between Aug/2014 and Nov/2018, 166 patients (p) were screened and 159 randomized to extend (80p) or not (79p) TMZ treatment to 12 cycles after proving stable disease in the MRI performed before inclusion. The trial was stratified by MGMT status and presence or absence of residual disease (defined as a residual enhancement larger than 1cm on the MRI). The primary endpoint was differences in 6monthsPFS, secondary endpoints were differences in PFS, OS, toxicity, between arms and per stratification factors.
RESULTS
Median age was 60.4 (range 29–83), 97p (61%) were methylated and 83 p (52.2%) were reported with residual disease. Median (m) PFS was 7.9 months (95%CI: 6.1–9.8) and mOS: 20.9 (95%CI: 17.6–24.1). A methylated status was a factor of better PFS (HR=0.29, 95% CI 0.46–0.95; p=0.029) and better OS (HR= 0.43: 95% CI 0.28–0.66; p=0.000) as well as the absence of residual disease (PFS: HR = 0.84: 95% CI =0.71–1.01; p=0.068; OS: HR=0.77, 95%CI 0.63–0.96; p=0.019). We didn’t find any difference in PFS (HR=1.02, 95%CI 0.85–1.21; p=0.82), or OS (HR=0.90; 0.73–1.11; p=0.34) on extending treatment with temozolomide longer than 6 cycles.
CONCLUSION
There is no benefit of continuing TMZ treatment for more than 6 cycles in the adjuvant treatment of glioblastoma. Final data will be presented at the congress. Supported by a Grant of the ISCIII: PI13/01751
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Affiliation(s)
- C Balana
- Institut Catala Oncologia Badalona, Badalona, Spain
| | - J Sepulveda
- Hospital Universitario 12 de Octubre, Madrid, Spain
| | - E Pineda
- Hospital Clinic de Barcelona, Barcelona, Spain
| | - M Vaz
- Hospital Ramon y Cajal, Madrid, Spain
| | - C Mesia
- Institut Catala Oncologia Hospital Duran y Reynalds, Hospitalet de Llobregat, Spain
| | - J Fuster
- Hospital Universitari Son Espases, Palma de Mallorca, Spain
| | - R Girones
- Hospital Universitari i Politècnic la Fe, Valencia, Spain
| | - J Muñoz-Langa
- Hospital Universitari i Politècnic la Fe, Valencia, Spain
| | - M Navarro
- Hospital Universitario de Salamanca, Salamanca, Spain
| | - M Alonso
- Hospital Universitario la Virgen del Rocio, Sevilla, Spain
| | - M Gil Gil
- Institut Catala Oncologia Hospital Duran y Reynalds, Hospitalet de Llobregat, Spain
| | - A Herrero
- Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - A Estival
- Institut Catala Oncologia Badalona, Badalona, Spain
| | - O Gallego
- Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - S Peralta
- Hospital Universitari Sant Joan de Reus, Reus, Spain
| | - C Olier
- Hospital Universitario Fundacion Alcorcon, Alcorcon, Spain
| | | | - M Covela
- Hospital Universitario Lucus Augusti, Lugo, Spain
| | | | - M Domenech
- Institut Catala Oncologia Badalona, Badalona, Spain
| | - C Carrato
- Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - C Sanz
- Hospital Universitari Germans Trias i Pujol, Badalona, Spain
| | - J Velarde
- Institut Catala Oncologia Badalona, Badalona, Spain
| | - A Berrocal
- Hospital General Universitari de Valencia, Valencia, Spain
| | - R Luque
- HospitalUniversitario Virgen de las Nieves, Granada, Spain
| | | | - S Del Barco
- Institut Catala Oncologia Hospital Universitari Josep Trueta, Girona, Spain
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10
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San Segundo-Val I, García-Sánchez A, Sanz C, Cornejo-García JA, Isidoro-García M, Dávila I. Promoter Genotyping and mRNA Expression - Based Analysis of the PTGDR Gene in Allergy. J Investig Allergol Clin Immunol 2019; 30:117-126. [PMID: 31062691 DOI: 10.18176/jiaci.0411] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Prostaglandin D2 receptors are acquiring a relevant role as potential therapeutic targets in allergy. PTGDR has been described as a candidate gene in allergic disease, although functional studies on this gene are lacking. Objective: The objective of this case-control study was to investigate the potential role of PTGDR in allergy. METHODS The study population comprised 195 allergic patients and 112 healthy controls. The PTGDR promoter polymorphisms -1289G>A, -1122T>C, -881C>T, -834C>T, -613C>T, -549T>C, -441C>T, -197T>C, and -95G>T were amplified by polymerase chain reaction (PCR) and sequenced. PTGDR expression levels were analyzed using quantitative PCR and normalized to GAPDH and TBP mRNA levels. All procedures were performed following the Minimum Information for Publication of Quantitative Real-Time PCR Experiment guidelines. RESULTS PTGDR expression levels were significantly higher in allergic patients than in controls (P<.001). Receiver operating characteristic analysis for expression of PTGDR showed a sensitivity of 81.4% compared with 67% for IgE levels. In addition, differences in the genotypic distribution of the polymorphisms -1289G>A and -1122T>C were found in allergic patients (P=.009). CONCLUSIONS The results indicate that PTGDR overexpression is associated with allergy. The polymorphisms -1289G>A and -1122T>C partly explain the variation in expression we observed. PTGDR expression could have a potential role as a biomarker and pharmacogenetic factor in allergy.
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Affiliation(s)
- I San Segundo-Val
- Department of Clinical Biochemistry, University Hospital of Salamanca, Salamanca, Spain
| | - A García-Sánchez
- Institute for Biomedical Research of Salamanca, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain
| | - C Sanz
- Institute for Biomedical Research of Salamanca, Salamanca, Spain.,Department of Microbiology and Genetics, University of Salamanca, Salamanca, Spain
| | - J A Cornejo-García
- Research Laboratory, IBIMA, Regional University Hospital of Malaga, UMA, Malaga, Spain
| | - M Isidoro-García
- Department of Clinical Biochemistry, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, Salamanca, Spain.,Department of Medicine, University of Salamanca, Salamanca, Spain
| | - I Dávila
- Institute for Biomedical Research of Salamanca, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain.,Department of Allergy, University Hospital of Salamanca, Salamanca, Spain
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11
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Díez-Guerrier A, Roy A, de la Cruz M, Sáez J, Sanz C, Boschiroli M, Romero B, de Juan L, Domínguez L, Bezos J. Evaluation of the use of a needle-free injection syringe as a cause of non-specific reactions in the intradermal tuberculin test used for the diagnosis of bovine tuberculosis. Res Vet Sci 2018; 119:56-60. [DOI: 10.1016/j.rvsc.2018.05.016] [Citation(s) in RCA: 4] [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] [Received: 03/21/2018] [Revised: 05/10/2018] [Accepted: 05/23/2018] [Indexed: 11/16/2022]
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12
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Pérez-García A, Dongil P, Hurtado-Carneiro V, Blazquez E, Sanz C, Alvarez E. PAS Kinase deficiency alters the glucokinase function and hepatic metabolism. Sci Rep 2018; 8:11091. [PMID: 30038292 PMCID: PMC6056484 DOI: 10.1038/s41598-018-29234-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Accepted: 07/03/2018] [Indexed: 12/15/2022] Open
Abstract
The liver controls metabolic homeostasis in response to fasting and refeeding periods. Glucokinase (GCK) adjusts hepatic glucose phosphorylation to blood glucose levels, acting as a glucose sensor. Our objective was to determine whether PAS kinase (PASK), a nutrient sensor, could be affecting the expression or activity of liver GCK and the response to fasting and refeeding states of key hepatic metabolic pathways. PASK-deficient mice have impaired insulin signaling (AKT overactivation). Furthermore, PASK deficiency modified the expression of several transcription factors involved in the adjustment to fasting and refeeding. Foxo1 decreased under fasting conditions, while Ppara and Pparg were overexpressed in PASK-deficient mice. However, PEPCK protein levels were similar or higher, while the expression of Cpt1a decreased in PASK-deficient mice. By contrast, Lxra and Chrebp were overexpressed after refeeding, while the expression of Acc and Fas decreased in PASK-deficient mice. Likewise, with a decreased expression of Gck and increased nuclear location of the complex GCK-GCKR, GCK activity decreased in PASK-deficient mice. Therefore, PASK regulated some of the genes and proteins responsible for glucose sensing, such as glucokinase, and for insulin signalling, affecting glucose and lipid metabolism and consequently certain critical hepatic functions.
