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1.
Am J Transplant ; 24(4): 542-548, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37931751

RESUMEN

The Lung Session of the 2022 16th Banff Foundation for Allograft Pathology Conference-held in Banff, Alberta-focused on non-rejection lung allograft pathology and novel technologies for the detection of allograft injury. A multidisciplinary panel reviewed the state-of-the-art of current histopathologic entities, serologic studies, and molecular practices, as well as novel applications of digital pathology with artificial intelligence, gene expression analysis, and quantitative image analysis of chest computerized tomography. Current states of need as well as prospective integration of the aforementioned tools and technologies for complete assessment of allograft injury and its impact on lung transplant outcomes were discussed. Key conclusions from the discussion were: (1) recognition of limitations in current standard of care assessment of lung allograft dysfunction; (2) agreement on the need for a consensus regarding the standardized approach to the collection and assessment of pathologic data, inclusive of all lesions associated with graft outcome (eg, non-rejection pathology); and (3) optimism regarding promising novel diagnostic modalities, especially minimally invasive, which should be integrated into large, prospective multicenter studies to further evaluate their utility in clinical practice for directing personalized therapies to improve graft outcomes.


Asunto(s)
Inteligencia Artificial , Rechazo de Injerto , Estudios Prospectivos , Rechazo de Injerto/diagnóstico , Rechazo de Injerto/etiología , Trasplante Homólogo , Pulmón , Biopsia
2.
Am J Physiol Lung Cell Mol Physiol ; 325(4): L477-L486, 2023 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-37605849

RESUMEN

Abnormal pulmonary vascular development and function in congenital diaphragmatic hernia (CDH) is a significant factor leading to pulmonary hypertension. The lung is a very heterogenous organ and has marked cellular diversity that is differentially responsive to injury and therapeutic agents. Spatial transcriptomics provides the unmatched capability of discerning the differences in the transcriptional signature of these distinct cell subpopulations in the lung with regional specificity. We hypothesized that the distal lung parenchyma (selected as a region of interest) would show a distinct transcriptomic profile in the CDH lung compared with control (normal lung). We subjected lung sections obtained from male and female CDH and control neonates to spatial transcriptomics using the Nanostring GeoMx platform. Spatial transcriptomic analysis of the human CDH and control lung revealed key differences in the gene expression signature. Increased expression of alveolar epithelial-related genes (SFTPA1 and SFTPC) and angiogenesis-related genes (EPAS1 and FHL1) was seen in control lungs compared with CDH lungs. Response to vitamin A was enriched in the control lungs as opposed to abnormality of the coagulation cascade and TNF-alpha signaling via NF-kappa B in the CDH lung parenchyma. In male patients with CDH, higher expression of COL1A1 (ECM remodeling) and CD163 was seen. Increased type 2 alveolar epithelial cells (AT-2) and arterial and lung capillary endothelial cells were seen in control lung samples compared with CDH lung samples. To the best of our knowledge, this is the first use of spatial transcriptomics in patients with CDH that identifies the contribution of different lung cellular subpopulations in CDH pathophysiology and highlights sex-specific differences.NEW & NOTEWORTHY This is the first use of spatial transcriptomics in patients with congenital diaphragmatic hernia (CDH) that identifies the contribution of different lung cellular subpopulations in CDH pathophysiology and highlights sex-specific differences.


Asunto(s)
Hernias Diafragmáticas Congénitas , Hipertensión Pulmonar , Recién Nacido , Humanos , Masculino , Femenino , Hernias Diafragmáticas Congénitas/genética , Hernias Diafragmáticas Congénitas/metabolismo , Transcriptoma/genética , Células Endoteliales/metabolismo , Pulmón/metabolismo , Hipertensión Pulmonar/metabolismo , Éteres Fenílicos/metabolismo , Proteínas Musculares/metabolismo , Péptidos y Proteínas de Señalización Intracelular/metabolismo , Proteínas con Dominio LIM/metabolismo
3.
Pediatr Dev Pathol ; 26(4): 362-373, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37165556

