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1.
Nat Rev Neurosci ; 20(4): 205-224, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30760881

RESUMEN

In recent decades, human sociocultural changes have increased the numbers of fathers that are involved in direct caregiving in Western societies. This trend has led to a resurgence of interest in understanding the mechanisms and effects of paternal care. Across the animal kingdom, paternal caregiving has been found to be a highly malleable phenomenon, presenting with great variability among and within species. The emergence of paternal behaviour in a male animal has been shown to be accompanied by substantial neural plasticity and to be shaped by previous and current caregiving experiences, maternal and infant stimuli and ecological conditions. Recent research has allowed us to gain a better understanding of the neural basis of mammalian paternal care, the genomic and circuit-level mechanisms underlying paternal behaviour and the ways in which the subcortical structures that support maternal caregiving have evolved into a global network of parental care. In addition, the behavioural, neural and molecular consequences of paternal caregiving for offspring are becoming increasingly apparent. Future cross-species research on the effects of absence of the father and the transmission of paternal influences across generations may allow research on the neuroscience of fatherhood to impact society at large in a number of important ways.


Asunto(s)
Encéfalo/fisiología , Padre , Red Nerviosa/fisiología , Conducta Paterna/fisiología , Animales , Humanos , Masculino
2.
Dev Neurosci ; 45(3): 147-160, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36893747

RESUMEN

While the majority of studies on the importance of parental caregiving on offspring behavioral and brain development focus on the role of the mother, the paternal contribution is still an understudied topic. We investigated if growing up without paternal care affects dendritic and synaptic development in the nucleus accumbens of male and female offspring and if replacement of the father by a female caregiver "compensates" the impact of paternal deprivation. We compared (a) biparental rearing by father and mother, (b) monoparental care by a single mother, and (c) biparental rearing by two female caregivers. Quantitative analysis of medium-sized neurons in the nucleus accumbens revealed that growing up without father resulted in reduced spine number in both male and female offspring in the core region, whereas spine frequency was only reduced in females. In the shell region, reduced spine frequency was only found in males growing up in a monoparental environment. Replacement of the father by a female caregiver did not "protect" against the effects of paternal deprivation, indicating a critical impact of paternal care behavior on the development and maturation of neuronal networks in the nucleus accumbens.


Asunto(s)
Octodon , Humanos , Animales , Masculino , Femenino , Octodon/fisiología , Núcleo Accumbens , Privación Paterna , Neuronas , Madres
3.
Anim Cogn ; 25(1): 33-41, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34156548

RESUMEN

Phobia against spiders or snakes is common in humans, and similar phobia-like behaviors have been observed in non-human animals. Visual images of snakes elicit phobia in humans, but sensory modalities that cause snake aversion in non-human animals are not well examined. In this study, we examined visually induced snake aversion in two rodent species. Using a three-compartment experimental chamber, reactions to images of snakes were compared between the diurnal precocious rodent Octodon degus and nocturnal laboratory mice. The snakes whose images were presented do not live in the original habitats of degus or mice. Snake aversion was assessed by presenting snake vs. no-image, snake vs. flower, snake vs. degu, and snake vs. mouse images. The time spent in a compartment with the snake image and with the non-snake images were measured. Degus avoided images of snakes in every tests. In contrast, mice did not display snake aversion. Degus are diurnal animals, i.e., visual information is important for their survival. Since mice are nocturnal, visual information is less important for survival. Such behavioral differences in the two species may explain the difference in visually induced aversion to snakes. A principal component analysis of the stimulus images suggests that elementary cues, such as color, do not explain the differences in the species' aversion to snakes. Finally, snake aversion in degus suggests that aversion is innate, since the animals were born and raised in a laboratory.


