22 results on '"Juan C Ramirez"'
Search Results
2. Serological based monitoring of a cohort of patients with chronic Chagas disease treated with benznidazole in a highly endemic area of northern Argentina
- Author
-
Leticia L Niborski, Vanina Grippo, Sonia O Lafón, Gabriela Levitus, Facundo García-Bournissen, Juan C Ramirez, Juan M Burgos, Margarita Bisio, Natalia A Juiz, Vilma Ayala, María Coppede, Verónica Herrera, Crescencia López, Ana Contreras, Karina A Gómez, Juan C Elean, Hugo D Mujica, Alejandro G Schijman, Mariano J Levin, and Silvia A Longhi
- Subjects
Trypanosoma cruzi ,chronic Chagas disease ,benznidazole treatment ,serological follow-up ,adverse effects ,Microbiology ,QR1-502 ,Infectious and parasitic diseases ,RC109-216 - Abstract
This study aimed to evaluate well-documented diagnostic antigens, named B13, 1F8 and JL7 recombinant proteins, as potential markers of seroconversion in treated chagasic patients. Prospective study, involving 203 patients treated with benznidazole, was conducted from endemic areas of northern Argentina. Follow-up was possible in 107 out of them and blood samples were taken for serology and PCR assays before and 2, 3, 6, 12, 24 and 36 months after treatment initiation. Reactivity against Trypanosoma cruzi lysate and recombinant antigens was measured by ELISA. The rate of decrease of antibody titers showed nonlinear kinetics with an abrupt drop within the first three months after initiation of treatment for all studied antigens, followed by a plateau displaying a low decay until the end of follow-up. At this point, anti-B13, anti-1F8 and anti-JL7 titers were relatively close to the cut-off line, while anti-T. cruzi antibodies still remained positive. At baseline, 60.8% (45/74) of analysed patients tested positive for parasite DNA by PCR and during the follow-up period in 34 out of 45 positive samples (75.5%) could not be detected T. cruzi DNA. Our results suggest that these antigens might be useful as early markers for monitoring antiparasitic treatment in chronic Chagas disease.
- Published
- 2016
- Full Text
- View/download PDF
3. Analytical performance of a multiplex Real-Time PCR assay using TaqMan probes for quantification of Trypanosoma cruzi satellite DNA in blood samples.
- Author
-
Tomas Duffy, Carolina I Cura, Juan C Ramirez, Teresa Abate, Nelly M Cayo, Rudy Parrado, Zoraida Diaz Bello, Elsa Velazquez, Arturo Muñoz-Calderon, Natalia A Juiz, Joaquín Basile, Lineth Garcia, Adelina Riarte, Julio R Nasser, Susana B Ocampo, Zaida E Yadon, Faustino Torrico, Belkisyole Alarcón de Noya, Isabela Ribeiro, and Alejandro G Schijman
- Subjects
Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
BACKGROUND: The analytical validation of sensitive, accurate and standardized Real-Time PCR methods for Trypanosoma cruzi quantification is crucial to provide a reliable laboratory tool for diagnosis of recent infections as well as for monitoring treatment efficacy. METHODS/PRINCIPAL FINDINGS: We have standardized and validated a multiplex Real-Time quantitative PCR assay (qPCR) based on TaqMan technology, aiming to quantify T. cruzi satellite DNA as well as an internal amplification control (IAC) in a single-tube reaction. IAC amplification allows rule out false negative PCR results due to inhibitory substances or loss of DNA during sample processing. The assay has a limit of detection (LOD) of 0.70 parasite equivalents/mL and a limit of quantification (LOQ) of 1.53 parasite equivalents/mL starting from non-boiled Guanidine EDTA blood spiked with T. cruzi CL-Brener stock. The method was evaluated with blood samples collected from Chagas disease patients experiencing different clinical stages and epidemiological scenarios: 1- Sixteen Venezuelan patients from an outbreak of oral transmission, 2- Sixty three Bolivian patients suffering chronic Chagas disease, 3- Thirty four Argentinean cases with chronic Chagas disease, 4- Twenty seven newborns to seropositive mothers, 5- A seronegative receptor who got infected after transplantation with a cadaveric kidney explanted from an infected subject. CONCLUSIONS/SIGNIFICANCE: The performing parameters of this assay encourage its application to early assessment of T. cruzi infection in cases in which serological methods are not informative, such as recent infections by oral contamination or congenital transmission or after transplantation with organs from seropositive donors, as well as for monitoring Chagas disease patients under etiological treatment.
