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Díez Á, Gomez-Pilar J, Poza J, Beño-Ruiz-de-la-Sierra R, Fernández-Linsenbarth I, Recio-Barbero M, Núñez P, Holgado-Madera P, Molina V. Functional network properties in schizophrenia and bipolar disorder assessed with high-density electroencephalography. Prog Neuropsychopharmacol Biol Psychiatry 2024; 129:110902. [PMID: 38036032 DOI: 10.1016/j.pnpbp.2023.110902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 11/10/2023] [Accepted: 11/24/2023] [Indexed: 12/02/2023]
Abstract
BACKGROUND The study of the cortical functional network properties in schizophrenia (SZ) may benefit from the use of graph theory parameters applied to high-density electroencephalography (EEG). Connectivity Strength (CS) assesses global synchrony of the network, and Shannon Graph Complexity (SGC) summarizes the network distribution of link weights and allows distinguishing between primary and secondary pathways. Their joint use may help in understanding the underpinnings of the functional network hyperactivation and task-related hypomodulation previously described in psychoses. METHODS We used 64-sensor EEG recordings during a P300 oddball task in 128 SZ patients (96 chronic, CR, and 32 first episodes, FE), as well as 46 bipolar disorder (BD) patients, and 92 healthy controls (HC). Pre-stimulus and modulation (task-response minus pre-stimulus windows values) of CS and SGC were assessed in the theta band (4-8 Hz) and the broadband (4-70 Hz). RESULTS Compared to HC, SZ patients (CR and FE) showed significantly higher pre-stimulus CS values in the broadband, and both SZ and BD patients showed lower theta-band CS modulation. SGC modulation values, both theta-band and broadband, were also abnormally reduced in CR patients. Statistically significant relationships were found in the theta band between SGC modulation and both CS pre-stimulus and modulation values in patients. CS altered measures in patients were additionally related to their cognitive outcome and negative symptoms. A primary role of antipsychotics in these results was ruled out. CONCLUSIONS Our results linking SGC and CS alterations in psychotic patients supported a hyperactive and hypomodulatory network mainly involving connections in secondary pathways.
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Affiliation(s)
- Álvaro Díez
- Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain
| | - Javier Gomez-Pilar
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain.; CIBER de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III, Valladolid, Spain
| | - Jesús Poza
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain.; CIBER de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III, Valladolid, Spain
| | | | | | | | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain.; CIBER de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III, Valladolid, Spain.; Coma Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium
| | | | - Vicente Molina
- Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain.; Psychiatry Service, Clinical University Hospital of Valladolid, Valladolid, Spain..
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Fernández-Linsenbarth I, Mijancos-Martínez G, Bachiller A, Núñez P, Rodríguez-González V, Beño-Ruiz-de-la-Sierra RM, Roig-Herrero A, Arjona-Valladares A, Poza J, Mañanas MÁ, Molina V. Relation between task-related activity modulation and cortical inhibitory function in schizophrenia and healthy controls: a TMS-EEG study. Eur Arch Psychiatry Clin Neurosci 2024:10.1007/s00406-023-01745-0. [PMID: 38243018 DOI: 10.1007/s00406-023-01745-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 12/11/2023] [Indexed: 01/21/2024]
Abstract
Schizophrenia has been associated with a reduced task-related modulation of cortical activity assessed through electroencephalography (EEG). However, to the best of our knowledge, no study so far has assessed the underpinnings of this decreased EEG modulation in schizophrenia. A possible substrate of these findings could be a decreased inhibitory function, a replicated finding in the field. In this pilot study, our aim was to explore the association between EEG modulation during a cognitive task and the inhibitory system function in vivo in a sample including healthy controls and patients with schizophrenia. We hypothesized that the replicated decreased task-related activity modulation during a cognitive task in schizophrenia would be related to a hypofunction of the inhibitory system. For this purpose, 27 healthy controls and 22 patients with schizophrenia (including 13 first episodes) performed a 3-condition auditory oddball task from which the spectral entropy modulation was calculated. In addition, cortical reactivity-as an index of the inhibitory function-was assessed by the administration of 75 monophasic transcranial magnetic stimulation single pulses over the left dorsolateral prefrontal cortex. Our results replicated the task-related cortical activity modulation deficit in schizophrenia patients. Moreover, schizophrenia patients showed higher cortical reactivity following transcranial magnetic stimulation single pulses over the left dorsolateral prefrontal cortex compared to healthy controls. Cortical reactivity was inversely associated with EEG modulation, supporting the idea that a hypofunction of the inhibitory system could hamper the task-related modulation of EEG activity.
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Affiliation(s)
- Inés Fernández-Linsenbarth
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005, Valladolid, Spain
| | - Gema Mijancos-Martínez
- Biomedical Engineering Research Centre (CREB), Department of Automatic Control (ESAII), Polytechnic University of Catalonia, Barcelona, Spain
- Institute of Research Sant Joan de Déu, Barcelona, Spain
| | - Alejandro Bachiller
- Biomedical Engineering Research Centre (CREB), Department of Automatic Control (ESAII), Polytechnic University of Catalonia, Barcelona, Spain
- Institute of Research Sant Joan de Déu, Barcelona, Spain
| | - Pablo Núñez
- Coma Science Group, CIGA-Consciousness, University of Liège, Liège, Belgium
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain
- Biomaterials and Nanomedicine (BICER-BBN), CIBER of Bioengineering, Madrid, Spain
| | - Víctor Rodríguez-González
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain
- Biomaterials and Nanomedicine (BICER-BBN), CIBER of Bioengineering, Madrid, Spain
| | | | - Alejandro Roig-Herrero
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005, Valladolid, Spain
- Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain
| | - Antonio Arjona-Valladares
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005, Valladolid, Spain
| | - Jesús Poza
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain
- Biomaterials and Nanomedicine (BICER-BBN), CIBER of Bioengineering, Madrid, Spain
- Instituto de Investigación en Matemáticas (IMUCA), University of Valladolid, Valladolid, Spain
| | - Miguel Ángel Mañanas
- Biomedical Engineering Research Centre (CREB), Department of Automatic Control (ESAII), Polytechnic University of Catalonia, Barcelona, Spain
- Institute of Research Sant Joan de Déu, Barcelona, Spain
- Biomaterials and Nanomedicine (BICER-BBN), CIBER of Bioengineering, Madrid, Spain
| | - Vicente Molina
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005, Valladolid, Spain.
- Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain.
- Neurosciences Institute of Castilla y Léon (INCYL), University of Salamanca, Salamanca, Spain.
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Rodríguez-González V, Núñez P, Gómez C, Shigihara Y, Hoshi H, Tola-Arribas MÁ, Cano M, Guerrero Á, García-Azorín D, Hornero R, Poza J. Connectivity-based Meta-Bands: A new approach for automatic frequency band identification in connectivity analyses. Neuroimage 2023; 280:120332. [PMID: 37619796 DOI: 10.1016/j.neuroimage.2023.120332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2023] [Revised: 07/05/2023] [Accepted: 08/14/2023] [Indexed: 08/26/2023] Open
Abstract
The majority of electroencephalographic (EEG) and magnetoencephalographic (MEG) studies filter and analyse neural signals in specific frequency ranges, known as "canonical" frequency bands. However, this segmentation, is not exempt from limitations, mainly due to the lack of adaptation to the neural idiosyncrasies of each individual. In this study, we introduce a new data-driven method to automatically identify frequency ranges based on the topological similarity of the frequency-dependent functional neural network. The resting-state neural activity of 195 cognitively healthy subjects from three different databases (MEG: 123 subjects; EEG1: 27 subjects; EEG2: 45 subjects) was analysed. In a first step, MEG and EEG signals were filtered with a narrow-band filter bank (1 Hz bandwidth) from 1 to 70 Hz with a 0.5 Hz step. Next, the connectivity in each of these filtered signals was estimated using the orthogonalized version of the amplitude envelope correlation to obtain the frequency-dependent functional neural network. Finally, a community detection algorithm was used to identify communities in the frequency domain showing a similar network topology. We have called this approach the "Connectivity-based Meta-Bands" (CMB) algorithm. Additionally, two types of synthetic signals were used to configure the hyper-parameters of the CMB algorithm. We observed that the classical approaches to band segmentation are partially aligned with the underlying network topologies at group level for the MEG signals, but they are missing individual idiosyncrasies that may be biasing previous studies, as revealed by our methodology. On the other hand, the sensitivity of EEG signals to reflect this underlying frequency-dependent network structure is limited, revealing a simpler frequency parcellation, not aligned with that defined by the "canonical" frequency bands. To the best of our knowledge, this is the first study that proposes an unsupervised band segmentation method based on the topological similarity of functional neural network across frequencies. This methodology fully accounts for subject-specific patterns, providing more robust and personalized analyses, and paving the way for new studies focused on exploring the frequency-dependent structure of brain connectivity.
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Affiliation(s)
- Víctor Rodríguez-González
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III (CIBER-BBN), Spain.
| | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III (CIBER-BBN), Spain; Coma Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium
| | - Carlos Gómez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III (CIBER-BBN), Spain
| | | | | | - Miguel Ángel Tola-Arribas
- Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III (CIBER-BBN), Spain; Servicio de Neurología. Hospital Universitario Río Hortega, Valladolid, Spain
| | - Mónica Cano
- Servicio de Neurología. Hospital Universitario Río Hortega, Valladolid, Spain
| | - Ángel Guerrero
- Hospital Clínico Universitario, Valladolid, Spain; Department of Medicine, University of Valladolid, Spain
| | | | - Roberto Hornero
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III (CIBER-BBN), Spain; IMUVA, Instituto de Investigación en Matemáticas, University of Valladolid, Spain
| | - Jesús Poza
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina, Instituto de Salud Carlos III (CIBER-BBN), Spain; IMUVA, Instituto de Investigación en Matemáticas, University of Valladolid, Spain
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Martial C, Cassol H, Slater M, Bourdin P, Mensen A, Oliva R, Laureys S, Núñez P. Electroencephalographic Signature of Out-of-Body Experiences Induced by Virtual Reality: A Novel Methodological Approach. J Cogn Neurosci 2023; 35:1410-1422. [PMID: 37255451 DOI: 10.1162/jocn_a_02011] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Out-of-body experiences (OBEs) are subjective experiences of seeing one's own body and the environment from a location outside the physical body. They can arise spontaneously or in specific conditions, such as during the intake of dissociative drug. Given its unpredictable occurrence, one way to empirically study it is to induce subjective experiences resembling an OBE using technology such as virtual reality. We employed a complex multisensory method of virtual embodiment in a virtual reality scenario with seven healthy participants to induce virtual OBE-like experiences. Participants performed two conditions in a randomly determined order. For both conditions, the participant's viewpoint was lifted out of the virtual body toward the ceiling of the virtual room, and real body movements were (visuo-tactile ON condition) or were not (visuo-tactile OFF condition) translated into movements on the virtual body below-the latter aiming to maintain a feeling of connection with the virtual body. A continuous 128-electrode EEG was recorded. Participants reported subjective experiences of floating in the air and of feeling high up in the virtual room at a strong intensity, but a weak to moderate feeling of being "out of their body" in both conditions. The EEG analysis revealed that this subjective experience was associated with a power shift that manifested in an increase of delta and a decrease of alpha relative power. A reduction of theta complexity and an increase of beta-2 connectivity were also found. This supports the growing body of evidence revealing a prominent role of delta activity during particular conscious states.
