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1.
Biomed Pharmacother ; 179: 117407, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39265234

RESUMEN

Mitochondrial autophagy (mitophagy) is very important process for the maintenance of cellular homeostasis, functionality and survival. Its dysregulation is associated with high risk and progression numerous serious diseases (e.g., oncological, neurodegenerative and cardiovascular ones). Therefore, targeting mitophagy mechanisms is very hot topic in the biological and medicinal research. The interrelationships between the regulation of mitophagy and iron homeostasis are now becoming apparent. In short, mitochondria are central point for the regulation of iron homeostasis, but change in intracellular cheatable iron level can induce/repress mitophagy. In this review, relationships between iron homeostasis and mitophagy are thoroughly discussed and described. Also, therapeutic applicability of mitophagy chelators in the context of individual diseases is comprehensively and critically evaluated.


Asunto(s)
Quelantes del Hierro , Hierro , Mitocondrias , Mitofagia , Mitofagia/efectos de los fármacos , Humanos , Quelantes del Hierro/farmacología , Quelantes del Hierro/uso terapéutico , Animales , Mitocondrias/metabolismo , Mitocondrias/efectos de los fármacos , Hierro/metabolismo , Homeostasis/efectos de los fármacos
2.
Commun Chem ; 7(1): 180, 2024 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-39138299

RESUMEN

Mitochondrial dysregulation plays a significant role in the carcinogenesis. On the other hand, its destabilization strongly represses the viability and metastatic potential of cancer cells. Photodynamic and photothermal therapies (PDT and PTT) target mitochondria effectively, providing innovative and non-invasive anticancer therapeutic modalities. Cyanine dyes, with strong mitochondrial selectivity, show significant potential in enhancing PDT and PTT. The potential and limitations of cyanine dyes for mitochondrial PDT and PTT are discussed, along with their applications in combination therapies, theranostic techniques, and optimal delivery systems. Additionally, novel approaches for sonodynamic therapy using photoactive cyanine dyes are presented, highlighting advances in cancer treatment.

3.
Sci Rep ; 14(1): 3043, 2024 02 06.
Artículo en Inglés | MEDLINE | ID: mdl-38321096

RESUMEN

Immune checkpoints regulate the immune system response. Recent studies suggest that flavonoids, known as phytoestrogens, may inhibit the PD-1/PD-L1 axis. We explored the potential of estrogens and 17 Selective Estrogen Receptor Modulators (SERMs) as inhibiting ligands for immune checkpoint proteins (CTLA-4, PD-L1, PD-1, and CD80). Our docking studies revealed strong binding energy values for quinestrol, quercetin, and bazedoxifene, indicating their potential to inhibit PD-1 and CTLA-4. Quercetin and bazedoxifene, known to modulate EGFR and IL-6R alongside estrogen receptors, can influence the immune checkpoint functionality. We discuss the impact of SERMs on PD-1 and CTLA-4, suggesting that these SERMs could have therapeutic effects through immune checkpoint inhibition. This study highlights the potential of SERMs as inhibitory ligands for immune checkpoint proteins, emphasizing the importance of considering PD-1 and CTLA-4 inhibition when evaluating SERMs as therapeutic agents. Our findings open new avenues for cancer immunotherapy by exploring the interaction between various SERMs and immune checkpoint pathways.


Asunto(s)
Proteínas de Punto de Control Inmunitario , Neoplasias , Humanos , Antígeno CTLA-4 , Antígeno B7-H1 , Moduladores Selectivos de los Receptores de Estrógeno/farmacología , Receptor de Muerte Celular Programada 1 , Moduladores de los Receptores de Estrógeno , Quercetina , Inmunoterapia , Neoplasias/terapia
4.
J Assist Reprod Genet ; 41(1): 185-192, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38062333

