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1.
Biol Chem ; 405(3): 161-165, 2024 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-37552610

RESUMO

The activity of neuronal Kv7.2/Kv7.3 channels is critically dependent on PIP2 and finely modulated by cholesterol. Here, we report the crosstalk between cholesterol and PIP2 in the regulation of Kv7.2/Kv7.3 channels. Our results show that currents passing through Kv7.2/Kv7.3 channels in cholesterol-depleted cells, by acute application of methyl-ß-cyclodextrin (MßCD), were less sensitive to PIP2 dephosphorylation strategies than those of control cells, suggesting that cholesterol depletion enhances the Kv7.2/Kv7.3-PIP2 interaction. In contrast, the sensitivity of Kv7.2/Kv7.3 channels to acute membrane cholesterol depletion by MßCD was not altered in mutant channels with different apparent affinities for PIP2.


Assuntos
Colesterol
2.
BMC Public Health ; 24(1): 654, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38429651

RESUMO

BACKGROUND: To facilitate safety-net healthcare system partnerships with community social service providers, the Los Angeles County Department of Health Services (LAC DHS) created a new collaboration team to spur cross-agency social and medical referral networks and engage communities affected by health disparities as part of a Sect. 1115 Medicaid waiver in Los Angeles County entitled Whole Person Care-Los Angeles (WPC-LA). METHODS: This observational research reviews three years of collaboration team implementation (2018-2020) through Medicaid-reportable engagement reports, a collaboration team qualitative survey on challenges, facilitators, and recommendations for community engagement. Member reflections for survey findings were conducted with the collaboration team and LAC DHS WPC-LA leadership. RESULTS: Collaboration team Medicaid engagement reports (n = 144) reported > 2,700 events, reaching > 70,000 individuals through cross-agency and community-partnered meetings. The collaboration team survey (n = 9) and member reflection sessions portrayed engagement processes through outreach, service assessments, and facilitation of service partnerships. The collaboration team facilitated community engagement processes through countywide workgroups on justice-system diversion and African American infant and maternal health. Recommendations for future safety net health system engagement processes included assessing health system readiness for community engagement and identifying strategies to build mutually beneficial social service partnerships. CONCLUSIONS: A dedicated collaboration team allowed for bi-directional knowledge exchange between county services, populations with lived experience, and social services, identifying service gaps and recommendations. Engagement with communities affected by health disparities resulted in health system policy recommendations and changes.


Assuntos
Serviço Social , Lactente , Estados Unidos , Humanos , Los Angeles
3.
BMC Health Serv Res ; 24(1): 97, 2024 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-38233915

RESUMO

BACKGROUND: Mexico is one of the countries with the greatest excess death due to COVID-19. Chiapas, the poorest state in the country, has been particularly affected. Faced with an exacerbated shortage of health professionals, medical supplies, and infrastructure to respond to the pandemic, the non-governmental organization Compañeros En Salud (CES) implemented a COVID-19 infection prevention and control program to limit the impact of the pandemic in the region. We evaluated CES's implementation of a community health worker (CHW)-led contact tracing intervention in eight rural communities in Chiapas. METHODS: Our retrospective observational study used operational data collected during the contract tracing intervention from March 2020 to December 2021. We evaluated three outcomes: contact tracing coverage, defined as the proportion of named contacts that were located by CHWs, successful completion of contact tracing, and incidence of suspected COVID-19 among contacts. We described how these outcomes changed over time as the intervention evolved. In addition, we assessed associations between these three main outcomes and demographic characteristics of contacts and intervention period (pre vs. post March 2021) using univariate and multivariate logistic regression. RESULTS: From a roster of 2,177 named contacts, 1,187 (54.5%) received at least one home visit by a CHW and 560 (25.7%) had successful completion of contact tracing according to intervention guidelines. Of 560 contacts with complete contact tracing, 93 (16.6%) became suspected COVID-19 cases. We observed significant associations between sex and coverage (p = 0.006), sex and complete contact tracing (p = 0.049), community of residence and both coverage and complete contact tracing (p < 0.001), and intervention period and both coverage and complete contact tracing (p < 0.001). CONCLUSIONS: Our analysis highlights the promises and the challenges of implementing CHW-led COVID-19 contact tracing programs. To optimize implementation, we recommend using digital tools for data collection with a human-centered design, conducting regular data quality assessments, providing CHWs with sufficient technical knowledge of the data collection system, supervising CHWs to ensure contact tracing guidelines are followed, involving communities in the design and implementation of the intervention, and addressing community member needs and concerns surrounding stigmatization arising from lack of privacy.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Busca de Comunicante , Agentes Comunitários de Saúde , México/epidemiologia , Pobreza
4.
Can Vet J ; 64(10): 971-975, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37780476