RESUMEN

BACKGROUND: Pathologic characterization of pulmonary complications following hematopoietic stem cell transplantation (HSCT) is limited. We describe lung findings in pediatric patients who died following HSCT and attempt to identify potential clinical associations. METHODS: Pathology databases at Texas Children's Hospital and the Children's Hospital of Philadelphia were queried (2013-2018 CHOP and 2017-2018 TCH). Electronic medical records and slides were reviewed. RESULTS: Among 29 patients, 19 received HSCT for hematologic malignancy, 8 for non-malignant hematologic disorders, and 2 for metastatic solid tumors. Twenty-five patients (86%) showed 1 or more patterns of acute and organizing lung injury. Sixty-two percent had microvascular sclerosis, with venous involvement noted in most cases and not correlating with clinical history of pulmonary hypertension, clinical transplant-associated thrombotic microangiopathy, irradiation, or graft-versus-host disease. Features suggestive of graft-versus-host-disease were uncommon: 6 patients had lymphocytic bronchiolitis, and only 2 patients had evidence of bronchiolitis obliterans (both clinically unexpected), both with a mismatched unrelated donor transplant. CONCLUSIONS: Acute and subacute alveolar injury (diffuse alveolar damage or organizing pneumonia) is common in pediatric patients who died following HSCT and is difficult to assign to a specific etiology. Microvascular sclerosis was frequent and did not correlate with a single distinct clinical feature.

4.
J Pathol ; 255(1): 52-61, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34086347

RESUMEN

The myogenic differentiation 1 gene (MYOD1) p.L122R somatic mutation was first discovered in a subset of clinically aggressive embryonal rhabdomyosarcomas and has since been described in both pediatric and adult spindle cell/sclerosing rhabdomyosarcomas. Relatively little is known about the clinical, molecular, and histopathological features of these tumors in children. In order to further characterize the genomic and clinical features of pediatric MYOD1-mutant sarcomas, we evaluated a cohort of soft-tissue sarcoma patients treated at Texas Children's Hospital. Tumor DNA was subjected to next-generation panel sequencing and/or Sanger sequencing of the MYOD1 hotspot mutation. The MYOD1 p.L122R mutation was identified in six tumors, with a variant allele fraction greater than 0.8 in three cases, suggestive of loss of heterozygosity. One sclerosing rhabdomyosarcoma lacking the MYOD1 hotspot mutation was observed to have a MYOD1 copy number gain, also with evidence of loss of heterozygosity. Cancer gene panel sequencing revealed potentially targetable alterations in six of seven (86%) patients with MYOD1 alterations, including four patients with an alteration in the PI3K-AKT pathway: two hotspot PIK3CA mutations and deletions in PTEN and TSC2. On histopathologic review, MYOD1-altered tumors exhibited spindle and/or round cells and varying degrees of hyaline sclerosis. At last follow-up, six patients had died of disease and the seventh progressed early and was subsequently lost to follow-up. Both pre- and post-therapy patient-derived xenograft models were generated from one patient's tumor. These models were confirmed to harbor the MYOD1 and PIK3CA mutations seen in the primary tumor and were shown to be sensitive to PI3K/mTOR inhibition in vitro and in vivo. In conclusion, this study adds to recent reports describing the clinicopathologic and genomic features of MYOD1-altered soft-tissue sarcomas in children, including dismal prognosis and potential molecular targets for therapy. The novel preclinical models developed will facilitate further biological and preclinical study of this rare and aggressive tumor. © 2021 The Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.


Asunto(s)
Proteína MioD/genética , Rabdomiosarcoma/genética , Neoplasias de los Tejidos Blandos/genética , Ensayos Antitumor por Modelo de Xenoinjerto , Adolescente , Animales , Antineoplásicos/farmacología , Niño , Femenino , Genómica , Humanos , Imidazoles/farmacología , Masculino , Ratones , Mutación , Quinolinas/farmacología , Rabdomiosarcoma/patología , Neoplasias de los Tejidos Blandos/patología , Adulto Joven
5.
Molecules ; 27(1)2022 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-35011511

RESUMEN

FT-Raman, FTIR, and SERS spectra of the structurally related gallnut polyphenols tannic acid, gallic acid, pyrogallol, and syringic acid are reported in this work aiming at performing a comparative assignation of the bands and finding specific marker features that can identify these compounds in complex polyphenol mixtures. Tannic and gallic acids are the principal components in oak gallnuts, and they can be found in iron gall inks. The different functional groups existing in these molecules and their spatial distribution lead to slight changes of the vibrations. The Raman spectra are dominated by bands corresponding to the ring vibrations, but the substituents in the ring strongly affect these vibrations. In contrast, the FTIR spectra of these molecules are dominated by the peripheral oxygen-containing substituents of the aromatic ring and afford complementary information. SERS spectroscopy can be used to analyze trace amounts of these compounds, but the spectra of these polyphenols show strong changes in comparison with the Raman spectra, indicating a strong interaction with the metal. The most significant modification observed in the SERS spectra of these compounds is the weakening of the benzene 8a ring vibration and the subsequent intensification of the 19a mode of the benzene ring. This mode is also more intense in the FTIR spectra, and its intensification in the SERS spectra could be related to a drastic change in the molecular polarizability associated with the interaction of the polyphenol with the metal in Ag NPs.


