Prevalence, drug resistance, and genotypic diversity of the RDRio subfamily of Mycobacterium tuberculosis in Ecuador: a retrospective analysis for years 2012-2016.

Introduction: A major sublineage within the Mycobacterium tuberculosis (MTB) LAM family characterized by a new in-frame fusion gene Rv3346c/55c was discovered in Rio de Janeiro (Brazil) in 2007, called RDRio, associated to drug resistance. The few studies about prevalence of MTB RDRio strains in Latin America reported values ranging from 3% in Chile to 69.8% in Venezuela, although no information is available for countries like Ecuador. Methods: A total of 814 MTB isolates from years 2012 to 2016 were screened by multiplex PCR for RDRio identification, followed by 24-loci MIRU-VNTR and spoligotyping. Results: A total number of 17 MTB RDRio strains were identified, representing an overall prevalence of 2.09% among MTB strains in Ecuador. While 10.9% of the MTB isolates included in the study were multidrug resistance (MDR), 29.4% (5/17) of the RDRio strains were MDR. Discussion: This is the first report of the prevalence of MTB RDRio in Ecuador, where a strong association with MDR was found, but also a very low prevalence compared to other countries in Latin America. It is important to improve molecular epidemiology tools as a part of MTB surveillance programs in Latin America to track the transmission of potentially dangerous MTB stains associated to MDR TB like MTB RDRio.

Development and assessment of a virtual escape-room game for teaching industrial bioprocesses.

This article presents a study on the implementation of a virtual escape-room game as a novel teaching methodology in biochemistry education. The game aimed to engage students in producing monoclonal antibodies against SARS-CoV-2 while reinforcing theoretical concepts and fostering teamwork. Three versions of the game were tested, incorporating modifications to address student feedback on and improve the overall experience. The study employed a satisfaction survey to gather insights from students regarding their perception of the game. Results showed that the implementation of answer flexibility using RegEx had a significant positive impact on student satisfaction and motivation. The introduction of RegEx allowed for a more realistic and immersive gaming experience, as students could provide varied answers while still being evaluated correctly. Overall, the findings highlight the effectiveness of the game's design, the suitability of the Google Forms platform for distance learning, and the importance of incorporating answer flexibility through RegEx. These results provide valuable guidance for educators seeking to enhance student engagement and satisfaction through the use of escape-room games in biochemistry education.

Rapid and accurate identification and differentiation of Mycobacterium tuberculosis and non-tuberculous mycobacteria using PCR kits available in a high-burden setting.

Infections caused by mycobacteria, including Mycobacterium tuberculosis complex (MTBC) and non-tuberculous mycobacteria (NTM), are a major public health issue worldwide. An accurate diagnosis of mycobacterial species is a challenge for surveillance and treatment, particularly in high-burden settings usually associated with low- and middle-income countries. In this study, we analyzed the clinical performance of two commercial PCR kits designed for the identification and differentiation of MTBC and NTM, available in a high-burden setting such as Ecuador. A total of 109 mycobacteria isolates were included in the study, 59 of which were previously characterized as M. tuberculosis and the other 59 as NTM. Both kits displayed great clinical performance for the identification of M. tuberculosis, with 100% sensitivity. On the other hand, for NTM, one of the kits displayed a good clinical performance with a sensitivity of 94.9% (CI 95%: 89-100%), while the second kit had a reduced sensitivity of 77.1% (CI 95%: 65-89%). In conclusion, one of the kits is a fast and reliable tool for the identification and discrimination of MTBC and NTM from clinical isolates.

Population structure of Mycobacterium tuberculosis in El Oro: A first insight into Ecuador-Peru tuberculosis transmission.

BACKGROUND: Tuberculosis (TB) is a major public health concern in Ecuador and Peru, both settings of high burden of drug resistance TB. Molecular epidemiology tools are important to understand the transmission dynamics of Mycobacterium tuberculosis Complex (MTBC) and to track active transmission clusters of regional importance. This study is the first to address the transmission of TB between Peru and Ecuador through the population structure of MTBC lineages circulating in the Ecuadorian border province of "El Oro". METHODS: A total number of 56 MTBC strains from this province for years 2012-2015 were included in the study and analyzed by 24-loci MIRU-VNTR and spoligotyping. RESULTS: Genotyping revealed a high degree of diversity for MTBC in "El Oro", without active transmission clusters. MTBC L4 was predominant, with less than 2% of strains belonging to MTBC L2-Beijing. CONCLUSIONS: These results may suggest that TB dynamics in this rural and semi-urban area would not be linked to highly transmitted strains like MTBC L2-Beijing from Peru, but related to TB relapse; although further studies with larger MTBC cultures collection from recent years are needed. Nevertheless, we recommend to reinforce TB surveillance programs in remote rural settings and border regions in Ecuador.

