33 results on '"Fernández Peña C"'
Search Results
2. E-consulta entre Atención Primaria y Medicina Interna: implementación, accesibilidad, beneficios e implicaciones
- Author
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Suárez-Dono, F.J., Martínez-Rey, C., Novo-Platas, J., Fernández Peña, C., Rodríguez Méndez, M.L., Pérez Iglesias, A., and Casariego-Vales, E.
- Published
- 2024
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3. Una estrategia pedagógica para el proceso de enseñanza-aprendizaje de la Estadística en la carrera Pedagogía-Psicología.
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Enrique Cardoso-Rojas, Luis, Gresin Castro-Pérez, C., and Luis Fernández-Peña, C. Carlos
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LEARNING by teaching , *TEACHING methods , *STATISTICS education , *PSYCHOLOGY education , *TEACHER education , *EDUCATION research , *INFORMATION processing , *STUDENT teaching , *UNIVERSITIES & colleges , *EDUCATIONAL planning , *PAY for performance , *PSYCHOLOGY students - Abstract
For the students of the Pedagogy-Psychology career of the University of Pinar del Río "Hermanos Saíz Montes de Oca" it is important to acquire skills that allow them to process information in educational research, in order to carry out its foundation with a higher level of objectivity, and thus develop the professional functions with the highest quality. This paper presents the proposal for the design and implementation of a pedagogical strategy that enhances the use of methods, techniques and organizational forms in accordance with the characteristics of the contents of Statistics based on educational research, for which the methods of documentary analysis, student performance test, class observation and quasi-experiment, resulting in greater preparation of teachers for teaching Statistics and of students in the contents of Statistics based on educational research. [ABSTRACT FROM AUTHOR]
- Published
- 2022
4. [Pasteurella spp: a new microorganism to the cause of acute suppurative thyroiditis]
- Author
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Fernández Peña C, Mj, Morales Gorría, Luis Enrique Morano Amado, Mi, López Miragalla, and Pena González E
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Adult ,Male ,Acute Disease ,Pasteurella Infections ,Humans ,Pasteurella ,Thyroiditis, Suppurative - Abstract
Acute suppurative thyroiditis is an uncommon disease due to local resistance of the gland to infection. Preexisting gland pathology and local anatomic abnormalities are predisposing factors. We present the first case described in the medical literature caused by Pasteurella spp after upper respiratory infection with insidious manifestations resembling subacute thyroiditis. The course was benign after surgical drainage.
5. [A man with a costal tumor. Pustular arthro-osteitis]
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Fernández Peña C, Luis Enrique Morano Amado, La, Montero Furelos, and de la Cruz J
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Male ,Sternum ,Osteoarthritis ,Humans ,Psoriasis ,Middle Aged
6. [A management analysis of bacterial meningitis in a hospital emergency service: the delay from the start of treatment and related factors]
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Luis Enrique Morano Amado, Fernández Peña C, del Campo Pérez V, Mj, García García, Hermida Díaz A, and Mi, López Miragaya
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Adult ,Aged, 80 and over ,Male ,Time Factors ,Adolescent ,Hospital Bed Capacity, 300 to 499 ,Middle Aged ,Meningitis, Bacterial ,Risk Factors ,Spain ,Acute Disease ,Humans ,Female ,Child ,Emergency Service, Hospital ,Aged ,Retrospective Studies - Abstract
To establish the time elapsed from the patient arrival to the emergency room to the beginning of antibiotic therapy. To identify etiologic factors for treatment delay.73 patients diagnosed of bacterial meningitis in the emergency room and admitted to the hospital were studied. Patient characteristics as well as meningitis predisposing factors, symptoms, physical examination, laboratory data, radiological studies and previous ambulatory treatment, were recorded retrospectively. Arrival time, time expended at diagnostic procedures and time of administration of the first antibiotic dose, as well as the administration place were registered. Patients clinical evolution, and factors influencing the delay of antibiotic administration were analyzed.Median age was 17 years. Patient care was evenly distributed along the day, 80% had a light base risk, 29% had at least a risk factor for meningitis, 22% received antibiotic previously. Clinical presentation was classic in more than 71% of patients. Blood cultures were positive in 41%, and CSF cultures were positive in 63%, 43% of cases were related to Neisseria meningitidis, 20% Streptococcus pneumoniae and unknown bacteria in 31.5%. Computerized Tomography (CT) was performed in 9 cases. Median time from the arrival to the Emergency Room until antibiotic administration was 5 hours and 25 minutes: When antibiotics were given before Lumbar Puncture (LP), it was 2 hours and 50 minutes, 5 hours 20 minutes when therapy was started after LP, and 7 hours and 22 minutes when CT was performed before LP. The only factor showing a statistically significant relation with the time to antibiotic administration was the patient being sent by the primary care physician to the hospital with a presumptive diagnosis of bacterial meningitis (1 hour 20 minutes vs. 5 hours 51 minutes).Only a small part of bacterial meningitis cases start antibiotic treatment in the first 30 minutes. Delay is high and it increases when certain diagnostic tests are performed. Information received from the primary care physician, has the highest influence on the beginning of treatment.