- Published
- 2013
- Full Text
- View/download PDF
4. Non-integrative lentivirus drives high-frequency cre-mediated cassette exchange in human cells.
- Author
-
Raul Torres, Aida García, Monica Payá, and Juan C Ramirez
- Subjects
Medicine ,Science - Abstract
Recombinase mediated cassette exchange (RMCE) is a two-step process leading to genetic modification in a specific genomic target sequence. The process involves insertion of a docking genetic cassette in the genome followed by DNA transfer of a second cassette flanked by compatible recombination signals and expression of the recombinase. Major technical drawbacks are cell viability upon transfection, toxicity of the enzyme, and the ability to target efficiently cell types of different origins. To overcome such drawbacks, we developed an RMCE assay that uses an integrase-deficient lentivirus (IDLV) vector in the second step combined with promoterless trapping of double selectable markers. Additionally, recombinase expression is self-limiting as a result of the exchangeable reaction, thus avoiding toxicity. Our approach provides proof-of-principle of a simple and novel strategy with expected wide applicability modelled on a human cell line with randomly integrated copies of a genetic landing pad. This strategy does not present foreseeable limitations for application to other cell systems modified by homologous recombination. Safety, efficiency, and simplicity are the major advantages of our system, which can be applied in low-to-medium throughput strategies for screening of cDNAs, non-coding RNAs during functional genomic studies, and drug screening.
- Published
- 2011
- Full Text
- View/download PDF
5. A chemokine targets the nucleus: Cxcl12-gamma isoform localizes to the nucleolus in adult mouse heart.
- Author
-
Raul Torres and Juan C Ramirez
- Subjects
Medicine ,Science - Abstract
Chemokines are extracellular mediators of complex regulatory circuits involved principally in cell-to-cell communication. Most studies to date of the essential chemokine Cxcl12 (Sdf-1) have focused on the ubiquitously expressed secreted isoforms alpha and beta. Here we show that, unlike these isoforms and all other known chemokines, the alternatively transcribed gamma isoform is an intracellular protein that localizes to the nucleolus in differentiated mouse Cardiac tissue. Our results demonstrate that nucleolar transportation is encoded by a nucleolar-localization signal in the unique carboxy-terminal region of Sdf-1gamma, and is competent both in vivo and in vitro. The molecular mechanism underlying these unusual chemokine properties involves cardiac-specific transcription of an mRNA containing a unique short-leader sequence lacking the signal peptide and translation from a non-canonical CUG codon. Our results provide an example of genome economy even for essential and highly conserved genes such as Cxcl12, and suggest that chemokines can exert tissue specific functions unrelated to cell-to-cell communication.
- Published
- 2009
- Full Text
- View/download PDF
6. Sex differences in machine learning computed tomography-derived fractional flow reserve
- Author
-
Mahmoud Al Rifai, Ahmed Ibrahim Ahmed, Yushui Han, Jean Michel Saad, Talal Alnabelsi, Faisal Nabi, Su Min Chang, Myra Cocker, Chris Schwemmer, Juan C. Ramirez-Giraldo, William A. Zoghbi, John J. Mahmarian, and Mouaz H. Al-Mallah
- Subjects
Medicine ,Science - Abstract
Abstract Coronary computed tomography angiography (CCTA) derived machine learning fractional flow reserve (ML-FFRCT) can assess the hemodynamic significance of coronary artery stenoses. We aimed to assess sex differences in the association of ML-FFRCT and incident cardiovascular outcomes. We studied a retrospective cohort of consecutive patients who underwent clinically indicated CCTA and single photon emission computed tomography (SPECT). Obstructive stenosis was defined as ≥ 70% stenosis severity in non-left main vessels or ≥ 50% in the left main coronary. ML-FFRCT was computed using a machine learning algorithm with significant stenosis defined as ML-FFRCT
- Published
- 2022
- Full Text
- View/download PDF
7. Preclinical studies of efficacy thresholds and tolerability of a clinically ready lentiviral vector for pyruvate kinase deficiency treatment
- Author
-
Susana Navarro, Oscar Quintana-Bustamante, Rebeca Sanchez-Dominguez, Sergio Lopez-Manzaneda, Isabel Ojeda-Perez, Aida Garcia-Torralba, Omaira Alberquilla, Kenneth Law, Brian C. Beard, Antonella Bastone, Michael Rothe, Mariela Villanueva, Juan C. Ramirez, Sara Fañanas-Baquero, Virginia Nieto-Romero, Andrea Molinos-Vicente, Sonia Gutierrez, Eileen Nicoletti, María García-Bravo, Juan A. Bueren, Jonathan D. Schwartz, and Jose-Carlos Segovia
- Subjects
hematopoiesis ,gene therapy ,lentiviral vectors ,erythroid metabolic diseases ,pyruvate kinase deficiency ,biodistribution ,Genetics ,QH426-470 ,Cytology ,QH573-671 - Abstract
Pyruvate kinase deficiency (PKD) is a rare autosomal recessive disorder caused by mutations in the PKLR gene. PKD is characterized by non-spherocytic hemolytic anemia of variable severity and may be fatal in some cases during early childhood. Although not considered the standard of care, allogeneic stem cell transplantation has been shown as a potentially curative treatment, limited by donor availability, toxicity, and incomplete engraftment. Preclinical studies were conducted to define conditions to enable consistent therapeutic reversal, which were based on our previous data on lentiviral gene therapy for PKD. Improvement of erythroid parameters was identified by the presence of 20%–30% healthy donor cells. A minimum vector copy number (VCN) of 0.2−0.3 was required to correct PKD when corrected cells were transplanted in a mouse model for PKD. Biodistribution and pharmacokinetics studies, with the aim of conducting a global gene therapy clinical trial for PKD patients (RP-L301-0119), demonstrated that genetically corrected cells do not confer additional side effects. Moreover, a clinically compatible transduction protocol with mobilized peripheral blood CD34+ cells was optimized, thus facilitating the efficient transduction on human cells capable of repopulating the hematopoiesis of immunodeficient mice. We established conditions for a curative lentiviral vector gene therapy protocol for PKD.
