42 results on '"Mesa H"'
Search Results
2. Importance of micronutrients and organic nitrogen in fermentations with Torulaspora delbrueckii and Saccharomyces cerevisiae
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Bioquímica i Biotecnologia, Universitat Rovira i Virgili, Roca-Mesa H; Delgado-Yuste E; Mas A; Torija MJ; Beltran G, Bioquímica i Biotecnologia, Universitat Rovira i Virgili, and Roca-Mesa H; Delgado-Yuste E; Mas A; Torija MJ; Beltran G
- Abstract
The current use of non-Saccharomyces yeasts in mixed fermentations increases the relevance of the interactions between yeast species. In this work, the interactions between Saccharomyces cerevisiae and Torulaspora delbrueckii were analyzed. For this purpose, fermentations with and without contact between strains of those yeast species were performed in synthetic must. Fermentation kinetics, yeast growth and dynamics were measured over time. Additionally, the effects of nitrogen and other nutrient supplementations on the mixed fermentations were determined. Our results showed that S. cerevisiae did not always dominate the sequential fermentations, and experiments without yeast contact (in which T. delbrueckii cells were removed from the medium before inoculating S. cerevisiae at 48 h) resulted in stuck fermentations except when the inoculum size was increased (from 2 × 106 to 108 cells/mL) or there was a supplementation of thiamine, zinc and amino acids at the same concentration as initially found in the synthetic must. Our findings highlight the importance of inoculum size and ensuring the availability of enough micronutrients for all yeast species, especially in sequential fermentations.
- Published
- 2022
3. Binary tissue classification on wound images with neural networks and Bayesian classifiers
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Veredas, F., Mesa, H., and Morente, L.
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Bayesian statistical decision theory -- Usage ,Image processing -- Analysis ,Necrosis -- Diagnosis ,Neural networks -- Usage ,Neural network ,Business ,Electronics ,Electronics and electrical industries ,Health care industry - Published
- 2010
4. Nitrogen preferences during alcoholic fermentation of different non-saccharomyces yeasts of oenological interest
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Universitat Rovira i Virgili, Roca-mesa H; Sendra S; Mas A; Beltran G; Torija M, Universitat Rovira i Virgili, and Roca-mesa H; Sendra S; Mas A; Beltran G; Torija M
- Abstract
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Non-Saccharomyces yeasts have long been considered spoilage microorganisms. Currently, oenological interest in those species is increasing, mostly due to their positive contribution to wine quality. In this work, the fermentative capacity and nitrogen consumption of several non- Saccharomyces wine yeast (Torulaspora delbrueckii, Lachancea thermotolerans, Starmerella bacillaris, Hanseniaspora uvarum, and Metschnikowia pulcherrima) were analyzed. For this purpose, synthetic must with three different nitrogen compositions was used: a mixture of amino acids and ammonium, only organic or inorganic nitrogen. The fermentation kinetics, nitrogen consumption, and yeast growth were measured over time. Our results showed that the good fermentative strains, T. delbrueckii and L. thermotolerans, had high similarities with Saccharomyces cerevisiae in terms of growth, fermentation profile, and nitrogen assimilation preferences, although L. thermotolerans presented an impaired behavior when only amino acids or ammonia were used, being strain-specific. M. pulcherrima was the non-Saccharomyces strain least affected by the nitrogen composition of the medium. The other two poor fermentative strains, H. uvarum and S. bacillaris, behaved similarly regarding amino acid uptake, which occurred earlier than that of the good fermentative species in the absence of ammonia. The results obtained in single non-Saccharomyces fermentations highlighted the importance of controlling nitrogen requirements of the wine yeasts, mainly in sequential fermentations, in order to manage a proper nitrogen supplementation, when needed.
- Published
- 2020
5. Immunophenotypic differences between neoplastic and non-neoplastic androgen-producing cells containing and lacking Reinke crystals
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Mesa H, Gilles, S, Datta, MW, Murugan, P, Larson, W, Dachel, S, and Manivel, C
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Reinke crystals ,Leydig cell ,Adrenal rest tumor ,Gonadal steroid hormones ,Immunohistochemistry - Abstract
We performed a detailed morphologic, immunophenotypic, and endocrine characterization of neoplastic and non-neoplastic lesions of androgen-producing cells known to harbor or lack Reinke crystals (RCs) with an aim to provide further insight into the nature of these cells and crystals. Study cases were selected from the files of participating hospitals and subclassified according to current classifications: 20 with Leydig cell tumors (LCTs), 2 with testicular adrenal rest tumors (TARTs), 2 with testicular tumors of adrenogenital syndrome (TTAGS), and 2 with androgen insensitivity syndrome (AIS). An extensive immunophenotypic panel including markers used in sex cord-stromal cell tumors, androgen hormones, enzymes, and receptors was applied to the cases and 10 non-tumoral adrenal glands. Non-tumoral tissues were scored separately. RCs were present in 90 % of LCTcases and all cases with normal Leydig cells; RCs stained specifically with calretinin and 3β-hydroxysteroid dehydrogenase (3BHSD) and were present only in cells with high concomitant expression of both proteins, a phenotype unique to Leydig cells and LCTs. Leydig cells from AIS cases lack RCs due to decreased expression of 3BHSD. Calretinin is decreased in testicular adrenal-like tumors and absent in normal adrenocortical cells, which explain why they lack RCs. Calretinin expression in androgen-producing cells is independent from androgen receptors and androgen synthesis. RCs represent for the most part, if not exclusively, crystallized forms of a 3BHSD/calretinin complex. Androgen-producing cells containing and lacking RCs differ mainly in the level of expression of these proteins and androgen receptors.