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Affiliation(s)
| | | | - Mel Slater
- University of Barcelona, Spain
- Institute of Neurosciences of the University of Barcelona, Spain
| | - Pierre Bourdin
- University of Barcelona, Spain
- Open University of Catalonia, Spain
| | | | | | - Steven Laureys
- University of Liège, Belgium
- University Hospital of Liège, Belgium
- University Laval, Québec, Canada
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Mondéjar J, Pellico G, Sallén T, Núñez P, Puigcerver M, Pallàs I. [Management optimization of neovascular age-related macular degeneration in Spain: Evolution towards proactive treatment models]. J Healthc Qual Res 2023; 38:284-293. [PMID: 37246110 DOI: 10.1016/j.jhqr.2023.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 02/07/2023] [Accepted: 02/20/2023] [Indexed: 05/30/2023]
Abstract
INTRODUCTION AND OBJECTIVE Healthcare resources optimization is crucial to assume the growing demand of neovascular age-related macular degeneration (nAMD). This work provides guidelines and support so that each hospital can lead its change management. METHODS The OPTIMUS project (n=10 hospitals) was based on face-to-face interviews with the key staff of the ophthalmology services, and alignment with the main responsible for each centre (nominal group) to identify potential needs for improving nAMD. The OPTIMUS nominal group was expanded to 12 centres (eVOLUTION). Through different remote work sessions, different guides and tools were defined and developed to implement proactive treatment strategies, one-step treatment administration and potential for remote visits (eConsult) in nAMD. RESULTS The information collected from the OPTIMUS interviews and working groups (n=10 centres) defined roadmaps to promote the development of protocols and proactive treatment strategies, including healthcare workload optimization and one-stop treatment administration in nAMD. With eVOLUTION, processes and tools were developed to promote eConsult: (i) healthcare burden calculator; (ii) definition of potential patients for telematic management; (iii) definition of nAMD management archetypes; (iv) definition of processes for implementation of eConsult by archetype; and (v) key performance indicators for changing evaluation. CONCLUSIONS Managing change is an internal task that requires an adequate diagnosis of processes and feasible implementation roadmaps. OPTIMUS and eVOLUTION provide the basic tools for an autonomous advance of hospitals in the optimization of AMD management, with the available resources.
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Affiliation(s)
- J Mondéjar
- Bayer Hispania, S.L., Barcelona, España.
| | - G Pellico
- Bayer Hispania, S.L., Barcelona, España
| | - T Sallén
- Bayer Hispania, S.L., Barcelona, España
| | - P Núñez
- Bayer Hispania, S.L., Barcelona, España
| | | | - I Pallàs
- Bayer Hispania, S.L., Barcelona, España
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Retamales J, Núñez P, Alvarado R, Campan EDM, Otto T, Segovia C, Vasquez I, Santander J. Characterization of Xanthomonas arboricola pv. juglandis Bacteriophages against Bacterial Walnut Blight and Field Evaluation. Viruses 2022; 14:v14071380. [PMID: 35891361 PMCID: PMC9325289 DOI: 10.3390/v14071380] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 06/06/2022] [Accepted: 06/11/2022] [Indexed: 02/01/2023] Open
Abstract
Xanthomonas arboricola pv. juglandis (hereafter X. juglandis) is the etiological agent of walnut blight, the most important bacterial disease affecting walnut production worldwide. Currently, the disease is treated mainly with copper-derived compounds (e.g., CuSO4) despite the evidence of genetic resistance in these strains. Regarding the effectiveness and sustainability, the use of a bacteriophage appears to be a biocontrol alternative to reduce X. juglandis load and symptomatology of walnut blight. Here, the phages f20-Xaj, f29-Xaj, and f30-Xaj were characterized, and their effectiveness in walnut orchards against walnut blight was determined. These bacteriophages showed a specific lytic infection in X. juglandis strains isolated from Chile and France. Phylogenetic analysis of the complete genome of f20-Xaj and f30-Xaj indicates that these phages belong to the Pradovirus genus. In the field, the cocktail of these bacteriophages showed similar effectivity to CuSO4 in the reduction of incidence and severity in walnut tissue. Moreover, the bacterial load of X. juglandis was significantly reduced in the presence of bacteriophages in contrast to a CuSO4 treatment. These results show that the use of bacteriophages can be an alternative to combat the symptoms of walnut blight caused by X. juglandis.
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Affiliation(s)
- Julio Retamales
- Instituto de Ciencias Naturales, Facultad de Medicina Veterinaria y Agronomía, Universidad de las Américas, Viña del Mar 2520000, Chile
- Correspondence: ; Tel.: +56-32-2524274
| | - Pablo Núñez
- Agroadvance SpA, Peñaflor 9750000, Chile; (P.N.); (R.A.)
| | | | - Erick D. M. Campan
- Laboratoire Écologie Fonctionnelle et Environnement, Université de Toulouse, CNRS, 31062 Toulouse, France; (E.D.M.C.); (T.O.)
| | - Thierry Otto
- Laboratoire Écologie Fonctionnelle et Environnement, Université de Toulouse, CNRS, 31062 Toulouse, France; (E.D.M.C.); (T.O.)
| | - Cristopher Segovia
- Marine Microbial Pathogenesis and Vaccinology Laboratory, Department of Ocean Sciences, Memorial University of Newfoundland, St. John’s, NL A1C 5S7, Canada; (C.S.); (I.V.); (J.S.)
| | - Ignacio Vasquez
- Marine Microbial Pathogenesis and Vaccinology Laboratory, Department of Ocean Sciences, Memorial University of Newfoundland, St. John’s, NL A1C 5S7, Canada; (C.S.); (I.V.); (J.S.)
| | - Javier Santander
- Marine Microbial Pathogenesis and Vaccinology Laboratory, Department of Ocean Sciences, Memorial University of Newfoundland, St. John’s, NL A1C 5S7, Canada; (C.S.); (I.V.); (J.S.)
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Iglesias-Tejedor M, Díez Á, Llorca-Bofí V, Núñez P, Castaño-Díaz C, Bote B, Segarra R, Sanz-Fuentenebro J, Molina V. Relation between EEG resting-state power and modulation of P300 task-related activity in theta band in schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 2022; 116:110541. [PMID: 35218880 DOI: 10.1016/j.pnpbp.2022.110541] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 01/25/2022] [Accepted: 02/21/2022] [Indexed: 10/19/2022]
Abstract
There is some consistency in previous EEG findings that patients with schizophrenia have increased resting-state cortical activity. Furthermore, in previous work, we have provided evidence that there is a deficit in the modulation of bioelectrical activity during the performance of a P300 task in schizophrenia. Our hypothesis here is that a basal hyperactivation would be related with altered ability to change or modulate cortical activity during a cognitive task. However, no study so far, to the best of our knowledge, has studied the association between resting-state activity and task-related modulation. With this aim, we used a dual EEG paradigm (resting state and oddball task for elicitation of the P300 evoked potential) in a sample of patients with schizophrenia (n = 100), which included a subgroup of patients with first episode psychosis (n = 30), as well as a group of healthy controls (n = 93). The study measures were absolute power for resting-state; and spectral entropy (SE) and connectivity strength (CS) for P300-task data, whose modulation had been previously found to be altered in schizophrenia. Following the literature on P300, we focused our study on the theta frequency band. As expected, our results showed an increase in resting state activity and altered task-related modulation. Moreover, we found an inverse relationship between the amount of resting-state activity and modulation of task-related activity. Our results confirm our hypothesis and support the idea that a greater amount of resting theta-band synchrony could hamper the modulation of signal regularity (quantified by SE) and activity density (measured by CS) during the P300 task performance. This association was found in both patients and controls, suggesting the existence of a common mechanism and a possible ceiling effect in schizophrenia patients in relation to a decreased inhibitory function that limits their cortical reactivity to the task.
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Affiliation(s)
- María Iglesias-Tejedor
- Clinical Neurophysiology Service, Clinical University Hospital of Valladolid, Valladolid, Spain.
| | - Álvaro Díez
- Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain.
| | - Vicent Llorca-Bofí
- Psychiatry Department, Hospital Universitari Santa Maria, Lleida, Spain.
| | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain.
| | | | - Berta Bote
- Psychiatry Service, University Hospital of Salamanca, Salamanca, Spain.
| | - Rafael Segarra
- Psychiatry Service, Cruces Hospital, Biocruces-Bizkaia, Bilbao, Spain.
| | | | - Vicente Molina
- Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain; Psychiatry Service, University Hospital of Valladolid, Valladolid, Spain; Neuroscience Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain.
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Núñez P, Gomez C, Rodríguez-González V, Hillebrand A, Tewarie P, Gomez-Pilar J, Molina V, Hornero R, Poza J. Schizophrenia induces abnormal frequency-dependent patterns of dynamic brain network reconfiguration during an auditory oddball task. J Neural Eng 2022; 19. [PMID: 35108688 DOI: 10.1088/1741-2552/ac514e] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 09/28/2021] [Accepted: 02/02/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Schizophrenia is a psychiatric disorder that has been shown to disturb the dynamic top-down processing of sensory information. Various imaging techniques have revealed abnormalities in brain activity associated with this disorder, both locally and between cerebral regions. However, there is increasing interest in investigating dynamic network response to novel and relevant events at the network level during an attention-demanding task with high-temporal-resolution techniques. The aim of the work was: (i) to test the capacity of a novel algorithm to detect recurrent brain meta-states from auditory oddball task recordings; and (ii) to evaluate how the dynamic activation and behavior of the aforementioned meta-states were altered in schizophrenia, since it has been shown to impair top-down processing of sensory information. APPROACH A novel unsupervised method for the detection of brain meta-states based on recurrence plots and community detection algorithms, previously tested on resting-state data, was used on auditory oddball task recordings. Brain meta-states and several properties related to their activation during target trials in the task were extracted from electroencephalography (EEG) data from patients with schizophrenia and cognitively healthy controls. MAIN RESULTS The methodology successfully detected meta-states during an auditory oddball task, and they appeared to show both frequency-dependent time-locked and non-time-locked activity with respect to the stimulus onset. Moreover, patients with schizophrenia displayed higher network diversity, and showed more sluggish meta-state transitions, reflected in increased dwell times, less complex meta-state sequences, decreased meta-state space speed, and abnormal ratio of negative meta-state correlations. SIGNIFICANCE Abnormal cognition in schizophrenia is also reflected in decreased brain flexibility at the dynamic network level, which may hamper top-down processing, possibly indicating impaired decision-making linked to dysfunctional predictive coding. Moreover, the results showed the ability of the methodology to find meaningful and task-relevant changes in dynamic connectivity and pathology-related group differences.
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Affiliation(s)
- Pablo Núñez
- Teoría de la señal y comunicaciones e ingeniería telemática, Universidad de Valladolid, E.T.S. Ingenieros de Telecomunicacion, Paseo de Belen 15, 47011 - Valladolid, Valladolid, 47002, SPAIN
| | - Carlos Gomez
- Grupo de Ingeniería Biomédica, Universidad de Valladolid, E. T. S. Ingenieros de Telecomunicación, Universidad de Valladolid, Paseo Belén, 15, Valladolid, Valladolid, 47011, SPAIN
| | - Víctor Rodríguez-González
- Teoría de la señal y comunicaciones e ingeniería telemática, Universidad de Valladolid, E.T.S. Ingenieros de Telecomunicacion, Paseo de Belen 15, 47011 - Valladolid, Valladolid, 47011, SPAIN
| | - Arjan Hillebrand
- Department of Clinical Neurophysiology and MEG Centre, VU University Medical Centre, VU University Medical Centre, 1081 HV Amsterdam, Netherlands, Amsterdam, 1081 HV, NETHERLANDS
| | - Prejaas Tewarie
- Department of Clinical Neurophysiology and MEG Centre, VU University Medical Centre Amsterdam, VU University Medical Centre, 1081 HV Amsterdam, Netherlands, Amsterdam, Noord-Holland, 1081 HV, NETHERLANDS
| | - Javier Gomez-Pilar
- Communications and Signal Theory, Universidad de Valladolid, E.T.S. Ingenieros de Telecomunicacion, Paseo de Belen 15, 47011 - Valladolid, Valladolid, Valladolid, 47011, SPAIN
| | - Vicente Molina
- Universidad de Valladolid, School of Medicine, University of Valladolid, 47005 - Valladolid, Valladolid, 47002, SPAIN
| | - Roberto Hornero
- Biomedical Engineering Group, Universidad de Valladolid, ETSI Telecomunicacion, Paseo Belen 15, Valladolid, 47011, SPAIN
| | - Jesus Poza
- Communications and Signal Theory, University of Valladolid, E.T.S. Ingenieros de Telecomunicacion, Paseo de Belen 15, 47011 - Valladolid, Valladolid, 47002, SPAIN
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Núñez P, Muster C, Lisperguer MJ, Vargas E, Bustos S. Complete Genome of Xanthomonas arboricola pv. corylina Strain A7 Isolated from Southern Chile. Mol Plant Microbe Interact 2022; 35:94-95. [PMID: 34086484 DOI: 10.1094/mpmi-12-20-0363-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The complete genome sequence of Xanthomonas arboricola pv. corylina A7 was obtained by a hybrid approach combining PacBio and Illumina HiSeq sequence data. A single circular chromosome of 5.1 mb with 65.47% G + C content was obtained, including 4,344 coding sequences identified as well as some genes involved in copper resistance. The information obtained corresponds to the first report of a high-quality whole genome of X. arboricola pv. corylina, isolated from infected hazelnut trees in southern Chile.[Formula: see text] Copyright © 2021 The Author(s). This is an open access article distributed under the CC BY-NC-ND 4.0 International license.
