In vitro anti-tumoral and immunomodulatory effects of acidic polysaccharides isolated from the fungus Gloeosoma mirabile.

Polysaccharides from wood-rooting fungi have attracted attention due to their broad pharmacological properties. Herein, we report the antitumor and immunomodulatory activities of acid polysaccharides isolated from fungi Gloeosoma mirabile. The polysaccharide extracts displayed significant antiproliferative activity against cancer cell lines (MCF-7, HCT-116, U-937) in a dose-dependent manner and induction of IL-6 in macrophage RAW 264.7. Furthermore, flow cytometry analysis showed that high polysaccharide concentrations induced apoptosis by 83% in HL-60 cells. Based on gas chromatography-mass spectrometry (GC-MS) and Fourier transform infra-red (FT-IR) spectroscopy studies, acidic polysaccharides from G. mirabile were mainly composed of arabinose, α-D-galactopyranose and methyl ß-D-galactopyranoside.

Diversity of Agaricomycetes in southern South America and their bioactive natural products.

Fungi have a unique metabolic plasticity allowing them to produce a wide range of natural products. Since the discovery of penicillin, an antibiotic of fungal origin, substantial efforts have been devoted globally to search for fungal-derived natural bioactive products. Andean region forests represent one of the few undisturbed ecosystems in the world with little human intervention. While these forests display a rich biological diversity, mycological and chemical studies in these environments have been scarce. This review aims to summarise all the efforts regarding the chemical or bioactivity analyses of Agaricomycetes (Basidiomycota) from southern South America environments. Overall, herein we report a total of 147 fungal species, 21 of them showing chemical characterisation and/or biological activity. In terms of chemical cores, furans, chlorinated phenol derivatives, polyenes, lactones, terpenes and himanimides have been reported. These natural products displayed a range of biological activities including antioxidant, antimicrobial, antifungal, neuroprotective and osteoclast-forming suppressing effects.

In vitro cytotoxic capacity against tumor cell lines and antioxidant activity of acidic polysaccharides isolated from the Andean Patagonian fungus Phylloporia boldo.

Fungal polysaccharides possess a broad biological activity, including cytotoxic and antioxidant activities. This work aimed to evaluate the cytotoxic and antioxidant activity of the acidic polysaccharides of Phylloporia boldo strain (named PBAP40). Cytotoxic activity of polysaccharide was evaluated determining the viability of three tumor cell lines by MTT assay. The effect of acidic polysaccharide on the cell cycle of HL-60 cell line was evaluated by flow cytometry, and the antioxidant activity was determined by DPPH and ABTS assays. PBAP40 showed cytotoxic effects in tumor cell lines. Results suggest that P. boldo acidic polysaccharides arrested tumor cells in the cell cycle Sub G1 phase. The acidic polysaccharides of PBAP40 strain were not cytotoxic for the non-tumor cell line. PBAP40 also showed excellent antioxidant activity. The FT-IR analysis of the acidic polysaccharides indicated the presence of glucans bearing α- and ß- type glycosidic bonds.

Relevance of sludge management practices and substance modeling in LCA for decision-making: A case study in Chile.

Reducing the costs and environmental impacts of sludge management is currently one of the main challenges faced by the wastewater treatment sector. Anaerobic digestion followed by land application has been widely endorsed as a low-impact approach to sludge management, mainly due to the recovery of biogas and the valorization of digestate. However, the influence that the operational conditions of digestion and the management practices of land application can have over the environmental performance of this strategy has been scarcely studied. Furthermore, most of the previous studies dealing with the environmental assessment of this strategy use simplified methods for estimating emissions after land application of sludge, and the lack of systematic accounting of these environmental flows might significantly affect the validity and comparability of the results. Therefore, this work performed an assessment of the influence that 4 relevant practices can have over the environmental impacts of this approach in the context of south-central Chile, providing a mass-balanced inventory for nitrogen, phosphorus and heavy metals in soil based on the ad hoc implementation of models developed for agricultural Life Cycle Assessment (LCA). A total of 16 scenarios were defined and 10 impact categories were evaluated, with the results showing that the environmental impacts were greatly influenced by the variables under study. Overall, solids retention time and the inclusion of pre-treatment mainly influenced climate change, fossil resource depletion and terrestrial ecotoxicity potential, while sludge application rate influenced the eutrophication, water ecotoxicity and human toxicity categories. The type of crop in the receiving soil was a significant driver behind the differences observed in the human toxicity category, which showed the highest variation and relevance in the final weighted result. The results clearly highlight the relevance of using context specific data as well as of quantifying the fate of nutrients, metals and heavy metals during LCA of sludge management. Based on the results, some policy and decision-making recommendations are formulated to optimize the environmental performance of sludge digestion and land application.

Species and genera in Aleurodiscus sensu lato as viewed from the Southern Hemisphere.