- Published
- 2016
6. 10.1016/J.Humpath.2015.01.004
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Mesa, H, Gilles, S, Smith, S, Dachel, S, Larson, W, and Manivel, JC
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Reinke cyrstal, Leydig cell, immunohistochemistry - Abstract
Reinke crystals (RC) are pathognomonic of Leydig cells (LCs); they are thought to be rare in normal testes and to occur only in approximately one third of LC tumors. We noticed that crystals present in touch imprint and frozen sections of an LC tumor disappeared after tissue fixation. This phenomenon led us to hypothesize that their reported low frequency in normal and neoplastic LCs may be secondary to degradation/dissolution of the crystals after formalin fixation. Our review of the literature also led us to hypothesize that RC are better preserved after air-drying and alcohol fixation. We collected testicular samples from 21 autopsies including air-dried cytologic preparations and tissue samples that were fixed in alcohol or formalin. We found that RC are common in normal LC but dissolve rapidly in formalin and slowly and only partially in alcohol. The composition of RC is unknown; however, they have been reported to stain specifically for nestin, an intermediate filament expressed mainly in neural and muscle tissue. Because the crystals have only been described in androgen-producing cells, we hypothesized that the crystals may represent a crystallized form of androgenic hormones, hormone complexes, or enzymes involved in their synthesis. We performed immunostains for androgens and enzymes involved in androgenesis. We also performed nestin immunostain to confirm the previous study. The crystals stain specifically with antibodies anti-3β-hydroxysteroid dehydrogenase and are negative for the remaining androgenic enzymes, androgenic hormones, and nestin.
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- 2015
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7. Asymptomatic Multiple Myeloma Presenting as a Nodular Hepatic Lesion: A Case Report and Review of the Literature
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Huang, H., Fateh Bazerbachi, Mesa, H., and Gupta, P.
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Case Reports and Clinical Observations - Published
- 2015
8. Automatic classification of acetowhite temporal patterns to identify precursor lesions of cervical cancer
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Gutiérrez-Fragoso, K, primary, Acosta-Mesa, H G, additional, Cruz-Ramírez, N, additional, and Hernández-Jiménez, R, additional
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- 2013
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9. ANÁLISIS PARA DETERMINAR EL GRADO DE DISTORSIÓN DE LA TOMOGRAFÍA TRANSVERSAL EN MEDICIONES PREQUIRÚRGICAS COMPARADAS CON MEDICIONES DIRECTAS EN ZONAS EDÉNTULAS EN EL MAXILAR INFERIOR
- Author
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Pérez Solarte, Sandra Liliana, Ovalle, Uriel Augusto, Mesa H., Uriel, Camargo L., Diana M., Pérez Solarte, Sandra Liliana, Ovalle, Uriel Augusto, Mesa H., Uriel, and Camargo L., Diana M.
- Abstract
Objective: To assess the accuracy of the transversal tomography to make the radiographic evaluations of the preliminary measures in osseointegrated implants in the jaw, in relation to the physical measures made in dissected jaws.Materials and methods: Five human jaws were dissected with different characteristics and 45 conventional tomographic cuts were used. To each x-ray taken from the jaw, it was made the corresponding measures. Physical cross sections were made in the previously radiographic indicators of the exact site of the cut. Later, the measurements with millimeter rulers and special calipers were made. Applying the methodology of Bland and Altman, the agreement between the physical and radiographic measurements were evaluated.Results: The greater differences were between the radiographic and physical measurements detected for the vertical measurements (V2 and V4) with a difference average of (-1.36 and 1.30) and with limits in agreement between (-6.26 and 3.66) and (-6.47 and 3.76), respectively.Conclusion: A good agreement between the physical and radiographic measurements existed; thus the tomography can be used as average previous diagnosis to the positioning of an implant., Objetivo: Evaluar la capacidad de la tomografía transversal para realizar las valoraciones radiográficas de las medidas preliminares en implantes de oseointegración del maxilar inferior, en relación con las medidas físicas realizadas en mandíbulas disecadas.Materiales y métodos: Se utilizaron cinco mandíbulas humanas disecadas con características diferentes y 45 cortes tomográficos convencionales. A cada radiografía tomada de mandíbula, se le realizó las medidas correspondientes. Se hicieron cortes transversales físicos, donde previamente se colocaron indicadores radiográficos del sitio exacto del corte. Posteriormente, se realizaron las mediciones con reglas milimetradas y calibradores especiales. Aplicando la metodología de Bland y Altman, se evaluó el acuerdo entre las mediciones físicas y radiográficas, previa evaluación de la concordancia intraevaluador.Resultados: Se detectó una buena reproducibilidad intraevaluador (P>0.79) y concordancia entre evaluadores (CC1>0.84). Las mayores diferencias entre las mediciones radiográficas y físicas se detectaron para las mediciones verticales (V2 y V4) con una diferencia promedio de (-1.36 y 1.30) y con unos límites de acuerdo entre (-6.26 y 3.66) y (-6.47 y 3.76), respectivamente.Conclusión: Existe un buen acuerdo entre las mediciones físicas y radiográficas por lo cual la Tomografía puede utilizarse como medio diagnóstico previo a la colocación de implantes dentales.[Pérez SL. Ovalle U, Meza U. Camargo DM. Análisis para determinar el grado de distorsión de la tomografía transversal en mediciones prequirúrgicas comparadas con mediciones directas en zonas edéntulas en el maxilar inferior. Ustasalud Odontología 2005; 4: 23 – 28]
- Published
- 2005
10. Correlated response in placental efficiency in swine selected for an index of components of litter size
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Mesa, H., Safranski, T. J., Johnson, R. K., Lamberson, W. R., Mesa, H., Safranski, T. J., Johnson, R. K., and Lamberson, W. R.