7. Adrenergic C1 neurons enhance anxiety via projections to PAG.
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Fernández-Peña C, Pace RL, Fernando LM, Pittman BG, and Schwarz LA
- Abstract
Anxiety is an emotional state precipitated by the anticipation of real or potential threats. Anxiety disorders are the most prevalent psychiatric illnesses globally and increase the risk of developing comorbid conditions that negatively impact the brain and body. The etiology of anxiety disorders remains unresolved, limiting improvement of therapeutic strategies to alleviate anxiety-related symptoms with increased specificity and efficacy. Here, we applied novel intersectional tools to identify a discrete population of brainstem adrenergic neurons, named C1 cells, that promote aversion and anxiety-related behaviors via projections to the periaqueductal gray matter (PAG). While C1 cells have traditionally been implicated in modulation of autonomic processes, rabies tracing revealed that they receive input from brain areas with diverse functions. Calcium-based in vivo imaging showed that activation of C1 cells enhances excitatory responses in vlPAG, activity that is exacerbated in times of heightened stress. Furthermore, inhibition of C1 cells impedes the development of anxiety-like behaviors in response to stressful situations. Overall, these findings suggest that C1 neurons are positioned to integrate complex information from the brain and periphery for the promotion of anxiety-like behaviors.
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- 2024
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8. Sex differences in thermoregulation in mammals: Implications for energy homeostasis.
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Fernández-Peña C, Reimúndez A, Viana F, Arce VM, and Señarís R
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- Animals, Male, Female, Humans, Homeostasis, Obesity therapy, Mammals, Sex Characteristics, Body Temperature Regulation
- Abstract
Thermal homeostasis is a fundamental process in mammals, which allows the maintenance of a constant internal body temperature to ensure an efficient function of cells despite changes in ambient temperature. Increasing evidence has revealed the great impact of thermoregulation on energy homeostasis. Homeothermy requires a fine regulation of food intake, heat production, conservation and dissipation and energy expenditure. A great interest on this field of research has re-emerged following the discovery of thermogenic brown adipose tissue and browning of white fat in adult humans, with a potential clinical relevance on obesity and metabolic comorbidities. However, most of our knowledge comes from male animal models or men, which introduces unwanted biases on the findings. In this review, we discuss how differences in sex-dependent characteristics (anthropometry, body composition, hormonal regulation, and other sexual factors) influence numerous aspects of thermal regulation, which impact on energy homeostasis. Individuals of both sexes should be used in the experimental paradigms, considering the ovarian cycles and sexual hormonal regulation as influential factors in these studies. Only by collecting data in both sexes on molecular, functional, and clinical aspects, we will be able to establish in a rigorous way the real impact of thermoregulation on energy homeostasis, opening new avenues in the understanding and treatment of obesity and metabolic associated diseases., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Fernández-Peña, Reimúndez, Viana, Arce and Señarís.)
- Published
- 2023
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9. The cold-sensing ion channel TRPM8 regulates central and peripheral clockwork and the circadian oscillations of body temperature.
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Reimúndez A, Fernández-Peña C, Ordás P, Hernández-Ortego P, Gallego R, Morenilla-Palao C, Navarro J, Martín-Cora F, Pardo-Vázquez JL, Schwarz LA, Arce V, Viana F, and Señarís R
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- Mice, Animals, Body Temperature physiology, Suprachiasmatic Nucleus metabolism, Ion Channels metabolism, Mammals, RNA, Messenger metabolism, Circadian Rhythm physiology, TRPM Cation Channels metabolism
- Abstract
Aim: Physiological functions in mammals show circadian oscillations, synchronized by daily cycles of light and temperature. Central and peripheral clocks participate in this regulation. Since the ion channel TRPM8 is a critical cold sensor, we investigated its role in circadian function., Methods: We used TRPM8 reporter mouse lines and TRPM8-deficient mice. mRNA levels were determined by in situ hybridization or RT-qPCR and protein levels by immunofluorescence. A telemetry system was used to measure core body temperature (Tc)., Results: TRPM8 is expressed in the retina, specifically in cholinergic amacrine interneurons and in a subset of melanopsin-positive ganglion cells which project to the central pacemaker, the suprachiasmatic nucleus (SCN) of the hypothalamus. TRPM8-positive fibres were also found innervating choroid and ciliary body vasculature, with a putative function in intraocular temperature, as shown in TRPM8-deficient mice. Interestingly, Trpm8
-/- animals displayed increased expression of the clock gene Per2 and vasopressin (AVP) in the SCN, suggesting a regulatory role of TRPM8 on the central oscillator. Since SCN AVP neurons control body temperature, we studied Tc in driven and free-running conditions. TRPM8-deficiency increased the amplitude of Tc oscillations and, under dim constant light, induced a greater phase delay and instability of Tc rhythmicity. Finally, TRPM8-positive fibres innervate peripheral organs, like liver and white adipose tissue. Notably, Trpm8-/- mice displayed a dysregulated expression of Per2 mRNA in these metabolic tissues., Conclusion: Our findings support a function of TRPM8 as a temperature sensor involved in the regulation of central and peripheral clocks and the circadian control of Tc., (© 2022 The Authors. Acta Physiologica published by John Wiley & Sons Ltd on behalf of Scandinavian Physiological Society.)- Published
- 2023
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10. Genetic- and diet-induced ω-3 fatty acid enrichment enhances TRPV4-mediated vasodilation in mice.