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Affiliation(s)
- Pablo Núñez
- Laboratorio AgroScreening SpA, Avenida Larraín 5862, Piso 12, La Reina, Chile
| | - Cecilia Muster
- Agroadvance SpA, Camino a Melipilla 26200, Peñaflor, Chile
| | | | - Ester Vargas
- Agroadvance SpA, Camino a Melipilla 26200, Peñaflor, Chile
| | - Sofia Bustos
- Agroadvance SpA, Camino a Melipilla 26200, Peñaflor, Chile
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10
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Fernández-Linsenbarth I, Planchuelo-Gómez Á, Beño-Ruiz-de-la-Sierra RM, Díez A, Arjona A, Pérez A, Rodríguez-Lorenzana A, Del Valle P, de Luis-García R, Mascialino G, Holgado-Madera P, Segarra-Echevarría R, Gomez-Pilar J, Núñez P, Bote-Boneaechea B, Zambrana-Gómez A, Roig-Herrero A, Molina V. Search for schizophrenia and bipolar biotypes using functional network properties. Brain Behav 2021; 11:e2415. [PMID: 34758203 PMCID: PMC8671779 DOI: 10.1002/brb3.2415] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 09/17/2021] [Accepted: 10/20/2021] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION Recent studies support the identification of valid subtypes within schizophrenia and bipolar disorder using cluster analysis. Our aim was to identify meaningful biotypes of psychosis based on network properties of the electroencephalogram. We hypothesized that these parameters would be more altered in a subgroup of patients also characterized by more severe deficits in other clinical, cognitive, and biological measurements. METHODS A clustering analysis was performed using the electroencephalogram-based network parameters derived from graph-theory obtained during a P300 task of 137 schizophrenia (of them, 35 first episodes) and 46 bipolar patients. Both prestimulus and modulation of the electroencephalogram were included in the analysis. Demographic, clinical, cognitive, structural cerebral data, and the modulation of the spectral entropy of the electroencephalogram were compared between clusters. Data from 158 healthy controls were included for further comparisons. RESULTS We identified two clusters of patients. One cluster presented higher prestimulus connectivity strength, clustering coefficient, path-length, and lower small-world index compared to controls. The modulation of clustering coefficient and path-length parameters was smaller in the former cluster, which also showed an altered structural connectivity network and a widespread cortical thinning. The other cluster of patients did not show significant differences with controls in the functional network properties. No significant differences were found between patients´ clusters in first episodes and bipolar proportions, symptoms scores, cognitive performance, or spectral entropy modulation. CONCLUSION These data support the existence of a subgroup within psychosis with altered global properties of functional and structural connectivity.
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Affiliation(s)
| | | | | | - Alvaro Díez
- Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain
| | - Antonio Arjona
- Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain
| | - Adela Pérez
- Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain
| | | | - Pilar Del Valle
- Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain
| | | | - Guido Mascialino
- School of Psychology, Universidad de Las Américas, Quito, Ecuador
| | | | | | - Javier Gomez-Pilar
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain
| | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain
| | | | | | | | - Vicente Molina
- Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain.,Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain
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Thomson P, Núñez P, Quera R, Bay C. Gastrointestinal microbiome, what is behind faecal microbiota transplantation? New Microbes New Infect 2021; 42:100898. [PMID: 34168881 PMCID: PMC8207221 DOI: 10.1016/j.nmni.2021.100898] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 05/06/2021] [Accepted: 05/09/2021] [Indexed: 12/19/2022] Open
Abstract
The intestinal microbiota is made up of billions of microorganisms that coexist in an organised ecosystem, where strict and facultative anaerobic bacteria predominate. The alteration or imbalance of these microorganisms, known as dysbiosis, can be associated with both gastrointestinal and extraintestinal diseases. Based on a review of the literature, the intestinal microbiota is described in its state of health, the changes associated with some gastrointestinal diseases and the potential role that faecal microbiota transplantation has in the reestablishment of an altered ecosystem. Undoubtedly, the information revealed makes us reflect on the indication of faecal microbiota transplantation in various pathologies of intestinal origin. However, to ensure the efficacy and safety of this therapy, more studies are needed to obtain more evidence.
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Affiliation(s)
- P. Thomson
- Veterinarian School of Medicine, Faculty of Life Science, Andrés Bello University, Avenida República 440, Santiago, Chile
| | - P. Núñez
- Department of Gastroenterology, Hospital San Juan De Dios – University of Chile, Huérfanos 3255, Santiago, Chile
- Gastroenterology Department, Clínica Universidad de los Andes, Avda. Plaza 2501, Chile
| | - R. Quera
- Gastroenterology Department, Clínica Universidad de los Andes, Avda. Plaza 2501, Chile
| | - C. Bay
- Department of Pediatrics, Medicine School, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile
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12
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Núñez P, Poza J, Gómez C, Rodríguez-González V, Hillebrand A, Tewarie P, Tola-Arribas MÁ, Cano M, Hornero R. Abnormal meta-state activation of dynamic brain networks across the Alzheimer spectrum. Neuroimage 2021; 232:117898. [PMID: 33621696 DOI: 10.1016/j.neuroimage.2021.117898] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [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: 10/08/2020] [Revised: 01/19/2021] [Accepted: 02/16/2021] [Indexed: 02/06/2023] Open
Abstract
The characterization of the distinct dynamic functional connectivity (dFC) patterns that activate in the brain during rest can help to understand the underlying time-varying network organization. The presence and behavior of these patterns (known as meta-states) have been widely studied by means of functional magnetic resonance imaging (fMRI). However, modalities with high-temporal resolution, such as electroencephalography (EEG), enable the characterization of fast temporally evolving meta-state sequences. Mild cognitive impairment (MCI) and dementia due to Alzheimer's disease (AD) have been shown to disrupt spatially localized activation and dFC between different brain regions, but not much is known about how they affect meta-state network topologies and their network dynamics. The main hypothesis of the study was that MCI and dementia due to AD alter normal meta-state sequences by inducing a loss of structure in their patterns and a reduction of their dynamics. Moreover, we expected that patients with MCI would display more flexible behavior compared to patients with dementia due to AD. Thus, the aim of the current study was twofold: (i) to find repeating, distinctly organized network patterns (meta-states) in neural activity; and (ii) to extract information about meta-state fluctuations and how they are influenced by MCI and dementia due to AD. To accomplish these goals, we present a novel methodology to characterize dynamic meta-states and their temporal fluctuations by capturing aspects based on both their discrete activation and the continuous evolution of their individual strength. These properties were extracted from 60-s resting-state EEG recordings from 67 patients with MCI due to AD, 50 patients with dementia due to AD, and 43 cognitively healthy controls. First, the instantaneous amplitude correlation (IAC) was used to estimate instantaneous functional connectivity with a high temporal resolution. We then extracted meta-states by means of graph community detection based on recurrence plots (RPs), both at the individual- and group-level. Subsequently, a diverse set of properties of the continuous and discrete fluctuation patterns of the meta-states was extracted and analyzed. The main novelty of the methodology lies in the usage of Louvain GJA community detection to extract meta-states from IAC-derived RPs and the extended analysis of their discrete and continuous activation. Our findings showed that distinct dynamic functional connectivity meta-states can be found on the EEG time-scale, and that these were not affected by the oscillatory slowing induced by MCI or dementia due to AD. However, both conditions displayed a loss of meta-state modularity, coupled with shorter dwell times and higher complexity of the meta-state sequences. Furthermore, we found evidence that meta-state sequencing is not entirely random; it shows an underlying structure that is partially lost in MCI and dementia due to AD. These results show evidence that AD progression is associated with alterations in meta-state switching, and a degradation of dynamic brain flexibility.
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Affiliation(s)
- Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain.
| | - Jesús Poza
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina, (CIBER-BBN), Madrid, Spain; IMUVA, Instituto de Investigación en Matemáticas, University of Valladolid, Spain
| | - Carlos Gómez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina, (CIBER-BBN), Madrid, Spain
| | | | - Arjan Hillebrand
- Department of Clinical Neurophysiology and MEG Center, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Neuroscience, Amsterdam, The Netherlands
| | - Prejaas Tewarie
- Department of Clinical Neurophysiology and MEG Center, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Neuroscience, Amsterdam, The Netherlands
| | - Miguel Ángel Tola-Arribas
- Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina, (CIBER-BBN), Madrid, Spain
| | - Mónica Cano
- Department of Clinical Neurophysiology, "Río Hortega" University Hospital, Valladolid, Spain
| | - Roberto Hornero
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain; Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina, (CIBER-BBN), Madrid, Spain; IMUVA, Instituto de Investigación en Matemáticas, University of Valladolid, Spain
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13
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Díaz L, Rodríguez VD, González-Rodríguez M, Rodríguez-Castellón E, Algarra M, Núñez P, Moretti E. M/TiO 2 (M = Fe, Co, Ni, Cu, Zn) catalysts for photocatalytic hydrogen production under UV and visible light irradiation. Inorg Chem Front 2021. [DOI: 10.1039/d0qi01311k] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Cu/TiO2 photocatalysts can be considered a promising low-cost alternative to the well-known Pt/TiO2 system for hydrogen production under UV-Vis irradiation.
