Differential expression of C-reactive protein and serum amyloid A in different cell types in the lung tissue of chronic obstructive pulmonary disease patients.

BACKGROUND: Chronic systemic inflammatory syndrome has been implicated in the pathobiology of extrapulmonary manifestations of chronic obstructive pulmonary disease (COPD). We aimed to investigate which cell types within lung tissue are responsible for expressing major acute-phase reactants in COPD patients and disease-free ("resistant") smokers. METHODS: An observational case-control study was performed to investigate three different cell types in surgical lung samples of COPD patients and resistant smokers via expression of the C-reactive protein (CRP) and serum amyloid A (SAA1, SAA2 and SAA4) genes. Epithelial cells, macrophages and fibroblasts from the lung parenchyma were separated by magnetic microbeads (CD326, CD14 and anti-fibroblast), and gene expression was evaluated by RT-PCR. RESULTS: The sample consisted of 74 subjects, including 40 COPD patients and 34 smokers without disease. All three cell types were capable of synthesizing these biomarkers to some extent. In fibroblasts, gene expression analysis of the studied biomarkers demonstrated increased SAA2 and decreased SAA1 in patients with COPD. In epithelial cells, there was a marked increase in CRP, which was not observed in fibroblasts or macrophages. In macrophages, however, gene expression of these markers was decreased in COPD patients compared to controls. CONCLUSIONS: These results provide novel information regarding the gene expression of CRP and SAA in different cell types in the lung parenchyma. This study revealed differences in the expression of these markers according to cell type and disease status and contributes to the identification of cell types that are responsible for the secretion of these molecules.

A new species of the alpheid shrimp genus Triacanthoneus Anker, 2010 (Crustacea: Alpheidae) from Belize.

A new species of the alpheid shrimp genus Triacanthoneus Anker, 2010, is described based on material collected in a marine cave off Caye Chapel, Belize. Triacanthoneus chapelianus sp. nov. is the fifth species in the genus and can be distinguished from the other four species by the position of the dorsolateral teeth on the carapace, which in the new species have an anterior (= submarginal) position, and by the configuration of the posterior margin of the telson, with a notch in the middle portion and two pairs of spines and one pair of plumose setae. A key to the five species of Triacanthoneus is provided.

Computational Analysis of Polymeric Biodegradable and Customizable Airway Stent Designs.

The placement of endotracheal prostheses is a procedure used to treat tracheal lesions when no other surgical options are available. Unfortunately, this technique remains controversial. Both silicon and metallic stents are used with unpredictable success rates, as they have advantages but also disadvantages. Typical side effects include restenosis due to epithelial hyperplasia, obstruction and granuloma formation. Repeat interventions are often required. Biodegradable stents are promising in the field of cardiovascular biomechanics but are not yet approved for use in the respiratory system. The aim of the present study is to summarize important information and to evaluate the role of different geometrical features for the fabrication of a new tracheo-bronchial prosthesis prototype, which should be biodegradable, adaptable to the patient's lesion and producible by 3D printing. A parametric design and subsequent computational analysis using the finite element method is carried out. Two different stent designs are parameterized and analyzed. The biodegradable material chosen for simulations is polylactic acid. Experimental tests are conducted for assessing its mechanical properties. The role of the key design parameters on the radial force of the biodegradable prosthesis is investigated. The computational results allow us to elucidate the role of the pitch angle, the wire thickness and the number of cells or units, among other parameters, on the radial force. This work may be useful for the design of ad hoc airway stents according to the patient and type of lesion.

Two new genera and three new species of freshwater crabs (Crustacea: Pseudothelphusidae: Potamocarcinini) from Chiapas, Mexico.

Two new genera, Sylvathelphusa n. gen. and Tzotzilthelphusa n. gen., and three new species, Sylvathelphusa kalebi n. sp., S. cavernicola n. sp. and Tzotzilthelphusa villarosalensis n. sp., of the tribe Potamocarcinini, family Pseudothelphusidae, are described from Chiapas, Mexico. Sylvathelphusa n. gen. is characterized by a male gonopod with the marginal plate between the caudal and mesial surfaces abruptly widening distally and forming a triangular apical projection; and a mesial process as a strong, acute spine forming a 90º angle with respect to the principal axis of the gonopod. Tzotzilthelphusa n. gen. exhibits a male gonopod strongly bent laterally in the distal third, and a mesial surface rounded distally with acute spinules. Sylvathelphusa n. gen. is similar to Potamocarcinus in gonopod morphology, in both straight and with a mesial process developed as strong tooth in a similar shape and position. Tzotzilthelphusa n. gen. is similar to Phrygiopilus in that the gonopods of both genera develop a supra-apical process that is a continuation of the mesial surface. The new taxa come from the Los Altos de Chiapas region and bring the total number of pseudothelphusid genera in Chiapas to 11.

