Terapia celular en enfermedades neurodegenerativas: una opción de tratamiento innovadora / Cell Therapy in Neurodegenerative Diseases: An Innovative Treatment Option

Introducción. Las enfermedades neurodegenerativas se caracterizan por la degeneración y pérdida de células nerviosas que conllevan trastornos de disfunción cognitiva y sensoriomotora, enfermedades tales como la esclerosis múltiple (EM) y la enfermedad de Párkinson (EP) entre otras. Recientemente, se ha reportado sobre resultados prometedores de la terapia celular con Células Madre Mesenquimales, células con la capacidad de diferenciarse en células del tejido nervioso, en el tratamiento de enfermedades neurodegenerativas. Objetivo. Evidenciar la utilidad de las células madre mesenquimales de médula ósea en el tratamiento de la esclerosis múltiple y enfermedad de Párkinson, como una posibilidad terapéutica en los tratamientos convencionales no favorables. Material y métodos. Estudio longitudinal prospectivo que consideró pacientes con EM (n=2) y EP (n=2), quienes como tratamiento coadyuvante recibieron células madre mesenquimales de médula ósea mediante método de trasplante autólogo. Resultados. Los pacientes recibieron entre 1 a 3 sesiones de reinfusión de células madre mesenquimales, cuyos seguimientos y evaluaciones periódicas reflejaron respuestas beneficiosas. Se observó mejoras representativas en las respectivas puntuaciones EDSS y UPDRS, así como, en la calidad de vida de los pacientes. Conclusiones . La terapia celular con células madre mesenquimales de médula ósea constituye una posibilidad terapéutica factible para las enfermedades neurodegenerativas como la EM y EP.

Introduction. Neurodegenerative disorders are characterized by a degeneration and loss of nerve cells leading to cognitive and sensorimotor dysfunction disorders, such as multiple sclerosis (MS) and Parkinson's disease (PD) among others. Recently, it has been reported promising results of cell therapy employing Mesenchymal Stem Cells, cells with the ability to differentiate into nervous tissue cells, in the treatment of neurological diseases. Objective. To expose the utility of bone marrow mesenchymal stem cells in the treatment of multiple sclerosis and Parkinson's disease, as a therapeutic option in unfavorable treatment outcomes. Material and methods. Prospective longitudinal study that included MS (n=2) and PD (n=2) patients, who received autologous transplantation of bone marrow mesenchymal stem cells as adjuvant treatment. Results. Patients received autologous MSC therapy from 1 to 3 reinfusions, follow-up and regular evaluations reflected beneficial responses. Representative improvements concerning patients' respectively EDSS or UPDRS scores, as well as in their quality of life were observed. Conclusions. Mesenchymal stem cells therapy constitutes a feasible therapeutic option for neurodegenerative disorders such as MS and PD.

Chemoenzymatic Total Synthesis of (+)-10-Keto-Oxycodone from Phenethyl Acetate.

The total synthesis of (+)-10-keto-oxycodone was attained from phenethyl acetate in a stereoselective manner. Absolute stereochemistry was established via enzymatic dihydroxylation of phenethyl acetate with the recombinant strain JM109 (pDTG601A) that furnished the corresponding cis-cyclohexadienediol whose configuration corresponds to the absolute stereochemistry of the ring C of (+)-10-keto-oxycodone. Intramolecular Heck reaction was utilized to establish the quaternary carbon at C-13, along with the dibenzodihydrofuran functionality. The C-14 hydroxyl and C-10 ketone were installed via SmI2-mediated radical cyclization, and oxidation of a benzylic alcohol (obtained from an intermediate nitrate azide), respectively. The synthesis of (+)-10-keto-oxycodone was completed in a total of 14 operations (21 steps) and an overall yield of ~2%. Experimental and spectral data are provided for key intermediates and new compounds.

Chemoenzymatic Total Synthesis of ent-Oxycodone: Second-, Third-, and Fourth-Generation Strategies.

Four distinct approaches to ent-oxycodone were designed and accomplished. All rely on the same starting material, the diene diol derived from phenethyl acetate by the whole-cell fermentation with E. coli JM109 (pDTG601A), a strain that overexpresses toluene dioxygenase. The key step in the first-generation approach involves the construction of the C-9/C-14 bond by a SmI2-mediated cyclization of a keto aldehyde. The second-generation design relies on the use of the Henry reaction to accomplish this task. In both of these syntheses, Parker's cyclization was employed to construct the D-ring. The third-generation synthesis provides an improvement over the second in that the nitrogen atom at C-9 is introduced by azidation of the C-9/C-10 olefin, followed by reduction and lactam formation between the C-9 amine and the Fukuyama-type lactone. Finally, the fourth generation takes advantage of the keto-nitrone reductive coupling to generate the C-9/C-14 linkage. The four generations of the total syntheses of ent-oxycodone were accomplished in 13, 18, 16, and 11 operations (19, 23, 24, and 18 steps), respectively. Experimental and spectral data are provided for all new compounds.

Variation within serovars of Neisseria gonorrhoeae detected by structural analysis of outer-membrane protein PIB and by pulsed-field gel electrophoresis.

Outer-membrane protein PI is the antigen responsible for serovar specificity of Neisseria gonorrhoeae and is a potential vaccine target. In order to investigate possible hidden variation within a serovar, the sequence of the por genes encoding protein PIB have been obtained from a series of strains, including isolates known to be epidemiologically linked. The inferred amino acid sequences of the PIB molecules of isolates from known sexual contacts were identical, but non-related isolates showed significant heterogeneity in PIB sequence. These differences were not confined to the two variable regions (Var1 and Var2) which have previously been identified, but were largely, although not exclusively, located in regions predicted to form one of eight surface-exposed loops. The isolates were subjected to pulsed-field gel electrophoresis of restriction digests of chromosomal DNA, which also demonstrated identity between linked strains but revealed diversity within a serovar. The deduced amino acid sequences of PIB were also used to synthesize peptides for epitope-mapping experiments. These revealed that some mAbs, used to define serovar specificity, recognized linear epitopes located in loops 5 and 6, while others appeared to recognize conformational epitopes elsewhere in the molecule. The occurrence of the sequence differences within a serovar, which are not detected by the serotyping reagents, reveals that PIB represents a potential source of information which should permit considerably more detailed epidemiological studies than are currently possible and focuses attention on more conserved regions of the protein as potential targets for vaccination.