46 results on '"Parejo C"'
Search Results
2. P2.31-12 Sexual Dysfunction on Patients with Lung Cancer: Results from the CLARIFY Project
- Author
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Ospina Serrano, A.V., primary, Calvo, V., additional, Collazo-Lorduy, A., additional, Blanco, M., additional, Triana, I., additional, Torrente, M., additional, Parejo, C., additional, Martinez, P., additional, and Provencio-Pulla, M., additional
- Published
- 2023
- Full Text
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3. Applying Data Science methods and tools to unveil healthcare use of lung cancer patients in a teaching hospital in Spain
- Author
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Cruz-Bermúdez, J. L., Parejo, C., Martínez-Ruíz, F., Sánchez-González, J. C., Ramos Martín-Vegue, A., Royuela, A., Rodríguez-González, A., Menasalvas-Ruiz, E., and Provencio, M.
- Published
- 2019
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4. Indirect interactions between pollinators drive interaction rewiring through space
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Magrach, A., Artamendi, M., Lapido, P.D., Parejo, C., Rubio, E., Magrach, A., Artamendi, M., Lapido, P.D., Parejo, C., and Rubio, E.
- Abstract
In recent years, an extended body of literature has focused on the importance of either temporal or spatial dynamics in shaping the structure of interacting plant and pollinator communities. This improvement from a previously static and aggregated perspective has allowed us to understand many of the ecological processes that shape community assembly. However, fewer are the studies that have simultaneously focused on spatial and temporal dynamics, and even fewer are those that collect data across different habitat types to assess the generality of their findings. Here, we used a dataset collected weekly throughout the full flowering season for two consecutive years and within two contrasting habitat types in N and SW Spain: a mountain grassland area and the understory of sparse pine forests. We evaluated species and interaction persistence through space and time, pollinator fidelity, and turnover patterns in interaction composition while providing a potential mechanistic explanation for the patterns observed. Our results show that although species generalization does not explain species or interaction persistence, moderately generalist species are those showing the greatest fidelity to the subset of plant species they visit through space and time. Further, we find that interaction turnover through time is mostly driven by changes in species composition, while through space it is mostly driven by interaction rewiring resulting from indirect competitive interactions between pollinator species. Our results help to shed light on the potential mechanisms driving community assembly patterns beyond niche or neutral processes by adding within-trophic-level interactions that can modify pollinator preferences. © 2023 The Authors. Ecosphere published by Wiley Periodicals LLC on behalf of The Ecological Society of America.
- Published
- 2023
5. Enhanced recovery after radical cystectomy: Outcomes of implementation after 80 cases
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Serra, A. Abella, primary, González, J. A. Jerez, additional, Orejas, M. Serrallach, additional, Reggeti, J. I. Pérez, additional, Parejo, C. Ferreiro, additional, De Pablos Rodriguez, P., additional, Serra, P. Sanz, additional, Escudero, C. Alvarez, additional, Novo, J. F. Suárez, additional, Español, L. Gallego, additional, and Julià, F. Vigués, additional
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- 2022
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6. EP16.04-014 NTRK in Lung Cancer Patients with History of Hodgkin's Lymphoma
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Clemente, M. Blanco, primary, García, B. Núñez, additional, Calvo de Juan, V., additional, Lourdy, A. Collazo, additional, Díaz, Y. Garitaonaindía, additional, Cutillas, M. Martínez, additional, Puchol, C. Traseira, additional, Noya, R. Aguado, additional, Ceballos, G. Visedo, additional, González, S.C. González, additional, García, M. Méndez, additional, González, J.C. Sánchez, additional, Sánchez de Ibargüen, B. Cantos, additional, Parejo, C., additional, and Pulla, M. Provencio, additional
- Published
- 2022
- Full Text
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7. P54.04 Detecting Elevated Risk of Diminished Quality of Life Among Lung Cancer Patients by Using Wearable Devices
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Torrente, M., primary, Franco, F., additional, Collazo Lorduy, A., additional, Calvo, V., additional, Martinez, P., additional, Parejo, C., additional, Campos, M., additional, Alamaida-Pagan, P., additional, Rodriguez-Morilla, B., additional, Rol, M.A., additional, Madrid, J.A., additional, Martinez-Madrid, M.J., additional, Cantos, B., additional, Maximiano, C., additional, Mendez, M., additional, Visedo, G., additional, Cristina, S., additional, Menasalvas, E., additional, Sousa, P., additional, Pimentao, J., additional, Morito, A., additional, and Provencio, M., additional
- Published
- 2021
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8. 2133P Sleep disorders: Evolution in time in early breast cancer (EBC)
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Cantos, B., Gonzalez, J.C. Sanchez, Garcia, M. Mendez, Garcia, B. Nunez, Clemente, M. Blanco, Parejo, C., Campos, M., Morilla, B. Rodriguez, Pagan, P.F. Almaida, González, S.C. González, Puchol, C. Traseira, Cutillas, M. Martinez, Aguado, R., Díaz, Y. Garitaonaindía, Sánchez, A. González, Ruiz de Domingo, D.I., del Corral, M.M. Sánchez, Redondo, I., Torrente, M., and Pulla, M. Provencio
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- 2023
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9. 2070P Assessment of healthy lifestyle habits in breast cancer patients
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Sanchez, J.C., Cantos, B., Garcia, M. Mendez, Garcia, B. Nunez, Clemente, M. Blanco, Parejo, C., Campos, M., Morilla, B. Rodriguez, Pagan, P.F. Almaida, González, S.C. González, Puchol, C. Traseira, Cutillas, M. Martinez, Aguado, R., Díaz, Y. Garitaonaindía, Sánchez, A. González, Ruiz de Domingo, D.I., Sánchez del Corral, M.M., Redondo, I., Torrente, M., and Pulla, M. Provencio
- Published
- 2023
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10. 469P Metastasic breast cancer: Differences in motor activity and sleep patterns by kind of treatment
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Torrente, M., Cantos, B., Sanchez Gonzalez, J.C., Mendez Garcia, M., Nunez Garcia, B., Blanco Clemente, M., Campos, M., Rodriguez Morilla, B., Almaida Pagan, P.F., Parejo, C., González González, S.C., Traseira Puchol, C., Martinez Cutillas, M., Aguado, R., Garitaonaindía Díaz, Y., González Sánchez, A., Sánchez del Corral, M.M., Ruiz de Domingo, D.I., Melero Cipres, M.I., and Provencio Pulla, M.