- Abstract
The objective of this study was to evaluate correlated response in placental efficiency to selection for components of litter size. Fourteen generations of selection had resulted in a difference between lines of three fully formed piglets at birth. Gilts from a line selected for an index of components of litter size (S, n =33) and a randomly selected control (C, n =27) were observed at farrowing. At delivery, the umbilical cord of each piglet was double tagged with identically numbered mouse ear tags to allow the piglet’s weight to be matched to the corresponding placental weight. Litter size, placental weight, birth weight, and placental vascularity were recorded. Litter size was higher (12.0 ±&#;0.7 vs 7.9 ±&#;0.7) in S than in C (P <&#;0.001). Line differences in placental vascularity were not significant with or without adjustment for litter size (P =&#;0.45 and 0.39, respectively). Correlated response to selection for components of litter size resulted in a reduced birth weight (S 82.6% of C, P <&#;0.001) and a reduced placental weight (S 90.9% of C, P =&#;0.11). After adjusting for litter size, line differences in neither placental weight nor birth weight were significant (P =&#;0.40 and 0.07, respectively), which indicates that the reduction in birth weight was, for the most part, due to the increase in litter size. The result of the difference in the magnitude of the change for both weights was that placental efficiency, measured as the ratio of birth weight:placental weight was 0.43 higher in C (P=&#;0.05). Adjustment for litter size increased the difference in placental efficiency to 0.52 (P =&#;0.02). Since a significant difference in litter size favoring the selected line was observed, we hypothesize that this physiological response was achieved through mechanisms other than improved placental efficiency.
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- 2003
11. X-inactivation modifies disease severity in female carriers of murine X-linked Alport syndrome
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Rheault, M. N., primary, Kren, S. M., additional, Hartich, L. A., additional, Wall, M., additional, Thomas, W., additional, Mesa, H. A., additional, Avner, P., additional, Lees, G. E., additional, Kashtan, C. E., additional, and Segal, Y., additional
- Published
- 2009
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12. Biochemical tests for the detection of metabolites produced in inborn errors of metabolism
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Mesa Herrera, Natalia Regina, Carmona Carmona, Cristian Andrés, and Burgos Herrera, Luis Carlos
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Inborn Errors of Metabolis ,Nitroprusside ,Errores Innatos del Metabolism ,Nitroprusiato ,Dinitrofenilhidrazin ,Erros Inatos do Metabolismo ,Hoeshm Nitroprusiato ,Nitrosonaftol ,Resorcinol ,Medicine ,Medicine (General) ,R5-920 - Abstract
Inborn errors of metabolism (IEM) are more than 550 diseases in which there is a deficiency or absence of proteins with enzymatic, transporter, receptor or structural activity. Individually these diseases are rare, but because of their wide variety they are, considered together, the largest neonatal disease. To detect metabolites produced in IEM qualitative tests can be used. They are easily accessible and fast to carry out, and serve as presumptive elements before proceeding to more specialized tests or to focus diagnosis. Given their importance for the early diagnosis of IEM, this article aims to describe the functioning of the following biochemical tests: dinitrophenylhydrazine, resorcinol, nitrosonaphtol, nitroprusside and Hoesch, emphasizing in the metabolites that they detect.
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- 2014
13. Berry Supplementation and Their Beneficial Effects on Some Central Nervous System Disorders
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Herrera-Meza, Socorro, Patraca-Camacho, Lorena-Guadalupe, Acosta-Mesa, Héctor-Gabriel, Puga-Olguín, Abraham, Romo-Gonzalez, Tania, Campos-Uscanga, Yolanda, Guzmán-Gerónimo, Rosa Isela, Vargas-Moreno, Isidro, and Fernández-Demeneghi, Rafael
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Medical / Nursing / Pharmacology - Abstract
This chapter is based in the compilation and analysis of different in vitro, preclinical, and clinical studies, which explored the potential beneficial bioactivity of supplementation with berries on some alterations in the central nervous system (CNS). The last section of the chapter describes the possible mechanisms of action of polyphenols, anthocyanins, and other compounds present in berries as well as their relationship with anxiety, depression, and Alzheimer’s (AD) and Parkinson’s diseases (PD) and their implication in the prevention of cognitive decline and senescence motor functions. Electronic databases as Springer, PubMed, Scopus, and Elsevier were used. Papers were selected by topic specially those related with berries, year of publication, and authors. The present chapter evidenced the potential health effect as neuroprotector of different berries and their bioactive compounds mainly flavonoids, polyphenols, and anthocyanins, on diseases such as anxiety, depression, and Alzheimer’s and Parkinson’s diseases. In conclusion, for human nutrition berry fruit supplementation might be an excellent source of antioxidant and alternative for prevention and reduction of symptoms in diseases such as anxiety, depression, Alzheimer’s, and Parkinson’s.
