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Pay. Bosch E, Bori L, Beltran A, Naranjo V, Meseguer M. P–141 Artificial intelligence system for the automation of the blastocyst morphology evaluation in GERI Time-lapse Incubator. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Study question
Can an Artificial Intelligence (AI) system (hand-crafted vs. deep learning techniques) based on single embryo image analysis from a GERI time-lapse incubator (TL) evaluate the blastocyst morphology?
Summary answer
Our hand-crafted method trained with blastocyst images from Geri-TL evaluated and classified parameters regarding to embryo quality with a global precision of 63.7% in blind-test.
What is known already
Recent studies have shown that AI can improve automatic grading and embryo selection. The approaches that have been carried out are very different, but all they conclude that there is a great potential (Rad2019, Manoj2020, Thirumalaraju2020). As we know, conventional embryo evaluation is performed manually based on the morphology of the blastocyst, therefore, it should be possible to replicate this process. In this study, we implemented different methods to analyse the behaviour and performance of an AI doing embryology tasks.
Study design, size, duration
Our study consisted of a retrospective analysis for the automatization of embryo evaluation with different approaches. We developed our models based on 715 images extracted from GERI TL Videos (Genea, Australia) from a single IVF center. Database was divided into 3 classes depending on the quality of the embryo according to ASEBIR morphology criteria (high; medium and low-quality). All the images were divided into 70% for training, 15% for validating and 15% for testing.
Participants/materials, setting, methods
We developed an automated AI algorithm to extract and classify features from images at 111,5 hpi of embryos cultured in GERI TL. Hand-crafted features from texture information are extracted to feed the classification algorithm. A statistical analysis is carried out to select the more discriminative variables. Parallelly, a deep neural network was built to compare performance of automatic and hand-crafted features. Additionally, we trained a model to detect embryo in the well.
Main results and the role of chance
High-quality, medium-quality and low-quality sensitivity were 73%, 56% and 72% for hand-crafted method and 76%, 53% and 22% for deep learning approach, respectively. High-quality, medium-quality and low-quality precision were 66%, 56% and 76% for hand-crafted method and 40%, 60% and 55% for deep learning approach, respectively. The global accuracy associated with each method was 64% and 50%. Also, we noticed that results were higher when we applied our embryo masks that avoid irrelevant information. In this initial attempt, our results showed that it is possible to replicate the embryo evaluation process.
Limitations, reasons for caution
The low results obtained in our deep learning model due to the absence of an extent dataset did not allow to obtain a model applicable to the clinic. However, the preliminary study let us to conclude the high potential of the approach.
Wider implications of the findings: Our results showed a potential automatization of the embryo evaluation process in Geri TL where the available software for embryo selection does not provide such option. Our findings leaded to an increase in objectification, a reduction of the workload of the embryologist and the research of new unknown morphological variables.
Trial registration number
Not applicable
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Affiliation(s)
- E Pay. Bosch
- IVIRMA Global, Research Laboratory, Valencia, Spain
| | - L Bori
- IVIRMA Global, Research Laboratory, Valencia, Spain
| | - A Beltran
- Instituto de Investigación e Innovación en Bioingeniería, CVBLab, Valencia, Spain
| | - V Naranjo
- Instituto de Investigación e Innovación en Bioingeniería, CVBLab, Valencia, Spain
| | - M Meseguer
- IVIRMA Global, IVF Laboratory, Valencia, Spain
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Davison G, Vinaixa M, McGovern R, Beltran A, Novials A, Correig X, McClean C. Metabolomic Response to Acute Hypoxic Exercise and Recovery in Adult Males. Front Physiol 2018; 9:1682. [PMID: 30534085 PMCID: PMC6275205 DOI: 10.3389/fphys.2018.01682] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [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: 04/10/2018] [Accepted: 11/08/2018] [Indexed: 12/28/2022] Open
Abstract
Metabolomics is a relatively new “omics” approach used to characterize metabolites in a biological system at baseline and following a diversity of stimuli. However, the metabolomic response to exercise in hypoxia currently remains unknown. To examine this, 24 male participants completed 1 h of exercise at a workload corresponding to 75% of pre-determined O2max in hypoxia (Fio2 = 0.16%), and repeated in normoxia (Fio2 = 0.21%), while pre- and post-exercise and 3 h post-exercise metabolites were analyzed using a LC ESI-qTOF-MS untargeted metabolomics approach in serum samples. Exercise in hypoxia and in normoxia independently increased metabolism as shown by a change in a combination of twenty-two metabolites associated with lipid metabolism (p < 0.05, pre vs. post-exercise), though hypoxia per se did not induce a greater metabolic change when compared with normoxia (p > 0.05). Recovery from exercise in hypoxia independently decreased seventeen metabolites associated with lipid metabolism (p < 0.05, post vs. 3 h post-exercise), compared with twenty-two metabolites in normoxia (p < 0.05, post vs. 3 h post-exercise). Twenty-six metabolites were identified as responders to exercise and recovery (pooled hypoxia and normoxia pre vs. recovery, p < 0.05), including metabolites associated with purine metabolism (adenine, adenosine and hypoxanthine), the amino acid phenylalanine, and several acylcarnitine molecules. Our novel data provides preliminary evidence of subtle metabolic differences to exercise and recovery in hypoxia and normoxia. Specifically, exercise in hypoxia activates metabolic pathways aligned to purine and lipid metabolism, but this effect is not selectively different from exercise in normoxia. We also show that exercise per se can activate pathways associated with lipid, protein and purine nucleotide metabolism.
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Affiliation(s)
- Gareth Davison
- Sport and Exercise Science Research Institute, Ulster University, Antrim, United Kingdom
| | - Maria Vinaixa
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, IISPV - Rovira i Virgili University, Tarragona, Spain
| | - Rose McGovern
- Sport and Exercise Science Research Institute, Ulster University, Antrim, United Kingdom
| | - Antoni Beltran
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, IISPV - Rovira i Virgili University, Tarragona, Spain
| | - Anna Novials
- Department of Endocrinology, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Hospital Clínic de Barcelona, Barcelona, Spain
| | - Xavier Correig
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, IISPV - Rovira i Virgili University, Tarragona, Spain
| | - Conor McClean
- Sport and Exercise Science Research Institute, Ulster University, Antrim, United Kingdom
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Andrade EL, Evans WD, Barrett ND, Cleary SD, Edberg MC, Alvayero RD, Kierstead EC, Beltran A. Development of the place-based Adelante social marketing campaign for prevention of substance use, sexual risk and violence among Latino immigrant youth. Health Educ Res 2018; 33:125-144. [PMID: 29329436 PMCID: PMC6658711 DOI: 10.1093/her/cyx076] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Accepted: 11/29/2017] [Indexed: 05/15/2023]
Abstract
Immigrant Latino youth represent a high-risk subgroup that should be targeted with health promotion efforts. However, there are considerable barriers to engagement in health-related programming. Little is known about the engagement possibilities of social marketing campaigns and digital strategies for traditionally 'hard-to-reach' immigrants, underscoring the importance of testing these techniques with immigrant Latino adolescents. We developed and piloted a place-based social marketing campaign in coordination with the branded, Positive Youth Development-based (PYD) Adelante intervention targeting risk factors for co-occurring youth substance abuse, sexual risk and violence. Building on prior research, we conducted a four-phase formative research process, and planned the Adelante social marketing campaign based on findings from one group interview and ongoing consultation with Adelante staff (n=8) and four focus groups with youth (n=35). Participants identified four overarching campaign themes, and suggested portrayal of resilient, proud youth who achieved goals despite adversity. Youth guided selection of campaign features and engagement strategies, including message/visual content, stylistic elements, and a mixed language approach. We developed a 12-month campaign to be delivered via print ads, multi-platform social media promotion, contests, youth-generated videos, blog posts, and text messaging. We describe the process and outcome of campaign development and make recommendations for future campaigns.