Asunto(s)
Tumores de Planta , Polifenoles/química , Quercus/química , Espectrometría Raman
6.
Appl Soft Comput ; 129: 109606, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-36092471

RESUMEN

One of the main problems that countries are currently having is being able to measure the impact of the pandemic in other areas of society (for example, economic or social). In that sense, being able to combine variables about the behavior of COVID-19 with other variables in the environment, to build models about its impact, which help the decision-making of national authorities, is a current challenge. In this sense, this work proposes an approach that allows monitoring the socioeconomic behavior of the regions/departments of a country (in this case, Colombia) due to the effect of COVID-19. To do this, an approach is proposed in which the behavior of the infected is initially predicted, and together with other context variables (climate, economics and socials) determines the current socioeconomic situation of a region. This classification of a region, with the pattern that characterizes it, is a fundamental input for those who make decisions. Thus, this work presents an approach based on machine learning techniques to identify regions with similar socioeconomic behaviors due to COVID-19, so they should eventually have similar public policies. The proposed hybrid model initially consists of a time series prediction model of infected, to which are added several context variables (climate, socioeconomic, incidence of COVID-19 at the level of deaths, suspects, etc.) in an unsupervised learning model, to determine the socioeconomic impact in the regions. Particularly, the unsupervised model groups similar regions together, and the pattern of each group describes the socioeconomic similarities between them, to help decision-makers in the process of defining policies to be implemented in the regions. The experiments showed the ability of the hybrid model to follow the evolution of the regions after 4 weeks. The quality metrics for the predictive model were around the values of 0.35 for MAPE and 0.68 for R 2 , and in the case of the clustering model were around the values of 0.3 for the Silhouette index and 0.6 for the Davies-Boulding index. The hybrid model allowed determining things like some regions that initially belonged to a group with a very low incidence of positive cases and very unfavorable socioeconomic conditions, became part of groups with moderately high incidences. Our preliminary results are very satisfactory since they allow studying the evolution of the socioeconomic impact in each region/department.

7.
Am J Physiol Gastrointest Liver Physiol ; 320(3): G366-G379, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33470189

RESUMEN

Activation of mitogen-activated protein kinases (MAPKs) is a key factor in the pathogenesis of cancer, although the specific role of mitogen-activated protein kinase kinase (MEK1) is not well understood. Villin promoter-driven Cre expression was used to excise a floxed stop cassette from a phosphomimetically constitutively activated MEK1 (caMEK1) expression construct in the intestine of C57BL/6 mice. Zygosity status of caMEK1 afforded assessment of the dose dependence of the effect. The expected mendelian distribution of genotypes and sex was observed in 443 progenies. Between 21 and 63 days of life, caMEK1 had no effect on body weight in male mice, but reduced body weight in female mice homozygous for caMEK1. At 10 wk of age, the ileum of caMEK1-expressing mice was characterized by the finding of dysplasia and profound changes in overall architecture. Paneth cells were nearly absent in caMEK1 homozygotes. Targeted proteomic profiling via reverse phase protein array analyses with confirmatory Western blotting revealed significant changes in protein and phosphoprotein expression, including upregulation of proteins downstream of MEK1, associated with enhanced markers of proliferation, diminished apoptosis, alterations in cell-fate determination, cell-cell interactions, and tight junctions. Long-term viability of caMEK1 homozygous mice was reduced with no survival beyond 1 yr. Invasive adenocarcinoma developed in three of ten older mice [15 wk (homozygous), 26 wk (homozygous), and 35 wk (heterozygous) of age]. Expression of caMEK1 in enterocytes leads to marked derangements in the intestinal epithelium, which is associated with a predisposition to the development of invasive cancer.NEW & NOTEWORTHY The ileum of mice with constitutive expression of activated MEK1 (via phosphomimetic changes) in enterocytes is markedly abnormal with architectural distortion and cytologic atypia, which evolves into an adenoma invasive carcinoma sequence. Phosphoproteomic analysis reveals upregulation of proteins downstream of MEK1, associated with enhanced markers of proliferation, diminished apoptosis, alterations in cell-fate determination, cell-cell interactions, and tight junctions. This novel model provides new insights into intestinal homeostasis and carcinogenesis.


