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1.
Headache ; 63(5): 634-641, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-37140013

RESUMEN

OBJECTIVE: To assess agreement for migraine day between self-report and diagnostic guidelines for children and adolescents using a headache diary. BACKGROUND: Trial guidelines recommend prospective collection of headache features and adoption of migraine day as an outcome measure, but there is no clear consensus on the definition of migraine day. METHODS: This is a secondary analysis of data from two projects-a prospective cohort study validating a pediatric scale of treatment expectancy and a clinical trial of occipital nerve blocks to treat status migrainosus. Participants completed a text message-based diary for 4 or 12 weeks (depending on treatment), and a detailed headache assessment on a random 20% of headache days. Using this assessment, we determined whether a headache day qualified for migraine or probable migraine, based on the International Classification of Headache Disorders, 3rd edition (ICHD-3). RESULTS: Of 122 enrolled children and adolescents, 106 (86.9%) completed ≥1 detailed headache assessment (438 entries). We found moderate agreement between self-reported and ICHD-derived migraine day, with a Cohen's Kappa of 0.50 (positive predictive value [PPV]: 0.66; negative predictive value [NPV]: 0.85; correlation: 0.51). Allowing for ICHD-derived probable migraine significantly increased PPV (0.66 vs. 0.94; 95% CI: 0.57-0.74 vs. 0.90-0.97), but decreased NPV (0.85 vs. 0.293; CI: 0.77-0.90 vs. 0.199-0.40), Cohen's Kappa (0.50 vs. 0.237; CI: 0. 389-0.60 vs. 0.139-0.352), and correlation (r = 0.51 vs. 0.302; CI: 0.41-0.61 vs. 0.192-0.41). Pain severity (OR: 5.7; CI: 2.39-13.8), photophobia (OR: 4.1; CI: 1.02-16.6), and phonophobia (OR: 7.5; CI: 1.95-29.3) were significantly associated with participants' perception of migraine. CONCLUSION: We found only moderate agreement between self-reported and ICHD-derived migraine day, suggesting both measures are not equal but may represent overlapping aspects of migraine as a disease. This highlights the difficulty of applying ICHD criteria to individual attacks. We recommend greater methodological transparency in future research to avoid readers conflating both measures.


Asunto(s)
Trastornos de Cefalalgia , Trastornos Migrañosos , Humanos , Niño , Adolescente , Autoinforme , Estudios Prospectivos , Trastornos Migrañosos/diagnóstico , Trastornos Migrañosos/epidemiología , Cefalea
2.
Headache ; 63(10): 1359-1371, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37975482

RESUMEN

OBJECTIVE: To examine trends in diagnosis of headache and migraine in a large pediatric neurology cohort, and test whether an electronic health record (EHR)-integrated headache questionnaire can increase specificity of diagnosis and likelihood of prescribing migraine treatment. BACKGROUND: Under-diagnosis of migraine contributes to the burden of disease. As we founded our Pediatric Headache Program in 2013, we recognized that the proportion of patients with headache who were given a diagnosis of migraine was much lower than expected. METHODS: We developed a patient headache questionnaire, initially on paper (2013-2014), then in an electronic database (2014-2016), and finally integrated into our electronic health record (pilot: 2016, full: May 2017). We compared diagnoses and prescribed treatments for new patients who were given a headache diagnosis, looking at trends in the proportion of patients given specific diagnoses (migraine, etc.) versus the non-specific diagnosis, "headache." Next, we conducted a prospective cohort study to test for association between provider use of the form and the presence of a specific diagnosis, then for an association between specific diagnosis and prescription of migraine treatment. RESULTS: Between July 2011 and December 2022 the proportion of new headache patients who were given a diagnosis of migraine increased 9.7% and non-specific headache diagnoses decreased 21.0%. In the EHR cohort (June 2017-December 2022, n = 15,122), use of the provider form increased the rate of specific diagnosis to 87.2% (1839/2109) compared to 75.5% (5708/7560) without a patient questionnaire, nearly doubling the odds of making a specific diagnosis (odds ratio [OR] 1.90, 95% confidence interval [CI]: 1.65-2.19). Compared to those given only a non-specific headache diagnosis who were prescribed a migraine therapy 53.7% (1766/3286) of the time, 75.3% (8914/11836) of those given a specific diagnosis received a migraine therapy, more than doubling the odds of prescription (OR 2.39, 95% CI: 2.20-2.60). CONCLUSIONS: Interventions to improve specificity of diagnosis were effective and led to increased rates of prescription of migraine treatments. These results have been sustained over several years. This headache questionnaire was adapted into the Foundation system of EpicCare, so it is broadly available as a clinical and research tool for institutions that use this EHR software.