Asunto(s)
Reacción de Prevención , Octodon , Animales , Ritmo Circadiano , Ratones , Ratones Endogámicos C57BL , Serpientes
4.
Environ Sci Technol ; 55(17): 11814-11823, 2021 09 07.
Artículo en Inglés | MEDLINE | ID: mdl-34488348

RESUMEN

Plastic products contain complex mixtures of extractable chemicals that can be toxic. However, humans and wildlife will only be exposed to plastic chemicals that are released under realistic conditions. Thus, we investigated the toxicological and chemical profiles leaching into water from 24 everyday plastic products covering eight polymer types. We performed migration experiments over 10 days at 40 °C and analyzed the migrates using four in vitro bioassays and nontarget high-resolution mass spectrometry (UPLC-QTOF-MSE). All migrates induced baseline toxicity, 22 an oxidative stress response, 13 antiandrogenicity, and one estrogenicity. Overall, between 17 and 8681 relevant chemical features were present in the migrates. In other words, between 1 and 88% of the plastic chemicals associated with one product were migrating. Further, we tentatively identified ∼8% of all detected features implying that most plastic chemicals remain unknown. While low-density polyethylene, polyvinyl chloride, and polyurethane induced most toxicological endpoints, a generalization for other materials is not possible. Our results demonstrate that plastic products readily leach many more chemicals than previously known, some of which are toxic in vitro. This highlights that humans are exposed to many more plastic chemicals than currently considered in public health science and policies.


Asunto(s)
Plásticos , Polímeros , Humanos , Plásticos/toxicidad , Polietileno
5.
Eur Arch Psychiatry Clin Neurosci ; 271(3): 567-576, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33501518

RESUMEN

Prefrontal cortical regions play a key role in behavioural regulation, which is profoundly disturbed in suicide. The study was carried out on frozen cortical samples from the anterior cingulate cortex (dorsal and ventral parts, ACd and ACv), the orbitofrontal cortex (OFC), and the dorsolateral cortex (DLC) obtained from 20 suicide completers (predominantly violent) with unknown psychiatric diagnosis and 21 non-suicidal controls. The relative level of ribosomal RNA (rRNA) as a marker of the transcriptional activity of ribosomal DNA (rDNA) was evaluated bilaterally in prefrontal regions mentioned above (i.e. in eight regions of interest, ROIs) by reverse transcription and quantitative polymerase chain reaction (RT-qPCR). The overall statistical analysis revealed a decrease in rDNA activity in suicide victims versus controls, particularly in male subjects. Further ROI-specific post hoc analyses revealed a significant decrease in this activity in suicides compared to non-suicides in five ROIs. This effect was accentuated in the ACv, where it was observed bilaterally. Our findings suggest that decreased rDNA transcription in the prefrontal cortex plays an important role in suicide pathogenesis and corresponds with our previous morphometric analyses of AgNOR-stained neurons.


Asunto(s)
ADN Ribosómico/metabolismo , Giro del Cíngulo/metabolismo , Región Organizadora del Nucléolo/metabolismo , Corteza Prefrontal/metabolismo , Células Piramidales/metabolismo , Suicidio Completo , Transcripción Genética/genética , Adulto , Autopsia , Humanos , Tinción con Nitrato de Plata
6.
Dev Psychobiol ; 63(7): e22197, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34674247

RESUMEN

The transition to fatherhood may be challenged with anxiety and trepidation. A high prevalence has been found for paternal depression and it is reactive to maternal depression. This review aims to address potential sources of paternal depression, which may have adverse consequences on child development. We describe through three hypotheses how fathers may be at risk of depression during the transition to fatherhood: (1) psychological (interacting with ecological systems); (2) brain functional∖structural changes; and (3) (epi)genomic. We propose that paternal stressful experiences during the transition to fatherhood may be the source for paternal depression through direct stressful paternal experiences or via (potential, currently debated) nonexperienced (by the father) epigenomic transgenerational transmission. On the other hand, we suggest that resilient fathers may undergo a transient dysphoric period affected by identifying with the newborn's vulnerability as well as with the mother's postpartum vulnerability resulting in "paternity blues." In accordance with recent views on paternal "heightened sensitivity" toward the infant, we propose that the identification of both parents with the vulnerability of the newborn creates a sensitive period of Folie a Deux (shared madness) which may be a healthy transient, albeit a quasi-pathological period, recruited by the orienting response of the newborn for survival.