- Published
- 2019
14. Highly parallelized laboratory evolution of wine yeasts for enhanced metabolic phenotypes.
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Ghiaci P, Jouhten P, Martyushenko N, Roca-Mesa H, Vázquez J, Konstantinidis D, Stenberg S, Andrejev S, Grkovska K, Mas A, Beltran G, Almaas E, Patil KR, and Warringer J
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- Clonal Evolution genetics, Directed Molecular Evolution, Wine microbiology, Fermentation, Phenotype, Saccharomyces cerevisiae genetics, Saccharomyces cerevisiae metabolism
- Abstract
Adaptive Laboratory Evolution (ALE) of microorganisms can improve the efficiency of sustainable industrial processes important to the global economy. However, stochasticity and genetic background effects often lead to suboptimal outcomes during laboratory evolution. Here we report an ALE platform to circumvent these shortcomings through parallelized clonal evolution at an unprecedented scale. Using this platform, we evolved 10
4 yeast populations in parallel from many strains for eight desired wine fermentation-related traits. Expansions of both ALE replicates and lineage numbers broadened the evolutionary search spectrum leading to improved wine yeasts unencumbered by unwanted side effects. At the genomic level, evolutionary gains in metabolic characteristics often coincided with distinct chromosome amplifications and the emergence of side-effect syndromes that were characteristic of each selection niche. Several high-performing ALE strains exhibited desired wine fermentation kinetics when tested in larger liquid cultures, supporting their suitability for application. More broadly, our high-throughput ALE platform opens opportunities for rapid optimization of microbes which otherwise could take many years to accomplish., (© 2024. The Author(s).)- Published
- 2024
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15. Modular Fluorescent Cholesterol Naphthalimide Probes And Their Application For Cholesterol Trafficking Studies In Cells.
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Rubio V, McInchak N, Fernandez G, Benavides D, Herrera D, Jimenez C, Mesa H, Meade J, Zhang Q, and Stawikowski MJ
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Development of fluorescent cholesterol analogs to better understand subcellular cholesterol trafficking is of great interest for cell biology and medicine. Our approach utilizes a bifunctional 1,8-naphthalimide scaffold with a push-pull character, modified on one side with a head group and a linker on the other side connecting it to cholesterol via an ester bond. Through structure-function studies, we've explored how different substituents-linkers and head groups-affect the ability of these fluorescent cholesterol naphthalimide analogs (CNDs) to mimic natural cholesterol behavior at both molecular and cellular levels. We categorized the resulting analogs into three groups: neutral, charged, and those featuring a hydroxyl group. Each compound was assessed for its solvatochromic behavior in organic solvents and model membranes. Extensive all-atom molecular dynamics simulations helped us examine how these analogs perform in model membranes compared to cholesterol. Additionally, we investigated the partitioning of these fluorescent probes in phase-separated giant unilamellar vesicles. We evaluated the uptake and distribution of these probes within mouse fibroblast cells and astrocytes, for their subcellular distributions in lysosomes and compared that to BODIPY-cholesterol, a well-regarded fluorescent cholesterol analog. The internalization efficiency of the fluorescent probes varies in different cell types and is affected mainly by the head groups. Our results demonstrate that the modular design significantly simplifies the creation of fluorescent cholesterol probes bearing distinct spectral, biophysical, and cellular targeting features, which makes it a valuable toolkit for the investigation of subcellular distribution and trafficking of cholesterol and its derivatives.
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- 2024
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16. Invasive Fungal Infections of the Head and Neck: A Tertiary Hospital Experience.
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Hou T, Bell WR, and Mesa H
- Abstract
From the existing millions of fungal species, only a few cause disease. In this study, we investigated invasive fungal infections in the head and neck (H&N) over a 19-year period (2005 to 2024) at a large academic healthcare system. Among the 413 documented fungal H&N infections, 336 were noninvasive, and 77 were invasive. The highest incidence of invasive infections occurred in the sinonasal cavities, with a 15-fold difference compared to other sites. Most infections affected adults over 40 years old. The most common organisms were Mucorales (51%), hyaline molds (29%), and Candida (11%). Risk factors included malignancy, transplant, diabetes, and illicit drug use. Mortality was high in patients with malignancy and/or transplant. Infections affecting the mandible were usually a complication of osteoradionecrosis and were associated with the coinfection of Candida and Actinomyces. At other sites, infections were rare and were usually the result of penetrating injuries or immunosuppression. Treatment typically involved a combination of antifungals and surgical procedures.
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- 2024
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17. Simple Rescue of Opaque Tissue Previously Cleared by iDISCO.
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Mesa H, Meade J, Gajewski-Kurdziel P, Blakely RD, and Zhang Q
- Abstract
Recent advancements in tissue-clearing techniques and volumetric imaging have greatly facilitated visualization and quantification of biomolecules, organelles, and cells in intact organs or even entire organisms. Generally, there are two types of clearing methods: hydrophobic and hydrophilic (i.e., clearing with organic or aqueous solvents, respectively). The popular iDISCO approach and its modifications are hydrophobic methods that involve dehydration, delipidation, decolorization (optional), decalcification (optional), and refractive-index (RI) matching steps. Cleared samples are often stored for a relatively long period of time and imaged repeatedly. However, cleared tissues can become opaque over time, which prevents accurate reimaging. We reasoned that the resurgent haziness is likely due to rehydration, residual lipids, and uneven RI deep inside those tissue samples. For rescue, we have developed a simple procedure based on iDISCO. Beginning with a methanol dehydration, samples are delipidated using dichloromethane, followed by RI matching with dibenzyl ether (DBE). This simple method effectively re-clears mouse brains that have turned opaque during months of storage, allowing the user to effectively image immunolabeled samples over longer periods of time. Key features • This simple protocol rescues previously cleared tissue that has turned opaque. • The method does not cause detectable loss of immunofluorescence from previously stained samples. Graphical overview., Competing Interests: Competing interestsThe authors declare no competing interests., (©Copyright : © 2024 The Authors; This is an open access article under the CC BY-NC license.)