- Published
- 2023
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11. Controlled release of NSAIDs bound to polyacrylic carrier systems
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Parejo, C., Gallardo, A., and San RomÁn, J.
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- 1998
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12. Synthesis, spectroscopy and quantum chemical DFT studies on new pleiadene-based materials
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Casado, J., Delgado, M.C. Ruiz, Hernández, V., Navarrete, J.T. López, Parejo, C., Fernández-Lázaro, F., Sastre-Santos, Á., and Wudl, F.
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- 2005
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13. P1.16-12 An Analysis of Healthcare Use and the Cost Associated to End-of-Life Care of Lung Cancer Patients in a Spanish Hospital
- Author
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Cruz, J.L., primary, Provencio, M., additional, Menasalvas, E., additional, Parejo, C., additional, Martínez-Ruíz, F., additional, Sánchez-González, J.C., additional, Gómez-Bravo, R., additional, Martín-Vegue, A. Ramos, additional, Royuela, A., additional, and Rodríguez-González, A., additional
- Published
- 2019
- Full Text
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14. MA16.03 Big Data Analysis for Personalized Medicine in Lung Cancer Patients
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Torrente, M., primary, Núñez-García, B., additional, Franco, F., additional, De Juan, V. Calvo, additional, Menasalvas, E., additional, Rodríguez-González, A., additional, Parejo, C., additional, and Provencio, M., additional
- Published
- 2019
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- View/download PDF
15. Palliative care in advanced cancer: A clinical and ethical goal achieved?
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Sanchez, J.C., primary, Gomez-Bravo, R., additional, Morito Aguilar, A.M., additional, Royuela, A., additional, Núñez García, B., additional, Tojar, T., additional, Ruano Ravina, A., additional, Parejo, C., additional, Cantos, B., additional, and Provencio Pulla, M., additional
- Published
- 2018
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16. 1525P - Palliative care in advanced cancer: A clinical and ethical goal achieved?
- Author
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Sanchez, J.C., Gomez-Bravo, R., Morito Aguilar, A.M., Royuela, A., Núñez García, B., Tojar, T., Ruano Ravina, A., Parejo, C., Cantos, B., and Provencio Pulla, M.
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- 2018
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17. Synthesis and optical properties of phthalocyanine- dihydrobenzocyclobutacenaphthylene systems
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Ortiz J., Parejo C., Payá F., Fernández-Lázaro F., Lüer L., Sastre-Santos A. and This work has been supported by the Spanish Ministry of Science and Innovation, Generalitat Valenciana and the European FEDER funds (CTQ2011-26455, PROMETEO 2012/010, ACOMP/2013/024 and ISIC/2012/008). LL thanks the MINECO for a Ramon y Cajal fellowship and the EU for financial support via the COFUND program AMAROUT, and the Community of Madrid (Project MADRISOLAR-2.
- Published
- 2013
18. Synthesis and optical properties of phthalocyanine- dihydrobenzocyclobutacenaphthylene systems
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Ortiz J., Parejo C., Payá F., Fernández-Lázaro F., Lüer L., Sastre-Santos A., Ortiz J., Parejo C., Payá F., Fernández-Lázaro F., Lüer L., and Sastre-Santos A.
- Published
- 2013
19. Protein electrophoresis in Arionid taxonomy
- Author
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Backeljau, Thierry, Winnepenninckx, Birgitta, Jordaens, Kurt, de Wolf, Hans, Breugelmans, K., Parejo, C., and Rodríguez, T.
- Published
- 1996
20. El projecte GAIA: una proposta per a l'ensenyament de les ciències 12-16
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Caamaño Ros, Aureli, Correig, T., Grau, R., Guasch, E., Lozano, M.T., Mayós, C., Parejo, C., and Varela, X.
- Published
- 1993
21. Monitoring ibuprofen enantiomers released from polymeric systems
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Simó, C, primary, Gallardo, A, additional, Parejo, C, additional, San Román, J, additional, Barbas, C, additional, and Cifuentes, A, additional
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- 2002
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22. HEMA-based methacrylic carriers incorporating ketoprofen: Chain flexibility and swelling behaviour
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Parejo, C., primary, Gallardo, A., additional, and Román, J. San, additional
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- 2000
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23. NSAIDs bound to methacrylic carriers: microstructural characterization and in vitro release analysis
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Gallardo, A., Parejo, C., and Roman, J. San
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- 2001
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24. Abortive infection of bat fibroblasts with SARS-CoV-2.
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Bisht P, Gallagher MD, Barrasa MI, Boucau J, Harding A, Déjosez M, Godoy-Parejo C, Bisher ME, de Nola G, Lytton-Jean AKR, Gehrke L, Zwaka TP, and Jaenisch R
- Subjects
- Humans, Animals, Induced Pluripotent Stem Cells virology, Induced Pluripotent Stem Cells metabolism, Virus Replication, Chiroptera virology, Fibroblasts virology, Fibroblasts metabolism, SARS-CoV-2 physiology, SARS-CoV-2 immunology, COVID-19 virology, COVID-19 immunology, Angiotensin-Converting Enzyme 2 metabolism, Angiotensin-Converting Enzyme 2 genetics
- Abstract
Bats are tolerant to highly pathogenic viruses such as Marburg, Ebola, and Nipah, suggesting the presence of a unique immune tolerance toward viral infection. Here, we compared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection of human and bat ( Rhinolophus ferrumequinum ) pluripotent cells and fibroblasts. Since bat cells do not express an angiotensin-converting enzyme 2 (ACE2) receptor that allows virus infection, we transduced the human ACE2 (hA) receptor into the cells and found that transduced cells can be infected with SARS-CoV-2. Compared to human embryonic stem cells-hA, infected bat induced Pluripotent Stem Cells (iPSCs)-hA produced about a 100-fold lower level of infectious virus and displayed lower toxicity. In contrast, bat embryonic fibroblast-hA produced no infectious virus while being infectable and synthesizing viral RNA and proteins, suggesting abortive infection. Indeed, electron microscopy failed to detect virus-like particles in infected bat fibroblasts in contrast to bat iPSCs or human cells, consistent with the latter producing infectious viruses. This suggests that bat somatic but not pluripotent cells have an effective mechanism to control virus replication. Consistent with previous results by others, we find that bat cells have a constitutively activated innate immune system, which might limit SARS-CoV-2 infection compared to human cells., Competing Interests: Competing interests statement:The authors declare no competing interest.