RESUMO

Objective: Ultraviolet light (UV) is a risk factor for the development of cutaneous neoplasia in many mammalian species. This study evaluated UV exposure as a risk factor of concern for the development of cutaneous neoplasia in equine species due to the significant UV exposure that may accrue over their lifetimes. Animals and samples: Neoplastic biopsy specimens from 3272 horses that were submitted over a 10-year period to the Colorado State University Diagnostic Medicine Center and to the University of Saskatchewan Western College of Veterinary Medicine and Prairie Diagnostic Services were evaluated. Procedure: This retrospective study assessed the spatial relationships between altitude, latitude, longitude, and UV maximum value and the probability of UV-induced cutaneous neoplasia. Results: Cases from areas at high altitude proved to have a higher prevalence of UV-induced cutaneous neoplasia than those from areas at lower elevations. A multivariable regression analysis demonstrated that altitude was the only factor significantly and positively associated with the diagnosis of UV-induced neoplasia. Conclusion and clinical relevance: Evidence of cutaneous neoplasia in horses and environmental factors that influence the degree of UV exposure in a geographic location may aid in diagnosis and suggest preventive measures from UV overexposure.


Facteurs de risque environnementaux des néoplasies cutanées induites par les UV chez le cheval : une approche SIG. Objectif: La lumière ultraviolette (UV) est un facteur de risque pour le développement de néoplasies cutanées chez de nombreuses espèces de mammifères. Cette étude a évalué l'exposition aux UV en tant que facteur de risque préoccupant pour le développement de néoplasies cutanées chez les équidés en raison de l'exposition importante aux UV qui peut s'accumuler au cours de leur vie. Animaux et échantillons: Des échantillons de biopsie néoplasique de 3272 chevaux qui ont été soumis sur une période de 10 ans au Colorado State University Diagnostic Medicine Center et au University of Saskatchewan Western College of Veterinary Medicine and Prairie Diagnostic Services ont été évalués. Procédure: Cette étude rétrospective a évalué les relations spatiales entre l'altitude, la latitude, la longitude et la valeur maximale des UV et la probabilité de néoplasie cutanée induite par les UV. Résultats: Les cas des régions de haute altitude se sont avérés avoir une prévalence plus élevée de néoplasie cutanée induite par les UV que ceux des régions de basse altitude. Une analyse de régression multivariée a démontré que l'altitude était le seul facteur significativement et positivement associé au diagnostic de néoplasie induite par les UV. Conclusion et pertinence clinique: Les preuves de néoplasie cutanée chez les chevaux et les facteurs environnementaux qui influencent le degré d'exposition aux UV dans un lieu géographique peuvent aider au diagnostic et suggérer des mesures préventives contre la surexposition aux UV.(Traduit par Dr Serge Messier).


Assuntos
Doenças dos Cavalos , Neoplasias Cutâneas , Humanos , Cavalos , Animais , Raios Ultravioleta/efeitos adversos , Sistemas de Informação Geográfica , Estudos Retrospectivos , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/etiologia , Neoplasias Cutâneas/veterinária , Fatores de Risco , Mamíferos , Doenças dos Cavalos/epidemiologia , Doenças dos Cavalos/etiologia , Doenças dos Cavalos/diagnóstico
5.
Clin Exp Immunol ; 208(2): 233-244, 2022 06 11.
Artigo em Inglês | MEDLINE | ID: mdl-35020844