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Caires R, Garrud TAC, Romero LO, Fernández-Peña C, Vásquez V, Jaggar JH, and Cordero-Morales JF
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- Animals, Caenorhabditis elegans, Diet, Endothelial Cells, Humans, Mice, TRPV Cation Channels genetics, Fatty Acids, Omega-3 pharmacology, Vasodilation
- Abstract
TRPV4 channel activation in endothelial cells leads to vasodilation, while impairment of TRPV4 activity is implicated in vascular dysfunction. Strategies that increase TRPV4 activity could enhance vasodilation and ameliorate vascular disorders. Here, we show that supplementation with eicosapentaenoic acid (EPA), an ω-3 polyunsaturated fatty acid known to have beneficial cardiovascular effects, increases TRPV4 activity in human endothelial cells of various vascular beds. Mice carrying the C. elegans FAT-1 enzyme, which converts ω-6 to ω-3 polyunsaturated fatty acids, display higher EPA content and increased TRPV4-mediated vasodilation in mesenteric arteries. Likewise, mice fed an EPA-enriched diet exhibit enhanced and prolonged TRPV4-dependent vasodilation in an endothelial cell-specific manner. We also show that EPA supplementation reduces TRPV4 desensitization, which contributes to the prolonged vasodilation. Neutralization of positive charges in the TRPV4 N terminus impairs the effect of EPA on channel desensitization. These findings highlight the beneficial effects of manipulating fatty acid content to enhance TRPV4-mediated vasodilation., Competing Interests: Declaration of interests The authors declare no competing interests., (Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2022
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11. TRPV6 channel mediates alcohol-induced gut barrier dysfunction and systemic response.
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Meena AS, Shukla PK, Bell B, Giorgianni F, Caires R, Fernández-Peña C, Beranova S, Aihara E, Montrose MH, Chaib M, Makowski L, Neeli I, Radic MZ, Vásquez V, Jaggar JH, Cordero-Morales JF, and Rao R
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- Acetaldehyde toxicity, Animals, Caco-2 Cells, Calcium Channels drug effects, Calcium Channels metabolism, Humans, Mice, Endotoxemia, Ethanol toxicity, Histidine pharmacology, Intestinal Mucosa drug effects, Intestinal Mucosa pathology, TRPV Cation Channels drug effects, TRPV Cation Channels metabolism
- Abstract
Intestinal epithelial tight junction disruption is a primary contributing factor in alcohol-associated endotoxemia, systemic inflammation, and multiple organ damage. Ethanol and acetaldehyde disrupt tight junctions by elevating intracellular Ca
2+ . Here we identify TRPV6, a Ca2+ -permeable channel, as responsible for alcohol-induced elevation of intracellular Ca2+ , intestinal barrier dysfunction, and systemic inflammation. Ethanol and acetaldehyde elicit TRPV6 ionic currents in Caco-2 cells. Studies in Caco-2 cell monolayers and mouse intestinal organoids show that TRPV6 deficiency or inhibition attenuates ethanol- and acetaldehyde-induced Ca2+ influx, tight junction disruption, and barrier dysfunction. Moreover, Trpv6-/- mice are resistant to alcohol-induced intestinal barrier dysfunction. Photoaffinity labeling of 3-azibutanol identifies a histidine as a potential alcohol-binding site in TRPV6. The substitution of this histidine, and a nearby arginine, reduces ethanol-activated currents. Our findings reveal that TRPV6 is required for alcohol-induced gut barrier dysfunction and inflammation. Molecules that decrease TRPV6 function have the potential to attenuate alcohol-associated tissue injury., Competing Interests: Declaration of interests The authors declare no competing interests., (Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.)- Published
- 2022
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12. A plasma membrane-localized polycystin-1/polycystin-2 complex in endothelial cells elicits vasodilation.
