44 results on '"Climent, José"'
Search Results
2. Differential remodeling of subcutaneous white and interscapular brown adipose tissue by long-term exercise training in aged obese female mice.
- Author
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Félix-Soriano E, Sáinz N, Gil-Iturbe E, Castilla-Madrigal R, Celay J, Fernández-Galilea M, Pejenaute Á, Lostao MP, Martínez-Climent JA, and Moreno-Aliaga MJ
- Subjects
- Female, Mice, Animals, Mice, Obese, Obesity therapy, Obesity metabolism, Glucose metabolism, Fatty Acids metabolism, Thermogenesis genetics, Mice, Inbred C57BL, Adipose Tissue, Brown metabolism, Adipose Tissue, White metabolism
- Abstract
Obesity exacerbates aging-induced adipose tissue dysfunction. This study aimed to investigate the effects of long-term exercise on inguinal white adipose tissue (iWAT) and interscapular brown adipose tissue (iBAT) of aged obese mice. Two-month-old female mice received a high-fat diet for 4 months. Then, six-month-old diet-induced obese animals were allocated to sedentarism (DIO) or to a long-term treadmill training (DIOEX) up to 18 months of age. In exercised mice, iWAT depot revealed more adaptability, with an increase in the expression of fatty acid oxidation genes (Cpt1a, Acox1), and an amelioration of the inflammatory status, with a favorable modulation of pro/antiinflammatory genes and lower macrophage infiltration. Additionally, iWAT of trained animals showed an increment in the expression of mitochondrial biogenesis (Pgc1a, Tfam, Nrf1), thermogenesis (Ucp1), and beige adipocytes genes (Cd137, Tbx1). In contrast, iBAT of aged obese mice was less responsive to exercise. Indeed, although an increase in functional brown adipocytes genes and proteins (Pgc1a, Prdm16 and UCP1) was observed, few changes were found on inflammation-related and fatty acid metabolism genes. The remodeling of iWAT and iBAT depots occurred along with an improvement in the HOMA index for insulin resistance and in glucose tolerance. In conclusion, long-term exercise effectively prevented the loss of iWAT and iBAT thermogenic properties during aging and obesity. In iWAT, the long-term exercise program also reduced the inflammatory status and stimulated a fat-oxidative gene profile. These exercise-induced adipose tissue adaptations could contribute to the beneficial effects on glucose homeostasis in aged obese mice., (© 2023. The Author(s).)
- Published
- 2023
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3. Chronic docosahexaenoic acid supplementation improves metabolic plasticity in subcutaneous adipose tissue of aged obese female mice.
- Author
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Félix-Soriano E, Sáinz N, Fernández-Galilea M, Gil-Iturbe E, Celay J, Martínez-Climent JA, and Moreno-Aliaga MJ
- Subjects
- Female, Mice, Animals, Mice, Obese, Mice, Inbred C57BL, Adipose Tissue, White metabolism, Diet, High-Fat adverse effects, Subcutaneous Fat metabolism, Dietary Supplements, Adipose Tissue metabolism, Docosahexaenoic Acids pharmacology, Docosahexaenoic Acids metabolism, Obesity metabolism
- Abstract
This study aimed to characterize the potential beneficial effects of chronic docosahexaenoic acid (DHA) supplementation on restoring subcutaneous white adipose tissue (scWAT) plasticity in obese aged female mice. Two-month-old female C57BL/6J mice received a control (CT) or a high fat diet (HFD) for 4 months. Then, 6-month-old diet-induced obese (DIO) mice were distributed into the DIO and the DIOMEG group (fed with a DHA-enriched HFD) up to 18 months. In scWAT, the DHA-enriched diet reduced the mean adipocyte size and reversed the upregulation of lipogenic genes induced by the HFD, reaching values even lower than those observed in CT animals. DIO mice exhibited an up-regulation of lipolytic and fatty oxidation gene expressions that was reversed in DHA-supplemented mice except for Cpt1a mRNA levels, which were higher in DIOMEG as compared to CT mice. DHA restored the increase of proinflammatory genes observed in scWAT of DIO mice. While no changes were observed in total macrophage F4/80+/CD11b+ content, the DHA treatment switched scWAT macrophages profile by reducing the M1 marker Cd11c and increasing the M2 marker CD206. These events occurred alongside with a stimulation of beige adipocyte specific genes, the restoration of UCP1 and pAKT/AKT ratio, and a recovery of the HFD-induced Fgf21 upregulation. In summary, DHA supplementation induced a metabolic remodeling of scWAT to a healthier phenotype in aged obese mice by modulating genes controlling lipid accumulation in adipocytes, reducing the inflammatory status, and inducing beige adipocyte markers in obese aged mice., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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4. Local seed sourcing for sustainable forestry.
- Author
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Alía R, Notivol E, Climent J, Pérez F, Barba D, Majada J, and García Del Barrio JM
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- Seeds genetics, Acclimatization, Adaptation, Physiological, Forestry, Forests
- Abstract
Seed sourcing strategies are the basis for identifying genetic material meeting the requirements of future climatic conditions and social demands. Specifically, local seed sourcing has been extensively promoted, based on the expected adaptation of the populations to local conditions, but there are some limitations for the application. We analyzed Strict-sense local and Wide-sense local (based on climatic similarity) seed sourcing strategies. We determined species and genetic pools based on these strategies for 40 species and deployment zones in Spain. We also obtained the total number of seed sources and stands for these species in the EU countries. We analyzed the richness of the pools, the relationship with variables related to the use of the species in afforestation, and the availability of seed production areas approved for the production of reproductive material destined to be marketed. This study confirms the existence of extensive species and genetic local pools. Also, that the importance of these pools differs for different species, limitations being derived from the use of forest reproductive material and the existence of approved basic materials. Strategies derived from local seed sourcing approaches are the basis for the use of forest reproductive material because a large number of the species in the area considered in the study are under regulation. However, despite the extensive work done to approve basic materials, limitations based on the availability of seed production areas to provide local material for sustainable forestry are found in those species. Considering a Wide-sense local seed sourcing strategy we provide alternative pools in order to meet social demands under the actual regulations on marketing of reproductive materials., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2022 Alía 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
- 2022
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5. The role of maternal age, growth, and environment in shaping offspring performance in an aerial conifer seed bank.
- Author
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Callejas-Díaz M, Chambel MR, San-Martín-Lorén J, Gea-Izquierdo G, Santos-Del-Blanco L, Postma E, and Climent JM
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- Retrospective Studies, Seed Bank, Germination physiology, Seeds physiology, Tracheophyta physiology
- Abstract
Premise: Maternal effects have been demonstrated to affect offspring performance in many organisms, and in plants, seeds are important mediators of these effects. Some woody plant species maintain long-lasting canopy seed banks as an adaptation to wildfires. Importantly, these seeds stored in serotinous cones are produced by the mother plant under varying ontogenetic and physiological conditions., Methods: We sampled the canopy seed bank of a highly serotinous population of Pinus pinaster to test whether maternal age and growth and the environmental conditions during each crop year affected seed mass and ultimately germination and early survival. After determining retrospectively the year of each seed cohort, we followed germination and early survival in a semi-natural common garden., Results: Seed mass was related to maternal age and growth at the time of seed production; i.e., slow-growing, older mothers had smaller seeds, and fast-growing, young mothers had larger seeds, which could be interpreted either as a proxy of senescence or as a maternal strategy. Seed mass had a positive effect on germination success, but aside from differences in seed mass, maternal age had a negative effect and diameter had a positive effect on germination timing and subsequent survival., Conclusions: The results highlight the importance of maternal conditions combined with seed mass in shaping seedling establishment. Our findings open new insights in the offspring performance deriving from long-term canopy seed banks, which may have high relevance for plant adaptation., (© 2022 The Authors. American Journal of Botany published by Wiley Periodicals LLC on behalf of Botanical Society of America.)
- Published
- 2022
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6. The GenTree Platform: growth traits and tree-level environmental data in 12 European forest tree species.
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Opgenoorth L, Dauphin B, Benavides R, Heer K, Alizoti P, Martínez-Sancho E, Alía R, Ambrosio O, Audrey A, Auñón F, Avanzi C, Avramidou E, Bagnoli F, Barbas E, Bastias CC, Bastien C, Ballesteros E, Beffa G, Bernier F, Bignalet H, Bodineau G, Bouic D, Brodbeck S, Brunetto W, Buchovska J, Buy M, Cabanillas-Saldaña AM, Carvalho B, Cheval N, Climent JM, Correard M, Cremer E, Danusevičius D, Del Caño F, Denou JL, di Gerardi N, Dokhelar B, Ducousso A, Eskild Nilsen A, Farsakoglou AM, Fonti P, Ganopoulos I, García Del Barrio JM, Gilg O, González-Martínez SC, Graf R, Gray A, Grivet D, Gugerli F, Hartleitner C, Hollenbach E, Hurel A, Issehut B, Jean F, Jorge V, Jouineau A, Kappner JP, Kärkkäinen K, Kesälahti R, Knutzen F, Kujala ST, Kumpula TA, Labriola M, Lalanne C, Lambertz J, Lascoux M, Lejeune V, Le-Provost G, Levillain J, Liesebach M, López-Quiroga D, Meier B, Malliarou E, Marchon J, Mariotte N, Mas A, Matesanz S, Meischner H, Michotey C, Milesi P, Morganti S, Nievergelt D, Notivol E, Ostreng G, Pakull B, Perry A, Piotti A, Plomion C, Poinot N, Pringarbe M, Puzos L, Pyhäjärvi T, Raffin A, Ramírez-Valiente JA, Rellstab C, Remi D, Richter S, Robledo-Arnuncio JJ, San Segundo S, Savolainen O, Schueler S, Schneck V, Scotti I, Semerikov V, Slámová L, Sønstebø JH, Spanu I, Thevenet J, Tollefsrud MM, Turion N, Vendramin GG, Villar M, von Arx G, Westin J, Fady B, Myking T, Valladares F, Aravanopoulos FA, and Cavers S
- Subjects
- Forests, Trees, Fagus, Picea, Pinus sylvestris
- Abstract
Background: Progress in the field of evolutionary forest ecology has been hampered by the huge challenge of phenotyping trees across their ranges in their natural environments, and the limitation in high-resolution environmental information., Findings: The GenTree Platform contains phenotypic and environmental data from 4,959 trees from 12 ecologically and economically important European forest tree species: Abies alba Mill. (silver fir), Betula pendula Roth. (silver birch), Fagus sylvatica L. (European beech), Picea abies (L.) H. Karst (Norway spruce), Pinus cembra L. (Swiss stone pine), Pinus halepensis Mill. (Aleppo pine), Pinus nigra Arnold (European black pine), Pinus pinaster Aiton (maritime pine), Pinus sylvestris L. (Scots pine), Populus nigra L. (European black poplar), Taxus baccata L. (English yew), and Quercus petraea (Matt.) Liebl. (sessile oak). Phenotypic (height, diameter at breast height, crown size, bark thickness, biomass, straightness, forking, branch angle, fructification), regeneration, environmental in situ measurements (soil depth, vegetation cover, competition indices), and environmental modeling data extracted by using bilinear interpolation accounting for surrounding conditions of each tree (precipitation, temperature, insolation, drought indices) were obtained from trees in 194 sites covering the species' geographic ranges and reflecting local environmental gradients., Conclusion: The GenTree Platform is a new resource for investigating ecological and evolutionary processes in forest trees. The coherent phenotyping and environmental characterization across 12 species in their European ranges allow for a wide range of analyses from forest ecologists, conservationists, and macro-ecologists. Also, the data here presented can be linked to the GenTree Dendroecological collection, the GenTree Leaf Trait collection, and the GenTree Genomic collection presented elsewhere, which together build the largest evolutionary forest ecology data collection available., (© The Author(s) 2021. Published by Oxford University Press GigaScience.)