A first insight into tuberculosis transmission at the border of Ecuador and Colombia: a retrospective study of the population structure of Mycobacterium tuberculosis in Esmeraldas province.

Objective: Tuberculosis (TB) is a major public health concern in Ecuador and Colombia, considering that both countries are high-burden TB settings. Molecular epidemiology is crucial to understand the transmission dynamics of Mycobacterium tuberculosis complex (MTBC) and to identify active transmission clusters of regional importance. Methods: We studied the potential transmission of TB between Colombia and Ecuador through the analysis of the population structure of MTBC lineages circulating in the Ecuadorian province of Esmeraldas at the border with Colombia. A total of 105 MTBC strains were characterized by 24-loci MIRU-VNTR and spoligotyping. Results: MTBC lineage 4 is only present in Esmeraldas; no MTBC strains belonging to Lineage 2-sublineage Beijing were found despite its presence in other provinces of Ecuador and, in Colombia. Genotyping results revealed a high degree of diversity for MTBC in Esmeraldas: Neither active transmission clusters within this province nor including MTBC strains from Colombia or other provinces of Ecuador were found. Conclusion: Our data suggest that tuberculosis dynamics in this rural and isolated area may be not related to highly transmitted strains but could be influenced by other health determinants that favor TB relapse such as poverty and poor health system access. Further studies including a larger number of MTBC strains from Esmeraldas are necessary to test this hypothesis.

Cupriavidus metallidurans CH34 Possesses Aromatic Catabolic Versatility and Degrades Benzene in the Presence of Mercury and Cadmium.

Heavy metal co-contamination in crude oil-polluted environments may inhibit microbial bioremediation of hydrocarbons. The model heavy metal-resistant bacterium Cupriavidus metallidurans CH34 possesses cadmium and mercury resistance, as well as genes related to the catabolism of hazardous BTEX aromatic hydrocarbons. The aims of this study were to analyze the aromatic catabolic potential of C. metallidurans CH34 and to determine the functionality of the predicted benzene catabolic pathway and the influence of cadmium and mercury on benzene degradation. Three chromosome-encoded bacterial multicomponent monooxygenases (BMMs) are involved in benzene catabolic pathways. Growth assessment, intermediates identification, and gene expression analysis indicate the functionality of the benzene catabolic pathway. Strain CH34 degraded benzene via phenol and 2-hydroxymuconic semialdehyde. Transcriptional analyses revealed a transition from the expression of catechol 2,3-dioxygenase (tomB) in the early exponential phase to catechol 1,2-dioxygenase (catA1 and catA2) in the late exponential phase. The minimum inhibitory concentration to Hg (II) and Cd (II) was significantly lower in the presence of benzene, demonstrating the effect of co-contamination on bacterial growth. Notably, this study showed that C. metallidurans CH34 degraded benzene in the presence of Hg (II) or Cd (II).

Fast, Simple, and Cheap: the Kudoh-Ogawa Swab Method as an Alternative to the Petroff-Lowenstein-Jensen Method for Culturing of Mycobacterium tuberculosis.