RESUMEN

PURPOSE: Preimplantation genetic testing for monogenic disorders (PGT-M) allows early diagnosis in embryos conceived in vitro. PGT-M helps to prevent known genetic disorders in affected families and ensures that pathogenic variants in the male or female partner are not passed on to offspring. The trend in genetic testing of embryos is to provide a comprehensive platform that enables robust and reliable testing for the causal pathogenic variant(s), as well as chromosomal abnormalities that commonly occur in embryos. In this study, we describe PGT protocol that allows direct mutation testing, haplotyping, and aneuploidy screening. METHODS: Described PGT protocol called OneGene PGT allows direct mutation testing, haplotyping, and aneuploidy screening using next-generation sequencing (NGS). Whole genome amplification product is combined with multiplex PCR used for SNP enrichment. Dedicated bioinformatic tool enables mapping, genotype calling, and haplotyping of informative SNP markers. A commercial software was used for aneuploidy calling. RESULTS: OneGenePGT has been implemented for seven of the most common monogenic disorders, representing approximately 30% of all PGT-M indications at our IVF centre. The technique has been thoroughly validated, focusing on direct pathogenic variant testing, haplotype identification, and chromosome abnormality detection. Validation results show full concordance with Sanger sequencing and karyomapping, which were used as reference methods. CONCLUSION: OneGene PGT is a comprehensive, robust, and cost-effective method that can be established for any gene of interest. The technique is particularly suitable for common monogenic diseases, which can be performed based on a universal laboratory protocol without the need for set-up or pre-testing.


Asunto(s)
Diagnóstico Preimplantación , Embarazo , Masculino , Femenino , Humanos , Diagnóstico Preimplantación/métodos , Pruebas Genéticas/métodos , Mutación/genética , Aneuploidia , Secuenciación de Nucleótidos de Alto Rendimiento/métodos , Blastocisto/patología
5.
ChemistryOpen ; 13(3): e202300147, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-37955865

RESUMEN

A simple, sensitive and quick HPLC method was developed for the determination of ketoprofen in cell culture media (EMEM, DMEM, RPMI). Separation was performed using a gradient on the C18 column with a mobile phase of acetonitrile and miliQ water acidified by 0.1 % (v/v) formic acid. The method was validated for parameters including linearity, accuracy, precision, limit of quantitation and limit of detection, as well as robustness. The response was found linear over the range of 3-100 µg/mL as demonstrated by the acquired value of correlation coefficient R2=0.9997. The described method is applicable for determination of various pharmacokinetic aspects of ketoprofen in vitro.


Asunto(s)
Cetoprofeno , Cetoprofeno/farmacocinética , Cromatografía Líquida de Alta Presión/métodos , Indicadores y Reactivos
6.
Bioorg Chem ; 141: 106816, 2023 12.
Artículo en Inglés | MEDLINE | ID: mdl-37716274

RESUMEN

Pentamethinium indolium salts are promising fluorescence probes and anticancer agents with high mitochondrial selectivity. We synthesized two indolium pentamethinium salts: a cyclic form with quinoxaline directly incorporated in the pentamethinium chain (cPMS) and an open form with quinoxaline substitution in the γ-position (oPMS). To better understand their properties, we studied their interaction with mitochondrial phospholipids (cardiolipin and phosphatidylcholine) by spectroscopic methods (UV-Vis, fluorescence, and NMR spectroscopy). Both compounds displayed significant affinity for cardiolipin and phosphatidylcholine, which was associated with a strong change in their UV-Vis spectra. Nevertheless, we surprisingly observed that fluorescence properties of cPMS changed in complex with both cardiolipin and phosphatidylcholine, whereas those of oPMS only changed in complex with cardiolipin. Both salts, especially cPMS, display high usability in mitochondrial imaging and are cytotoxic for cancer cells. The above clearly indicates that conjugates of pentamethinium and quinoxaline group, especially cPMS, represent promising structural motifs for designing mitochondrial-specific agents.