Asunto(s)
Trastornos Migrañosos , Neurología , Humanos , Niño , Estudios Prospectivos , Cefalea/diagnóstico , Cefalea/terapia , Trastornos Migrañosos/terapia , Trastornos Migrañosos/tratamiento farmacológico , Encuestas y Cuestionarios
3.
Cephalalgia ; 42(10): 1013-1021, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35400198

RESUMEN

BACKGROUND: International guidelines recommend diaries in migraine trials for prospective collection of headache symptoms. Studies in other patient populations suggest higher adherence with electronic diaries instead of pen-and-paper. This study examines the feasibility of a text message-based (texting) diary for children and adolescents with headache. METHODS: This is a secondary analysis of data from a study validating a pediatric scale of treatment expectancy. We developed a Health Insurance Portability and Accountability Act-compliant texting diary collecting headache characteristics, medication use, and disability with 3-5 core daily questions for 4 or 12 weeks depending on headache treatment. Adherence was incentivized. RESULTS: 93 participants consented to the expectancy study. Five participants opted for a paper diary for follow-up. 88 participants chose the texting diary with 28 4-week and 60 12-week participants. Five participants did not complete the enrollment visit. Of those remaining 83, 89% of 4-week and 93% of 12-week participants responded on at least 80% of days. On average, participants fully completed 88% (4-week cohort) and 90% (12-week) of diary entries. CONCLUSIONS: Text messages are a promising method for collecting patient-reported data. Adherence was similar to that reported for paper diaries in other pediatric migraine trials, but time-stamped entries ensure real-time data collection.


Asunto(s)
Trastornos Migrañosos , Envío de Mensajes de Texto , Adolescente , Niño , Cefalea/terapia , Humanos , Registros Médicos , Trastornos Migrañosos/diagnóstico , Estudios Prospectivos
4.
Mol Pain ; 10: 55, 2014 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-25187167

RESUMEN

BACKGROUND: Real-time quantitative PCR (qPCR) is a technique frequently used to measure changes in mRNA expression. To ensure validity of experimental findings, it is important to normalize the qPCR data to reference genes that are stable and unaffected by the experimental treatment to correct for variability among samples. Unlike in some models of neuropathic pain, reference genes for models of inflammatory injury have not been validated. This study examined four candidate reference genes in an effort to identify and validate optimal genes for normalization of transcriptional changes occurring in the dorsal horn of the spinal cord and the rostral ventromedial medulla (RVM) following intraplantar injection of complete Freund's adjuvant (CFA). RESULTS: The expression of hypoxanthine phosphoribosyltransferase 1 (Hprt1), beta-actin (Actb), mitogen-activated protein kinase 6 (Mapk6), and beta-2-microglobulin (B2m) was quantified in the dorsal horn and RVM of rats four days or two weeks after intraplantar injection of CFA or saline. The range of expression levels among these four genes differed by as much as 16-fold within the dorsal horn and the RVM. All four of these reference genes were stably expressed in both tissues and did not differ between saline and CFA-treated animals. Analyses using the statistical algorithms in geNorm and NormFinder programs determined that Mapk6 was the most stable gene and recommended the combination of Mapk6 and Actb, or Mapk6 and Hprt1, in such experimental conditions. CONCLUSIONS: This study validated the four genes Hprt1, Actb, Mapk6 or B2m and showed that any one or combination of two of them are good reference genes for normalization of mRNA expression in qPCR experiments in the spinal cord and RVM in the CFA model of inflammatory injury.


Asunto(s)
Actinas/genética , Hipoxantina Fosforribosiltransferasa/genética , Inflamación/metabolismo , Proteína Quinasa 6 Activada por Mitógenos/genética , ARN Mensajero/metabolismo , Microglobulina beta-2/genética , Actinas/metabolismo , Algoritmos , Animales , Modelos Animales de Enfermedad , Adyuvante de Freund/toxicidad , Expresión Génica/efectos de los fármacos , Hipoxantina Fosforribosiltransferasa/metabolismo , Inflamación/inducido químicamente , Inflamación/patología , Masculino , Bulbo Raquídeo/efectos de los fármacos , Bulbo Raquídeo/metabolismo , Proteína Quinasa 6 Activada por Mitógenos/metabolismo , Ratas , Ratas Sprague-Dawley , Reproducibilidad de los Resultados , Programas Informáticos , Médula Espinal/efectos de los fármacos , Médula Espinal/metabolismo , Microglobulina beta-2/metabolismo
5.
PLoS One ; 19(4): e0299518, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38603769

RESUMEN

Wastewater irrigation is a common practice for agricultural systems in arid and semiarid zones, which can help to overcome water scarcity and contribute with nutrient inputs. Ammonia-oxidizing bacteria (AOB) and archaea (AOA) are key in the transformation of NH4+-N in soil and can be affected by variations in soil pH, EC, N and C content, or accumulation of pollutants, derived from wastewater irrigation. The objective of this study was to determine the changes in the ammonia oxidizing communities in agricultural soils irrigated with wastewater for different periods of time (25, 50, and 100 years), and in rainfed soils (never irrigated). The amoA gene encoding for the catalytic subunit of the ammonia monooxygenase was used as molecular reporter; it was quantified by qPCR and sequenced by high throughput sequencing, and changes in the community composition were associated with the soil physicochemical characteristics. Soils irrigated with wastewater showed up to five times more the abundance of ammonia oxidizers (based on 16S rRNA gene relative abundance and amoA gene copies) than those under rainfed agriculture. While the amoA-AOA: amoA-AOB ratio decreased from 9.8 in rainfed soils to 1.6 in soils irrigated for 100 years, indicating a favoring environment for AOB rather than AOA. Further, the community structure of both AOA and AOB changed during wastewater irrigation compared to rainfed soils, mainly due to the abundance variation of certain phylotypes. Finally, the significant correlation between soil pH and the ammonia oxidizing community structure was confirmed, mainly for AOB; being the main environmental driver of the ammonia oxidizer community. Also, a calculated toxicity index based on metals concentrations showed a correlation with AOB communities, while the content of carbon and nitrogen was more associated with AOA communities. The results indicate that wastewater irrigation influence ammonia oxidizers communities, manly by the changes in the physicochemical environment.