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Affiliation(s)
- E L Andrade
- Department of Prevention and Community Health, The George Washington University, Washington, DC 20052, USA
| | - W D Evans
- Department of Prevention and Community Health, The George Washington University, Washington, DC 20052, USA
| | - N D Barrett
- Department of Prevention and Community Health, The George Washington University, Washington, DC 20052, USA
| | - S D Cleary
- Department of Epidemiology and Biostatistics, The George Washington University, Washington, DC 20052, USA
| | - M C Edberg
- Department of Prevention and Community Health, The George Washington University, Washington, DC 20052, USA
| | - R D Alvayero
- Maryland Multicultural Youth Centers, 8700 Georgia Ave, Suite 500 Silver Spring, MD 20910, USA
| | - E C Kierstead
- Department of Prevention and Community Health, The George Washington University, Washington, DC 20052, USA
| | - A Beltran
- Department of Prevention and Community Health, The George Washington University, Washington, DC 20052, USA
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Torres D, Bermejo JL, Rashid MU, Briceño I, Gil F, Beltran A, Ariza V, Hamann U. Prevalence and Penetrance of BRCA1 and BRCA2 Germline Mutations in Colombian Breast Cancer Patients. Sci Rep 2017; 7:4713. [PMID: 28680148 PMCID: PMC5498630 DOI: 10.1038/s41598-017-05056-y] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Accepted: 05/23/2017] [Indexed: 12/01/2022] Open
Abstract
Pathogenic BRCA1/2 germline mutations confer high risks of breast and ovarian cancer to women of European ancestry. Characterization of BRCA1/2 mutations in other ethnic groups is also medically important. We comprehensively screened 68 Colombian breast/ovarian cancer families for small-range mutations, 221 families for large-genomic rearrangements, and 1,022 unselected breast cancer cases for Colombian founder mutations in BRCA1/2. The risk of cancer among relatives of mutation carriers and the mutation penetrance were estimated by survival analysis. Identified BRCA2 mutations included 6310delGA and the recurrent 1991del4 mutations. A novel large BRCA2 deletion was found in 0.9% of the screened families. Among unselected breast cancer cases, 3.3% tested positive for BRCA1/3450del4, 2.2% for BRCA1/A1708E, 1.1% for BRCA2/3034del4, and 0.4% for BRCA2/1991del4. Female relatives of carriers of BRCA1/2 founder mutations showed a 5.90 times higher risk of breast cancer, when the woman herself carried a BRCA1 mutation compared to a non-carrier (95% CI 2.01–17.3). The estimated cumulative risk of breast cancer by age 70 years for BRCA1 mutations carriers was 14% (95% CI 5–38) compared to 3% for the general Colombian population (relative risk of breast cancer 4.05). Together with known founder mutations, reported novel variants may ease a cost-effective BRCA1/2 screening in women with Colombian ancestry.
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Affiliation(s)
- D Torres
- Molecular Genetics of Breast Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.,Institute of Human Genetics, Pontificia Universidad Javeriana, Bogota, Colombia
| | - J Lorenzo Bermejo
- Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany
| | - M U Rashid
- Molecular Genetics of Breast Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.,Department of Basic Sciences Research, Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH & RC), Lahore, Pakistan
| | - I Briceño
- Institute of Human Genetics, Pontificia Universidad Javeriana, Bogota, Colombia.,Universidad de la Sabana, Bogota, Colombia
| | - F Gil
- Unit of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Bogota, Colombia
| | - A Beltran
- Universidad Nacional, Bogota, Colombia
| | - V Ariza
- Universidad Nacional, Bogota, Colombia
| | - U Hamann
- Molecular Genetics of Breast Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
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Alonso A, Julià A, Vinaixa M, Domènech E, Fernández-Nebro A, Cañete JD, Ferrándiz C, Tornero J, Gisbert JP, Nos P, Casbas AG, Puig L, González-Álvaro I, Pinto-Tasende JA, Blanco R, Rodríguez MA, Beltran A, Correig X, Marsal S. Urine metabolome profiling of immune-mediated inflammatory diseases. BMC Med 2016; 14:133. [PMID: 27609333 PMCID: PMC5016926 DOI: 10.1186/s12916-016-0681-8] [Citation(s) in RCA: 82] [Impact Index Per Article: 10.3] [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: 06/24/2016] [Accepted: 08/25/2016] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Immune-mediated inflammatory diseases (IMIDs) are a group of complex and prevalent diseases where disease diagnostic and activity monitoring is highly challenging. The determination of the metabolite profiles of biological samples is becoming a powerful approach to identify new biomarkers of clinical utility. In order to identify new metabolite biomarkers of diagnosis and disease activity, we have performed the first large-scale profiling of the urine metabolome of the six most prevalent IMIDs: rheumatoid arthritis, psoriatic arthritis, psoriasis, systemic lupus erythematosus, Crohn's disease, and ulcerative colitis. METHODS Using nuclear magnetic resonance, we analyzed the urine metabolome in a discovery cohort of 1210 patients and 100 controls. Within each IMID, two patient subgroups were recruited representing extreme disease activity (very high vs. very low). Metabolite association analysis with disease diagnosis and disease activity was performed using multivariate linear regression in order to control for the effects of clinical, epidemiological, or technical variability. After multiple test correction, the most significant metabolite biomarkers were validated in an independent cohort of 1200 patients and 200 controls. RESULTS In the discovery cohort, we identified 28 significant associations between urine metabolite levels and disease diagnosis and three significant metabolite associations with disease activity (P FDR < 0.05). Using the validation cohort, we validated 26 of the diagnostic associations and all three metabolite associations with disease activity (P FDR < 0.05). Combining all diagnostic biomarkers using multivariate classifiers we obtained a good disease prediction accuracy in all IMIDs and particularly high in inflammatory bowel diseases. Several of the associated metabolites were found to be commonly altered in multiple IMIDs, some of which can be considered as hub biomarkers. The analysis of the metabolic reactions connecting the IMID-associated metabolites showed an over-representation of citric acid cycle, phenylalanine, and glycine-serine metabolism pathways. CONCLUSIONS This study shows that urine is a source of biomarkers of clinical utility in IMIDs. We have found that IMIDs show similar metabolic changes, particularly between clinically similar diseases and we have found, for the first time, the presence of hub metabolites. These findings represent an important step in the development of more efficient and less invasive diagnostic and disease monitoring methods in IMIDs.