- Published
- 2021
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7. Frequent mutations in the amino-terminal domain of BCL7A impair its tumor suppressor role in DLBCL.
- Author
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Baliñas-Gavira C, Rodríguez MI, Andrades A, Cuadros M, Álvarez-Pérez JC, Álvarez-Prado ÁF, de Yébenes VG, Sánchez-Hernández S, Fernández-Vigo E, Muñoz J, Martín F, Ramiro AR, Martínez-Climent JA, and Medina PP
- Subjects
- Animals, B-Lymphocytes immunology, B-Lymphocytes metabolism, B-Lymphocytes pathology, Chromatography, Liquid, Chromosomal Proteins, Non-Histone metabolism, DNA Mutational Analysis, Disease Models, Animal, Gene Expression Regulation, Neoplastic, Genetic Association Studies, Genetic Predisposition to Disease, Humans, Lymphocyte Activation immunology, Lymphoma, Large B-Cell, Diffuse diagnosis, Lymphoma, Large B-Cell, Diffuse therapy, Mice, Microfilament Proteins chemistry, Molecular Imaging, Multiprotein Complexes, Oncogene Proteins chemistry, Protein Binding, Tandem Mass Spectrometry, Xenograft Model Antitumor Assays, Genes, Tumor Suppressor, Lymphoma, Large B-Cell, Diffuse genetics, Microfilament Proteins genetics, Mutation, Oncogene Proteins genetics, Protein Interaction Domains and Motifs genetics
- Abstract
Mutations in genes encoding subunits of the SWI/SNF chromatin remodeling complex are frequently found in different human cancers. While the tumor suppressor function of this complex is widely established in solid tumors, its role in hematologic malignancies is largely unknown. Recurrent point mutations in BCL7A gene, encoding a subunit of the SWI/SNF complex, have been reported in diffuse large B-cell lymphoma (DLBCL), but their functional impact remains to be elucidated. Here we show that BCL7A often undergoes biallelic inactivation, including a previously unnoticed mutational hotspot in the splice donor site of intron one. The splice site mutations render a truncated BCL7A protein, lacking a portion of the amino-terminal domain. Moreover, restoration of wild-type BCL7A expression elicits a tumor suppressor-like phenotype in vitro and in vivo. In contrast, splice site mutations block the tumor suppressor function of BCL7A by preventing its binding to the SWI/SNF complex. We also show that BCL7A restoration induces transcriptomic changes in genes involved in B-cell activation. In addition, we report that SWI/SNF complex subunits harbor mutations in more than half of patients with germinal center B-cell (GCB)-DLBCL. Overall, this work demonstrates the tumor suppressor function of BCL7A in DLBCL, and highlights that the SWI/SNF complex plays a relevant role in DLBCL pathogenesis.
- Published
- 2020
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8. Author Correction: The GenTree Dendroecological Collection, tree-ring and wood density data from seven tree species across Europe.
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Martínez-Sancho E, Slámová L, Morganti S, Grefen C, Carvalho B, Dauphin B, Rellstab C, Gugerli F, Opgenoorth L, Heer K, Knutzen F, von Arx G, Valladares F, Cavers S, Fady B, Alía R, Aravanopoulos F, Avanzi C, Bagnoli F, Barbas E, Bastien C, Benavides R, Bernier F, Bodineau G, Bastias CC, Charpentier JP, Climent JM, Corréard M, Courdier F, Danusevicius D, Farsakoglou AM, García Del Barrio JM, Gilg O, González-Martínez SC, Gray A, Hartleitner C, Hurel A, Jouineau A, Kärkkäinen K, Kujala ST, Labriola M, Lascoux M, Lefebvre M, Lejeune V, Le-Provost G, Liesebach M, Malliarou E, Mariotte N, Matesanz S, Michotey C, Milesi P, Myking T, Notivol E, Pakull B, Piotti A, Plomion C, Pringarbe M, Pyhäjärvi T, Raffin A, Ramírez-Valiente JA, Ramskogler K, Robledo-Arnuncio JJ, Savolainen O, Schueler S, Semerikov V, Spanu I, Thévenet J, Tollefsrud MM, Turion N, Veisse D, Vendramin GG, Villar M, Westin J, and Fonti P
- Abstract
An amendment to this paper has been published and can be accessed via a link at the top of the paper.
- Published
- 2020
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9. Phenotypic integration and life history strategies among populations of Pinus halepensis: an insight through structural equation modelling.
- Author
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Santini F, Climent JM, and Voltas J
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- Droughts, Latent Class Analysis, Phenotype, Life History Traits, Pinus
- Abstract
Background and Aims: Understanding inter-population variation in the allocation of resources to specific anatomical compartments and physiological processes is crucial to disentangle adaptive patterns in forest species. This work aims to evaluate phenotypic integration and trade-offs among functional traits as determinants of life history strategies in populations of a circum-Mediterranean pine that dwells in environments where water and other resources are in limited supply., Methods: Adult individuals of 51 populations of Pinus halepensis grown in a common garden were characterized for 11 phenotypic traits, including direct and indirect measures of water uptake at different depths, leaf area, stomatal conductance, chlorophyll content, non-structural carbohydrates, stem diameter and tree height, age at first reproduction and cone production. The population differentiation in these traits was tested through analysis of variance (ANOVA). The resulting populations' means were carried forward to a structural equation model evaluating phenotypic integration between six latent variables (summer water uptake depth, summer transpiration, spring photosynthetic capacity, growth, reserve accumulation and reproduction)., Key Results: Water uptake depth and transpiration covaried negatively among populations, as the likely result of a common selective pressure for drought resistance, while spring photosynthetic capacity was lower in populations originating from dry areas. Transpiration positively influenced growth, while growth was negatively related to reproduction and reserves among populations. Water uptake depth negatively influenced reproduction., Conclusions: The observed patterns indicate a differentiation in life cycle features between fast-growing and slow-growing populations, with the latter investing significantly more in reproduction and reserves. We speculate that such contrasting strategies result from different arrays of life history traits underlying the very different ecological conditions that the Aleppo pine must face across its distribution range. These comprise, principally, drought as the main stressor and fire as the main ecological disturbance of the Mediterranean basin., (© The Author(s) 2019. Published by Oxford University Press on behalf of the Annals of Botany Company. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2020
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10. The GenTree Dendroecological Collection, tree-ring and wood density data from seven tree species across Europe.
- Author
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Martínez-Sancho E, Slámová L, Morganti S, Grefen C, Carvalho B, Dauphin B, Rellstab C, Gugerli F, Opgenoorth L, Heer K, Knutzen F, von Arx G, Valladares F, Cavers S, Fady B, Alía R, Aravanopoulos F, Avanzi C, Bagnoli F, Barbas E, Bastien C, Benavides R, Bernier F, Bodineau G, Bastias CC, Charpentier JP, Climent JM, Corréard M, Courdier F, Danusevicius D, Farsakoglou AM, Del Barrio JMG, Gilg O, González-Martínez SC, Gray A, Hartleitner C, Hurel A, Jouineau A, Kärkkäinen K, Kujala ST, Labriola M, Lascoux M, Lefebvre M, Lejeune V, Le-Provost G, Liesebach M, Malliarou E, Mariotte N, Matesanz S, Michotey C, Milesi P, Myking T, Notivol E, Pakull B, Piotti A, Plomion C, Pringarbe M, Pyhäjärvi T, Raffin A, Ramírez-Valiente JA, Ramskogler K, Robledo-Arnuncio JJ, Savolainen O, Schueler S, Semerikov V, Spanu I, Thévenet J, Mette Tollefsrud M, Turion N, Veisse D, Vendramin GG, Villar M, Westin J, and Fonti P
- Subjects
- Betula, Climate Change, Europe, Fagus, Forests, Picea, Pinus, Populus, Quercus, Trees growth & development, Wood
- Abstract
The dataset presented here was collected by the GenTree project (EU-Horizon 2020), which aims to improve the use of forest genetic resources across Europe by better understanding how trees adapt to their local environment. This dataset of individual tree-core characteristics including ring-width series and whole-core wood density was collected for seven ecologically and economically important European tree species: silver birch (Betula pendula), European beech (Fagus sylvatica), Norway spruce (Picea abies), European black poplar (Populus nigra), maritime pine (Pinus pinaster), Scots pine (Pinus sylvestris), and sessile oak (Quercus petraea). Tree-ring width measurements were obtained from 3600 trees in 142 populations and whole-core wood density was measured for 3098 trees in 125 populations. This dataset covers most of the geographical and climatic range occupied by the selected species. The potential use of it will be highly valuable for assessing ecological and evolutionary responses to environmental conditions as well as for model development and parameterization, to predict adaptability under climate change scenarios.
- Published
- 2020
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11. How Does Water Availability Affect the Allocation to Bark in a Mediterranean Conifer?