Asunto(s)
Amoníaco , Suelo , Suelo/química , Amoníaco/química , Aguas Residuales , ARN Ribosómico 16S , Archaea/genética , Oxidación-Reducción , Microbiología del Suelo , Filogenia , Nitrificación
6.
Sci Total Environ ; 900: 165886, 2023 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-37524191

RESUMEN

This study tracked five pharmaceutically active compounds (PhACs) in Mexico City's sewage, namely, famotidine, indomethacin, dexamethasone, azithromycin, and ivermectin, which were used to treat COVID-19. The monitoring campaign was carried out over 30 months (May 2020 to November 2022), covering the five COVID-19 waves in Mexico. In the Central Emitter, the main sewage outflow, famotidine displayed levels of 132.57 ± 28.16 ng L-1 (range from < LOQ to 189.1 ng L-1), followed by indomethacin (average 672.46 ± 116.4 ng L-1, range from 516.7 to 945.2 ng L-1), dexamethasone (average 610.4 ± 225.7 ng L-1, range from 233.4 to 1044.5 ng L-1), azithromycin (average 4436.2 ± 903.6 ng L-1, range from 2873.7 to 5819.6 ng L-1), and ivermectin (average 3413.3 ± 1244.6 ng L-1, range from 1219.8 to 4622.4 ng L-1). The concentrations of dexamethasone, azithromycin and ivermectin were higher in sewage from a temporary COVID-19 care unit, by a factor of 3.48, 3.52 and 2.55, respectively, compared with those found in municipal wastewater. In the effluent of the Atotonilco Wastewater Treatment Plant (AWWTP), which treats near 60 % of the Mexico City's sewage, famotidine was absent, while concentrations of indomethacin, dexamethasone, azithromycin and ivermectin were 78.2 %, 76.7 %, 74.4 %, and 88.1 % lower than those in the influent, respectively. The occurrence of PhACs in treated and untreated wastewater resulted in medium to high environmental risk since Mexico City's wastewater is reused for irrigation in the Mezquital Valley. There, PhACs were found in irrigation canals at lower levels than those observed in Mexico City throughout the monitoring. On the other hand, famotidine, indomethacin, and dexamethasone were not found in surface water resulting from the infiltration of wastewater through soil in Mezquital Valley, while azithromycin and ivermectin sporadically appeared in surface water samples collected through 2021. Using an optimized risk assessment based on a semi-probabilistic approach, the PhACs were prioritized as ivermectin > azithromycin > dexamethasone > famotidine > indomethacin.


Asunto(s)
COVID-19 , Contaminantes Químicos del Agua , Humanos , Aguas Residuales , Aguas del Alcantarillado , Monitoreo Epidemiológico Basado en Aguas Residuales , Monitoreo del Ambiente , México/epidemiología , Azitromicina , Famotidina , Ivermectina , Pandemias , Contaminantes Químicos del Agua/análisis , COVID-19/epidemiología , Medición de Riesgo , Preparaciones Farmacéuticas , Dexametasona
7.
Chemosphere ; 330: 138709, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37072086

RESUMEN

Three sediment cores recovered from the Alvarado Lagoon System (ALS) in the Gulf of Mexico were used to reconstruct the history of metals and metalloids and their environmental importance. The sedimentary profiles were dated with 210Pb and verified with 137Cs. Maximum ages of 77 and 86 years were estimated. Sediment provenance was described by sedimentological and geochemical proxies. The chemical alteration index (CIA) and weathering index (CIW) revealed moderate to high intensity of weathering in the source area that is controlled tropical climatic conditions, runoff, and precipitation in the basin that feeds sediments to this coastal lagoon. The Al2O3/TiO2 ratios indicated that the sediments were derived from intermediate igneous rocks. The enrichment factor values revealed the lithogenic and anthropic contribution of metals and metalloids. Cd is classified under the category extremely severe enrichment; agricultural activities, fertilizers, herbicides, and pesticides containing Cd are expected to supply this metal to the ecosystem. Factor Analysis and Principal Components provided two main factors, terrigenous and biological origins; ANOVA indicated that there are significant differences between the cores for the parameters analyzed and revealed that there are differences in depositional environments between the recovery zones of the cores. The ALS presented natural variations associated with the climatic conditions, terrigenous input, and its relationship with the hydrological variations of the main rivers. The contribution of this work was to identify the magnitude of the natural component versus the human contribution, mainly of risk metals such as Cd, to support better management of the hydrological basin that affects the ALS.