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- 2024
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18. Metabolic Interplay in the Tumor Microenvironment: Implications for Immune Function and Anticancer Response.
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Youssef R, Maniar R, Khan J, and Mesa H
- Abstract
Malignant tumors exhibit rapid growth and high metabolic rates, similar to embryonic stem cells, and depend on aerobic glycolysis, known as the "Warburg effect". This understanding has enabled the use of radiolabeled glucose analogs in tumor staging and therapeutic response assessment via PET scans. Traditional treatments like chemotherapy and radiotherapy target rapidly dividing cells, causing significant toxicity. Despite immunotherapy's impact on solid tumor treatment, gaps remain, leading to research on cancer cell evasion of immune response and immune tolerance induction via interactions with the tumor microenvironment (TME). The TME, consisting of immune cells, fibroblasts, vessels, and the extracellular matrix, regulates tumor progression and therapy responses. TME-targeted therapies aim to transform this environment from supporting tumor growth to impeding it and fostering an effective immune response. This review examines the metabolic disparities between immune cells and cancer cells, their impact on immune function and therapeutic targeting, the TME components, and the complex interplay between cancer cells and nontumoral cells. The success of TME-targeted therapies highlights their potential to achieve better cancer control or even a cure.
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- 2023
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19. Fatal eosinophilic myocarditis and submassive hepatic necrosis in lamotrigine induced DRESS syndrome.
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Doan KD, Akinsanya A, Kuhar M, and Mesa H
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Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome is a rare but severe and sometimes fatal adverse drug reaction that is known to occur with a number of antiepileptic drugs. It often follows a prolonged clinical course, which can worsen even after discontinuing the causative drug and administering steroid treatment. Failure to promptly identify the delayed involvement of vital organs, such as the heart and liver, may result in irreversible organ failure and death. We report a case of a presumed sudden death of a young woman who had a documented history of a protracted intermittent hypersensitivity reaction to lamotrigine. Postmortem examination revealed the presence of eosinophilic myocarditis and submassive hepatic necrosis diagnostic of fatal DRESS syndrome that progressed despite early discontinuation of the medication and improvement of dermatologic and hematologic symptoms following steroid therapy., (© 2023. Canadian Society of Allergy & Clinical Immunology.)
- Published
- 2023
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20. Amyloid Deposition in the Upper Aerodigestive Tract, A Single Institute Experience.
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Hou T, Abu-Salah A, Cummings OW, Halum S, Mesa H, and Zhang D
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Objectives: The purpose of this study is to evaluate clinical information, laboratory results, and pathologic findings of patients with amyloidosis involving larynx, oral cavity, and pharynx from our institute. Methods: A total of 39 specimens from 28 patients were retrieved from 2000 to 2020. Data collection included clinical presentation, radiographic, laboratory results, and pathologic findings. Results: A total of 12 patients had laryngeal amyloidosis and true vocal cord was the most common location. Protein electrophoresis detected monoclonal protein in 10% (1/10) of patients tested. Two patients had hematopoietic disorder (2/12, 17%) and another patient had a peptide profile consistent with amyloid transthyretin (ATTR) detected by mass spectrometry. Twelve patients showed amyloidosis in the oral cavity with 75% involving the tongue. Monoclonal protein was found in 89% of cases tested. Nine patients (9/12, 75%) had systematic involvement including 6 with hematopoietic malignancy and 3 with biopsy-confirmed systemic light chain amyloidosis. Compared to the laryngeal amyloidosis, amyloid deposition in oral cavity had a significant higher association with systematic disease ( P < .01). Pharyngeal amyloidosis was seen in 7 patients. Three of 6 patients tested (3/6, 50%) were found to have biopsy-confirmed hematopoietic malignancy. Conclusions: Laryngeal amyloidosis is mostly a localized disease. Amyloidosis involving oral cavity is associated with significantly higher risk of systematic involvement which warrants a comprehensive laboratory, radiographic, and pathologic workup. There is limited data about pharynx amyloidosis. Oropharynx and hypopharynx amyloidosis appear to be more likely associated with underlying hematologic malignancy compared to nasopharynx involvement., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2023
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21. Acinic Cell Carcinoma in the 21st Century: A Population-Based Study from the SEER Database and Review of Recent Molecular Genetic Advances.