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Affiliation(s)
- Arnald Alonso
- Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, Barcelona, Spain
| | - Antonio Julià
- Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, Barcelona, Spain.
| | - Maria Vinaixa
- Centre for Omic Sciences, COS-DEEEA-URV-IISPV, Reus, Spain.,Metabolomics Platform, CIBERDEM, Reus, Spain
| | - Eugeni Domènech
- Hospital Universitari Germans Trias i Pujol, Badalona, Spain.,CIBERehd, Madrid, Spain
| | - Antonio Fernández-Nebro
- UGC Reumatología, Instituto de Investigación Biomédica (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga, Spain
| | - Juan D Cañete
- Hospital Clínic de Barcelona and IDIBAPS, Barcelona, Spain
| | | | - Jesús Tornero
- Hospital Universitario Guadalajara, Guadalajara, Spain
| | - Javier P Gisbert
- CIBERehd, Madrid, Spain.,Hospital Universitario de la Princesa and IIS-IP, Madrid, Spain
| | - Pilar Nos
- CIBERehd, Madrid, Spain.,Hospital la Fe, Valencia, Spain
| | | | - Lluís Puig
- Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | | | | | - Ricardo Blanco
- Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - Miguel A Rodríguez
- Centre for Omic Sciences, COS-DEEEA-URV-IISPV, Reus, Spain.,Metabolomics Platform, CIBERDEM, Reus, Spain
| | - Antoni Beltran
- Centre for Omic Sciences, COS-DEEEA-URV-IISPV, Reus, Spain.,Metabolomics Platform, CIBERDEM, Reus, Spain
| | - Xavier Correig
- Centre for Omic Sciences, COS-DEEEA-URV-IISPV, Reus, Spain.,Metabolomics Platform, CIBERDEM, Reus, Spain
| | - Sara Marsal
- Rheumatology Research Group, Vall d'Hebron Hospital Research Institute, Barcelona, Spain.
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Lopez Esteban A, Nieto Gonzalez J, Janta I, Garcia Calle F, Garaballu C, del Rio T, Beltran A, Ramos M, Gonzalez C, Lopez-Longo F, Naredo E, Monteagudo I. AB1074-HPR Interruption of Biological Therapy: Reasons and Impact on Disease Activity. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.4183] [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: 11/03/2022]
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Beltran A, Dadabhoy H, Chen TA, Lin C, Jia W, Baranowski J, Yan G, Sun M, Baranowski T. Adapting the eButton to the Abilities of Children for Diet Assessment. Proc Meas Behav 2016 (2016) 2016; 2016:72-81. [PMID: 31742257 PMCID: PMC6859905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- A Beltran
- Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
| | - H Dadabhoy
- Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
| | - T A Chen
- Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
| | - C Lin
- Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
| | - W Jia
- Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - J Baranowski
- Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
| | - G Yan
- Department of Electrical and Computer Engineering, University of Pittsburgh, Pittsburgh, PA, USA
| | - M Sun
- Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - T Baranowski
- Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
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Slebe F, Rojo F, Vinaixa M, García-Rocha M, Testoni G, Guiu M, Planet E, Samino S, Arenas EJ, Beltran A, Rovira A, Lluch A, Salvatella X, Yanes O, Albanell J, Guinovart JJ, Gomis RR. FoxA and LIPG endothelial lipase control the uptake of extracellular lipids for breast cancer growth. Nat Commun 2016; 7:11199. [PMID: 27045898 PMCID: PMC4822041 DOI: 10.1038/ncomms11199] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Accepted: 03/01/2016] [Indexed: 12/26/2022] Open
Abstract
The mechanisms that allow breast cancer (BCa) cells to metabolically sustain rapid growth are poorly understood. Here we report that BCa cells are dependent on a mechanism to supply precursors for intracellular lipid production derived from extracellular sources and that the endothelial lipase (LIPG) fulfils this function. LIPG expression allows the import of lipid precursors, thereby contributing to BCa proliferation. LIPG stands out as an essential component of the lipid metabolic adaptations that BCa cells, and not normal tissue, must undergo to support high proliferation rates. LIPG is ubiquitously and highly expressed under the control of FoxA1 or FoxA2 in all BCa subtypes. The downregulation of either LIPG or FoxA in transformed cells results in decreased proliferation and impaired synthesis of intracellular lipids. Deregulation of lipid metabolism in cancer cells is critical to the maintenance of certain malignant features. Here, the authors show that the proliferation of breast cancer cells depends upon the extracellular activity of the endothelial lipase enzyme LIPG whose expression is regulated by the FoxA family of transcription factors.
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Affiliation(s)
- Felipe Slebe
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Federico Rojo
- Cancer Research Programme, IMIM (Hospital del Mar Medical Research Institute), Barcelona 08003 Spain.,Pathology Department, IIS-Fundación Jimenez Diaz, Madrid 28040, Spain
| | - Maria Vinaixa
- Centre for Omic Sciences, Universitat Rovira i Virgili, Reus 43204, Spain.,Department of Electronic Engineering, Universitat Rovira i Virgili, Tarragona 43003, Spain.,Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid 28029, Spain
| | - Mar García-Rocha
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Giorgia Testoni
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Marc Guiu
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Evarist Planet
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Sara Samino
- Centre for Omic Sciences, Universitat Rovira i Virgili, Reus 43204, Spain.,Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid 28029, Spain
| | - Enrique J Arenas
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain
| | - Antoni Beltran
- Centre for Omic Sciences, Universitat Rovira i Virgili, Reus 43204, Spain.,Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid 28029, Spain
| | - Ana Rovira
- Cancer Research Programme, IMIM (Hospital del Mar Medical Research Institute), Barcelona 08003 Spain.,Medical Oncology Service, Hospital del Mar, Barcelona 08003, Spain
| | - Ana Lluch
- Medical Oncology Service, Hospital Clinico, Valencia 46010, Spain
| | - Xavier Salvatella
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain.,Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona 08010, Spain
| | - Oscar Yanes
- Centre for Omic Sciences, Universitat Rovira i Virgili, Reus 43204, Spain.,Department of Electronic Engineering, Universitat Rovira i Virgili, Tarragona 43003, Spain.,Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid 28029, Spain
| | - Joan Albanell
- Cancer Research Programme, IMIM (Hospital del Mar Medical Research Institute), Barcelona 08003 Spain.,Medical Oncology Service, Hospital del Mar, Barcelona 08003, Spain.,Universitat Pompeu Fabra, Barcelona 08003, Spain
| | - Joan J Guinovart
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain.,Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid 28029, Spain.,Department of Biochemistry and Molecular Biology, Universitat de Barcelona, Barcelona 08028, Spain
| | - Roger R Gomis
- Institute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology, Barcelona 08028, Spain.,Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona 08010, Spain
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Beltran A, Dadhaboy H, Lin C, Jia W, Baranowski J, Baranowski T. Minimizing Memory Errors in Child Dietary Assessment with a Wearable Camera: Formative Research. J Acad Nutr Diet 2015. [DOI: 10.1016/j.jand.2015.06.310] [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: 11/16/2022]
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Samino S, Vinaixa M, Díaz M, Beltran A, Rodríguez MA, Mallol R, Heras M, Cabre A, Garcia L, Canela N, de Zegher F, Correig X, Ibáñez L, Yanes O. Metabolomics reveals impaired maturation of HDL particles in adolescents with hyperinsulinaemic androgen excess. Sci Rep 2015; 5:11496. [PMID: 26099471 PMCID: PMC4477239 DOI: 10.1038/srep11496] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2015] [Accepted: 05/26/2015] [Indexed: 12/17/2022] Open
Abstract
Hyperinsulinaemic androgen excess (HIAE) in prepubertal and pubertal girls usually precedes a broader pathological phenotype in adulthood that is associated with anovulatory infertility, metabolic syndrome and type 2 diabetes. The metabolic derangements that determine these long-term health risks remain to be clarified. Here we use NMR and MS-based metabolomics to show that serum levels of methionine sulfoxide in HIAE girls are an indicator of the degree of oxidation of methionine-148 residue in apolipoprotein-A1. Oxidation of apo-A1 in methionine-148, in turn, leads to an impaired maturation of high-density lipoproteins (HDL) that is reflected in a decline of large HDL particles. Notably, such metabolic alterations occur in the absence of impaired glucose tolerance, hyperglycemia and hypertriglyceridemia, and were partially restored after 18 months of treatment with a low-dose combination of pioglitazone, metformin and flutamide.