- Author
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Martín-Sanz RC, San-Martín R, Poorter H, Vázquez A, and Climent J
- Abstract
Bark thickness is a key structural feature in woody plants in the protection against fire. We used 19 provenances of Pinus halepensis , an obligate-seeder species, in a replicated common garden at two environments contrasting in water availability to assess the interacting effects of site environment and population in the relative allocation to bark, expecting lower allocation at the drier site. Secondly, given the average fire frequency, we analyzed whether trees reached the critical absolute thickness soon enough for population persistence via aerial seed bank. Our analyses indicated that trees at the moister site allocated a rather fixed quantity of resources independent of tree size, and almost all populations reached critical absolute bark thickness to eventually survive fire. In contrast, at the drier site allocation to bark reduced with tree size, and most populations did not reach the critical bark thickness. Populations from areas with higher fire frequency had thicker basal bark, while those from areas with severe droughts and short vegetative periods, had thinner bark. In conclusion, drought-stressed trees have a higher risk to die from fires before achieving reproduction and building a sufficient aerial seed bank.
- Published
- 2019
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12. Detailed Exploration around 4-Aminoquinolines Chemical Space to Navigate the Lysine Methyltransferase G9a and DNA Methyltransferase Biological Spaces.
- Author
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Rabal O, Sánchez-Arias JA, San José-Enériz E, Agirre X, de Miguel I, Garate L, Miranda E, Sáez E, Roa S, Martínez-Climent JA, Liu Y, Wu W, Xu M, Prosper F, and Oyarzabal J
- Subjects
- Aminoquinolines metabolism, Cell Line, Tumor, Cell Proliferation drug effects, DNA Modification Methylases chemistry, DNA Modification Methylases metabolism, Histocompatibility Antigens chemistry, Histocompatibility Antigens metabolism, Histone-Lysine N-Methyltransferase chemistry, Histone-Lysine N-Methyltransferase metabolism, Humans, Inhibitory Concentration 50, Molecular Docking Simulation, Protein Conformation, Aminoquinolines chemistry, Aminoquinolines pharmacology, DNA Modification Methylases antagonists & inhibitors, Drug Design, Histone-Lysine N-Methyltransferase antagonists & inhibitors
- Abstract
Epigenetic regulators that exhibit aberrant enzymatic activities or expression profiles are potential therapeutic targets for cancers. Specifically, enzymes responsible for methylation at histone-3 lysine-9 (like G9a) and aberrant DNA hypermethylation (DNMTs) have been implicated in a number of cancers. Recently, molecules bearing a 4-aminoquinoline scaffold were reported as dual inhibitors of these targets and showed a significant in vivo efficacy in animal models of hematological malignancies. Here, we report a detailed exploration around three growing vectors born by this chemotype. Exploring this chemical space led to the identification of features to navigate G9a and DNMT1 biological spaces: not only their corresponding exclusive areas, selective compounds, but also common spaces. Thus, we identified from selective G9a and first-in-class DNMT1 inhibitors, >1 log unit between their IC
50 values, with IC50 < 25 nM (e.g., 43 and 26, respectively) to equipotent inhibitors with IC50 < 50 nM for both targets (e.g., 13). Their ADME/Tox profiling and antiproliferative efficacies, versus some cancer cell lines, are also reported.- Published
- 2018
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13. Discovery of Reversible DNA Methyltransferase and Lysine Methyltransferase G9a Inhibitors with Antitumoral in Vivo Efficacy.
- Author
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Rabal O, San José-Enériz E, Agirre X, Sánchez-Arias JA, Vilas-Zornoza A, Ugarte A, de Miguel I, Miranda E, Garate L, Fraga M, Santamarina P, Fernandez Perez R, Ordoñez R, Sáez E, Roa S, García-Barchino MJ, Martínez-Climent JA, Liu Y, Wu W, Xu M, Prosper F, and Oyarzabal J
- Subjects
- Animals, Antineoplastic Agents chemistry, Antineoplastic Agents metabolism, Antineoplastic Agents pharmacokinetics, Cell Line, Tumor, DNA Modification Methylases chemistry, DNA Modification Methylases metabolism, Enzyme Inhibitors chemistry, Enzyme Inhibitors metabolism, Enzyme Inhibitors pharmacokinetics, Histocompatibility Antigens chemistry, Histocompatibility Antigens metabolism, Histone-Lysine N-Methyltransferase chemistry, Histone-Lysine N-Methyltransferase metabolism, Humans, Mice, Molecular Docking Simulation, Protein Conformation, Xenograft Model Antitumor Assays, Antineoplastic Agents pharmacology, DNA Modification Methylases antagonists & inhibitors, Drug Design, Enzyme Inhibitors pharmacology, Histone-Lysine N-Methyltransferase antagonists & inhibitors
- Abstract
Using knowledge- and structure-based approaches, we designed and synthesized reversible chemical probes that simultaneously inhibit the activity of two epigenetic targets, histone 3 lysine 9 methyltransferase (G9a) and DNA methyltransferases (DNMT), at nanomolar ranges. Enzymatic competition assays confirmed our design strategy: substrate competitive inhibitors. Next, an initial exploration around our hit 11 was pursued to identify an adequate tool compound for in vivo testing. In vitro treatment of different hematological neoplasia cell lines led to the identification of molecules with clear antiproliferative efficacies (GI
50 values in the nanomolar range). On the basis of epigenetic functional cellular responses (levels of lysine 9 methylation and 5-methylcytosine), an acceptable therapeutic window (around 1 log unit) and a suitable pharmacokinetic profile, 12 was selected for in vivo proof-of-concept ( Nat. Commun. 2017 , 8 , 15424 ). Herein, 12 achieved a significant in vivo efficacy: 70% overall tumor growth inhibition of a human acute myeloid leukemia (AML) xenograft in a mouse model.- Published
- 2018
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14. Targeting the anion exchanger 2 with specific peptides as a new therapeutic approach in B lymphoid neoplasms.
- Author
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Celay J, Lozano T, Concepcion AR, Beltrán E, Rudilla F, García-Barchino MJ, Robles EF, Rabal O, de Miguel I, Panizo C, Casares N, Oyarzabal J, Prieto J, Medina JF, Lasarte JJ, and Martínez-Climent JÁ
- Subjects
- Animals, Anions metabolism, Apoptosis drug effects, Cell Line, Tumor, Cell Survival drug effects, Disease Models, Animal, Humans, Leukemia, B-Cell drug therapy, Leukemia, B-Cell pathology, Lymphoma, B-Cell drug therapy, Lymphoma, B-Cell pathology, Mice, Mice, Knockout, T-Lymphocytes, Regulatory immunology, T-Lymphocytes, Regulatory metabolism, Xenograft Model Antitumor Assays, Antineoplastic Agents pharmacology, Chloride-Bicarbonate Antiporters antagonists & inhibitors, Leukemia, B-Cell metabolism, Lymphoma, B-Cell metabolism, Peptides pharmacology
- Abstract
Regulatory T (Treg) cells can weaken antitumor immune responses, and inhibition of their function appears to be a promising therapeutic approach in cancer patients. Mice with targeted deletion of the gene encoding the Cl
- /HCO3 - anion exchanger AE2 (also termed SLC4A2), a membrane-bound carrier involved in intracellular pH regulation, showed a progressive decrease in the number of Treg cells. We therefore challenged AE2 as a potential target for tumor therapy, and generated linear peptides designed to bind the third extracellular loop of AE2, which is crucial for its exchange activity. Peptide p17AE2 exhibited optimal interaction ability and indeed promoted apoptosis in mouse and human Treg cells, while activating effector T-cell function. Interestingly, this linear peptide also induced apoptosis in different types of human leukemia, lymphoma and multiple myeloma cell lines and primary malignant samples, while it showed only moderate effects on normal B lymphocytes. Finally, a macrocyclic AE2 targeting peptide exhibiting increased stability in vivo was effective in mice xenografted with B-cell lymphoma. These data suggest that targeting the anion exchanger AE2 with specific peptides may represent an effective therapeutic approach in B-cell malignancies., (Copyright © 2018 Ferrata Storti Foundation.)- Published
- 2018
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15. Maintenance costs of serotiny in a variably serotinous pine: The role of water supply.
- Author
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Martín-Sanz RC, Callejas-Díaz M, Tonnabel J, and Climent JM
- Subjects
- Adaptation, Physiological genetics, Adaptation, Physiological physiology, Biological Evolution, Climate Change, Fires, Genotype, Seeds genetics, Seeds physiology, Water Supply, Pinus genetics, Pinus physiology
- Abstract
Serotiny is an important adaptation for plants in fire-prone environments. However, different mechanisms also induce the opening of serotinous cones in the absence of fire in variably serotinous species. Xeriscence -cone opening driven by dry and hot conditions- is considered to be mediated only by the external environment, but endogenous factors could also play a significant role. Using the variably serotinous Pinus halepensis as our model species, we determined the effects of cone age and scales density in cone opening, and using in-situ and ex-situ manipulative experiments we investigated the role of water availability in the opening of serotinous cones. We hypothesized that loss of connection between the cones and the branch through the peduncles or the absence of water supply could induce a faster cone opening. Results showed that older cones lost more water and opened at lower temperatures, with no influence of scales density. Both field and chamber manipulative experiments (using paired cones of the same whorl) confirmed that water intake through the peduncles affected significantly the pace of cone opening, such that lack of water supply speeded up cone dehiscence. However, this was true for weakly serotinous provenances-more common in this species-, while highly serotinous provenances were indifferent to this effect in the field test. All our results support that cone serotiny in P. halepensis involves the allocation of water to the cones, which is highly consistent with the previously observed environmental effects. Importantly, the existence of maintenance costs of serotinous cones has strong implications on the effects of climate change in the resilience of natural populations, via modifications of the canopy seed banks and recruitment after stand-replacing fires. Moreover, evolutionary models for serotiny in P. halepensis must take into account the significant contribution of maintenance costs to the complex interaction between genotype and the environment.
- Published
- 2017
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16. Life-history correlations with seasonal cold hardiness in maritime pine.
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Prada E, Climent J, Alía R, and Díaz R
- Subjects
- Acclimatization, Climate, Climate Change, Cold Temperature, Freezing, Gene-Environment Interaction, Geography, Models, Theoretical, Phenotype, Pinus genetics, Pinus growth & development, Reproduction, Seasons, Stress, Physiological, Trees, Genetic Variation, Pinus physiology
- Abstract
Premise of the Study: Plants have developed mechanisms to withstand stressful environmental conditions, but the high energetic cost of these mechanisms may involve exchanges with other key functions. While trade-offs between cold hardiness and growth rates are a general assumption, we lack information regarding genetically based trade-offs between cold hardiness and other life-history traits. Such information has strong implications for tree conservation and breeding, especially in the context of ongoing climate change., Methods: We used a common garden progeny test to examine the relationships between seasonal cold hardiness and life-history traits of growth, reproduction, juvenile ontogeny, and phenology in 75 families of six maritime pine (Pinus pinaster Ait.) populations, three of continental and three of coastal origins., Key Results: We found a clear differentiation among populations with regard to cold hardiness and life-history traits. Two continental Iberian populations showed high cold tolerance and slower growth, but faster ontogenetic development in relation to both vegetative heteroblastic change in juveniles and the onset of female reproduction. The coastal populations displayed the opposite behavior, while the continental Moroccan population presented a unique combination of traits. We confirmed trade-offs between cold-hardiness and growth at the population level, but not within populations. There were no trade-offs with other life-history traits at either level., Conclusions: Relevant local adaptation syndromes were identified in the relationship between cold hardiness and life-history traits. These should be considered in developing tree management guidelines aimed at increasing productivity or adaptability under the expected conditions of climate change., (© 2016 Botanical Society of America.)
