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There is an increasing number of couples interested in identifying the fertile window for the purpose of conceiving. From what has been published so far, it can be concluded that there are no reliable methods to predict ovulation, and, therefore, to predict the fertile window. Proteins of the cervical mucus (CM) could behave as biomarkers to allow the early and precise identification of ovulation. CM samples were collected from the lumen of the cervical canal from women of reproductive age, on three different days of the same menstrual cycle. Samples were first analyzed and classified by light microscopy. High-resolution mass spectrometry and bioinformatic analysis were performed afterwards to determine the in vivo changes of CM protein composition. CM underwent cyclical changes in its biophysical composition, which were evidenced by changes in the crystallographic patterns observed under the light microscope. The proteomic analysis revealed changes in the protein composition of CM along the cycle. Twenty-five out of the forty-eight total proteins identified could become potential biomarkers of ovulation. The coordinated changes in the composition of the CM around the time of ovulation could be happening to specifically grant access to a foreign body, such as the sperm might be.

The complement (C) system is implicated in the etiopathogenesis of rheumatoid arthritis (RA). However, there is a lack of studies characterizing all three C pathways in RA patients. This study aimed to evaluate the association between an in-depth examination of the C system and RA patient characteristics, focusing on disease activity and the presence of rheumatoid factor and anti-citrullinated protein autoantibodies (ACPA). In a cohort of 430 RA patients, functional assays of the three C pathways (classical, alternative, and lectin) and serum levels of their components were assessed. Components included C1q (classical); factor D and properdin (alternative); lectin (lectin); C1-inhibitor; C2, C4, and C4b (classical and lectin); C3, C3a, and C4b (common); and C5, C5a, and C9 (terminal). A multivariable linear regression analysis showed significant positive correlations between C-reactive protein and C system proteins and functional assays, especially in the terminal and common pathways. Disease activity, measured by scores with or without acute phase reactants, positively correlated with the classical pathway functional test and terminal pathway products. Conversely, rheumatoid factor or ACPA presence was associated with lower classical pathway values and decreased C3a and C4b levels, suggesting complement depletion. In conclusion, RA disease activity increases C molecules and functional complement assays, while rheumatoid factor or ACPA positivity is linked to C consumption. Our study offers a detailed analysis of the complement system’s role in RA, potentially guiding the development of more targeted and effective treatment strategies.

Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder identified by hematological abnormalities including anemia, leukopenia, and thrombocytopenia. Complement system disturbance is implicated in the pathogenesis of SLE. In this work, we aim to study how a full assessment of the complement system, which includes the evaluation of its three pathways, relates to blood cell counts in a population of patients with SLE. New-generation functional assays of the classical, alternative, and lectin pathways of the complement system were conducted in 284 patients with SLE. Additionally, serum levels of inactive molecules (C1q, C2, C3, C4, factor D) and activated molecules (C3a), as well as regulators (C1-inhibitor and factor H), were evaluated. Complete blood cell counts were analyzed. Multivariable linear regression analysis was performed to study the relationship of hematological profiles with this full characterization of the complement system. After multivariable adjustments that included age, sex, SLICC-DI (damage), and SLEDAI (activity) scores, as well as the use of aspirin, prednisone, methotrexate, azathioprine, and mycophenolate mofetil, several relationships were observed between the C pathways and the individual products and blood cells profile. Lower values of C1q and C2 were associated with lower hemoglobin levels. Lower leukocyte counts showed significantly lower values of C4, C1 inhibitor, C3, factor D, and alternative pathway functional levels. Neutrophil counts showed significant negative relationships only with the alternative pathway and C1-inh. In the case of lymphocytes, associations were found, especially with functional tests of the classical and alternative pathways, as well as with C2, C4, C3, and C3a. On the contrary, for platelets, significance was only observed, after multivariable adjustment, with lower C2 concentrations. In conclusion, the serum complement system and hematological profile in SLE are independently linked, after adjustment for disease activity and damage. These relationships are basically negative and are predominantly found in lymphocytes.