Asunto(s)
Depresión Posparto , Depresión , Padre , Trastorno Paranoide Compartido , Adaptación Psicológica , Ansiedad/psicología , Depresión/psicología , Depresión Posparto/psicología , Padre/psicología , Femenino , Humanos , Lactante , Recién Nacido/psicología , Masculino , Madres/psicología , Relaciones Padres-Hijo , Periodo Posparto/psicología , Trastorno Paranoide Compartido/psicología , Sobrevida/psicología
7.
BMC Neurosci ; 21(1): 50, 2020 11 23.
Artículo en Inglés | MEDLINE | ID: mdl-33228529

RESUMEN

BACKGROUND: Transcription factor 4 (TCF4) has been linked to human neurodevelopmental disorders such as intellectual disability, Pitt-Hopkins Syndrome (PTHS), autism, and schizophrenia. Recent work demonstrated that TCF4 participates in the control of a wide range of neurodevelopmental processes in mammalian nervous system development including neural precursor proliferation, timing of differentiation, migration, dendritogenesis and synapse formation. TCF4 is highly expressed in the adult hippocampal dentate gyrus - one of the few brain regions where neural stem / progenitor cells generate new functional neurons throughout life. RESULTS: We here investigated whether TCF4 haploinsufficiency, which in humans causes non-syndromic forms of intellectual disability and PTHS, affects adult hippocampal neurogenesis, a process that is essential for hippocampal plasticity in rodents and potentially in humans. Young adult Tcf4 heterozygote knockout mice showed a major reduction in the level of adult hippocampal neurogenesis, which was at least in part caused by lower stem/progenitor cell numbers and impaired maturation and survival of adult-generated neurons. Interestingly, housing in an enriched environment was sufficient to enhance maturation and survival of new neurons and to substantially augment neurogenesis levels in Tcf4 heterozygote knockout mice. CONCLUSION: The present findings indicate that haploinsufficiency for the intellectual disability- and PTHS-linked transcription factor TCF4 not only affects embryonic neurodevelopment but impedes neurogenesis in the hippocampus of adult mice. These findings suggest that TCF4 haploinsufficiency may have a negative impact on hippocampal function throughout adulthood by impeding hippocampal neurogenesis.


Asunto(s)
Ambiente , Haploinsuficiencia/genética , Factor de Transcripción 4/deficiencia , Factor de Transcripción 4/genética , Animales , Diferenciación Celular , Supervivencia Celular , Facies , Hipocampo/patología , Hiperventilación , Discapacidad Intelectual/genética , Ratones , Ratones Noqueados , Neurogénesis/genética , Neuronas/patología
8.
Eur Arch Psychiatry Clin Neurosci ; 270(7): 859-867, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30859295

RESUMEN

Prefrontal cortical regions, which are crucial for the regulation of emotionally influenced behaviour, play most probably a dominant role in the pathogenesis of suicide. The study was carried out on paraffin-embedded brain tissue blocks containing specimens from the anterior cingulate cortex (dorsal and ventral parts), the orbitofrontal cortex, and the dorsolateral cortex obtained from 23 suicide completers (predominantly violent) with unknown psychiatric diagnosis and 25 non-suicidal controls. The transcriptional activity of ribosomal DNA (rDNA) as a surrogate marker of protein biosynthesis was evaluated separately in layers III and V pyramidal neurons in regions of interest (ROIs) mentioned above by the AgNOR silver staining method bilaterally. The overall statistical analysis revealed a decrease of AgNOR area suggestive of attenuated rDNA activity in suicide victims versus controls, particularly in male subjects. Further ROI-specific post-hoc analyses revealed decreases of the median AgNOR area in suicides compared to non-suicides in all 16 ROIs. However, this effect was only significant in the layer V pyramidal neurons of the right ventral anterior cingulate cortex. Our findings suggest that decreased rDNA transcription in prefrontal pyramidal neurons plays possibly an important role in suicide pathogenesis.