RESUMO

Studies have demonstrated the presence of low-affinity immunoglobulins (Igs) directed to leptin, a key hormone of the neuroendocrine axis that regulates appetite and metabolism, in adult healthy subjects, patients with obesity, and type 2 diabetes mellitus. In the present exploratory study, IgG leptin-reactive antibodies were analyzed for the first time in children and adolescents according to body mass index (BMI) and were correlated with biochemical profile (lipid profile, insulin, glucose, and leptin) and metabolic risk indexes [homeostasis model assessment for insulin resistance (HOMA-IR), homeostasis model assessment for ß-cell function (HOMA-ß), atherogenic index of plasma (AIP)]. One hundred and thirty-six participants were included (children n = 63, adolescents n = 73). An in-house enzyme-linked immunosorbent assay (ELISA) test was performed to measure IgG anti-leptin antibodies (free, total, and immune complexes). In adolescents, free and total IgG anti-leptin antibodies levels were higher in groups with overweight or obesity than in normal-weight group (P < 0.01), while in children, the total fractions were lower in groups with overweight and obesity than in normal weight (P < 0.02). Immune complexes percentage showed opposite correlations with BMI in children (r = 0.4004, P = 0.0473) and adolescents (r = -0.3983, P = 0.0133). IgG anti-leptin antibodies were also correlated with HOMA-IR in children (r = -0.4569, P = 0.0217) and adolescents (r = -0.3589, P = 0.0316), and with AIP (r = -0.3608, P = 0.0261) in adolescents. Our data suggest that the production and affinity of IgG anti-leptin antibodies can be affected by age, body composition, and metabolic conditions; additionally, in normal conditions, IgG anti-leptin antibodies may have a protective role in insulin resistance and cardiovascular events.


Assuntos
Diabetes Mellitus Tipo 2 , Resistência à Insulina , Adolescente , Adulto , Complexo Antígeno-Anticorpo , Composição Corporal , Índice de Massa Corporal , Criança , Humanos , Imunoglobulina G , Insulina , Leptina , Obesidade , Sobrepeso
6.
Int J Vitam Nutr Res ; 91(5-6): 513-521, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32419652

RESUMO

CD36 glycoprotein is a candidate receptor involved in the gustatory detection of lipids and emerging evidence has suggested that genetic variations in CD36 may modulate the oral perception threshold to fatty acids. Here, we analyzed the association of -31118 G > A polymorphism in CD36 gene with nutritional status and preferences for fatty foods in Mexican children. Genotyping of SNP rs1761667 was performed in school-age children (n = 63) in addition to sensory tests evaluating the preference and satisfaction score assigned to oil-based sauces of different fatty acid composition. The G allele was associated with high BMI z-score in children (OR = 2.43, 95% (CI 1.02-5.99); p = 0.02) but CD36 genotypes (AA, GA, and GG) did not show significant association with the preference and satisfaction scores assigned to oil-based sauces. The BMI z-score showed no association with the preference to oil-based sauces; however, children with normal weight gave higher satisfaction scores to sauces with a high content of unsaturated fatty acids than to sauces rich in saturated fatty acids (0.56 ± 1.26 vs. 0.06 ± 1.22; p = 0.02). Therefore, the G allele of -31118 G > A SNP in CD36 gene is associated with overweight and obesity in Mexican children but do not appear to modulate the preferences and satisfaction scores to fat.


Assuntos
Gorduras na Dieta , Polimorfismo de Nucleotídeo Único , Antígenos CD36/genética , Criança , Genótipo , Humanos , Obesidade
7.
ScientificWorldJournal ; 2021: 3119958, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34594160

RESUMO

Fish and fish products are considered a fundamental part of the human diet due to their high nutritional value. Food-borne diseases are considered a major public health challenge worldwide due to their incidence, associated mortality, and negative economic repercussions. Food safety is the guarantee that foods will not cause harm to the health of those who consume them, and it is a fundamental property of food quality. Food safety can be at risk of being lost at any stage of the food chain if the food is contaminated by pathogenic microorganisms. Many diverse bacteria are present in the environment and as part of the microbiota of food that can be transmitted to humans during the handling and consumption of food. Plesiomonas shigelloides has been mainly associated with outbreaks of gastrointestinal diseases due to the consumption of fish. This bacterium inhabits the environment and aquatic animals and is associated with the microbiota of fish such as tilapia, a fish of importance in fishing, aquaculture, commercialization, and consumption worldwide. The purpose of this document is to provide, through a bibliographic review of databases (Scopus, Web of Science, and Google Scholar, among others), a general informative perspective on food-borne diseases and, in particular, the consumption of fish and tilapia. Diseases derived from contamination by Plesiomonas shigelloides are included, and control and prevention actions and sanitary regulations for fishery products established in several countries around the world are discussed to promote the safety of foods of aquatic origin intended for human consumption and to protect public health.