Asunto(s)
Enterocitos/metabolismo , Íleon/citología , Neoplasias Intestinales/metabolismo , MAP Quinasa Quinasa 1/metabolismo , Animales , Diferenciación Celular/fisiología , Femenino , Eliminación de Gen , Predisposición Genética a la Enfermedad , Neoplasias Intestinales/genética , Longevidad , MAP Quinasa Quinasa 1/genética , Sistema de Señalización de MAP Quinasas/fisiología , Masculino , Ratones
8.
Bull Math Biol ; 83(8): 89, 2021 07 03.
Artículo en Inglés | MEDLINE | ID: mdl-34216281

RESUMEN

This work presents a model-agnostic evaluation of four different models that estimate a disease's basic reproduction number. The evaluation presented is twofold: first, the theory behind each of the models is reviewed and compared; then, each model is tested with eight impartial simulations. All scenarios were constructed in an experimental framework that allows each model to fulfill its assumptions and hence, obtain unbiased results for each case. Among these models is the one proposed by Thompson et al. (Epidemics 29:100356, 2019), i.e., a Bayesian estimation method well established in epidemiological practice. The other three models include a novel state-space method and two simulation-based approaches based on a Poisson infection process. The advantages and flaws of each model are discussed from both theoretical and practical standpoints. Finally, we present the evolution of Covid-19 outbreak in Colombia as a case study for computing the basic reproduction number with each one of the reviewed methods.


Asunto(s)
Número Básico de Reproducción/estadística & datos numéricos , COVID-19/epidemiología , COVID-19/transmisión , Pandemias/estadística & datos numéricos , SARS-CoV-2 , Teorema de Bayes , Colombia/epidemiología , Simulación por Computador , Intervalos de Confianza , Epidemias/estadística & datos numéricos , Humanos , Conceptos Matemáticos , Modelos Biológicos , Modelos Estadísticos , Distribución de Poisson
9.
Pediatr Dev Pathol ; 24(3): 227-234, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33651637

RESUMEN

INTRODUCTION AND AIM: Multiorgan autoimmunity and interstitial lung disease (ILD) are reported in patients with STAT3 GOF syndrome. RESULTS: We present lung histopathology findings in 3 such children, two of whom underwent wedge biopsies with adequate diagnostic material. Wedge biopsies showed interstitial cellular expansion with linear and nodular aggregates of CD8 positive T lymphocytes, plasma cells, and histiocytes; consistent with lymphocytic interstitial pneumonia pattern (LIP). CD4+ T cells and CD20+ B cells were present but infrequent in the interstitium. FOXP3 cells ranged from 0-5%. Focal interstitial and intraalveolar histiocytes were also seen. Neutrophils and eosinophils were rare/absent. Non-occlusive peribronchial lymphoid aggregates showed equal T and B cells; likely reactive in nature. Pulmonary vessels appeared normal without vasculitis or hypertensive change. There was no interstitial or subepithelial fibrosis or organizing pneumonia. Interlobular septa and visceral pleura were unremarkable. CONCLUSION: Children with multi-system autoimmune disorders with ILD should be investigated for STAT3 GOF syndrome. Lung wedge biopsies are more informative than transbronchial biopsies, if a tissue sampling is indicated. CD8 dominant T cell inflammation seems to be a key driver of ILD. Although interstitial fibrosis was not seen in our small sample, longer follow up is needed to understand the natural history.


Asunto(s)
Enfermedades Autoinmunes/genética , Enfermedades Pulmonares Intersticiales/patología , Pulmón/patología , Factor de Transcripción STAT3/genética , Preescolar , Femenino , Mutación con Ganancia de Función , Humanos , Lactante , Recién Nacido , Enfermedades Pulmonares Intersticiales/genética , Masculino
10.
Dig Dis Sci ; 66(7): 2387-2393, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-32757159