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Affiliation(s)
- Sara Samino
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Centre for Omic Sciences (COS), Rovira i Virgili University, Avinguda Universitat 3, 43204 Reus, Spain
| | - Maria Vinaixa
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Department of Electronic Engineering, Rovira i Virgili University, Avinguda Països Catalans 26, 43007 Tarragona, Spain [3] Centre for Omic Sciences (COS), Rovira i Virgili University, Avinguda Universitat 3, 43204 Reus, Spain
| | - Marta Díaz
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Endocrinology Unit, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu 2, 08950 Esplugues, Barcelona, Spain
| | - Antoni Beltran
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Centre for Omic Sciences (COS), Rovira i Virgili University, Avinguda Universitat 3, 43204 Reus, Spain
| | - Miguel A Rodríguez
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Centre for Omic Sciences (COS), Rovira i Virgili University, Avinguda Universitat 3, 43204 Reus, Spain
| | - Roger Mallol
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Department of Electronic Engineering, Rovira i Virgili University, Avinguda Països Catalans 26, 43007 Tarragona, Spain
| | - Mercedes Heras
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Research Unit on Lipids and Atherosclerosis, Sant Joan University Hospital, Universitat Rovira i Virgili, IISPV, Carrer Sant Llorenç 21, 43201 Reus, Spain
| | - Anna Cabre
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Research Unit on Lipids and Atherosclerosis, Sant Joan University Hospital, Universitat Rovira i Virgili, IISPV, Carrer Sant Llorenç 21, 43201 Reus, Spain
| | - Lorena Garcia
- Centre for Omic Sciences (COS), Rovira i Virgili University, Avinguda Universitat 3, 43204 Reus, Spain
| | - Nuria Canela
- Centre for Omic Sciences (COS), Rovira i Virgili University, Avinguda Universitat 3, 43204 Reus, Spain
| | - Francis de Zegher
- Paediatric Endocrinology, University Hospital Gasthuisberg, UZ Herestraat 49, 3000 Leuven, University of Leuven, Belgium
| | - Xavier Correig
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Department of Electronic Engineering, Rovira i Virgili University, Avinguda Països Catalans 26, 43007 Tarragona, Spain
| | - Lourdes Ibáñez
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Endocrinology Unit, Hospital Sant Joan de Déu, University of Barcelona, Passeig de Sant Joan de Déu 2, 08950 Esplugues, Barcelona, Spain
| | - Oscar Yanes
- 1] Spanish Biomedical Research Centre in Diabetes and Associated Metabolic Disorders (CIBERDEM), C/ Monforte de Lemos 3-5, 28029 Madrid, Spain [2] Department of Electronic Engineering, Rovira i Virgili University, Avinguda Països Catalans 26, 43007 Tarragona, Spain [3] Centre for Omic Sciences (COS), Rovira i Virgili University, Avinguda Universitat 3, 43204 Reus, Spain
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11
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Ronderos M, Quevedo C, Ariza K, Rodríguez J, Matallana M, Trujillo J, Beltran A, Peñaloza R. Policymaking process of a maternal near-miss surveillance model in
Colombia: Local effects of global policies generated by an epistemic
community. Ann Glob Health 2014. [DOI: 10.1016/j.aogh.2014.08.188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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12
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Pereira ALJ, Gomis O, Sans JA, Pellicer-Porres J, Manjón FJ, Beltran A, Rodríguez-Hernández P, Muñoz A. Pressure effects on the vibrational properties of α-Bi(2)O(3): an experimental and theoretical study. J Phys Condens Matter 2014; 26:225401. [PMID: 24810681 DOI: 10.1088/0953-8984/26/22/225401] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We report an experimental and theoretical high-pressure study of the vibrational properties of synthetic monoclinic bismuth oxide (α-Bi(2)O(3): ), also known as mineral bismite. The comparison of Raman scattering measurements and theoretical lattice-dynamics ab initio calculations is key to understanding the complex vibrational properties of bismite. On one hand, calculations help in the symmetry assignment of phonons and to discover the phonon interactions taking place in this low-symmetry compound, which shows considerable phonon anticrossings; and, on the other hand, measurements help to validate the accuracy of first-principles calculations relating to this compound. We have also studied the pressure-induced amorphization (PIA) of synthetic bismite occurring around 20 GPa and showed that it is reversible below 25 GPa. Furthermore, a partial temperature-induced recrystallization (TIR) of the amorphous sample can be observed above 20 GPa upon heating to 200°C, thus evidencing that PIA at room temperature occurs because of the inability of the α phase to undergo a phase transition to a high-pressure phase. Raman scattering measurements of the TIR sample at room temperature during pressure release have been performed. The interpretation of these results in the light of ab initio calculations of the candidate phases at high pressures has allowed us to tentatively attribute the TIR phase to the recently found high-pressure hexagonal HPC phase and to discuss its lattice dynamics.
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Affiliation(s)
- A L J Pereira
- Departamento de Física Aplicada, Instituto de Diseño para la Fabricación y Producción Automatizada, MALTA Consolider Team, Universitat Politècnica de València, 46022 Valencia, Spain
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13
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Del Río T, Naredo E, Valor L, de la Torre I, Hernández D, Lόpez A, Beltran A, Martinez L, Nieto J, Gonzalez C, Lopez-Longo J, Monteagudo I, Montoro M, Carreño L. THU0585-HPR Impact on the Therapeutic Response to Anti-Tumor Necrosis Factor (ANTI-TNF) Agents of the Thickness of the Subcutaneous Tissue (SBC) in the Site of Injection Measured by Ultrasound. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3211] [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: 11/03/2022]
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14
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Saez I, Duran J, Sinadinos C, Beltran A, Yanes O, Tevy MF, Martínez-Pons C, Milán M, Guinovart JJ. Neurons have an active glycogen metabolism that contributes to tolerance to hypoxia. J Cereb Blood Flow Metab 2014; 34:945-55. [PMID: 24569689 PMCID: PMC4050236 DOI: 10.1038/jcbfm.2014.33] [Citation(s) in RCA: 142] [Impact Index Per Article: 14.2] [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: 09/18/2013] [Revised: 01/28/2014] [Accepted: 01/29/2014] [Indexed: 01/08/2023]
Abstract
Glycogen is present in the brain, where it has been found mainly in glial cells but not in neurons. Therefore, all physiologic roles of brain glycogen have been attributed exclusively to astrocytic glycogen. Working with primary cultured neurons, as well as with genetically modified mice and flies, here we report that-against general belief-neurons contain a low but measurable amount of glycogen. Moreover, we also show that these cells express the brain isoform of glycogen phosphorylase, allowing glycogen to be fully metabolized. Most importantly, we show an active neuronal glycogen metabolism that protects cultured neurons from hypoxia-induced death and flies from hypoxia-induced stupor. Our findings change the current view of the role of glycogen in the brain and reveal that endogenous neuronal glycogen metabolism participates in the neuronal tolerance to hypoxic stress.