Assuntos
Doenças dos Peixes/microbiologia , Contaminação de Alimentos , Microbiologia de Alimentos , Gastroenterite/microbiologia , Infecções por Bactérias Gram-Negativas/veterinária , Plesiomonas/isolamento & purificação , Alimentos Marinhos/microbiologia , Tilápia/microbiologia , Animais , Aquicultura , Carga Bacteriana , Criopreservação , Reservatórios de Doenças , Produtos Pesqueiros/microbiologia , Manipulação de Alimentos , Conservação de Alimentos , Inocuidade dos Alimentos , Gastroenterite/epidemiologia , Gastroenterite/etiologia , Gastroenterite/prevenção & controle , Infecções por Bactérias Gram-Negativas/microbiologia , Humanos , Plesiomonas/crescimento & desenvolvimento , Prevalência , Controle de Qualidade , Poluição da Água
8.
Biochim Biophys Acta Biomembr ; 1860(5): 1242-1251, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29474891

RESUMO

Kv7.2/Kv7.3 channels are the molecular correlate of the M-current, which stabilizes the membrane potential and controls neuronal excitability. Previous studies have shown the relevance of plasma membrane lipids on both M-currents and Kv7.2/Kv7.3 channels. Here, we report the sensitive modulation of Kv7.2/Kv7.3 channels by membrane cholesterol level. Kv7.2/Kv7.3 channels transiently expressed in HEK-293 cells were significantly inhibited by decreasing the cholesterol level in the plasma membrane by three different pharmacological strategies: methyl-ß-cyclodextrin (MßCD), Filipin III, and cholesterol oxidase treatment. Surprisingly, Kv7.2/Kv7.3 channels were also inhibited by membrane cholesterol loading with the MßCD/cholesterol complex. Depletion or enrichment of plasma membrane cholesterol differentially affected the biophysical parameters of the macroscopic Kv7.2/Kv7.3 currents. These results indicate a complex mechanism of Kv7.2/Kv7.3 channels modulation by membrane cholesterol. We propose that inhibition of Kv7.2/Kv7.3 channels by membrane cholesterol depletion involves a loss of a direct cholesterol-channel interaction. However, the inhibition of Kv7.2/Kv7.3 channels by membrane cholesterol enrichment could include an additional direct cholesterol-channel interaction, or changes in the physical properties of the plasma membrane. In summary, our results indicate that an optimum cholesterol level in the plasma membrane is required for the proper functioning of Kv7.2/Kv7.3 channels.


Assuntos
Colesterol/fisiologia , Canal de Potássio KCNQ2/metabolismo , Canal de Potássio KCNQ3/metabolismo , Membrana Celular/efeitos dos fármacos , Membrana Celular/metabolismo , Colesterol/química , Colesterol/farmacologia , Relação Dose-Resposta a Droga , Células HEK293 , Humanos , Ativação do Canal Iônico/efeitos dos fármacos , Potenciais da Membrana/efeitos dos fármacos , beta-Ciclodextrinas/farmacologia
9.
Biochem Biophys Res Commun ; 503(4): 2531-2535, 2018 09 18.
Artigo em Inglês | MEDLINE | ID: mdl-30208521

RESUMO

The ether-à-go-go1 (EAG1, Kv10.1) K+ channel is a member of the voltage-gated K+ channel family mainly expressed in the central nervous system and cancer cells. Membrane lipids regulate several voltage-gated K+ channels but their influence on EAG1 channels has been poorly explored. Here we have studied the regulation of hEAG1 channels by phosphatidylinositol 4,5-bisfofate (PIP2) by using different strategies to manipulate the levels of this lipid, and the patch clamp technique. We found that depletion of endogenous PIP2 by activation of the voltage-sensing phosphatase from Danio rerio (Dr-VSP) or the human muscarinic type-1 receptor (hM1R) inhibits hEAG1 currents; however, the application of exogenous PIP2 to increase the level of this lipid on the plasma membrane, also induced an inhibition of hEAG1. In summary, our results indicate that PIP2 have dual effects on hEAG1 channels and its action as activator or inhibitor depends on its initial level on the plasma membrane.


Assuntos
Canais de Potássio Éter-A-Go-Go/efeitos dos fármacos , Fosfatidilinositol 4,5-Difosfato/farmacologia , Animais , Humanos , Técnicas de Patch-Clamp , Monoéster Fosfórico Hidrolases , Receptores Muscarínicos , Peixe-Zebra
10.
Eur J Pharmacol ; 970: 176487, 2024 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-38458411