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Affiliation(s)
- L. Díaz
- Departamento de Química
- U.D. Química Inorgánica
- Universidad de La Laguna
- 38206 La Laguna
- Spain
| | - V. D. Rodríguez
- Departamento de Física
- Universidad de La Laguna
- 38206 La Laguna
- Spain
- Instituto Universitario de Materiales y Nanotecnología
| | - M. González-Rodríguez
- Departamento de Química
- U.D. Química Inorgánica
- Universidad de La Laguna
- 38206 La Laguna
- Spain
| | - E. Rodríguez-Castellón
- Departamento de Química Inorgánica
- Facultad de Ciencias
- Universidad de Málaga
- 29010 Málaga
- Spain
| | - M. Algarra
- Departamento de Química Inorgánica
- Facultad de Ciencias
- Universidad de Málaga
- 29010 Málaga
- Spain
| | - P. Núñez
- Departamento de Química
- U.D. Química Inorgánica
- Universidad de La Laguna
- 38206 La Laguna
- Spain
| | - E. Moretti
- Dipartimento di Scienze Molecolari e Nanosistemi
- Università Ca’ Foscari Venezia
- 30172 Mestre Venezia
- Italy
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14
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Molina V, Lubeiro A, de Luis Garcia R, Gomez-Pilar J, Martín-Santiago O, Iglesias-Tejedor M, Holgado-Madera P, Segarra-Echeverría R, Recio-Barbero M, Núñez P, Haidar MK, Fernández-Sevillano J, Sanz-Fuentenebro J. Deficits of entropy modulation of the EEG: A biomarker for altered function in schizophrenia and bipolar disorder? J Psychiatry Neurosci 2020; 45:322-333. [PMID: 32100521 PMCID: PMC7850148 DOI: 10.1503/jpn.190032] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [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] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND The synchronized activity of distributed neural assemblies — reflected in the electroencephalogram (EEG) — underpins mental function. In schizophrenia, modulation deficits of EEG spectral content during a P300 task have been replicated. The effects of treatment, chronicity and specificity in these deficits and their possible relationship with anatomic connectivity remain to be explored. METHODS We assessed spectral entropy modulation of the EEG during a P300 task in 79 patients with schizophrenia (of those, 31 werein their first episode), 29 patients with bipolar disorder and 48 healthy controls. Spectral entropy values summarize EEG characteristics by quantifying the irregularity of spectral content. In a subsample, we calculated the network architecture of structural connectivity using diffusion tensor imaging and graph-theory parameters. RESULTS We found significant spectral entropy modulation deficits with task performance in patients with chronic or first-episode schizophrenia and in patients with bipolar disorder, without significant pre-stimulus spectral entropy differences. The deficits were unrelated to treatment doses, and spectral entropy modulation did not differ between patients taking or not taking antipsychotics, lithium, benzodiazepines or antidepressants. Structural connectivity values were unrelated to spectral entropy modulation. In patients with schizophrenia, spectral entropy modulation was inversely related to negative symptoms and directly related to verbal memory. LIMITATIONS All patients were taking medication. Patients with bipolar disorder were euthymic and chronic. The cross-sectional nature of this study prevented a more thorough analysis of state versus trait criteria for spectral entropy changes. CONCLUSION Spectral entropy modulation with task performance is decreased in patients with schizophrenia and bipolar disorder. This deficit was not an effect of psychopharmacological treatment or structural connectivity and might reflect a deficit in the synchronization of the neural assemblies that underlie cognitive activity.
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Affiliation(s)
- Vicente Molina
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Alba Lubeiro
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Rodrigo de Luis Garcia
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Javier Gomez-Pilar
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Oscar Martín-Santiago
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - María Iglesias-Tejedor
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Pedro Holgado-Madera
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Rafael Segarra-Echeverría
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - María Recio-Barbero
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Pablo Núñez
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Mahmoud Karim Haidar
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Jessica Fernández-Sevillano
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
| | - Javier Sanz-Fuentenebro
- From the Psychiatry Department, School of Medicine, University of Valladolid, Valladolid, Spain (Molina, Lubeiro); the Psychiatry Service, Clinical Hospital of Valladolid, Valladolid, Spain (Molina, Martín-Santiago); the Neurosciences Institute of Castilla y León (INCYL), University of Salamanca, Salamanca, Spain (Molina); the Imaging Processing Laboratory, University of Valladolid, Valladolid, Spain (de Luis Garcia); the Biomedical Engineering Group, University of Valladolid, Valladolid, Spain (Gomez-Pilar, Núñez); the Neurophysiology Service, Clinical Hospital of Valladolid, Valladolid, Spain (Iglesias-Tejedor); the Psychiatry Service, Doce de Octubre University Hospital, Madrid, Spain (Holgado-Madera, Sanz-Fuentenebro); the Psychiatry Service, Cruces Hospital, Bilbao, Spain (Segarra-Echeverría, Recio-Barbero); and the Psychiatry Service, Santiago Apostol Hospital, Vitoria, Spain (Haidar, Fernández-Sevillano)
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Cea-Cañas B, Gomez-Pilar J, Núñez P, Rodríguez-Vázquez E, de Uribe N, Díez Á, Pérez-Escudero A, Molina V. Connectivity strength of the EEG functional network in schizophrenia and bipolar disorder. Prog Neuropsychopharmacol Biol Psychiatry 2020; 98:109801. [PMID: 31682892 DOI: 10.1016/j.pnpbp.2019.109801] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 09/16/2019] [Accepted: 10/29/2019] [Indexed: 01/22/2023]
Abstract
The application of graph theory measures in the study of functional brain networks allows for the description of their general properties and their alterations in mental illness. Among these measures, connectivity strength (CS) estimates the degree of functional connectivity of the whole network. Previous studies in schizophrenia patients have reported higher baseline CS values and modulation deficits in EEG spectral properties during cognitive activity. The specificity of these alterations and their relationships with pharmacological treatments remain unknown. Therefore, in the present study, we assessed functional CS on EEG-based brain networks in 79 schizophrenia and 29 bipolar patients in addition to 63 healthy controls. The subjects performed a P300 task during the EEG recordings from which the pre-stimulus and the task-related modulation CS values were computed in the global and theta bands. These values were compared between the groups and between the patients who had and had not received different treatments. The global band pre-stimulus CS was significantly higher in the schizophrenia group compared with the bipolar and control groups. Theta band CS modulation was decreased in schizophrenia and bipolar patients. Treatment with antipsychotics, lithium, benzodiazepines, and anticonvulsants did not significantly alter these CS values. The first-episode and chronic schizophrenia patients did not show significant differences in CS values. Higher global band pre-stimulus CS values were associated with worse general cognition in schizophrenia patients. These data support increased connectivity in the whole-brain network that is specific to schizophrenia and suggest a general hyper-synchronized basal state that might hamper cognition in this syndrome.
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Affiliation(s)
- Benjamín Cea-Cañas
- Clinical Neurophysiology Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain
| | - Javier Gomez-Pilar
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Eva Rodríguez-Vázquez
- Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain
| | - Nieves de Uribe
- Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain
| | - Álvaro Díez
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005 Valladolid, Spain
| | - Adela Pérez-Escudero
- Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain
| | - Vicente Molina
- Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain; Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005 Valladolid, Spain; Neurosciences Institute of Castilla y León (INCYL), School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005 Valladolid, Spain.
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Núñez P, Poza J, Gómez C, Barroso-García V, Maturana-Candelas A, Tola-Arribas MA, Cano M, Hornero R. Characterization of the dynamic behavior of neural activity in Alzheimer's disease: exploring the non-stationarity and recurrence structure of EEG resting-state activity. J Neural Eng 2020; 17:016071. [PMID: 32000144 DOI: 10.1088/1741-2552/ab71e9] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
OBJECTIVE Mild cognitive impairment (MCI) and dementia due to Alzheimer's disease (AD) have been shown to induce perturbations to normal neuronal behavior and disrupt neuronal networks. Recent work suggests that the dynamic properties of resting-state neuronal activity could be affected by MCI and AD-induced neurodegeneration. The aim of the study was to characterize these properties from different perspectives: (i) using the Kullback-Leibler divergence (KLD), a measure of non-stationarity derived from the continuous wavelet transform; and (ii) using the entropy of the recurrence point density ([Formula: see text]) and the median of the recurrence point density ([Formula: see text]), two novel metrics based on recurrence quantification analysis. APPROACH KLD, [Formula: see text] and [Formula: see text] were computed for 49 patients with dementia due to AD, 66 patients with MCI due to AD and 43 cognitively healthy controls from 60 s electroencephalographic (EEG) recordings with a 10 s sliding window with no overlap. Afterwards, we tested whether the measures reflected alterations to normal neuronal activity induced by MCI and AD. MAIN RESULTS Our results showed that frequency-dependent alterations to normal dynamic behavior can be found in patients with MCI and AD, both in non-stationarity and recurrence structure. Patients with MCI showed signs of patterns of abnormal state recurrence in the theta (4-8 Hz) and beta (13-30 Hz) frequency bands that became more marked in AD. Moreover, abnormal non-stationarity patterns were found in MCI patients, but not in patients with AD in delta (1-4 Hz), alpha (8-13 Hz), and gamma (30-70 Hz). SIGNIFICANCE The alterations in normal levels of non-stationarity in patients with MCI suggest an initial increase in cortical activity during the development of AD. This increase could possibly be due to an impairment in neuronal inhibition that is not present during later stages. MCI and AD induce alterations to the recurrence structure of cortical activity, suggesting that normal state switching during rest may be affected by these pathologies.
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Affiliation(s)
- Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain. Centro de Investigación Biomédica en Red en Bioingeniería, Biomateriales y Nanomedicina CIBER-BBN, Valladolid, Spain. Author to whom any correspondence should be addressed
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Barroso-García V, Gutiérrez-Tobal GC, Kheirandish-Gozal L, Álvarez D, Vaquerizo-Villar F, Núñez P, Del Campo F, Gozal D, Hornero R. Usefulness of recurrence plots from airflow recordings to aid in paediatric sleep apnoea diagnosis. Comput Methods Programs Biomed 2020; 183:105083. [PMID: 31590097 DOI: 10.1016/j.cmpb.2019.105083] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 08/28/2019] [Accepted: 09/16/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND AND OBJECTIVE In-laboratory overnight polysomnography (PSG) is the gold standard method to diagnose the Sleep Apnoea-Hypopnoea Syndrome (SAHS). PSG is a complex, expensive, labour-intensive and time-consuming test. Consequently, simplified diagnostic methods are desirable. We propose the analysis of the airflow (AF) signal by means of recurrence plots (RP) features. The main goal of our study was to evaluate the utility of the information from RPs of the AF signals to detect paediatric SAHS at different levels of severity. In addition, we also evaluated the complementarity with the 3% oxygen desaturation index (ODI3). METHODS 946 AF and blood oxygen saturation (SpO2) recordings from children ages 0-13 years were used. The population under study was randomly split into training (60%) and test (40%) sets. RP was computed and 9 RP features were extracted from each AF recording. ODI3 was also calculated from each SpO2 recording. A feature selection stage was conducted in the training group by means of the fast correlation-based filter (FCBF) methodology to obtain a relevant and non-redundant optimum feature subset. A multi-layer perceptron neural network with Bayesian approach (BY-MLP), trained with these optimum features, was used to estimate the apnoea-hypopnoea index (AHI). RESULTS 8 of the RP features showed statistically significant differences (p-value <0.01) among the SAHS severity groups. FCBF selected the maximum length of the diagonal lines from RP, as well as the ODI3. Using these optimum features, the BY-MLP model achieved 83.2%, 78.5%, and 91.0% accuracy in the test group for the AHI thresholds 1, 5, and 10 events/h, respectively. Moreover, this model reached a negative likelihood ratio of 0.1 for 1 event/h and a positive likelihood ratio of 13.7 for 10 events/h. CONCLUSIONS RP analysis enables extraction of useful SAHS-related information from overnight AF paediatric recordings. Moreover, it provides complementary information to the widely-used clinical variable ODI3. Thus, RP applied to AF signals can be used along with ODI3 to help in paediatric SAHS diagnosis, particularly to either confirm the absence of SAHS or the presence of severe SAHS.