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MacKay CE, Floen M, Leo MD, Hasan R, Garrud TAC, Fernández-Peña C, Singh P, Malik KU, and Jaggar JH
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- Animals, Cell Membrane metabolism, Endothelial Cells metabolism, Mice, Mice, Knockout, Polycystic Kidney Diseases, TRPP Cation Channels metabolism, Vasodilation
- Abstract
Polycystin-1 (PC-1, PKD1), a receptor-like protein expressed by the Pkd1 gene, is present in a wide variety of cell types, but its cellular location, signaling mechanisms, and physiological functions are poorly understood. Here, by studying tamoxifen-inducible, endothelial cell (EC)-specific Pkd1 knockout ( Pkd1 ecKO) mice, we show that flow activates PC-1-mediated, Ca
2+ -dependent cation currents in ECs. EC-specific PC-1 knockout attenuates flow-mediated arterial hyperpolarization and vasodilation. PC-1-dependent vasodilation occurs over the entire functional shear stress range and via the activation of endothelial nitric oxide synthase (eNOS) and intermediate (IK)- and small (SK)-conductance Ca2+ -activated K+ channels. EC-specific PC-1 knockout increases systemic blood pressure without altering kidney anatomy. PC-1 coimmunoprecipitates with polycystin-2 (PC-2, PKD2), a TRP polycystin channel, and clusters of both proteins locate in nanoscale proximity in the EC plasma membrane. Knockout of either PC-1 or PC-2 ( Pkd2 ecKO mice) abolishes surface clusters of both PC-1 and PC-2 in ECs. Single knockout of PC-1 or PC-2 or double knockout of PC-1 and PC-2 ( Pkd1 / Pkd2 ecKO mice) similarly attenuates flow-mediated vasodilation. Flow stimulates nonselective cation currents in ECs that are similarly inhibited by either PC-1 or PC-2 knockout or by interference peptides corresponding to the C-terminus coiled-coil domains present in PC-1 or PC-2. In summary, we show that PC-1 regulates arterial contractility through the formation of an interdependent signaling complex with PC-2 in ECs. Flow stimulates PC-1/PC-2 clusters in the EC plasma membrane, leading to eNOS, IK channel, and SK channel activation, vasodilation, and a reduction in blood pressure., Competing Interests: CM, MF, ML, RH, TG, CF, PS, KM, JJ No competing interests declared, (© 2022, MacKay et al.)- Published
- 2022
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13. Expression of the cold thermoreceptor TRPM8 in rodent brain thermoregulatory circuits.
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Ordás P, Hernández-Ortego P, Vara H, Fernández-Peña C, Reimúndez A, Morenilla-Palao C, Guadaño-Ferraz A, Gomis A, Hoon M, Viana F, and Señarís R
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- Animals, Female, Gene Expression, Male, Mice, Mice, Inbred C57BL, Rats, Rats, Sprague-Dawley, Rats, Transgenic, TRPM Cation Channels genetics, Body Temperature Regulation physiology, Brain metabolism, Cold Temperature adverse effects, Nerve Net metabolism, TRPM Cation Channels biosynthesis
- Abstract
The cold- and menthol-activated ion channel transient receptor potential channel subfamily M member 8 (TRPM8) is the principal detector of environmental cold in mammalian sensory nerve endings. Although it is mainly expressed in a subpopulation of peripheral sensory neurons, it has also been identified in non-neuronal tissues. Here, we show, by in situ hybridization (ISH) and by the analysis of transgenic reporter expression in two different reporter mouse strains, that TRPM8 is also expressed in the central nervous system. Although it is present at much lower levels than in peripheral sensory neurons, we found cells expressing TRPM8 in restricted areas of the brain, especially in the hypothalamus, septum, thalamic reticular nucleus, certain cortices and other limbic structures, as well as in some specific nuclei in the brainstem. Interestingly, positive fibers were also found traveling through the major limbic tracts, suggesting a role of TRPM8-expressing central neurons in multiple aspects of thermal regulation, including autonomic and behavioral thermoregulation. Additional ISH experiments in rat brain demonstrated a conserved pattern of expression of this ion channel between rodent species. We confirmed the functional activity of this channel in the mouse brain using electrophysiological patch-clamp recordings of septal neurons. These results open a new window in TRPM8 physiology, guiding further efforts to understand potential roles of this molecular sensor within the brain., (© 2019 Wiley Periodicals, Inc.)
- Published
- 2021
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14. Correction: Arterial smooth muscle cell PKD2 (TRPP1) channels regulate systemic blood pressure.
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Bulley S, Fernández-Peña C, Hasan R, Leo MD, Muralidharan P, MacKay CE, Evanson KW, Moreira-Junior L, Mata-Daboin A, Burris SK, Wang Q, Kuruvilla KP, and Jaggar JH
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- 2020
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15. Correction: Intravascular flow stimulates PKD2 (polycystin-2) channels in endothelial cells to reduce blood pressure.
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MacKay CE, Leo MD, Fernández-Peña C, Hasan R, Yin W, Mata-Daboin A, Bulley S, Gammons J, Mancarella S, and Jaggar JH
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- 2020
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16. Intravascular flow stimulates PKD2 (polycystin-2) channels in endothelial cells to reduce blood pressure.