Asunto(s)
Metales Pesados , Contaminantes Químicos del Agua , Humanos , Metales Pesados/análisis , Plomo/análisis , Ecosistema , Cadmio/análisis , México , Sedimentos Geológicos/análisis , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente
8.
Sci Total Environ ; 774: 145060, 2021 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-33609836

RESUMEN

An analytical method based on liquid chromatography coupled to mass spectrometry was validated to quantify five perfluorinated carboxylic acids (PFCA) namely, perfluorobutanoic acid (PFBA), perfluorohexanoic acid (PFHxA), perfluoroheptanoic acid (PFHpA), perfluorooctanoic acid (PFOA), and perfluoroundecanoic acid (PFUnA), in wastewater produced in a megacity. Sampling was performed on a monthly basis, obtaining samples from the undergrounded sewerage system and the main open-air canal transporting wastewater out the city. Steady levels of the sum of the target PFCA (Æ©PFCA) were determined on both sites through the study: 419.4 ± 24.3 ng L-1 in undergrounded sewage and 591.1 ± 39 ng L-1 in the open-air canal. Short-chain PFCA (PFBA, PFHxA, and PFHpA) were abundant, while concentrations of PFOA and PFUnA remained lower in both sampling sites. The open-air canal was transected in four sampling points, which were sampled throughout the monitoring campaign, finding that furtive discharges of municipal and industrial wastewater increased the levels of short-chain PFCA, while those of PFOA and PFUnA were depleted. Relevant concentrations of PFBA (176.9 ± 3.3 ng L-1), PFHxA (133.4 ± 2.5 ng L-1), PFHpA (116.6 ± 3.9 ng L-1), PFOA (133.1 ± 3.5 ng L-1), and PFUnA (23.5 ± 6.5 ng L-1) were found 60 km downstream, where the wastewater transported by the open-air canal is used in irrigation. A fraction of sewage is treated in a conventional wastewater treatment plant. The concentration of short-chain PFCA increased in effluent, adding extra loads of PFBA, PFHxA, and PFHpA to the environment.

9.
Environ Sci Pollut Res Int ; 27(14): 15935-15943, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-30887450

RESUMEN

Balamtetik is the receiving body of the Rio Grande de Comitán and is located just at the outskirts of the Montebello National Park, Chiapas, México. Multi-elemental, infrared spectra, 137Cs, 210Pb, and diatom analyses in a 75-cm sediment core were used to reconstruct the recent disturbance history of the lake. The sequence chronology, based mostly on 137Cs profiles, allowed to infer high sedimentation rates in Balamtetik (~ 7 mm/year) and a nearly cyclic series of disturbance events that can be related to anthropogenic causes such as deforestation and increased development of agriculture and urban areas at local and regional scale. These disturbance events show high local and regional erosion (high Ca, TIC, and Ti), soil organic matter (IR spectra), eutrophication (high P and diatoms), and anoxic bottom water conditions (low Mn) and can be dated to the early 1950s, the late 1950s, and from the 1980s until the 2000s. The entrance of wastewaters is related with an increase in salinity inferred by the diatom record and the organic matter type. The first two disturbance events are related to changes in land use during the agrarian reform that started during the 1940s; the last event is related with the increase in local population and the introduction of intensive agriculture. This last phase of disturbance corresponds with the reports of fish mortality events around 2003; however, high lake turbidity and anoxic bottom waters seem to have been established since the 1980s. The record from Lake Balamtetik also shows that during the intermediate periods, there was a recovery of the lake and its catchment; however, the future trends might be different, as the increase in the speed of organic matter and nutrients arrival to the lake reduces its resilience.


Asunto(s)
Diatomeas , Lagos , Animales , Eutrofización , Sedimentos Geológicos , México
10.
J Contam Hydrol ; 234: 103657, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32777591

RESUMEN

Groundwater-N pollution derives from agricultural and urban activities, and compromises water quality in shallow aquifers, putting human and environmental health at risk. Nonetheless, subsurface microbiota can transform dissolved inorganic nitrogen into N2. In this study, we surveyed the microbial community of a shallow aquifer by sampling one well, one piezometer and a spring within an agricultural area that receives N-inputs of more than 700 kg/ha per year through irrigation with wastewater. The survey was conducted during a year with a 16S rRNA next-gen approach. In parallel, we quantified the number of gene copies and transcripts related to anaerobic ammonium oxidation (anammox, hzo), nitrite-dependent anaerobic methane oxidation (n-damo, nod and pmoA) and nitrous oxide reduction (last step of denitrification, nosZ), during the dry and rainy seasons. Our results showed that the groundwater samples had 17.7 to 22.5 mg/L of NO3--N. The bacterial and archaeal community structure was distinctive at each site, and it remained relatively stable over time. We verified the co-occurrence of N-transforming bacteria, which was correlated with the concentration of NO2-/NO3- and ORP/DO values (DO: ~3.0 mg/L). Our analyses suggest that these conditions may allow the presence of nitrifying microorganisms which can couple with anammox, n-damo and denitrifying bacteria in interrelated biogeochemical pathways. Gene density (as the number of gene copies per litre) was lower in the rainy season than in the dry season, possibly due to dilution by rainwater infiltration. Yet, the numbers of hzo gene copies here found were similar to those reported in oceanic oxygen minimum zones and in a carbonate-rock aquifer. The transcript sequences showed that Candidatus Brocadia spp. (anammox), Candidatus Methylomirabilis spp. (n-damo) and autotrophic denitrifying Betaproteobacteria coexist in the groundwater environment, with the potential to attenuate the concentration of dissolved inorganic nitrogen by reducing it to N2 rather than N2O; delivering thus, an important ecosystem service to remove contaminants.