- Published
- 2021
- Full Text
- View/download PDF
8. Sorafenib as a second-line treatment in metastatic renal cell carcinoma in Mexico: a prospective cohort study
- Author
-
Ana Elena Martín-Aguilar, Haidé Núñez-López, and Juan C. Ramirez-Sandoval
- Subjects
Kidney cancer ,Tyrosine kinase inhibitor ,Sunitinib ,Sorafenib ,Clear cell carcinoma ,Cohort ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Sequential inhibition of the vascular endothelial growth factor (VEGF) pathway with sorafenib could be useful for patients with metastatic renal cell carcinoma (RCC). Our aim was to determine the activity and tolerability of sorafenib as a second-line therapy in advanced RCC initially treated with a different VEGF-tyrosine kinase inhibitor (TKI). Methods A prospective observational cohort in Mexico (2012–2019). We included 132 subjects with metastatic RCC and who had progression despite treatment with sunitinib. The primary end-point was time to disease progression as evaluated every 12–16 weeks. Results The mean age of the cohort was 59 years (interquartile range [IQR] 50–72), 96 (73%) were men, and 48 (36%) had a favorable prognosis according to the IMDC (International Metastatic RCC Database Consortium) prognostic model. The median progression-free survival (PFS) and overall-survival after the introduction of sorafenib treatment was 8.6 months (95% confidence interval [CI]: 6.7–10.5) and 40 months (95% CI: 34.5–45.4) respectively. The median overall survival from RCC diagnosis to death was 71 months (95% CI: 58.2–83.8). On multivariable analyses, age > 65 years was associated with a longer PFS (HR 0.51; 95% CI: 0.31–0.86; p = 0.018). The median PFS in subjects aged > 65 years was longer compared to subjects ≤65 years (14.0 [95% CI: 9.2–18.8] vs. 7.2 months [95% CI: 5.3–9.1]; p = 0.012). Adverse events grade ≥ 3 associated with sorafenib occurred in 38 (29%) patients. Conclusion Sequential inhibition of VEGF with sorafenib as a second-line treatment may benefit patients with metastatic RCC, especially in subjects > 65 years old.
- Published
- 2021
- Full Text
- View/download PDF
9. Recurrent horizontal transfer identifies mitochondrial positive selection in a transmissible cancer
- Author
-
Andrea Strakova, Thomas J. Nicholls, Adrian Baez-Ortega, Máire Ní Leathlobhair, Alexander T. Sampson, Katherine Hughes, Isobelle A. G. Bolton, Kevin Gori, Jinhong Wang, Ilona Airikkala-Otter, Janice L. Allen, Karen M. Allum, Clara L. Arnold, Leontine Bansse-Issa, Thinlay N. Bhutia, Jocelyn L. Bisson, Kelli Blank, Cristóbal Briceño, Artemio Castillo Domracheva, Anne M. Corrigan, Hugh R. Cran, Jane T. Crawford, Stephen M. Cutter, Eric Davis, Karina F. de Castro, Andrigo B. De Nardi, Anna P. de Vos, Laura Delgadillo Keenan, Edward M. Donelan, Adela R. Espinoza Huerta, Ibikunle A. Faramade, Mohammed Fazil, Eleni Fotopoulou, Skye N. Fruean, Fanny Gallardo-Arrieta, Olga Glebova, Pagona G. Gouletsou, Rodrigo F. Häfelin Manrique, Joaquim J. G. P. Henriques, Rodrigo S. Horta, Natalia Ignatenko, Yaghouba Kane, Cathy King, Debbie Koenig, Ada Krupa, Steven J. Kruzeniski, Marta Lanza-Perea, Mihran Lazyan, Adriana M. Lopez Quintana, Thibault Losfelt, Gabriele Marino, Simón Martínez Castañeda, Mayra F. Martínez-López, Bedan M. Masuruli, Michael Meyer, Edward J. Migneco, Berna Nakanwagi, Karter B. Neal, Winifred Neunzig, Sally J. Nixon, Antonio Ortega-Pacheco, Francisco Pedraza-Ordoñez, Maria C. Peleteiro, Katherine Polak, Ruth J. Pye, Juan C. Ramirez-Ante, John F. Reece, Jose Rojas Gutierrez, Haleema Sadia, Sheila K. Schmeling, Olga Shamanova, Alan G. Sherlock, Audrey E. Steenland-Smit, Alla Svitich, Lester J. Tapia Martínez, Ismail Thoya Ngoka, Cristian G. Torres, Elizabeth M. Tudor, Mirjam G. van der Wel, Bogdan A. Vițălaru, Sevil A. Vural, Oliver Walkinton, Alvaro S. Wehrle-Martinez, Sophie A. E. Widdowson, Irina Zvarich, Patrick F. Chinnery, Maria Falkenberg, Claes M. Gustafsson, and Elizabeth P. Murchison
- Subjects
Science - Abstract
The competitive dynamics of mitochondrial haplotypes juxtaposed within the same cell are poorly studied. Here the authors show, in the context of a transmissible cancer, that one haplotype has recurrently entered cancer cells by horizontal transfer and appears to have a ‘selfish’ selective advantage.
