Infection of dogs by Leishmania infantum elicits a general response of IgG subclasses.

Leishmania infantum is the etiological agent of zoonotic visceral leishmaniasis. In endemic areas, canine infections are considered the main source of infection for human populations. Therefore, any control of human leishmaniasis must include the control of canine infections. Chemotherapy of leishmaniasis is inadequate and canine immunoprophylaxis has important limitations. Reports on the response of infected dogs are abundant but no clear picture of immune events has emerged. To shed some light on these shortcomings the specific IgG subclass response was followed in 20 Beagle dogs experimentally infected with L. infantum using monoclonal antibodies (MAb) specific for canine IgG1, IgG2, IgG3 and IgG4, along with ELISA and flow cytometry. Results showed that parasitic infection elicits a general response of all IgG subclasses, with a predominant IgG1 response and without any evidence of IgG1/IgG2 dichotomy. These findings suggest that the inconsistent results reported previously could be related to the lack of specific reagents and not to the actual differences in the immune response of infected animals. Differential IgG subclass reactivity in ELISA and cytometry and the analysis of the reacting antigens could facilitate the diagnosis and prognosis of the disease and provide a useful tool for adequate therapeutics and vaccine development against leishmaniasis.

The frequency-following response (FFR) to speech stimuli: A normative dataset in healthy newborns.

The Frequency-Following Response (FFR) is a neurophonic auditory evoked potential that reflects the efficient encoding of speech sounds and is disrupted in a range of speech and language disorders. This raises the possibility to use it as a potential biomarker for literacy impairment. However, reference values for comparison with the normal population are not yet established. The present study pursues the collection of a normative database depicting the standard variability of the newborn FFR. FFRs were recorded to /da/ and /ga/ syllables in 46 neonates born at term. Seven parameters were retrieved in the time and frequency domains, and analyzed for normality and differences between stimuli. A comprehensive normative database of the newborn FFR is offered, with most parameters showing normal distributions and similar robust responses for /da/ and /ga/ stimuli. This is the first normative database of the FFR to characterize normal speech sound processing during the immediate postnatal days, and corroborates the possibility to record the FFRs in neonates at the maternity hospital room. This normative database constitutes the first step towards the detection of early FFR abnormalities in newborns that would announce later language impairment, allowing early preventive measures from the first days of life.

The role of plasma IDO activity as a diagnostic marker of patients with colorectal cancer.

High levels of indoleamine 2,3-dioxygenase (IDO) are involved in tumour escape mechanisms. The aim of this study is the evaluation of L-kynurenine of plasma as marker of diagnostic and prognostic in patients with colorectal cancer. The study included 78 patients with colorectal cancer, of whom 15 % were in stage I/II, 30 % in stage III, and 55 % in stage IV, and was compared with a control group of 70 healthy subjects. The receiver operating characteristic (ROC) curve analysis showed an area under the curve of 0.917, with a specificity of 100 % and with a sensitivity to detect cancer of the colon of 85.2 %, taking 1.83 µM as a cut-off point. The overall survival analysis also indicated that patients with low levels of L-kynurenine in plasma increased survival rate after 45 months of follow-up (P = 0.032). These results show that the plasma levels of L-kynurenine could be a good biomarker to differentiate individuals with colorectal cancer from healthy individuals.

In vitro synergistic effect of amphotericin B and allicin on Leishmania donovani and L. infantum.

Current monotherapy against visceral leishmaniasis has serious side effects, and resistant Leishmania strains have been identified. Amphotericin B (AmB) has shown an extraordinary antileishmanial efficacy without emergence of resistance; however, toxicity has limited its general use. Results obtained showed, using a fixed-ratio analysis, that the combination of diallyl thiosulfinate (allicin) and AmB ranged from moderately synergic to synergic at low concentrations (0.07 µM AmB plus 35.45 µM allicin induced 95% growth inhibition). None of the treatments, alone or in combination, had noticeable adverse effects on macrophages (M) in the concentration range examined (allicin, 0.5, 1, 5 and 10 µM; AmB, 0.05, 0.075, and 0.1 µM). Allicin, AmB, or the combination did not affect the infection rate (percentage of infected M) of Leishmania. Allicin enhanced the activity of AmB on intracellular amastigotes of Leishmania donovani and L. infantum (ca. 45% reduction of amastigote burden with 0.05 µM AmB plus 10 µM allicin); this represented nearly a 2-fold reduction in the 50% inhibitory concentration (IC50) of the antibiotic added alone. Results point toward the possible utility of testing this combination in vivo to reduce the toxicity associated with monotherapy with AmB.