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Affiliation(s)
- A Pérez-García
- Department of Biochemistry and Molecular Biology, Faculty of Medicine, Complutense University of Madrid, Institute of Medical Research at the Hospital Clínico San Carlos (IdISSC), Ciudad Universitaria, s/n, 28040, Madrid, Spain.,Department of Cell Biology, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain
| | - P Dongil
- Department of Biochemistry and Molecular Biology, Faculty of Medicine, Complutense University of Madrid, Institute of Medical Research at the Hospital Clínico San Carlos (IdISSC), Ciudad Universitaria, s/n, 28040, Madrid, Spain.,Department of Cell Biology, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain
| | - V Hurtado-Carneiro
- Department of Biochemistry and Molecular Biology, Faculty of Medicine, Complutense University of Madrid, Institute of Medical Research at the Hospital Clínico San Carlos (IdISSC), Ciudad Universitaria, s/n, 28040, Madrid, Spain.,Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid, Spain
| | - E Blazquez
- Department of Biochemistry and Molecular Biology, Faculty of Medicine, Complutense University of Madrid, Institute of Medical Research at the Hospital Clínico San Carlos (IdISSC), Ciudad Universitaria, s/n, 28040, Madrid, Spain.,Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid, Spain
| | - C Sanz
- Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid, Spain. .,Department of Cell Biology, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain.
| | - E Alvarez
- Department of Biochemistry and Molecular Biology, Faculty of Medicine, Complutense University of Madrid, Institute of Medical Research at the Hospital Clínico San Carlos (IdISSC), Ciudad Universitaria, s/n, 28040, Madrid, Spain.,Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid, Spain
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Ferro J, Labarta E, Sanz C, Montoya P, Remohi J. Reproductive outcomes after hysteroscopic metroplasty for women with dysmorphic uterus and recurrent implantation failure. Facts Views Vis Obgyn 2018; 10:63-68. [PMID: 31110644 PMCID: PMC6516190] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND The aim of this study was to assess the reproductive outcomes of women with recurrent implantation failure (RIF) after hysteroscopic metroplasty for dysmorphic uteri. METHODS This retrospective observational study included 190 women with a diagnosis of RIF. These patients were eligible for hysteroscopic metroplasty for dysmorphic uteri, including T-shaped uteri, between January 2008 and September 2015 at the Instituto Valenciano de Infertilidad (IVI) in Valencia, Spain. RESULTS The total clinical pregnancy rate, the live birth rate, and the abortion rate were 80.0% (152/190), 77.9% (147/190) and 8.9%, respectively. At 12 months, the clinical pregnancy rate was 76.3% (145/190) and at 6 months 50.5% (96/190). After the metroplasty, approximately 76% of all gravidities, were achieved during the first 12 months of follow-up. Within the first IVF cycle, pregnancy and live birth rates were 77.8% and 86.1%, respectively. The mean time to pregnancy was 6.5 months. CONCLUSION This study demonstrates that hysteroscopic metroplasty improves pregnancy and live birth rates for women with a history of recurrent implantation failure and dysmorphic uterus. However, conclusions must be taken carefully as this is an observational study. A prospective, randomized and controlled study is necessary to support these results.
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Affiliation(s)
- J Ferro
- Director of Surgery of Instituito Valenciano de Infertilidad “IVI”, Plaza de la Policía Local, 3. 46015. Valencia, Spain
| | - E Labarta
- Especialist in Reproductive Medicine of Instituito Valenciano de Infertilidad “IVI”
| | - C Sanz
- Fellows in Reproductive Medicine of Instituito Valenciano de Infertilidad “IVI”
| | - P Montoya
- Fellows in Reproductive Medicine of Instituito Valenciano de Infertilidad “IVI”
| | - J Remohi
- Director of Instituto Valenciano de Infertilidad “IVI
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Gomila A, Carratalà J, Biondo S, Badia JM, Fraccalvieri D, Shaw E, Diaz-Brito V, Pagespetit L, Freixas N, Brugués M, Mora L, Perez R, Sanz C, Arroyo N, Iftimie S, Limón E, Gudiol F, Pujol M. Predictive factors for early- and late-onset surgical site infections in patients undergoing elective colorectal surgery. A multicentre, prospective, cohort study. J Hosp Infect 2017; 99:24-30. [PMID: 29288776 DOI: 10.1016/j.jhin.2017.12.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [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: 11/13/2017] [Accepted: 12/20/2017] [Indexed: 12/20/2022]
Abstract
BACKGROUND Surgical site infections (SSIs) are the leading cause of healthcare-associated infections in acute care hospitals in Europe. However, the risk factors for the development of early-onset (EO) and late-onset (LO) SSI have not been elucidated. AIM This study investigated the predictive factors for EO-SSI and LO-SSI in a large cohort of patients undergoing colorectal surgery. METHODS We prospectively followed-up adult patients undergoing elective colorectal surgery in 10 hospitals (2011-2014). Patients were divided into three groups: EO-SSI, LO-SSI, or no infection (no-SSI). The cut-off defining EO-SSI and LO-SSI was seven days (median time to SSI development). Different predictive factors for EO-SSI and LO-SSI were analysed, comparing each group with the no-SSI patients. FINDINGS Of 3701 patients, 320 (8.6%) and 349 (9.4%) developed EO-SSI and LO-SSI, respectively. The rest had no-SSI. Patients with EO-SSI were mostly males, had colon surgery and developed organ-space SSI whereas LO-SSI patients frequently received chemotherapy or radiotherapy and had incisional SSI. Male sex (odds ratio (OR): 1.92; P < 0.001), American Society of Anesthesiologists' physical status >2 (OR: 1.51; P = 0.01), administration of mechanical bowel preparation (OR: 0.7; P = 0.03) and stoma creation (OR: 1.95; P < 0.001) predicted EO-SSI whereas rectal surgery (OR: 1.43; P = 0.03), prolonged surgery (OR: 1.4; P = 0.03) and previous chemotherapy (OR: 1.8; P = 0.03) predicted LO-SSI. CONCLUSION We found distinctive predictive factors for the development of SSI before and after seven days following elective colorectal surgery. These factors could help establish specific preventive measures in each group.
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Affiliation(s)
- A Gomila
- Department of Infectious Diseases, Hospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Spain; VINCat Program, Spain.
| | - J Carratalà
- Department of Infectious Diseases, Hospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Spain; VINCat Program, Spain; University of Barcelona, Spain
| | - S Biondo
- VINCat Program, Spain; University of Barcelona, Spain; Department of General Surgery, Hospital Universitari de Bellvitge, Spain
| | - J M Badia
- VINCat Program, Spain; Department of General Surgery, Hospital General de Granollers, Spain; Universitat Internacional de Catalunya, Spain
| | - D Fraccalvieri
- VINCat Program, Spain; Department of General Surgery, Hospital Universitari de Bellvitge, Spain
| | - E Shaw
- Department of Infectious Diseases, Hospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Spain; VINCat Program, Spain
| | - V Diaz-Brito
- VINCat Program, Spain; Department of Infectious Diseases, Parc Sanitari Sant Joan de Déu de Sant Boi, Spain
| | - L Pagespetit
- VINCat Program, Spain; Department of Infectious Diseases, Consorci Sanitari de Terrassa, Spain
| | - N Freixas
- VINCat Program, Spain; Department of Infectious Diseases, Hospital Universitari Mútua de Terrassa, Spain
| | - M Brugués
- VINCat Program, Spain; Department of Internal Medicine, Consorci Sanitari de l'Anoia, Spain
| | - L Mora
- VINCat Program, Spain; Department of General Surgery, Corporació Sanitària Parc Taulí, Spain
| | - R Perez
- VINCat Program, Spain; Department of Internal Medicine, Fundació Althaia, Spain
| | - C Sanz
- VINCat Program, Spain; Department of Internal Medicine, Hospital de Viladecans, Spain
| | - N Arroyo
- VINCat Program, Spain; Department of General Surgery, Hospital General de Granollers, Spain
| | - S Iftimie
- VINCat Program, Spain; Department of Internal Medicine, Hospital Universitari Sant Joan de Reus, Spain
| | - E Limón
- VINCat Program, Spain; University of Barcelona, Spain
| | - F Gudiol
- VINCat Program, Spain; University of Barcelona, Spain
| | - M Pujol
- Department of Infectious Diseases, Hospital Universitari de Bellvitge, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Spain; VINCat Program, Spain
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Sanz C, Pereira A, Faúndez A, Ordinas A. Prolonged Holding of Whole Blood at 22 °C Does Not Increase Activation in Platelet Concentrates. Vox Sang 2017. [DOI: 10.1159/000461998] [Citation(s) in RCA: 5] [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: 11/19/2022]
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Bejarano N, Macías J, Sanz C, Pereira A. A rare cause of blood clots in blood bag. Transfus Med 2017; 27:231-232. [PMID: 28233920 DOI: 10.1111/tme.12396] [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] [Received: 01/16/2017] [Accepted: 02/01/2017] [Indexed: 11/30/2022]
Affiliation(s)
- N Bejarano
- Transfusion Service, Hospital Clinic, Barcelona, Spain
| | - J Macías
- Emergency Department, Hospital Clinic, Barcelona, Spain
| | - C Sanz
- Transfusion Service, Hospital Clinic, Barcelona, Spain
| | - A Pereira
- Transfusion Service, Hospital Clinic, Barcelona, Spain
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17
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Sanz C, Perez A, Olias R, Olias J. Modified atmosphere packaging of strawberry fruit: Effect of package perforation on oxygen and carbon dioxide / Envasado de fresas en atmósfera modificada: Efecto de la perforación del envase en el contenido de oxígeno y dióxido de carbono. FOOD SCI TECHNOL INT 2016. [DOI: 10.1177/108201320000600105] [Citation(s) in RCA: 11] [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] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The effect of film perforation on gas content during modified atmosphere packaging of strawberry fruit was studied. Camarosa strawberries were refrigerated at 2 °C, and wrapped with polypropy lene (PP) film with perforations of 1 and 2 mm diameter. Fruits were held at 2 °C during three days, simulating refrigerated transport, and then at 20 °C for four days to simulate retail display tempera tures. Perforation degree affected final gas contents inside the packages, ranging from 5.68-25.96% CO2 and from 4.84-15.69% O2 on day 7. Different gas content profiles were found among packages with similar perforated surface but distinct diameter perforations, which could infer a perforation edge effect on gas exchange. Neither a CO, stratification effect nor a gas exchange site effect were observed for this kind of perforation-mediated modified atmosphere packaging of strawberries.