Asunto(s)
ADN Ribosómico/metabolismo , Giro del Cíngulo/citología , Giro del Cíngulo/metabolismo , Corteza Prefrontal/citología , Corteza Prefrontal/metabolismo , Células Piramidales/metabolismo , Suicidio Completo , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales , Coloración y Etiquetado
9.
Int J Cancer ; 145(10): 2861-2872, 2019 11 15.
Artículo en Inglés | MEDLINE | ID: mdl-31008534

RESUMEN

Urothelial cancer (UCa) is the most predominant cancer of the urinary tract and noninvasive diagnosis using hypermethylation signatures in urinary cells is promising. Here, we assess gender differences in a newly identified set of methylation biomarkers. UCa-associated hypermethylated sites were identified in urine of a male screening cohort (n = 24) applying Infinium-450K-methylation arrays and verified in two separate mixed-gender study groups (n = 617 in total) using mass spectrometry as an independent technique. Additionally, tissue samples (n = 56) of mixed-gender UCa and urological controls (UCt) were analyzed. The hypermethylation signature of UCa in urine was specific and sensitive across all stages and grades of UCa and independent on hematuria. Individual CpG sensitivities reached up to 81.3% at 95% specificity. Albeit similar methylation differences in tissue of both genders, differences were less pronounced in urine from women, most likely due to the frequent presence of squamous epithelial cells and leukocytes. Increased repression of methylation levels was observed at leukocyte counts ≥500/µl urine which was apparent in 30% of female and 7% of male UCa cases, further confirming the significance of the relative amounts of cancerous and noncancerous cells in urine. Our study shows that gender difference is a most relevant issue when evaluating the performance of urinary biomarkers in cancer diagnostics. In case of UCa, the clinical benefits of methylation signatures to male patients may outweigh those in females due to the general composition of women's urine. Accordingly, these markers offer a diagnostic option specifically in males to decrease the number of invasive cystoscopies.


Asunto(s)
Biomarcadores de Tumor/orina , Carcinoma de Células Transicionales/diagnóstico , Metilación de ADN , Neoplasias Urológicas/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Biomarcadores de Tumor/genética , Carcinoma de Células Transicionales/genética , Carcinoma de Células Transicionales/orina , Estudios de Cohortes , Islas de CpG/genética , Epigénesis Genética , Femenino , Humanos , Masculino , Tamizaje Masivo/métodos , Persona de Mediana Edad , Regiones Promotoras Genéticas , Sensibilidad y Especificidad , Factores Sexuales , Neoplasias Urológicas/genética , Neoplasias Urológicas/orina
10.
J Exp Biol ; 221(Pt Suppl 1)2018 03 07.
Artículo en Inglés | MEDLINE | ID: mdl-29514884

RESUMEN

The enormous plasticity of adipose tissues, to rapidly adapt to altered physiological states of energy demand, is under neuronal and endocrine control. In energy balance, lipolysis of triacylglycerols and re-esterification of free fatty acids are opposing processes operating in parallel at identical rates, thus allowing a more dynamic transition from anabolism to catabolism, and vice versa. In response to alterations in the state of energy balance, one of the two processes predominates, enabling the efficient mobilization or storage of energy in a negative or positive energy balance, respectively. The release of noradrenaline from the sympathetic nervous system activates lipolysis in a depot-specific manner by initiating the canonical adrenergic receptor-Gs-protein-adenylyl cyclase-cyclic adenosine monophosphate-protein kinase A pathway, targeting proteins of the lipolytic machinery associated with the interface of the lipid droplets. In brown and brite adipocytes, lipolysis stimulated by this signaling pathway is a prerequisite for the activation of non-shivering thermogenesis. Free fatty acids released by lipolysis are direct activators of uncoupling protein 1-mediated leak respiration. Thus, pro- and anti-lipolytic mediators are bona fide modulators of thermogenesis in brown and brite adipocytes. In this Review, we discuss adrenergic and non-adrenergic mechanisms controlling lipolysis and thermogenesis and provide a comprehensive overview of pro- and anti-lipolytic mediators.