Asunto(s)
Compuestos de Amonio , Agua Subterránea , Microbiota , Anaerobiosis , Bacterias/genética , Desnitrificación , Humanos , Metano , Nitratos , Óxido Nitroso , Oxidación-Reducción , ARN Ribosómico 16S/genética
11.
Neuroscience ; 415: 121-134, 2019 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-31295530

RESUMEN

How obesity exacerbates migraine and other pain disorders remains unknown. Trigeminal nociceptive processing, crucial in migraine pathophysiology, is abnormal in mice with diet induced obesity. However, it is not known if this is also true in genetic models of obesity. We hypothesized that obese mice, regardless of the model, have trigeminal hyperalgesia. To test this, we first evaluated trigeminal thermal nociception in leptin deficient (ob/ob) and control mice using an operant thermal assay. Unexpectedly, we found significant hypoalgesia in ob/ob mice. Because thermal hypoalgesia also occurs in mice lacking the transient receptor potential vanilloid 1 channel (TRPV1), we tested capsaicin-evoked trigeminal nociception. Ob/ob and control mice had similar capsaicin-evoked nocifensive behaviors, but ob/ob mice were significantly less active after a facial injection of capsaicin than were diet-induced obese mice or lean controls. Conditioned place aversion in response to trigeminal stimulation with capsaicin was similar in both genotypes, indicating normal negative affect and pain avoidance. Supporting this, we found no difference in TRPV1 expression in the trigeminal ganglia of ob/ob and control mice. Finally, we assessed the possible contribution of hyperphagia, a hallmark of leptin deficiency, to the behavior observed in the operant assay. Ob/ob and lean control mice had similar reduction of intake when quinine or capsaicin was added to the sweetened milk, excluding a significant contribution of hyperphagia. In summary, ob/ob mice, unlike mice with diet-induced obesity, have trigeminal thermal hypoalgesia but normal responses to capsaicin, suggesting specificity in the mechanisms by which leptin acts in pain processing.


Asunto(s)
Hiperalgesia/fisiopatología , Obesidad/fisiopatología , Ganglio del Trigémino/fisiología , Animales , Conducta/efectos de los fármacos , Capsaicina/farmacología , Dieta , Ingestión de Alimentos/efectos de los fármacos , Leptina/deficiencia , Locomoción/efectos de los fármacos , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Ratones Obesos , Modelos Animales , Nocicepción/fisiología , Dolor , Dimensión del Dolor , Quinina , Canales Catiónicos TRPV/metabolismo , Ganglio del Trigémino/metabolismo
12.
J Neurosci ; 27(10): 2693-703, 2007 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-17344407

RESUMEN

The neuropeptide calcitonin gene-related peptide (CGRP) from the trigeminal ganglion has been established as a key player in the pathogenesis of migraine. In this study, we provide evidence that the responsiveness of neuronal CGRP receptors is strongly enhanced in vitro and in vivo by expression of human receptor activity-modifying protein-1 (hRAMP1), an obligatory subunit of the CGRP receptor. We first demonstrated that activation of CGRP receptors on cultured trigeminal ganglion neurons increased endogenous CGRP mRNA levels and promoter activity. The promoter activation was cAMP dependent and blocked by the antagonist BIBN4096BS [1-piperidinecarboxamide, N-[2-[[5-amino-l-[[4-(4-pyridinyl)-l-piperazinyl]carbonyl]pentyl]amino]-1-[(3,5-dibromo-4-hydroxyphenyl)methyl]-2-oxoethyl]-4-(1,4-dihydro-2-oxo-3(2H)-quinazolinyl)], a new antimigraine drug. Gene transfer using an adenoviral hRAMP1 expression vector increased the maximal production of cAMP by 1.8 +/- 0.2-fold and decreased the EC50 to 2.3 +/- 0.8 nM from 9.0 +/- 5.9 nM and 15.6 +/- 5.2 nM in uninfected and control-infected cultures, respectively. To establish whether RAMP1 is limiting in vivo as indicated from the culture studies, a transgenic mouse expressing hRAMP1 in the nervous system was generated. After CGRP injection into the whiskerpad, the hRAMP1 transgenic mice displayed 2.2 +/- 0.2-fold greater plasma extravasation, which is a measure of neurogenic inflammation. These results demonstrate that RAMP1 is functionally rate limiting for CGRP receptor activity in the trigeminal ganglion, which raises the possibility that elevated RAMP1 might sensitize some individuals to CGRP actions in migraine.