Phylogenetic relationships of 12 species in Aleurodiscus sensu lato (Stereaceae, Russulales) described from the Patagonian forests of Chile and Argentina were investigated based on sequences of nuc rDNA internal transcribed spacer region ITS1-5.8S-ITS2 (ITS) and the D1-D2 domains of nuc 28S rDNA (28S). A new genus and a new species are presented, and 10 new combinations proposed. The genus Gloeosoma is shown to be phylogenetically well supported and morphologically circumscribed; it includes G. vitellinum (type species), G. mirabile, comb. nov., G. zealandicum, comb. nov., and Gloeosoma decorticans, sp. nov., which is newly described from Chile. The new genus Stereodiscus is proposed to accommodate a group of taxa characterized by an austral distribution and morphologically by smooth, thin-walled, amyloid basidiospores and a lack of gloeocystidia and acanthocystidia; three species develop Stereum-like basidiomata and two species present discoid ones. The new genus includes the species formerly known as Aleurodiscus antarcticus, A. limonisporus, A. parmuliformis, A. patagonicus, and A. triviale. Specimens of Stereodiscus parmuliformis (A. parmuliformis) from New Zealand (where it was originally described) and southern Chile are shown to be phylogenetically conspecific, which confirms its presence in Patagonia. Gloeosoma and Stereodiscus are shown to be distantly related to Aleurodiscus s. str. and other genera in Stereaceae. The new combinations Aleurocystidiellum bernicchiae, Aleurocystidiellum hallenbergii, and Acanthobasidium quilae are proposed based on morphology and phylogenetic analyses, and Aleurodiscus cerussatus is shown to be a cryptic species complex.

[Carney triad: Report of one case]. / Tríada de Carney. Una rara asociación de tumores infrecuentes: Caso clínico.

Carney described a disorder characterized by the presence of several uncommon tumors which were pulmonary chondromas, gastric sarcomas and extra-adrenal paragangliomas. We report a 14 year-old girl in whom multiple gastric tumors were discovered during a study of an iron deficiency anemia and was subjected to a partial gastrectomy. At 25 years of age, she developed several pulmonary chondromas and at 33 years, a mediastinal tumor with features of an extra-adrenal paraganglioma was found. At 35 years of age, a total gastrectomy was performed to remove a gastrointestinal stromal tumor with excision of peritoneal and lymph node metastasis. One year later, the patient died due to liver failure secondary to liver metastases.

Tríada de Carney. Una rara asociación de tumores infrecuentes: caso clínico / Carney triad: report of one case

Carney described a disorder characterized by the presence of several uncommon tumors which were pulmonary chondromas, gastric sarcomas and extra-adrenal paragangliomas. We report a 14 year-old girl in whom multiple gastric tumors were discovered during a study of an iron deficiency anemia and was subjected to a partial gastrectomy. At 25 years of age, she developed several pulmonary chondromas and at 33 years, a mediastinal tumor with features of an extra-adrenal paraganglioma was found. At 35 years of age, a total gastrectomy was performed to remove a gastrointestinal stromal tumor with excision of peritoneal and lymph node metastasis. One year later, the patient died due to liver failure secondary to liver metastases.

[Trends in mortality from cancer in Chile according to differences in educational level, 2000-2010]. / Tendencia de la mortalidad por cáncer en Chile según diferencias por nivel educacional, 2000-2010.

OBJECTIVE: Characterize the trends in mortality from cancer in Chile according to differences in educational level in the period 2000-2010 in the population over 20 years of age. METHODS: Calculation of specific mortality from cancer, age-adjusted for different educational levels, for the period 2000-2010. The obtained rates were analyzed using a Poisson regression model, calculating the relative inequality index and the slope index of inequality for each year. RESULTS: 232 541 deaths from cancer were reported in the period 2000-2010. The most frequent types were breast, stomach, and gallbladder cancer in women; and stomach, prostate, and lung cancer in men. Age-standardized mortality from cancer was greater in the lower educational levels, except for breast cancer in woman and lung cancer in men. The greatest differences were found in gallbladder cancer in women and stomach cancer in men, with specific mortality rates up to 49 and 63 times higher, respectively, for low educational levels compared to higher ones. Between 2000 and 2010, the differences in mortality by educational level were smaller for all cancers combined in both genders, for breast cancer in women, and for lung and stomach in men. CONCLUSIONS: During the period studied, mortality from cancer in Chile was strongly associated with the educational level of the population. This information should be considered when designing national strategies to reduce specific mortality from cancer in the most vulnerable groups.