Asunto(s)
Tejido Adiposo/metabolismo , Adrenérgicos/farmacología , Antagonistas Adrenérgicos/farmacología , Lipólisis/efectos de los fármacos , Termogénesis/efectos de los fármacos , Tejido Adiposo/efectos de los fármacos
11.
J Neural Transm (Vienna) ; 123(9): 1037-52, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-27169537

RESUMEN

The view that the functional maturation of the brain is the result of an environmentally driven adaptation of genetically preprogrammed neuronal networks is an important current concept in developmental neuroscience and psychology. This hypothesis proposes that early traumatic experiences or early life stress (ELS) as a negative environmental experience provide a major risk factor for the development of dysfunctional brain circuits and as a consequence for the emergence of behavioral dysfunctions and mental disorders in later life periods. This view is supported by an increasing number of clinical as well as experimental animal studies revealing that early life traumas can induce functional 'scars' in the brain, especially in brain circuits, which are essential for emotional control, learning, and memory functions. Such gene × environment interactions are modulated by specific epigenetic mechanisms, which are suggested to be the key factors of transgenerational epigenetic inheritance. Indeed, there is increasing evidence for inter- and transgenerational cycles of environmentally driven neuronal and behavioral adaptations mediated by epigenetic mechanisms. Finally, recent concepts postulate that, dependent on type, time point, and duration of ELS exposure, also positive functional adaptations may occur in the relevant brain pathways, leading to better stress coping and resilience against adversities later in life.


Asunto(s)
Encéfalo/patología , Epigénesis Genética/fisiología , Patrón de Herencia , Efectos Tardíos de la Exposición Prenatal , Estrés Psicológico , Animales , Femenino , Humanos , Embarazo , Estrés Psicológico/genética , Estrés Psicológico/patología , Estrés Psicológico/fisiopatología
12.
Eur Arch Psychiatry Clin Neurosci ; 266(3): 217-24, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26590846

RESUMEN

An involvement of the central serotonergic system has been implicated in the pathogenesis of suicide. The dorsal raphe nucleus (DRN) is the main source of serotonergic innervation of forebrain limbic structures disturbed in suicidal behaviour. The study was carried out on paraffin-embedded brainstem blocks containing the DRN obtained from 27 suicide completers (predominantly violent) with unknown psychiatric diagnosis and 30 non-suicidal controls. The transcriptional activity of ribosomal DNA (rDNA) in DRN neurons as a surrogate marker of protein biosynthesis was evaluated by the AgNOR silver staining method. Significant decreases in AgNOR parameters suggestive of attenuated rDNA activity were found in the cumulative analysis of all DRN subnuclei in suicide victims versus controls (U test P values < 0.00001). Our findings suggest that the decreased activity of rDNA transcription in DRN neurons plays an important role in suicide pathogenesis. The method accuracy represented by the area under receiver operating characteristic curve (>80 %) suggests a diagnostic value of the observed effect. However, the possible application of the method in forensic differentiation diagnostics between suicidal and non-suicidal death needs further research.


Asunto(s)
ADN Ribosómico/metabolismo , Núcleo Dorsal del Rafe/metabolismo , Suicidio , Transcripción Genética , Adulto , Estudios de Casos y Controles , Núcleo Dorsal del Rafe/patología , Núcleo Dorsal del Rafe/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
13.
Psychopathology ; 49(4): 201-210, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27668788

RESUMEN

The development of the brain depends on an individual's nature (genes) and nurture (environments). This interaction between genetic predispositions and environmental events during brain development drives the maturation of functional brain circuits such as sensory, motor, emotional, and complex cognitive pathways. Adverse environmental conditions such as early life stress can interfere with the functional development of emotional and cognitive brain systems and thereby increase the risk of developing psychiatric disorders later in life. In order to develop more efficient and individualized protective and therapeutic interventions, it is essential to understand how environmental stressors during infancy affect cellular and molecular mechanisms involved in brain maturation. Animal models of early life stress have been able to reveal brain structural and metabolic changes in prefrontolimbic circuits, which are time, brain region, neuron, and sex specific. By focusing on animal models of separation stress during infancy, this review highlights epigenetic and cytoarchitectural modifications which are assumed to mediate lasting changes of brain function and behavior.