RESUMEN

BACKGROUND: The development of point-of-care biomarkers of disease has become a major focus of interest in nonalcoholic fatty liver disease (NAFLD). The NAFLD fibrosis score (NFS), BARD, FIB-4, and aspartate aminotransferase-to-platelet ratio index (APRI) are commonly used for advanced NAFLD fibrosis prediction. However, the performance of these scores among in a predominantly Hispanic patient population, a population with the highest prevalence of NAFLD, has not been examined. METHODS: We performed a retrospective study among patients with histologically confirmed and staged NAFLD at the Ben Taub General Hospital, Houston, Texas, to externally validate four noninvasive advanced fibrosis prediction scores. Their discriminatory ability was assessed using the area under the receiver operating characteristic curve (AUROC). Sensitivity, specificity, positive, and negative predictive values were calculated. RESULTS: We included 99 NAFLD patients, of whom 37 (37.4%) had advanced fibrosis. The cohort was predominantly Hispanic (73.7%). The AUROC for detecting advanced fibrosis were: NFS 0.79 (95% confidence interval, 0.69-0.88), BARD 0.76 (0.67-0.86), FIB-4 0.77 (0.68-0.87), and APRI 0.70 (0.59-0.81). Using the low cutoff for the NFS (- 1.455) had the highest sensitivity (81.1%) and the highest negative predictive value (85.4%) among the overall study population. CONCLUSIONS: Noninvasive scores for advanced NAFLD fibrosis have moderate discriminatory ability in Hispanic patients with NFS having a small advantage. The AUROCs of these scores were similar to those reported in Caucasian populations. However, they had uniformly lower negative predictive values among our predominantly Hispanic study population, suggesting that they are not reliable for ruling out advanced fibrosis among this high-risk population.


Asunto(s)
Hispánicos o Latinos , Cirrosis Hepática/patología , Enfermedad del Hígado Graso no Alcohólico/patología , Pruebas en el Punto de Atención , Adulto , Biomarcadores , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Estudios Retrospectivos
11.
Pediatr Dev Pathol ; 23(6): 461-466, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32815783

RESUMEN

Young males have a unique but rare predilection to develop mediastinal nonseminomatous germ cell tumors (NSGCTs) and concomitant acute megakaryoblastic leukemia (AMKL). Common cytogenetic and molecular abnormalities such as isochromosome 12p and somatic Tumor Protein P53(TP53) and Phosphatase And Tensin Homolog (PTEN) mutations have been reported in the presumed mutual neoplastic clones of origin. We report the case of a 17-year-old male who presented with a mediastinal NSGCT with high-grade sarcomatous transformation and a diagnosis of AMKL approximately 4 months later. Next-generation sequencing revealed identical KRAS Proto-Oncogene, GTPase (KRAS) p.Ala146Thr, TP53 p.Leu257Pro, and PTEN p.Leu181Pro missense mutations at similar variant allele frequencies in both the NSGCT and AMKL samples. Cytogenetic and microarray analyses detected shared copy gains in all chromosomes except chromosomes 9, 13, and Y. Multiple additional clonal chromosomal alterations were detected in the AMKL sample when compared with the NSGCT. This case emphasizes the shared clonal origins of these malignancies and identifies KRAS and other copy number alterations as potential molecular drivers in a subset of these combined diseases.


Asunto(s)
Biomarcadores de Tumor/genética , Leucemia Megacarioblástica Aguda/patología , Neoplasias del Mediastino/patología , Neoplasias de Células Germinales y Embrionarias/patología , Proteínas Proto-Oncogénicas p21(ras)/genética , Neoplasias Testiculares/patología , Adolescente , Análisis Citogenético , Humanos , Leucemia Megacarioblástica Aguda/complicaciones , Leucemia Megacarioblástica Aguda/diagnóstico , Leucemia Megacarioblástica Aguda/genética , Masculino , Neoplasias del Mediastino/complicaciones , Neoplasias del Mediastino/diagnóstico , Neoplasias del Mediastino/genética , Mutación , Neoplasias de Células Germinales y Embrionarias/complicaciones , Neoplasias de Células Germinales y Embrionarias/diagnóstico , Neoplasias de Células Germinales y Embrionarias/genética , Proto-Oncogenes Mas , Neoplasias Testiculares/complicaciones , Neoplasias Testiculares/diagnóstico , Neoplasias Testiculares/genética
12.
Langmuir ; 35(13): 4518-4526, 2019 04 02.
Artículo en Inglés | MEDLINE | ID: mdl-30762359

RESUMEN

The adsorption of humic substances on Ag nanoparticles (AgNPs) is of crucial environmental importance and determines the toxicity of these NPs and the structure of adsorbed organic matter. In this work, the adsorption of two standard soil and leonardite International Humic Substances Society humic acids was studied on AgNPs of different sizes, shapes (spherical and star-like), and interfacial chemical compositions. Surface-enhanced optical (Raman and fluorescence) spectroscopies were used to follow the specific chemical groups involved in this adsorption. By means of the latter optical techniques, information regarding the binding mechanism and the macromolecular aggregation can be deduced. The influence of the surface chemical composition induced by the different functionalizations of the interfaces of these NPs is highly important regarding the chemical interactions of these complex organic macromolecules. The surface functionalization with positively charged alkyl diamines led to a large increase in the adsorption as well as a strong structural rearrangement of the macromolecule once adsorbed onto the surface.