Asunto(s)
Antineoplásicos , Cardiolipinas , Quinoxalinas/farmacología , Sales (Química) , Antineoplásicos/farmacología , Antineoplásicos/química , Fosfatidilcolinas
7.
Biomed Pharmacother ; 166: 115324, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37598475

RESUMEN

TET proteins (methylcytosine dioxygenases) play an important role in the regulation of gene expression. Dysregulation of their activity is associated with many serious pathogenic states such as oncological diseases. Regulation of their activity by specific inhibitors could represent a promising therapeutic strategy. Therefore, this review describes various types of TET protein inhibitors in terms of their inhibitory mechanism and possible applicability. The potential and possible limitations of this approach are thoroughly discussed in the context of TET protein functionality in living systems. Furthermore, possible therapeutic strategies based on the inhibition of TET proteins are presented and evaluated, especially in the field of oncological diseases.


Asunto(s)
Dioxigenasas , Dioxigenasas/antagonistas & inhibidores
8.
Biomed Pharmacother ; 163: 114758, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37141738

RESUMEN

Treatment of metastatic cancer is one of the biggest challenges in anticancer therapy. Curcumin is interesting nature polyphenolic compound with unique biological and medicinal effects, including repression of metastases. High impact studies imply that curcumin can modulate the immune system, independently target various metastatic signalling pathways, and repress migration and invasiveness of cancer cells. This review discusses the potential of curcumin as an antimetastatic agent and describes potential mechanisms of its antimetastatic activity. In addition, possible strategies (curcumin formulation, optimization of the method of administration and modification of its structure motif) to overcome its limitation such as low solubility and bioactivity are also presented. These strategies are discussed in the context of clinical trials and relevant biological studies.


Asunto(s)
Antineoplásicos , Curcumina , Neoplasias , Humanos , Curcumina/farmacología , Curcumina/uso terapéutico , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico , Antineoplásicos/química , Neoplasias/tratamiento farmacológico
9.
Biomed Pharmacother ; 154: 113582, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36055111

RESUMEN

Mitochondria generate energy and building blocks required for cellular growth and function. The notion that mitochondria are not involved in the cancer growth has been challenged in recent years together with the emerging idea of mitochondria as a promising therapeutic target for oncologic diseases. Pentamethinium salts, cyan dyes with positively charged nitrogen on the benzothiazole or indole part of the molecule, were originally designed as mitochondrial probes. In this study, we show that pentamethinium salts have a strong effect on mitochondria, suppressing cancer cell proliferation and migration. This is likely linked to the strong inhibitory effect of the salts on dihydroorotate dehydrogenase (DHODH)-dependent respiration that has a key role in the de novo pyrimidine synthesis pathway. We also show that pentamethinium salts cause oxidative stress, redistribution of mitochondria, and a decrease in mitochondria mass. In conclusion, pentamethinium salts present novel anti-cancer agents worthy of further studies.


Asunto(s)
Neoplasias , Oxidorreductasas actuantes sobre Donantes de Grupo CH-CH , Dihidroorotato Deshidrogenasa , Humanos , Mitocondrias/metabolismo , Neoplasias/metabolismo , Oxidorreductasas actuantes sobre Donantes de Grupo CH-CH/metabolismo , Respiración , Sales (Química)/metabolismo
10.
Biomed Pharmacother ; 155: 113736, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-36156366

RESUMEN

Dysregulation of iron homeostasis is one of the important processes in the development of many oncological diseases, such as pancreatic cancer. Targeting it with specific agents, such as an iron chelator, are promising therapeutic methods. In this study, we tested the cytotoxicity of novel azulene hydrazide-hydrazone-based chelators against pancreatic cancer cell lines (MIA PaCa-2, PANC-1, AsPC-1). All prepared chelators (compounds 4-6) showed strong cytotoxicity against pancreatic cancer cell lines and high selectivity for cancer cell lines compared to the healthy line. Their cytotoxicity is lower than thiosemicarbazone-based chelators Dp44mT and DpC, but significantly higher than hydroxamic acid-based chelator DFO. The chelator tested showed mitochondrial and lysosomal co-localization and its mechanism of action was based on the induction of hypoxia-inducible factor-1-alpha (HIF-1α), N-myc downstream-regulated gene-1 (NDRG1) and transferrin receptor 1 (TfR1). This strongly implies that the cytotoxic effect of tested chelators could be associated with mitophagy induction. Lipinski's rule of five analyses was performed to determine whether the prepared compounds had properties ensuring their bioavailability. In addition, the drug-likeness and drug-score were calculated and discussed.