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MacKay CE, Leo MD, Fernández-Peña C, Hasan R, Yin W, Mata-Daboin A, Bulley S, Gammons J, Mancarella S, and Jaggar JH
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- Animals, Calcium Signaling, Hypertension genetics, Hypertension physiopathology, Intermediate-Conductance Calcium-Activated Potassium Channels metabolism, Male, Membrane Potentials, Mesenteric Arteries physiopathology, Mice, Knockout, Nitric Oxide metabolism, Nitric Oxide Synthase Type III metabolism, Phosphorylation, Regional Blood Flow, Small-Conductance Calcium-Activated Potassium Channels metabolism, TRPP Cation Channels deficiency, TRPP Cation Channels genetics, Arterial Pressure, Endothelial Cells metabolism, Hypertension metabolism, Mechanotransduction, Cellular, Mesenteric Arteries metabolism, TRPP Cation Channels metabolism, Vasodilation
- Abstract
PKD2 (polycystin-2, TRPP1), a TRP polycystin channel, is expressed in endothelial cells (ECs), but its physiological functions in this cell type are unclear. Here, we generated inducible, EC-specific Pkd2 knockout mice to examine vascular functions of PKD2. Data show that a broad range of intravascular flow rates stimulate EC PKD2 channels, producing vasodilation. Flow-mediated PKD2 channel activation leads to calcium influx that activates SK/IK channels and eNOS serine 1176 phosphorylation in ECs. These signaling mechanisms produce arterial hyperpolarization and vasodilation. In contrast, EC PKD2 channels do not contribute to acetylcholine-induced vasodilation, suggesting stimulus-specific function. EC-specific PKD2 knockout elevated blood pressure in mice without altering cardiac function or kidney anatomy. These data demonstrate that flow stimulates PKD2 channels in ECs, leading to SK/IK channel and eNOS activation, hyperpolarization, vasodilation and a reduction in systemic blood pressure. Thus, PKD2 channels are a major component of functional flow sensing in the vasculature., Competing Interests: CM, ML, CF, RH, WY, AM, SB, JG, SM, JJ No competing interests declared, (© 2020, MacKay et al.)
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- 2020
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17. Arterial smooth muscle cell PKD2 (TRPP1) channels regulate systemic blood pressure.
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Bulley S, Fernández-Peña C, Hasan R, Leo MD, Muralidharan P, Mackay CE, Evanson KW, Moreira-Junior L, Mata-Daboin A, Burris SK, Wang Q, Kuruvilla KP, and Jaggar JH
- Subjects
- Animals, Arteries physiopathology, Blood Pressure physiology, Cations, Monovalent, Gene Expression Regulation, Hindlimb blood supply, Hindlimb cytology, Hypertension metabolism, Hypertension physiopathology, Ion Transport, Membrane Potentials physiology, Mice, Mice, Knockout, Myocytes, Smooth Muscle pathology, Receptors, Adrenergic, alpha-1 metabolism, Signal Transduction, TRPP Cation Channels deficiency, Vasoconstriction physiology, Arteries metabolism, Hypertension genetics, Myocytes, Smooth Muscle metabolism, Receptors, Adrenergic, alpha-1 genetics, Sodium metabolism, TRPP Cation Channels genetics
- Abstract
Systemic blood pressure is determined, in part, by arterial smooth muscle cells (myocytes). Several Transient Receptor Potential (TRP) channels are proposed to be expressed in arterial myocytes, but it is unclear if these proteins control physiological blood pressure and contribute to hypertension in vivo. We generated the first inducible, smooth muscle-specific knockout mice for a TRP channel, namely for PKD2 (TRPP1), to investigate arterial myocyte and blood pressure regulation by this protein. Using this model, we show that intravascular pressure and α
1 -adrenoceptors activate PKD2 channels in arterial myocytes of different systemic organs. PKD2 channel activation in arterial myocytes leads to an inward Na+ current, membrane depolarization and vasoconstriction. Inducible, smooth muscle cell-specific PKD2 knockout lowers both physiological blood pressure and hypertension and prevents pathological arterial remodeling during hypertension. Thus, arterial myocyte PKD2 controls systemic blood pressure and targeting this TRP channel reduces high blood pressure., Competing Interests: SB, CF, RH, ML, PM, CM, KE, LM, AM, SB, QW, KK, JJ No competing interests declared, (© 2018, Bulley et al.)- Published
- 2018
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18. Deletion of the Cold Thermoreceptor TRPM8 Increases Heat Loss and Food Intake Leading to Reduced Body Temperature and Obesity in Mice.
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Reimúndez A, Fernández-Peña C, García G, Fernández R, Ordás P, Gallego R, Pardo-Vazquez JL, Arce V, Viana F, and Señarís R
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- Animals, Eating, Energy Metabolism, Gene Deletion, Hyperphagia metabolism, Male, Mice, Mice, Inbred C57BL, Obesity metabolism, Tail blood supply, Body Temperature Regulation, Hyperphagia genetics, Obesity genetics, TRPM Cation Channels genetics
- Abstract
The coupling of energy homeostasis to thermoregulation is essential to maintain homeothermy in changing external environments. We studied the role of the cold thermoreceptor TRPM8 in this interplay in mice of both sexes. We demonstrate that TRPM8 is required for a precise thermoregulation in response to cold, in fed and fasting. Trpm8 mice exhibited a fall of 0.7°C in core body temperature when housed at cold temperatures, and a deep hypothermia (<30°C) during food deprivation. In both situations, TRPM8 deficiency induced an increase in tail heat loss. This, together with the presence of TRPM8-sensory fibers innervating the main tail vessels, unveils a major role of this ion channel in tail vasomotor regulation. Finally, TRPM8 deficiency had a remarkable impact on energy balance.