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Affiliation(s)
- C. Sanz
- Departamento de Fisiología y Tecnología de Productos Vegetales, Instituto de la Grasa, CSIC, Padre García Tejero 4, 41012 Sevilla, Spain
| | - A.G. Perez
- Departamento de Fisiología y Tecnología de Productos Vegetales, Instituto de la Grasa, CSIC, Padre García Tejero 4, 41012 Sevilla, Spain
| | - R. Olias
- Departamento de Fisiología y Tecnología de Productos Vegetales, Instituto de la Grasa, CSIC, Padre García Tejero 4, 41012 Sevilla, Spain
| | - J.M. Olias
- Departamento de Fisiología y Tecnología de Productos Vegetales, Instituto de la Grasa, CSIC, Padre García Tejero 4, 41012 Sevilla, Spain
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García-Sánchez A, Marcos-Vadillo E, Sanz C, Hernández-Hernández L, Cerutti-Müller G, Marqués-García F, Lorente F, Isidoro-García M, Dávila I. Retinoic Acid Modulates PTGDR Promoter Activity. J Investig Allergol Clin Immunol 2016; 26:249-55. [PMID: 27373883 DOI: 10.18176/jiaci.0042] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Vitamin A has been linked to the development of allergic diseases although its role is not fully understood, Retinoic acid (RA), a metabolite of Vitamin A, has been previously associated with the prostaglandin pathway, and PTGDR, a receptor of PGD2, has been proposed as a candidate gene in allergy and asthma. Considering the role of PTGDR in allergy, the goal of this study was to analyze the effect of RA on the activation of the promoter region of the PTGDR gene. METHODS A549 lung epithelial cells were transfected with 4 combinations of genetic variants of the PTGDR promoter and stimulated with all-trans RA (ATRA); luciferase assays were performed using the Dual Luciferase Reporter System, and real-time quantitative polymerase chain reaction was used to measure the expression of PTGDR, CYP26A1, RARA, RARB, RARG, and RXRA in basal A549 cell cultures and after ATRA treatment. We also performed an in silico analysis. RESULTS After ATRA treatment increased expression of CYP26A1 (12-fold) and RARB (4-fold) was detected. ATRA activated PTGDR promoter activity in transfected cells (P<.001) and RA response element sequences were identified in silico in this promoter region. CONCLUSIONS RA modulated PTGDR promoter activity. Differential response to RA and to new treatments based on PTGDR modulation could depend on genetic background in allergic asthmatic patients.
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Affiliation(s)
- A García-Sánchez
- 1Department of Biomedical and Diagnostic Science, University of Salamanca, Salamanca, Spain.,Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain
| | - E Marcos-Vadillo
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Clinical Biochemistry, Salamanca University Hospital, Salamanca, Spain
| | - C Sanz
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Microbiology and Genetics, University of Salamanca, Spain
| | | | - G Cerutti-Müller
- Universidade do Vale do Rio dos Sinos-UNISINOS, São Leopoldo, Brazil
| | - F Marqués-García
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Clinical Biochemistry, Salamanca University Hospital, Salamanca, Spain
| | - F Lorente
- Department of Biomedical and Diagnostic Science, University of Salamanca, Salamanca, Spain.,Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Pediatrics, Salamanca University Hospital, Salamanca, Spain
| | - M Isidoro-García
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Clinical Biochemistry, Salamanca University Hospital, Salamanca, Spain.,Department of Medicine, University of Salamanca, Salamanca, Spain
| | - I Dávila
- Department of Biomedical and Diagnostic Science, University of Salamanca, Salamanca, Spain.,Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Immunoallergy, Salamanca University Hospital, Salamanca, Spain
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Pacheco-Gonzalez RM, Avila C, Dávila I, García-Sánchez A, Hernández-Hernández L, Benito-Pescador D, Torres R, Prieto-Matos P, Isidoro-Garcia M, Lorente F, Sanz C. Analysis of FOXP3 gene in children with allergy and autoimmune diseases. Allergol Immunopathol (Madr) 2016; 44:32-40. [PMID: 25982578 DOI: 10.1016/j.aller.2015.01.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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: 12/19/2014] [Accepted: 01/26/2015] [Indexed: 01/16/2023]
Abstract
BACKGROUND Allergy and autoimmunity are important immunological entities underlying chronic diseases in children. In some cases both entities develop simultaneously in the same patient. FOXP3 gene codes for a transcription factor involved in regulation of the immune system. Considering that regulatory T cells are involved in controlling immunological disease development, and the relevant role of FOXP3 in this kind of T cells, the objective of this study was to analyse the FOXP3 gene in the most prevalent autoimmune diseases and/or allergies in childhood in a European population. METHODS A total of 255 Caucasian individuals, 95 controls and 160 patients diagnosed with allergic, autoimmune or both diseases were included in this study. The molecular analysis of FOXP3 was performed by DNA sequencing following the recommendations for quality of the European Molecular Genetics Quality Network. Genomic DNA was extracted from peripheral blood of all participants and was amplified using the polymerase chain reaction. After the visualisation of the amplified fragments by agarose gel-electrophoresis, they were sequenced. RESULTS Thirteen different polymorphisms in FOXP3 gene were found, seven of which had not been previously described. The mutated allele of SNP 7340C>T was observed more frequently in the group of male children suffering from both allergic and autoimmune diseases simultaneously (p=0.004, OR=16.2 [1.34-195.15]). CONCLUSIONS In this study we identified for first time genetic variants of FOXP3 that are significantly more frequent in children who share allergic and autoimmune diseases. These variants mainly affect regulatory sequences that could alter the expression levels of FOXP3 modifying its function including its role in Treg cells.