Mean platelet volume (MPV), which represents the average platelet size in femtoliters, has emerged as a reliable biomarker in several systemic and chronic disorders. However, its relationship with disease characteristics in large series of patients with systemic lupus erythematosus (SLE) has not been exhaustively studied to date. In the present work, we aimed to analyze how disease characteristics, including disease activity and cumulative damage, relate to MPV in a well-characterized series of SLE patients. In total, 179 patients with SLE and 181 age- and sex-matched healthy controls were recruited. Complete blood counts including MPV were assessed. Linear multivariable analysis was performed to evaluate the relationship between MPV and SLE disease characteristics, including composite scores of disease activity and damage. MPV was significantly lower in patients with SLE compared to controls after multivariable analysis (beta coefficient, −0.7 [95% confidence interval, −1.1 to −0.3)] fL, p < 0.001). Although the SLEDAI disease activity index was not related to MPV, the SLICC score measuring cumulative disease damage was significantly associated with lower MPV values after adjustment for covariates. Elements of the SLICC score that were associated with lower MPV levels were those pertaining to the kidney, peripheral vascular, and musculoskeletal manifestations of the disease. In conclusion, MPV is lower in patients with SLE compared to matched controls. This MPV downregulation is primarily due to the renal, peripheral vascular and musculoskeletal manifestations of the disease. MPV may represent a biomarker of accrual disease damage in SLE.

Fibroblast growth factor 23 (FGF23), a hormone secreted by osteocytes and osteoblasts, is a major regulator of vitamin D and phosphate homeostasis. FGF23 has been associated with the disturbance of mineral homeostasis, and with kidney and cardiovascular diseases. Systemic lupus erythematosus (SLE) is an autoimmune disorder that can affect virtually any organ. In the present work, we set out to analyze the relationship of FGF23 with the expression of SLE, including patterns of activity, damage, and severity. A total of 284 well-characterized patients with SLE were recruited. Activity (SLEDAI), severity (Katz), and damage index (SLICC-DI) scores were determined. The serum levels of FGF23 were also assessed. Multivariable linear regression analysis was performed to study the relationship between disease characteristics and FGF23. FGF23 and 25(OH) vitamin D were negatively correlated. Furthermore, prednisone use was associated with higher circulating FGF23 after an adjustment for confounding factors. SLICC-DI was related to higher serum levels of FGF23 after a multivariable analysis. However, when the SLICC-DI index items and domains were analyzed separately, apart from proteinuria ≥3.5 gm/24 h, only the musculoskeletal domain, encompassing arthritis and osteoporosis, was significantly associated with higher serum levels of FGF23. In conclusion, an association is observed between elevated serum FGF23 levels and disease damage, particularly related to musculoskeletal complications and proteinuria, in patients with SLE.

Vascular endothelial growth factor (VEGF) is a major regulator of physiological and pathological angiogenesis. Its soluble receptor (sVEGFR) is a potent VEGF antagonist. Systemic lupus erythematosus (SLE) is an autoimmune disease with a diverse array of clinical manifestations that affect virtually any organ. We aimed to analyze the relationship of VEGF and sVEGFR with SLE disease-related features including disease activity, damage, and severity. Serum levels of VEGF165 isoform and sVEGFR (receptor 1) were assessed in 284 well-characterized patients with SLE. Linear regression analysis was performed to analyze the relationship of disease characteristics with both VEGF and sVEGFR. Patients with a disease damage index (SLICC score) equal to or greater than 1 had significantly elevated serum levels of VEGF and sVEGFR. Regarding disease-specific features, musculoskeletal manifestations were the disease feature most commonly associated with the upregulation of both VEGF and sVEGFR. SLE disease damage is associated with higher levels of VEGF and sVEGFR.