-/- mice exhibited a fall of 0.7°C in core body temperature when housed at cold temperatures, and a deep hypothermia (<30°C) during food deprivation. In both situations, TRPM8 deficiency induced an increase in tail heat loss. This, together with the presence of TRPM8-sensory fibers innervating the main tail vessels, unveils a major role of this ion channel in tail vasomotor regulation. Finally, TRPM8 deficiency had a remarkable impact on energy balance. Trpm8-/- mice raised at mild cold temperatures developed late-onset obesity and metabolic dysfunction, with daytime hyperphagia and reduction of fat oxidation as plausible causal factors. In conclusion, TRPM8 fine-tunes eating behavior and fuel utilization during thermoregulatory adjustments to mild cold. Persistent imbalances in these responses result in obesity. SIGNIFICANCE STATEMENT The thermosensitive ion channel TRPM8 is required for a precise thermoregulatory response to cold and fasting, playing an important role in tail vasoconstriction, and therefore heat conservation, as well as in the regulation of ingestive behavior and metabolic fuel selection upon cooling. Indeed, TRPM8-deficient mice, housed in a mild cold environment, displayed an increase in tail heat loss and lower core body temperature, associated with the development of late-onset obesity with glucose and lipid metabolic dysfunction. A persistent diurnal hyperphagia and reduced fat oxidation constitute plausible underlying mechanisms in the background of a deficient thermoregulatory adjustment to mild cold ambient temperatures., (Copyright © 2018 the authors 0270-6474/18/383643-14$15.00/0.)- Published
- 2018
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19. Ion channel profile of TRPM8 cold receptors reveals a role of TASK-3 potassium channels in thermosensation.
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Morenilla-Palao C, Luis E, Fernández-Peña C, Quintero E, Weaver JL, Bayliss DA, and Viana F
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- Animals, Cells, Cultured, Cold Temperature, Mice, Posterior Horn Cells metabolism, Posterior Horn Cells physiology, Potassium Channels genetics, Sensory Thresholds, TRPM Cation Channels genetics, Potassium Channels metabolism, TRPM Cation Channels metabolism, Thermosensing
- Abstract
Animals sense cold ambient temperatures through the activation of peripheral thermoreceptors that express TRPM8, a cold- and menthol-activated ion channel. These receptors can discriminate a very wide range of temperatures from innocuous to noxious. The molecular mechanism responsible for the variable sensitivity of individual cold receptors to temperature is unclear. To address this question, we performed a detailed ion channel expression analysis of cold-sensitive neurons, combining bacterial artificial chromosome (BAC) transgenesis with a molecular-profiling approach in fluorescence-activated cell sorting (FACS)-purified TRPM8 neurons. We found that TASK-3 leak potassium channels are highly enriched in a subpopulation of these sensory neurons. The thermal threshold of TRPM8 cold neurons is decreased during TASK-3 blockade and in mice lacking TASK-3, and, most importantly, these mice display hypersensitivity to cold. Our results demonstrate a role of TASK-3 channels in thermosensation, showing that a channel-based combinatorial strategy in TRPM8 cold thermoreceptors leads to molecular specialization and functional diversity., (Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2014
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20. TRPA1 channels mediate acute neurogenic inflammation and pain produced by bacterial endotoxins.
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Meseguer V, Alpizar YA, Luis E, Tajada S, Denlinger B, Fajardo O, Manenschijn JA, Fernández-Peña C, Talavera A, Kichko T, Navia B, Sánchez A, Señarís R, Reeh P, Pérez-García MT, López-López JR, Voets T, Belmonte C, Talavera K, and Viana F
- Subjects
- Animals, CHO Cells, Cell Membrane drug effects, Cell Membrane metabolism, Cricetinae, Cricetulus, Escherichia coli chemistry, HEK293 Cells, Humans, Ion Channel Gating drug effects, Lipid A chemistry, Membrane Potentials drug effects, Mice, Inbred C57BL, Mice, Knockout, Neurogenic Inflammation pathology, Neuropeptides metabolism, Nociceptors metabolism, Pain pathology, Sensory Receptor Cells drug effects, Signal Transduction drug effects, TRPA1 Cation Channel, Toll-Like Receptor 4 metabolism, Transient Receptor Potential Channels agonists, Lipopolysaccharides adverse effects, Neurogenic Inflammation metabolism, Pain metabolism, Transient Receptor Potential Channels metabolism
- Abstract
Gram-negative bacterial infections are accompanied by inflammation and somatic or visceral pain. These symptoms are generally attributed to sensitization of nociceptors by inflammatory mediators released by immune cells. Nociceptor sensitization during inflammation occurs through activation of the Toll-like receptor 4 (TLR4) signalling pathway by lipopolysaccharide (LPS), a toxic by-product of bacterial lysis. Here we show that LPS exerts fast, membrane delimited, excitatory actions via TRPA1, a transient receptor potential cation channel that is critical for transducing environmental irritant stimuli into nociceptor activity. Moreover, we find that pain and acute vascular reactions, including neurogenic inflammation (CGRP release) caused by LPS are primarily dependent on TRPA1 channel activation in nociceptive sensory neurons, and develop independently of TLR4 activation. The identification of TRPA1 as a molecular determinant of direct LPS effects on nociceptors offers new insights into the pathogenesis of pain and neurovascular responses during bacterial infections and opens novel avenues for their treatment.