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Affiliation(s)
| | | | - Leila Kheirandish-Gozal
- Department of Child Health, The University of Missouri School of Medicine, Columbia, MO, USA
| | - Daniel Álvarez
- Biomedical Engineering Group, Universidad de Valladolid, Valladolid, Spain; Sleep-Ventilation Unit, Pneumology Service, Río Hortega University Hospital, Valladolid, Spain
| | | | - Pablo Núñez
- Biomedical Engineering Group, Universidad de Valladolid, Valladolid, Spain
| | - Félix Del Campo
- Biomedical Engineering Group, Universidad de Valladolid, Valladolid, Spain; Sleep-Ventilation Unit, Pneumology Service, Río Hortega University Hospital, Valladolid, Spain
| | - David Gozal
- Department of Child Health, The University of Missouri School of Medicine, Columbia, MO, USA
| | - Roberto Hornero
- Biomedical Engineering Group, Universidad de Valladolid, Valladolid, Spain; IMUVA, Instituto de Investigación en Matemáticas, Universidad de Valladolid, Valladolid, Spain. http://www.gib.tel.uva.es
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Núñez P, Poza J, Gómez C, Rodríguez-González V, Hillebrand A, Tola-Arribas MA, Cano M, Hornero R. Characterizing the fluctuations of dynamic resting-state electrophysiological functional connectivity: reduced neuronal coupling variability in mild cognitive impairment and dementia due to Alzheimer’s disease. J Neural Eng 2019; 16:056030. [DOI: 10.1088/1741-2552/ab234b] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Affiliation(s)
- P Núñez
- Departamento de Biología Funcional, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Spain
| | - C Perillan
- Departamento de Biología Funcional, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Spain
| | - J Arguelles
- Departamento de Biología Funcional, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Spain
| | - E Diaz
- Departamento de Biología Funcional, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Oviedo, Spain
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Núñez P, Poza J, Bachiller A, Gomez-Pilar J, Lubeiro A, Molina V, Hornero R. Exploring non-stationarity patterns in schizophrenia: neural reorganization abnormalities in the alpha band. J Neural Eng 2018; 14:046001. [PMID: 28424430 DOI: 10.1088/1741-2552/aa6e05] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The aim of this paper was to characterize brain non-stationarity during an auditory oddball task in schizophrenia (SCH). The level of non-stationarity was measured in the baseline and response windows of relevant tones in SCH patients and healthy controls. APPROACH Event-related potentials were recorded from 28 SCH patients and 51 controls. Non-stationarity was estimated in the conventional electroencephalography frequency bands by means of Kullback-Leibler divergence (KLD). Relative power (RP) was also computed to assess a possible complementarity with KLD. MAIN RESULTS Results showed a widespread statistically significant increase in the level of non-stationarity from baseline to response in all frequency bands for both groups. Statistically significant differences in non-stationarity were found between SCH patients and controls in beta-2 and in the alpha band. SCH patients showed more non-stationarity in the left parieto-occipital region during the baseline window in the beta-2 band. A leave-one-out cross validation classification study with feature selection based on binary stepwise logistic regression to discriminate between SCH patients and controls provided a positive predictive value of 72.73% and negative predictive value of 78.95%. SIGNIFICANCE KLD can characterize transient neural reorganization during an attentional task in response to novelty and relevance. Our findings suggest anomalous reorganization of neural dynamics in SCH during an oddball task. The abnormal frequency-dependent modulation found in SCH patients during relevant tones is in agreement with the hypothesis of aberrant salience detection in SCH. The increase in non-stationarity in the alpha band during the active task supports the notion that this band is involved in top-down processing. The baseline differences in the beta-2 band suggest that hyperactivation of the default mode network during attention tasks may be related to SCH symptoms. Furthermore, the classification improved when features from both KLD and RP were used, supporting the idea that these measures can be complementary.
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Affiliation(s)
- Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Valladolid, Spain
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Gomez-Pilar J, de Luis-García R, Lubeiro A, de la Red H, Poza J, Núñez P, Hornero R, Molina V. Relations between structural and EEG-based graph metrics in healthy controls and schizophrenia patients. Hum Brain Mapp 2018; 39:3152-3165. [PMID: 29611297 DOI: 10.1002/hbm.24066] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [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: 09/13/2017] [Revised: 03/06/2018] [Accepted: 03/19/2018] [Indexed: 12/27/2022] Open
Abstract
Our aim was to assess structural and functional networks in schizophrenia patients; and the possible prediction of the latter based on the former. The possible dependence of functional network properties on structural alterations has not been analyzed in schizophrenia. We applied averaged path-length (PL), clustering coefficient, and density (D) measurements to data from diffusion magnetic resonance and electroencephalography in 39 schizophrenia patients and 79 controls. Functional data were collected for the global and theta frequency bands during an odd-ball task, prior to stimulus delivery and at the corresponding processing window. Connectivity matrices were constructed from tractography and registered cortical segmentations (structural) and phase-locking values (functional). Both groups showed a significant electroencephalographic task-related modulation (change between prestimulus and response windows) in the global and theta bands. Patients showed larger structural PL and prestimulus density in the global and theta bands, and lower PL task-related modulation in the theta band. Structural network values predicted prestimulus global band values in controls and global band task-related modulation in patients. Abnormal functional values found in patients (prestimulus density in the global and theta bands and task-related modulation in the theta band) were not predicted by structural data in this group. Structural and functional network abnormalities respectively predicted cognitive performance and positive symptoms in patients. Taken together, the alterations in the structural and functional theta networks in the patients and the lack of significant relations between these alterations, suggest that these types of network abnormalities exist in different groups of schizophrenia patients.
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Affiliation(s)
- Javier Gomez-Pilar
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Rodrigo de Luis-García
- Imaging Processing Laboratory, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Alba Lubeiro
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, Valladolid, 47005, Spain
| | - Henar de la Red
- Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, Valladolid, 47003, Spain
| | - Jesús Poza
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain.,Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, Valladolid, 47003, Spain.,Neurosciences Institute of Castilla y León (INCYL), Pintor Fernando Gallego, 1, 37007 University of Salamanca, 37007, Salamanca, Spain.,IMUVA, Mathematics Research Institute, University of Valladolid, Valladolid, Spain
| | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Roberto Hornero
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain.,Neurosciences Institute of Castilla y León (INCYL), Pintor Fernando Gallego, 1, 37007 University of Salamanca, 37007, Salamanca, Spain.,IMUVA, Mathematics Research Institute, University of Valladolid, Valladolid, Spain
| | - Vicente Molina
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, Valladolid, 47005, Spain.,Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, Valladolid, 47003, Spain.,Neurosciences Institute of Castilla y León (INCYL), Pintor Fernando Gallego, 1, 37007 University of Salamanca, 37007, Salamanca, Spain
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Gomez-Pilar J, de Luis-García R, Lubeiro A, de Uribe N, Poza J, Núñez P, Ayuso M, Hornero R, Molina V. Deficits of entropy modulation in schizophrenia are predicted by functional connectivity strength in the theta band and structural clustering. Neuroimage Clin 2018; 18:382-389. [PMID: 29487795 PMCID: PMC5814380 DOI: 10.1016/j.nicl.2018.02.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/18/2017] [Revised: 01/10/2018] [Accepted: 02/04/2018] [Indexed: 01/17/2023]
Abstract
Spectral entropy (SE) allows comparing task-related modulation of electroencephalogram (EEG) between patients and controls, i.e. spectral changes of the EEG associated to task performance. A SE modulation deficit has been replicated in different schizophrenia samples. To investigate the underpinnings of SE modulation deficits in schizophrenia, we applied graph-theory to EEG recordings during a P300 task and fractional anisotropy (FA) data from diffusion tensor imaging in 48 patients (23 first episodes) and 87 healthy controls. Functional connectivity was assessed from phase-locking values among sensors in the theta band, and structural connectivity was based on FA values for the tracts connecting pairs of regions. From those data, averaged clustering coefficient (CLC), characteristic path-length (PL) and connectivity strength (CS, also known as density) were calculated for both functional and structural networks. The corresponding functional modulation values were calculated as the difference in SE and CLC, PL and CS between the pre-stimulus and response windows during the task. The results revealed a higher functional CS in the pre-stimulus window in patients, predictive of smaller modulation of SE in this group. The amount of increase in theta CS from pre-stimulus to response related to SE modulation in patients and controls. Structural CLC was associated with SE modulation in the patients. SE modulation was predictive of negative symptoms, whereas CLC and PL modulation was associated with cognitive performance in the patients. These results support that a hyperactive functional connectivity and/or structural connective deficits in the patients hamper the dynamical modulation of connectivity underlying cognition. Functional connectivity strength and structural clustering properties were associated to the deficit in SE modulation in schizophrenia. Functional connectivity strength in the theta band was larger in the baseline in the patients. A hyperactive pre-stimulus state hampers the capacity for adequately modulating neural activity across the brain in schizophrenia. The possible basis for that problem may be investigated to identify therapeutic targets.
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Affiliation(s)
- Javier Gomez-Pilar
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Rodrigo de Luis-García
- Imaging Processing Laboratory, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Alba Lubeiro
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005 Valladolid, Spain
| | - Nieves de Uribe
- Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain
| | - Jesús Poza
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain; Neurosciences Institute of Castilla y León (INCYL), Pintor Fernando Gallego, 1, 37007, University of Salamanca, Spain; IMUVA, Mathematics Research Institute, University of Valladolid, Valladolid, Spain
| | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain
| | - Marta Ayuso
- Neurophysiology Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain
| | - Roberto Hornero
- Biomedical Engineering Group, University of Valladolid, Paseo de Belén, 15, 47011 Valladolid, Spain; Neurosciences Institute of Castilla y León (INCYL), Pintor Fernando Gallego, 1, 37007, University of Salamanca, Spain; IMUVA, Mathematics Research Institute, University of Valladolid, Valladolid, Spain
| | - Vicente Molina
- Psychiatry Department, School of Medicine, University of Valladolid, Av. Ramón y Cajal, 7, 47005 Valladolid, Spain; Psychiatry Service, Clinical Hospital of Valladolid, Ramón y Cajal, 3, 47003 Valladolid, Spain.; Neurosciences Institute of Castilla y León (INCYL), Pintor Fernando Gallego, 1, 37007, University of Salamanca, Spain.
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Gomez-Pilar J, Poza J, Bachiller A, Gómez C, Núñez P, Lubeiro A, Molina V, Hornero R. Quantification of Graph Complexity Based on the Edge Weight Distribution Balance: Application to Brain Networks. Int J Neural Syst 2017; 28:1750032. [DOI: 10.1142/s0129065717500320] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
The aim of this study was to introduce a novel global measure of graph complexity: Shannon graph complexity (SGC). This measure was specifically developed for weighted graphs, but it can also be applied to binary graphs. The proposed complexity measure was designed to capture the interplay between two properties of a system: the ‘information’ (calculated by means of Shannon entropy) and the ‘order’ of the system (estimated by means of a disequilibrium measure). SGC is based on the concept that complex graphs should maintain an equilibrium between the aforementioned two properties, which can be measured by means of the edge weight distribution. In this study, SGC was assessed using four synthetic graph datasets and a real dataset, formed by electroencephalographic (EEG) recordings from controls and schizophrenia patients. SGC was compared with graph density (GD), a classical measure used to evaluate graph complexity. Our results showed that SGC is invariant with respect to GD and independent of node degree distribution. Furthermore, its variation with graph size [Formula: see text] is close to zero for [Formula: see text]. Results from the real dataset showed an increment in the weight distribution balance during the cognitive processing for both controls and schizophrenia patients, although these changes are more relevant for controls. Our findings revealed that SGC does not need a comparison with null-hypothesis networks constructed by a surrogate process. In addition, SGC results on the real dataset suggest that schizophrenia is associated with a deficit in the brain dynamic reorganization related to secondary pathways of the brain network.