Cancer chemotherapy reduces plasma total polyphenols and total antioxidants capacity in colorectal cancer patients.

Our aim was to investigate the effect of chemotherapy on plasma total antioxidant capacity and polyphenols in patients with colon cancer. Plasma samples were collected from 70 CRC patients under chemotherapy treatment, and 15 non-treated patients. The control group included 71 healthy individuals. Plasma ABTS and FRAP were measured as biomarkers of antioxidant total capacity and the total phenols as an indicator to determine the polyphenols levels in plasma. Treatment with chemotherapy protocols resulted in a significant decrease of ABTS (-24 %, p < 0.048), FRAP (-15 %, p < 0.046) and polyphenols (-46 %, p < 0.05) compared with the values of those not treated. The total antioxidant capacity was significantly lower (-18 % for ABTS and -12 % for FRAP) in patients with metastasis as compared with patients without metastasis. The plasma total phenols, were also decreased (-16 %, p = 0.005) in metastasis patients. The patients with colorectal cancer have decreased total antioxidant capacity and the values are lower in patients treated with chemotherapy. Furthermore, CEA tumor marker levels are associated with a lower plasma total antioxidant capacity, and therefore with the progress and development of the disease.

Effects of dynamic rotation on event-related brain potentials.

Event-related potentials were recorded during a mental rotation task. Subjects were shown pairs of letter-like shapes and were asked to make a parity judgment. The shape on the left was always in its canonical position and the shape on the right could either be in its canonical position or be a mirror image. Two variables were manipulated for the shape on the right. First, it could appear at different orientations (50 degrees , 100 degrees or 150 degrees ); second, it could be presented in a stationary position, in a dynamic congruent direction (the shape slowly rotating toward its normal upright position) or in a dynamic incongruent direction (the shape slowly rotating in the opposite direction to its normal upright position). Orientation- and direction-dependent modulations of a negative slow wave were found. For orientation, the typical amplitude effect over parietal sites was found, the amplitude becoming more negative as the rotational angle increased. For direction, the amplitude of the negative slow wave was larger for stationary and dynamic incongruent trials than for dynamic congruent trials at 100 degrees and 150 degrees . This result suggests that presentation of a stimulus in a dynamic congruent direction facilitates the mental rotation process. At 50 degrees , differences between dynamic incongruent trials and both stationary and dynamic congruent trials were found, suggesting that the incongruent movement elicits an obstructing effect over the mental rotation process. In summary, the present experiment provides new evidence in support of the idea that the amplitude modulation over the parietal cortex is a psychophysiological marker of the mental rotation process.

Angioqueratoma corporis circunscrito (enfermedad de Fabry tipo II) / Angiokeratoma corporis circumscriptum (Fabry disease type II)

No disponible

Activation of brain mechanisms of attention switching as a function of auditory frequency change.

The activation of the cerebral network underlying involuntary attention switching was studied as a function of the magnitude of auditory change. Event-related brain potentials (ERPs) were recorded during the performance of a visual discrimination task in which task-irrelevant auditory frequency changes of six different levels (5%, 10%, 15%, 20%, 40% and 80%) occurred randomly within the same stimulus sequence. All the frequency changes elicited a typical ERP waveform, characterized by MMN, P3a and RON, their respective amplitudes increasing linearly as a function of the magnitude of change. The results indicate that attentional processes in the brain may follow a linear function of activation, contrasting with the well-established logarithmic functions underlying perceptual and psychophysical processes.

Acneiform eruption caused by amineptine. A case report and review of the literature.

Acne caused by amineptine has always been described with typical characteristic clinical features, and the retentional and cutaneous lesions are dose related. We present a case of acne-like eruption due to amineptine in a woman under treatment for chronic depression.

[Quo vadis telemedicine?]. / Quo vadis telemedicina?