- Published
- 2014
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21. [Tumor at the limb root in a diabetic patient].
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Montero Furelos LA and Fernández Peña C
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- Biopsy, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Muscle, Skeletal pathology, Neoplasm Staging, Diabetes Mellitus, Type 2 complications, Diabetic Foot etiology, Diabetic Foot pathology, Skin Neoplasms pathology
- Published
- 2002
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22. [Pasteurella spp: a new microorganism to the cause of acute suppurative thyroiditis].
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Fernández Peña C, Morales Gorría MJ, Morano Amado LE, López Miragalla MI, and Pena González E
- Subjects
- Acute Disease, Adult, Humans, Male, Pasteurella isolation & purification, Thyroiditis, Suppurative diagnosis, Pasteurella Infections diagnosis, Thyroiditis, Suppurative microbiology
- Abstract
Acute suppurative thyroiditis is an uncommon disease due to local resistance of the gland to infection. Preexisting gland pathology and local anatomic abnormalities are predisposing factors. We present the first case described in the medical literature caused by Pasteurella spp after upper respiratory infection with insidious manifestations resembling subacute thyroiditis. The course was benign after surgical drainage.
- Published
- 1999
23. [Therapeutic decisions in hypertensive emergencies in a general hospital: comparison with JNC VI: report guidelines].
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Montes J and Fernández Peña C
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- Antihypertensive Agents therapeutic use, Hospitalization, Hospitals, General, Humans, Hypertension drug therapy, Spain, Attitude to Health, Emergency Medical Services, Hypertension rehabilitation, Practice Guidelines as Topic
- Published
- 1999
24. [A management analysis of bacterial meningitis in a hospital emergency service: the delay from the start of treatment and related factors].
- Author
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Morano Amado LE, Fernández Peña C, del Campo Pérez V, García García MJ, Hermida Díaz A, and López Miragaya MI
- Subjects
- Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Child, Female, Hospital Bed Capacity, 300 to 499, Humans, Male, Meningitis, Bacterial drug therapy, Meningitis, Bacterial microbiology, Middle Aged, Retrospective Studies, Risk Factors, Spain, Time Factors, Emergency Service, Hospital statistics & numerical data, Meningitis, Bacterial diagnosis
- Abstract
Objective: To establish the time elapsed from the patient arrival to the emergency room to the beginning of antibiotic therapy. To identify etiologic factors for treatment delay., Methods: 73 patients diagnosed of bacterial meningitis in the emergency room and admitted to the hospital were studied. Patient characteristics as well as meningitis predisposing factors, symptoms, physical examination, laboratory data, radiological studies and previous ambulatory treatment, were recorded retrospectively. Arrival time, time expended at diagnostic procedures and time of administration of the first antibiotic dose, as well as the administration place were registered. Patients clinical evolution, and factors influencing the delay of antibiotic administration were analyzed., Results: Median age was 17 years. Patient care was evenly distributed along the day, 80% had a light base risk, 29% had at least a risk factor for meningitis, 22% received antibiotic previously. Clinical presentation was classic in more than 71% of patients. Blood cultures were positive in 41%, and CSF cultures were positive in 63%, 43% of cases were related to Neisseria meningitidis, 20% Streptococcus pneumoniae and unknown bacteria in 31.5%. Computerized Tomography (CT) was performed in 9 cases. Median time from the arrival to the Emergency Room until antibiotic administration was 5 hours and 25 minutes: When antibiotics were given before Lumbar Puncture (LP), it was 2 hours and 50 minutes, 5 hours 20 minutes when therapy was started after LP, and 7 hours and 22 minutes when CT was performed before LP. The only factor showing a statistically significant relation with the time to antibiotic administration was the patient being sent by the primary care physician to the hospital with a presumptive diagnosis of bacterial meningitis (1 hour 20 minutes vs. 5 hours 51 minutes)., Conclusion: Only a small part of bacterial meningitis cases start antibiotic treatment in the first 30 minutes. Delay is high and it increases when certain diagnostic tests are performed. Information received from the primary care physician, has the highest influence on the beginning of treatment.
- Published
- 1999
25. [Bronchiolitis obliterans organizing pneumonia, biochemical cholestasis and late development of rheumatoid arthritis].
- Author
-
Montes J, Fernández Peña C, and Hermida A
- Subjects
- Aged, Aged, 80 and over, Female, Humans, Arthritis, Rheumatoid complications, Cholestasis complications, Cryptogenic Organizing Pneumonia complications
- Published
- 1998
26. [Adrenocortical function in patients with active pulmonary tuberculosis].