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Affiliation(s)
- Isabel Saez
- Institute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain
- Department of Biochemistry and Molecular Biology, University of Barcelona, Barcelona, Spain
| | - Jordi Duran
- Institute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barcelona, Spain
| | | | - Antoni Beltran
- Metabolomics Platform, CIBERDEM, Reus, Spain
- Center for Omic Sciences (COS), Universitat Rovira i Virgili, Reus, Spain
- Institut d'Investigació Biomédica Pere Virgili (IISPV), Reus, Spain
| | - Oscar Yanes
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barcelona, Spain
- Metabolomics Platform, CIBERDEM, Reus, Spain
- Center for Omic Sciences (COS), Universitat Rovira i Virgili, Reus, Spain
- Institut d'Investigació Biomédica Pere Virgili (IISPV), Reus, Spain
| | - María F Tevy
- Institute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain
| | | | - Marco Milán
- Institute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
| | - Joan J Guinovart
- Institute for Research in Biomedicine (IRB Barcelona), Barcelona, Spain
- Department of Biochemistry and Molecular Biology, University of Barcelona, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barcelona, Spain
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15
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Li R, Beltran A, Baranowski J, Thompson D, Chandra J, Baranowski T. Barriers to Obesity Prevention among Pediatric Cancer Patients and Survivors: Qualitative Findings. J Acad Nutr Diet 2013. [DOI: 10.1016/j.jand.2013.06.248] [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: 11/16/2022]
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16
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Beltran A, Suarez M, Rodríguez MA, Vinaixa M, Samino S, Arola L, Correig X, Yanes O. Assessment of compatibility between extraction methods for NMR- and LC/MS-based metabolomics. Anal Chem 2012; 84:5838-44. [PMID: 22697410 DOI: 10.1021/ac3005567] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Because of the wide range of chemically and structurally diverse metabolites, efforts to survey the complete metabolome rely on the implementation of multiplatform approaches based on nuclear magnetic resonance (NMR) and mass spectrometry (MS). Sample preparation disparities between NMR and MS, however, may limit the analysis of the same samples by both platforms. Specifically, deuterated solvents used in NMR strategies can complicate LC/MS analysis as a result of potential mass shifts, whereas acidic solutions typically used in LC/MS methods to enhance ionization of metabolites can severely affect reproducibility of NMR measurements. These intrinsically different sample preparation requirements result in the application of different procedures for metabolite extraction, which involve additional sample and unwanted variability. To address this issue, we investigated 12 extraction protocols in liver tissue involving different aqueous/organic solvents and temperatures that may satisfy the requirements for both NMR and LC/MS simultaneously. We found that deuterium exchange did not affect LC/MS results, enabling the measurement of metabolites by NMR and, subsequently, the direct analysis of the same samples by using LC/MS with no need for solvent exchange. Moreover, our results show that the choice of solvents rather than the temperature determined the extraction efficiencies of metabolites, a combination of methanol/chloroform/water and methanol/water being the extraction methods that best complement NMR and LC/MS analysis for metabolomic studies.
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Affiliation(s)
- Antoni Beltran
- Metabolomics Platform, Campus Sescelades, Rovira i Virgili University, Tarragona, Spain.
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17
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Baranowski T, Islam N, Douglass D, Dadabhoy H, Beltran A, Baranowski J, Thompson D, Cullen KW, Subar AF. Food Intake Recording Software System, version 4 (FIRSSt4): a self-completed 24-h dietary recall for children. J Hum Nutr Diet 2012; 27 Suppl 1:66-71. [PMID: 22616645 DOI: 10.1111/j.1365-277x.2012.01251.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The Food Intake Recording Software System, version 4 (firsst4), is a web-based 24-h dietary recall (24 hdr) self-administered by children based on the Automated Self-Administered 24-h recall (ASA24) (a self-administered 24 hdr for adults). The food choices in firsst4 are abbreviated to include only those reported by children in US national surveys; and detailed food probe questions are simplified to exclude those that children could not be expected to answer (e.g. questions regarding food preparation and added fats). ASA24 and firsst4 incorporate 10 000+ food images, with up to eight images per food, to assist in portion size estimation. We review the formative research conducted during the development of firsst4. When completed, firsst4 will be hosted and maintained for investigator use on the National Cancer Institute's ASA24 website.
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Affiliation(s)
- T Baranowski
- USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USANational Cancer Institute, Division of Cancer Control and Population Sciences, Applied Research Program, Risk Factor Monitoring and Methods Branch EPN 4005, Bethesda, MD, USA
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18
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Vinaixa M, Rodriguez MA, Samino S, Díaz M, Beltran A, Mallol R, Bladé C, Ibañez L, Correig X, Yanes O. Metabolomics reveals reduction of metabolic oxidation in women with polycystic ovary syndrome after pioglitazone-flutamide-metformin polytherapy. PLoS One 2011; 6:e29052. [PMID: 22194988 PMCID: PMC3241700 DOI: 10.1371/journal.pone.0029052] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [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: 08/27/2011] [Accepted: 11/18/2011] [Indexed: 01/17/2023] Open
Abstract
Polycystic ovary syndrome (PCOS) is a variable disorder characterized by a broad spectrum of anomalies, including hyperandrogenemia, insulin resistance, dyslipidemia, body adiposity, low-grade inflammation and increased cardiovascular disease risks. Recently, a new polytherapy consisting of low-dose flutamide, metformin and pioglitazone in combination with an estro-progestagen resulted in the regulation of endocrine clinical markers in young and non-obese PCOS women. However, the metabolic processes involved in this phenotypic amelioration remain unidentified. In this work, we used NMR and MS-based untargeted metabolomics to study serum samples of young non-obese PCOS women prior to and at the end of a 30 months polytherapy receiving low-dose flutamide, metformin and pioglitazone in combination with an estro-progestagen. Our results reveal that the treatment decreased the levels of oxidized LDL particles in serum, as well as downstream metabolic oxidation products of LDL particles such as 9- and 13-HODE, azelaic acid and glutaric acid. In contrast, the radiuses of small dense LDL and large HDL particles were substantially increased after the treatment. Clinical and endocrine-metabolic markers were also monitored, showing that the level of HDL cholesterol was increased after the treatment, whereas the level of androgens and the carotid intima-media thickness were reduced. Significantly, the abundance of azelaic acid and the carotid intima-media thickness resulted in a high degree of correlation. Altogether, our results reveal that this new polytherapy markedly reverts the oxidant status of untreated PCOS women, and potentially improves the pro-atherosclerosis condition in these patients.