RESUMO

Sertraline is a commonly used antidepressant of the selective serotonin reuptake inhibitors (SSRIs) class. In this study, we have used the patch-clamp technique to assess the effects of sertraline on Kv2.1 channels heterologously expressed in HEK-293 cells and on the voltage-gated potassium currents (IKv) of Neuro 2a cells, which are predominantly mediated by Kv2.1 channels. Our results reveal that sertraline inhibits Kv2.1 channels in a concentration-dependent manner. The sertraline-induced inhibition was not voltage-dependent and did not require the channels to be open. The kinetics of activation and deactivation were accelerated and decelerated, respectively, by sertraline. Moreover, the inhibition by this drug was use-dependent. Notably, sertraline significantly modified the inactivation mechanism of Kv2.1 channels; the steady-state inactivation was shifted to hyperpolarized potentials, the closed-state inactivation was enhanced and accelerated, and the recovery from inactivation was slowed, suggesting that this is the main mechanism by which sertraline inhibits Kv2.1 channels. Overall, this study provides novel insights into the pharmacological actions of sertraline on Kv2.1 channels, shedding light on the intricate interaction between SSRIs and ion channel function.


Assuntos
Sertralina , Canais de Potássio Shab , Humanos , Sertralina/farmacologia , Inibidores Seletivos de Recaptação de Serotonina/farmacologia , Células HEK293 , Antidepressivos/farmacologia , Potássio/metabolismo
11.
Artigo em Inglês | MEDLINE | ID: mdl-39133224

RESUMO

Background: Metabolic syndrome (MetS) in children is a rising health issue that is strongly associated with cardiovascular diseases and type 2 diabetes mellitus development. Low-affinity antibodies reactive to leptin and ghrelin are suggested to regulate hormone stability and function; nevertheless, the role of the leptin/ghrelin axis and antibodies reactive to both hormones in relation to MetS or its components in the pediatric population remains unknown. Methods: Fifty-eight children (7-12 years) were included and categorized according to the presence of one or more criteria for the diagnosis of MetS or according to body mass index. Body composition, biochemical variables, and metabolic risk indexes were determined. Antibodies reactive to leptin and ghrelin were quantified by an in-house enzyme-linked immunosorbent assay test. Ratios of leptin/ghrelin hormones and anti-leptin/anti-ghrelin immune complexes were obtained. Results: The biochemical variables glucose (P = 0.0009), insulin (P = 0.0001), leptin (P = 0.0036), HOMA-IR (homeostatic model assessment for insulin resistance) (P < 0.0001), and plasma atherogenic index (P < 0.0001) were significantly higher in children with two or three components of MetS (MetS 2-3) in comparison to children with none or one component (MetS 0-1). Ratios of leptin/ghrelin (P = 0.0307) and anti-leptin/anti-ghrelin immune complexes (P = 0.0338) were higher in MetS 2-3 group versus MetS 0-1 group. In MetS 2-3 group, both insulin (r = 0.4361, P = 0.0293) and HOMA-IR (r = 0.4761, P = 0.0161) were positively correlated with the leptin/ghrelin hormone ratio. Conclusions: The higher leptin/ghrelin hormone ratio scores observed in MetS 2-3 group, along with their correlation with insulin levels and HOMA-IR, highlight the role of leptin and ghrelin on insulin sensitivity and metabolic regulation. An increased ratio of anti-leptin/anti-ghrelin immune complexes suggests affinity changes in these antibodies that may lead to alterations in hormone function.

12.
Nutr Hosp ; 40(6): 1262-1269, 2023 Dec 14.
Artigo em Espanhol | MEDLINE | ID: mdl-37705436

RESUMO

Introduction: CD36 is a receptor involved in physiologic, metabolic and pathologic processes. Due to its affinity for long-chain fatty acids, it has been postulated as a taste receptor of fatty taste. In this review, the emerging genetic evidence linking CD36 to oral fat perception is analyzed. A systematic literature search was conducted in PubMed, published articles from 2000 to 2022 were considered. Multiple studies have shown an association of some genetic variants in CD36 with fat foods preferences and it has been suggested that these variants can modify oral fat perception thresholds however the evidence is still heterogeneous; this can be explained by the genetic diversity of populations, the nutritional status and participant's characteristics, as well as other methodological aspects. Other factors involved in oral fat perception were and identified and discussed including the interaction with other flavors, hormones, and epigenetic factors. The conclusion is that the evidence supporting the role of CD36 as a dietary lipid receptor, the role of its genetic variants in fat acids oral perception thresholds and food preferences is intermediate level and more investigations are necessary in other populations with large number of participants as well as considering the interaction between different hormones and the expression of CD36.