- Published
- 2020
- Full Text
- View/download PDF
10. Development and evaluation of a duplex TaqMan qPCR assay for detection and quantification of Trypanosoma cruzi infection in domestic and sylvatic reservoir hosts
- Author
-
Diana P. Wehrendt, Andrea Gómez-Bravo, Juan C. Ramirez, Carolina Cura, Angélica Pech-May, Janine M. Ramsey, Marcelo Abril, Felipe Guhl, and Alejandro G. Schijman
- Subjects
Trypanosoma cruzi ,Chagas disease ,Mammalian reservoirs ,Molecular epidemiology ,Internal amplification standard ,Multiplex qPCR ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background A question of epidemiological relevance in Chagas disease studies is to understand Trypanosoma cruzi transmission cycles and trace the origins of (re)emerging cases in areas under vector or disease surveillance. Conventional parasitological methods lack sensitivity whereas molecular approaches can fill in this gap, provided that an adequate sample can be collected and processed and a nucleic acid amplification method can be developed and standardized. We developed a duplex qPCR assay for accurate detection and quantification of T. cruzi satellite DNA (satDNA) sequence in samples from domestic and sylvatic mammalian reservoirs. The method incorporates amplification of the gene encoding for the interphotoreceptor retinoid-binding protein (IRBP), highly conserved among mammalian species, as endogenous internal amplification control (eIAC), allowing distinction of false negative PCR findings due to inadequate sample conditions, DNA degradation and/or PCR interfering substances. Results The novel TaqMan probe and corresponding primers employed in this study improved the analytical sensitivity of the assay to 0.01 par.eq/ml, greater than that attained by previous assays for Tc I and Tc IV strains. The assay was tested in 152 specimens, 35 from 15 different wild reservoir species and 117 from 7 domestic reservoir species, captured in endemic regions of Argentina, Colombia and Mexico and thus potentially infected with different parasite discrete typing units. The eIACs amplified in all samples from domestic reservoirs from Argentina and Mexico, such as Canis familiaris, Felis catus, Sus scrofa, Ovis aries, Equus caballus, Bos taurus and Capra hircus with quantification cycles (Cq’s) between 23 and 25. Additionally, the eIACs amplified from samples obtained from wild mammals, such as small rodents Akodon toba, Galea leucoblephara, Rattus rattus, the opossums Didelphis virginiana, D. marsupialis and Marmosa murina, the bats Tadarida brasiliensis, Promops nasutus and Desmodus rotundus, as well as in Conepatus chinga, Lagostomus maximus, Leopardus geoffroyi, Lepus europaeus, Mazama gouazoubira and Lycalopex gymnocercus, rendering Cq’s between 24 and 33. Conclusions This duplex qPCR assay provides an accurate laboratory tool for screening and quantification of T. cruzi infection in a vast repertoire of domestic and wild mammalian reservoir species, contributing to improve molecular epidemiology studies of T. cruzi transmission cycles.
- Published
- 2019
- Full Text
- View/download PDF
11. (E)-1,1-Diphenyl-2-(thiophen-2-ylmethylidene)hydrazine
- Author
-
Blanca M. Cabrera-Vivas, Marcos Flores-Alamo, Ruth Meléndrez-Luévano, Lidia Meléndez-Balbuena, and Juan C. Ramirez
- Subjects
Crystallography ,QD901-999 - Abstract
The asymmetric unit of the title compound, C17H14N2S, consists of two crystallographically independent molecules with similar conformations. The dihedral angles between the phenyl rings are 89.32 (5) and 82.80 (5)° in the two molecules. In the crystal, molecules are linked by C—H...π interactions, forming a three-dimensional network.
- Published
- 2014
- Full Text
- View/download PDF
12. (E)-1-(2,4-Dinitrobenzylidene)-2,2-diphenylhydrazine
- Author
-
Ruth Meléndrez-Luévano, Blanca M. Cabrera-Vivas, Marcos Flores-Alamo, Juan C. Ramirez, and Pedro Conde-Sánchez
- Subjects
Crystallography ,QD901-999 - Abstract
In the crystal of the title compound, C19H14N4O4, the asymmetric unit consists of two discrete molecules. The C=N bonds in both molecules show an E conformation. The dihedral angles between the C atoms of the 2,4-dinitrobenzene rings and the C=N—N planes are 13.52 (9) and 13.82 (9)° for the two molecules. In the crystal, C—H...O hydrogen bonds, mainly between the phenyl ring and the nitro group along the b axis.
- Published
- 2013
- Full Text
- View/download PDF
13. Fas activation of a proinflammatory program in rheumatoid synoviocytes and its regulation by FLIP and caspase 8 signaling.