The objective of this study was to compare the diagnostic yield of the Kudoh-Ogawa (K-O) swab method for the culturing of Mycobacterium tuberculosis from clinical samples with the standard Petroff-Lowenstein-Jensen (P-LJ) procedure. A total of 2,287 sputum samples and 685 extrapulmonary clinical specimens were processed with both decontamination methods and compared for M. tuberculosis detection rate, recovery of M. tuberculosis colonies, and culture contamination. Overall, 23.9% and 23.5% of the samples, processed with, respectively, the K-O swab method and the P-LJ procedure, yielded M. tuberculosis after 8 weeks of incubation. The K-O swab method and the P-LJ procedure provided comparable diagnostic yields for extrapulmonary clinical specimens (P = 0.688), but the K-O method showed a slightly but statistically significantly higher diagnostic yield for pulmonary samples (P = 0.002). No significant difference for culture contamination or colony recovery was found for either method. The turnaround time for the isolation of M. tuberculosis was significantly shorter for the K-O swab method, with 77% of the M. tuberculosis cultures being positive within 3 weeks of incubation, and only 6.1% positivity for the P-LJ method. Concerning the workload, the K-O swab method needs a minimum sample manipulation and takes less than 4 min per sample, as the samples are not centrifuged in this procedure. The K-O swab method is an efficient and fast (in terms of sample processing and culture growth) alternative for culturing M. tuberculosis from either pulmonary or extrapulmonary clinical specimens. The method is particularly suitable for laboratories with a high workload and for laboratories lacking a special infrastructure.

Genetic and Functional Analysis of the Biosynthesis of a Non-Ribosomal Peptide Siderophore in Burkholderia xenovorans LB400.

B. xenovorans LB400 is a model bacterium for the study of the metabolism of aromatic compounds. The aim of this study was the genomic and functional characterization of a non-ribosomal peptide synthetase containing gene cluster that encodes a siderophore in B. xenovorans LB400. The mba gene cluster from strain LB400 encodes proteins involved in the biosynthesis and transport of a hydroxamate-type siderophore. Strain LB400 has a unique mba gene organization, although mba gene clusters have been observed in diverse Burkholderiales. Bioinformatic analysis revealed the presence of promoters in the mba gene cluster that strongly suggest regulation by the ferric uptake regulator protein (Fur) and by the alternative RNA polymerase extracytoplasmic function sigma factor MbaF. Reverse transcriptase PCR analyses showed the expression of iron-regulated transcriptional units mbaFGHIJKL, mbaN, mbaABCE, mbaO, mbaP and mbaD genes under iron limitation. Chrome azurol S (CAS) assay strongly suggests that strain LB400 synthesized a siderophore under iron limitation. Mass spectrometry ESI-MS and MALDI-TOF-MS analyses revealed that the siderophore is a non-ribosomal peptide, and forms an iron complex with a molecular mass of 676 Da. Based on bioinformatic prediction, CAS assay and MS analyses, we propose that the siderophore is L-Nδ-hydroxy-Nδ-formylOrn-D-ß-hydroxyAsp-L-Ser-L-Nδ-hydroxy-Nδ-formylOrn-1,4-diaminobutane that is closely related to malleobactin-type siderophores reported in B. thailandensis.

Stepwise conversion of flavonoids by engineered dioxygenases and dehydrogenase: Characterization of novel biotransformation products.

Flavonoids are a large group of plant secondary metabolites that exert various biological and pharmacological effects. In this context, the generation of derivatives is of considerable interest. The introduction of hydroxy groups is of particular relevance, as they are known to be involved in many of the biological interactions and furthermore enable additional modifications, such as glycosylations. Bacterial aryl-hydroxylating dioxygenases (ARHDOs) have proven to be very useful for the conversion of aromatic structures into versatile building blocks for different kinds of derivatizations. Such enzymes have been used with varying success for the oxidation of flavonoids. In order to find better ARHDOs for the hydroxylation of such substrates, we carried out biotransformation trials with a collection of hybrid ARHDOs of different origin, using resting cells of recombinant strains. This identified enzymes able to transform all of the flavonoids examined, typically in yields above 50%. It also showed that moderately reactive substituents of flavonoids, such as hydroxy or amino groups, can lead to spontaneous follow-up reactions with the dienediol structures generated by dioxygenation. A report of flavanone epoxidation, a reaction never before observed to be catalyzed by an ARHDO, is challenged by our results. All ARHDOs examined converted this substrate into a dehydrogenase-transformable dihydrodiol. All dihydrodiols obtained by dioxygenation of the examined flavonoids were successfully re-aromatized into catechols by a bacterial dehydrogenase. These metabolites were usually stable. However, the catechols formed from flavanone and 2'-hydroxy-chalcone, respectively, were interconvertible under mild conditions. Altogether, we isolated and characterized 13 compounds that have not previously been described. The biotransformations reported here give access to novel flavonoid derivatives that may be applied for biological screens as well as for further modification, such as glycodiversification.