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Affiliation(s)
| | - C Avila
- Department of Statistics, University of Salamanca, Salamanca, Spain; Biosanitary Institute of Salamanca IBSAL, Salamanca, Spain
| | - I Dávila
- Biosanitary Institute of Salamanca IBSAL, Salamanca, Spain; Department of Allergy, University Hospital of Salamanca, Salamanca, Spain.
| | | | | | | | - R Torres
- Department of Paediatrics, University Hospital of Salamanca, Salamanca, Spain
| | - P Prieto-Matos
- Biosanitary Institute of Salamanca IBSAL, Salamanca, Spain; Department of Paediatrics, University Hospital of Salamanca, Salamanca, Spain
| | - M Isidoro-Garcia
- Biosanitary Institute of Salamanca IBSAL, Salamanca, Spain; Department of Clinical Biochemistry, University Hospital of Salamanca, Salamanca, Spain; Department of Medicine, University of Salamanca, Salamanca, Spain.
| | - F Lorente
- Biosanitary Institute of Salamanca IBSAL, Salamanca, Spain; Department of Paediatrics, University Hospital of Salamanca, Salamanca, Spain
| | - C Sanz
- Biosanitary Institute of Salamanca IBSAL, Salamanca, Spain; Department of Microbiology and Genetics, University of Salamanca, Salamanca, Spain
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Navas VG, Sandá A, Sanz C, Fernández D, Vleugels J, Vanmeensel K, Fernández A. Surface integrity of rotary ultrasonic machined ZrO2–TiN and Al2O3–TiC–SiC ceramics. Ann Ital Chir 2015. [DOI: 10.1016/j.jeurceramsoc.2015.06.018] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [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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García-Sánchez A, Isidoro-García M, García-Solaesa V, Sanz C, Hernández-Hernández L, Padrón-Morales J, Lorente-Toledano F, Dávila I. Genome-wide association studies (GWAS) and their importance in asthma. Allergol Immunopathol (Madr) 2015; 43:601-8. [PMID: 25433770 DOI: 10.1016/j.aller.2014.07.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Accepted: 07/21/2014] [Indexed: 12/16/2022]
Abstract
Asthma is a complex disease determined by the interaction of different genes and environmental factors. The first genetic investigations in asthma were candidate gene association studies and linkage studies. In recent years research has focused on association studies that scan the entire genome without any prior conditioning hypothesis: the so-called genome-wide association studies (GWAS). The first GWAS was published in 2007, and described a new locus associated to asthma in chromosome 17q12-q21, involving the ORMDL3, GSDMB and ZPBP2 genes (a description of the genes named in the manuscript are listed in Table 1). None of these genes would have been selected in a classical genetic association study since it was not known they could be implicated in asthma. To date, a number of GWAS studies in asthma have been made, with the identification of about 1000 candidate genes. Coordination of the different research groups in international consortiums and the application of new technologies such as new generation sequencing will help discover new implicated genes and improve our understanding of the molecular mechanisms underlying the disease.
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Affiliation(s)
- A García-Sánchez
- Departamento de Pediatría, Universidad de Salamanca, Spain; Grupo de Alergia, Instituto Biosanitario de Salamanca (IBSAL), Spain.
| | - M Isidoro-García
- Grupo de Alergia, Instituto Biosanitario de Salamanca (IBSAL), Spain; Servicio de Bioquímica Clínica, Complejo Asistencial Universitario de Salamanca, Spain; Departamento de Medicina, Universidad de Salamanca, Spain
| | - V García-Solaesa
- Grupo de Alergia, Instituto Biosanitario de Salamanca (IBSAL), Spain; Servicio de Bioquímica Clínica, Complejo Asistencial Universitario de Salamanca, Spain
| | - C Sanz
- Grupo de Alergia, Instituto Biosanitario de Salamanca (IBSAL), Spain; Departamento de Microbiología y Genética, Universidad de Salamanca, Spain
| | - L Hernández-Hernández
- Departamento de Pediatría, Universidad de Salamanca, Spain; Grupo de Alergia, Instituto Biosanitario de Salamanca (IBSAL), Spain
| | - J Padrón-Morales
- Servicio de Bioquímica Clínica, Complejo Asistencial Universitario de Salamanca, Spain
| | - F Lorente-Toledano
- Departamento de Pediatría, Universidad de Salamanca, Spain; Grupo de Alergia, Instituto Biosanitario de Salamanca (IBSAL), Spain; Servicio de Pediatría, Hospital Universitario de Salamanca, Spain
| | - I Dávila
- Departamento de Pediatría, Universidad de Salamanca, Spain; Grupo de Alergia, Instituto Biosanitario de Salamanca (IBSAL), Spain; Servicio de Alergia, Complejo Asistencial Universitario de Salamanca, Spain
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Abstract
One of the most conspicuous behavioural differences among great apes is the paucity of tool use among wild bonobos (Pan paniscus) in comparison to chimpanzees (Pan troglodytes) who are one of the most prolific and skilled tool users in the animal kingdom. This is in spite of the fact that bonobo tool use repertories are as large and diverse as chimpanzees’ in captive settings. In this study, we compared tool using behaviours and potential drivers of these behaviours in the Wamba bonobo population located in central Democratic Republic of Congo with the Goualougo chimpanzee population of northern Republic of Congo. The tool use repertoire of wild bonobos was comprised of only 13 behaviours, compared to 42 for chimpanzees. However, the number of tool behaviours observed in each study site was similar between bonobos and chimpanzees, and many types of tool use for social, self-grooming/stimulation, and comfort/protection functions were commonly used by both species. A marked difference is that 25 of 42 tool behaviours exhibited by chimpanzees are performed for feeding, in contrast to a single report of bonobos using a leaf sponge to drink water. We examined whether the differences in tool use repertoires can be explained by the necessity, opportunity, relative profitability, or invention hypotheses. We found that habitat composition and fluctuation of fruit production at these two sites were similar, particularly when compared with variation observed between sites within each species. Thus it was unlikely that the necessity hypothesis explains the lack of tool use for feeding in bonobos. Though further study at Wamba is needed, we did not identify any obvious differences in prey availability that would indicate differences in tool using opportunities between the sites. This study could not test the relative profitability hypothesis, and further research is needed on whether tool use is the most efficient means of calorie or protein intake for wild apes. Bonobos at Wamba formed much larger and stable parties than chimpanzees at Goualougo, which was contrary to the prediction by the invention hypothesis. Another explanation is that differences in tool use behaviour between bonobos and chimpanzees might not be explained by the current ecological or social conditions, but rather by circumstances during the Pleistocene Epoch. The observed species differences might also reflect divergent behavioural predispositions, rather than actual differences in cognitive abilities.
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Affiliation(s)
- T. Furuichi
- aPrimate Research Institute, Kyoto University, Inuyama, Aichi 484-5806, Japan
| | - C. Sanz
- bDepartment of Anthropology, Washington University, 1 Brookings Drive, Saint Louis, MO 63130, USA
- cCongo Program, Wildlife Conservation Society, B.P. 14537, Brazzaville, Republic of Congo
| | - K. Koops
- dDepartment of Archaeology and Anthropology, University of Cambridge, Fitzwilliam Street, Cambridge CB2 1QH, UK
| | - T. Sakamaki
- aPrimate Research Institute, Kyoto University, Inuyama, Aichi 484-5806, Japan
| | - H. Ryu
- aPrimate Research Institute, Kyoto University, Inuyama, Aichi 484-5806, Japan
| | - N. Tokuyama
- aPrimate Research Institute, Kyoto University, Inuyama, Aichi 484-5806, Japan
| | - D. Morgan
- cCongo Program, Wildlife Conservation Society, B.P. 14537, Brazzaville, Republic of Congo
- eLester E. Fisher Center for the Study and Conservation of Apes, Lincoln Park Zoo, North Clark Street, Chicago, IL 60614, USA
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Padrón-Morales J, García-Solaesa V, Isidoro-García M, Hernández-Hernández L, García-Sánchez A, Hincapié-López G, Lorente-Toledano F, Dávila I, Sanz C. Implications of cytokine genes in allergic asthma. Allergol Immunopathol (Madr) 2014; 42:603-8. [PMID: 24731768 DOI: 10.1016/j.aller.2013.11.006] [Citation(s) in RCA: 6] [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] [Received: 08/23/2013] [Accepted: 11/07/2013] [Indexed: 11/29/2022]
Abstract
Asthma is a complex disease involving numerous mediator molecules and effector cells, in combination with a range of environmental determining factors. Cytokines play a key role in the physiopathological mechanisms of asthma; the study of the structure, regulation and variations of the genes that encode for these molecules is therefore crucial. Cytokines have extremely diverse roles, and exert effects both as activators and inhibitors of the innate and adaptive immune response. Certain modifications in the expression or structure of these molecules, resulting from the presence of polymorphisms, may give rise to deregulation of the mentioned effects, and therefore to a predisposition to develop concrete asthma phenotypes.
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Affiliation(s)
- J Padrón-Morales
- Department of Immunoallergy, Salamanca University Hospital, Salamanca, Spain; Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain
| | - V García-Solaesa
- Department of Immunoallergy, Salamanca University Hospital, Salamanca, Spain; Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain
| | - M Isidoro-García
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain; Department of Clinical Biochemistry, Salamanca University Hospital, Salamanca, Spain; Department of Medicine, University of Salamanca, Salamanca, Spain
| | - L Hernández-Hernández
- Department of Immunoallergy, Salamanca University Hospital, Salamanca, Spain; Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain
| | - A García-Sánchez
- Department of Immunoallergy, Salamanca University Hospital, Salamanca, Spain; Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain
| | - G Hincapié-López
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain; Department of Clinical Biochemistry, Salamanca University Hospital, Salamanca, Spain
| | - F Lorente-Toledano
- Department of Immunoallergy, Salamanca University Hospital, Salamanca, Spain; Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain; Department of Obstetrics, Ginecology and Pediatrics, University of Salamanca, Salamanca, Spain
| | - I Dávila
- Department of Immunoallergy, Salamanca University Hospital, Salamanca, Spain; Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain; Department of Obstetrics, Ginecology and Pediatrics, University of Salamanca, Salamanca, Spain
| | - C Sanz
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain; Department of Microbiology and Genetics, University of Salamanca, Salamanca, Spain.