- Author
-
Guillermo Palao, Begoña Santiago, Marı´a Galindo, Joaquı´n Rullas, José Alcamı´, Juan C. Ramirez, and José L. Pablos
- Subjects
RHEUMATOID arthritis ,FIBROBLASTS ,SYNOVIAL membranes ,APOPTOSIS ,IMMUNOGLOBULINS - Abstract
The expansion of an aggressive population of fibroblast‐like synoviocytes (FLS) in rheumatoid arthritis (RA) synovium occurs despite their expression of functional death receptors and exposure to death receptor ligands. FLS can survive Fas challenge because of the constitutive expression of FLIP apoptosis inhibitor. We investigated whether Fas signaling plays a pathogenetic role by activating a nonapoptotic proinflammatory program in RA FLS.Cultured RA FLS were stimulated with an agonistic anti‐Fas antibody in the presence or absence of the caspase inhibitor Z‐VAD‐FMK or after RNA interference with a short hairpin RNA expression plasmid directed against FLIP. NF‐κB and activator protein 1 (AP‐1) activation was studied by electrophoretic mobility shift assays and p65 immunofluorescence analysis, and expression of messenger RNA (mRNA) for monocyte chemoattractant protein 1, interleukin‐8, IκBα, and matrix metalloproteinases (MMPs) 1, 9, and 13 was examined by reverse transcription–polymerase chain reaction. Chemotactic activity of Fas‐activated FLS–conditioned media was studied in Transwell migration assays.Fas stimulation activated NF‐κB and AP‐1, and this response required caspase activity, since Z‐VAD‐FMK inhibitor precluded it. FLIP was processed to p43 protein after Fas stimulation in a caspase‐dependent manner, and inhibition of FLIP expression resulted in reduced Fas‐triggered NF‐κB activation. Fas stimulation increased expression of mRNA for IκBα, MMPs, and chemokines, and Fas‐activated RA FLS displayed increased chemotactic activity for monocytic cells.Fas triggering may contribute to the proinflammatory features of RA FLS by activating NF‐κB and AP‐1 and by expression of relevant target genes, such as MMPs and chemokines. Fas proinflammatory signaling is dependent upon caspase activity and FLIP expression. These data implicate FLIP as a potentially important molecular switch that turns the Fas signaling away from apoptosis and toward induction of a proinflammatory phenotype in RA FLS. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
14. Down?regulation of FLIP sensitizes rheumatoid synovial fibroblasts to Fas?mediated apoptosis.
- Author
-
Guillermo Palao, Begoña Santiago, María Galindo, Mónica Payá, Juan C. Ramirez, and José L. Pablos
- Subjects
HYPERPLASIA ,FIBROBLASTS ,INFLAMMATION ,RHEUMATOID arthritis ,APOPTOSIS - Abstract
Hyperplasia of fibroblast?like synoviocytes (FLS) contributes to chronic inflammation and joint destruction in rheumatoid arthritis (RA). FLICE?inhibitory protein (FLIP) is an antiapoptotic protein that might prevent apoptotic elimination of FLS in response to death ligands such as tumor necrosis factor ? (TNF?) or Fas ligand, which are present in RA synovium. Previous studies on FLIP expression by osteoarthritis (OA) and RA FLS have shown variable results, and the specific role of FLIP as an apoptosis inhibitor in these cells remains unclear. We undertook this study to investigate the expression and antiapoptotic function of FLIP in FLS.We studied the expression of FLIP by immunohistochemistry and immunoblotting in synovial tissues or cultured FLS from RA and OA patients. FLS apoptosis was induced by an agonistic anti?Fas monoclonal antibody and FLS were then quantified. We studied the effects of cycloheximide (CHX), TNF?, and FLIP antisense oligonucleotide on FLIP expression and FLS apoptotic susceptibility.FLIPL was the isoform mainly expressed in lining synoviocytes and cultured FLS. Synovial tissues and cultured FLS from OA and RA tissues displayed similar patterns and levels of expression of FLIP. Fas?induced apoptosis was variable in different FLS lines, but differences between OA and RA groups were not detected. TNF? induced increases in FLIPL and FLIPS expression and protected RA FLS from apoptosis, while CHX induced the opposite effects. Down?regulation of FLIP by antisense oligonucleotide strongly sensitized RA FLS to Fas?mediated apoptosis.Apoptosis susceptibility and FLIP expression are similar in OA and RA FLS. Down?regulation of FLIP sensitizes RA FLS to Fas?mediated apoptosis and may be a valuable tool for targeting RA FLS hyperplasia. [ABSTRACT FROM AUTHOR]
- Published
- 2004
- Full Text
- View/download PDF
15. Colangiopancreatografía retrograda endoscópica (CPRE) transgástrica asistida por laparoscopia en un paciente con Bypass gástrico en-Y-de Roux. Reporte de un caso y revisión de la literatura
- Author
-
Arecio Peñaloza Ramírez, Fabio Andrés Contento Anaya, Juan C Ramírez Rueda, Adriana Córdoba Chamorro, and Pedro Aponte Ordoñez
- Subjects
Bypass gástrico ,colangiopancreatografía retrógrada endoscópica ,laparoscopia ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
La obesidad es un problema de salud pública. La cirugía bariátrica juega un papel importante en el manejo de estos pacientes. Con la llegada de estas técnicas quirúrgicas, los procedimientos endoscópicos digestivos y en especial la colangiopancreatografía retrógrada endoscópica (CPRE) se convierten en un desafío constante. Se describe un caso de CPRE transgástrica asistida por laparoscopia para el manejo de cálculos de la vía biliar principal en un paciente con antecedente de derivación gástrica en Y de Roux (BPGYR).