Transforming growth factor beta (TGF-β) is a highly pleiotropic cytokine that has broad anti-inflammatory and immunosuppressive effects. In patients with systemic lupus erythematosus (SLE), the immunosuppressive effect of TGF-β1 is thought to be dysfunctional. In the present work, we aimed to study the relationship between the serum levels of TGF-β1 with the characteristics of the disease as well as with the patterns of activity, damage, or severity of the disease. Two hundred and eighty-four patients with well-characterized SLE were recruited. The serum levels of TGF-β1 were assessed. A multivariable linear regression analysis was performed to analyze the relation of disease characteristics to TGF-β1. The Katz severity index (beta coefficient 179 [95% confidence interval 7–350] pg/mL, p = 0.041) and SLEDAI activity index (beta coefficient 96 [95% CI 20–171] pg/mL, p = 0.014) were associated with higher serum levels of TGF-β1 after the multivariable analysis. When the disease-specific features were studied, ocular and cardiovascular manifestations were positively associated with serum TGF-β1 levels. In contrast, gastrointestinal and musculoskeletal involvements were associated with lower levels of circulating TGF-β1. Among patients with SLE, the serum levels of TGF-β1 were highly associated with disease-related manifestations.

Seagrasses worldwide provide key habitats for fish assemblages. Biogeographical disparities in ocean climate conditions and seasonal regimes are well-known drivers of the spatial and temporal variation in seagrass structure, with potential effects on associated fish assemblages. Whether taxonomically disparate fish assemblages support a similar range of ecological functions remains poorly tested in seagrass ecosystems. In this study, we examined variation in the abundance, diversity (from a taxonomic and functional perspective), and assemblage structure of fish community inhabiting nine meadows of the seagrass Cymodocea nodosa across three regions in the Mediterranean (Mallorca and Alicante) and the adjacent Atlantic (Gran Canaria), and identified which attributes typifying the structure of meadows, and large-scale variability in ocean climate, contributed most to explaining such ecological variation. Despite a similar total number of species between Mallorca and Gran Canaria, the latter region had more taxonomically and functionally diverse fish assemblages relative to the western Mediterranean regions, which translated into differences in multivariate assemblage structure. While variation in the abundance of the most conspicuous fish species was largely explained by variation in seagrass structural descriptors, most variation in diversity was accounted for by a descriptor of ocean climate (mean seasonal SST), operating at regional scales. Variation in fish assemblage structure was, to a lesser extent, also explained by local variability in seagrass structure. Beyond climatic drivers, our results suggest that lower temporal variability in the canopy structure of C. nodosa meadows in Gran Canaria provides a more consistent source of food and protection for associated fish assemblages, which likely enhances the more abundant and diverse fish assemblages there.

We first report the presence of a species of the genus Batophora in the Iberian Peninsula, in the Mar Menor lagoon (Murcia, SE Spain). We detected this macroalga in November 2021. However, according to some observations, it could have been present in the lagoon at least since 2016, being described as a “rare” form of Dasycladus vermicularis. A further survey made during May 2022 confirmed the presence of this species in much of the perimeter of the Mar Menor. Morphologic analyses are not conclusive regarding the species description, but most traits point to Batophora occidentalis or Batophora occidentalis var. largoensis. A consensus sequence from the rbcL barcode gene was compared by the Blastn tool showing its closeness to other Batophora specimens, yet the specific level was unresolved. The recent confirmation of a Batophora species in a littoral lagoon from Formentera (Balearic Islands) with similar morphologic characteristics could indicate that both putative introductions are connected. Further morphologic and genetic analyses are required in order to know the origin and expansion of this genus along the Mediterranean coasts.