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- 2016
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17. Disentangling plasticity of serotiny, a key adaptive trait in a Mediterranean conifer.
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Martín-Sanz RC, Santos-Del-Blanco L, Notivol E, Chambel MR, San-Martín R, and Climent J
- Subjects
- Environment, Phenotype, Pinus genetics, Reproduction, Fires, Gene-Environment Interaction, Pinus physiology, Seed Dispersal
- Abstract
Premise of the Study: Serotiny, the maintenance of ripe seeds in closed fruits or cones until fire causes dehiscence, is a key adaptive trait of plants in fire-prone ecosystems, but knowledge of phenotypic plasticity for cone retention in woody plants is extremely scarce. On the basis of published literature and our field observations, we hypothesized that increased aridity might decrease the aerial seed bank as a plastic response, not necessarily adaptive., Methods: We used a Pinus halepensis common garden replicated in three contrasted sites (mild, cold, and dry) to separate population differentiation from phenotypic plasticity of cone serotiny and canopy cone bank (CCB). Differences in growth among trees of the same provenance allowed us to include size effect as a proxy of ontogenetic age for the same chronological age of the trees., Key Results: Tree size had a strong negative effect on serotiny, but serotiny degree differed among trial sites even after accounting for size effects. As hypothesized, serotiny was lower at the harsh (dry and cold) sites compared with the mild site. Genetic variation for size-dependent cone serotiny and significant population × site interaction were confirmed, the latter implying different plasticity of serotiny among populations. Population differentiation for CCB showed an ecotypic trend, with positive correlation with temperature oscillation (continentality) and negative correlation with summer rainfall., Conclusions: Growth-limiting environments exacerbated the precocious release of seeds, contrary to the ecotypic trend found for the aerial cone bank, suggesting a counter-gradient plasticity. This plastic response is potentially maladaptive under a scenario of frequent wildfires., (© 2016 Botanical Society of America.)
- Published
- 2016
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18. Intrinsic resistance to PIM kinase inhibition in AML through p38α-mediated feedback activation of mTOR signaling.
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Brunen D, García-Barchino MJ, Malani D, Jagalur Basheer N, Lieftink C, Beijersbergen RL, Murumägi A, Porkka K, Wolf M, Zwaan CM, Fornerod M, Kallioniemi O, Martínez-Climent JÁ, and Bernards R
- Subjects
- Animals, Cell Line, Tumor, Cell Proliferation drug effects, Humans, K562 Cells, Leukemia, Myeloid, Acute pathology, Male, Mice, Mice, Transgenic, Mitogen-Activated Protein Kinase 14 antagonists & inhibitors, Mitogen-Activated Protein Kinase 14 metabolism, Signal Transduction, Xenograft Model Antitumor Assays, Leukemia, Myeloid, Acute drug therapy, Leukemia, Myeloid, Acute enzymology, Protein Kinase Inhibitors pharmacology, Proto-Oncogene Proteins c-pim-1 antagonists & inhibitors, TOR Serine-Threonine Kinases metabolism
- Abstract
Although conventional therapies for acute myeloid leukemia (AML) and diffuse large B-cell lymphoma (DLBCL) are effective in inducing remission, many patients relapse upon treatment. Hence, there is an urgent need for novel therapies. PIM kinases are often overexpressed in AML and DLBCL and are therefore an attractive therapeutic target. However, in vitro experiments have demonstrated that intrinsic resistance to PIM inhibition is common. It is therefore likely that only a minority of patients will benefit from single agent PIM inhibitor treatment. In this study, we performed an shRNA-based genetic screen to identify kinases whose suppression is synergistic with PIM inhibition. Here, we report that suppression of p38α (MAPK14) is synthetic lethal with the PIM kinase inhibitor AZD1208. PIM inhibition elevates reactive oxygen species (ROS) levels, which subsequently activates p38α and downstream AKT/mTOR signaling. We found that p38α inhibitors sensitize hematological tumor cell lines to AZD1208 treatment in vitro and in vivo. These results were validated in ex vivo patient-derived AML cells. Our findings provide mechanistic and translational evidence supporting the rationale to test a combination of p38α and PIM inhibitors in clinical trials for AML and DLBCL., Competing Interests: The authors declare no competing financial interests.
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- 2016
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19. Using a brain-machine interface to control a hybrid upper limb exoskeleton during rehabilitation of patients with neurological conditions.
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Hortal E, Planelles D, Resquin F, Climent JM, Azorín JM, and Pons JL
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- Female, Humans, Male, Middle Aged, Movement physiology, Upper Extremity physiology, Brain-Computer Interfaces, Exoskeleton Device, Nervous System Diseases rehabilitation
- Abstract
Background: As a consequence of the increase of cerebro-vascular accidents, the number of people suffering from motor disabilities is raising. Exoskeletons, Functional Electrical Stimulation (FES) devices and Brain-Machine Interfaces (BMIs) could be combined for rehabilitation purposes in order to improve therapy outcomes., Methods: In this work, a system based on a hybrid upper limb exoskeleton is used for neurological rehabilitation. Reaching movements are supported by the passive exoskeleton ArmeoSpring and FES. The movement execution is triggered by an EEG-based BMI. The BMI uses two different methods to interact with the exoskeleton from the user's brain activity. The first method relies on motor imagery tasks classification, whilst the second one is based on movement intention detection., Results: Three healthy users and five patients with neurological conditions participated in the experiments to verify the usability of the system. Using the BMI based on motor imagery, healthy volunteers obtained an average accuracy of 82.9 ± 14.5 %, and patients obtained an accuracy of 65.3 ± 9.0 %, with a low False Positives rate (FP) (19.2 ± 10.4 % and 15.0 ± 8.4 %, respectively). On the other hand, by using the BMI based on detecting the arm movement intention, the average accuracy was 76.7 ± 13.2 % for healthy users and 71.6 ± 15.8 % for patients, with 28.7 ± 19.9 % and 21.2 ± 13.3 % of FP rate (healthy users and patients, respectively)., Conclusions: The accuracy of the results shows that the combined use of a hybrid upper limb exoskeleton and a BMI could be used for rehabilitation therapies. The advantage of this system is that the user is an active part of the rehabilitation procedure. The next step will be to verify what are the clinical benefits for the patients using this new rehabilitation procedure.
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- 2015
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20. Correlated genetic effects on reproduction define a domestication syndrome in a forest tree.
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Santos-Del-Blanco L, Alía R, González-Martínez SC, Sampedro L, Lario F, and Climent J
- Abstract
Compared to natural selection, domestication implies a dramatic change in traits linked to fitness. A number of traits conferring fitness in the wild might be detrimental under domestication, and domesticated species typically differ from their ancestors in a set of traits known as the domestication syndrome. Specifically, trade-offs between growth and reproduction are well established across the tree of life. According to allocation theory, selection for growth rate is expected to indirectly alter life-history reproductive traits, diverting resources from reproduction to growth. Here we tested this hypothesis by examining the genetic change and correlated responses of reproductive traits as a result of selection for timber yield in the tree Pinus pinaster. Phenotypic selection was carried out in a natural population, and progenies from selected trees were compared with those of control trees in a common garden experiment. According to expectations, we detected a genetic change in important life-history traits due to selection. Specifically, threshold sizes for reproduction were much higher and reproductive investment relative to size significantly lower in the selected progenies just after a single artificial selection event. Our study helps to define the domestication syndrome in exploited forest trees and shows that changes affecting developmental pathways are relevant in domestication processes of long-lived plants.
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- 2015
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21. Environment-dependent microevolution in a Mediterranean pine (Pinus pinaster Aiton).
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Alía R, Chambel R, Notivol E, Climent J, and González-Martínez SC
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- Phenotype, Pinus classification, Pinus physiology, Reproduction, Seeds physiology, Trees genetics, Trees physiology, Water metabolism, Biological Evolution, Gene-Environment Interaction, Pinus genetics
- Abstract
Background: A central question for understanding the evolutionary responses of plant species to rapidly changing environments is the assessment of their potential for short-term (in one or a few generations) genetic change. In our study, we consider the case of Pinus pinaster Aiton (maritime pine), a widespread Mediterranean tree, and (i) test, under different experimental conditions (growth chamber and semi-natural), whether higher recruitment in the wild from the most successful mothers is due to better performance of their offspring; and (ii) evaluate genetic change in quantitative traits across generations at two different life stages (mature trees and seedlings) that are known to be under strong selection pressure in forest trees., Results: Genetic control was high for most traits (h2 = 0.137-0.876) under the milder conditions of the growth chamber, but only for ontogenetic change (0.276), total height (0.415) and survival (0.719) under the more stressful semi-natural conditions. Significant phenotypic selection gradients were found in mature trees for traits related to seed quality (germination rate and number of empty seeds). Moreover, female relative reproductive success was significantly correlated with offspring performance for specific leaf area (SLA) in the growth chamber experiment, and stem mass fraction (SMF) in the experiment under semi-natural conditions, two adaptive traits related to abiotic stress-response in pines. Selection gradients based on genetic covariance of seedling traits and responses to selection at this stage involved traits related to biomass allocation (SMF) and growth (as decomposed by a Gompertz model) or delayed ontogenetic change, depending also on the testing environment., Conclusions: Despite the evidence of microevolutionary change in adaptive traits in maritime pine, directional or disruptive changes are difficult to predict due to variable selection at different life stages and environments. At mature-tree stages, higher female effective reproductive success can be explained by differences in their production of offspring (due to seed quality) and, to a lesser extent, by seemingly better adapted seedlings. Selection gradients and responses to selection for seedlings also differed across experimental conditions. The distinct processes involved at the two life stages (mature trees or seedlings) together with environment-specific responses advice caution when predicting likely evolutionary responses to environmental change in Mediterranean forest trees.