- Published
- 2019
- Full Text
- View/download PDF
16. New insights into Trypanosoma cruzi evolution, genotyping and molecular diagnostics from satellite DNA sequence analysis.
- Author
-
Juan C Ramírez, Carolina Torres, María de Los A Curto, and Alejandro G Schijman
- Subjects
Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
Trypanosoma cruzi has been subdivided into seven Discrete Typing Units (DTUs), TcI-TcVI and Tcbat. Two major evolutionary models have been proposed to explain the origin of hybrid lineages, but while it is widely accepted that TcV and TcVI are the result of genetic exchange between TcII and TcIII strains, the origin of TcIII and TcIV is still a matter of debate. T. cruzi satellite DNA (SatDNA), comprised of 195 bp units organized in tandem repeats, from both TcV and TcVI stocks were found to have SatDNA copies type TcI and TcII; whereas contradictory results were observed for TcIII stocks and no TcIV sequence has been analyzed yet. Herein, we have gone deeper into this matter analyzing 335 distinct SatDNA sequences from 19 T. cruzi stocks representative of DTUs TcI-TcVI for phylogenetic inference. Bayesian phylogenetic tree showed that all sequences were grouped in three major clusters, which corresponded to sequences from DTUs TcI/III, TcII and TcIV; whereas TcV and TcVI stocks had two sets of sequences distributed into TcI/III and TcII clusters. As expected, the lowest genetic distances were found between TcI and TcIII, and between TcV and TcVI sequences; whereas the highest ones were observed between TcII and TcI/III, and among TcIV sequences and those from the remaining DTUs. In addition, signature patterns associated to specific T. cruzi lineages were identified and new primers that improved SatDNA-based qPCR sensitivity were designed. Our findings support the theory that TcIII is not the result of a hybridization event between TcI and TcII, and that TcIV had an independent origin from the other DTUs, contributing to clarifying the evolutionary history of T. cruzi lineages. Moreover, this work opens the possibility of typing samples from Chagas disease patients with low parasitic loads and improving molecular diagnostic methods of T. cruzi infection based on SatDNA sequence amplification.
- Published
- 2017
- Full Text
- View/download PDF
17. First external quality assurance program for bloodstream Real-Time PCR monitoring of treatment response in clinical trials of Chagas disease.
- Author
-
Juan C Ramírez, Rudy Parrado, Elena Sulleiro, Anabelle de la Barra, Marcelo Rodríguez, Sandro Villarroel, Lucía Irazu, Cristina Alonso-Vega, Fabiana Alves, María A Curto, Lineth García, Lourdes Ortiz, Faustino Torrico, Joaquim Gascón, Laurence Flevaud, Israel Molina, Isabela Ribeiro, and Alejandro G Schijman
- Subjects
Medicine ,Science - Abstract
Real-Time PCR (qPCR) testing is recommended as both a diagnostic and outcome measurement of etiological treatment in clinical practice and clinical trials of Chagas disease (CD), but no external quality assurance (EQA) program provides performance assessment of the assays in use. We implemented an EQA system to evaluate the performance of molecular biology laboratories involved in qPCR based follow-up in clinical trials of CD. An EQA program was devised for three clinical trials of CD: the E1224 (NCT01489228), a pro-drug of ravuconazole; the Sampling Study (NCT01678599), that used benznidazole, both conducted in Bolivia; and the CHAGASAZOL (NCT01162967), that tested posaconazole, conducted in Spain. Four proficiency testing panels containing negative controls and seronegative blood samples spiked with 1, 10 and 100 parasite equivalents (par. eq.)/mL of four Trypanosoma cruzi stocks, were sent from the Core Lab in Argentina to the participating laboratories located in Bolivia and Spain. Panels were analyzed simultaneously, blinded to sample allocation, at 4-month intervals. In addition, 302 random blood samples from both trials carried out in Bolivia were sent to Core Lab for retesting analysis. The analysis of proficiency testing panels gave 100% of accordance (within laboratory agreement) and concordance (between laboratory agreement) for all T. cruzi stocks at 100 par. eq./mL; whereas their values ranged from 71 to 100% and from 62 to 100% at 1 and 10 par. eq./mL, respectively, depending on the T. cruzi stock. The results obtained after twelve months of preparation confirmed the stability of blood samples in guanidine-EDTA buffer. No significant differences were found between qPCR results from Bolivian laboratory and Core Lab for retested clinical samples. This EQA program for qPCR analysis of CD patient samples may significantly contribute to ensuring the quality of laboratory data generated in clinical trials and molecular diagnostics laboratories of CD.