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Balana C, Sanz C, Ramirez J, Gil J, Sepúlveda J, De Las Penas R, Luque R, Gallego O, Reynes G, Carrato C, Sanchez B, Herrero A, Berrocal A, Perez Segura P, Garcia Castano A, Peralta S, Vazquez S, Fernández Perez I, Martinez-Garcia M. Mgmt Methylation in Tissue and Serum from Unresectable Glioblastoma (Gbm) Patients (P) Included in the Genom 009 Study, a Multicenter Randomized Study By the Geino Group Comparing Temozolomide (Tmz) Versus Tmz-Plus-Bevacizumab (Bev). (Clinicaltrials.Gov Nct01102595). Ann Oncol 2014. [DOI: 10.1093/annonc/mdu330.4] [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: 11/14/2022] Open
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Risco D, Fernández-Llario P, García-Jiménez WL, Gonçalves P, Cuesta JM, Martínez R, Sanz C, Sequeda M, Gómez L, Carranza J, de Mendoza JH. Influence of porcine circovirus type 2 infections on bovine tuberculosis in wild boar populations. Transbound Emerg Dis 2014; 60 Suppl 1:121-7. [PMID: 24171857 DOI: 10.1111/tbed.12112] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [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: 11/30/2012] [Indexed: 11/27/2022]
Abstract
The wild boar is an important reservoir of bovine tuberculosis (bTB) in south-western Spain. Some risk factors such as wild boar density or age have been associated with the presence of high prevalences of bTB in wild boar. However, the influence of other risk factors such as co-infections with other pathogens has not yet been studied. This work aims to assess the influence of porcine circovirus type 2 (PCV-2) infection on bTB prevalence and bTB lesional patterns observed in wild boar. The presence of bTB-like lesions was evaluated in 551 hunted wild boar from 11 different game estates in south-western Spain, with a known history of bTB. Tuberculosis prevalences in each estate were calculated based on the percentage of animals found with bTB-like lesions. The percentage of animals with generalized bTB lesional patterns (bTB lesions in more than one organ) was also assessed. The prevalence of PCV-2 was studied in each estate using a specific PCR assay. The relationship between PCV-2 and bTB prevalences and between PCV-2 infections and the presence of generalized lesional patterns in wild boar were analysed. A statistical relationship between the prevalences of bTB and PCV-2 was found, with bTB prevalences being higher in estates where prevalences of PCV-2 were high. On the other hand, animals infected with PCV-2 were more likely to develop a generalized lesional pattern. Porcine circovirus type 2 prevalences seem to be associated with prevalences of bTB in wild boar. PCV-2 infection may aggravate the development and severity of bTB, favouring the presence of generalized lesional patterns and raising the risk of contagion in these estates. The implementation of sanitary measures that focus on the control of PCV-2 infection may be necessary as a preliminary measure in bTB control programmes for wild boar.
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Affiliation(s)
- D Risco
- Red de Grupos de Investigación Recursos Faunísticos, Facultad de Veterinaria, Universidad de Extremadura, Cáceres, Spain
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Saez JL, Sanz C, Durán M, García P, Fernandez F, Minguez O, Carbajo L, Mardones F, Perez A, Gonzalez S, Dominguez L, Alvarez J. Comparison of depopulation and S19-RB51 vaccination strategies for control of bovine brucellosis in high prevalence areas. Vet Rec 2014; 174:634. [DOI: 10.1136/vr.101979] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- J. L. Saez
- Subdirección General de Sanidad e Higiene Animal y Trazabilidad; Ministerio de Agricultura; Alimentación y Medio Ambiente; Madrid 28071 Spain
| | - C. Sanz
- Servicio de Sanidad Animal; Consejería de Agricultura y Desarrollo Rural; Junta de Extremadura Mérida 06800 Spain
| | - M. Durán
- Laboratorio Central de Sanidad Animal; Ministerio de Agricultura; Alimentación y Medio Ambiente; Santa Fe Granada 18320 Spain
| | - P. García
- Servicio de Sanidad Animal; Consejería de Agricultura; Junta de Comunidades de Castilla la Mancha; Toledo 45071 Spain
| | - F. Fernandez
- Servicio de Sanidad y Bienestar Animal; Gobierno de Cantabria; Santander 39011 Spain
| | - O. Minguez
- Servicio de Sanidad Animal; Junta de Castilla y León; Valladolid 47071 Spain
| | - L. Carbajo
- Subdirección General de Sanidad e Higiene Animal y Trazabilidad; Ministerio de Agricultura; Alimentación y Medio Ambiente; Madrid 28071 Spain
| | - F. Mardones
- Department of Medicine and Epidemiology; Center for Animal Disease Modeling and Surveillance (CADMS); School of Veterinary Medicine; University of California; Davis CA 95616 USA
| | - A. Perez
- Department of Veterinary Population Medicine; University of Minnesota; Saint Paul MN 55108 USA
| | - S. Gonzalez
- Centro VISAVET; Universidad Complutense de Madrid; Madrid 28040 Spain
| | - L. Dominguez
- Centro VISAVET; Universidad Complutense de Madrid; Madrid 28040 Spain
- Facultad de Veterinaria; Departamento de Sanidad Animal; Universidad Complutense de Madrid; Madrid 28040 Spain
| | - J. Alvarez
- Department of Veterinary Population Medicine; University of Minnesota; Saint Paul MN 55108 USA
- Centro VISAVET; Universidad Complutense de Madrid; Madrid 28040 Spain
- Servicio de Microbiología; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS); Madrid 28034 Spain
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de Souto Barreto P, Sanz C, Vellas B, Lapeyre-Mestre M, Rolland Y. Drug treatment for diabetes in nursing home residents. Diabet Med 2014; 31:570-6. [PMID: 24267150 DOI: 10.1111/dme.12354] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2013] [Revised: 08/16/2013] [Accepted: 10/26/2013] [Indexed: 01/15/2023]
Abstract
AIMS The aim of this study was to describe drug treatment for diabetes in a large sample of nursing home residents and to compare subjects' health outcomes according to the anti-diabetic agents used. METHODS The cross-sectional data of 6275 residents [average age 86 years (± 8.2); 73.7% women] from 175 nursing homes in France were analysed. Participants were divided into one of the following four groups: diabetes non-drug treatment, diabetes hypoglycaemic (e.g. insulins, sulphonylurea) treatment, diabetes non-hypoglycaemic (e.g. metformin) treatment and no diabetes. Group comparisons were made on functional ability (activities of daily living score) and on the prevalence of the following variables (yes vs. no): emergency department visits, falls and fractures. RESULTS Of the participants, 1076 (17.1%) had diabetes: 222 participants in the non-drug treatment group, 722 in the hypoglycaemic group and 132 in the non-hypoglycaemic group. The remaining 5199 participants made up the group without diabetes. Insulin and metformin were used by 549 and 185 participants, respectively. Activities of daily living scores differed across the four groups, with those in the non-drug treatment group being the most disabled. Adjusted multivariate analyses showed that, compared with the group without diabetes, those in the hypoglycaemic group had a higher probability of emergency department visits (odds ratio 1.26, 95% CI 1.03-1.54) and increased the incidence rate ratios (1.02, 95% CI 1.00-1.04) of disability (activities of daily living score), whereas the non-hypoglycaemic group was not significantly associated with these outcomes. CONCLUSIONS The use of hypoglycaemic drugs was associated with poor health outcomes in nursing home residents. Therefore, more attention must be paid to adapting anti-diabetic treatment in this complex population.