Asunto(s)
Neoplasias Pancreáticas , Tiosemicarbazonas , Humanos , Hidrazonas/farmacología , Línea Celular Tumoral , Azulenos , Hidrazinas , Tiosemicarbazonas/farmacología , Neoplasias Pancreáticas/tratamiento farmacológico , Quelantes del Hierro/farmacología , Hierro , Receptores de Transferrina , Ácidos Hidroxámicos , Neoplasias Pancreáticas
11.
Pharmaceutics ; 14(8)2022 Aug 17.
Artículo en Inglés | MEDLINE | ID: mdl-36015338

RESUMEN

IL-6 signaling is involved in the pathogenesis of a number of serious diseases, including chronic inflammation and cancer. Targeting of IL-6 receptor (IL-6R) by small molecules is therefore an intensively studied strategy in cancer treatment. We describe the design, synthesis, and characteristics of two new bis-pentamethinium salts 5 and 6 (meta and para) bearing indole moieties. Molecular docking studies showed that both compounds have the potential to bind IL-6R (free energy of binding -9.5 and -8.1 kcal/mol). The interaction with IL-6R was confirmed using microscale thermophoresis analyses, which revealed that both compounds had strong affinity for the IL-6R (experimentally determined dissociation constants 26.5 ± 2.5 nM and 304 ± 27.6 nM, respectively). In addition, both compounds were cytotoxic for a broad spectrum of cancer cell lines in micromolar concentrations, most likely due to their accumulation in mitochondria and inhibition of mitochondrial respiration. In summary, the structure motif of bis-pentamethinium salts represents a promising starting point for the design of novel multitargeting compounds with the potential to inhibit IL-6 signaling and simultaneously target mitochondrial metabolism in cancer cells.

12.
Bioorg Chem ; 124: 105793, 2022 07.
Artículo en Inglés | MEDLINE | ID: mdl-35462234

RESUMEN

Non-psychotropic cannabinoids (e.g., cannabidiol, cannabinol and cannabigerol) are contained in numerous alimentary and medicinal products. Therefore, predicting and studying their possible side effects, such as changes in DNA methylation, is an important task for assessing the safety of these products. Interference with TET enzymes by chelating ferrous ions can contribute to the altered methylation pattern. All tested cannabinoids displayed a strong affinity for Fe(II) ions. Cannabidiol and cannabinol exhibited potent inhibitory activities (IC50 = 4.8 and 6.27 µM, respectively) towards the TET1 protein, whereas cannabigerol had no effect on the enzyme activity. An in silico molecular docking study revealed marked binding potential within the catalytic cavity for CBD/CBN, but some affinity was also found for CBG, thus the total lack of activity remains unexplained. These results imply that cannabinoids could affect the activity of the TET1 protein not only due to their affinity for Fe(II) but also due to other types of interactions (e.g., hydrophobic interactions and hydrogen bonding).