Asunto(s)
Péptidos y Proteínas de Señalización Intracelular/fisiología , Proteínas de la Membrana/fisiología , Receptores de Péptido Relacionado con el Gen de Calcitonina/metabolismo , Ganglio del Trigémino/metabolismo , Animales , Péptido Relacionado con Gen de Calcitonina/farmacología , Proteína Similar al Receptor de Calcitonina , Proteínas Quinasas Dependientes de AMP Cíclico/metabolismo , Expresión Génica/efectos de los fármacos , Técnicas de Transferencia de Gen , Humanos , Técnicas In Vitro , Inflamación/inducido químicamente , Inflamación/patología , Péptidos y Proteínas de Señalización Intracelular/efectos de los fármacos , Péptidos y Proteínas de Señalización Intracelular/genética , Péptidos y Proteínas de Señalización Intracelular/metabolismo , Péptidos y Proteínas de Señalización Intracelular/farmacología , Proteínas de la Membrana/efectos de los fármacos , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Proteínas de la Membrana/farmacología , Ratones , Ratones Transgénicos , Sistema Nervioso/metabolismo , Neuronas/metabolismo , Regiones Promotoras Genéticas/fisiología , Ratas , Ratas Sprague-Dawley , Proteína 1 Modificadora de la Actividad de Receptores , Proteínas Modificadoras de la Actividad de Receptores , Receptores de Calcitonina/efectos de los fármacos , Receptores de Calcitonina/metabolismo , Receptores de Péptido Relacionado con el Gen de Calcitonina/genética , Tejido Subcutáneo/efectos de los fármacos , Tejido Subcutáneo/patología , Ganglio del Trigémino/citología , Ganglio del Trigémino/efectos de los fármacos
13.
Drug Discov Today Ther Strateg ; 3(4): 593-597, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-19784396

RESUMEN

Migraine is a chronic pain condition that affects 12% of the population. Currently, the most effective treatments are the triptans, but they are limited in their efficacy and have potentially deleterious cardiovascular complications. Based on basic science studies over the past decade, a new generation of anti-migraine drugs is now being developed. At the forefront of these studies is a new calcitonin gene-related peptide (CGRP) receptor antagonist that is as effective as triptans in the acute treatment of migraines, without the cardiovascular effects. This review will address the likely mechanisms and therapeutic potential of CGRP receptor antagonists.

14.
PLoS One ; 9(9): e106767, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25184332

RESUMEN

This study examined whether mice with a deficiency of neurofibromin, a Ras GTPase activating protein, exhibit a nociceptive phenotype and probed a possible contribution by calcitonin gene-related peptide. In the absence of inflammation, Nf1+/- mice (B6.129S6 Nf1/J) and wild type littermates responded comparably to heat or mechanical stimuli, except for a subtle enhanced mechanical sensitivity in female Nf1+/- mice. Nociceptive phenotype was also examined after inflammation induced by capsaicin and formalin, which release endogenous calcitonin gene-related peptide. Intraplantar injection of capsaicin evoked comparable heat hyperalgesia and mechanical hypersensitivity in Nf1+/- and wild type mice of both genders. Formalin injection caused a similar duration of licking in male Nf1+/- and wild type mice. Female Nf1+/- mice licked less than wild type mice, but displayed other nociceptive behaviors. In contrast, intraplantar injection of CGRP caused greater heat hyperalgesia in Nf1+/- mice of both genders compared to wild type mice. Male Nf1+/- mice also exhibited greater mechanical hypersensitivity; however, female Nf1+/- mice exhibited less mechanical hypersensitivity than their wild type littermates. Transcripts for calcitonin gene-related peptide were similar in the dorsal root ganglia of both genotypes and genders. Transcripts for receptor activity-modifying protein-1, which is rate-limiting for the calcitonin gene-related peptide receptor, in the spinal cord were comparable for both genotypes and genders. The increased responsiveness to intraplantar calcitonin gene-related peptide suggests that the peripheral actions of calcitonin gene-related peptide are enhanced as a result of the neurofibromin deficit. The analgesic efficacy of calcitonin gene-related peptide receptor antagonists may therefore merit investigation in neurofibromatosis patients.


Asunto(s)
Péptido Relacionado con Gen de Calcitonina , Calor , Hiperalgesia , Neurofibromatosis , Tacto , Animales , Péptido Relacionado con Gen de Calcitonina/genética , Péptido Relacionado con Gen de Calcitonina/metabolismo , Modelos Animales de Enfermedad , Femenino , Hiperalgesia/genética , Hiperalgesia/metabolismo , Hiperalgesia/fisiopatología , Masculino , Ratones , Neurofibromatosis/genética , Neurofibromatosis/metabolismo , Neurofibromatosis/fisiopatología , Neurofibromina 1/genética , Neurofibromina 1/metabolismo
15.
Sci Total Environ ; 473-474: 189-98, 2014 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-24370693

RESUMEN

Sorption and leaching potential of ibuprofen, estrone and 17ß estradiol were tested in two agricultural soils: one irrigated using municipal wastewater and the other used in rainfed agriculture. Batch sorption-desorption experiments and undisturbed soil column assays were carried out using both soils to which were added a mixture of the target compounds. The three compounds were sorbed to a different extent by both soils: estrone>17ß estradiol>ibuprofen. Higher sorption was observed in the irrigated soil, which was attributed to the accumulation of organic matter caused by wastewater irrigation. Desorption of hormones was hysteretic in the irrigated soil, while ibuprofen showed low hysteresis in both soils. Retardation of the compounds' displacement was consistent with the sorption pattern observed in the batch tests. Retardation factor (RF) was similar for the three compounds in the two tested soils, indicating that the target compounds are much more mobile in the soil columns than would be predicted based on their equilibrium sorption parameters. The results obtained in the experiments clarify the role of wastewater irrigated soils as a filter and degradation media for the target micropollutants.