- Author
-
de la Cruz Alvarez J, Montes Santiago J, Cerda Mota T, Fernández Peña C, and Fernández Marcos C
- Subjects
- Adrenal Glands diagnostic imaging, Adrenocorticotropic Hormone, Adult, Aged, Aged, 80 and over, Blood Glucose analysis, Blood Pressure, Community-Acquired Infections, Data Interpretation, Statistical, Female, Humans, Hydrocortisone blood, Male, Middle Aged, Pneumonia blood, Pneumonia physiopathology, Prospective Studies, Time Factors, Tuberculosis, Pulmonary blood, Ultrasonography, Adrenal Cortex physiopathology, Tuberculosis, Pulmonary physiopathology
- Abstract
Study Objective: To assess adrenal function in patients with acute pleuropulmonary tuberculosis (APT) and compare it with that function in patients with community-acquired pneumonia (CAP)., Patients: Over a period of 6 months all consecutive patients 18 years of age or older with newly diagnosed APT and CAP were entered into the study., Measurements: The whole patients had the following investigations: 1) Serum Na+, K+ and glucose concentrations 2) Systolic and diastolic blood pressures. 3) An ultrasonographic study of the adrenal glands. 4) A standard ACTH stimulation test., Results: There was no significative difference in the serum cortisol level between the two groups at any time of the ACTH stimulation test (basal, 30 and 60 minutes), neither when taking into account the increments between basal and 60 minutes after stimulation serum cortisol levels. All patients in both groups had normal ACTH stimulation test with a peak stimulated cortisol level at 60 minutes > 504 nmol/L., Conclusions: We did not find evidence of adrenal cortical dysfunction in patients with acute pleuropulmonary tuberculosis or with community-acquired pneumonia in our hospital.
- Published
- 1997
27. [Rifabutin as a cause of curable visual alterations in patients with human immunodeficiency virus infection].
- Author
-
Fernández Peña CM, Morano Amado LE, Suárez JA, and Alvarez ML
- Subjects
- Adult, Humans, Male, AIDS-Related Opportunistic Infections drug therapy, Anti-Bacterial Agents adverse effects, Rifabutin adverse effects, Uveitis chemically induced
- Published
- 1997
28. [Fulminant liver failure with a fatal outcome due to flutamide].
- Author
-
Fernández Peña CM, Morano Amado LE, Montes Santiago J, and Fachal C
- Subjects
- Adenocarcinoma drug therapy, Aged, Bone Neoplasms secondary, Fatal Outcome, Humans, Liver pathology, Male, Prostatic Neoplasms drug therapy, Antineoplastic Agents, Hormonal adverse effects, Flutamide adverse effects, Hepatic Encephalopathy chemically induced
- Published
- 1997
29. [Epidural catheter infection. A forgotten prosthetic device?].
- Author
-
Morano Amado LE, Fernández Peña C, and Caeiro Muñoz M
- Subjects
- Aged, Female, Humans, Analgesia, Epidural instrumentation, Bacteremia microbiology, Catheters, Indwelling, Enterobacteriaceae Infections microbiology, Prosthesis-Related Infections
- Published
- 1996
30. [Cervical pain as a clinical sign of spontaneous intracraneal hypotension].
- Author
-
Moreno MJ, Fernández Peña CM, Escriche D, and Romero J
- Subjects
- Humans, Hypotension, Orthostatic diagnosis, Male, Middle Aged, Pain etiology, Cervical Vertebrae physiopathology, Hypotension, Orthostatic complications, Pain physiopathology
- Abstract
We report a patient with spontaneous intracranial hypotension who developed severe neck pain after hard exercise. The pain was worse when the patient was standing and was relieved when he lay flat. Radionuclide cisternography demonstrated a central spinal fluid leak in the thoracic region of the spine. The syndrome resolved with conservative treatment. Although the most typical feature of spontaneous intracranial hypotension is postural headache, unnecessary testing can be avoided if we suspect this entity in the presence of cervical pain that worsens when the patient is upright and disappears or improves when he or she is lying down.
- Published
- 1996
31. [A man with a costal tumor. Pustular arthro-osteitis].
- Author
-
Fernández Peña C, Morano Amado L, Montero Furelos LA, and de la Cruz J
- Subjects
- Humans, Male, Middle Aged, Osteoarthritis complications, Osteoarthritis diagnosis, Psoriasis complications, Sternum
- Published
- 1996
32. [Transjugular intrahepatic portosystemic shunt and intravascular hemolysis].
- Author
-
Montes J, Fernández Peña C, Carreira MC, and Casal M
- Subjects
- Aged, Anemia, Hemolytic blood, Female, Humans, Jugular Veins, Postoperative Complications blood, Anemia, Hemolytic etiology, Portasystemic Shunt, Surgical adverse effects, Postoperative Complications etiology
- Published
- 1995
33. [Pubic osteomyelitis].
- Author
-
de la Cruz Alvarez J, Fernández Peña C, Medraño Martínez JC, and Morano Amado LE
- Subjects
- Female, Humans, Middle Aged, Osteomyelitis microbiology, Pubic Symphysis, Staphylococcal Infections
- Published
- 1995
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