- Published
- 2024
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25. Generation of human pluripotent stem cell lines (WAe009-A) with THAP11 F80L cobalamin disorder-associated mutation.
- Author
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Qin Y, Godoy-Parejo C, Skowronska M, Verma A, Dejosez M, and Zwaka TP
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- Humans, Cell Line, Cell Differentiation, Vitamin B 12 Deficiency genetics, Vitamin B 12 Deficiency metabolism, Vitamin B 12 metabolism, Pluripotent Stem Cells metabolism, Pluripotent Stem Cells cytology, Mutation
- Abstract
Recent studies reported that the mutation in the THAP11 gene (THAP11
F80L ) could be responsible for the inborn vitamin deficiency known as cobalamin disorder, by affecting the expression of the enzyme MMACHC, key in the cobalamin metabolism. However, the specifics of the molecular mechanism are largely unknown. In here we generated genetically modified human pluripotent stem cell lines with THAP11F80L mutation, providing a new research tool for futher exploring the molecular mechanism. The established hPSC lines remain pluripotent, showing expression of OCT3/4, differentiation capacity to the three germ layers and displaying normal karyotype., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier B.V.)- Published
- 2024
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26. Sexual dysfunction in patients with cancer, a challenge in oncology practice: results of the CLARIFY project.
- Author
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Ospina-Serrano AV, Maximiano C, Cantos B, Torrente M, Mendez M, Sanchez JC, Calvo V, Collazo-Lorduy A, Blanco M, Nuñez B, Triana I, Parejo C, Martinez P, Duma N, and Provencio-Pulla M
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Medical Oncology, Sexual Behavior, Surveys and Questionnaires, Spain, Breast Neoplasms, Lung Neoplasms, Sexual Dysfunction, Physiological epidemiology, Sexual Dysfunction, Physiological etiology
- Abstract
Background: Sexual dysfunction (SD) associated with oncological treatment is a common and understudied disorder. Our aim was to characterize SD in a cohort of Spanish patients., Methods: Analytic observational study in patients included in the CLARIFY H2020 project at the Hospital Universitario Puerta de Hierro. Clinical variables and validated measures of sexual function were collected from October 2020 to May 2022. Frequency and quality of sexual activity were assessed. Descriptive, trend associations, and logistic regression analyses were performed., Results: A total of 383 patients were included: breast cancer 68.14% (261), lung cancer 26.37% (101), and lymphoma 5.50% (21). Mean age was 56.5 years (range 33-88). 19.58% (75) were men and 80.42% (308) were women. 69% and 31% of men and women, respectively, reported being sexually active. The absolute frequency of overall sexual dissatisfaction was 76% in women and 24% in men. Women with breast cancer were most likely to have severe sexual dysfunction. Those with early disease had resolved complaints after 5 years. In multinomial logistic regression, significant associations were found in women with metastatic breast cancer and severe disorders of arousal (p 0.000), lubrication (p 0.002), orgasm (p 0.000), as well as dissatisfaction with sexual performance (p 0.000) and global sexual dissatisfaction (p 0.000). Women with lung cancer have severe arousal dysfunction (p 0.016) and global sexual dissatisfaction (p 0.044)., Conclusions: Our population has a high prevalence of SD, which supports the need to increase awareness of this disorder among the medical oncology team and the importance of including sexual health assessment in oncological patient follow-up., (© 2023. The Author(s), under exclusive licence to Federación de Sociedades Españolas de Oncología (FESEO).)
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- 2024
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27. Brn3b regulates the formation of fear-related midbrain circuits and defensive responses to visual threat.
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Lee H, Weinberg-Wolf H, Lee HL, Lee T, Conte J, Godoy-Parejo C, Demb JB, Rudenko A, and Kim IJ
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- Animals, Mice, Neurons physiology, Thalamus, Fear physiology, Mesencephalon physiology
- Abstract
Defensive responses to visually threatening stimuli represent an essential fear-related survival instinct, widely detected across species. The neural circuitry mediating visually triggered defensive responses has been delineated in the midbrain. However, the molecular mechanisms regulating the development and function of these circuits remain unresolved. Here, we show that midbrain-specific deletion of the transcription factor Brn3b causes a loss of neurons projecting to the lateral posterior nucleus of the thalamus. Brn3b deletion also down-regulates the expression of the neuropeptide tachykinin 2 (Tac2). Furthermore, Brn3b mutant mice display impaired defensive freezing responses to visual threat precipitated by social isolation. This behavioral phenotype could be ameliorated by overexpressing Tac2, suggesting that Tac2 acts downstream of Brn3b in regulating defensive responses to threat. Together, our experiments identify specific genetic components critical for the functional organization of midbrain fear-related visual circuits. Similar mechanisms may contribute to the development and function of additional long-range brain circuits underlying fear-associated behavior., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Lee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
- Published
- 2023
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28. Long-term outcomes in Hodgkin lymphoma survivors. Temporary trends and comparison with general population.
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Núñez-García B, Clemente MB, Sánchez JC, Royuela A, Ibargüen BCS, Méndez M, López-Ibor JV, Martínez M, Traseira C, Garitaonaindia Y, Aguado R, Calvo V, Torrente M, Parejo C, Provencio Z, and Provencio M
- Subjects
- Humans, Female, Adolescent, Young Adult, Adult, Middle Aged, Aged, Aged, 80 and over, Survivors, Hodgkin Disease epidemiology, Neoplasms, Second Primary epidemiology, Lymphoma, Non-Hodgkin complications, Cardiovascular Diseases etiology, Cardiovascular Diseases complications
- Abstract
The high cure rates of Hodgkin lymphoma (HL) make this oncological disease among those with the greatest number of long-term survivors. This single-institution study including 383 HL patients with up to 45 years of follow-up, analyses the morbidity and mortality of this population after treatments in comparison with the overall Spanish population, and investigates whether it has changed over time stratifying by periods of time, as a consequence of therapeutic optimization. The median age was 34.8 years (range 15-87) with median overall survival of 30 years, significantly higher in women (HR 0.58, 95% CI 0.42-0.79) (p = 0.0002). 185 late-stage diseases were noted (35% patients), cardiovascular disease (CVD) being the most frequent (23.2%). 30% of patients developed at least one second malignant neoplasm (SMN) to give a total of 174 SMNs. 20.9% of the patients died from HL and 67.0% died from non-HL causes (32.2% from SMN, 17% from CVD). The overall standardized mortality ratio (SMR) was 3.57 (95% CI: 3.0-4.2), with striking values of 7.73 (95% CI: 5.02-8.69) and of 14.75 (95% CI: 11.38-19.12) for women and patients <30 years at diagnosis, respectively. Excluding HL as the cause of death, the SMRs of those diagnosed before 2000 and from 2000 were proved to be similar (3.88 vs 2.73), maintaining in this last period an unacceptable excess of mortality due to secondary toxicity in patients cured of HL. Our study confirm that HL treatment substantially reduces the life expectancy of patients cured of HL. In recent periods, despite therapeutic optimization, deaths from toxicity continue to occur, mainly from CVD and SMN. Risk-factor monitoring should be intensified, prevention programs developed, and therapeutic optimization of LH investigated, especially in two vulnerable groups: those aged <30 years at diagnosis, and women., (© 2023 The Authors. Hematological Oncology published by John Wiley & Sons Ltd.)