Assessing environmental drivers of microbial communities in estuarine soils of the Aconcagua River in Central Chile.

Aconcagua River basin (Central Chile) harbors diverse economic activities such as agriculture, mining and a crude oil refinery. The aim of this study was to assess environmental drivers of microbial communities in Aconcagua River estuarine soils, which may be influenced by anthropogenic activities taking place upstream and by natural processes such as tides and flood runoffs. Physicochemical parameters were measured in floodplain soils along the estuary. Bacteria, Actinobacteria, Alphaproteobacteria, Betaproteobacteria, Pseudomonas, Bacillus and Fungi were studied by DGGE fingerprinting of 16S rRNA gene and ribosomal ITS-1 amplified from community DNA. Correlations between environment and communities were assessed by distance-based redundancy analysis. Mainly hydrocarbons, pH and the composed variable copper/arsenic/calcium but in less extent nitrogen and organic matter/phosphorous/magnesium correlated with community structures at different taxonomic levels. Aromatic hydrocarbons degradation potential by bacterial community was studied. Polycyclic aromatic hydrocarbon ring-hydroxylating dioxygenases genes were detected only at upstream sites. Naphthalene dioxygenase ndo genes were heterogeneously distributed along estuary, and related to Pseudomonas, Delftia, Comamonas and Ralstonia. IncP-1 plasmids were mainly present at downstream sites, whereas IncP-7 and IncP-9 plasmids showed a heterogeneous distribution. This study strongly suggests that pH, copper, arsenic and hydrocarbons are main drivers of microbial communities in Aconcagua River estuarine soils.

[Anaemia predicts mortality in heart failure]. / La anemia es un factor pronóstico de mortalidad en la insuficiencia cardiaca.

BACKGROUND: Anaemia frequently coexists with heart failure. Few studies have examined the impact of anaemia on mortality in this population. OBJECTIVE: To assess the prevalence of anaemia in patients with heart failure in an Internal Medicine Unit and its potential effects on mortality. MATERIAL AND METHODS: We evaluated the electronic medical records of 272 patients with heart failure that fulfilled the criteria admitted to the Internal Medicine Unit of Fundación Hospital Alcorcón (Madrid, Spain)between July and December 2003. Uni and multivariate logistic regression analysis for predictors of mortality. RESULTS: Most patients were women (71%), mean age was 82.1+/-9 years, 106 (39.9%) had anaemia (serum haemoglobin levels<12 g/dL), 69 (25%) had renal failure (serum creatinine levels>1.5 mg/dL and 154 patients (57%) had atrial fibrillation. There were 41 deaths (15%). The frequency of anaemia was higher and the haemoglobin levels were lower in the patients who died (65% vs 36%, and 11.2+/-2.4 g/dL vs 12.6+/-2.1g/dL, p<0.001 for both). Increased serum creatinine was also associated with mortality (1.8+/-0.8 vs 1.3+/-0.8 mg/dL p<0.001). Age, gender, atrial fibrillation or the aetiology of heart failure were not associated with mortality in univariate analysis. In contrast, by multivariate logistic regression analysis, haemoglobin (odds ratio [OR] 0, 78 per g/dL, 95%confidence interval [CI] 0.66- 0.923 p<0.01), New York Heart Association functional classification (OR 2.2, 95% Cl 1.2-3.9 p<0.01), and serum creatinine (OR 1.5 per mg/dL, 95% CI 0.98-2.31 p=0.06) were independent predictors of mortality. CONCLUSIONS: Anaemia is a frequent problem among patients with heart failure and it is a significant independent risk factor for death.

La anemia es un factor pronóstico de mortalidad en la insuficiencia cardiaca / Anaemia predicts mortality in heart failure