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Affiliation(s)
- P de Souto Barreto
- Gerontopole of Toulouse, Institut of Aging, Toulouse University Hospital (CHU Toulouse), Toulouse, France; UMR7268 Aix-Marseille University Biocultural-Anthropology, Law, Ethics and Health, Marseille, France
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Ortiz JL, Milara J, Lluch J, De Diego A, Sanz C, Cortijo J. Phosphodiesterase-4 inhibition improves corticosteroid insensitivity in pulmonary endothelial cells under oxidative stress. Allergy 2013; 68:64-73. [PMID: 23121078 DOI: 10.1111/all.12055] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2012] [Indexed: 11/29/2022]
Abstract
BACKGROUND Several clinical studies have shown that smoking in asthmatics and chronic obstructive pulmonary disease patients is closely associated with corticosteroid refractoriness. In this work, we have analyzed glucocorticoid insensitivity in human pulmonary artery endothelial cells (HPAECs) under cigarette smoke extract (CSE) exposure as well as the possible additive effects of the combination therapy with a phosphodiesterase (PDE)-4 inhibitor. METHODS Interleukin (IL)-8 was measured in cell supernatants by ELISA. Histone deacetylase (HDAC), histone acetylase (HAT), and intracellular cAMP levels were measured by colorimetric assays and enzyme immunoassay, respectively. PDE4 isotypes and glucocorticoid receptor (GR)-α and β expression were measured by real-time RT-PCR. RESULTS The PDE4 inhibitor rolipram dose dependently inhibited the IL-8 secretion induced by CSE 5%. In contrast, dexamethasone 1 μM did not show inhibitory effect on IL-8 secretion. Combination of subeffective rolipram concentrations at 10 nM increased the inhibitory effect of dexamethasone to ~45% of inhibition. Cigarette smoke extract 5% inhibited HDAC activity and increased HAT activity generating glucocorticoid insensitivity. Rolipram did not modify the HDAC activity, however partially inhibited the increase in HAT activity at 1 μM. PDE4 isotypes were up-regulated by CSE 5% with the consequent cAMP down-regulation. Dexamethasone reduced all PDE4 isotypes expression and showed additive effects with rolipram enhancing cAMP levels. Furthermore, rolipram enhanced GR-α expression and inhibited the increase in GR-β induced by CSE. CONCLUSIONS Combination of rolipram and dexamethasone shows additive properties in HPAECs under glucocorticoid insensitive conditions. These results may be of potential value in future anti-inflammatory therapies using combination of PDE4 inhibitors and glucocorticoids.
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Affiliation(s)
- J. L. Ortiz
- Department of Pharmacology; Faculty of Medicine; University of Valencia; Valencia; Spain
| | | | - J. Lluch
- CIBERES; Health Institute Carlos III; Valencia
| | - A. De Diego
- Respiratory Unit; University and Polytechnic Hospital La Fe; Valencia
| | - C. Sanz
- Faculty of Biomedic Sciences; European University of Madrid; Affiliated Center of Valencia; Madrid; Spain
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Padrón-Morales J, Sanz C, Dávila I, Muñoz-Bellido F, Lorente F, Isidoro-García M. Polymorphisms of the IL12B, IL1B, and TNFA genes and susceptibility to asthma. J Investig Allergol Clin Immunol 2013; 23:487-494. [PMID: 24654313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND Asthma is one of the most common chronic inflammatory diseases in developed countries. Susceptibility to asthma is associated with interaction between multiple genes and environmental factors. Several cytokines play a major role in the pathophysiology of the disease. OBJECTIVE We analyzed the distribution of cytokine gene polymorphisms in a group of patients with asthma and a control group in order to determine the effect of these variants, or their combinations, on the development of clinical phenotypes. METHODS We genotyped 22 single-nucleotide polymorphisms (SNPs) corresponding to 13 cytokine genes (IFNG, IL1A, IL1B, IL1R1, IL1RN, IL2, IL4, IL4R, IL6, IL10, IL12B, TGFB1, and TNFA) in 376 individuals (219 asthmatic patients and 157 controls). Genetic association was evaluated using genotype and allele models for different asthma phenotypes. Gene-gene interactions were explored using multifactor dimensionality reduction. RESULTS Genotype AC of IL12B-1188 was associated with the presence of asthma. A significant association was detected between 2 SNPs analyzed in TNFA (-308 and -238) and atopic asthma and severe-persistent asthma. The IL1B TT haplotype (3962T and -511T) was also associated with atopy and moderate-persistent asthma. CONCLUSION Our data show that the presence of SNPs in IL12B, TNFA, and IL1B was significantly associated with asthma, atopy, and severity of asthma.We also highlight the importance of genetic context, haplotype, and gene-gene interaction analysis in genetic association studies.
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Hernández-Hernández L, Sanz C, García-Solaesa V, Padrón J, García-Sánchez A, Dávila I, Isidoro-García M, Lorente F. Tryptase: genetic and functional considerations. Allergol Immunopathol (Madr) 2012; 40:385-9. [PMID: 22770587 DOI: 10.1016/j.aller.2012.04.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2012] [Accepted: 04/09/2012] [Indexed: 11/24/2022]
Abstract
Tryptase is one of the main proteases located in the secretory granules of the mast cells, and is released through degranulation. It is therefore assumed to play an important role in inflammatory and allergic processes. Four genes are known to encode for these enzymes, with different alleles that give rise to different types of tryptases. The term "tryptase" generally refers to β-tryptase, which in vivo is a heterotetramer, possessing a structure of vital importance for enabling drug and substrate access to the active site of the molecule. Tryptase has been reported to possess antagonistic functions, since it plays an important role both in inflammatory phenomena and as a protector against infection. In allergic processes it is associated to bronchial hyperresponsiveness in asthmatic patients, where PAR-2 is of great importance as an airway receptor. Lastly, the genes that encode for tryptase are highly polymorphic and complex. As a result, it is important to establish a relationship between genotype and phenotype in disorders such as asthma, and to identify mutations that are presumably of pharmacological relevance.
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Sedkaoui K, Estrade A, Sanz C, Hanaire H, Leseux L, Didier A. Prévalence et facteurs de sévérité du syndrome d’apnées hypopnées obstructives du sommeil chez les patients diabétiques de type II. Neurophysiol Clin 2012. [DOI: 10.1016/j.neucli.2012.02.069] [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] Open
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Del Pozo D, Poves E, Tabernero S, Beceiro I, Moral I, Villafruela M, Sanz C, Borrego G. Conventional versus Rosemont endoscopic ultrasound criteria for chronic pancreatitis: interobserver agreement in same day back-to-back procedures. Pancreatology 2012; 12:284-7. [PMID: 22687386 DOI: 10.1016/j.pan.2012.03.054] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [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] [Received: 01/09/2012] [Revised: 02/10/2012] [Accepted: 03/09/2012] [Indexed: 12/11/2022]
Abstract
BACKGROUND AND STUDY AIMS Endoscopic ultrasound (EUS) is a commonly used and fairly sensitive method of assessing changes of chronic pancreatitis (CP) when routine noninvasive imaging has not shown overt features of CP. The aim of this study is to evaluate the interobserver agreement (IOA) for the classic (MSC) and the Rosemont (RC) criteria for the diagnosis of chronic pancreatitis on the basis of clinical practice. PATIENTS AND METHODS Two experienced endosonographers evaluated on the same day patients referred for EUS in a blinded fashion. Data from the sonographic criteria of both MSC and RC were collected. Agreement was calculated using k statistics. RESULTS A total of 69 patients were evaluated. The study population included mainly patients without pancreatic diseases, resulting in a low number of sonographic findings. Agreement for the final diagnosis was moderate for both classification systems of chronic pancreatitis (k = 0.53 for conventional and k = 0.46 for Rosemont). CONCLUSIONS The IOA of EUS in the diagnosis of CP is moderate. The concordance values obtained in clinical practice are similar to those obtained in multicenter studies. The RC does not seem to improve the IOA of MSC.
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Affiliation(s)
- D Del Pozo
- Servicio de Aparato Digestivo, Fundación para la Investigación Biomédica, Hospital Universitario Príncipe de Asturias, Ctra. Alcalá-Meco s/n, 28805 Alcalá de Henares, Madrid, Spain.