INTRODUCTION: Telemedicine, i.e. the set of diagnostic, terapheutic or social medicine actions, done using electronic transmission methods, is thieving and shows an amazing and disquieting near future. Let us review the actual situation and analyze the future perspectives. DEVELOPMENT: It is now a reality in different scopes and centres such as Teleradiology, Telepathology, Teleophthalmology, and so, and terms like Telepresence or Robotic Surgery, are making its way. Meanwhile, by now, Internet doesn't support critical applications where the patient's life is at risk, the boom of telecommunications at planetary level is changing our habits and rhythms, ... our lifes. It's the immediate transmission of information without intermediaries being able of manipulate it, it's the universal, easy, free and immediate communication between persons. A media without government, without censure, hard to legislate, that implies the fading out of diverse social beings that are nowadays under constraints of time and space, and the fading in of new beings free of that sort of constraints. We are seeing the born and growing up of a new culture that will impose itself-it is already doing so-like it has happened before with the press, or vaccines. It is in our hands to cooperate in the positive development of these new technologies, of this new culture, and to protect it from irresponsible governments, from unscrupulous commercials, and from the people trying to convert it in new social barriers. But we have reasons to be optimist, one of them is the existence of a lot of intelligent, passionated, usually very young people, extremely experts in computer science and communications, that are working hard in these fields, knowing that the ones who have the control of communications will rulethe future world. CONCLUSIONS: It is important that telemedicine helps improving medical sciences, the patients, the doctor and the society and we can-we must-work to this end.

[Direct communication on the Internet. Uninet: the university link for Integrate Telematic Services]. / 'La comunicación en directo en Internet.' UniNet: La RedUniversitaria de Servicios Telemáticos Integrados.

The importance of Internet as a communication medium is clear due to the amount of information it distributes and the high number of potential recipients it has. The appearance of virtual user communities (CMV) focuses to information classification within subjects of interest for certain groups of people in order to facilitate its search and use. The UniNet project of Integrated Telematic Services for CMV through, as well as other subprojects, the 'propuesta RedUni' encourages the creation of CMV by mean of integration of various computer and Internet resources, such as distribution mailing list, web pages, Internet Relay Chat (IRC), etc. The current state of IRC in such context is presented and the utilities of the known as Scientific-IRC as a professional real time communication tool are discussed.

Octreotide: effects in experimental severe acute pancreatitis. Analysis of survival, biochemical findings and histomorphometry.

OBJECTIVE: The effect of octreotide in acute experimental pancreatitis was examined. EXPERIMENTAL DESIGN: Acute pancreatitis was induced in 70 male Wistar rats by retrograde injection of 5% sodium taurocholate into the pancreatic duct. Octreotide (50 micrograms = 0.5 ml) or isotonic saline was administered subcutaneously every six hours for 24 hours, beginning at the time of induction of pancreatitis (groups 1 and 2) or 12 hours later (groups 3 and 4). Six hours after the last dose of octreotide or saline, the rats were sacrificed. Ten additional rats were used for basal biochemical determination. For the analysis of survival, another 10 rats were included. The survival rate, serum concentrations of amylase, lipase and lactate dehydrogenase (LDH) and morphometric studies (total area of the pancreas and percentage necrosis) were examined. Statistical analysis involved Student's t test, ANOVA and the Mantel-Haenszel test. RESULTS: No significant differences existed among the groups with respect to survival, morphometric analysis or biochemical determinations, except for a minor increase in LDH levels in the group treated with octreotide at the time of induction. CONCLUSIONS: Octreotide administration has almost no impact on mortality in experimental severe acute pancreatitis. Biochemical and morphometric changes are minimal. Therefore, according to the present study, the efficacy of octreotide administration is very low.

[Renal oncocytoma in acquired cystic diseases]. / Oncocitoma renal en enfermedad quística adquirida.

The authors report a case of renal oncocytoma associated with acquired renal cystic disease and we comment on its pathogenesis and course. This case responds a patient with chronic end renal insufficiency, included in a maintenance hemodialysis program for the two previous years nefrectomy. The association of oncocytoma with acquired renal cystic disease has been previously described only twice; both patients have been hemodialyzed for a long time.

Depressed adenoma of the stomach. Conceptual review and study of five cases.

Depressed gastric adenoma is a recently featured lesion, distinguished by a depression in the gastric mucosa, with histologic changes of conventional adenomatous polyp. We observed five cases of depressed gastric adenoma, one of them associated with a peptic ulcer, another with a gastric stump, and yet another with an early gastric carcinoma. None of the cases was detected clinically by radiology or endoscopic study. Endoscopically, this lesion stimulates a peptic ulcer at a re-epithelialization stage or an early carcinoma of the depressed type. Histologically, all the cases showed dysplastic changes of varying degrees, with a relevant risk of malignancy. A similarity is shown to other lesions described in the gastric mucosa.