Asunto(s)
Cannabidiol , Cannabinoides , Cannabis , Cannabidiol/química , Cannabidiol/farmacología , Cannabinoides/farmacología , Cannabinol/farmacología , Cannabis/química , Compuestos Ferrosos , Simulación del Acoplamiento Molecular
13.
Biochem Biophys Res Commun ; 588: 182-186, 2022 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-34968794

RESUMEN

Variegate porphyria is caused by mutations in the protoporphyrinogen oxidase IX (PPOX, EC 1.3.3.4) gene, resulting in reduced overall enzymatic activity of PPOX in human tissues. Recently, we have identified the His333Arg mutation in the PPOX protein (PPOX(H333R)) as a putative founder mutation in the Moroccan Jewish population. Herein we report the molecular characterization of PPOX(H333R) in vitro and in cells. Purified recombinant PPOX(H333R) did not show any appreciable enzymatic activity in vitro, corroborating the clinical findings. Biophysical experiments and molecular modeling revealed that PPOX(H333R) is not folded properly and fails to adopt its native functional three-dimensional conformation due to steric clashes in the vicinity of the active site of the enzyme. On the other hand, PPOX(H333R) subcellular distribution, as evaluated by live-cell confocal microscopy, is unimpaired suggesting that the functional three-dimensional fold is not required for efficient transport of the polypeptide chain into mitochondria. Overall, the data presented here provide molecular underpinnings of the pathogenicity of PPOX(H333R) and might serve as a blueprint for deciphering whether a given PPOX variant represents a disease-causing mutation.


Asunto(s)
Flavoproteínas/genética , Proteínas Mitocondriales/genética , Mutación/genética , Protoporfirinógeno-Oxidasa/genética , Secuencia de Aminoácidos , Fenómenos Biofísicos , Línea Celular , Estabilidad de Enzimas , Flavoproteínas/química , Flavoproteínas/aislamiento & purificación , Humanos , Cinética , Proteínas Mitocondriales/química , Proteínas Mitocondriales/aislamiento & purificación , Modelos Moleculares , Multimerización de Proteína , Protoporfirinógeno-Oxidasa/química , Protoporfirinógeno-Oxidasa/aislamiento & purificación , Fracciones Subcelulares/metabolismo , Temperatura
14.
Pharmaceutics ; 13(11)2021 Nov 05.
Artículo en Inglés | MEDLINE | ID: mdl-34834295

RESUMEN

Designing optimal (neo)adjuvant therapy is a crucial aspect of the treatment of non-small-cell lung carcinoma (NSCLC). Standard methods of chemotherapy, radiotherapy, and immunotherapy represent effective strategies for treatment. However, in some cases with high metastatic activity and high levels of circulating tumour cells (CTCs), the efficacy of standard treatment methods is insufficient and results in treatment failure and reduced patient survival. CTCs are seen not only as an isolated phenomenon but also a key inherent part of the formation of metastasis and a key factor in cancer death. This review discusses the impact of NSCLC therapy strategies based on a meta-analysis of clinical studies. In addition, possible therapeutic strategies for repression when standard methods fail, such as the administration of low-toxicity natural anticancer agents targeting these phenomena (curcumin and flavonoids), are also discussed. These strategies are presented in the context of key mechanisms of tumour biology with a strong influence on CTC spread and metastasis (mechanisms related to tumour-associated and -infiltrating cells, epithelial-mesenchymal transition, and migration of cancer cells).

15.
PLoS One ; 16(11): e0259837, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34793488

RESUMEN

Human protoporphyrinogen oxidase IX (hPPO) is an oxygen-dependent enzyme catalyzing the penultimate step in the heme biosynthesis pathway. Mutations in the enzyme are linked to variegate porphyria, an autosomal dominant metabolic disease. Here we investigated eukaryotic cells as alternative systems for heterologous expression of hPPO, as the use of a traditional bacterial-based system failed to produce several clinically relevant hPPO variants. Using bacterially-produced hPPO, we first analyzed the impact of N-terminal tags and various detergent on hPPO yield, and specific activity. Next, the established protocol was used to compare hPPO constructs heterologously expressed in mammalian HEK293T17 and insect Hi5 cells with prokaryotic overexpression. By attaching various fusion partners at the N- and C-termini of hPPO we also evaluated the influence of the size and positioning of fusion partners on expression levels, specific activity, and intracellular targeting of hPPO fusions in mammalian cells. Overall, our results suggest that while enzymatically active hPPO can be heterologously produced in eukaryotic systems, the limited availability of the intracellular FAD co-factor likely negatively influences yields of a correctly folded protein making thus the E.coli a system of choice for recombinant hPPO overproduction. At the same time, PPO overexpression in eukaryotic cells might be preferrable in cases when the effects of post-translational modifications (absent in bacteria) on target protein functions are studied.