- Published
- 2023
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29. Protein Kinase C Modulation Determines the Mesoderm/Extraembryonic Fate Under BMP4 Induction From Human Pluripotent Stem Cells.
- Author
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Godoy-Parejo C, Deng C, Xu J, Zhang Z, Ren Z, Ai N, Liu W, Ge W, Deng C, Xu X, Chin YE, and Chen G
- Subjects
- Humans, Embryonic Stem Cells metabolism, Cell Differentiation, Mesoderm metabolism, Bone Morphogenetic Protein 4 pharmacology, Bone Morphogenetic Protein 4 metabolism, Protein Kinase C metabolism, Pluripotent Stem Cells metabolism
- Abstract
The interplay among mitogenic signaling pathways is crucial for proper embryogenesis. These pathways collaboratively act through intracellular master regulators to determine specific cell fates. Identifying the master regulators is critical to understanding embryogenesis and to developing new applications of pluripotent stem cells. In this report, we demonstrate protein kinase C (PKC) as an intrinsic master switch between embryonic and extraembryonic cell fates in the differentiation of human pluripotent stem cells (hPSCs). PKCs are essential to induce the extraembryonic lineage downstream of BMP4 and other mitogenic modulators. PKC-alpha (PKCα) suppresses BMP4-induced mesoderm differentiation, and PKC-delta (PKCδ) is required for trophoblast cell fate. PKC activation overrides mesoderm induction conditions and leads to extraembryonic fate. In contrast, PKC inhibition leads to β-catenin (CTNNB1) activation, switching cell fate from trophoblast to mesoderm lineages. This study establishes PKC as a signaling boundary directing the segregation of extraembryonic and embryonic lineages. The manipulation of intrinsic PKC activity could greatly enhance cell differentiation under mitogenic regulation in stem cell applications., (© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
- Published
- 2023
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30. Bat pluripotent stem cells reveal unusual entanglement between host and viruses.
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Déjosez M, Marin A, Hughes GM, Morales AE, Godoy-Parejo C, Gray JL, Qin Y, Singh AA, Xu H, Juste J, Ibáñez C, White KM, Rosales R, Francoeur NJ, Sebra RP, Alcock D, Volkert TL, Puechmaille SJ, Pastusiak A, Frost SDW, Hiller M, Young RA, Teeling EC, García-Sastre A, and Zwaka TP
- Subjects
- Animals, Transcriptome, Phylogeny, Chiroptera, Viruses genetics, Virus Diseases, Pluripotent Stem Cells
- Abstract
Bats are distinctive among mammals due to their ability to fly, use laryngeal echolocation, and tolerate viruses. However, there are currently no reliable cellular models for studying bat biology or their response to viral infections. Here, we created induced pluripotent stem cells (iPSCs) from two species of bats: the wild greater horseshoe bat (Rhinolophus ferrumequinum) and the greater mouse-eared bat (Myotis myotis). The iPSCs from both bat species showed similar characteristics and had a gene expression profile resembling that of cells attacked by viruses. They also had a high number of endogenous viral sequences, particularly retroviruses. These results suggest that bats have evolved mechanisms to tolerate a large load of viral sequences and may have a more intertwined relationship with viruses than previously thought. Further study of bat iPSCs and their differentiated progeny will provide insights into bat biology, virus host relationships, and the molecular basis of bats' special traits., Competing Interests: Declaration of interests T.P.Z., M.D., and A.G.S. are inventors on patents and patent applications on the use of bat iPS cells, owned by the Icahn School of Medicine at Mount Sinai, New York. T.P.Z. and R.A.Y. are founders and shareholders of Paratus Sciences, and R.A.Y. is a founder and shareholder of Syros Pharmaceuticals, Camp4 Therapeutics, Omega Therapeutics, and Dewpoint Therapeutics. The A.G.S. laboratory has received research support from Pfizer, Senhwa Biosciences, Kenall Manufacturing, Avimex, Johnson & Johnson, Dynavax, 7Hills Pharma, Pharmamar, ImmunityBio, Accurius, Nanocomposix, Hexamer, N-Fold LLC, Model Medicines, and Merck, outside of the reported work. A.G.S. has consulting agreements for the following companies involving cash and/or stock: Vivaldi Biosciences, Contrafect, 7Hills Pharma, Avimex, Vaxalto, Pagoda, Accurius, Esperovax, Farmak, Applied Biological Laboratories, and Pfizer, outside of the reported work. A.G.S. is inventor on patents and patent applications on the use of antivirals and vaccines for the treatment and prevention of virus infections and cancer, owned by the Icahn School of Medicine at Mount Sinai, New York, outside of the reported work. A.M. is the creator of Omics Bioinformatics and owns all the stocks of this company. R.P.S. has a consulting agreement with Sema4 involving cash and is also a stockholder of this company. A.P. and S.D.W.F. are employees of Microsoft Corporation. S.D.W.F. is co-founder of DIOSynVax, Ltd. and an inventor on patent applications on the design of vaccine immunogens for the prevention of virus infections, outside of the reported work., (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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31. Clinical factors influencing long-term survival in a real-life cohort of early stage non-small-cell lung cancer patients in Spain.