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- 2014
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22. [An experience of collaboration between primary health care and mental health care in La Ribera Department of Health (Valencia, Spain)].
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Morera-Llorca M, Romeu-Climent JE, Lera-Calatayud G, Folch-Marín B, Palop-Larrea V, and Vidal-Rubio S
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- Humans, Interdisciplinary Communication, Spain, Mental Health Services, Primary Health Care
- Abstract
Despite the high prevalence of mental health problems among patients attending primary care, diagnosis and treatment of these disorders remain inadequate. Sound training of primary care physicians in how to manage mental health problems is needed to reduce the health, economic and social impact associated with these disorders. Among other elements, there is a need for cooperation between primary care physicians and mental health services. Distinct models are available for such collaboration. In 2006, our health department started a collaboration between these two levels of heath care, using a liaison model. Delays until the first specialist visit were reduced and satisfaction among health professionals increased, although these results should be interpreted with caution. Evidence has recently accumulated on the usefulness of the collaborative model, but evaluation of this model and extrapolation of its results are complex. We intend to evaluate our model more thoroughly, similar to other projects in our environment., (Copyright © 2014 SESPAS. Published by Elsevier Espana. All rights reserved.)
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- 2014
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23. Heritability and quantitative genetic divergence of serotiny, a fire-persistence plant trait.
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Hernández-Serrano A, Verdú M, Santos-Del-Blanco L, Climent J, González-Martínez SC, and Pausas JG
- Subjects
- Phenotype, Spain, Fires, Genetic Variation, Pinus genetics, Pinus growth & development
- Abstract
Background and Aims: Although it is well known that fire acts as a selective pressure shaping plant phenotypes, there are no quantitative estimates of the heritability of any trait related to plant persistence under recurrent fires, such as serotiny. In this study, the heritability of serotiny in Pinus halepensis is calculated, and an evaluation is made as to whether fire has left a selection signature on the level of serotiny among populations by comparing the genetic divergence of serotiny with the expected divergence of neutral molecular markers (QST-FST comparison)., Methods: A common garden of P. halepensis was used, located in inland Spain and composed of 145 open-pollinated families from 29 provenances covering the entire natural range of P. halepensis in the Iberian Peninsula and Balearic Islands. Narrow-sense heritability (h(2)) and quantitative genetic differentiation among populations for serotiny (QST) were estimated by means of an 'animal model' fitted by Bayesian inference. In order to determine whether genetic differentiation for serotiny is the result of differential natural selection, QST estimates for serotiny were compared with FST estimates obtained from allozyme data. Finally, a test was made of whether levels of serotiny in the different provenances were related to different fire regimes, using summer rainfall as a proxy for fire regime in each provenance., Key Results: Serotiny showed a significant narrow-sense heritability (h(2)) of 0·20 (credible interval 0·09-0·40). Quantitative genetic differentiation among provenances for serotiny (QST = 0·44) was significantly higher than expected under a neutral process (FST = 0·12), suggesting adaptive differentiation. A significant negative relationship was found between the serotiny level of trees in the common garden and summer rainfall of their provenance sites., Conclusions: Serotiny is a heritable trait in P. halepensis, and selection acts on it, giving rise to contrasting serotiny levels among populations depending on the fire regime, and supporting the role of fire in generating genetic divergence for adaptive traits., (© The Author 2014. Published by Oxford University Press on behalf of the Annals of Botany Company. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)
- Published
- 2014
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24. Lineage-specific function of Engrailed-2 in the progression of chronic myelogenous leukemia to T-cell blast crisis.
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Abollo-Jiménez F, Campos-Sánchez E, Toboso-Navasa A, Vicente-Dueñas C, González-Herrero I, Alonso-Escudero E, González M, Segura V, Blanco O, Martínez-Climent JA, Sánchez-García I, and Cobaleda C
- Subjects
- Animals, CpG Islands genetics, DNA Methylation genetics, DNA Primers genetics, Disease Progression, Flow Cytometry, Gene Expression Regulation, Neoplastic genetics, Homeodomain Proteins genetics, Humans, Leukemia, Myelogenous, Chronic, BCR-ABL Positive genetics, Mice, Mice, Transgenic, Microarray Analysis, Nerve Tissue Proteins genetics, Reverse Transcriptase Polymerase Chain Reaction, Blast Crisis metabolism, Cell Differentiation immunology, Gene Expression Regulation, Neoplastic physiology, Homeodomain Proteins metabolism, Leukemia, Myelogenous, Chronic, BCR-ABL Positive metabolism, Leukemia, Myelogenous, Chronic, BCR-ABL Positive pathology, Nerve Tissue Proteins metabolism, T-Lymphocytes immunology
- Abstract
In hematopoietic malignancies, oncogenic alterations interfere with cellular differentiation and lead to tumoral development. Identification of the proteins regulating differentiation is essential to understand how they are altered in malignancies. Chronic myelogenous leukemia (CML) is a biphasic disease initiated by an alteration taking place in hematopoietic stem cells. CML progresses to a blast crisis (BC) due to a secondary differentiation block in any of the hematopoietic lineages. However, the molecular mechanisms of CML evolution to T-cell BC remain unclear. Here, we have profiled the changes in DNA methylation patterns in human samples from BC-CML, in order to identify genes whose expression is epigenetically silenced during progression to T-cell lineage-specific BC. We have found that the CpG-island of the ENGRAILED-2 (EN2) gene becomes methylated in this progression. Afterwards, we demonstrate that En2 is expressed during T-cell development in mice and humans. Finally, we further show that genetic deletion of En2 in a CML transgenic mouse model induces a T-cell lineage BC that recapitulates human disease. These results identify En2 as a new regulator of T-cell differentiation whose disruption induces a malignant T-cell fate in CML progression, and validate the strategy used to identify new developmental regulators of hematopoiesis.
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- 2014
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25. Adaptive evolution of Mediterranean pines.
- Author
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Grivet D, Climent J, Zabal-Aguirre M, Neale DB, Vendramin GG, and González-Martínez SC
- Subjects
- Gene Dosage, Genes, Plant, Genome Size, Mediterranean Region, Phenotype, Phylogeny, Pinus classification, Pinus growth & development, Quantitative Trait, Heritable, Reproduction, Selection, Genetic, Adaptation, Biological, Biological Evolution, Pinus genetics
- Abstract
Mediterranean pines represent an extremely heterogeneous assembly. Although they have evolved under similar environmental conditions, they diversified long ago, ca. 10 Mya, and present distinct biogeographic and demographic histories. Therefore, it is of special interest to understand whether and to what extent they have developed specific strategies of adaptive evolution through time and space. To explore evolutionary patterns, the Mediterranean pines' phylogeny was first reconstructed analyzing a new set of 21 low-copy nuclear genes with multilocus Bayesian tree reconstruction methods. Secondly, a phylogenetic approach was used to search for footprints of natural selection and to examine the evolution of multiple phenotypic traits. We identified two genes (involved in pines' defense and stress responses) that have likely played a role in the adaptation of Mediterranean pines to their environment. Moreover, few life-history traits showed historical or evolutionary adaptive convergence in Mediterranean lineages, while patterns of character evolution revealed various evolutionary trade-offs linking growth-development, reproduction and fire-related traits. Assessing the evolutionary path of important life-history traits, as well as the genomic basis of adaptive variation is central to understanding the past evolutionary success of Mediterranean pines and their future response to environmental changes., (Copyright © 2013 Elsevier Inc. All rights reserved.)
- Published
- 2013
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26. Treatment of Morton neuroma with botulinum toxin A: a pilot study.
- Author
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Climent JM, Mondéjar-Gómez F, Rodríguez-Ruiz C, Díaz-Llopis I, Gómez-Gallego D, and Martín-Medina P
- Subjects
- Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neuroma diagnosis, Pilot Projects, Botulinum Toxins, Type A therapeutic use, Neuroma drug therapy
- Abstract
Background and Objective: Morton neuroma is a common cause of metatarsalgia of neuropathic origin. Systematic reviews suggest that insufficient studies have been performed on the efficacy of the different treatments available. OnabotulinumtoxinA has shown a degree of usefulness in other conditions associated with neuropathic pain. The aim of this study was to investigate the therapeutic potential of onabotulinumtoxinA in Morton neuroma., Patients and Methods: We present an open-label, pilot study with 17 consecutive patients with Morton neuroma and pain of more than 3 months' duration that had not responded to conservative treatment with physical measures or corticosteroid injection. Patients received one onabotulinumtoxinA injection in the area of the neuroma. The main outcome measure was the variation in the pain on walking evaluated using a visual analogue scale (VAS) before treatment and at 1 and 3 months after treatment. The secondary outcome was the change in foot function, which was assessed using the Foot Health Status Questionnaire., Results: In the overall group, the mean initial VAS score on walking was 7. This mean score had fallen to 4.8 at 1 month after treatment and to 3.7 at 3 months. Twelve patients (70.6 %) reported an improvement in their pain and five patients (29.4 %) reported no change; exacerbation of the pain did not occur in any patient. Improvements were also observed in two of the dimensions of the Foot Health Status Questionnaire: foot pain, which improved from a mean of 38.88 before treatment to 57 at 3 months, and foot function, which improved from a mean of 42.27 before treatment to 59.9 at 3 months. Clinical variables including age, sex, site and size of the lesion, standing activity, weekly duration of walking, footwear, foot type and footprint had no influence on the outcome. No adverse effects were reported., Conclusions: In this pilot study, injection with onabotulinumtoxinA was shown to be of possible usefulness to relieve the pain and improve function in Morton neuroma. This finding opens the door to further clinical research.
- Published
- 2013
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27. Botulinum toxin for the treatment of myofascial pain syndromes involving the neck and back: a review from a clinical perspective.
- Author
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Climent JM, Kuan TS, Fenollosa P, and Martin-Del-Rosario F
- Abstract
Introduction. Botulinum toxin inhibits acetylcholine (ACh) release and probably blocks some nociceptive neurotransmitters. It has been suggested that the development of myofascial trigger points (MTrP) is related to an excess release of ACh to increase the number of sensitized nociceptors. Although the use of botulinum toxin to treat myofascial pain syndrome (MPS) has been investigated in many clinical trials, the results are contradictory. The objective of this paper is to identify sources of variability that could explain these differences in the results. Material and Methods. We performed a content analysis of the clinical trials and systematic reviews of MPS. Results and Discussion. Sources of differences in studies were found in the diagnostic and selection criteria, the muscles injected, the injection technique, the number of trigger points injected, the dosage of botulinum toxin used, treatments for control group, outcome measures, and duration of followup. The contradictory results regarding the efficacy of botulinum toxin A in MPS associated with neck and back pain do not allow this treatment to be recommended or rejected. There is evidence that botulinum toxin could be useful in specific myofascial regions such as piriformis syndrome. It could also be useful in patients with refractory MPS that has not responded to other myofascial injection therapies.