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Khan J, Ullah A, Goodbee M, Lee KT, Yasinzai AQK, Lewis JS Jr, and Mesa H
- Abstract
Background: Acinic cell carcinoma (AciCC) comprises 6-7% of all salivary gland neoplasms and is the second most common salivary gland malignancy in children. Like many salivary gland carcinomas, it is considered low grade but occasionally it behaves aggressively. Understanding the risk factors associated with recurrence, metastasis, and death is important to determine the counseling and management of individual patients. Older population-based studies are presumed to have been confounded by the misclassification of other neoplasms as AciCC, in particular secretory carcinoma and cystadenocarcinoma. Since diagnostic tools to reliably separate these entities have been available for over a decade, reevaluation of epidemiologic data limited to the 21st century should allow a better characterization of the clinicopathological characteristics of AciCC., Methods: Our study extracted data from the Surveillance, Epidemiology, and End Results (SEER) database for the period 2000 to 2018. Cox regression model analysis was performed to identify risk factors independently affecting survival., Results: Data for 2226 patients with AciCC were extracted from the database. Most patients were females: 59%, and white: 80.5%, with a mean age at diagnosis of 51.2 (SD ± 18.7) years. Most cases (81%) were localized at presentation. Tumor size was less than 2 cm in 42%, 2-4 cm in 47%, and >4 cm in 11%. Low-grade tumors had 5-year survival > 90%, whereas high-grade tumors had survival < 50%. Of the patients with known lymph node status only 7.3% had nodal metastases. Distant metastases were documented in 1.1%, involving lungs 44%, bone 40%, liver 12%, and brain 4%. The most common treatment modality was surgery alone: 63.6% followed by surgery and adjuvant radiation: 33%. A few received chemotherapy (1.8%) or multimodality therapy (1.2%). The 5-year overall survival rate was 90.6% (95%CI 89.1-91.9), and disease-specific survival was 94.6% (95%CI 93.3-95.6). Multivariable cox regression analysis showed that undifferentiated (HR = 8.3) and poorly differentiated tumor grade (HR = 6.4), and metastasis (HR = 5.3) were the worst independent prognostic factors. Other poor risk factors included age > 50 (HR = 3.5) and tumor size > 4 cm (HR = 2.5)., Conclusions: In the US, AciCC is more common in middle age white females, and most tumors are less than 4 cm and localized at diagnosis. The most relevant negative prognostic factor was high tumor grade which was associated with higher hazard ratios for death than all other variables, including regional or distant metastases at presentation.
- Published
- 2023
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22. Jejunal Intussusception Secondary to a Large Inflammatory Fibroid Polyp: A Case Report and Discussion of Differential Diagnosis.
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Abu-Salah AK, Brocken E, Mesa H, and Collins K
- Abstract
Inflammatory fibroid polyp (IFP), initially considered a reactive process, is now recognized as a benign mesenchymal neoplasm of the gastrointestinal tract. We report a case of a 68-year-old woman with medically refractory Crohn disease that presented with intussusception requiring surgical intervention. The resection revealed a jejunal mass consisting of a submucosal proliferation of bland spindle cells in a fibrous stroma infiltrated by numerous eosinophils. By immunohistochemistry, the lesion was positive for vimentin and negative for desmin, smooth muscle actin (SMA), S-100, CD117, DOG1, ALK (D5F3), Melan-A, HMB-45, CD34, and STAT6. Ki-67 proliferative index was low (<1%). The mass was classified as IFP by its characteristic morphology and associated eosinophilia. IFP should be considered in the differential diagnosis of adults with intussusception or bowel obstruction. Definitive treatment typically requires surgical resection of the involved bowel segment., Competing Interests: The authors declare that they have conflicts of interest., (Copyright © 2023 Asma Khalid Abu-Salah et al.)
- Published
- 2023
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23. Incidental adrenal hemangioma clinically suspicious for malignancy: diagnostic considerations and review of the literature.
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Toklu A, Mesa H, and Collins K
- Abstract
Adrenal hemangiomas are rare lesions often found incidentally during unrelated diagnostic work-up. We report a case of a 67-year-old man with history of hypertension, hyperlipidemia, anemia, arthralgia, joint swelling and unexplained weight loss, which prompted imaging studies. Computed tomography scan revealed a 5.4 cm adrenal mass. The patient had no clinical manifestations of adrenal medullary or cortical hyperfunction. Urine and plasma metanephrines and aldosterone/renin ratio were within normal range. The patient was taking prednisone for hand and ankle swelling, precluding assessment for Cushing syndrome. Given the size of the lesion, the possibility of malignancy was considered, and the patient elected for surgical management. The left adrenalectomy specimen weighed 54 g and revealed a 4.9 cm tan-brown mass with congested cut surface and a thin rim of residual adrenal gland parenchyma. Histologic examination showed thick and thin-walled vessels intermingled with adrenocortical elements at the periphery characteristic of a hemangioma. Surgical resection is the mainstay treatment for large, isolated adrenal masses to exclude malignancy and prevent retroperitoneal hemorrhage. Herein, we report a case of adrenal hemangioma, review a variety of other diagnostic considerations occurring in the adrenal gland, and highlight useful distinguishing features to assist in accurate diagnosis., Competing Interests: None., (IJCEP Copyright © 2022.)
- Published
- 2022
24. Hepatocellular Carcinoma in Patients With Liver Cirrhosis Secondary to Autoimmune Hepatitis: A Case Series and Literature Review.
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Perera Mesa H, Lugo L, and Altshuler E
- Abstract
Autoimmune hepatitis (AIH) is a known risk factor for the development of hepatocellular carcinoma (HCC). However, the current clinical guidelines do not offer a systematic approach to the surveillance and follow-up of patients with AIH to help with the diagnosis and treatment of HCC in this patient population. In this case series, we describe the clinical presentation and management of eight patients who were diagnosed with HCC secondary to underlying AIH at the University of Florida Health Shands Hospital. Throughout their treatment course, all eight patients were identified to have either histological or radiological evidence of liver cirrhosis. Furthermore, all of them tested negative for chronic viral hepatitis serologies and denied any history of excessive alcohol consumption. The median time interval between AIH diagnosis and HCC development in this cohort was 48 months. All demographic, clinical, and laboratory findings were summarized and compared to the relevant data in the existing literature. Our findings suggest that patients diagnosed with AIH would benefit from liver cirrhosis screening and, if present, they should adhere to a regular HCC surveillance schedule., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Perera Mesa et al.)