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Affiliation(s)
- Javier Gomez-Pilar
- Biomedical Engineering Group, E.T.S. Ingenieros de Telecomunicación, Universidad de Valladolid, Paseo Belén, 15, 47011 Valladolid, Spain
| | - Jesús Poza
- Biomedical Engineering Group, E.T.S. Ingenieros de Telecomunicación, Universidad de Valladolid, Paseo Belén, 15, 47011 Valladolid, Spain
- IMUVA, Instituto de Investigación en Matemáticas, Universidad de Valladolid, Valladolid, Spain
- INCYL, Instituto de Neurociencias de Castilla y León, Universidad de Salamanca, Salamanca, Spain
| | - Alejandro Bachiller
- Biomedical Engineering Group, E.T.S. Ingenieros de Telecomunicación, Universidad de Valladolid, Paseo Belén, 15, 47011 Valladolid, Spain
| | - Carlos Gómez
- Biomedical Engineering Group, E.T.S. Ingenieros de Telecomunicación, Universidad de Valladolid, Paseo Belén, 15, 47011 Valladolid, Spain
| | - Pablo Núñez
- Biomedical Engineering Group, E.T.S. Ingenieros de Telecomunicación, Universidad de Valladolid, Paseo Belén, 15, 47011 Valladolid, Spain
| | - Alba Lubeiro
- Psychiatry Department, Facultad de Medicina, Universidad de Valladolid, Valladolid, Spain
| | - Vicente Molina
- INCYL, Instituto de Neurociencias de Castilla y León, Universidad de Salamanca, Salamanca, Spain
- Psychiatry Department, Facultad de Medicina, Universidad de Valladolid, Valladolid, Spain
- Clinical University Hospital of Valladolid, Valladolid, Spain
| | - Roberto Hornero
- Biomedical Engineering Group, E.T.S. Ingenieros de Telecomunicación, Universidad de Valladolid, Paseo Belén, 15, 47011 Valladolid, Spain
- IMUVA, Instituto de Investigación en Matemáticas, Universidad de Valladolid, Valladolid, Spain
- INCYL, Instituto de Neurociencias de Castilla y León, Universidad de Salamanca, Salamanca, Spain
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Gómez C, Juan-Cruz C, Poza J, Ruiz-Gómez SJ, Gomez-Pilar J, Núñez P, García M, Fernández A, Hornero R. Alterations of Effective Connectivity Patterns in Mild Cognitive Impairment: An MEG Study. J Alzheimers Dis 2017; 65:843-854. [PMID: 29103032 DOI: 10.3233/jad-170475] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Neuroimaging techniques have demonstrated over the years their ability to characterize the brain abnormalities associated with different neurodegenerative diseases. Among all these techniques, magnetoencephalography (MEG) stands out by its high temporal resolution and noninvasiveness. The aim of the present study is to explore the coupling patterns of resting-state MEG activity in subjects with mild cognitive impairment (MCI). To achieve this goal, five minutes of spontaneous MEG activity were acquired with a 148-channel whole-head magnetometer from 18 MCI patients and 26 healthy controls. Inter-channel relationships were investigated by means of two complementary coupling measures: coherence and Granger causality. Coherence is a classical method of functional connectivity, while Granger causality quantifies effective (or causal) connectivity. Both measures were calculated in the five conventional frequency bands: delta (δ, 1-4 Hz), theta (θ, 4-8 Hz), alpha (α, 8-13 Hz), beta (β, 13-30 Hz), and gamma (γ, 30-45 Hz). Our results showed that connectivity values were lower for MCI patients than for controls in all frequency bands. However, only Granger causality revealed statistically significant differences between groups (p-values < 0.05, FDR corrected Mann-Whitney U-test), mainly in the beta band. Our results support the role of MCI as a disconnection syndrome, which elicits early alterations in effective connectivity patterns. These findings can be helpful to identify the neural substrates involved in prodromal stages of dementia.
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Affiliation(s)
- Carlos Gómez
- Biomedical Engineering Group, University of Valladolid, Spain
| | - Celia Juan-Cruz
- Department of Radiation Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - Jesús Poza
- Biomedical Engineering Group, University of Valladolid, Spain.,IMUVA, Instituto de Investigación en Matemáticas, University of Valladolid, Spain.,INCYL, Instituto de Neurociencias de Castilla y León, University of Salamanca, Spain
| | | | | | - Pablo Núñez
- Biomedical Engineering Group, University of Valladolid, Spain
| | - María García
- Biomedical Engineering Group, University of Valladolid, Spain
| | - Alberto Fernández
- Department of Psychiatry, Faculty of Medicine, Complutense University of Madrid, Spain.,Laboratory of Cognitive and Computational Neuroscience, Center for Biomedical Technology, Complutense University of Madrid and Technical University of Madrid, Spain
| | - Roberto Hornero
- Biomedical Engineering Group, University of Valladolid, Spain.,IMUVA, Instituto de Investigación en Matemáticas, University of Valladolid, Spain.,INCYL, Instituto de Neurociencias de Castilla y León, University of Salamanca, Spain
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Alberca A, Bertelli JL, Núñez P, García EP, Ruescas FJ, Pardo R, Alberca M. [Non-Hodgkin's lymphoma primary in breast. Literature review in relation to a case report]. Ginecol Obstet Mex 2016; 84:257-264. [PMID: 27443102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND Extranodal lymphoma are rare, in particular, breast non-Hodgkin's lymphoma has an impact of lower 0.5%. It is difficult to diagnose during the pre-operative period, since it can be confused with breast carcinoma. CASE REPORT A 52 years old female patient was sent due to a lump in her left breast identified in a mammogram. A study was conducted with supplementary tests, being eventually diagnosed as low-grade B-cell follicular lymphoma. She was subjected to a mammary and axillary radioguided occult lesion localisation (ROLL). After, radiation therapy was delivered. CONCLUSIONS It is a very rare pathology, therefore, there is not relevant research to show effective treatment or diagnosis.
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Fernández-González R, Velázquez JJ, Rodríguez VD, Rivera-López F, Lukowiak A, Chiasera A, Ferrari M, Gonçalves RR, Marrero-Jerez J, Lahoz F, Núñez P. Luminescence and structural analysis of Ce3+ and Er3+ doped and Ce3+–Er3+ codoped Ca3Sc2Si3O12 garnets: influence of the doping concentration in the energy transfer processes. RSC Adv 2016. [DOI: 10.1039/c5ra22630a] [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: 11/21/2022] Open
Abstract
We present a structural a spectroscopy analysis of Ca3Sc2Si3O12 garnets doped with Ce3+ and Er3+ ions that were synthesized by the freeze-drying precursor method. Efficient energy transfer has been obtained result in an enhanced NIR emission.
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Barraza F, Yáñez R, Tuesta M, Núñez P, Zamora Y, Rosales G. Perfil Antropométrico por Posición de Juego en Handbolistas Chilenos. INT J MORPHOL 2015. [DOI: 10.4067/s0717-95022015000300045] [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: 11/17/2022]
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Brienen RJW, Phillips OL, Feldpausch TR, Gloor E, Baker TR, Lloyd J, Lopez-Gonzalez G, Monteagudo-Mendoza A, Malhi Y, Lewis SL, Vásquez Martinez R, Alexiades M, Álvarez Dávila E, Alvarez-Loayza P, Andrade A, Aragão LEOC, Araujo-Murakami A, Arets EJMM, Arroyo L, Aymard C GA, Bánki OS, Baraloto C, Barroso J, Bonal D, Boot RGA, Camargo JLC, Castilho CV, Chama V, Chao KJ, Chave J, Comiskey JA, Cornejo Valverde F, da Costa L, de Oliveira EA, Di Fiore A, Erwin TL, Fauset S, Forsthofer M, Galbraith DR, Grahame ES, Groot N, Hérault B, Higuchi N, Honorio Coronado EN, Keeling H, Killeen TJ, Laurance WF, Laurance S, Licona J, Magnussen WE, Marimon BS, Marimon-Junior BH, Mendoza C, Neill DA, Nogueira EM, Núñez P, Pallqui Camacho NC, Parada A, Pardo-Molina G, Peacock J, Peña-Claros M, Pickavance GC, Pitman NCA, Poorter L, Prieto A, Quesada CA, Ramírez F, Ramírez-Angulo H, Restrepo Z, Roopsind A, Rudas A, Salomão RP, Schwarz M, Silva N, Silva-Espejo JE, Silveira M, Stropp J, Talbot J, ter Steege H, Teran-Aguilar J, Terborgh J, Thomas-Caesar R, Toledo M, Torello-Raventos M, Umetsu RK, van der Heijden GMF, van der Hout P, Guimarães Vieira IC, Vieira SA, Vilanova E, Vos VA, Zagt RJ. Long-term decline of the Amazon carbon sink. Nature 2015; 519:344-8. [PMID: 25788097 DOI: 10.1038/nature14283] [Citation(s) in RCA: 336] [Impact Index Per Article: 37.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2014] [Accepted: 02/04/2015] [Indexed: 11/09/2022]
Abstract
Atmospheric carbon dioxide records indicate that the land surface has acted as a strong global carbon sink over recent decades, with a substantial fraction of this sink probably located in the tropics, particularly in the Amazon. Nevertheless, it is unclear how the terrestrial carbon sink will evolve as climate and atmospheric composition continue to change. Here we analyse the historical evolution of the biomass dynamics of the Amazon rainforest over three decades using a distributed network of 321 plots. While this analysis confirms that Amazon forests have acted as a long-term net biomass sink, we find a long-term decreasing trend of carbon accumulation. Rates of net increase in above-ground biomass declined by one-third during the past decade compared to the 1990s. This is a consequence of growth rate increases levelling off recently, while biomass mortality persistently increased throughout, leading to a shortening of carbon residence times. Potential drivers for the mortality increase include greater climate variability, and feedbacks of faster growth on mortality, resulting in shortened tree longevity. The observed decline of the Amazon sink diverges markedly from the recent increase in terrestrial carbon uptake at the global scale, and is contrary to expectations based on models.