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Affiliation(s)
- Maria Vinaixa
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
- * E-mail: (MV); (OY)
| | - Miguel Angel Rodriguez
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - Sara Samino
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - Marta Díaz
- CIBER de Diabetes y Enfermedades Metabólicas Asociadas, Barcelona, Spain
- Endocrinology Unit, Hospital Sant Joan de Déu-Universitat de Barcelona, Esplugues de Llobregat, Spain
| | - Antoni Beltran
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
| | - Roger Mallol
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - Cinta Bladé
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - Lourdes Ibañez
- CIBER de Diabetes y Enfermedades Metabólicas Asociadas, Barcelona, Spain
- Endocrinology Unit, Hospital Sant Joan de Déu-Universitat de Barcelona, Esplugues de Llobregat, Spain
| | - Xavier Correig
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
- Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - Oscar Yanes
- Metabolomics Platform of the Spanish Biomedical Research Center in Diabetes and Associated Metabolic Disorders, Rovira i Virgili University, Tarragona, Spain
- * E-mail: (MV); (OY)
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19
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Ibrahim G, Groves C, Chandramohan M, Beltran A, Valle R, Reyes B, Healy P, Harrison A, Helliwell PS. Clinical and ultrasound examination of the leeds enthesitis index in psoriatic arthritis and rheumatoid arthritis. ISRN Rheumatol 2011; 2011:731917. [PMID: 22389801 PMCID: PMC3263748 DOI: 10.5402/2011/731917] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/26/2011] [Accepted: 03/07/2011] [Indexed: 11/25/2022]
Abstract
Objective. To compare scores for the Leeds enthesitis index in psoriatic arthritis and rheumatoid arthritis using clinical assessment and ultrasonography (US). Design. Swelling and tenderness of the enthesis was assessed at six sites: lateral epicondyles of humerus (LE), medial condyles of femur (MC), and the insertion of the Achilles tendon (AT). US assessed “inflammatory activity” (power Doppler signal, oedema, tendon thickening, and bursal swelling) and “damage” (erosions and enthesophytes). Results. 94 patients were included, 71 with PsA and 23 with RA. The patients with RA were significantly older (PsA 47.6 years; RA 62.6 years; (mean difference in ages =15.0 years, 95% CI 9.3–20.7 years)). US scores were higher in RA at the LE, significantly so for the “damage” scores. No differences between RA and PsA were seen at the other sites. As a result, the odds ratio for PsA, given an US score above the median, was 0.41 (0.13–1.03). However, using the clinical score, the odds ratio for PsA was 2.16 (0.81–5.70). Conclusions. Although clinical scores of enthesitis are greater in PsA compared to RA, US enthesitis scores did not distinguish between RA and PsA. This may in part be due to more frequent juxta-articular involvement in RA and in part due to the older age of the subjects with RA.
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Affiliation(s)
- G Ibrahim
- St. Luke's Hospital, Bradford Teaching NHS Foundation Trust, Bradford BD5 0NA, UK
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20
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Alonso A, Julià A, Beltran A, Vinaixa M, Díaz M, Ibañez L, Correig X, Marsal S. AStream: an R package for annotating LC/MS metabolomic data. ACTA ACUST UNITED AC 2011; 27:1339-40. [PMID: 21414990 DOI: 10.1093/bioinformatics/btr138] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
UNLABELLED AStream, an R-statistical software package for the curation and identification of feature peaks extracted from liquid chromatography mass spectrometry (LC/MS) metabolomics data, is described. AStream detects isotopic, fragment and adduct patterns by identifying feature pairs that fulfill expected relational patterns. Data reduction by AStream allows compounds to be identified reliably and subsequently linked to metabolite databases. AStream provides researchers with a fast, reliable tool for summarizing metabolomic data, notably reducing curation time and increasing consistency of results. AVAILABILITY The AStream R package and a study example can be freely accessed at http://www.urr.cat/AStream/AStream.html.
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Affiliation(s)
- Arnald Alonso
- Grup de Recerca de Reumatologia, Institut de Recerca de l'Hospital Universitari Vall d'Hebrón (Univ. Autònoma de Barcelona), Barcelona, Spain
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21
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Beltran D, Marcos MD, Amoros P, Roca M, Beltran A. Soft Hydrothermal Synthesis of New Microporous Materials Based
on Phosphate-Like Species. ACTA ACUST UNITED AC 2011. [DOI: 10.1557/proc-346-811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
ABSTRACTFactors controlling hydrothermal synthetic procedures are not well
understood. A good knowledge of the solution chemistry of precursor species
is the best reference for the design of rational procedures. Examples of the
predictive character of simple models in order to rationalize complex
syntheses are discussed in detail.
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Amoros P, Marcos MD, Alamo J, Beltran A, Beltran P. Novel Phases in the V-P-O Catalytic System from Oxovanadium
Hydrogenphosphate Precursors. ACTA ACUST UNITED AC 2011. [DOI: 10.1557/proc-346-391] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
ABSTRACTSeveral biphasic VOP04/(VO)2P2O7
redox partners seem to be active in the catalytic cycles involved in the
mild oxidation of simple hydrocarbons to maleic anhydride. The present X-ray
time resolved thermal-diffractometric study reveals the existence of a new
anhydrous variety of the oxidized form, ω-VOPO4, which may appear
as an intermediate in the formation of the well known β-VOPO4.
This new phase only remains well crystallized at relatively high
temperatures, and when it is allowed to cool down in wet air
VOPO4·2H2O results. In turn, another well defined
phase, VOPO4·1.58H2O, can be recognized in the course
of the hydration process.
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24
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Beltran A, Marcé R, Cormack P, Borrull F. Synthetic approaches to parabens molecularly imprinted polymers and their applications to the solid-phase extraction of river water samples. Anal Chim Acta 2010; 677:72-8. [DOI: 10.1016/j.aca.2010.07.021] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2010] [Revised: 07/06/2010] [Accepted: 07/11/2010] [Indexed: 10/19/2022]
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Okamoto J, Hirata T, Chen Z, Zhou HM, Mikami I, Li H, Yagui-Beltran A, Beltran A, Johansson M, Coussens LM, Clement G, Shi Y, Zhang F, Koizumi K, Shimizu K, Jablons D, He B. EMX2 is epigenetically silenced and suppresses growth in human lung cancer. Oncogene 2010; 29:5969-75. [PMID: 20697358 DOI: 10.1038/onc.2010.330] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Lung cancer is a common cancer and the leading cause of cancer-related death worldwide. Aberrant activation of WNT signaling is implicated in lung carcinogenesis. EMX2, a human homologue of the Drosophila empty spiracles gene is a homeodomain-containing transcription factor. The function of EMX2 has been linked to the WNT signaling pathway during embryonic patterning in mice. However, little is known about the role of EMX2 in human tumorigenesis. In this study, we found that EMX2 was dramatically downregulated in lung cancer tissue samples and this downregulation was associated with methylation of the EMX2 promoter. Restoration of EMX2 expression in lung cancer cells lacking endogenous EMX2 expression suppressed cell proliferation and invasive phenotypes, inhibited canonical WNT signaling, and sensitized lung cancer cells to the treatment of the chemo cytotoxic drug cisplatin. On the other hand, knockdown of EMX2 expression in lung cancer cells expressing endogenous EMX2 promoted cell proliferation, invasive phenotypes and canonical WNT signaling. Taken together, our study suggests that EMX2 may have important roles as a novel suppressor in human lung cancer.