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- 2022
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25. Isolated Kaposi sarcoma of the upper aerodigestive tract in immunocompetent individuals, an underrecognized entity with favorable prognosis.
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Shabaan A, Alkashash A, Hou T, Saeed O, Yesensky J, Roshal A, and Mesa H
- Abstract
Kaposi sarcoma (KS) is a rare vascular neoplasm that most commonly arises in the setting of immunosuppression, in areas with high prevalence of Human Herpesvirus-8 infection, and when both situations coexist. Most cases affect the skin, isolated involvement of the upper respiratory tract without skin involvement is extremely rare with only a few cases reported in the literature. We present a case of isolated nasopharyngeal KS in an immunocompetent patient who achieved remission after multimodality therapy. Recent advances in KS-therapy are discussed., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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- 2022
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26. Gastrointestinal Stromal Tumors (GIST): A Population-Based Study Using the SEER Database, including Management and Recent Advances in Targeted Therapy.
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Khan J, Ullah A, Waheed A, Karki NR, Adhikari N, Vemavarapu L, Belakhlef S, Bendjemil SM, Mehdizadeh Seraj S, Sidhwa F, Ghleilib I, Foroutan S, Blakely AM, Del Rivero J, Karim NA, Vail E, Heneidi S, and Mesa H
- Abstract
Introduction: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasm of the gastrointestinal (GI) system. Most GISTs originate from the interstitial cells of Cajal (ICC), the pacemaker cell situated between the circular and longitudinal layers of the muscularis propria along the GI tract. In this population-based study using the SEER database, we sought to identify demographic, clinical, and pathologic factors that affect the prognosis and survival of patients with this neoplasm. Molecular genetic advances, current management guidelines, and advances in targeted therapy are discussed. Methods: Demographic and clinical data from GIST patients were retrieved from the SEER research plus database for the period 2000−2018. Statistical analysis was performed with IBM SPSS® v20.2 software using the Chi-square test, paired t-test, multivariate analysis, and Kaplan−Meier functions. Results: A total of 10,833 patients with GIST were identified. Most patients were between 60−74 years of age: 40%, Caucasian: 68%, and the male to female ratio was 1.1:1. The most common primary tumor sites were stomach: 63%, small intestine: 30%, rectum: 3%, and esophagus: 0.7%. When reported, the grade of differentiation was well: 38%, moderately: 32%, undifferentiated: 19%, poorly: 12%. The size of most tumors ranged between 6−10 cm: 36% and they were treated by surgical intervention: 82% and/or chemotherapy/targeted therapy: 39%. The stage was localized: 66%, advanced: 19%, and regional: 15%. The 5-year survival was 74% (95% confidence interval (95% CI) = 72.6−74.7), and the 5-year cause-specific survival 82% (95% CI = 80.7−82.6). The 5-year cause-specific survival by treatment included surgery at 86% (95% CI = 85.4−87.3), chemotherapy/targeted therapy with or without surgery at 77% (95% CI = 75.7−78.9), and radiation at 75% (95% CI = 74.5−80). On multivariable analysis tumor size > 5 cm, poorly and undifferentiated grade, age > 60, and distant metastases at presentation were associated with worse overall survival. Conclusion: GISTs comprise 1−2% of malignancies of the GI tract, usually affect male Caucasians between the ages of 60 and 74 years, most tumors occur in the stomach and small intestine, and are usually >5 cm, but still localized, at the time of diagnosis. Most tumors receive multimodality surgical and chemotherapy/targeted therapy treatment, with a 5-year overall survival of 74% and cause-specific survival of 82%. GIST patients would benefit from enrollment in large clinical trials to establish better therapy guidelines for unresectable, treatment-refractory, and recurrent tumors.
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- 2022
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27. Multiple Cis-acting Polypyrimidine Tract Elements Regulate a Cooperative Mechanism for Triticum Mosaic Virus Internal Ribosomal Entry Site Activity.
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Jaramillo-Mesa H, Fischer E, and Rakotondrafara AM
- Abstract
Diverse elements within the 5' untranslated region of an mRNA can influence the translation efficiency at the main AUG codon. We previously identified a core picornaviral like Y
16 X11 -AUG motif with 16-nt polypyrimidine CU tract separated by an 11-nt spacer sequence from the 13th AUG codon, which is recognized as the preferred initiation site within the Triticum mosaic virus (TriMV) internal ribosome entry site (IRES) element. The motif is proposed to function as an internal ribosomal landing site at the designated start codon. Here, we exposed the cooperative role of multiple CU-rich segments flanking the TriMV YX-AUG motif to reach and drive internal initiation of translation at the preferred start site. We propose that these auxiliary domains may enhance the ribosome capacity and their delivery at proximity of the correct initiation site. These polypyrimidine tracts can be modulated with a cryptic AUG in a position-dependent manner to replace the native YX-AUG motif, and thus uncovering a new layer of control of start codon selection. In line with these observations, mass spectrometry analysis of proteins directly interacting with translationally impaired TriMV IRES mutants that bear these motifs indicated an enrichment in 40S and 60S ribosomal related proteins, revealing a new function of polypyrimidine tracts to regulate IRES-driven translation. Accessibility of these RNA regions for in trans interaction was validated by SHAPE analysis of the entire TriMV leader sequence and supported by the ability of anti-sense oligonucleotides designed to block the CU tracts accessibility to impair IRES activity. This is the first evidence that defines the core modular domains required for ribosomal recruitment and start codon selection in a complex, multi-AUG viral 5' UTR for translation in plants., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Jaramillo-Mesa, Fischer and Rakotondrafara.)- Published
- 2022
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28. Parathyroid Carcinoma: Incidence, Survival Analysis, and Management: A Study from the SEER Database and Insights into Future Therapeutic Perspectives.