Asunto(s)
Riego Agrícola , Estradiol/análisis , Estrona/análisis , Ibuprofeno/análisis , Contaminantes del Suelo/análisis , Contaminantes Químicos del Agua/análisis , Adsorción , Lluvia , Suelo/química , Eliminación de Residuos Líquidos/métodos , Aguas Residuales/química
16.
J Hazard Mater ; 263 Pt 1: 28-35, 2013 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-23664919

RESUMEN

The effect of Au, Ag, Cu and Ni nanoparticles deposited on TiO2-P25 was studied on the photodegradation of trimethoprim, a commonly used antibiotic. The synthesized materials were characterized by ICP, EDS, XRD, BET, UV-vis, TEM and TPR. The metal loading was 0.5 wt.% and the average particle size was about 2 nm in all the studied samples. The deposition of metallic particles on TiO2-P25 produces an enhancement of the activity of the bare semiconductor; when the degradation of trimethoprim was carried out by pure TiO2-P25, the mineralization reached only 50% of the organic matter, while by using metallic nanoparticles deposited on TiO2-P25, the mineralization of organic matter increased up to 80% for the same reaction conditions and reaction time. The evaluation of the photocatalytic activity was made for solutions containing trimethoprim in concentrations of 40 ppm under UV light irradiation using a lamp with primary emission at 254 nm and 2.2 mW/cm(2). It is shown that the ability of the photocatalyst to mineralize trimethoprim depends on the electron affinity and the electronegativity of the deposited metal.


Asunto(s)
Antiinfecciosos/química , Nanopartículas del Metal/efectos de la radiación , Metales Pesados/química , Titanio/efectos de la radiación , Trimetoprim/química , Contaminantes Químicos del Agua/química , Catálisis , Nanopartículas del Metal/química , Fotólisis , Titanio/química , Rayos Ultravioleta , Purificación del Agua/métodos
17.
J Comp Neurol ; 520(8): 1663-77, 2012 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-22120979

RESUMEN

This study examined the distribution of γ-aminobutyric acid (GABA)(B) receptors on immunohistochemically identified neurons, and levels of GABA(B(1)) and GABA(B(2)) mRNA, in the L4 and L5 dorsal root ganglia (DRG) of the rat in the absence of injury and 2 weeks after L5 spinal nerve ligation. In uninjured DRG, GABA(B(1)) immunoreactivity colocalized exclusively with the neuronal marker (NeuN) and did not colocalize with the satellite cell marker S-100. The GABA(B(1)) subunit colocalized to >97% of DRG neurons immunoreactive (IR) for neurofilament 200 (N52) or calcitonin gene-related peptide (CGRP), or labeled by isolectin B4 (IB4). Immunoreactivity for GABA(B(2)) was not detectable. L5 spinal nerve ligation did not alter the number of GABA(B(1)) -IR neurons or its colocalization pattern in the L4 DRG. However, ligation reduced the number of GABA(B(1)) -IR neurons in the L5 DRG by ≈38% compared with sham-operated and naïve rats. Specifically, ligation decreased the number of CGRP-IR neurons in the L5 DRG by 75%, but did not decrease the percent colocalization of GABA(B(1)) in those that remained. In the few IB4-positive neurons that remained in the L5 DRG, colocalization of GABA(B(1)) -IR decreased to 75%. Ligation also decreased levels of GABA(B(1)) and GABA(B(2)) mRNA in the L5, but not the L4 DRG compared with sham-operated or naïve rats. These findings indicate that the GABA(B) receptor is positioned to presynaptically modulate afferent transmission by myelinated, unmyelinated, and peptidergic afferents in the dorsal horn. Loss of GABA(B) receptors on primary afferent neurons may contribute to the development of mechanical allodynia after L5 spinal nerve ligation.


Asunto(s)
Ganglios Espinales/metabolismo , Neuronas Aferentes/metabolismo , Receptores de GABA-B/metabolismo , Nervios Espinales/metabolismo , Animales , Técnica del Anticuerpo Fluorescente Indirecta , Inmunohistoquímica , Ligadura , Región Lumbosacra , Masculino , Microscopía Confocal , Neuralgia/fisiopatología , Ratas , Ratas Sprague-Dawley , Reacción en Cadena en Tiempo Real de la Polimerasa , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Nervios Espinales/lesiones
18.
PLoS One ; 6(11): e27776, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22132140

RESUMEN

BACKGROUND: Recent studies have demonstrated the utility of DNA barcoding in the discovery of overlooked species and in the connection of immature and adult stages. In this study, we use DNA barcoding to examine diversity patterns in 121 species of Nymphalidae from the Yucatan Peninsula in Mexico. Our results suggest the presence of cryptic species in 8 of these 121 taxa. As well, the reference database derived from the analysis of adult specimens allowed the identification of nymphalid caterpillars providing new details on host plant use. METHODOLOGY/PRINCIPAL FINDINGS: We gathered DNA barcode sequences from 857 adult Nymphalidae representing 121 different species. This total includes four species (Adelpha iphiclus, Adelpha malea, Hamadryas iphtime and Taygetis laches) that were initially overlooked because of their close morphological similarity to other species. The barcode results showed that each of the 121 species possessed a diagnostic array of barcode sequences. In addition, there was evidence of cryptic taxa; seven species included two barcode clusters showing more than 2% sequence divergence while one species included three clusters. All 71 nymphalid caterpillars were identified to a species level by their sequence congruence to adult sequences. These caterpillars represented 16 species, and included Hamadryas julitta, an endemic species from the Yucatan Peninsula whose larval stages and host plant (Dalechampia schottii, also endemic to the Yucatan Peninsula) were previously unknown. CONCLUSIONS/SIGNIFICANCE: This investigation has revealed overlooked species in a well-studied museum collection of nymphalid butterflies and suggests that there is a substantial incidence of cryptic species that await full characterization. The utility of barcoding in the rapid identification of caterpillars also promises to accelerate the assembly of information on life histories, a particularly important advance for hyperdiverse tropical insect assemblages.