Introducción: CD36 es un receptor involucrado en procesos fisiológicos, metabólicos y patológicos. Debido a su afinidad por ácidos grasos de cadena larga es uno de los principales receptores de lípidos provenientes de la dieta. En esta revisión se analiza la evidencia genética emergente que vincula a CD36 en la percepción oral de grasa. Se realizó una búsqueda sistemática en la base de datos PubMed considerando artículos publicados en el periodo 2000-2022. Múltiples estudios asocian a algunas variantes genéticas en CD36 con las preferencias por alimentos con contenido graso y se ha postulado que estas variantes pueden modificar los umbrales de percepción oral de grasas, sin embargo, la evidencia es heterogénea; esto puede ser explicado por la diversidad genética de las poblaciones, el estado nutricional y características de los participantes, así como a otros aspectos metodológicos. Se identificaron y se discuten otros factores implicados en la percepción oral de grasas, incluyendo la interacción con otros sabores, hormonas y factores epigenéticos. Se concluye que la evidencia que apoya el papel de CD36 como receptor de los lípidos provenientes de la dieta es intermedio y son necesarias más investigaciones en diversas poblaciones con un gran número de participantes, así como considerar la interacción entre distintas hormonas y la expresión de CD36.


Assuntos
Preferências Alimentares , Papilas Gustativas , Humanos , Antígenos CD36/genética , Antígenos CD36/metabolismo , Gorduras na Dieta/metabolismo , Ácidos Graxos/metabolismo , Hormônios/metabolismo , Papilas Gustativas/metabolismo , Percepção Gustatória/genética
13.
Soc Work Public Health ; 38(5-8): 359-372, 2023 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-37740894

RESUMO

The authors aimed to assess the impact of a family caregiver support intervention on caregiver burden and hospital readmission before and during the COVID-19 pandemic. By adopting a quasi-experimental design with no randomization, caregivers (n = 65) received a 90-day home visitation caregiver support intervention before the COVID-19 pandemic and caregivers (n = 41) received a 90-day phone-only visitation caregiver support intervention during the COVID-19 pandemic. Caregiver burden was collected in a survey, and hospital readmission of the care recipient was collected by hospital data. The results of a repeated-measures ANOVA demonstrated that participants of a family caregiver support intervention during the COVID-19 pandemic improved their caregiver burden statistically significantly more than those who received the intervention before the pandemic. There were no significant differences in hospital readmissions before or during the COVID-19 pandemic. The study demonstrates the efficacy of family caregiver support interventions over the phone during a pandemic.


Assuntos
COVID-19 , Cuidadores , Humanos , Pandemias , Família , Readmissão do Paciente
14.
Sci Rep ; 13(1): 21324, 2023 12 03.
Artigo em Inglês | MEDLINE | ID: mdl-38044375

RESUMO

Triple negative breast cancer (TNBC) is highly immunogenic and high levels of tumor infiltrating lymphocytes (TILs) have been associated with a better prognosis and higher probability to achieve pathological complete response. Here, we explore the potential role of stromal TILs level and composition as a prognostic and predictive biomarker in TNBC. 195 Tumor biospecimens from patients diagnosed with TNBC were included. Stromal TILs (sTILs), positive CD4/CD8 cells were evaluated. Differences in clinic-pathological characteristics according to immune infiltration were assessed. The predictive and prognostic value of immune infiltration was analyzed by multivariate models. Higher immune infiltration was observed in patients with favorable clinical-pathological features. Survival analysis showed that longer overall survival times were observed in patients with a higher infiltration of sTILs (p = 0.00043), CD4 + (p = 0.0074) and CD8 + (p = 0.008). In the multivariate analysis, low levels of sTILs were found to be associated with a higher mortality hazard (HR: 1.59, 95% CI 1.01-2.48). CD4 and CD8 immune infiltration were associated with higher odds for pathological complete response (OR: 1.20, 95% CI 1.00-1.46, OR: 1.28, 1.02-1.65, respectively). Our results suggest that immune infiltration could be used as a prognostic marker for overall survival in TNBC patients.