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Affiliation(s)
- J Okamoto
- Department of Surgery, University of California, San Francisco, CA 94115, USA
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Beltran A, Fontanals N, Marcé RM, Cormack PAG, Borrull F. Molecularly imprinted solid-phase extraction of cephalexin from water-based matrices. J Sep Sci 2009; 32:3319-26. [PMID: 19722176 DOI: 10.1002/jssc.200900268] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
In the present paper, we describe the synthesis of a cephalexin (CFX) molecularly imprinted polymer (MIP), the direct application of the MIP to SPE for the determination of CFX (which is a beta-lactam antibiotic) in human urine and the use of the MIP in a tandem SPE system to determine CFX in river water. The molecularly imprinted polymers (MIP) showed cross-selectivity for amoxicillin (AMX; also a beta-lactam antibiotic). This allowed both CFX and AMX to be quantified in acidified human urine, with recoveries of 78 and 60% for CFX and AMX, respectively, when the urine samples were spiked with CFX and AMX at 4 mg/L. These analyses were facile because the molecularly imprinted solid-phase extraction (MISPE) extracts were clear compared to the nonpurified samples. In order to increase the sample volume for river water analyses, a tandem SPE system incorporating a commercially available sorbent was implemented. With this set-up, CFX was determined with recoveries in excess of 50% when 200 mL of acidified river water samples spiked at 10 microg/L with CFX were percolated through the tandem system.
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Affiliation(s)
- Antoni Beltran
- Departament de Química Analítica i Química Orgànica, Universitat Rovira i Virgili, Tarragona, Spain
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Beltran A, Marcé R, Cormack P, Borrull F. Synthesis by precipitation polymerisation of molecularly imprinted polymer microspheres for the selective extraction of carbamazepine and oxcarbazepine from human urine. J Chromatogr A 2009; 1216:2248-53. [DOI: 10.1016/j.chroma.2009.01.024] [Citation(s) in RCA: 96] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2008] [Revised: 12/23/2008] [Accepted: 01/12/2009] [Indexed: 10/21/2022]
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Beltran A, Marcé RM, Cormack PAG, Sherrington DC, Borrull F. Selective solid-phase extraction of amoxicillin and cephalexin from urine samples using a molecularly imprinted polymer. J Sep Sci 2008; 31:2868-74. [PMID: 18666169 DOI: 10.1002/jssc.200800085] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
In this paper we describe, for the first time, a molecularly imprinted polymer (MIP) for the antibiotic amoxicillin (AMX), synthesised by a noncovalent molecular imprinting approach and used to extract AMX selectively from urine samples. The MIP was applied as a molecularly selective sorbent in molecularly imprinted SPE (MISPE) in an off-line mode, where it showed useful cross-selectivity for a structurally related antibiotic, cephalexin (CPX). By using a MISPE protocol, the MIP was able to selectively extract both AMX and CFX from 5 mL of water spiked with 10 mg/L with recoveries of 75 and 78% for AMX and CFX, respectively. When applied to real samples (urine) at clinically relevant concentrations, recoveries from 2 mL of human urine spiked with 20 mg/L decreased slightly to 65 and 63% for AMX and CFX, respectively. To demonstrate further the selectivity of the MIP obtained, a comparison with commercially available SPE cartridges was performed. Improvements in the retention of both AMX and CFX on the MIP were obtained relative to the commercially available cartridges, and the MISPE extracts were considerably cleaner, due to molecularly selective analyte binding by the MIP.
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Affiliation(s)
- Antoni Beltran
- Departament de Química Analítica i Química Orgànica, Universitat Rovira i Virgili, Tarragona, Spain
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Beltran A, Caro E, Marcé RM, Cormack PAG, Sherrington DC, Borrull F. Synthesis and application of a carbamazepine-imprinted polymer for solid-phase extraction from urine and wastewater. Anal Chim Acta 2007; 597:6-11. [PMID: 17658306 DOI: 10.1016/j.aca.2007.06.040] [Citation(s) in RCA: 97] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2007] [Revised: 06/18/2007] [Accepted: 06/19/2007] [Indexed: 11/30/2022]
Abstract
A molecularly imprinted polymer (MIP) designed to enable the selective extraction of carbamazepine (CBZ) from effluent wastewater and urine samples has been synthesised using a non-covalent molecular imprinting approach. The MIP was evaluated chromatographically in the first instance and its affinity for CBZ also confirmed by solid-phase extraction (SPE). The optimal conditions for SPE consisted of conditioning of the cartridge using acidified water purified from a Milli-Q system, loading of the sample under basic aqueous conditions, clean-up using acetonitrile and elution with methanol. The attractive molecular recognition properties of the MIP gave rise to good CBZ recoveries (80%) when 100 mL of effluent water spiked with 1 microg L(-1) was percolated through the polymer. For urine samples, 2 mL samples spiked with 2.5 microg L(-1) CBZ were extracted with a recovery of 65%. For urine, the linear range was 0.05-24 mg L(-1), the limit of detection was 25 microg L(-1) and precision, expressed as relative standard deviation at 0.5 mg L(-1) (n=3), was 3.1% and 12.6% for repeatability and reproducibility between days, respectively.
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Affiliation(s)
- A Beltran
- Departament de Química Analítica i Química Orgànica, Universitat Rovira i Virgili, Marcel.lí Domingo s/n, Campus Sescelades, 43007 Tarragona, Spain
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Beltran A, Parikh S, Liu Y, Cuevas BD, Johnson GL, Futscher BW, Blancafort P. Re-activation of a dormant tumor suppressor gene maspin by designed transcription factors. Oncogene 2006; 26:2791-8. [PMID: 17057734 DOI: 10.1038/sj.onc.1210072] [Citation(s) in RCA: 77] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
The controlled and specific re-activation of endogenous tumor suppressors in cancer cells represents an important therapeutic strategy to block tumor growth and subsequent progression. Other than ectopic delivery of tumor suppressor-encoded cDNA, there are no therapeutic tools able to specifically re-activate tumor suppressor genes that are silenced in tumor cells. Herein, we describe a novel approach to specifically regulate dormant tumor suppressors in aggressive cancer cells. We have targeted the Mammary Serine Protease Inhibitor (maspin) (SERPINB5) tumor suppressor, which is silenced by transcriptional and aberrant promoter methylation in aggressive epithelial tumors. Maspin is a multifaceted protein, regulating tumor cell homeostasis through inhibition of cell growth, motility and invasion. We have constructed artificial transcription factors (ATFs) made of six zinc-finger (ZF) domains targeted against 18-base pair (bp) unique sequences in the maspin promoter. The ZFs were linked to the activator domain VP64 and delivered in breast tumor cells. We found that the designed ATFs specifically interact with their cognate targets in vitro with high affinity and selectivity. One ATF was able to re-activate maspin in cell lines that comprise a maspin promoter silenced by epigenetic mechanisms. Consistently, we found that this ATF was a powerful inducer of apoptosis and was able to knock down tumor cell invasion in vitro. Moreover, this ATF was able to suppress MDA-MB-231 growth in a xenograft breast cancer model in nude mice. Our work suggests that ATFs could be used in cancer therapeutics as novel molecular switches to re-activate dormant tumor suppressors.