- Author
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Torrente M, Sousa PA, Guerreiro GR, Franco F, Hernández R, Parejo C, Sousa A, Campo-Cañaveral JL, Pimentão J, and Provencio M
- Abstract
Background: Current prognosis in oncology is reduced to the tumour stage and performance status, leaving out many other factors that may impact the patient´s management. Prognostic stratification of early stage non-small-cell lung cancer (NSCLC) patients with poor prognosis after surgery is of considerable clinical relevance. The objective of this study was to identify clinical factors associated with long-term overall survival in a real-life cohort of patients with stage I-II NSCLC and develop a prognostic model that identifies features associated with poor prognosis and stratifies patients by risk., Methods: This is a cohort study including 505 patients, diagnosed with stage I-II NSCLC, who underwent curative surgical procedures at a tertiary hospital in Madrid, Spain., Results: Median OS (in months) was 63.7 (95% CI, 58.7-68.7) for the whole cohort, 62.4 in patients submitted to surgery and 65 in patients submitted to surgery and adjuvant treatment. The univariate analysis estimated that a female diagnosed with NSCLC has a 0.967 (95% CI 0.936 - 0.999) probability of survival one year after diagnosis and a 0.784 (95% CI 0.712 - 0.863) five years after diagnosis. For males, these probabilities drop to 0.904 (95% CI 0.875 - 0.934) and 0.613 (95% CI 0.566 - 0.665), respectively. Multivariable analysis shows that sex, age at diagnosis, type of treatment, ECOG-PS, and stage are statistically significant variables (p<0.10). According to the Cox regression model, age over 50, ECOG-PS 1 or 2, and stage ll are risk factors for survival (HR>1) while adjuvant chemotherapy is a good prognostic variable (HR<1). The prognostic model identified a high-risk profile defined by males over 71 years old, former smokers, treated with surgery, ECOG-PS 2., Conclusions: The results of the present study found that, overall, adjuvant chemotherapy was associated with the best long-term OS in patients with resected NSCLC. Age, stage and ECOG-PS were also significant factors to take into account when making decisions regarding adjuvant therapy., 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 Torrente, Sousa, Guerreiro, Franco, Hernández, Parejo, Sousa, Campo-Cañaveral, Pimentão and Provencio.)
- Published
- 2023
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32. Bilateral Uveitis in a Horse With a Renal Carcinoma.
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Romero BF, Iglesis García M, Gil Molino M, Gómez L, Galapero J, Parejo C, and Martín Cuervo M
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- Horses, Animals, Female, Male, Hospitals, Animal, Hospitals, Teaching, Carcinoma, Renal Cell complications, Carcinoma, Renal Cell veterinary, Horse Diseases diagnosis, Uveitis diagnosis, Uveitis veterinary, Kidney Neoplasms complications, Kidney Neoplasms veterinary
- Abstract
Equine uveitis is a common eye disease that affect horses from different breeds, ages, and genders. Uveitis has been described as inflammation of the uvea secondary immunomediated processes or eye trauma. Renal cell carcinoma (RCC) is the most common tumor that can affect the equine kidneys. The present case describe a horse that was referred to the Veterinary Teaching Hospital of the University of Extremadura with bilateral uveitis. The horse was treated for the primary complain but the horse collapse and die during hospitalization. At necropsy, a tumoral mass in kidney with extensive in other locations as liver, lung, and lymphonodes was described. Within peritoneal cavity a pedunculated mass has been observed next to severe hemoperitoneum. Histologically, primary neoplasia and its metastasis was composed by a proliferation of epithelial cells, which were organized in a tubulopapillary pattern, similarly in the ciliary body this pattern was also observed. The diagnosis of renal carcinoma with metastasis in both uveal structures was performed. Immunomarker with CD10, AE1-AE3, and vimentin evidenced the same origin of primary neoplasia. Uveal metastasis should be included as differential diagnoses in aged horses with uveitis that not response with the medical treatment., (Copyright © 2022. Published by Elsevier Inc.)
- Published
- 2022
- Full Text
- View/download PDF
33. Understanding prognosis and survival outcomes in patients with early-stage non-small-cell lung cancer.
- Author
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Torrente M, Sousa PA, Franco F, Guerreiro G, Sousa A, Parejo C, Pimentao J, and Provencio M
- Subjects
- Humans, Neoplasm Staging, Prognosis, Retrospective Studies, Survival Rate, Carcinoma, Non-Small-Cell Lung pathology, Carcinoma, Non-Small-Cell Lung therapy, Lung Neoplasms pathology
- Published
- 2022
- Full Text
- View/download PDF
34. Association of quality of life with performance status, circadian rhythm, and activity level of lung cancer patients using wearable devices as ambulatory monitoring.
- Author
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Torrente M, Sousa PA, Franco F, Mensalvas E, Calvo V, Collazo A, Parejo C, Campos M, Pimentao J, and Provencio M
- Subjects
- Circadian Rhythm, Humans, Monitoring, Ambulatory, Quality of Life, Lung Neoplasms diagnosis, Wearable Electronic Devices
- Published
- 2022
- Full Text
- View/download PDF
35. Insulin Directs Dichotomous Translational Regulation to Control Human Pluripotent Stem Cell Survival, Proliferation and Pluripotency.
- Author
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Zhou X, Ren Z, Xu J, Deng C, Zhang Z, Godoy-Parejo C, Xu F, Huang ECC, Wang J, Cai Z, Liu W, Hu G, and Chen G
- Subjects
- Cell Differentiation genetics, Cell Proliferation genetics, Humans, RNA metabolism, TOR Serine-Threonine Kinases genetics, TOR Serine-Threonine Kinases metabolism, Insulin metabolism, Pluripotent Stem Cells metabolism
- Abstract
Insulin is essential for diverse biological processes in human pluripotent stem cells (hPSCs). However, the underlying mechanism of insulin's multitasking ability remains largely unknown. Here, we show that insulin controls hPSC survival and proliferation by modulating RNA translation via distinct pathways. It activates AKT signaling to inhibit RNA translation of pro-apoptotic proteins such as NOXA/PMAIP1, thereby promoting hPSC survival. At the same time, insulin acts via the mTOR pathway to enhance another set of RNA translation for cell proliferation. Consistently, mTOR inhibition by rapamycin results in eIF4E phosphorylation and translational repression. It leads to a dormant state with sustained pluripotency but reduced cell growth. Together, our study uncovered multifaceted regulation by insulin in hPSC survival and proliferation, and highlighted RNA translation as a key step to mediate mitogenic regulation in hPSCs., Competing Interests: Competing Interests: The authors have declared that no competing interest exists., (© The author(s).)