Asunto(s)
Flavoproteínas/biosíntesis , Flavoproteínas/aislamiento & purificación , Proteínas Mitocondriales/biosíntesis , Proteínas Mitocondriales/aislamiento & purificación , Protoporfirinógeno-Oxidasa/biosíntesis , Protoporfirinógeno-Oxidasa/aislamiento & purificación , Animales , Línea Celular , Escherichia coli/genética , Flavoproteínas/genética , Células HEK293 , Humanos , Proteínas Mitocondriales/genética , Protoporfirinógeno-Oxidasa/genética , Proteínas Recombinantes de Fusión/biosíntesis , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/aislamiento & purificación , Células Sf9
16.
Ceska Gynekol ; 86(2): 140-147, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34020563

RESUMEN

INTRODUCTION: During the 30th symposium of assisted reproduction held on November 11, 2020 in Brno, the solved problems in reproductive medicine in the Czech Republic in 2020 were presented. The selected topics have concerned not only current issues in the field of clinical embryology and genetics as well as gynecology, but also legislation and ethics. Discussed topics: 1. How much time does the doctor have in the CAR (centrum of assisted reproduction) outpatient clinic per patient and how does the embryologist communicate with clients? 2. Reproduction and PGT-M in oncology patients and patients at risk with hereditary oncogenic mutations. 3. Non-invasive genetic testing of embryos from culture medium. 4. Genome editing. 5. What is the need to monitor hormonal levels in stimulation protocols? 6. Monitoring and embryo selection for transfer/kryo. 7. Is it time to change the law on donor remuneration? METHODS: The topics were prepared in advance by authorized members of our company with the task of elaborating theses, which they presented in a separate conference block. The presentation and the discussion were broadcast directly from the broadcast studio at Hotel International via an online connection. After the conference, all discussion topics and comments were incorporated. CONCLUSION: The work presents the state of the solved problems of reproductive medicine in the Czech Republic.


Asunto(s)
Medicina Reproductiva , República Checa , Pruebas Genéticas , Humanos , Reproducción
17.
Int J Mol Sci ; 22(2)2021 Jan 11.
Artículo en Inglés | MEDLINE | ID: mdl-33440733

RESUMEN

Flavonoids are common plant natural products able to suppress ROS-related damage and alleviate oxidative stress. One of key mechanisms, involved in this phenomenon is chelation of transition metal ions. From a physiological perspective, iron is the most significant transition metal, because of its abundance in living organisms and ubiquitous involvement in redox processes. The chemical, pharmaceutical, and biological properties of flavonoids can be significantly affected by their interaction with transition metal ions, mainly iron. In this review, we explain the interaction of various flavonoid structures with Fe(II) and Fe(III) ions and critically discuss the influence of chelated ions on the flavonoid biochemical properties. In addition, specific biological effects of their iron metallocomplexes, such as the inhibition of iron-containing enzymes, have been included in this review.


Asunto(s)
Antioxidantes/química , Antioxidantes/farmacología , Complejos de Coordinación/química , Flavonoides/química , Hierro/química , Animales , Quelantes/química , Quelantes/farmacología , Hemo/química , Humanos , Iones/química , Iones/metabolismo , Estructura Molecular , Unión Proteica , Relación Estructura-Actividad
18.
Chem Biol Drug Des ; 97(2): 305-314, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-32854159