- Published
- 2017
- Full Text
- View/download PDF
18. Caracterización del ambiente físico en viviendas de hormigón en 'La Coronela', La Habana, 2010-2011
- Author
-
Carlos Barceló Pérez, Raisa Guzmán Piñeiro, Juan C Ramírez Sotolongo, Joán Calderón Baró, and Leonardo Sao Ravelo
- Subjects
vivienda ,microclima ,penetración del viento ,campo elf ,iluminación ,ruido ,Infectious and parasitic diseases ,RC109-216 - Abstract
Introducción: el creciente aumento de la población ha ocasionado un déficit cuantitativo de viviendas, el cual es abordado desde diferentes soluciones constructivas. Una de ellas es la vivienda de edificios multifamiliares de hormigón, conocida como FORSA. Objetivos: caracterizar, desde el punto de vista sanitario, ambientes físicos de viviendas FORSA de edificios multifamiliares en el asentamiento "La Coronela", en La Habana. Métodos: Para lograr esta caracterización se estudiaron factores de riesgo, como el microclima, temperaturas de cubiertas y envolventes y la penetración del viento, campos de radiación no ionizante de muy baja frecuencia (ELF), clima luminoso y ruido durante una semana correspondiente a la estación húmeda del año 2010 y otra a la estación seca de 2011. Se seleccionaron nueve viviendas de edificios multifamiliares de tres y cinco plantas, ubicadas en niveles bajos y altos, con y sin aleros, y con distintas orientaciones de fachada. Resultados: existía calor moderado en las dos estaciones estudiadas, que fue algo más cálido en las viviendas de edificios multifamiliares de cinco plantas. El nivel de la vivienda y la presencia de aleros no parecieron ofrecer efecto importante en el clima interior. El viento exterior penetró poco en los interiores. El componente magnético del campo ELF no transgredió los valores guía de la Organización Mundial de la Salud. La iluminación natural resultó apropiada, no así la artificial, pero los coeficientes de reflexión de pisos resultan elevados. El nivel sonoro incumplió la norma sanitaria vigente NC 26 de 2012 aplicada para nuevas urbanizaciones. Conclusiones: El ambiente interior de las viviendas FORSA del asentamiento "La Coronela" presenta un clima ligeramente inconfortable para los residentes, independientemente del nivel de la vivienda y la presencia de aleros.
19. Caracterización del ambiente físico en viviendas Petrocasas en el Asentamiento 'Simón Bolívar' de Cienfuegos (2008-2009)
- Author
-
Carlos Barceló Pérez, Raisa Guzmán Piñeiro, Yamile González Sánchez, and Juan C Ramírez Sotolongo
- Subjects
petrocasas ,vivienda ,temperatura ,humedad ,viento ,iluminación ,ruido ,campos de frecuencia extremadamente bajas ,Infectious and parasitic diseases ,RC109-216 - Abstract
En varios asentamientos del país se han construido viviendas Petrocasas de policloruro de vinilo, relleno con hormigón sobre balsa y cubierta de lámina de aluminio revestida de papel asfalto por ambas caras. El policloruro de vinilo como material de construcción resulta controversial en relación a sus efectos en la salud. Con el objetivo de caracterizar desde el punto de vista sanitario el ambiente físico en viviendas Petrocasas de Cienfuegos, fue conducido un estudio descriptivo en dos semanas seleccionadas de las estaciones seca y húmeda de 2008 y 2009. Se monitoreó factores de riesgo físico en una muestra de 6 viviendas seleccionadas según la opinión de expertos, del total de las 104 viviendas del asentamiento según su ubicación en las filas de viviendas: centro, culata de fila y fachada. Se estudió el ruido, componente magnético del campo electromagnético de baja frecuencia, iluminación natural, artificial, microclima y penetración del viento. La evaluación del monitoreo se efectuó por descriptores estadísticos, modelos de regresión, varianza y espectro de potencia bivariado con los paquetes estadísticos: SPSS v. 17,0 y Statistica v. 8,0. Durante la estación seca, la temperatura del aire es mayor en la habitación principal de viviendas con fachada al sur. En ambas estaciones, las temperaturas y humedades relativas de las viviendas son más altas que en la intemperie. Las cubiertas y paredes muestran calentamientos ante el asoleamiento. Los coeficientes de iluminación natural presentan elevadas reflexiones. Los valores del campo electromagnético son bajos. En la estación seca los niveles sonoros reflejan una contaminación acústica moderada. Concluimos que el microclima en el interior de las viviendas durante el día es inconfortable.