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Benito Pescador D, Isidoro-García M, García-Solaesa V, Pascual de Pedro M, Sanz C, Hernández-Hernández L, Sánchez-López J, Lorente SF, Picado C, Valero A, Dávila I. Genetic association study in nasal polyposis. J Investig Allergol Clin Immunol 2012; 22:331-340. [PMID: 23101307] [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: 06/01/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Nasal polyposis (NP) is a chronic inflammatory disease of the upper airways with a variable clinical course and unknown pathogenesis that often coexists with other conditions. Considering the possibility of genetic predisposition, we decided to analyze whether polymorphisms in LTC4S, CYSLTR1, PTGDR, and NOS2A were associated with NP. METHODS The study population comprised 486 Caucasian individuals. Polyposis and aspirin intolerance were diagnosed following the recommendations of the European Position Paper on Rhinosinusitis and Nasal Polyps. Genotypes were determined using polymerase chain reaction amplification and direct sequencing. RESULTS The -444A > C LTC4S polymorphism was significantly associated with NP and atopy (P = .033) and with NP and atopic asthma, (P =.012). In addition, a significant association was found when the (CCTTT) repetition of the NOS2A gene was present more than 14 times in patients with NP and asthma (P = .034), in patients with polyposis and intolerance to nonsteroidal anti-inflammatory drugs (P = .009), and in patients with the aspirin triad (P = .005). The PTGDR diplotype CCCT/CCCC (-613CC, -549CC, -441CC and -197TC) was more frequent in patients with NP (P = .043), NP with asthma (P = .013), and the aspirin triad (P = .041). CONCLUSIONS NP was associated with specific polymorphisms only when it occurred with related phenotypes. Our results suggest that this genetic background plays a more relevant role in the development of the associated clinical features of nasal polyposis than in simple polyposis.
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Affiliation(s)
- D Benito Pescador
- Department of Allergy, University Hospital of Salamanca, Salamanca, Spain
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Sekaoui K, Estrade A, Sanz C, Hanaire H, Leseux L, Didier A. Prévalence et facteurs de sévérité du syndrome d’apnées hypopnées obstructives du sommeil chez les patients diabétiques de type II. Rev Mal Respir 2012. [DOI: 10.1016/j.rmr.2011.10.811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
BACKGROUND Asthma affects more than 300 million individuals in the world. Several studies have demonstrated the importance of the genetic component. The aim of this study is to develop a holistic approach, including genetic, epigenetic, and expression analysis to study the Prostaglandin D2 receptor gene (PTGDR) in asthmatic patients. METHODS In this study, 637 Caucasian individuals were included. Genetic variants were characterized by sequencing, and haplotype and diplotype combinations were established. Electrophoretic mobility shift assays (EMSAs) were performed with different promoter variants. An epigenetic analysis of PTGDR was for the first time developed by MassArray assays, and gene expression was determined by real-time polymerase chain reaction. RESULTS The -197T > C (Fisher's P = 0.028) and -613C > T (Fisher's P < 0.001) polymorphisms were found to be significantly associated with allergic asthma and allergy to pollen and mites, respectively. In addition, several haplotype and diplotype combinations were associated with different allergy and asthma phenotypes. The presence of the -613C > T SNP determined variations in the EMSAs. Moreover, consistent differences in the methylation and expression patterns were observed between asthmatic patients and controls determining a 2.34-fold increase of PTGDR gene expression in asthmatic patients. CONCLUSIONS Genetic combinations described have functional implications in the PTGDR promoter activity by changing the transcription factors affinity that will help characterize different risk groups. The differences observed in the transcription factors affinity and in the methylation pattern bring insight into different transcription regulation in these patients. To the best of our knowledge, this is the first work in which the implication of genetic and epigenetic factors of PTGDR has been characterized pointing to putative therapeutic targets.
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Affiliation(s)
- M Isidoro-García
- Department of Clinical Biochemistry, University Hospital of Salamanca, Spain.
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Romero-Segura C, García-Rodríguez R, Sanz C, Pérez A. VIRGIN OLIVE PHENOLIC PROFILE AS A RESULT OF THE ANABOLIC AND CATABOLIC ENZYMES STATUS IN THE OLIVE FRUIT. ACTA ACUST UNITED AC 2011. [DOI: 10.17660/actahortic.2011.924.47] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Affiliation(s)
- D Del Pozo
- Gastroenterology Unit, Hospital Universitario Príncipe de Asturias, Madrid, Spain.
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Gallego Alvarez M, Noguero M, Sanz C, Arroyo M, Aragon S, Blanco M, Manosalvas P, Sancho B, Hernandez J. P165 Management of non palpable breast lesions with stereotactic vacuum assisted core needle biopsies (mammotome). Initial experience at 12 de Octubre Hospital (Madrid). Breast 2011. [DOI: 10.1016/s0960-9776(11)70108-4] [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: 11/25/2022] Open
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Davila I, Sanz C, Isidoro-Garcia M, Garcia-Solaesa V, Benito-Pescador D, Hernandez-Hernandez L, Moreno E, Muñoz-Bellido F, Laffond E, Lorente F. The TCCTG Haplotype (-613C>T, -549T>C, -441C>T, -197T>C and -95G>T) of PTGDR Gene is Associated with Allergic Sensitization. J Allergy Clin Immunol 2011. [DOI: 10.1016/j.jaci.2010.12.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Alonso R, Orejas P, Lopes F, Sanz C. Pre–release training of juvenile little owls Athene noctua to avoid predation. Anim Biodiv Conserv 2011. [DOI: 10.32800/abc.2011.34.0389] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Anti–predator training of juvenile little owls was tested in a sample of recovered owls raised in captivity in Brinzal Owl Rescue Center (Madrid, Spain). Mortality caused by predators has been described previously in released individuals. Nine little owls were conditioned during their development to a naturalized goshawk and a large live rat, whose presence was paired to the owl’s alarm call. All nine owls and seven non–trained individuals were then released during the late summer and autumn and radio–tracked for six weeks to test their survival. In total 71.4% of the trained owls survived while only the 33.3% of the untrained group were alive at the end of week six. The only cause of death that was detected was predation. Antipredator training, therefore, seems to be beneficial in maximizing survival after the release of juvenile little owls.
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Sanz C, Gautier JF, Hanaire H. Physical exercise for the prevention and treatment of type 2 diabetes. Diabetes Metab 2010; 36:346-51. [PMID: 20675173 DOI: 10.1016/j.diabet.2010.06.001] [Citation(s) in RCA: 72] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2010] [Accepted: 06/14/2010] [Indexed: 11/30/2022]
Abstract
The prevalence of type 2 diabetes is rapidly increasing worldwide, yet its primary prevention and treatment are still a challenge. The objectives of this review are to assess the effects of exercise on the prevention of type 2 diabetes in high-risk individuals and on glycaemic control in type 2 diabetic patients. Considering the available reports, there is unequivocal and strong evidence that physical exercise can prevent or delay progression to type 2 diabetes in subjects with impaired glucose tolerance. Also, lifestyle interventions, including diet and physical exercise, can result in a reduction of around 50% in diabetes incidence that persists even after the individual lifestyle counselling has stopped. In addition, short-term randomized studies have confirmed that physical training based on endurance and/or resistance exercises can also improve blood glucose control in type 2 diabetics with a mean glycated haemoglobin decrease of 0.6%. Thus, physical exercise should be part of any therapeutic strategy to slow the development of type 2 diabetes in high-risk individuals and to improve glucose control in type 2 diabetes.
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Affiliation(s)
- C Sanz
- Department of Diabetology, Metabolic Diseases and Nutrition, CHU de Toulouse, 31073 Toulouse, France.
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Sanz C, Ghita G, Franquet C, Martínez I, Pereira A. Red-blood-cell alloimmunization and female sex predict the presence of HLA antibodies in patients undergoing liver transplant. Vox Sang 2010; 99:261-6. [DOI: 10.1111/j.1423-0410.2010.01347.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Sanz C, Vázquez P, Blázquez C, Barrio PA, Alvarez MDM, Blázquez E. Signaling and biological effects of glucagon-like peptide 1 on the differentiation of mesenchymal stem cells from human bone marrow. Am J Physiol Endocrinol Metab 2010; 298:E634-43. [PMID: 20040695 DOI: 10.1152/ajpendo.00460.2009] [Citation(s) in RCA: 82] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Glucagon-like peptide 1 (GLP-1) functions as an incretin hormone with antidiabetogenic properties. However, the role of GLP-1 in human bone marrow-derived mesenchymal stem cells (hMSCs), if any, remains unknown. The effects of GLP-1 on hMSCs were tested with regard to cell proliferation, cytoprotection, and cell differentiation into adipocytes. The signaling pathways involved in these processes were also analyzed. Cells were characterized with biochemical and morphological approaches before and after being induced to differentiate into adipocytes. PCNA protein levels were used as a proliferation index, whereas cell apoptosis was studied by deprivation of fetal bovine serum. Isolated hMSCs expressed stem cell markers as well as mRNA and GLP-1 receptor protein. GLP-1 increased the proliferation of hMSCs, which decreased when they were induced to differentiate into adipocytes. This process produced biochemical and morphological changes in cells expressing PPARgamma, C/EBPbeta, AP2, and LPL in a time-dependent pattern. Notably, GLP-1 significantly reduced the expression of PPARgamma, C/EBPbeta, and LPL. These effects were exerted at least through the MEK and PKC signaling pathways. In addition, GLP-1 significantly reduced cell apoptosis. Our data indicate that, in hMSCs, GLP-1 promotes cellular proliferation and cytoprotection and prevents cell differentiation into adipocytes. These latter findings underscore the potential therapeutic role of GLP-1 in preventing the adipocyte hyperplasia associated with obesity and, additionally, could bolster the maintenance of hMSC stores by promoting the proliferation and cytoprotection of undifferentiated hMSC.