Two new genera and one new species of freshwater crabs of the subfamily Pseudothelphusinae (Decapoda: Brachyura: Pseudothelphusidae) from southwestern Mexico.

Two new genera from the Chimalapas region in eastern Oaxaca, and from Zongolica, Veracruz, Mexico are presented. Mokayathelphusa angelsotoi n. gen., n. sp., which is described from Oaxaca, is placed in the subfamily Pseudothelphusinae due to the presence of a caudomarginal projection that ends apically in an ornamented plate. Alvarezius n. gen. is erected to accommodate A. zongolicae (Alvarez, Villalobos & Moreno, 2012) n. comb. This species was described in Pseudothelphusa, but a recent molecular phylogenetic analysis based on partial sequences of three genes (COI, 16S and H3) places this species outside the genus Pseudothelphusa and as a sister lineage to Tehuana. These results in combination with a morphological analysis support the establishment of the new genus.

Revision of the freshwater crabs of the genus Tehuana Rodríguez & Smalley in Smalley 1970 (Decapoda, Pseudothelphusidae), with the descriptions of two new species.

The freshwater crab genus Tehuana Rodríguez & Smalley in Smalley, 1970 includes eight species distributed in southeastern Mexico. A recent review of organisms belonging to this genus uncovered new variations in the male gonopod morphology. A phylogenetic analysis based on molecular characters using three genes (H3, 16S, and COI) resulted in the identification of two new species which are described herein: Tehuanaayotzintepecensis sp. nov. from Oaxaca and Tehuanacol sp. nov. from Veracruz. New diagnoses are provided for those species that had very brief descriptions lacking the treatment of important taxonomic characters and an identification key for all the species in the genus is also given. A discussion of the distribution of all the species in Tehuana in the Isthmus of Tehuantepec is presented.

Prevalence of osteoporosis and osteopenia in a cohort of HIV positive women with a history of treated neoplasms.

INTRODUCTION: Higher prevalence of osteopenia and osteoporosis in HIV positive patients compared to non-infected population has been recognized. However, cancer patients have a higher risk of bone loss and fractures that is multifactorial. The aim of the study was to describe the prevalence of osteopenia and osteoporosis in HIV positive women with history of treated cancer. METHODS: Between January 2018 and December 2019, women aged >40 years, HIV+ with a history of cancer diagnosis, who attended the AIDS Cancer Clinic at Instituto Nacional de Cancerología, Mexico City, and who had a dual X-ray absorptiometry performed during the study period were included. Two control groups (CG)-HIV negative women with history of cancer (CG1) and non-HIV, non-cancer women (CG2)-were matched by age 1:1. RESULTS: Forty-eight patients in each group were included; the mean age was 51.1 ± 8.1 years. Osteopenia was found in femoral neck in 54.2% (HIV+), 37.5% (CG1), and 27.1% (CG2), p = 0.02; in spine was 35.7%, 47.9%, and 31.2%, respectively, p = 0.442. Osteoporosis in femoral neck was documented in 12.5%, 2.1%, and 0% in HIV+, CG1, and CG2 (p = 0.03), and in the spine was 47.9%, 16.7%, and 14.6%, respectively (p = 0.002). CONCLUSION: HIV patients with a history of treated cancer have a much higher prevalence of osteoporosis when compared with same-aged HIV-uninfected women with and without cancer. It is necessary to monitor Bone Mineral Density periodically, and all patients should be encouraged to make lifestyle changes, such as avoid tobacco and alcohol, and to increase exercising.

Multigene phylogeny and taxonomic revision of American shrimps of the genus Cryphiops Dana, 1852 (Decapoda, Palaemonidae) implies a proposal for reversal of precedence with Macrobrachium Spence Bate, 1868.