Assuntos
Neoplasias de Mama Triplo Negativas , Humanos , Neoplasias de Mama Triplo Negativas/patologia , Linfócitos do Interstício Tumoral , Colômbia , Prognóstico , Biomarcadores , Biomarcadores Tumorais/análise
15.
Front Oncol ; 12: 910976, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35924147

RESUMO

Triple-negative breast cancer (TNBC) occurs more frequently in young (<50 years) non-Hispanic black and Hispanic/Latina women. It is considered the most aggressive subtype of breast cancer, although, recently, immune infiltrate has been associated with long-term survival, lower risk of death and recurrence, and response to neoadjuvant chemotherapy. The aim of this review was to evaluate the clinical impact of the immune infiltrate in TNBC by discussing whether its prognostic value varies across different populations. A comprehensive systematic search in databases such as PubMed and Web of Science was conducted to include papers focused on tumor-infiltrating lymphocytes (TILs) in TNBC in different population groups and that were published before January 2021. TNBC patients with higher levels of TILs had longer overall survival and disease-free survival times compared with TNBC patients with low TIL levels. Similar results were observed for CD4+, CD8+ TIL populations. On the other hand, patients with high TIL levels showed a higher rate of pathological complete response regardless of the population group (Asian, European, and American). These results altogether suggest that TIL subpopulations might have a prognostic role in TNBC, but the underlying mechanism needs to be elucidated. Although the prognosis value of TILs was not found different between the population groups analyzed in the revised literature, further studies including underrepresented populations with different genetic ancestries are still necessary to conclude in this regard.

16.
Acta Pharm ; 71(2): 317-324, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33151169

RESUMO

Terfenadine is a second-generation H1-antihistamine that despite potentially can produce severe side effects it has recently gained attention due to its anticancer properties. Lately, the subfamily 2 of inward rectifier potassium channels (Kir2) has been implicated in the progression of some tumoral processes. Hence, we characterized the effects of terfenadine on Kir2.x channels expressed in HEK-293 cells. Terfenadine inhibited Kir2.3 channels with a strikingly greater potency (IC50 = 1.06 ± 0.11 µmol L-1) compared to Kir2.1 channels (IC50 = 27.8 ± 4.8 µmol L-1). The Kir2.3(I213L) mutant, possessing a larger affinity for phosphatidylinositol 4,5-bisphosphate (PIP2) than the wild-type Kir2.3, was less sensitive to terfenadine inhibition (IC50 = 13.0 ± 2.9 µmol L-1). Additionally, the PIP2 intracellular application had largely reduced the inhibition of Kir2.1 channels by terfenadine. Our data support that Kir2.x channels are targets of terfena-dine by affecting their interaction with PIP2, which could be regarded as a mechanism of the antitumor properties of terfenadine.


Assuntos
Antagonistas não Sedativos dos Receptores H1 da Histamina/farmacologia , Canais de Potássio Corretores do Fluxo de Internalização/efeitos dos fármacos , Terfenadina/farmacologia , Células HEK293 , Antagonistas não Sedativos dos Receptores H1 da Histamina/administração & dosagem , Humanos , Concentração Inibidora 50 , Canais de Potássio Corretores do Fluxo de Internalização/metabolismo , Terfenadina/administração & dosagem
17.
Micron ; 143: 103010, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33485096

RESUMO

Wheat pericarp, which is the most external layer of the wheat kernel, is composed of a polysaccharide matrix, where cellulose macrofibrils, hemicellulose, and lignin are their main components. These polysaccharides modified their structure due to the hydric condition to which they are subjected. This effect is considered as an advantage in the wheat milling process. However, no information about micro and nanostructural changes on wheat pericarp macrofibrils due to their hydric condition, studied by the AFM technique and image analysis, has been reported. On the other hand, cellulose macrofibrils have been extensively studied by AFM but performing the study at constant relative humidity (RH) level. Hence, this study aimed to investigate the water adsorption process on wheat pericarp macrofibrils using AFM and control the RH to which samples were subjected during examinations with a lab equipment specially developed for the AFM experiment. The RH was modified from 10 to 90 %, and peak force error images were acquired, from which macrofibrils' diameter, swelling behavior, and water adsorption isotherms were calculated, using image analysis tools. Also, as an application from the water adsorption isotherms, the specific surface area and the hygroscopic swelling coefficients were determined. Results showed that wheat pericarp macrofibrils presented an unusual swelling behavior, with the most notorious changes after reaching a moisture content in equilibrium to 40 % of RH. The average diameter of the macro-fibrils varied from 45 to 48 nm. The water vapor adsorption isotherm obtained from AFM micrographs image analysis did not resemble the sigmoidal IUPAC Type II, generally obtained by applying gravimetric methods. Results suggest that the macrofibrils swelling controls water accessibility to the internal macrofibrils structures. It was proved with this study the feasibility of using AFM and image analysis to build water vapor isotherms and other mass transport parameters based on the macrofibrils swelling.