Asunto(s)
Adaptación Fisiológica/fisiología , Encéfalo/crecimiento & desarrollo , Epigénesis Genética/fisiología , Plasticidad Neuronal/fisiología , Relaciones Padres-Hijo , Sinapsis/fisiología , Animales , Emociones/fisiología , Femenino , Humanos , Lactante , Masculino , Estrés Psicológico/psicología
14.
Eur Arch Psychiatry Clin Neurosci ; 265(2): 117-26, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25091423

RESUMEN

The central serotonergic system is implicated in the pathogenesis of schizophrenia, where the imbalance between dopamine, serotonin and glutamate plays a key pathophysiological role. The dorsal raphe nucleus (DRN) is the main source of serotonergic innervation of forebrain limbic structures disturbed in schizophrenia patients. The study was carried out on paraffin-embedded brains from 17 (8 paranoid and 9 residual) schizophrenia patients and 28 matched controls without mental disorders. The transcriptional activity of ribosomal DNA (rDNA) in DRN neurons was evaluated by the AgNOR silver-staining method. An increased rDNA transcriptional activity was found in schizophrenia patients in the cumulative analysis of all DRN subnuclei (t test, P = 0.02). Further subgroup analysis revealed that it was an effect specific for residual schizophrenia versus paranoid schizophrenia or control groups (ANOVA, P = 0.002). This effect was confounded neither by suicide nor by antipsychotic medication. Our findings suggest that increased activity of rDNA in DRN neurons is a distinct phenomenon in schizophrenia, particularly in residual patients. An activation of the rDNA transcription in DRN neurons may represent a compensatory mechanism to overcome the previously described prefrontal serotonergic hypofunction in this diagnostic subgroup.


Asunto(s)
ADN Ribosómico/metabolismo , Núcleo Dorsal del Rafe/metabolismo , Neuronas/metabolismo , Esquizofrenia Paranoide/patología , Esquizofrenia Paranoide/fisiopatología , Adulto , Anciano , Análisis de Varianza , Estudios de Casos y Controles , Núcleo Dorsal del Rafe/patología , Femenino , Expresión Génica/fisiología , Humanos , Masculino , Persona de Mediana Edad , Recurrencia , Tinción con Nitrato de Plata
15.
Cereb Cortex ; 24(11): 2920-30, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23771981

RESUMEN

Work in various animal models has demonstrated that cognitive training in infancy has a greater effect on adult cognitive performance than pretraining in adulthood. Since the underlying synaptic mechanisms are unclear, the aim of this study was to test the working hypothesis that associative training "preshapes" synaptic circuits in the developing infant brain and thereby improves learning in adulthood. Using a two-way active avoidance (TWA) paradigm, we found that avoidance training during infancy, even though the infant rats were not capable to learn a successful avoidance strategy, improves avoidance learning in adulthood. On the neuroanatomical level we show here for the first time that infant TWA training in the ventromedial prefrontal cortex suppresses developmental spine formation. In contrast in the lateral orbitofrontal cortex, developmental spine pruning is suppressed, possibly by "tagging" activated synapses, which thereby are protected from being eliminated. Moreover, we demonstrate that infant TWA training alters learning-induced synaptic plasticity in the adult brain. The synaptic and dendritic changes correlate with specific behavioral parameters. Taken together, these results support the working hypothesis that infant cognitive training interferes with developmental reorganization and maturation of dendritic spines and thereby "optimizes" prefrontal neuronal circuits for adult learning.


Asunto(s)
Reacción de Prevención/fisiología , Espinas Dendríticas/fisiología , Plasticidad Neuronal/fisiología , Neuronas/citología , Corteza Prefrontal/citología , Corteza Prefrontal/crecimiento & desarrollo , Factores de Edad , Análisis de Varianza , Animales , Animales Recién Nacidos , Femenino , Modelos Lineales , Masculino , Embarazo , Ratas , Tinción con Nitrato de Plata
16.
Biochem Biophys Res Commun ; 448(4): 467-72, 2014 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-24802410