- Published
- 2022
- Full Text
- View/download PDF
36. Formation and Photoinduced Electron Transfer in Porphyrin- and Phthalocyanine-Bearing N-Doped Graphene Hybrids Synthesized by Click Chemistry.
- Author
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Arellano LM, Gobeze HB, Jang Y, Barrejón M, Parejo C, Álvarez JC, Gómez-Escalonilla MJ, Sastre-Santos Á, D'Souza F, and Langa F
- Abstract
Graphene doped with heteroatoms such as nitrogen, boron, and phosphorous by replacing some of the skeletal carbon atoms is emerging as an important class of two-dimensional materials as it offers the much-needed bandgap for optoelectronic applications and provides better access for chemical functionalization at the heteroatom sites. Covalent grafting of photosensitizers onto such doped graphenes makes them extremely useful for light-induced applications. Herein, we report the covalent functionalization of N-doped graphene (NG) with two well-known electron donor photosensitizers, namely, zinc porphyrin (ZnP) and zinc phthalocyanine (ZnPc), using the simple click chemistry approach. Covalent attachment of ZnP and ZnPc at the N-sites of NG in NG-ZnP and NG-ZnPc hybrids was confirmed by using a range of spectroscopic, thermogravimetric and imaging techniques. Ground- and excited-state interactions in NG-ZnP and NG-ZnPc were monitored by using spectral and electrochemical techniques. Efficient quenching of photosensitizer fluorescence in these hybrids was observed, and the relatively easier oxidations of ZnP and ZnPc supported excited-state charge-separation events. Photoinduced charge separation in NG-ZnP and NG-ZnPc hybrids was confirmed by using the ultrafast pump-probe technique. The measured rate constants were of the order of 10
10 s,-1 thus indicating ultrafast electron transfer phenomena., (© 2022 The Authors. Chemistry - A European Journal published by Wiley-VCH GmbH.)- Published
- 2022
- Full Text
- View/download PDF
37. Thyroid hormone enhances stem cell maintenance and promotes lineage-specific differentiation in human embryonic stem cells.
- Author
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Deng C, Zhang Z, Xu F, Xu J, Ren Z, Godoy-Parejo C, Xiao X, Liu W, Zhou Z, and Chen G
- Subjects
- Cell Differentiation physiology, Chromatography, Liquid, Humans, Tandem Mass Spectrometry, Thyroid Hormones, Human Embryonic Stem Cells
- Abstract
Background: Thyroid hormone triiodothyronine (T3) is essential for embryogenesis and is commonly used during in vitro fertilization to ensure successful implantation. However, the regulatory mechanisms of T3 during early embryogenesis are largely unknown., Method: To study the impact of T3 on hPSCs, cell survival and growth were evaluated by measurement of cell growth curve, cloning efficiency, survival after passaging, cell apoptosis, and cell cycle status. Pluripotency was evaluated by RT-qPCR, immunostaining and FACS analysis of pluripotency markers. Metabolic status was analyzed using LC-MS/MS and Seahorse XF Cell Mito Stress Test. Global gene expression was analyzed using RNA-seq. To study the impact of T3 on lineage-specific differentiation, cells were subjected to T3 treatment during differentiation, and the outcome was evaluated using RT-qPCR, immunostaining and FACS analysis of lineage-specific markers., Results: In this report, we use human pluripotent stem cells (hPSCs) to show that T3 is beneficial for stem cell maintenance and promotes trophoblast differentiation. T3 enhances culture consistency by improving cell survival and passaging efficiency. It also modulates cellular metabolism and promotes energy production through oxidative phosphorylation. T3 helps maintain pluripotency by promoting ERK and SMAD2 signaling and reduces FGF2 dependence in chemically defined culture. Under BMP4 induction, T3 significantly enhances trophoblast differentiation., Conclusion: In summary, our study reveals the impact of T3 on stem cell culture through signal transduction and metabolism and highlights its potential role in improving stem cell applications., (© 2022. The Author(s).)
- Published
- 2022
- Full Text
- View/download PDF
38. Sex is a strong prognostic factor in stage IV non-small-cell lung cancer patients and should be considered in survival rate estimation.
- Author
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Barquín M, Calvo V, García-García F, Nuñez B, Sánchez-Herrero E, Serna-Blasco R, Auglytė M, Carcereny E, Rodriguez-Abreu D, López Castro R, Guirado M, Camps C, Bosch-Barrera J, Massuti B, Ortega AL, Del Barco E, Gonzalez-Larriba JL, Aguiar D, García-Campelo R, Dómine M, Agraso S, Sala MA, Oramas J, Bernabé R, Blanco R, Parejo C, Cruz A, Menasalvas E, Royuela A, Romero A, and Provencio M
- Subjects
- Adult, Aged, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung genetics, Carcinoma, Non-Small-Cell Lung pathology, ErbB Receptors antagonists & inhibitors, ErbB Receptors genetics, Female, Humans, Lung Neoplasms drug therapy, Lung Neoplasms genetics, Lung Neoplasms pathology, Male, Meta-Analysis as Topic, Middle Aged, Neoplasm Staging, Prognosis, Protein Kinase Inhibitors therapeutic use, Sex Factors, Survival Rate, Carcinoma, Non-Small-Cell Lung mortality, Lung Neoplasms mortality, Mutation
- Abstract
Background: Biological differences between the sexes have a major impact on disease and treatment outcome. In this paper, we evaluate the prognostic value of sex in stage IV non-small-cell lung cancer (NSCLC) in the context of routine clinical data, and compare this information with other external datasets., Methods: Clinical data from stage IV NSCLC patients from Hospital Puerta de Hierro (HPH) were retrieved from electronic health records using big data analytics (N = 397). In addition, data from the Spanish Lung Cancer Group (GECP) Tumor Registry (N = 1382) and from a published study available from the cBioPortal (MSK) (N = 601) were analyzed. Survival curves were estimated using the Kaplan-Meier method. A Cox proportional hazards regression model was used to assess the prognostic value of sex. A meta-analysis to compare the outcome for males and females in terms of overall survival (OS) and progression free survival (PFS) was performed., Results: The median OS time was 12 months for males and 19 months for females (overall HR = 0.77; 95% CI: 0.68-0.87; P < 0.001). Similarly, females with stage IV NSCLC harboring an EGFR-sensitizing mutation lived significantly longer than males (median OS: males, 19 months; females, 32 months) with a lower risk of death compared with males (overall HR = 0.75; 95% CI: 0.67-0.84). In addition, female patients benefited more from EGFR inhibitors in terms of PFS and OS (overall HR = 0.45; 95% CI: 0.32-0.64, and HR = 0.62; 95% CI: 0.48-0.80, respectively). Median PFS was 21 months in females and 12 months in males (P < 0.001)., Conclusions: Using routine clinical data we confirmed the previous finding that among stage IV NSCLC patients, females had a significantly better prognosis than males. The effect size of the sex was notable, highlighting the fact that survival rates are usually estimated and patients are generally managed without considering the sexes separately, which may lead to suboptimal results., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF
39. Roles of vitamins in stem cells.
- Author
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Godoy-Parejo C, Deng C, Zhang Y, Liu W, and Chen G
- Subjects
- Animals, Epigenesis, Genetic, Humans, Signal Transduction, Stem Cells drug effects, Stem Cells metabolism, Cell Differentiation, Cell Proliferation, Regenerative Medicine, Stem Cells cytology, Vitamins pharmacology
- Abstract
Stem cells can differentiate to diverse cell types in our body, and they hold great promises in both basic research and clinical therapies. For specific stem cell types, distinctive nutritional and signaling components are required to maintain the proliferation capacity and differentiation potential in cell culture. Various vitamins play essential roles in stem cell culture to modulate cell survival, proliferation and differentiation. Besides their common nutritional functions, specific vitamins are recently shown to modulate signal transduction and epigenetics. In this article, we will first review classical vitamin functions in both somatic and stem cell cultures. We will then focus on how stem cells could be modulated by vitamins beyond their nutritional roles. We believe that a better understanding of vitamin functions will significantly benefit stem cell research, and help realize their potentials in regenerative medicine.
- Published
- 2020
- Full Text
- View/download PDF
40. Developments in cell culture systems for human pluripotent stem cells.
- Author
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Liu W, Deng C, Godoy-Parejo C, Zhang Y, and Chen G
- Abstract
Human pluripotent stem cells (hPSCs) are important resources for cell-based therapies and pharmaceutical applications. In order to realize the potential of hPSCs, it is critical to develop suitable technologies required for specific applications. Most hPSC technologies depend on cell culture, and are critically influenced by culture medium composition, extracellular matrices, handling methods, and culture platforms. This review summarizes the major technological advances in hPSC culture, and highlights the opportunities and challenges in future therapeutic applications., Competing Interests: Conflict-of-interest statement: Dr. Chen has a patent 9644186 with royalties paid to Wisconsin Alumni Research Foundation. The other authors have no conflict of interest to declare., (©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
41. Insulin Stimulates PI3K/AKT and Cell Adhesion to Promote the Survival of Individualized Human Embryonic Stem Cells.
- Author
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Godoy-Parejo C, Deng C, Liu W, and Chen G
- Subjects
- Cell Line, Cell Survival drug effects, Humans, Cell Adhesion drug effects, Human Embryonic Stem Cells enzymology, Insulin pharmacology, Phosphatidylinositol 3-Kinases metabolism, Proto-Oncogene Proteins c-akt metabolism, Signal Transduction drug effects
- Abstract
Insulin is present in most maintenance media for human embryonic stem cells (hESCs), but little is known about its essential role in the cell survival of individualized cells during passage. In this article, we show that insulin suppresses caspase cleavage and apoptosis after dissociation. Insulin activates insulin-like growth factor (IGF) receptor and PI3K/AKT cascade to promote cell survival and its function is independent of rho-associated protein kinase regulation. During niche reformation after passaging, insulin activates integrin that is essential for cell survival. IGF receptor colocalizes with focal adhesion complex and stimulates protein phosphorylation involved in focal adhesion formation. Insulin promotes cell spreading on matrigel-coated surfaces and suppresses myosin light chain phosphorylation. Further study showed that insulin is also required for the cell survival on E-cadherin coated surface and in suspension, indicating its essential role in cell-cell adhesion. This work highlights insulin's complex roles in signal transduction and niche re-establishment in hESCs. Stem Cells 2019;37:1030-1041., (© 2019 The Authors. Stem Cells published by Wiley Periodicals, Inc. on behalf of AlphaMed Press 2019.)
- Published
- 2019
- Full Text
- View/download PDF
42. A Rare Case of a Primary Unilateral Low-Grade Paratesticular Leiomyosarcoma in a 2 Years Old Dog.
- Author
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Balao da Silva C, Gómez Gordo L, Cuesta Gerveno JM, Ortega-Ferrusola C, Martín-Muñoz P, Duque Carrasco FJ, Parejo C, and Peña Vega F
- Abstract
A 2 years old dog was brought to the clinic with complains of testicular enlargement. The tissue was diffusely affected as confirmed by ultrasonographic examination, being the right testicle atrophied and the right epididymis enlarged, with loss of echotexture and presence of several anechogenic areas. The situation required the excision of the referred testicle and epididymis. Final diagnose made by histopathological analysis was primary unilateral low-grade paratesticular leiomyosarcoma. Scarce bibliography is found on this matter, with several cases reported on human, and none in dog. This case report is therefore an important milestone on the area of small animal oncology directly related to the reproductive tissue.