13.
Anal Bioanal Chem ; 411(28): 7419-7430, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31494687

RESUMEN

Substance P (SP) is one of the most studied peptide hormones and knowing the relationship between its structure and function may have important therapeutic applications in the treatment of a variety of stress-related illnesses. In order to obtain a deeper insight into its folding, the effects of different factors, such as pH changes, the presence of Ca2+ ions, and the substitution of the Met-NH2 moiety in the SP structure, was studied by Raman and infrared spectroscopies. SP has a pH-dependent structure. Under acidic-neutral conditions, SP possesses a prevalent ß-sheet structure although also other secondary structure elements are present. By increasing pH, a higher orderliness in the SP secondary structure is induced, as well as the formation of strongly bound intermolecular ß-strands with a parallel alignment, which favour the self-assembly of SP in ß-aggregates. The substitution of the Met-NH2 moiety with the acidic functional group in the SP sequence, giving rise to a not biologically active SP analogue, results in a more disordered folding, where the predominant contribution comes from a random coil. Conversely, the presence of Ca2+ ions affects slightly but sensitively the folding of the polypeptide chain, by favouring the α-helical content and a different alignment of ß-strands; these are structural elements, which may favour the SP biological activity. In addition, the capability of SERS spectroscopy to detect SP in its biologically active form was also tested by using different metal nanoparticles. Thanks to the use of silver NPs prepared by reduction of silver nitrate with hydroxylamine hydrochloride, SP can be detected at very low peptide concentration (~ 90 nM). However, the SERS spectra cannot be obtained under alkaline conditions since both the formation of SP aggregates and the lack of ion pairs do not allow a strong enough interaction of SP with silver NPs. Graphical abstract.


Asunto(s)
Espectroscopía Infrarroja por Transformada de Fourier/métodos , Sustancia P/química , Vibración , Calcio/química , Conformación Proteica , Espectrometría Raman/métodos
14.
J Pediatr Gastroenterol Nutr ; 68(1): 96-103, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30234762

RESUMEN

OBJECTIVES: Systematic study of allograft liver histology in children undergoing orthotopic liver transplantation (LT) for cystic fibrosis-related liver disease (CFLD). METHODS: Retrospective clinicopathologic review of explants and allograft liver biopsies from 13 children and adolescents with CFLD. RESULTS: In this study, the median age at LT for CFLD was 15.7 years. Notably, 10 of 13 (77%) CF explants had >5% steatosis and 8 of 13 (61.5%) demonstrated variable fibrosis. The median age, sex, type of transplant (liver vs liver-lung), pancreatic insufficiency status, body mass index (BMI) percentile, genotype, and prevalence of diabetes were comparable in those with and without explant steatosis. More than half of allograft biopsies showed significant steatosis (17/31, 54.8%) and lobular inflammation (16/31, 51.6%). Hepatocyte ballooning was less frequent (5/31, 16.1%). Overall, 6 patients (46.2%) had allograft steatosis that worsened over time in 2 patients (33%). None had advanced fibrosis (≥stage 3). Patients with allograft steatosis had significantly more biopsies, were more likely to be "liver only" recipients, had a shorter interval since transplant and higher body mass index percentile (although <85). Patients without explant steatosis never demonstrated allograft steatosis, whereas 60% of patients with explant steatosis (n = 6) developed varying degrees of allograft steatosis. The degree of explant steatosis did not predict its severity in allografts (P = 0.3). CONCLUSION: This is the first study highlighting the development of allograft steatosis in CF patients. Our findings suggest that allograft steatosis in patients with CF may be related to pre-existing steatosis in native livers, regardless of other risk factors and may have implications on patient management and long-term graft/patient survival.