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Affiliation(s)
- A Beltran
- Department of Pharmacology and the Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7365, USA
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Sambrano J, Vasconcellos L, Martins J, Santos M, Longo E, Beltran A. A theoretical analysis on electronic structure of the (110) surface of TiO2–SnO2 mixed oxide. ACTA ACUST UNITED AC 2003. [DOI: 10.1016/s0166-1280(03)00200-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Calatayud M, Berski S, Beltran A, Andrés J. An atom-in-molecules and electron-localization-function study of the interaction between O 2 and V x O y + /V x O y ( x = 1, 2, y = 1-5) clusters. Theor Chem Acc 2002. [DOI: 10.1007/s00214-002-0350-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Llusar R, Beltran A, Andres J, Silvi B, Savin A. Pseudopotential Periodic Hartree-Fock study of K8In11 and Rb8In11 Systems. ACTA ACUST UNITED AC 2002. [DOI: 10.1021/j100033a018] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [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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Sapina F, Escriva E, Folgado JV, Beltran A, Beltran D, Fuertes A, Drillon M. A new magnetic lattice in the "cdta family". Structure and magnetic properties of the novel homo- and heterometallic chains Cu3[M(cdta)]2(NO3)2.cntdot.15H2O (M = copper, nickel). Inorg Chem 2002. [DOI: 10.1021/ic00044a031] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Beltran A, McVeigh G, Morgan D, Glasser SP, Neutel JM, Weber M, Finkelstein SM, Cohn JN. Arterial compliance abnormalities in isolated systolic hypertension. Am J Hypertens 2001; 14:1007-11. [PMID: 11710778 DOI: 10.1016/s0895-7061(01)02160-4] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Arterial compliance measurements using intraarterial pulse contour analysis and a modified Windkessel model were carried out in 19 patients with isolated systolic hypertension (> or = 160/< or = 90 mm Hg) and compared to measurements in 29 patients with essential hypertension (diastolic blood pressure [BP] > or = 95 mm Hg) and 47 normotensive control subjects. Arterial capacitive compliance was significantly lower in isolated systolic hypertension than in essential hypertension (P < .0002) and significantly lower in essential hypertension than in normotensive control subjects (P < .0001). Although the isolated systolic hypertension group was older than the essential hypertension group, the reduction of capacitive compliance in isolated systolic hypertension persisted even when comparison was made with a more nearly age-matched group of essential hypertension. In contrast, oscillatory compliance was reduced similarly in isolated systolic hypertension and essential hypertension compared to normotensive control subjects (P < .0001). Although pulse pressure was greater in isolated systolic hypertension than in essential hypertension, only a weak correlation (r = -0.34) existed between pulse pressure and capacitive compliance. These data indicate that both essential hypertension and isolated systolic hypertension patients exhibit comparably abnormal structure or tone of the small vessels that are the site of oscillations or reflections in the arterial vasculature. In isolated systolic hypertension there is a profound reduction in large artery or capacitive compliance that accounts for the increase in systolic BP and decrease in diastolic BP. This abnormality cannot be accurately assessed by pulse pressure alone.
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Affiliation(s)
- A Beltran
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis 55455, USA
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Smith CJ, Beltran A. Grandparents raising grandchildren: challenges faced by these growing numbers of families and effective policy solutions. J Aging Soc Policy 2001; 12:7-17. [PMID: 11284196 DOI: 10.1300/j031v12n01_02] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- C J Smith
- Syracuse University, School of Social Work, 307 Sims Hall, Syracuse, NY 13244-1230, USA. ,
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Oñate A, Andrews E, Beltran A, Eller G, Schurig G, Folch H. Frequent exposure of mice to crude Brucella abortus proteins down-regulates immune response. J Vet Med B Infect Dis Vet Public Health 2000; 47:677-82. [PMID: 11244868 DOI: 10.1046/j.1439-0450.2000.00402.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Mice repeatedly immunized via the intraperitoneal route with a Brucella abortus antigen lost their ability to develop a strong in vitro lymphoproliferative response. This result correlates with a decreased tendency of the lymphoid population to produce interferon-gamma when stimulated in culture with the immunizing antigen. With respect to the humoral response, as the number of immunizations increased, the animals produced more specific immunoglobulin M and immunoglobulin G1 antibodies. It is postulated that the long-term exposure of an animal to Brucella antigen changes the nature of the immune response from a T-cell-mediated response to a humoral response favouring the establishment of the disease.
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Affiliation(s)
- A Oñate
- Department of Microbiology, Faculty of Biological Sciences, Universidad de Concepción, PO Box 152-C, Concepción, Chile.
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Sànchez J, Beltran A, Alonso J, Jiménez C, del Valle M. Development of a new ion-selective field-effect transistor sensor for anionic surfactants: Application to potentiometric titrations. Anal Chim Acta 1999. [DOI: 10.1016/s0003-2670(98)00762-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Salvador JM, Hernandez A, Beltran A, Duran R, Mactutis A. Fast partial-differential synthesis of the matching polynomial of C72-100. J Chem Inf Comput Sci 1998; 38:1105-10. [PMID: 9845966 DOI: 10.1021/ci9800155] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The Thesis algorithm uses partial-differential edge operators and a grammatical structure to generate and avoid expanding the Matching Polynomial. To run the algorithm efficiently, the vertexes of fullerene graphs C60-100 were sorted into three-dimensional sectors.
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Affiliation(s)
- J M Salvador
- Department of Chemistry, University of Texas at El Paso 79968, USA
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Abstract
BACKGROUND Osteogenic sarcoma of the jaw has clinical and prognostic differences from that of long bones. METHODS We reviewed 23 confirmed cases of osteosarcoma of the jaw seen at the Instituto Nacional de Cancerologia of Mexico between 1972 and 1990. RESULTS Fifty-seven percent of the patients were women. Median age for all patients was 28 years. In 52% of cases, the neoplasm involved the maxilla. Tumor size ranged from 5 to 24 cm (median 10 x 7 cm) and 87% of the neoplasms were grade III or IV (Broder's). Twenty one (91%) patients were treated with surgery (s); radiotherapy (Rt) was administered to 14 (61%) and chemotherapy (Ct) to 11 (48%) patients. Clear (negative) surgical margins were obtained in 43% of surgically treated patients. Median follow-up for 20 patients eligible for evaluation was 16.5 months. Survival at 5 years was 10%. CONCLUSIONS We found that tumor size and surgical margins were significant prognostic factors. Early diagnosis of these tumors is mandatory to improve survival; the role of Ct and Rt is still unknown.
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Affiliation(s)
- R Delgado
- Department of Pathology, Instituto Nacional de Cancerologia of Mexico, Mexico City
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Abstract
A new model for cerebrospinal fluid (CSF) circulation is proposed. Specific activity/time curves for CSF kinetics determined after intraventricular injection of a radiotracer were produced by fitting a biexponential function to data points and developing a two-compartmental model. Calculation of kinetic parameters of the model provides quantitative data about CSF dynamics. The study of each compartment separately and of the intercompartmental relationship is possible with this model. Sequential scan images and graphic plots of the variations of radioactivity in both compartments, derived from this model, add supplementary information in the evaluation of patients. Ventriculography was performed in 80 patients, who fell into four groups: those with normal CSF circulation, hydrocephalus, infantile hydrocephalus, and functioning ventricular shunts. Normal and hydrocephalic patients showed significant differences between the two groups in the means of some numerical parameters calculated from the new model. An increase of intraventricular radioactivity at 24 hours (p less than 10(-4)) and of the volume of Compartment 1 (p less than 0.01) with decreased volume of Compartment 2 (p less than 10(-4)) and total flow outside the system (p less than 10(-3)) were found in patients with hydrocephalus. The limiting values for normal patients were also estimated. Communicating and obstructive hydrocephalus could be differentiated by this method; however, no differences in mean values were found relating to the etiology or clinical course of the hydrocephalus. Normal-pressure hydrocephalus and cerebral atrophy produced significantly different mean values for the volume of Compartment 2 (p less than 0.01), flow out of the system (p less than 0.01), and intercompartmental flow (p less than 0.01).
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