RESUMEN

Targeting the centromeres of chromosomes 3, 7, 17 (CEP3, 7, 17) and the 9p21-locus (LSI9p21) for diagnosing bladder cancer (BC) is time- and cost-intensive and requires a manual investigation of the sample by a well-trained investigator thus overall limiting its use in clinical diagnostics and large-scaled epidemiological studies. Here we introduce a new computer-assisted FISH spot analysis tool enabling an automated, objective and quantitative assessment of FISH patterns in the urinary sediment. Utilizing a controllable microscope workstation, the microscope software Scan^R was programmed to allow automatic batch-scanning of up to 32 samples and identifying quadruple FISH signals in DAPI-scanned nuclei of urinary sediments. The assay allowed a time- and cost-efficient, automated and objective assessment of CEP3, 7 and 17 FISH signals and facilitated the quantification of nuclei harboring specific FISH patterns in all cells of the urinary sediment. To explore the diagnostic capability of the developed tool, we analyzed the abundance of 51 different FISH patterns in a pilot set of urine specimens from 14 patients with BC and 21 population controls (PC). Herein, the results of the fully automated approach yielded a high degree of conformity when compared to those obtained by an expert-guided re-evaluation of archived scans. The best cancer-identifying pattern was characterized by a concurrent gain of CEP3, 7 and 17. Overall, our automated analysis refines current FISH protocols and encourages its use to establish reliable diagnostic cutoffs in future large-scale studies with well-characterized specimens-collectives.


Asunto(s)
Aberraciones Cromosómicas , Hibridación Fluorescente in Situ/métodos , Neoplasias de la Vejiga Urinaria/diagnóstico , Neoplasias de la Vejiga Urinaria/genética , Anciano , Anciano de 80 o más Años , Automatización de Laboratorios , Estudios de Casos y Controles , Centrómero/genética , Cromosomas Humanos Par 17/genética , Cromosomas Humanos Par 3/genética , Cromosomas Humanos Par 7/genética , Cromosomas Humanos Par 9/genética , Diagnóstico por Computador , Femenino , Humanos , Interpretación de Imagen Asistida por Computador , Hibridación Fluorescente in Situ/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Proyectos Piloto , Programas Informáticos , Neoplasias de la Vejiga Urinaria/orina , Orina/citología
17.
J Urol ; 191(3): 744-9, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24012535

RESUMEN

PURPOSE: Active surveillance is becoming an increasingly common management strategy for low grade prostate cancer and involves repeat prostate biopsies over time. It has been hypothesized that serial biopsies can lead to reduced erectile function in patients on active surveillance and we explored this hypothesis in a longitudinally followed cohort. MATERIALS AND METHODS: We identified 342 men on active surveillance whose first biopsy occurred between 2000 and 2009. We investigated erectile function using patient reported outcomes, namely the 6 erectile function questions from the IIEF-6 (International Index of Erectile Function). We estimated the change in erectile function with time using locally weighted scatterplot smoothing. RESULTS: The median (IQR) patient age in this cohort was 64 years (58-68). Median followup on active surveillance was 3.5 years (2.3-5.0) and the median number of biopsies was 5 (3-6). During the first 4 years on active surveillance erectile function decreased 1.0 point per year (95% CI 0.2, 1.7) on the IIEF-6 (scale 1 to 30). When stratified by comorbidities or number of biopsies we see an almost identical decrease in erectile function with time. The use of phosphodiesterase-5 inhibitors increased from 5% to 27% from baseline to year 5 on active surveillance. CONCLUSIONS: In this longitudinally followed active surveillance cohort we observed a small decrease in erectile function and an increase in the use of phosphodiesterase-5 inhibitors with time. While we cannot separate out the effect of multiple biopsies from that of the natural aging process on erectile function in this observational study, our data suggest that active surveillance related biopsies do not have a large impact on erectile function.


Asunto(s)
Biopsia/efectos adversos , Disfunción Eréctil/etiología , Neoplasias de la Próstata/patología , Anciano , Comorbilidad , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Clasificación del Tumor , Calidad de Vida , Retratamiento
19.
Int J Urol ; 21(2): 143-9, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23906282