20. Longitudinal Changes of Serum Creatine Kinase and Acute Kidney Injury among Patients with Severe COVID-19
- Author
-
Juan M. Soto-Fajardo, Valeria J. Castillo-Avalos, Elisa Naomi Hernandez-Paredes, Airy Santillán-Cerón, Jorge E. Gaytan-Arocha, Olynka Vega-Vega, Norma Uribe, Ricardo Correa-Rotter, and Juan C. Ramirez-Sandoval
- Subjects
Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Background. Acute kidney injury (AKI) is a common complication of COVID-19. Several etiologies have been identified, including pigment deposition likely associated with myopathic damage. Nevertheless, the relationship between longitudinal creatine-kinase trends and renal outcomes is uncertain. Aim. To correlate longitudinal changes in serum creatine-kinase levels with hospital-acquired AKI (beyond 48 h of hospital admission) in severe COVID-19 patients. Methods. This is a retrospective cohort study, and creatine-kinase levels were assessed over time in 1551 hospitalized patients with normal renal function at the time of hospital admission. Results. In subjects who developed hospital-acquired AKI (n = 126, 8.1%), the serum creatine-kinase concentration before AKI onset was not different when compared to patients without AKI (slope of log creatine-kinase/day = −0.09 [95% CI −0.17 to +0.19] vs. +0.03 [95% CI −0.1 to +0.1]). After AKI diagnosis, serum creatine-kinase levels showed a significantly ascendent slope (slope of log creatine-kinase/day after AKI diagnosis = +0.14; 95% CI + 0.05 to +0.3). The AKI evolution was the main factor associated with the creatine-kinase trend. Subjects with persistent AKI (n = 40, 32%) had rising creatine-kinase levels during hospitalization (slope of log creatine-kinase/day = +0.30 95% CI + 0.19 to +0.51). A rising creatine-kinase trend (n = 114, 8%) was associated with a 1.89-fold higher risk of in-hospital death (95% CI 1.14 to 3.16). Nevertheless, this association disappeared after adjusting AKI evolution and LDH baseline levels. Conclusion. In severe COVID-19 patients, a slight increase in creatine-kinase levels was observed after AKI occurrence but not before. Our results show that, at least for the appearance of hospital-acquired AKI, the CK rise does not meet the temporality criterion of causality regarding the occurrence of AKI. Rising creatine-kinase trends were associated with a higher risk of mortality, but this association was modified by AKI evolution and inflammation. There is a limited efficiency for AKI prognosis in the serial follow-up of CK levels in severe COVID-19 patients with normal renal function.
- Published
- 2022
- Full Text
- View/download PDF
21. Efficient Recreation of t(11;22) EWSR1-FLI1+ in Human Stem Cells Using CRISPR/Cas9
- Author
-
Raul Torres-Ruiz, Marta Martinez-Lage, Maria C. Martin, Aida Garcia, Clara Bueno, Julio Castaño, Juan C. Ramirez, Pablo Menendez, Juan C. Cigudosa, and Sandra Rodriguez-Perales
- Subjects
CRISPR ,cancer translocation ,human stem cells ,genome engineering ,Ewing sarcoma ,MSC ,iPSC ,cancer modeling ,Cas9 ,disease model ,Medicine (General) ,R5-920 ,Biology (General) ,QH301-705.5 - Abstract
Efficient methodologies for recreating cancer-associated chromosome translocations are in high demand as tools for investigating how such events initiate cancer. The CRISPR/Cas9 system has been used to reconstruct the genetics of these complex rearrangements at native loci while maintaining the architecture and regulatory elements. However, the CRISPR system remains inefficient in human stem cells. Here, we compared three strategies aimed at enhancing the efficiency of the CRISPR-mediated t(11;22) translocation in human stem cells, including mesenchymal and induced pluripotent stem cells: (1) using end-joining DNA processing factors involved in repair mechanisms, or (2) ssODNs to guide the ligation of the double-strand break ends generated by CRISPR/Cas9; and (3) all-in-one plasmid or ribonucleoprotein complex-based approaches. We report that the generation of targeted t(11;22) is significantly increased by using a combination of ribonucleoprotein complexes and ssODNs. The CRISPR/Cas9-mediated generation of targeted t(11;22) in human stem cells opens up new avenues in modeling Ewing sarcoma.
- Published
- 2017
- Full Text
- View/download PDF
22. Effect of Amidated Low-Methoxyl Pectin on Physicochemical Characteristics of Jumbo Squid (Dosidicus gigas) Mantle Muscle Gels
- Author
-
Juan C. Ramirez-Suarez, Andrés Álvarez-Armenta, Guillermina García-Sánchez, Ramón Pacheco-Aguilar, Susana M. Scheuren-Acevedo, Miguel A. Mazorra-Manzano, and Agustín Rascón-Chu
- Subjects
jumbo squid ,amidated low-methoxyl pectin ,gelling ,water retention ,Biotechnology ,TP248.13-248.65 ,Food processing and manufacture ,TP368-456 - Abstract
Jumbo squid (Dosidicus gigas) muscle proteins show low functionality with limited use in gel products. This work aims to assess the influence of adding the natural and commercially available fibre, amidated low-methoxyl pectin (at 0.5, 1.0, 1.5, 2.0 and 3.0 %), on the physicochemical and functional characteristics of jumbo squid (Dosidicus gigas) mantle muscle gels. The addition of 0.5 % fibre showed an immediate effect on the gel texture profile analysis, improving hardness (p
- Published
- 2017
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.