- Published
- 2013
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28. MALT lymphoma meets stem cells.
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Vicente-Dueñas C, Cobaleda C, Martínez-Climent JÁ, and Sánchez-García I
- Subjects
- Animals, Caspases genetics, Cell Transformation, Neoplastic genetics, Cell Transformation, Neoplastic metabolism, Chromosomes, Human genetics, Chromosomes, Human metabolism, Humans, Lymphocytes metabolism, Lymphocytes pathology, Lymphoma, B-Cell, Marginal Zone genetics, Lymphoma, B-Cell, Marginal Zone metabolism, Mice, Mucosa-Associated Lymphoid Tissue Lymphoma Translocation 1 Protein, Neoplasm Proteins genetics, Oncogenes, Stem Cells metabolism, Translocation, Genetic, Caspases metabolism, Gene Expression Regulation, Neoplastic, Lymphoma, B-Cell, Marginal Zone pathology, Neoplasm Proteins metabolism, Stem Cells pathology
- Published
- 2012
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29. Molecular characterization of the region 7q22.1 in splenic marginal zone lymphomas.
- Author
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Robledo C, García JL, Benito R, Flores T, Mollejo M, Martínez-Climent JÁ, García E, Gutiérrez NC, Piris MA, and Hernández JM
- Subjects
- Adult, Aged, Aged, 80 and over, Chromosome Deletion, Chromosomes, Artificial, Bacterial genetics, Comparative Genomic Hybridization, Female, Humans, In Situ Hybridization, Fluorescence, Male, Middle Aged, Oligonucleotide Array Sequence Analysis, Reproducibility of Results, Chromosomes, Human, Pair 7 genetics, Lymphoma, B-Cell, Marginal Zone genetics, Splenic Neoplasms genetics
- Abstract
Splenic marginal zone lymphomas (SMZL) are an uncommon type of B-cell non-Hodgkin's lymphoma (NHL-B) in which no specific chromosomal translocations have been described. In contrast, the most frequent cytogenetic abnormality is the loss of the long arm of chromosome 7 (7q). Previous reports have located this loss in the 7q32 region. In order to better characterize the genomic imbalances in SMZL, molecular studies were carried out in 73 patients with SMZL. To gain insight into the mapping at 7q a tiling array was also used. The results confirmed the loss of 7q as the most frequent change. In addition, several abnormalities, including 4q22.1, 1q21.3-q22, 6q25.3, 20q13.33, 3q28, 2q23.3-q24.1 and 17p13, were also present. A loss of 7q22.1 at 99925039-101348479 bp was observed in half of the cases. The region of 7q22.1 has not previously been characterised in SMZL. Our results confirmed the presence of a new region of loss on chromosome 7 in these NHL.
- Published
- 2011
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30. Deregulation of the telomerase reverse transcriptase (TERT) gene by chromosomal translocations in B-cell malignancies.
- Author
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Nagel I, Szczepanowski M, Martín-Subero JI, Harder L, Akasaka T, Ammerpohl O, Callet-Bauchu E, Gascoyne RD, Gesk S, Horsman D, Klapper W, Majid A, Martinez-Climent JA, Stilgenbauer S, Tönnies H, Dyer MJ, and Siebert R
- Subjects
- Adult, Aged, Aged, 80 and over, Biomarkers, Tumor genetics, Biomarkers, Tumor metabolism, Child, Female, Gene Expression Profiling, Humans, In Situ Hybridization, Fluorescence, Leukemia, B-Cell pathology, Lymphoma, B-Cell pathology, Male, Middle Aged, Oligonucleotide Array Sequence Analysis, Telomerase metabolism, Leukemia, B-Cell genetics, Lymphoma, B-Cell genetics, Telomerase genetics, Translocation, Genetic
- Abstract
Sequence variants at the TERT-CLPTM1L locus in chromosome 5p have been recently associated with disposition for various cancers. Here we show that this locus including the gene encoding the telomerase reverse-transcriptase TERT at 5p13.33 is rarely but recurrently targeted by somatic chromosomal translocations to IGH and non-IG loci in B-cell neoplasms, including acute lymphoblastic leukemia, chronic lymphocytic leukemia, mantle cell lymphoma and splenic marginal zone lymphoma. In addition, cases with genomic amplification of TERT locus were identified. Tumors bearing chromosomal aberrations involving TERT showed higher TERT transcriptional expression and increased telomerase activity. These data suggest that deregulation of TERT gene by chromosomal abnormalities leading to increased telomerase activity might contribute to B-cell lymphomagenesis.
- Published
- 2010
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31. Epigenetic down-regulation of BIM expression is associated with reduced optimal responses to imatinib treatment in chronic myeloid leukaemia.
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San José-Eneriz E, Agirre X, Jiménez-Velasco A, Cordeu L, Martín V, Arqueros V, Gárate L, Fresquet V, Cervantes F, Martínez-Climent JA, Heiniger A, Torres A, Prósper F, and Roman-Gomez J
- Subjects
- Adult, Antineoplastic Combined Chemotherapy Protocols pharmacology, Apoptosis drug effects, Apoptosis Regulatory Proteins genetics, Azacitidine analogs & derivatives, Azacitidine pharmacology, Bcl-2-Like Protein 11, Benzamides, Cell Proliferation drug effects, DNA Methylation, DNA Modification Methylases antagonists & inhibitors, Decitabine, Dose-Response Relationship, Drug, Down-Regulation drug effects, Drug Evaluation, Preclinical methods, Drug Resistance, Neoplasm genetics, Epigenesis, Genetic, Female, Gene Expression Regulation, Neoplastic drug effects, Gene Expression Regulation, Neoplastic genetics, Humans, Imatinib Mesylate, Leukemia, Myelogenous, Chronic, BCR-ABL Positive pathology, Male, Membrane Proteins genetics, Middle Aged, Promoter Regions, Genetic genetics, Proto-Oncogene Proteins genetics, RNA, Messenger genetics, RNA, Neoplasm genetics, Tumor Cells, Cultured, Antineoplastic Agents pharmacology, Apoptosis Regulatory Proteins biosynthesis, Down-Regulation genetics, Leukemia, Myelogenous, Chronic, BCR-ABL Positive metabolism, Membrane Proteins biosynthesis, Piperazines pharmacology, Proto-Oncogene Proteins biosynthesis, Pyrimidines pharmacology
- Abstract
Background: Expression of the pro-apoptotic BCL-2-interacting mediator (BIM) has recently been implicated in imatinib-induced apoptosis of BCR-ABL1(+) cells. However, the mechanisms involved in the regulation of BIM in CML and its role in the clinical setting have not been established., Design and Methods: We analysed the mRNA expression of BIM in 100 newly diagnosed patients with CML in chronic phase by Q-RT-PCR and the protein levels by Western blot analysis. Methylation status was analysed by bisulphite genomic sequencing and MSP. CML cell lines were treated with imatinib and 5-aza-2'-deoxycytidine, and were transfected with two different siRNAs against BIM and cell proliferation and apoptosis were analysed., Results: We demonstrated that down-regulation of BIM expression was present in 36% of the patients and was significantly associated with a lack of optimal response to imatinib as indicated by the decrease in cytogenetic and molecular responses at 6, 12 and 18 months in comparison with patients with normal BIM expression (p<0.05). Expression of BIM was mediated by promoter hypermethylation as demonstrated by restoration of BIM expression after treatment of CML cells with 5-aza-2'-deoxycytidine. Using CML cell lines with low and normal expression of BIM we further demonstrated that the expression of BIM is required for imatinib-induced CML apoptosis., Conclusion: Our data indicate that down-regulation of BIM is epigenetically controlled by methylation in a percentage of CML patients and has an unfavourable prognostic impact, and that the combination of imatinib with a de-methylating agent may result in improved responses in patients with decreased expression of BIM.
- Published
- 2009
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32. To grow or to seed: ecotypic variation in reproductive allocation and cone production by young female Aleppo pine (Pinus halepensis, Pinaceae).
- Author
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Climent J, Prada MA, Calama R, Chambel MR, de Ron DS, and Alía R
- Abstract
Age and size at the first reproduction and the reproductive allocation of plants are linked to different life history strategies. Aleppo pine only reproduces through seed, and, as such, early female reproduction confers high fitness in its infertile highly fire-prone habitats along the Mediterranean coast because life expectancy is short. We investigated the extent of ecotypic differentiation in female reproductive allocation and examined the relation between early female reproduction and vegetative growth. In a common-garden experiment, the threshold age and size at first female reproduction and female reproductive allocation at age seven differed significantly among Aleppo pine provenances of ecologically distinct origin. Significant correlations among reproductive features of the provenances and the ecological traits of origin were found using different analytical tools. In nonlinear models of cone counts vs. stem volume, medium-sized trees (not the largest trees) produced the highest cone yield, confirming that, at the individual level, early female reproduction is incompatible with fast vegetative growth. The contribution of founder effects and adaptation to contrasting fire regimes may be confounding factors. But considering all traits analyzed, the geographical patterns of resource allocation by Aleppo pine suggest ecotypic specialization for either resource-poor (favoring early reproduction) or resource-rich (favoring vegetative growth) habitats.
- Published
- 2008
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33. Recurrent loss of the Y chromosome and homozygous deletions within the pseudoautosomal region 1: association with male predominance in mantle cell lymphoma.