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Affiliation(s)
- C Sanz
- Department of Biochemistry and Molecular Biology, Complutense University, Madrid, Spain.
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Sanz C, Andrieu S, Sinclair A, Hanaire H, Vellas B. Diabetes is associated with a slower rate of cognitive decline in Alzheimer disease. Neurology 2009; 73:1359-66. [PMID: 19858457 DOI: 10.1212/wnl.0b013e3181bd80e9] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Previous epidemiologic studies indicate that diabetes mellitus (DM) is associated with cognitive decline and an increased risk of developing Alzheimer disease (AD) in people who do not have dementia. However, little is known about the effect of DM on the rate of cognitive decline in established AD. Our objective was to determine whether DM influences the rate of cognitive decline in patients with AD. METHODS A total of 608 patients with a probable diagnosis of AD and a Mini-Mental State Examination (MMSE) score between 10 and 26 were enrolled in a prospective multicenter study. Participants were followed up to 52 (mean 26) months. DM was assessed at baseline (history of DM or antidiabetic medication use). Cognitive function was assessed twice yearly with the MMSE. RESULTS Sixty-three participants (10.4%) had DM at baseline. In a mixed model adjusted for sex, age, educational level, dementia severity, cholinesterase inhibitor use, and vascular factors (hypertension, atrial fibrillation, coronary heart disease, and hypercholesterolemia), there were no differences between the groups in MMSE baseline scores (-0.75, p = 0.20), but cognitive decline was slower in the group with DM (0.38, p = 0.01). CONCLUSIONS In a cohort of community-dwelling patients with Alzheimer disease (AD), the presence of diabetes mellitus (DM) was associated with a lower rate of cognitive decline. Future studies will need to address the potential impact of DM in the cerebral aging process and to assess the neuropathologic variations in patients with AD with DM.
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Affiliation(s)
- C Sanz
- INSERM U558, 37 allées Jules Guesde, 31073 Toulouse, France.
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Roncero I, Sanz C, Alvarez E, Vázquez P, Barrio PA, Blázquez E. Glucokinase and glucokinase regulatory proteins are functionally coexpressed before birth in the rat brain. J Neuroendocrinol 2009; 21:973-81. [PMID: 19807849 DOI: 10.1111/j.1365-2826.2009.01919.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Our previous description of functional glucokinase (GK) isoforms and their interactions with glucokinase regulatory protein (GKRP) in adult rat and human brains suggested that both participate in glucose sensing in the central nervous system. To determine whether both proteins are coexpressed and active before birth or during early post-natal life, we characterised these molecules in the brains of foetal and post-natal pup rats. We found GK and GKRP mRNAs that were similar to those previously reported in the adult rat brain. Likewise, GK and GKRP gene expression gave rise to proteins of 52 and 69 kDa, respectively. Immunohistochemistry experiments showed the colocalisation of both GK and GKRP proteins in the same brain cells of 21-day-old rat foetuses. Furthermore, coprecipitation of GK and GKRP in the presence of fructose 6-phosphate suggests interactions between both proteins. The presence of GK phosphorylating activity was detected in different brain areas of 21-day-old foetuses with a contribution to the total glucose-phosphorylating activity of between 17.2 +/- 1.7% and 12.4 +/- 3.7%, with the hypothalamus being the region of maximum activity. The hypothalamic GK activity in 21-day-old foetuses has a high apparent K(m) for glucose and no product inhibition by glucose 6-phosphate. Our findings indicate that both proteins may be functionally active before birth and that they can act within a glucose sensor system involved in controlling food intake.
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Affiliation(s)
- I Roncero
- Department of Biochemistry and Molecular Biology, Faculty of Medicine, Complutense University, Madrid, Spain.
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Garcia AM, Villà S, Balañàa C, Teixidor P, Puyalto P, García-Armengol R, Carrato C, Sanz C, Domènech S, Arellano A. 8717 Short course of hypofractionated radiotherapy and concomitant temozolomide in patients affected with glioblastoma with V-VI prognostic classes – a pilot study. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71691-x] [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] Open
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Arriba-Méndez S, Sanz C, Isidoro-García M, Pascual M, Avila C, Dávila I, Lorente F. Analysis of 927T > C CYSLTR1 and -444A > C LTC4S polymorphisms in children with asthma. Allergol Immunopathol (Madr) 2009; 36:259-63. [PMID: 19080797 DOI: 10.1016/s0301-0546(08)75220-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [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: 01/22/2023]
Abstract
INTRODUCTION The cysteinyl leukotrienes (Cys-LTs) are potent inflammatory mediators in asthma. It has been suggested that the different response of patients to Cys-LTs inhibitors could be due to the presence of polymorphisms in the genes implicated in this pathway. METHODS In this study, polymorphisms 927T > C CYSLTR1 and -444A > C LTC4S were analysed in a Spanish population of 188 individuals (109 asthmatic children and 79 controls). Standardised history, skin prick tests and lung function measurements were performed in all patients. Genotypes were determined by sequencing after PCR amplification. RESULTS Differences were observed in 927T > C CYSLTR1, regarding the severity of asthma in males. A greater presence of allele C in the population with persistent asthma versus the control group (Fisher's p-value = 0.001; Monte Carlo p-value = 0.003; OR: 12.35; 95 %CI: 2.18-70.00) was observed. Differences were also detected in the combined study of both polymorphisms, among controls and asthmatic patients (Monte Carlo p-value = 0.0002). In the group of males with asthma, an increase of AC variant (-444A LTC4S and 927C CYSLTR1) and a reduction in the AT genetic combination were detected. CONCLUSIONS The combined study of polymorphisms in genes of the leukotriene pathway could explain the differences observed in the studies reported on polymorphism -444A < C LTC4S individually analysed.
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Affiliation(s)
- S Arriba-Méndez
- Pediatrics Department. Nuestra Señora de Sonsoles Hospital. Avila. Spain.
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Sanz C, Vezzosi D, Pigny P, Bennet A, Caron P. Multiple endocrine neoplasia type 2a and germ line C634G RET mutation diagnosed in an 80-year-old patient. Ann Endocrinol (Paris) 2009; 70:141-144. [PMID: 19201392 DOI: 10.1016/j.ando.2008.12.001] [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: 09/02/2008] [Revised: 11/24/2008] [Accepted: 12/01/2008] [Indexed: 05/27/2023]
Abstract
An 80-year-old man presented with progressive fatigue. Blood tests showed that serum calcium was increased (2.93 mmol/l, normal range 2.20-2.55 mmol/l) and serum concentration of intact parathyroid hormone (iPTH) inappropriately high (198 pg/ml, normal range 15-85 pg/ml). Neck ultrasonography and Tc-MIBI scintigraphy revealed a right parathyroid adenoma and a multinodular goiter. Serum calcitonin was significantly increased (220 pg/ml, normal range<10 pg/ml). Concomitantly, a chest-abdominal computed tomography was performed and revealed a 22 mm right adrenal incidentaloma. The urinary catecholamines and metabolites were two-fold above the upper limit of normal. After right adrenalectomy which confirmed the diagnosis of pheochromocytoma, the patient underwent total thyroidectomy with dissection of the central lymph node compartment and right parathyroidectomy. On histopathologic examination, both thyroid lobes presented 13 foci of MTC without lymph node metastasis and the parathyroid gland presented a benign adenoma without hyperplasia. The patient underwent screening and genetic testing revealing a germ line C634 G RET mutation. The diagnosis of Men2a at the age of 80 years and the absence of lymph node metastasis of the multiple MTC in a carrier of C634G mutation were unusual and argued for the possible role of genetic modifier(s) in this MEN 2a patient.
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Affiliation(s)
- C Sanz
- Department of endocrinology, metabolic diseases and nutrition, centre hospitalo-universitaire Larrey, 31059 Toulouse cedex 9, France
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De Matías Martínez M, Noguero Meseguer M, Fraile B, Sancho B, Gallego M, Sanz C, Arroyo M, Aragón S, Carrascal A, Blanco M, Hernández J. 0219 Breast cancer in “elderly” women. Breast 2009. [DOI: 10.1016/s0960-9776(09)70236-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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