The freshwater shrimp genus Cryphiops Dana, 1852 has a disjunct distribution in North (Mexico) and South (Brazil, Chile) America, and is composed of only six species. The current classification of genera in the Palaemonidae is controversial, based on variable morphological characters, and still far from a clear definition. Cryphiops differs from the speciose genus Macrobrachium Spence Bate, 1868 only by the absence of the hepatic spines on the carapace. Previous studies with a limited dataset suggested the necessity to link morphology and phylogeny to create an internal rearrangement in the genus to resolve the paraphyletic status. Through a molecular phylogenetic approach, the evolutionary relationships are inferred based on four (mitochondrial and nuclear) genes, among all recognized species of Cryphiops and, in combination with a taxonomic revision, a rearrangement in the systematics of the genus is suggested. The absence of hepatic spines on the carapace, the only character used to separate the genus Cryphiops, is subjective and should be considered as a homoplasy. This implies that Cryphiops and Macrobrachium are subjective synonyms and, because the latter genus is much more diverse and widely known, with several economically important species, to avoid confusion and disturbance in nomenclatural stability and keep universality, a proposal for the priority of the older synonym (Cryphiops) to be partially suppressed in favor of maintaining the prevailing use of the younger synonym (Macrobrachium) is presented. As the species of Cryphiops should be accommodated in the genus Macrobrachium, new names to replace three preoccupied specific names that, by this action, resulted to be secondary homonyms are offered.

Evaluation of lung parenchyma, blood vessels, and peripheral blood lymphocytes as a potential source of acute phase reactants in patients with COPD.

Background: Previous studies have shown that the arterial wall is a potential source of inflammatory markers in COPD. Here, we sought to compare the expression of acute phase reactants (APRs) in COPD patients and controls both at the local (pulmonary arteries and lung parenchyma) and systemic (peripheral blood leukocytes and plasma) compartments. Methods: Consecutive patients undergoing elective surgery for suspected primary lung cancer were eligible for the study. Patients were categorized either as COPD or control group based on the spirometry results. Pulmonary arteries and lung parenchyma sections, peripheral blood leukocytes, and plasma samples were obtained from all participants. Gene expression levels of C-reactive protein (CRP) and serum amyloid A (SAA1, SAA2, and SAA4) were evaluated in tissue samples and peripheral blood leukocytes by reverse transciption-PCR. Plasma CRP and SAA protein levels were measured by enzyme-linked immunosorbent assays. Proteins were evaluated in paraffin-embedded lung tissues by immunohistochemistry. Results: A total of 40 patients with COPD and 62 controls were enrolled. We did not find significant differences in the gene expression between COPD and control group. Both CRP and SAA were overexpressed in the lung parenchyma compared with pulmonary arteries and peripheral blood leukocytes. The expression of SAA was significantly higher in the lung parenchyma than in the pulmonary artery (2-fold higher for SAA1 and SAA4, P=0.015 and P<0.001, respectively; 8-fold higher for SAA2, P<0.001) and peripheral blood leukocytes (16-fold higher for SAA1, 439-fold higher for SAA2, and 5-fold higher for SAA4; P<0.001). No correlation between plasma levels of inflammatory markers and their expression in the lung and peripheral blood leukocytes was observed. Conclusions: The expression of SAA in lung parenchyma is higher than in pulmonary artery and peripheral blood leukocytes. Notably, no associations were noted between lung expression of APRs and their circulating plasma levels, making the leakage of inflammatory proteins from the lung to the bloodstream unlikely. Based on these results, other potential sources of systemic inflammation in COPD (eg, the liver) need further scrutiny.

[Prophylaxis of venous thromboembolism]. / Profilaxis de la enfermedad tromboembólica venosa.

The recommendations on venous thromboprophylaxis have been updated on the basis of current evidence reviewed by a multidisciplinary team. The problem has been approached with regard to its relevance in both surgical and nonsurgical patients. It should be noted that these recommendations were drawn up for use in Spain and, therefore, should be implemented with the drugs and therapeutic practices authorized and generally accepted in this country.

A new species of stygobitic freshwater crab of the genus Rodriguezia Bott, 1969 (Crustacea: Decapoda: Trichodactylidae) from Tabasco, Mexico.

A new species of freshwater crab of the family Trichodactylidae, genus Rodriguezia Bott, 1969 is described from Grutas de Agua Blanca in southern Tabasco, Mexico. Rodriguezia is a genus endemic to northern Chiapas and southern Tabasco, distributed over a small area of 70 km. Rodriguezia adani n. sp., the third species of the genus, occurs north of its two congeners, being stygobitic with obvious adaptations to cave life. It can be distinguished from R. villalobosi, an epigean species, by the absence of eyes, lack of pigmentation and elongation of the pereiopods; and from R. mensabak by having less elongated pereiopods relative to carapace breadth, an extremely reduced ocular peduncle, and a smaller adult size.

A new anchialine species of Naushonia (Decapoda: Gebiidea: Laomediidae) from the Bahamas.