- Author
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Nieländer I, Martín-Subero JI, Wagner F, Baudis M, Gesk S, Harder L, Hasenclever D, Klapper W, Kreuz M, Pott C, Martinez-Climent JA, Dreyling M, Arnold N, and Siebert R
- Subjects
- Aged, Chromosome Aberrations, Chromosome Mapping, Female, Homozygote, Humans, Karyotyping, Male, Markov Chains, Middle Aged, Sex Factors, Translocation, Genetic, Chromosomes, Human, Y, Lymphoma, Mantle-Cell diagnosis, Lymphoma, Mantle-Cell genetics, Sequence Deletion
- Published
- 2008
- Full Text
- View/download PDF
34. Evolutionary correlations of polycyclic shoot growth in Acer (Sapindaceae).
- Author
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Verdú M and Climent J
- Abstract
Two strategies have evolved in understory trees in relation to light availability: maximization of light capture and shade tolerance. In the genus Acer, light capture is favored by a suite of traits maximizing twig thickness and leaf size and minimizing the density of branching in the crown. In contrast, shade tolerance is enhanced by minimizing crown area, crown volume, and total leaf area per unit height. Maples with polycyclic shoot growth (i.e., successive flushes of shoot growth separated by a resting phase within the same vegetative period) may benefit from the prolonged growth by growing more and increasing total leaf area; thus we hypothesize that polycyclism is evolutionarily correlated with the suite of traits related to light capture. We tested this hypothesis using different phylogenetic trees to explore correlations between polycyclism and both suites of traits. Polycyclism was correlated with the suite of traits maximizing light capture, suggesting that polycyclic maples are "optimists" (i.e., they make vigorous vertical extensions in rich light) and monocyclic maples are "pessimists" (i.e., they wait in the dark understory until a gap is opened). Both strategies have been described for different floras, and interestingly, polycyclic species recruit over a wider range of environments than the monocyclic species.
- Published
- 2007
- Full Text
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35. Chloroplast microsatellites reveal colonization and metapopulation dynamics in the Canary Island pine.
- Author
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Navascués M, Vaxevanidou Z, González-Martínez SC, Climent J, Gil L, and Emerson BC
- Subjects
- Models, Biological, Pinus growth & development, Population Dynamics, DNA, Chloroplast genetics, Geography, Microsatellite Repeats genetics, Pinus genetics, Pinus physiology
- Abstract
Chloroplast microsatellites are becoming increasingly popular markers for population genetic studies in plants, but there has been little focus on their potential for demographic inference. In this work the utility of chloroplast microsatellites for the study of population expansions was explored. First, we investigated the power of mismatch distribution analysis and the F(S) test with coalescent simulations of different demographic scenarios. We then applied these methods to empirical data obtained for the Canary Island pine (Pinus canariensis). The results of the simulations showed that chloroplast microsatellites are sensitive to sudden population growth. The power of the F(S) test and accuracy of demographic parameter estimates, such as the time of expansion, were reduced proportionally to the level of homoplasy within the data. The analysis of Canary Island pine chloroplast microsatellite data indicated population expansions for almost all sample localities. Demographic expansions at the island level can be explained by the colonization of the archipelago by the pine, while population expansions of different ages in different localities within an island could be the result of local extinctions and recolonization dynamics. Comparable mitochondrial DNA sequence data from a parasite of P. canariensis, the weevil Brachyderes rugatus, supports this scenario, suggesting a key role for volcanism in the evolution of pine forest communities in the Canary Islands.
- Published
- 2006
- Full Text
- View/download PDF
36. Somatic stem cells and the origin of cancer.
- Author
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Martínez-Climent JA, Andreu EJ, and Prosper F
- Subjects
- Animals, Genes, Tumor Suppressor, Humans, Leukemia genetics, Lymphoma genetics, MicroRNAs, Mutation, Neoplasms genetics, Neoplasms pathology, Oncogenes, Telomerase, Telomere, Cell Transformation, Neoplastic genetics, Neoplastic Stem Cells cytology, Neoplastic Stem Cells physiology
- Abstract
Most human cancers derive from a single cell targeted by genetic and epigenetic alterations that initiate malignant transformation. Progressively, these early cancer cells give rise to different generations of daughter cells that accumulate additional mutations, acting in concert to drive the full neoplastic phenotype. As we have currently deciphered many of the gene pathways disrupted in cancer, our knowledge about the nature of the normal cells susceptible to transformation upon mutation has remained more elusive. Adult stem cells are those that show long-term replicative potential, together with the capacities of self-renewal and multi-lineage differentiation. These stem cell properties are tightly regulated in normal development, yet their alteration may be a critical issue for tumorigenesis. This concept has arisen from the striking degree of similarity noted between somatic stem cells and cancer cells, including the fundamental abilities to self-renew and differentiate. Given these shared attributes, it has been proposed that cancers are caused by transforming mutations occurring in tissue-specific stem cells. This hypothesis has been functionally supported by the observation that among all cancer cells within a particular tumor, only a minute cell fraction has the exclusive potential to regenerate the entire tumor cell population; these cells with stem-like properties have been termed cancer stem cells. Cancer stem cells can originate from mutation in normal somatic stem cells that deregulate their physiological programs. Alternatively, mutations may target more committed progenitor cells or even mature cells, which become reprogrammed to acquire stem-like functions. In any case, mutated genes should promote expansion of stem/progenitor cells, thus increasing their predisposition to cancer development by expanding self-renewal and pluripotency over their normal tendency towards relative quiescency and proper differentiation.
- Published
- 2006
- Full Text
- View/download PDF
37. Population divergence for heteroblasty in the Canary Island pine (Pinus canariensis, Pinaceae).
- Author
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Climent J, Chambel MR, López R, Mutke S, Alía R, and Gil L
- Abstract
A heteroblastic (or vegetative phase) change is an abrupt manifestation in the general heteroblastic development during the ontogeny of plants. The Canary Island pine undergoes an especially marked and delayed heteroblastic change, including both the formation of secondary needles on dwarf shoots and the onset of preformed growth. To assess genetic and environmental effects on the heteroblastic change in this species, we followed plants from 19 populations at a dry site and a wetter site. Comparing juvenile and adult needles from the same individuals, the adult had a significantly lower rate of water loss and higher leaf mass per area. Pooling data from all seed sources, the heteroblastic change took place when plants reached a critical height, on average, at 4 years of age at the dry site and 1 year earlier at the wet site. Within a subsample of individuals of equal size, mortality was significantly higher in juvenile plants than in mature plants. However, the juvenile phase was longer in plants from dry regions when compared to plants from highly productive, wet regions. This apparent contradiction might be explained through differential resource allocation and the cost of sclerophylly and resprouting ability. Considering the life strategy of the Canary Island pine, we interpret the prolonged juvenile phase as an unavoidable trade-off for the high tolerance of adults to harsh environments.
- Published
- 2006
- Full Text
- View/download PDF
38. BCR-ABL induces the expression of Skp2 through the PI3K pathway to promote p27Kip1 degradation and proliferation of chronic myelogenous leukemia cells.
- Author
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Andreu EJ, Lledó E, Poch E, Ivorra C, Albero MP, Martínez-Climent JA, Montiel-Duarte C, Rifón J, Pérez-Calvo J, Arbona C, Prósper F, and Pérez-Roger I
- Subjects
- Benzamides, Carrier Proteins biosynthesis, Carrier Proteins genetics, Cell Cycle drug effects, Cell Growth Processes physiology, Cyclin-Dependent Kinase Inhibitor p27, Fusion Proteins, bcr-abl genetics, Fusion Proteins, bcr-abl metabolism, Humans, Imatinib Mesylate, Intracellular Signaling Peptides and Proteins genetics, Leukemia, Myelogenous, Chronic, BCR-ABL Positive enzymology, Leukemia, Myelogenous, Chronic, BCR-ABL Positive genetics, Leukemia, Myelogenous, Chronic, BCR-ABL Positive pathology, Phosphorylation, Piperazines, Pyrimidines pharmacology, Retinoblastoma Protein metabolism, S-Phase Kinase-Associated Proteins metabolism, Transcription, Genetic, Carrier Proteins metabolism, Fusion Proteins, bcr-abl physiology, Intracellular Signaling Peptides and Proteins metabolism, Leukemia, Myelogenous, Chronic, BCR-ABL Positive metabolism, Phosphatidylinositol 3-Kinases metabolism, S-Phase Kinase-Associated Proteins biosynthesis
- Abstract
Chronic myelogenous leukemia (CML) is characterized by the expression of the BCR-ABL tyrosine kinase, which results in increased cell proliferation and inhibition of apoptosis. In this study, we show in both BCR-ABL cells (Mo7e-p210 and BaF/3-p210) and primary CML CD34+ cells that STI571 inhibition of BCR-ABL tyrosine kinase activity results in a G(1) cell cycle arrest mediated by the PI3K pathway. This arrest is associated with a nuclear accumulation of p27(Kip1) and down-regulation of cyclins D and E. As a result, there is a reduction of the cyclin E/Cdk2 kinase activity and of the retinoblastoma protein phosphorylation. By quantitative reverse transcription-PCR we show that BCR-ABL/PI3K regulates the expression of p27(Kip1) at the level of transcription. We further show that BCR-ABL also regulates p27(Kip1) protein levels by increasing its degradation by the proteasome. This degradation depends on the ubiquitinylation of p27(Kip1) by Skp2-containing SFC complexes: silencing the expression of Skp2 with a small interfering RNA results in the accumulation of p27(Kip1). We also demonstrate that BCR-ABL cells show transcriptional up-regulation of Skp2. Finally, expression of a p27(Kip1) mutant unable of being recognized by Skp2 results in inhibition of proliferation of BCR-ABL cells, indicating that the degradation of p27(Kip1) contributes to the pathogenesis of CML. In conclusion, these results suggest that BCR-ABL regulates cell cycle in CML cells at least in part by inducing proteasome-mediated degradation of the cell cycle inhibitor p27(Kip1) and provide a rationale for the use of inhibitors of the proteasome in patients with BCR-ABL leukemias.
- Published
- 2005
- Full Text
- View/download PDF
39. Genetic diagnosis by comparative genomic hybridization in adult de novo acute myelocytic leukemia.
- Author
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Casas S, Aventín A, Fuentes F, Vallespí T, Granada I, Carrió A, Angel Martínez-Climent J, Solé F, Teixidó M, Bernués M, Duarte J, Maria Hernández J, Brunet S, Dolors Coll M, and Sierra J
- Subjects
- Acute Disease, Adolescent, Adult, Anemia, Refractory, with Excess of Blasts diagnosis, Anemia, Refractory, with Excess of Blasts genetics, Chromosome Deletion, Chromosomes, Human genetics, Chromosomes, Human ultrastructure, Female, Humans, In Situ Hybridization, Fluorescence, Karyotyping, Leukemia, Myeloid genetics, Male, Middle Aged, Sequence Deletion, Trisomy, Leukemia, Myeloid diagnosis, Nucleic Acid Hybridization
- Abstract
A total of 127 adult de novo acute myelocytic leukemia (AML) patients were analyzed by comparative genomic hybridization (CGH) at diagnosis. Conventional cytogenetic analysis (CCA) showed a normal karyotype in 45 cases and an abnormal karyotype in 56 cases; in the remaining cases, CCA either failed to yield sufficient metaphase cells (19/26) or was not done (7/26). Abnormal CGH profiles were identified in 39 patients (30.7%). DNA copy number losses (61%) were high compared to gains (39%), whereas partial chromosome changes (76%) were more common than whole chromosomes changes (24%). Recurrent losses were detected on chromosomes 7, 5q (comprising bands 5q15 to 5q33), 7q (7q32 approximately q36), 16q (16q13 approximately q21), and 17p, and gains were detected on chromosomes 8, 22, and 3q (comprising bands 3q26.1 approximately q27). Furthermore, distinct amplifications were identified in chromosome regions 21q, 13q12 approximately q13, and 13q21.1. No cryptic recurrent chromosomal imbalances were identified by CGH in cases with normal karyotypes. The concordance between CGH results and CCA was 72.5%. In the remaining cases, CGH gave additional information compared to CCA (20%) and partially failed to identify the alterations previously detected by CCA (7.5%). The majority of discrepancies arose from the limitations of the CGH technique, such as insensitivity to detect unbalanced chromosomal changes when occurring in a low proportion of cells. CGH increased the detection of unbalanced chromosomal alterations and allowed precise defining of partial or uncharacterized cytogenetical abnormalities. Application of the CGH technique is thus a useful complementary diagnostic tool for CCA in de novo AML cases with abnormal karyotypes or with unsuccessful cytogenetics.