Assuntos
Celulose/química , Polissacarídeos/química , Sementes/química , Triticum/química , Água/química , Adsorção , Umidade , Microscopia de Força Atômica , Modelos Teóricos
18.
Eur J Pharmacol ; 899: 174026, 2021 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-33722592

RESUMO

Riluzole is an anticonvulsant drug also used to treat the amyotrophic lateral sclerosis and major depressive disorder. This compound has antiglutamatergic activity and is an important multichannel blocker. However, little is known about its actions on the Kv4.2 channels, the molecular correlate of the A-type K+ current (IA) and the fast transient outward current (Itof). Here, we investigated the effects of riluzole on Kv4.2 channels transiently expressed in HEK-293 cells. Riluzole inhibited Kv4.2 channels with an IC50 of 190 ± 14 µM and the effect was voltage- and frequency-independent. The activation rate of the current (at +50 mV) was not affected by the drug, nor the voltage dependence of channel activation, but the inactivation rate was accelerated by 100 and 300 µM riluzole. When Kv4.2 channels were maintained at the closed state, riluzole incubation induced a tonic current inhibition. In addition, riluzole significantly shifted the voltage dependence of inactivation to hyperpolarized potentials without affecting the recovery from inactivation. In the presence of the drug, the closed-state inactivation was significantly accelerated, and the percentage of inactivated channels was increased. Altogether, our findings indicate that riluzole inhibits Kv4.2 channels mainly affecting the closed and closed-inactivated states.


Assuntos
Bloqueadores dos Canais de Potássio/farmacologia , Riluzol/farmacologia , Canais de Potássio Shal/antagonistas & inibidores , Células HEK293 , Humanos , Ativação do Canal Iônico , Potenciais da Membrana , Canais de Potássio Shal/genética , Canais de Potássio Shal/metabolismo , Fatores de Tempo
19.
J Membr Biol ; 238(1-3): 51-61, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21085939

RESUMO

Recent studies on malaria-infected erythrocytes have shown increased anion channel activity in the host cell membrane, increasing the exchange of solutes between the cytoplasm and exterior. In the present work, we addressed the question of whether another intracellular protozoan parasite, Trypanosoma cruzi, alters membrane transport systems in the host cardiac cell. Neonatal rat cardiomyocytes were cultured and infected with T. cruzi in vitro. Ion currents were measured by patch-clamp technique in the whole-cell configuration. Two small-magnitude instantaneous anion currents, outward- and inward-rectifying, were recorded in all noninfected cardiomyocytes. In addition, ~10% of cardiomyocytes expressed a large anion-preferable, time-dependent current activated at positive membrane potentials. Hypotonic (230 mOsm) treatment resulted in the disappearance of the time-dependent current but provoked a dramatic increase of the instantaneous outward-rectifying one. Both instantaneous currents were suppressed by intracellular Mg(2+). T. cruzi infection did not provoke new anion currents in the host cells but caused an increase of the density of intrinsic swelling-activated outward current, up to twice in heavily infected cells. The occurrence of a time-dependent current dramatically increased in infected cells in the presence of Mg(2+) in the intracellular solution, from ~10 to ~80%, without a significant change of the current density. Our findings represent one further, besides the known Plasmodium falciparum, example of an intracellular parasite which upregulates the anionic currents expressed in the host cell.


Assuntos
Ânions/metabolismo , Doença de Chagas/fisiopatologia , Potenciais da Membrana/fisiologia , Miócitos Cardíacos/metabolismo , Miócitos Cardíacos/parasitologia , Trypanosoma cruzi/fisiologia , Animais , Animais Recém-Nascidos , Células Cultivadas , Eletrofisiologia , Técnicas de Patch-Clamp , Ratos
20.
Br J Pharmacol ; 177(11): 2456-2465, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32060896

RESUMO

In physiology, homeostasis refers to the condition where a system exhibits an optimum functional level. In contrast, any variation from this optimum is considered as a dysfunctional or pathological state. In this review, we address the proposal that a critical cholesterol level in the plasma membrane is required for the proper functioning of transmembrane proteins. Thus, membrane cholesterol depletion or enrichment produces a loss or gain of direct cholesterol-protein interaction and/or changes in the physical properties of the plasma membrane, which affect the basal or optimum activity of transmembrane proteins. Whether or not this functional switching is a generalized mechanism exhibited for all transmembrane proteins, or if it works just for an exclusive group of them, is an open question and an attractive subject to explore at a basic, pharmacological and clinical level.


Assuntos
Colesterol , Casamento , Membrana Celular , Homeostase
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