Asunto(s)
Fibrosis Quística/complicaciones , Hígado Graso/epidemiología , Hepatopatías/cirugía , Trasplante de Hígado/efectos adversos , Complicaciones Posoperatorias/epidemiología , Adolescente , Aloinjertos/patología , Biopsia , Niño , Preescolar , Fibrosis Quística/patología , Hígado Graso/etiología , Femenino , Humanos , Hígado/patología , Hepatopatías/etiología , Hepatopatías/patología , Trasplante de Hígado/métodos , Masculino , Complicaciones Posoperatorias/etiología , Prevalencia , Estudios Retrospectivos , Factores de Riesgo , Índice de Severidad de la Enfermedad , Trasplante Homólogo
15.
Molecules ; 24(24)2019 Dec 17.
Artículo en Inglés | MEDLINE | ID: mdl-31861152

RESUMEN

Electrochemical surface-enhanced Raman scattering (SERS) of the cruciform system 1,4-bis((E)-2-(pyridin-4-yl)vinyl)naphthalene (bpyvn) was recorded on nanostructured silver surfaces at different electrode potentials by using excitation laser lines of 785 and 514.5 nm. SERS relative intensities were analyzed on the basis of the resonance Raman vibronic theory with the help of DFT calculations. The comparison between the experimental and the computed resonance Raman spectra calculated for the first five electronic states of the Ag2-bpyvn surface complex model points out that the selective enhancement of the SERS band recorded at about 1600 cm-1, under 785 nm excitation, is due to a resonant Raman process involving a photoexcited metal-to-molecule charge transfer state of the complex, while the enhancement of the 1570 cm-1 band using 514.5 nm excitation is due to an intramolecular π→π* electronic transition localized in the naphthalenyl framework, resulting in a case of surface-enhanced resonance Raman spectrum (SERRS). Thus, the enhancement of the SERS bands of bpyvn is controlled by a general chemical enhancement mechanism in which different resonance processes of the overall electronic structure of the metal-molecule system are involved.


Asunto(s)
Metales/análisis , Metales/química , Naftalenos/análisis , Naftalenos/química , Espectrometría Raman , Complejos de Coordinación/análisis , Complejos de Coordinación/química , Teoría Funcional de la Densidad , Electroquímica , Modelos Químicos , Modelos Moleculares , Estructura Molecular
16.
Nanotechnology ; 27(26): 265602, 2016 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-27199344

RESUMEN

Self-assembly (SA) of molecular units to form regular, periodic extended structures is a powerful bottom-up technique for nanopatterning, inspired by nature. SA can be triggered in all classes of solid materials, for instance, by femtosecond laser pulses leading to the formation of laser-induced periodic surface structures (LIPSS) with a period slightly shorter than the laser wavelength. This approach, though, typically involves considerable material ablation, which leads to an unwanted increase of the surface roughness. We present a new strategy to fabricate high-precision nanograting structures in silicon, consisting of alternating amorphous and crystalline lines, with almost no material removal. The strategy can be applied to static irradiation experiments and can be extended into one and two dimensions by scanning the laser beam over the sample surface. We demonstrate that lines and areas with parallel nanofringe patterns can be written by an adequate choice of spot size, repetition rate and scan velocity, keeping a constant effective pulse number (N eff) per area for a given laser wavelength. A deviation from this pulse number leads either to inhomogeneous or ablative structures. Furthermore, we demonstrate that this approach can be used with different laser systems having widely different wavelengths (1030 nm, 800 nm, 400 nm), pulse durations (370 fs, 100 fs) and repetition rates (500 kHz, 100 Hz, single pulse) and that the grating period can also be tuned by changing the angle of laser beam incidence. The grating structures can be erased by irradiation with a single nanosecond laser pulse, triggering recrystallization of the amorphous stripes. Given the large differences in electrical conductivity between the two phases, our structures could find new applications in nanoelectronics.

17.
Phys Chem Chem Phys ; 18(35): 24437-50, 2016 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-27537101

RESUMEN

Octreotide and pasireotide are two cyclic somatostatin analogues with an important clinical use in the treatment and diagnosis of neuroendocrine tumors. Herein, by the combined use of several techniques (UV-visible absorption, fluorescence, circular dichroism, ζ-potential, transmission electron microscopy, Raman scattering, surface-enhanced Raman scattering, and quantum mechanical calculations) we have followed the structural dynamics of these analogues in the bulk, as well as their binding sites on plasmonic (gold and silver) colloids. In contrast to the previously derived conclusions, the two peptides seem to possess completely different conformational features. Octreotide, a cyclic octapeptide, is formed by a moderately flexible type-II'ß-turn maintained by a deformable disulfide linkage. Pasireotide, in which the cyclic character is made possible by peptide bonds, manifests a rigid backbone formed by two oppositely placed tight turns of different types, i.e.γ-turn and type-I ß-turn. Owing to their cationic character, both analogues induce aggregation of negatively charged gold and silver colloids. Nevertheless, despite their notable structural differences, both peptides bind onto gold nanoparticles through their unique d-Trp residue. In contrast, their binding to silver colloids seems to be of electrostatic nature, as formed through monodentate or bidentate ionic pairs.