- Published
- 2004
- Full Text
- View/download PDF
40. Survival study of opioid addicts in relation to its adherence to methadone maintenance treatment.
- Author
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Esteban J, Gimeno C, Barril J, Aragonés A, Climent JM, and de la Cruz Pellín M
- Subjects
- Adolescent, Adult, Aged, Chi-Square Distribution, Confidence Intervals, Female, HIV Infections mortality, Humans, Longitudinal Studies, Male, Middle Aged, Retrospective Studies, Survival Rate trends, Methadone therapeutic use, Opioid-Related Disorders drug therapy, Opioid-Related Disorders mortality, Patient Compliance statistics & numerical data
- Abstract
Objectives: To study the putative role of methadone maintenance treatment in the improvement of life expectancy of opioid addicts., Design: Retrospective longitudinal study., Participants: All 1487 patients receiving methadone maintenance treatment in Alicante between June 1990 and December 1997., Statistical Analysis: Mortality rates were studied using Kaplan-Meier survival curves. Protection or risk factors were analyzed using Cox's proportional hazards model., Results: Mortality rates decreased from 87/1000 in 1991 to 17/1000 in 1997. The following factors influenced mortality: HIV infection [Hazard Ratio (HR)=7, 95% confidence interval (CI)=4-12]; current methadone status (HR=3.2, 95%CI=1.5-7.1) and MMT retention (retained vs. drop-out, HR=0.5, 95%CI=0.2-1.1; re-enrolled vs. drop-out, HR=0.3, 95%CI=0.2-0.5)., Conclusion: Expediting entry and re-enrolling in methadone maintenance treatment improves survival.
- Published
- 2003
- Full Text
- View/download PDF
41. Molecular heterogeneity in MCL defined by the use of specific VH genes and the frequency of somatic mutations.
- Author
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Camacho FI, Algara P, Rodríguez A, Ruíz-Ballesteros E, Mollejo M, Martínez N, Martínez-Climent JA, González M, Mateo M, Caleo A, Sánchez-Beato M, Menárguez J, García-Conde J, Solé F, Campo E, and Piris MA
- Subjects
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Gene Rearrangement, Humans, Immunohistochemistry, Lymphoma, Mantle-Cell mortality, Lymphoma, Mantle-Cell pathology, Male, Middle Aged, Survival Analysis, Time Factors, Genes, Immunoglobulin, Immunoglobulin Heavy Chains genetics, Immunoglobulin Variable Region genetics, Lymphoma, Mantle-Cell genetics, Lymphoma, Mantle-Cell immunology, Mutation
- Abstract
This study explores whether the presence of somatic mutations or a biased use of IgV(H) genes were associated with the clinical features in a series of 96 patients with mantle cell lymphoma (MCL). The cases were studied by seminested polymerase chain reaction using primers from the FR1 and J(H) regions. There was an unexpectedly high frequency of somatic mutations, with 29 of 103 sequences showing more than 2% of mutations. Biased usage of specific V(H) segments was also found; the most widely used genes in this series were V(H)3-21 (10 cases), V(H)3-23 (9 cases), V(H)4-34 (11 cases), and V(H)4-59 (9 cases). V(H) mutation frequency, taking into account different thresholds, did not distinguish different overall survival probabilities. Nevertheless, a more frequent use of V(H)3-21 or V(H)4-59 (8 of 18) was observed in the group of long-term survivors (18 cases > 5 years; P <.01). None of these long-term survivors presented the V(H)3-23 gene rearrangement. As in other lymphoproliferative disorders, the expression of CD38 or p53 or both was associated with a poorer survival probability. This nonrandom usage of IgV(H) segments suggests that specific antigens may play a pathogenically relevant role in the genesis or progression of subsets of MCL cases and may help in distinguishing a significant group of MCL long-term survivors.
- Published
- 2003
- Full Text
- View/download PDF
42. Imatinib mesylate (STI571) treatment in patients with chronic-phase chronic myelogenous leukaemia previously submitted to autologous stem cell transplantation.
- Author
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Cervantes F, Hernández-Boluda JC, Odriozola J, Camós M, Villalón L, Martínez-Climent JA, del Campo R, García-Conde J, and Montserrat E
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Benzamides, Disease-Free Survival, Female, Humans, Imatinib Mesylate, Interferons therapeutic use, Leukemia, Myelogenous, Chronic, BCR-ABL Positive therapy, Leukemia, Myeloid, Chronic-Phase therapy, Male, Middle Aged, Treatment Failure, Treatment Outcome, Antineoplastic Agents therapeutic use, Hematopoietic Stem Cell Transplantation, Leukemia, Myelogenous, Chronic, BCR-ABL Positive drug therapy, Leukemia, Myeloid, Chronic-Phase drug therapy, Piperazines therapeutic use, Pyrimidines therapeutic use
- Abstract
Imatinib mesylate (STI571) is a highly effective and well-tolerated treatment for patients with chronic-phase chronic myeloid leukaemia (CML), but information on its efficacy and tolerance in intensively pretreated patients is scarce. Thirty-three chronic-phase CML patients who were resistant or intolerant to interferon (IFN) and had been previously submitted to autologous stem cell transplantation were treated with imatinib for a median of 14 months (range: 6-19 months). Seven patients were in haematological response (HR) at the start of treatment; the remaining 26 attained a HR at a median of 3 weeks (range: 1-4 weeks). Major cytogenetic response rates at 3, 6 and 12 months were 42%, 45% and 55%, respectively, including 21%, 24% and 33% complete responses. Grade 3-4 neutropenia, thrombocytopenia and anaemia developed in 33%, 27% and 12% of patients respectively. Non-haematological toxicity included superficial oedema (21% of patients), gastrointestinal symptoms (18%), muscle cramps (15%), skin rash and liver enzyme increase (3% each). These results were not significantly different from those in 65 chronic-phase CML patients, resistant or intolerant to interferon without a previous ASCT, who were included in the same protocol. Imatinib mesylate is effective and safe in chronic-phase CML patients with a previous history of intensive treatment.
- Published
- 2003
- Full Text
- View/download PDF
43. [The links between technology and specialist practice in rehabilitation: the model of gymnastic technology in 19th century Spain].
- Author
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Climent JM and Ballester R
- Subjects
- History, 19th Century, Spain, Biomedical Technology history, Gymnastics history, Rehabilitation history
- Abstract
Gymnastic technology had a decisive role in the configuration of a particular medical specialty, Physical Medicine and Rehabilitation. Its study is critical to understand the strong division of work roles that existed in this field, with a medical specialty and several professions linked to physiotherapy and rehabilitation. This process was developed in two well-defined phases: the assimilation of the knowledge and technological advances of gymnasts at the beginning of the 19th century, and the appropriation of the use of these appliances by doctors. Both factors favoured the emergence of the new professions.
- Published
- 2003
44. Interphase FISH assays for the detection of translocations with breakpoints in immunoglobulin light chain loci.
- Author
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Martín-Subero JI, Harder L, Gesk S, Schlegelberger B, Grote W, Martinez-Climent JA, Dyer MJ, Novo FJ, Calasanz MJ, and Siebert R
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Chromosome Aberrations, Chromosomes, Human, Pair 14, Chromosomes, Human, Pair 16, Chromosomes, Human, Pair 2, Chromosomes, Human, Pair 22, Chromosomes, Human, Pair 4, Chromosomes, Human, Pair 8, Female, Humans, In Situ Hybridization, Fluorescence, Interphase, Male, Middle Aged, Genes, Immunoglobulin genetics, Lymphoma, B-Cell genetics, Translocation, Genetic
- Abstract
Many B-cell malignancies bear chromosomal translocations juxtaposing immunoglobulin (IG) genes with oncogenes, resulting in deregulated expression of the latter. Translocations affecting the IG heavy chain (IGH) locus in chromosomal region 14q32 are most prevalent. However, variant translocations involving the IG kappa (IGK) locus in 2p12 or the IG lambda (IGL) locus in 22q11 occur recurrently in B-cell neoplasias. No routine methods for the detection of all breakpoints involving IG light chain loci independently of the translocation partner have been described. For this reason, we have designed 2 novel interphase fluorescence in situ hybridization (FISH) assays using differentially labeled probes flanking the IGK and IGL locus, respectively. Based on extensive control studies, the diagnostic thresholds for the detection of breakpoints were set at 0.3% for IGK and 1.4% for IGL. Fifteen cases of B-cell malignancies with cytogenetically detectable chromosomal abnormalities in 2p11-14 were investigated with the FISH assay for IGK. Breakpoints affecting the IGK locus were detected in 7 cases including all 4 variant Burkitt's translocations t(2;8)(p12;q24) and a variant BCL2-associated translocation t(2;18)(p12;q21). Other translocation partners were chromosome bands 7q21 and 16q24. Ten cases with abnormalities in 22q11-12 were investigated with the FISH assay for IGL. Breakpoints in the IGL locus were diagnosed in 7 cases including both variant Burkitt's translocations t(8;22)(q24;q11) and a t(3;22)(q27;q11) involving the BCL6 locus. Other translocation partners were 2p13-14, 4q13 and 16p12. Our results show that these FISH assays provide flexible, simple and reliable tools in the diagnosis and characterization of genetic changes in B-cell malignancies., (Copyright 2002 Wiley-Liss, Inc.)
- Published
- 2002
- Full Text
- View/download PDF
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