- Published
- 2019
- Full Text
- View/download PDF
43. Unraveling transformation of follicular lymphoma to diffuse large B-cell lymphoma.
- Author
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González-Rincón J, Méndez M, Gómez S, García JF, Martín P, Bellas C, Pedrosa L, Rodríguez-Pinilla SM, Camacho FI, Quero C, Pérez-Callejo D, Rueda A, Llanos M, Gómez-Codina J, Piris MA, Montes-Moreno S, Bárcena C, Rodríguez-Abreu D, Menárguez J, de la Cruz-Merino L, Monsalvo S, Parejo C, Royuela A, Kwee I, Cascione L, Arribas A, Bertoni F, Mollejo M, Provencio M, and Sánchez-Beato M
- Subjects
- Adult, Aged, Biopsy, Cell Differentiation genetics, Female, Follow-Up Studies, Humans, Male, Middle Aged, B-Lymphocytes metabolism, B-Lymphocytes pathology, Cell Transformation, Neoplastic genetics, Cell Transformation, Neoplastic metabolism, Cell Transformation, Neoplastic pathology, Lymphoma, Follicular genetics, Lymphoma, Follicular metabolism, Lymphoma, Follicular pathology, Lymphoma, Large B-Cell, Diffuse genetics, Lymphoma, Large B-Cell, Diffuse metabolism, Lymphoma, Large B-Cell, Diffuse pathology, Mutation, Neoplasm Proteins genetics, Neoplasm Proteins metabolism
- Abstract
Follicular lymphoma (FL) is an indolent but largely incurable disease. Some patients suffer histological transformation to a more aggressive subtype with poorer prognosis. This study aimed to improve our understanding of the genetics underlying FL histological transformation, and to identify genetic drivers or promoters of the transformation by elucidating the differences between FL samples from patients who did and did not transform. We conducted targeted massive parallel sequencing of 22 pre-transformed FL/transformed diffuse large B-cell lymphoma pairs and 20 diagnostic samples from non-transformed FL patients. Additionally, 22 matched samples from 11 transformed FL patients (pre-transformed FL and diffuse large B-cell lymphoma) and 9 non-transformed FLs were studied for copy number variation using SNP arrays. We identified recurrently mutated genes that were enriched at transformation, most notably LRP1B, GNA13 and POU2AF1, which have roles in B-cell differentiation, GC architecture and migration. Mutations in POU2AF1 might be associated with lower levels of expression, were more frequent in transformed FLs, and seemed to be specific to transformed- compared with de novo-diffuse large B-cell lymphomas. Pre-transformed FLs carried more mutations per sample and had greater subclonal heterogeneity than non-transformed FLs. Finally, we identified four mutated genes in FL samples that differed between patients who did and did not transform: NOTCH2, DTX1, UBE2A and HIST1H1E. The presence of mutations in these genes was associated with shorter time to transformation when mutated in the FL biopsies. This information might be useful for identifying patients at higher risk of transformation., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2019
- Full Text
- View/download PDF
44. Profiling Lung Cancer Patients Using Electronic Health Records.
- Author
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Menasalvas Ruiz E, Tuñas JM, Bermejo G, Gonzalo Martín C, Rodríguez-González A, Zanin M, González de Pedro C, Méndez M, Zaretskaia O, Rey J, Parejo C, Cruz Bermudez JL, and Provencio M
- Subjects
- Data Mining, Female, Humans, Lung Neoplasms therapy, Male, Reproducibility of Results, Electronic Health Records, Lung Neoplasms diagnosis, Natural Language Processing
- Abstract
If Electronic Health Records contain a large amount of information about the patient's condition and response to treatment, which can potentially revolutionize the clinical practice, such information is seldom considered due to the complexity of its extraction and analysis. We here report on a first integration of an NLP framework for the analysis of clinical records of lung cancer patients making use of a telephone assistance service of a major Spanish hospital. We specifically show how some relevant data, about patient demographics and health condition, can be extracted; and how some relevant analyses can be performed, aimed at improving the usefulness of the service. We thus demonstrate that the use of EHR texts, and their integration inside a data analysis framework, is technically feasible and worth of further study.
- Published
- 2018
- Full Text
- View/download PDF
45. Lung cancer in lung transplantation: incidence and outcome.
- Author
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Pérez-Callejo D, Torrente M, Parejo C, Laporta R, Ussetti P, and Provencio M
- Subjects
- Adult, Aged, Female, Humans, Lung Neoplasms mortality, Male, Middle Aged, Retrospective Studies, Risk Factors, Spain epidemiology, Survival Rate, Time Factors, Lung Neoplasms epidemiology, Lung Neoplasms etiology, Lung Transplantation
- Abstract
Introduction: Malignancies are one of the causes of mortality after lung transplantation. However, little is known about lung cancer outcome after lung transplantation., Methods: We performed a retrospective search of the lung transplantation database at our institution to identify patients diagnosed with lung cancer after lung transplantation., Results: Out of 633 lung transplant patients, lung cancer was detected in 23 of them (3.63%). The most common causes for transplantation were idiopathic pulmonary fibrosis (47.8%) and emphysema (43.4%). A total of 18 patients were diagnosed during follow-up, 12 cases in the native lung (52.2%) and 6 cases in the donor lung (26.1%). The diagnosis was evidenced in the explanted lung in five patients (21.7%). The median of time from transplantation to cancer diagnosis was 39.7 months (24.356.6). Lung cancer was the cause of death in 16 patients. Survival rate at1year from diagnosis of lung cancer was 45.64% (95% CI 0.2431 to 0.6473)., Conclusions: Lung transplant recipients constitute a high-risk group for developing lung cancer. Among our patients, lung cancer was predominantly diagnosed in the native lung and at an advanced stage. The primary tumour was the main cause of death in most of these patients., Competing Interests: Competing interests: None declared., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Published
- 2018
- Full Text
- View/download PDF
46. [Respiratory syncytial virus outbreak in a tertiary hospital Neonatal Intensive Care Unit].
- Author
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Moreno Parejo C, Morillo García A, Lozano Domínguez C, Carreño Ochoa C, Aznar Martín J, and Conde Herrera M
- Subjects
- Cohort Studies, Cross Infection prevention & control, Female, Hospitals, University, Humans, Infant, Infant, Newborn, Intensive Care Units, Neonatal, Male, Respiratory Syncytial Virus Infections prevention & control, Tertiary Care Centers, Cross Infection epidemiology, Disease Outbreaks, Respiratory Syncytial Virus Infections epidemiology
- Abstract
Introduction: Investigation and control of a respiratory syncytial virus (RSV) outbreak that affected the Neonatal Intensive Care Unit (NICU) of a university hospital from October to December 2012., Patients and Methods: Cohort study of children admitted to the NICU. The infection attack rate was calculated. A descriptive analysis of the cases and a multivariate analysis was performed using the variables that were shown to be risk factors for RSV infection. Preventive measures taken were: contact isolation; hand hygiene training and observation; exclusivity of a health team of nurses and physicians for positive cases, restrictions on visitor numbers; surveillance RSV testing, and palivizumab prophylaxis., Results: The outbreak had three epidemic waves and 20 positive cases out of a total of 48 children admitted. The overall attack rate was 42%. Half of positive cases were children, with a median age of 36 days (p25=22, p75=58). The independent risk factors for RSV infection were birth weight below 1000 grams (OR=23.5; P=.002) and to have another nosocomial infection the week before the diagnosis of RSV infection (OR=19.98; P=.016)., Conclusions: It was an outbreak with a high number of cases, due to the delay in notification, prolonged RSV carrier status, and low adherence to hand hygiene practice, which favoured the cross-transmission of infection. The most effective preventive measures were direct observation of hand hygiene and supervision of isolation measures., (Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
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