RESUMEN

Proton pump inhibitors, such as omeprazole, pantoprazole and lansoprazole, are an important group of clinically used drugs. Generally, they are considered safe without direct toxicity. Nevertheless, their long-term use can be associated with a higher risk of some serious pathological states (e.g. amnesia and oncological and neurodegenerative states). It is well known that dysregulation of the metabolism of transition metals (especially iron ions) plays a significant role in these pathological states and that the above drugs can form complexes with metal ions. However, to the best of our knowledge, this phenomenon has not yet been described in water systems. Therefore, we studied the interaction between these drugs and transition metal ions in the surrounding water environment (water/DMSO, 99:1, v/v) by absorption spectroscopy. In the presence of Fe(III), a strong redshift was observed, and more importantly, the affinities of the drugs (represented as binding constants) were strong enough, especially in the case of omeprazole, so that the formation of a metallocomplex cannot be excluded during the explanation of their side effects.


Asunto(s)
Complejos de Coordinación/química , Lansoprazol , Inhibidores de la Bomba de Protones/química , Espectrofotometría , Agua/química , Compuestos Férricos/química , Lansoprazol/química , Omeprazol/química , Pantoprazol/química , Elementos de Transición/química
19.
Mol Hum Reprod ; 26(4): 269-276, 2020 04 24.
Artículo en Inglés | MEDLINE | ID: mdl-32011698

RESUMEN

Chromosomal mosaicism detected during preimplantation genetic testing for aneuploidy (PGT-A) and its impact on embryo implantation have been widely discussed, and healthy live births from mosaic embryos were reported by many groups. On the other hand, only very few studies have focused on segmental chromosome aneuploidies and their clinical impact. Eighty-nine embryos with various PGT-A results (trophectoderm 1: TE1) were re-analysed using a second trophectoderm biopsy (TE2) and the rest of the embryo (RE) for testing. Of 19 euploid TE1 biopsies, 18 were concordant across TE2 and RE. Similarly, whole chromosomal aneuploidies were concordant in 59 of 62 TE1-TE2 and 58 TE1-RE. In contrast, from 31 segmental aneuploidies detected in TE1, only 15 were observed again in TE2 and 14 in RE. If a TE1 segmental abnormality appeared again in TE2, it was almost always present in RE (17/18) as well. Moreover, when a TE1 segmental abnormality was not detected in TE2, in 12 out of 13 cases RE was also unaffected. Similarly, only 1 of 26 TE1 whole chromosome mosaics were repeated in TE2 and 7 in RE. Our study confirms that euploid and whole chromosomal aneuploidy results are highly predictive of the embryo. In contrast, mosaicism has a very low concordance rate. Most importantly, re-biopsy of embryos with segmental aneuploidies demonstrated that they are mostly not uniform across the embryo. Finally, in the case of segmental aneuploidy, the second biopsy enables an accurate prediction of the real status of the embryo and could be offered to patients undergoing PGT-A.


Asunto(s)
Aneuploidia , Embrión de Mamíferos , Pruebas Genéticas/métodos , Diagnóstico Preimplantación/métodos , Biopsia , Femenino , Humanos , Masculino , Mosaicismo , Reproducibilidad de los Resultados
20.
J Health Monit ; 5(1): 27-33, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35146263

RESUMEN

Energy drinks are soft drinks that usually contain a large content of caffeine and sugar. Excessive caffeine intake can lead to side effects such as nausea and anxiety. Up to three milligrams of caffeine per kilogram of body weight per day is considered safe for children and young people. The second Eating study as a KiGGS Module (EsKiMo II, 2015-2017) collected nationwide representative data about children's and adolescents' dietary behaviour. To collect food intake data from 12- to 17-year-olds (n=1,353), a dietary history interview was used. 8.9% of the girls and boys stated that they had consumed energy drinks during the four-week reference period, with nearly a quarter of these individuals (n=99) exceeding the limit of safe caffeine intake solely through their consumption of energy drinks. This corresponds to 2.2% of the 12- to 17-year-olds in Germany. In addition to a general warning about the high levels of sugar present in sugary drinks, awareness also needs to be raised among young people about the dangers of excessive caffeine intake resulting from the consumption of energy drinks. Regulations governing sales and advertising should also be considered.

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