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Affiliation(s)
- R J W Brienen
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - O L Phillips
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - T R Feldpausch
- 1] School of Geography, University of Leeds, Leeds LS2 9JT, UK. [2] Geography, College of Life and Environmental Sciences, University of Exeter, Rennes Drive, Exeter EX4 4RJ, UK
| | - E Gloor
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - T R Baker
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - J Lloyd
- 1] Department of Life Sciences, Imperial College London, Silwood Park Campus, Buckhurst Road, Ascot, Berkshire SL5 7PY, UK. [2] School of Marine and Tropical Biology, James Cook University, Cairns, 4870 Queenland, Australia
| | | | - A Monteagudo-Mendoza
- Jardín Botánico de Missouri, Prolongacion Bolognesi Mz.e, Lote 6, Oxapampa, Pasco, Peru
| | - Y Malhi
- Environmental Change Institute, School of Geography and the Environment, University of Oxford, Oxford OX1 3QK, UK
| | - S L Lewis
- 1] School of Geography, University of Leeds, Leeds LS2 9JT, UK. [2] Department of Geography, University College London, Pearson Building, Gower Street, London WC1E 6BT, UK
| | - R Vásquez Martinez
- Jardín Botánico de Missouri, Prolongacion Bolognesi Mz.e, Lote 6, Oxapampa, Pasco, Peru
| | - M Alexiades
- School of Anthropology and Conservation, Marlowe Building, University of Kent, Canterbury CT1 3EH, UK
| | - E Álvarez Dávila
- Servicios Ecosistemicos y Cambio Climático, Jardín Botánico de Medellín, Calle 73 no. 51 D-14, C.P. 050010, Medellín, Colombia
| | - P Alvarez-Loayza
- Center for Tropical Conservation, Duke University, Box 90381, Durham, North Carolina 27708, USA
| | - A Andrade
- Biological Dynamics of Forest Fragment Project (INPA &STRI), C.P. 478, Manaus AM 69011-970, Brazil
| | - L E O C Aragão
- 1] Geography, College of Life and Environmental Sciences, University of Exeter, Rennes Drive, Exeter EX4 4RJ, UK. [2] National Institute for Space Research (INPE), Av. Dos Astronautas, 1758, São José dos Campos, São Paulo 12227-010, Brazil
| | - A Araujo-Murakami
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autonoma Gabriel Rene Moreno, Casilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | - E J M M Arets
- Alterra, Wageningen University and Research Centre, PO Box 47, 6700 AA Wageningen, The Netherlands
| | - L Arroyo
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autonoma Gabriel Rene Moreno, Casilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | - G A Aymard C
- UNELLEZ-Guanare, Programa de Ciencias del Agro y el Mar, Herbario Universitario (PORT), Mesa de Cavacas, Estado Portuguesa, 3350 Venezuela
| | - O S Bánki
- Biodiversiteit en Ecosysteem Dynamica, University of Amsterdam, Postbus 94248, 1090 GE Amsterdam, The Netherlands
| | - C Baraloto
- 1] Institut National de la Recherche Agronomique, UMR EcoFoG, Campus Agronomique, 97310 Kourou, French Guiana. [2] International Center for Tropical Botany, Department of Biological Sciences, Florida International University, Miami, Florida 33199, USA
| | - J Barroso
- Universidade Federal do Acre, Campus de Cruzeiro do Sul, Rio Branco, Brazil
| | - D Bonal
- INRA, UMR 1137 ''Ecologie et Ecophysiologie Forestiere'' 54280 Champenoux, France
| | - R G A Boot
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - J L C Camargo
- Biological Dynamics of Forest Fragment Project (INPA &STRI), C.P. 478, Manaus AM 69011-970, Brazil
| | - C V Castilho
- Embrapa Roraima, Caixa Postal 133, Boa Vista, RR, CEP 69301-970, Brazil
| | - V Chama
- Universidad Nacional San Antonio Abad del Cusco, Av. de la Cultura N° 733, Cusco, Peru
| | - K J Chao
- 1] School of Geography, University of Leeds, Leeds LS2 9JT, UK. [2] International Master Program of Agriculture, College of Agriculture and Natural Resources, National Chung Hsing University, Taichung 40227, Taiwan
| | - J Chave
- Université Paul Sabatier CNRS, UMR 5174 Evolution et Diversité Biologique, Bâtiment 4R1, 31062 Toulouse, France
| | - J A Comiskey
- Northeast Region Inventory and Monitoring Program, National Park Service, 120 Chatham Lane, Fredericksburg, Virginia 22405, USA
| | - F Cornejo Valverde
- Andes to Amazon Biodiversity Program, Puerto Maldonado, Madre de Dios, Peru
| | - L da Costa
- Universidade Federal do Para, Centro de Geociencias, Belem, CEP 66017-970 Para, Brazil
| | - E A de Oliveira
- Universidade do Estado de Mato Grosso, Campus de Nova Xavantina, Caixa Postal 08, CEP 78.690-000, Nova Xavantina MT, Brazil
| | - A Di Fiore
- Department of Anthropology, University of Texas at Austin, SAC Room 5.150, 2201 Speedway Stop C3200, Austin, Texas 78712, USA
| | - T L Erwin
- Department of Entomology, Smithsonian Institution, PO Box 37012, MRC 187, Washington DC 20013-7012, USA
| | - S Fauset
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - M Forsthofer
- Universidade do Estado de Mato Grosso, Campus de Nova Xavantina, Caixa Postal 08, CEP 78.690-000, Nova Xavantina MT, Brazil
| | - D R Galbraith
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - E S Grahame
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - N Groot
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - B Hérault
- Cirad, UMR Ecologie des Forêts de Guyane, Campus Agronomique, 97310 Kourou, French Guiana
| | - N Higuchi
- Biological Dynamics of Forest Fragment Project (INPA &STRI), C.P. 478, Manaus AM 69011-970, Brazil
| | - E N Honorio Coronado
- 1] School of Geography, University of Leeds, Leeds LS2 9JT, UK. [2] Instituto de Investigaciones de la Amazonía Peruana, Av. A. José Quiñones km 2.5, Iquitos, Peru
| | - H Keeling
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - T J Killeen
- World Wildlife Fund, 1250 24th Street NW, Washington DC 20037, USA
| | - W F Laurance
- Centre for Tropical Environmental and Sustainability Science (TESS) and School of Marine and Environmental Sciences, James Cook University, Cairns, Queensland 4878, Australia
| | - S Laurance
- Centre for Tropical Environmental and Sustainability Science (TESS) and School of Marine and Environmental Sciences, James Cook University, Cairns, Queensland 4878, Australia
| | - J Licona
- Instituto Boliviano de Investigación Forestal, C.P. 6201, Santa Cruz de la Sierra, Bolivia
| | - W E Magnussen
- National Institute for Research in Amazonia (INPA), C.P. 478, Manaus, Amazonas, CEP 69011-970, Brazil
| | - B S Marimon
- Universidade do Estado de Mato Grosso, Campus de Nova Xavantina, Caixa Postal 08, CEP 78.690-000, Nova Xavantina MT, Brazil
| | - B H Marimon-Junior
- Universidade do Estado de Mato Grosso, Campus de Nova Xavantina, Caixa Postal 08, CEP 78.690-000, Nova Xavantina MT, Brazil
| | - C Mendoza
- 1] FOMABO, Manejo Forestal en las Tierras Tropicales de Bolivia, Sacta, Bolivia. [2] Escuela de Ciencias Forestales (ESFOR), Universidad Mayor de San Simón (UMSS), Sacta, Bolivia
| | - D A Neill
- Universidad Estatal Amazónica, Facultad de Ingeniería Ambiental, Paso lateral km 2 1/2 via Napo, Puyo, Pastaza, Ecuador
| | - E M Nogueira
- National Institute for Research in Amazonia (INPA), C.P. 2223, 69080-971, Manaus, Amazonas, Brazil
| | - P Núñez
- Universidad Nacional San Antonio Abad del Cusco, Av. de la Cultura N° 733, Cusco, Peru
| | - N C Pallqui Camacho
- Universidad Nacional San Antonio Abad del Cusco, Av. de la Cultura N° 733, Cusco, Peru
| | - A Parada
- Museo de Historia Natural Noel Kempff Mercado, Universidad Autonoma Gabriel Rene Moreno, Casilla 2489, Av. Irala 565, Santa Cruz, Bolivia
| | - G Pardo-Molina
- Universidad Autonoma del Beni, Campus Universitario, Av. Ejército Nacional, Riberalta, Beni, Bolivia
| | - J Peacock
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - M Peña-Claros
- 1] Instituto Boliviano de Investigación Forestal, C.P. 6201, Santa Cruz de la Sierra, Bolivia. [2] Forest Ecology and Forest Management Group, Wageningen University, PO Box 47, 6700 AA Wageningen, The Netherlands
| | - G C Pickavance
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - N C A Pitman
- 1] Center for Tropical Conservation, Duke University, Box 90381, Durham, North Carolina 27708, USA. [2] The Field Museum, 1400 South Lake Shore Drive, Chicago, Illinois 60605-2496, USA
| | - L Poorter
- Forest Ecology and Forest Management Group, Wageningen University, PO Box 47, 6700 AA Wageningen, The Netherlands
| | - A Prieto
- Universidad Nacional de la Amazonía Peruana, Iquitos, Loreto, Peru
| | - C A Quesada
- National Institute for Research in Amazonia (INPA), C.P. 2223, 69080-971, Manaus, Amazonas, Brazil
| | - F Ramírez
- Universidad Nacional de la Amazonía Peruana, Iquitos, Loreto, Peru
| | - H Ramírez-Angulo
- Instituto de Investigaciones para el Desarrollo Forestal (INDEFOR), Universidad de Los Andes, Facultad de Ciencias Forestales y Ambientales, Conjunto Forestal, C.P. 5101, Mérida, Venezuela
| | - Z Restrepo
- Servicios Ecosistemicos y Cambio Climático, Jardín Botánico de Medellín, Calle 73 no. 51 D-14, C.P. 050010, Medellín, Colombia
| | - A Roopsind
- Iwokrama International Centre for Rainforest Conservation and Development, 77 High Street Kingston, Georgetown, Guyana
| | - A Rudas
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - R P Salomão
- Museu Paraense Emilio Goeldi, Av. Magalhães Barata, 376 - São Braz, CEP 66040-170, Belém PA, Brazil
| | - M Schwarz
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - N Silva
- UFRA, Av. Presidente Tancredo Neves 2501, CEP 66.077-901, Belém, Pará, Brazil
| | - J E Silva-Espejo
- Universidad Nacional San Antonio Abad del Cusco, Av. de la Cultura N° 733, Cusco, Peru
| | - M Silveira
- Museu Universitário, Universidade Federal do Acre, Rio Branco AC 69910-900, Brazil
| | - J Stropp
- European Commission - DG Joint Research Centre, Institute for Environment and Sustainability, Via Enrico Fermi 274, 21010 Ispra, Italy
| | - J Talbot
- School of Geography, University of Leeds, Leeds LS2 9JT, UK
| | - H ter Steege
- 1] Naturalis Biodiversity Center, PO Box, 2300 RA, Leiden, The Netherlands. [2] Ecology and Biodiversity Group, Utrecht University, PO Box 80084, 3508 TB Utrecht, The Netherlands
| | - J Teran-Aguilar
- Museo de Historia Natural Alcide D'Orbigny, Av. Potosi no 1458, Cochabamba, Bolivia
| | - J Terborgh
- Center for Tropical Conservation, Duke University, Box 90381, Durham, North Carolina 27708, USA
| | - R Thomas-Caesar
- UFRA, Av. Presidente Tancredo Neves 2501, CEP 66.077-901, Belém, Pará, Brazil
| | - M Toledo
- Instituto Boliviano de Investigación Forestal, C.P. 6201, Santa Cruz de la Sierra, Bolivia
| | - M Torello-Raventos
- 1] School of Earth and Environmental Science, James Cook University, Cairns, Queensland 4870, Australia. [2] Centre for Tropical Environmental and Sustainability Science (TESS) and School of Marine and Tropical Biology, James Cook University, Cairns, Queensland 4878, Australia
| | - R K Umetsu
- Universidade do Estado de Mato Grosso, Campus de Nova Xavantina, Caixa Postal 08, CEP 78.690-000, Nova Xavantina MT, Brazil
| | - G M F van der Heijden
- 1] Northumbria University, School of Geography, Ellison Place, Newcastle upon Tyne, Newcastle NE1 8ST, UK. [2] University of Wisconsin, Milwaukee, Wisconsin 53202, USA. [3] Smithsonian Tropical Research Institute, Apartado Postal 0843-03092, Panamá, Republic of Panama
| | - P van der Hout
- Van der Hout Forestry Consulting, Jan Trooststraat 6, 3078 HP Rotterdam, The Netherlands
| | - I C Guimarães Vieira
- Museu Paraense Emilio Goeldi, Av. Magalhães Barata, 376 - São Braz, CEP 66040-170, Belém PA, Brazil
| | - S A Vieira
- Universidade Estadual de Campinas, NEPAM, Rua dos Flamboyants, 155- Cidade Universitária Zeferino Vaz, Campinas, CEP 13083-867, Sao Paulo, Brazil
| | - E Vilanova
- Instituto de Investigaciones para el Desarrollo Forestal (INDEFOR), Universidad de Los Andes, Facultad de Ciencias Forestales y Ambientales, Conjunto Forestal, C.P. 5101, Mérida, Venezuela
| | - V A Vos
- 1] Universidad Autonoma del Beni, Campus Universitario, Av. Ejército Nacional, Riberalta, Beni, Bolivia. [2] Centro de Investigación y Promoción del Campesinado, regional Norte Amazónico, C/ Nicanor Gonzalo Salvatierra N° 362, Casilla 16, Riberalta, Bolivia
| | - R J Zagt
- Tropenbos International, PO Box 232, 6700 AE Wageningen, The Netherlands
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Núñez P, Perillan C, Vijande M, Arguelles J. Corrigendum to “Progressive training effects on neuronal hypothalamic activation in the rat” [Neurosci. Lett. 517 (2012) 113–117]. Neurosci Lett 2014. [DOI: 10.1016/j.neulet.2014.04.015] [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: 10/25/2022]
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Gili P, Zarza PM, Núñez P, Medina A, Díaz MC, Martín MG, Arrieta JM, Vlassi M, Germain G, Vermeire M, Dupont L. Synthesis, Spectroscopic and Magnetic Studies of Cobalt(II), Nickel(II) and Copper(II) Complexes with 3′- and 5′-Methoxysalicylaldimine-3-Ethylene-1H-Indole. X-Ray Structure of BIS(1H-Indole-3-Ethylene-5′-Methoxysalicylaldimine)Copper(II). J COORD CHEM 2009. [DOI: 10.1080/00958978909408169] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- P. Gili
- a Departamento de Química Inorganica , Unirersidad de la Laguna , Tenerife , Canary Islands , Spain
| | - P. Martín Zarza
- a Departamento de Química Inorganica , Unirersidad de la Laguna , Tenerife , Canary Islands , Spain
| | - P. Núñez
- a Departamento de Química Inorganica , Unirersidad de la Laguna , Tenerife , Canary Islands , Spain
| | - A. Medina
- a Departamento de Química Inorganica , Unirersidad de la Laguna , Tenerife , Canary Islands , Spain
| | - M. C. Díaz
- a Departamento de Química Inorganica , Unirersidad de la Laguna , Tenerife , Canary Islands , Spain
| | - M. G. Martín
- a Departamento de Química Inorganica , Unirersidad de la Laguna , Tenerife , Canary Islands , Spain
| | - J. M. Arrieta
- b Departamento de Química Inorgánica , Unhersidad del Pais Vasco , Bilbao , Spain
| | - M. Vlassi
- c Unité de Chimie Physique Moléculaire el de Cristallographie, Université de Louxain-La , Nettie , Belgium
| | - G. Germain
- c Unité de Chimie Physique Moléculaire el de Cristallographie, Université de Louxain-La , Nettie , Belgium
| | - M. Vermeire
- d Laboratoire de Cristallographie , Unixersité de Liège , Belgium
| | - L. Dupont
- d Laboratoire de Cristallographie , Unixersité de Liège , Belgium
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Silberstein C, Pistone Creydt V, Gerhardt E, Núñez P, Ibarra C. Inhibition of water absorption in human proximal tubular epithelial cells in response to Shiga toxin-2. Pediatr Nephrol 2008; 23:1981-90. [PMID: 18607643 DOI: 10.1007/s00467-008-0896-9] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [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: 05/09/2007] [Revised: 05/06/2008] [Accepted: 05/07/2008] [Indexed: 10/21/2022]
Abstract
Postdiarrhea hemolytic uremic syndrome (HUS) is the most common cause of acute renal failure in children in Argentina. It is well established that Shiga toxin type 2 (Stx2) causes direct damage to glomerular endothelial cells and tubular epithelial cells, leading to a reduction in the water handling capacity of the kidney. In this study, we demonstrate that Stx2 and its B subunit (Stx2B) were able to inhibit water absorption across human renal tubular epithelial cell (HRTEC) monolayers without altering the short circuit current and the (3)H-mannitol permeability. Quantitative evaluation of (14)C-inulin transport across HRTEC monolayers showed a similar transport rate both before and after HRTEC treatment with Stx2 that confirmed the integrity of the paracellular pathway. Furthermore, Stx2 produced significant protein synthesis inhibition of HRTEC at concentrations as low as 0.001 ng/ml and 1 h of incubation, whereas Stx2B did not modify it at concentrations as high as 10,000 ng/ml and 6 h of incubation. Our findings suggest that whereas the action of Stx2 appears to be caused mainly by the inhibition of protein synthesis mediated by the A subunit, the binding of Stx2B subunit to the Gb3 receptor may affect the membrane mechanisms related to water absorption. We speculate that inhibition of water absorption may occur in proximal tubular cells in vivo in response to Stx2 and may contribute to the early event of HUS pathogenesis.