A new species of mud shrimp of the genus Naushonia Kingsley, 1897 is described from two anchialine caves on the island of Great Abaco in the Bahamas. Naushonia tinkeri n. sp. is the fifteenth species in the genus and the second to be described from the Bahamas. The new species is morphologically similar to N. augudrea (Juarrero & García, 1997) from Holguín Province, eastern Cuba, with which it shares a carapace with cervical and cardiac grooves; however, it can be distinguished by having a pigmented cornea, the first pereiopod with a proportionately longer propodus and dactylus without a toothed external margin, and the telson longer relative to the uropod length. The new species inhabits anchialine caves and is the largest one reported until now.

Three new species of freshwater crabs of the genus Pseudothelphusa (De Saussure, 1857) (Crustacea: Decapoda: Pseudothelphusidae) from Mexico.

Three new species of freshwater crabs of the genus Pseudothelphusa (De Saussure, 1857) from south-central Mexico are described: Pseudothelphusa acahuizotla n. sp., P. ixtapan n. sp., and P. purhepecha n. sp. The new species are included in Pseudothelphusa due to a male gonopod with torsion and the presence of the characteristic mesial process and caudomarginal projection. Pseudothelphusa acahuizotla n. sp. is morphologically similar to P. belliana Rathbun, 1898, but can be distinguished by the relative size of the distal lobe of the caudomarginal projection and by the presence of a conical tooth on the caudal surface of the mesial process of the male gonopod. Pseudothelphusa ixtapan n. sp. is similar to P. dilatata Rathbun, 1898, and P. morelosis Pretzmann, 1968, and can be distinguished by a mesial process of the male gonopod with only one lateral tooth and an inferior margin with small teeth. Pseudothelphusa puerhepechae n. sp. exhibits a mesial process of the male gonopod with two triangular spines on its lateral margin, a character that with some variations is present in P. nayaritae Álvarez & Villalobos, 1994, P. rechingeri Pretzmann, 1965, P. lophophallus Rodríguez & Smalley, 1969, and P. parabelliana Álvarez 1989; but it can be distinguished by the separation and shape of the two spines of the mesial process and the shape of the lobes of the caudomarginal projection. With the new species described herein there are now 29 species in the genus Pseudothelphusa.

Cigarette Smoke Decreases the Maturation of Lung Myeloid Dendritic Cells.

BACKGROUND: Conflicting data exist on the role of pulmonary dendritic cells (DCs) and their maturation in patients with chronic obstructive pulmonary disease (COPD). Herein, we investigated whether disease severity and smoking status could affect the distribution and maturation of DCs in lung tissues of patients undergoing elective pneumectomy or lobectomy for suspected primary lung cancer. MATERIALS AND METHODS: A total of 75 consecutive patients were included. Spirometry testing was used to identify COPD. Lung parenchyma sections anatomically distant from the primary lesion were examined. We used flow cytometry to identify different DCs subtypes-including BDCA1-positive myeloid DCs (mDCs), BDCA3-positive mDCs, and plasmacytoid DCs (pDCs)-and determine their maturation markers (CD40, CD80, CD83, and CD86) in all participants. We also identified follicular DCs (fDCs), Langerhans DCs (LDCs), and pDCs in 42 patients by immunohistochemistry. RESULTS: COPD was diagnosed in 43 patients (16 current smokers and 27 former smokers), whereas the remaining 32 subjects were classified as non-COPD (11 current smokers, 13 former smokers, and 8 never smokers). The number and maturation of DCs did not differ significantly between COPD and non-COPD patients. However, the results of flow cytometry indicated that maturation markers CD40 and CD83 of BDCA1-positive mDCs were significantly decreased in smokers than in non-smokers (P = 0.023 and 0.013, respectively). Immunohistochemistry also revealed a lower number of LDCs in COPD patients than in non-COPD subjects. CONCLUSIONS: Cigarette smoke, rather than airflow limitation, is the main determinant of impaired DCs maturation in the lung.

Dead shrimp blues: a global assessment of extinction risk in freshwater shrimps (Crustacea: Decapoda: Caridea).

We present the first global assessment of extinction risk for a major group of freshwater invertebrates, caridean shrimps. The risk of extinction for all 763 species was assessed using the IUCN Red List criteria that include geographic ranges, habitats, ecology and past and present threats. The Indo-Malayan region holds over half of global species diversity, with a peak in Indo-China and southern China. Shrimps primarily inhabit flowing water; however, a significant subterranean component is present, which is more threatened than the surface fauna. Two species are extinct with a further 10 possibly extinct, and almost one third of species are either threatened or Near Threatened (NT). Threats to freshwater shrimps include agricultural and urban pollution impact over two-thirds of threatened and NT species. Invasive species and climate change have the greatest overall impact of all threats (based on combined timing, scope and severity of threats).