Asunto(s)
Mariposas Diurnas/clasificación , Mariposas Diurnas/genética , Código de Barras del ADN Taxonómico/métodos , Variación Genética , Pigmentación/genética , Animales , Secuencia de Bases , Análisis por Conglomerados , Costa Rica , Complejo IV de Transporte de Electrones/genética , Larva/genética , México , Filogenia , Especificidad de la Especie
19.
J Pain ; 10(9): 992-1000, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19628434

RESUMEN

UNLABELLED: Calcitonin gene-related peptide (CGRP) is a key player in migraine. To address the role of CGRP in mechanical allodynia, which is a common feature of migraine, we used CGRP-sensitized transgenic mice. These mice have elevated nervous-system expression of the human receptor activity-modifying protein-1 (hRAMP1) subunit of the CGRP receptor. Under baseline conditions, the nestin/hRAMP1 mice and control littermates had similar hindpaw withdrawal thresholds to von Frey filaments. The effect of CGRP was tested using a filament that elicited a withdrawal response on 20% of its presentations. Following intrathecal injection of 1 nmol CGRP in the nestin/hRAMP1 mice, the response frequency was 80% within 30 minutes. The antagonist CGRP(8-37) blocked the increased response. In control littermates, a 5-fold higher dose of CGRP was required to elicit a similar response. In contrast to intrathecal injection, peripheral CGRP did not increase the mechanical responses. Intraplantar injection of capsaicin was used to test the efficacy of endogenous CGRP. Capsaicin increased mechanical responses in the nestin/hRAMP1 and control mice, although a higher dose was required in controls. In contrast to control mice, there was also a contralateral paw response in nestin/hRAMP1 mice, which is consistent with central sensitization. PERSPECTIVE: In this study we show central CGRP-induced mechanical allodynia that is enhanced by overexpression of RAMP1 in nervous system. These data suggest that hypersensitivity to CGRP could be a potential mechanism underlying central sensitization in migraine and point to CGRP-receptor antagonists as a possible therapy for other pain disorders.


Asunto(s)
Péptido Relacionado con Gen de Calcitonina/metabolismo , Sistema Nervioso Central/metabolismo , Hiperalgesia/genética , Hiperalgesia/metabolismo , Péptidos y Proteínas de Señalización Intracelular/genética , Proteínas de la Membrana/genética , Animales , Péptido Relacionado con Gen de Calcitonina/farmacología , Capsaicina/farmacología , Sistema Nervioso Central/efectos de los fármacos , Sistema Nervioso Central/fisiopatología , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Femenino , Regulación de la Expresión Génica/genética , Hiperalgesia/fisiopatología , Proteínas de Filamentos Intermediarios/genética , Proteínas de Filamentos Intermediarios/metabolismo , Péptidos y Proteínas de Señalización Intracelular/metabolismo , Masculino , Proteínas de la Membrana/metabolismo , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Proteínas del Tejido Nervioso/genética , Proteínas del Tejido Nervioso/metabolismo , Nestina , Dimensión del Dolor , Umbral del Dolor/efectos de los fármacos , Umbral del Dolor/fisiología , Fragmentos de Péptidos/farmacología , Estimulación Física , Proteína 1 Modificadora de la Actividad de Receptores , Proteínas Modificadoras de la Actividad de Receptores , Fármacos del Sistema Sensorial/farmacología
20.
J Pineal Res ; 35(4): 283-7, 2003 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-14521635

RESUMEN

Extracellular concentrations of acetylcholine (ACh) in the prefrontal cortex displayed a circadian rhythm, with a maximum increase in the dark phase of the light:dark cycle. The increase in ACh related well to the circadian rhythm of the same rats in which a maximal increase of locomotor activity in the dark phase also was observed. Local perfusion of melatonin (200-500 microm), in a dose-dependent manner, disrupted the ACh rhythm in the prefrontal cortex but did not affect the circadian rhythm of locomotor activity. It is suggested that the change in the cholinergic transmission during a circadian period in the prefrontal cortex may be under the control of the biological clock through the action of melatonin; however, the prefrontal cortical ACh cycle seems not to be related to the regulation of locomotor activity.


Asunto(s)
Acetilcolina/metabolismo , Ritmo Circadiano/efectos de los fármacos , Hormonas/farmacología , Melatonina/farmacología , Corteza Prefrontal/efectos de los fármacos , Animales , Masculino , Actividad Motora , Ratas , Factores de Tiempo
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