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Affiliation(s)
- Claudia Silberstein
- Laboratorio de Fisiopatogenia, Departamento de Fisiología, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina
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32
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Marrero-López D, Ruiz-Morales J, Peña-Martínez J, Canales-Vázquez J, Núñez P. Preparation of thin layer materials with macroporous microstructure for SOFC applications. J SOLID STATE CHEM 2008. [DOI: 10.1016/j.jssc.2008.01.008] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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33
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34
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Marrero-López D, Pérez-Coll D, Ruiz-Morales J, Canales-Vázquez J, Martín-Sedeño M, Núñez P. Synthesis and transport properties in La2−xAxMo2O9−δ (A=Ca2+, Sr2+, Ba2+, K+) series. Electrochim Acta 2007. [DOI: 10.1016/j.electacta.2007.02.033] [Citation(s) in RCA: 64] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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35
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Peña-Martínez J, Marrero-López D, Pérez-Coll D, Ruiz-Morales J, Núñez P. Performance of XSCoF (X=Ba, La and Sm) and LSCrX′ (X′=Mn, Fe and Al) perovskite-structure materials on LSGM electrolyte for IT-SOFC. Electrochim Acta 2007. [DOI: 10.1016/j.electacta.2006.09.004] [Citation(s) in RCA: 85] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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36
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Pérez-Coll D, Núñez P, Ruiz-Morales J, Peña-Martínez J, Frade J. Re-examination of bulk and grain boundary conductivities of Ce1−xGdxO2−δ ceramics. Electrochim Acta 2007. [DOI: 10.1016/j.electacta.2006.08.009] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [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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37
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Martín-Sedeño M, Marrero-López D, Losilla E, Bruque S, Núñez P, Aranda M. Stability and oxide ion conductivity in rare-earth aluminium cuspidines. J SOLID STATE CHEM 2006. [DOI: 10.1016/j.jssc.2006.07.009] [Citation(s) in RCA: 13] [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: 11/29/2022]
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38
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da Silva JI, González-Silgo C, Lozano-Gorrín AD, Núñez P. Comparison of Ba 0.05Sr 0.95RuO 3and Ca 0.05Sr 0.95RuO 3structures. Acta Crystallogr A 2005. [DOI: 10.1107/s0108767305083236] [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: 11/10/2022] Open
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39
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Marozau I, Marrero-López D, Shaula A, Kharton V, Tsipis E, Núñez P, Frade J. Ionic and electronic transport in stabilized β-La2Mo2O9 electrolytes. Electrochim Acta 2004. [DOI: 10.1016/j.electacta.2004.03.022] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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40
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Castro C, Sánchez E, Delgado A, Soriano I, Núñez P, Baro M, Perera A, Evora C. Ciprofloxacin implants for bone infection. In vitro-in vivo characterization. J Control Release 2004; 93:341-54. [PMID: 14644584 DOI: 10.1016/j.jconrel.2003.09.004] [Citation(s) in RCA: 68] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
To elucidate the antibiotic release mechanism from implants composed of calcium phosphates (hydroxyapatite [HAP] and tricalcium phosphate [TCP]), 30 kDa poly(DL-lactide) (PLA-30) and ciprofloxacin (CFX), nine formulations were prepared. In vitro results show that the release rate decreased as compression load and PLA/phosphates ratio increased. In contrast, a slower percent release rate was observed with higher drug loading. Swelling-erosion-disintegration of the implants was observed during the release assays, due to CFX swelling. Two CFX implant formulations were selected for implantation in the femur of rabbits, according to in vitro results. The implant drug loads tested were 10% and 40% of CFX. The in vivo results showed that the antibiotic concentrations achieved throughout the femur were higher for 4 weeks than the minimum inhibitory concentrations (MIC) against the most common of the pathogens that cause osteomyelitis. The CFX-10% implant was considered the best formulation as CFX was totally released within 6 weeks, and therapeutic bone levels were achieved, and the histological and radiographic analyses showed the osteoconductive properties of the materials. All these results showed that CFX release is limited by its solubility, and the erosion-disintegration and bone ingrowth into the implants enhanced the antibiotic release.
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Affiliation(s)
- C Castro
- Departamento de Ingeniería Química y Tecnología Farmacéutica, Facultad de Farmacia, Universidad de La Laguna, 38200, Spain
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41
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Marrero-López D, Ruiz-Morales J, Núñez P, Abrantes J, Frade J. Synthesis and characterization of La2Mo2O9 obtained from freeze-dried precursors. J SOLID STATE CHEM 2004. [DOI: 10.1016/j.jssc.2004.03.020] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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42
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43
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44
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Fagg D, Abrantes J, Pérez-Coll D, Núñez P, Kharton V, Frade J. The effect of cobalt oxide sintering aid on electronic transport in Ce0.80Gd0.20O2−δ electrolyte. Electrochim Acta 2003. [DOI: 10.1016/s0013-4686(02)00816-2] [Citation(s) in RCA: 92] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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45
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Rodríguez A, Pichel D, Arrocha JA, Motta J, Núñez P, Patiño F, Ospina V, Morales A. [Correlation between myocardial perfusion and coronary angiography]. Rev Med Panama 1998; 23:23-6. [PMID: 11214556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
Determining the severity of coronary heart disease is of great importance to the cardiologist. There is a very good correlation between the severity of coronary heart disease and perfusion abnormalities to the myocardium as determined by radioisotope studies. We present our experience with forty (40) cases of ischemic heart disease diagnosed with sestamibi and its correlation with the obstruction of the coronary arteries by angiography. There is good correlation between the sestamibi findings and the coronary artery angiography obstructions and our findings concur with those published in the literature, which is between 75-85%.
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Affiliation(s)
- A Rodríguez
- Servicio de Cardiología del Centro Médico Paitilla
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46
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Yanes C, Torres M, López-Rodríguez M, Núñez P, Brito I. N-(5-Nitro-2-pyrrolidinylphenyl)trifluoroacetamide. Acta Crystallogr C 1997. [DOI: 10.1107/s0108270196014679] [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: 11/10/2022] Open
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47
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Rodríguez A, Pichel D, Núñez P, Arrocha A, Motta J. [Rescue angioplasty]. Rev Med Panama 1997; 22:45-56. [PMID: 9805094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
This article resumes the modern management of acute myocardial infarction. It analyzes the complementary benefits of two different types of treatment: thrombolytic therapy and percutaneous transluminal angioplasty.
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Affiliation(s)
- A Rodríguez
- Servicio de Cardiología, Centro Médico Paitilla
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48
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Pichel DR, Rodríguez AJ, Motta J, Núñez P, Arrocha JA. [Transesophageal echocardiography in Panamá. Experience in 30 months]. Rev Med Panama 1996; 21:11-7. [PMID: 8966233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
47 transesophageal echocardiograms (TEE) were performed on 43 patients (27 men and 20 women) in 30 months. The average age was 52.1 +/- 24.3 years. The most frequent indications for the procedure were: search for the source of emboli in 15 patients, suspected endocarditis and valvulopathies in 11. The main findings were intracavitary thrombi in 9 and vegetations in 8. The findings on TEE changed the medical management in 22 patients, confirmed suspected diagnosis in 15, and added nothing new in 10. Hypotension occurred in only one patient and resolved when the transducer was withdrawn. Comparing their results with those found in the literature the authors found that the indications were similar. TEE is an easy, safe and trustworthy study in selected patients.
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Affiliation(s)
- D R Pichel
- Centro Médico Paitilla y Cardiólogos Asociados de Panamá
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49
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Rodríguez A, Pichell D, Núñez P, Arrocha A, Motta J. [Complex and multiple vessel angioplasty]. Rev Med Panama 1995; 20:72-8. [PMID: 8668823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The authors present the clinical history of a 66 year old woman with a previous anterior myocardial infarction and periinfarct ischemia as well as ischemia in another area not related to the scar (in the posterolateral region of the left ventricle) in whom they successfully performed percutaneous coronary angioplasty of the anterior descending and circumflex arteries since the patient was not a candidate for surgical revascularization because of her clinical condition.
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Affiliation(s)
- A Rodríguez
- Del Servicio de Cardiología en el Centro Médico Paitilla
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50
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Núñez P. [Heart failure. New concepts, new medications]. Rev Med Panama 1994; 19:1-7. [PMID: 7938710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
It is possible, in our midst, to obtain a survival rate of 68% and a marked improvement in the functional capacity of patients with advanced cardiac insufficiency due to systolic myocardial dysfunction through the combined use of ACE inhibitors, diuretics and digitalis as the main therapeutic agents. Patients with cardiac failure due to atherosclerotic heart disease have a slight better prognosis than those whose failure is secondary to dilated idiopathic congestive cardiomyopathy. The incidence of arrhythmias, sudden death and peripheral embolism suggest that the use of Amiodarone as antiarrhythmic agent and of Warfarin as anticoagulant should be increased. Each of these agents was used in only 26% of our patients.
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Affiliation(s)
- P Núñez
- Servicio de Cardiología en el Centro Médico Paitilla, Facultad de Medicina de la Universidad de Panamá
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