18.
Anal Chem ; 87(1): 663-9, 2015 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-25494815

RESUMEN

In this work, we report the detection of the organochlorine pesticides aldrin, dieldrin, lindane, and α-endosulfan by using surface-enhanced Raman spectroscopy (SERS) and optimization of the SERS-sensing substrate. In order to overcome the inherent problem of the low affinity of the above pesticides, we have developed a strategy consisting of functionalization of the metal surface with alkyl dithiols in order to achieve two different goals: (i) to induce the nanoparticle linkage and create interparticle junctions where sensitive hot spots needed for SERS enhancement are present, and (ii) to create a specific environment in the nanogaps between silver and gold nanoparticles, making them suitable for the assembly and SERS detection of the analyzed pesticides. Afterward, an optimization of the sensing substrate was performed by varying the experimental conditions: type of metal nanoparticles, molecular linker (aromatic versus aliphatic dithiols and the length of the intermediate chain), surface coverage, laser excitation wavelength. From the adsorption isotherms, it was possible to deduce the corresponding adsorption constant and the limit of detection. The present results confirm the high sensitivity of SERS for the detection of the organochlorine pesticides with a limit of detection reaching 10(-8) M, thus providing a solid basis for the construction of suitable nanosensors for the identification and quantitative analysis of this type of chemical.


Asunto(s)
Oro/química , Hidrocarburos Clorados/análisis , Nanopartículas del Metal/química , Plaguicidas/análisis , Plata/química , Espectrometría Raman/métodos , Tolueno/análogos & derivados , Sensibilidad y Especificidad , Resonancia por Plasmón de Superficie , Propiedades de Superficie , Tolueno/química
19.
Langmuir ; 30(3): 753-61, 2014 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-24417650

RESUMEN

In this work, surface-enhanced Raman scattering (SERS) and surface-enhanced fluorescence (SEF) were employed in the study of the adsorption and detection of the pigments quinacridone (QA) and 2,9-dimethylquinacridone (2,9-DMQA). These pigments are of great relevance in artwork and textile, plastic, and photochemical industries due to their condition as high performance pigments since they possess a high tinting strength. Due to this fact, they have been employed at relatively low concentrations. Therefore, the analysis and detection of these pigments requires the application of a highly sensitivity technique, such as SERS and SEF. The adsorption of QA and 2,9-DMQA on silver nanoparticles was extensively studied by means of SERS at different surface coverages. This study was completed by carrying out an in depth vibrational (Raman and IR) analysis of these pigments in solid state by ab initio density functional theory (DFT) calculations. In addition, UV-vis spectroscopy was employed to investigate the aggregation undergone by both pigments in solid state and in solution. 2,9-DMQA was demonstrated to have a lower tendency toward aggregation due to the presence of methyl groups. Even so, this molecule follows a BET adsorption mechanism on the metal nanoparticles due to its high tendency toward intermolecular interaction. From the analysis of the adsorption mechanism of this molecule, the limit of detection was deduced to be ca. 55 ppb.

20.
Spectrochim Acta A Mol Biomol Spectrosc ; 308: 123681, 2024 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-38039641

RESUMEN

Tyrosine (Tyr) residue in a peptide chain is characterized by the presence of seven Raman markers, referred to as Yi (i = 1, …, 7), distributed over the middle wavenumber spectral region. Particularly, the changes observed in the relative intensity of Y5 and Y6 markers, appearing as a side by side doublet at ca. 850-830 cm-1, has received a great attention. Primarily assigned to a Fermi-resonance effect between phenol ring planar and nonplanar modes, former density functional theory calculations led us to affiliate the Y5-Y6 doublet to two distinct fundamental modes. Furthermore, despite the previous assumptions, it was evidenced that the reversal of the doublet intensity ratio cannot be solely explained by hydrogen bonding on the phenol hydroxyl group involved in Tyr. Herein, upon analyzing the observed and theoretical data collected from the cationic species of the tripeptide Gly-Tyr-Gly, the crucial effect of the aromatic side chain orientation, especially that of the χ1 torsion angle defined around the CαCß bond, on the Tyr doublet intensity ratio has been evidenced.

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