Tendencia de la mortalidad por cáncer en Chile según diferencias por nivel educacional, 2000-2010 / Trends in mortality from cancer in Chile according to differences in educational level, 2000-2010

Objetivo. Caracterizar la tendencia de la mortalidad por cáncer en Chile según diferencias por nivel educacional en el período 2000-2010 en la población mayor de 20 años. Métodos. Cálculo de las tasas de mortalidad específica por cáncer ajustadas por edad para diferentes niveles educacionales (NE), para el período 2000-2010. Las tasas obtenidas se analizaron con un modelo de regresión de Poisson, calculando el índice de desigualdad relativa (IDR) y el índice de desigualdad de la pendiente (IDP) para cada año. Resultados. Se registraron 232 541 muertes por cáncer en el período 2000-2010. Los tipos de cáncer más frecuentes fueron de mama, estómago y vesícula biliar en mujeres; y estómago, próstata y pulmón en hombres. Las tasas de mortalidad por cáncer estandarizadas por edad fueron mayores en los NE más bajos, excepto para el de mama en mujer y el de pulmón en hombres. Las mayores diferencias se encontraron en el de vesícula biliar en mujeres y el de estómago en hombres, con mayores tasas de mortalidad específica de hasta 49 y 63 veces respectivamente, para NE bajo respecto al NE alto. Entre 2000 y 2010, las diferencias en mortalidad por NE se redujeron para todos los cánceres combinados en ambos géneros, mama en mujeres, y pulmón y estómago en hombres. Conclusiones. Durante el período estudiado, la mortalidad por cáncer en Chile estuvo fuertemente asociada al NE de la población. Esta información debe ser considerada al definir estrategias nacionales para reducir la mortalidad específica por cáncer en los grupos más desprotegidos.

Objective. Characterize the trends in mortality from cancer in Chile according to differences in educational level in the period 2000-2010 in the population over 20 years of age. Methods. Calculation of specific mortality from cancer, age-adjusted for different educational levels, for the period 2000-2010. The obtained rates were analyzed using a Poisson regression model, calculating the relative inequality index and the slope index of inequality for each year. Results. 232 541 deaths from cancer were reported in the period 2000-2010. The most frequent types were breast, stomach, and gallbladder cancer in women; and stomach, prostate, and lung cancer in men. Age-standardized mortality from cancer was greater in the lower educational levels, except for breast cancer in woman and lung cancer in men. The greatest differences were found in gallbladder cancer in women and stomach cancer in men, with specific mortality rates up to 49 and 63 times higher, respectively, for low educational levels compared to higher ones. Between 2000 and 2010, the differences in mortality by educational level were smaller for all cancers combined in both genders, for breast cancer in women, and for lung and stomach in men. Conclusions. During the period studied, mortality from cancer in Chile was strongly associated with the educational level of the population. This information should be considered when designing national strategies to reduce specific mortality from cancer in the most vulnerable groups.

Análisis del escenario actual de la formación médica en Chile y experiencias internacionales: [revisión] / The present state of medical education in Chile and relevant international approaches: [review]

Esta revisión narrativa pretende examinar los problemas que hacen que el sistema de formación médica en Chile esté viviendo un momento de gran incertidumbre en su historia, lo cual se enmarca en los cambios político-sociales que han ocurrido en los últimos 20 años. Se revisaron las bases de datos SciELO y PubMed; las referencias de los estudios identificados como relevantes; las leyes de la República de Chile relacionadas a educación médica; y las páginas web de agencias acreditadoras y certificadoras de especialidades médicas y de Ministerios de Salud de algunos países.Se recopiló información relevante en 2 grandes áreas: educación médica de pregrado y formación de médicos especialistas. En la primera, se describe la evolución en el tiempo del número de Escuelas de Medicina y sus vacantes, el número de médicos en Chile, la legislación vigente, las características de la acreditación de Escuelas, y algunas experiencias de licenciamiento y acreditación internacionales. En el segundo ámbito, se describen las características del sistema de formación de especialistas en Chile y algunas experiencias internacionales.La educación médica en Chile requiere de profundos cambios para tender a proteger la calidad de los actuales y futuros médicos para el país. Además, se necesitan modificaciones que generen un sistema más justo para los estudiantes de pre y postgrado. Para esto, se proponen medidas tales como el licenciamiento obligatorio de las Escuelas, la ampliación de las sanciones para las Escuelas que no se acrediten y la generación de un “Plan Nacional de Formación de Médicos Especialistas”.

This narrative review pretends to examine the issues that place the Chilean medical education system in a historical moment of uncertainty, which is framed in the political and social changes that have occurred in the past 20 years.Databases Scielo and PubMed; the references of the studies identified as relevant; laws of the Chilean Republic; web pages of agencies for accreditation and certification of medical specialties and of some countries’ Ministries of Health, were checked. Relevant information in two areas was compiled: undergraduate medical education and teaching of medical specialties. In the first, the chronological evolution of the number of Medical Schools and their vacancies is described, as well as the number of physicians in Chile, the standing legislature, the current accreditation status of Schools, and some international experiences in licensing and accreditation. In the second area, characteristics of medical specialties education in Chile and some international experiences are described.Medical education in Chile requires deep changes to protect the qualification of the present and future physicians for the country. Furthermore, modifications are needed to generate a more fair system for the under and postgraduate students. Therefore, proposals such as mandatory licensing for the Schools, expansions of the sanctions for the Schools that don’t achieve standards for accreditation, and the creation of a “National Medical Specialist Education Plan”, are given.