RESUMEN

OBJECTIVES: To examine postoperative complications in a contemporary series of patients after radical cystectomy using a standardized reporting system, and to identify readily available preoperative risk factors. METHODS: Using the modified Clavien-Dindo classification, we assessed the 90-day postoperative clinical course of 535 bladder cancer patients who underwent radical cystectomy and urinary diversion (ileal conduit n = 349, ileal neobladder n = 186) between June 2003 and February 2012 at a single institution. All Martin criteria for standardized reporting of complications were met. Uni- and multivariable analyses for prediction of complications were carried out; covariates included body mass index, Charlson Comorbidity Index, age, sex, American Society of Anesthesiologists Score, neoadjuvant chemotherapy, prior abdominal or pelvic surgery, localized tumor and urinary diversion type. RESULTS: The 90-day rates for overall (Clavien-Dindo classification I-V) and high-grade complications (Clavien-Dindo classification III-V), as well as mortality (Clavien-Dindo classification V), were 56.4, 18.7 and 3.9%, respectively. Infections (16.4%), bleeding (14.2%) and gastrointestinal complications (10.7%) were the most common adverse outcomes. Independent risk factors for overall complications were body mass index (odds ratio 1.08) and Charlson Comorbidity Index ≥3 (odds ratio 1.93). Risk factors for high-grade complications were Charlson Comorbidity Index ≥3 (odds ratio 1.86), American Society of Anesthesiologists Score ≥3 (odds ratio 1.92) and body mass index (odds ratio 1.07, all P < 0.03). CONCLUSIONS: Radical cystectomy is associated with significant morbidity; nevertheless, the majority of complications are minor. Charlson Comorbidity Index, American Society of Anesthesiologists Score and body mass index might help to identify patients at risk for high-grade complications after radical cystectomy.


Asunto(s)
Carcinoma de Células Escamosas/cirugía , Carcinoma de Células Transicionales/cirugía , Cistectomía/efectos adversos , Neoplasias de la Vejiga Urinaria/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Índice de Masa Corporal , Carcinoma de Células Escamosas/tratamiento farmacológico , Carcinoma de Células Escamosas/mortalidad , Carcinoma de Células Transicionales/tratamiento farmacológico , Carcinoma de Células Transicionales/mortalidad , Quimioterapia Adyuvante , Comorbilidad , Cistectomía/mortalidad , Femenino , Humanos , Complicaciones Intraoperatorias/etiología , Complicaciones Intraoperatorias/mortalidad , Masculino , Persona de Mediana Edad , Análisis Multivariante , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/mortalidad , Factores de Riesgo , Neoplasias de la Vejiga Urinaria/tratamiento farmacológico , Neoplasias de la Vejiga Urinaria/mortalidad , Derivación Urinaria/efectos adversos , Derivación Urinaria/mortalidad , Población Blanca
20.
Environ Sci Pollut Res Int ; 31(26): 38117-38127, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38789712

RESUMEN

Polycyclic aromatic hydrocarbons (PAHs) are a widespread group of organic contaminants whose presence in water bodies is cause of severe concern. With few exceptions, the majority of PAHs is hydrophobic, presents a high adsorption affinity, and is thus primarily transported within river systems during high-flow events together with suspended particulate matter (SPM). Evidence exists of analytical challenges related to the incomplete extraction of PAHs adsorbed to solids and thus to a potential negative bias in the chemical analysis of PAHs in bulk water samples with high SPM content. Despite this, partly due to the elevated efforts required to collect representative samples containing sufficient SPM for the separate PAH analysis in this matrix, several investigations rely on the analysis of aqueous samples. This study tests the hypothesis that surveys based exclusively on bulk water may lead to a systematic underestimation of the real contamination level and transport of PAHs in rivers. Six high-turbidity events were examined in three Austrian rivers applying time-integrated sampling and simultaneously analyzing PAHs in total bulk water, filtered water, SPM, and supernatant. Despite an unavoidable degree of uncertainty in such challenging sampling scheme, the results indicate that measurements performed with best available standard methods in bulk water samples determined in average only about 40% of the theoretically expected total PAHs concentrations derived from the analyses in SPM. Such deviation has important implications for the reliable assessment of the compliance with environmental quality standards as well as for surveys aimed to estimate riverine loads, validate emission models, and understand the transport dynamics of PAHs in rivers. Whereas the first objective, e.g., in European countries, is alternatively achieved via monitoring in biota, the latter ones require efforts directed to complement monitoring campaigns with separate sampling of SPM, with monitoring of suspended solids transport to appropriately select and interpret the results of water samples and to improve the chemical analysis of PAHs in bulk water samples with high solids content.


Asunto(s)
Monitoreo del Ambiente , Hidrocarburos Policíclicos Aromáticos , Ríos , Contaminantes Químicos del Agua , Hidrocarburos Policíclicos Aromáticos/análisis , Ríos/química , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente/métodos
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