Experiments based on the premise of uniformitarism are an effective tool to establish patterns of taphonomic processes acting either before, or after, burial. One process that has been extensively investigated experimentally is the impact of trampling to large mammal bones. Since trampling marks caused by sedimentary friction strongly mimic cut marks made by humans using stone tools during butchery, distinguishing the origin of such modifications is especially relevant to the study of human evolution. In contrast, damage resulting from trampling on small mammal fossil bones has received less attention, despite the fact that it may solve interesting problems relating to site formation processes. While it has been observed that the impact of compression depends on the type of substrate and dryness of the skeletal elements, the fragility of small mammal bones may imply that they will break as a response to compression. Here, we have undertaken a controlled experiment using material resistance compression equipment to simulate a preliminary experiment, previously devised by one of us, on human trampling of owl pellets. Our results demonstrate that different patterns of breakage can be distinguished under wet and dry conditions in mandibles, skulls and long bones that deform or break in a consistent way. Further, small compact bones almost always remain intact, resisting breakage under compression. The pattern obtained here was applied to a Pleistocene small mammal fossil assemblage from Wonderwerk Cave (South Africa). This collection showed unusually extensive breakage and skeletal element representation that could not be entirely explained by excavation procedures or digestion by the predator. We propose that trampling was a significant factor in small mammal bone destruction at Wonderwerk Cave, partly the product of trampling caused by the raptor that introduced the microfauna into the cave, as well as by hominins and other terrestrial animals that entered the cave and trampled pellets covering the cave floor.

This article presents the results from the long-term Water Framework Directive monitoring of Posidonia oceanica in the Valencian Community, Spain. A total of six areas where Posidonia occurs were studied. Locations were characterized by a different ecological condition: degraded Posidonia meadows; meadows in good conditions; meadows close to the best reference conditions. The spatiotemporal variability of different indicators were sampled from 2005 to 2017. Lower quality meadows are characterized by a lower density and coverage of Posidonia, a higher proportion of dead Posidonia, a higher proportion of plagiotropic rhizomes, smaller shoots, and higher epiphyte biomass, as well as the presence of foliar necrosis marks. For all study sites, the temporal trends indicated a decrease in the quality of the meadows from 2005 to 2011 and a recovery from 2012 to 2017. Some variability observed in the indicators such as P. oceanica cover in patchy meadows, could not be explained by changes in the meadow health.

The use of lightweight concrete for the construction of single-family houses has become increasingly popular in Spain. In this paper, single-family houses with different shape factors and window-to-wall ratios are analysed from both a thermal and environmental perspective using Passive House Planning Package (PHPP) software to calculate the energy demand. The study has been carried out for different Atlantic microclimates (coastal, inland, and mountain) in northern Spain. What most affects the thermal energy used for air conditioning is the variation of the microclimates, so the study focuses mainly on this aspect. Operational energy for heating has decreased greatly via the use of high degree of insulation and hence the next task is to decrease the total energy consumed taking into account the embodied energy. Impacts on Primary Energy and Global Warming Potential are calculated using a cradle-to-grave approach. The energy use for heating and domestic hot water is analysed for different thicknesses of insulation under three energy supply scenarios: electricity only (for 2018 and with the Spanish decarbonisation plan for 2030); heat pump plus electricity; and natural gas boiler. Even for houses with a good level of insulation, the ratio of operational-to-total impacts varies significantly: from 46% to 87% for primary energy and from 31% to 75% for global warming potential, depending on the shape factor of the house, the microclimate and the heat supply scenario. By applying future environmental policies, electricity can become a more environmentally friendly option than natural gas.

After more than ten years of operation of EU-ETS trading, it is time to analyse the results and draw lessons from the experience. Economic research typically considers emission price as the main explanatory variables when measuring the effects of Emission Trading Systems. The novelty of this work is to analyse whether or not trade alone, as an institutional change, is effective in reducing greenhouse gases emissions. The objective of this paper is to analyse to what extent the EU-ETS as a “regulatory” instrument of the supply of allowances is responsible for the effectiveness of the carbon market as a basic tool in the reduction of emissions. The analysis also includes other overlapping policies aimed at fighting climate change, for example, the promotion of renewables. For the empirical analysis, an econometric model is estimated using panel data for the 28 European Union countries between 1990 and 2014. The econometric model include three dummy variables to measure the effectiveness of the three phases of the EU-ETS commerce in reducing emissions. Furthermore, we analyse how effective the phases are when renewables energies are included in the analysis. The results show that the EU-ETS is effective to reduce emissions and each phase has a greater impact on the reduction. Nevertheless, the system should be more flexible to adapt to the fluctuations in the demand for rights.