Antecedentes: La anemia es frecuente en los enfermos con insuficiencia cardíaca (IC). Son pocos los estudios en los que se valora el impacto de la misma sobre la mortalidad en estos pacientes. Objetivo: Valorar la prevalencia de la anemia entre los enfermos con IC y su posible relación con la mortalidad. Material y métodos: Estudiamos las historias clínicas informatizadas de 272 enfermos que ingresaron en la Unidad de Medicina Interna de la Fundación Hospital Alcorcón con el diagnóstico principal de IC según los criterios de Framingham entre julio y diciembre de 2003. Realizamos análisis de regresión logística uni y multifactorial para valorar los factores pronósticos de mortalidad. Resultados: La mayoría de los enfermos eran mujeres (71%), la edad media fue 82,1 ± 9 años, 106 (39,9%) tenían anemia (niveles de hemoglobina séricos 1,5 mg/dL) y 154 pacientes (57%) tenían fibrilación auricular. Hubo 41 de funciones (15%). La anemia fue más frecuente y los niveles de hemoglobina eran más bajos en los enfermos que fallecieron (65% frente 36% y 11,2 ± 2,4 g/dL frente 12,6 ± 2,1 g/dL, respectivamente, p < 0,001 para ambos). El aumento de los niveles de creatinina séricos también se asociaron con la mortalidad (1,8 ± 0,8 vs 1,3 ± 0,8 mg/dL p < 0,001). En el análisis unifactorial, la edad, el sexo, la fibrilación auricular y la etiología de la IC no se asociaron con la mortalidad. En el análisis de regresión logística multifactorial los factores pronósticos de mortalidad fueron la hemoglobina (odds ratio [OR] 0,78 por g/dL, intervalo de confianza [IC] 95% 0,66-0,923 p < 0,01), la clase functional de la New York Heart Association (OR 2,2, IC 95% 1,2-3,9 p < 0,01) y la creatinina sérica (OR 1,5 por mg/dL, IC 95% 0,98-2,31 p = 0,06). Conclusiones: La anemia es un problema frecuente entre los enfermos con IC y constituye un factor pronóstico independiente de mortalidad

Background: Anaemia frequently coexists with heart failure. Few studies have examined the impact of anaemia on mortality in this population. Objective: To assess the prevalence of anaemia in patients with heart failure in an Internal Medicine Unit and its potential effects on mortality. Material and methods: We evaluated the electronic medical records of 272 patients with heart failure that fulfilled the criteria admitted to the Internal Medicine Unit of Fundación Hospital Alcorcón (Madrid, Spain) between July and December 2003. Uni and multivariate logistic regression analysis for predictors of mortality. Results: Most patients were women (71%), mean age was 82,1 ± 9 years, 106 (39,9%) had anaemia (serum haemoglobin levels 1.5 mg/dL and 154 patients (57%) had atrial fibrillation. There were 41 deaths (15%). The frequency of anaemia was higher and the haemoglobin levels were lower in the patients who died (65% vs 36%, and 11.2 ± 2.4 g/dL vs 12.6 ± 2,1 g/dL, p < 0.001 for both). Increased serum creatinine was also associated with mortality (1.8 ± 0.8 vs 1.3 ± 0.8 mg/dL p < 0.001). Age, gender, atrial fibrillation or the aetiology of heart failure were not associated with mortality in univariate analysis. In contrast, by multivariate logistic regression analysis, haemoglobin (odds ratio [OR] 0,78 per g/dL, 95% confidence interval [CI] 0.66- 0.923 p < 0.01), New York Heart Association functional classification (OR 2.2, 95% CI 1.2-3.9 p < 0.01), and serum creatinine (OR 1.5 per mg/dL, 95% CI 0.98-2.31 p = 0.06) were independent predictors of mortality. Conclusions: Anaemia is a frequent problem among patients with heart failure and it is a significant independent risk factor for death

Periferica blud opera rock-oco

La novela de Adolfo Cardenas explota la ciudad no conocida a traves de personajes complejos, dejando de lado los estereotipos a los que peligrosamente se acercan quienes quieren reflejar sus claroscuros. No hay una intencionalidad, por parte del autor, de reclamar para ellos -los personajes- la unica y verdadera ciudadania, tampoco la insomne tendencia a justificarlos o a buscar culpables a priori por las situaciones que les toca vivir. Cada personaje mantiene su propia identidad, sostenida esta por un magistral trabajo del lenguaje, pero el trabajo narrativo de Cardenas no esta centrado simplemente en el uso del lenguaje, el lo utiliza para dejar traslucir una realidad que se sucede a diario, ni mas ni menos dramatica que cualquier otra vida. El futuro es una obra seria pero divertida, profunda sin perder la ironia, lacerante y cruda, cruda como la realidad que nos permite reir de nuestro propio llanto

Chojcho con audio de Rock P'ssahdo

Relato de la vivencia de los jóvenes en la ciudad de El Alto