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Ullah A, Khan J, Waheed A, Sharma N, Pryor EK, Stumpe TR, Velasquez Zarate L, Cason FD, Kumar S, Misra S, Kavuri S, Mesa H, Roper N, Foroutan S, Karki NR, Del Rivero J, Simonds WF, and Karim NA
- Abstract
Introduction: Parathyroid carcinoma (PC) is an extremely rare entity, with a frequency of 0.005% of all malignancies. Most data related to this rare disease are limited to case series and a few database studies. We present a large database study that aims to investigate the demographic, clinical, and pathological factors, prognosis, and survival of PC. Methods: Data of parathyroid carcinoma were extracted from the Surveillance, Epidemiology, and End Results (SEER) diagnosed between 1975 and 2016. Results: PC had a slightly higher incidence in men (52.2%, p < 0.005), the majority of cases affected Caucasians (75.4%, p < 0.005), and the mean age at diagnosis was 62 years. Histologically, 99.7% were adenocarcinomas not otherwise specified (p < 0.005), well-differentiated (p < 0.005), and 2−4 cm (p < 0.001) in size among the patients with available data. In cases with staging provided, most PC were organ-confined (36.8%, p < 0.001). Lymph nodes were positive in 25.2% of cases where lymph node status was reported. The main treatment modality was surgery (97.2%), followed by radiation alone (2%), and very few received chemotherapy alone (0.8%), p < 0.005. Five-year follow-up was available for 82.7% of the cases. Those who underwent surgery only or radiation alone had 5-year survivals of 83.8% and 72.2%, respectively (p < 0.037). Multivariable analysis identified tumor size >4 cm, age > 40 years, male sex, Caucasian race, distant spread, and poorly differentiated grade as independent risk factors for mortality (p < 0.001). Conclusion: PC is a very rare tumor mostly affecting Caucasian individuals in the fifth decade. Older age, poor histologic differentiation, and distant metastasis are associated with a worse prognosis. Surgical resection offers the best survival outcome. To better understand the pathogenesis and factors affecting survival, all PC patients should be enrolled in national and international registries.
- Published
- 2022
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29. Pathological findings in organs and tissues of patients with COVID-19: A systematic review.
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Peiris S, Mesa H, Aysola A, Manivel J, Toledo J, Borges-Sa M, Aldighieri S, and Reveiz L
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- Autopsy methods, Biopsy methods, Central Nervous System virology, Endothelial Cells virology, Female, Gastrointestinal Tract virology, Heart virology, Humans, Kidney virology, Liver virology, Lung virology, Pandemics statistics & numerical data, Placenta virology, Pregnancy, SARS-CoV-2 pathogenicity, Staining and Labeling methods, Trachea virology, COVID-19 metabolism, COVID-19 physiopathology
- Abstract
Background: Coronavirus disease (COVID-19) is the pandemic caused by SARS-CoV-2 that has caused more than 2.2 million deaths worldwide. We summarize the reported pathologic findings on biopsy and autopsy in patients with severe/fatal COVID-19 and documented the presence and/or effect of SARS-CoV-2 in all organs., Methods and Findings: A systematic search of the PubMed, Embase, MedRxiv, Lilacs and Epistemonikos databases from January to August 2020 for all case reports and case series that reported histopathologic findings of COVID-19 infection at autopsy or tissue biopsy was performed. 603 COVID-19 cases from 75 of 451 screened studies met inclusion criteria. The most common pathologic findings were lungs: diffuse alveolar damage (DAD) (92%) and superimposed acute bronchopneumonia (27%); liver: hepatitis (21%), heart: myocarditis (11.4%). Vasculitis was common only in skin biopsies (25%). Microthrombi were described in the placenta (57.9%), lung (38%), kidney (20%), Central Nervous System (CNS) (18%), and gastrointestinal (GI) tract (2%). Injury of endothelial cells was common in the lung (18%) and heart (4%). Hemodynamic changes such as necrosis due to hypoxia/hypoperfusion, edema and congestion were common in kidney (53%), liver (48%), CNS (31%) and GI tract (18%). SARS-CoV-2 viral particles were demonstrated within organ-specific cells in the trachea, lung, liver, large intestine, kidney, CNS either by electron microscopy, immunofluorescence, or immunohistochemistry. Additional tissues were positive by Polymerase Chain Reaction (PCR) tests only. The included studies were from numerous countries, some were not peer reviewed, and some studies were performed by subspecialists, resulting in variable and inconsistent reporting or over statement of the reported findings., Conclusions: The main pathologic findings of severe/fatal COVID-19 infection are DAD, changes related to coagulopathy and/or hemodynamic compromise. In addition, according to the observed organ damage myocarditis may be associated with sequelae., Competing Interests: The authors have declared that no competing interests exist. Authors hold sole responsibility for the views expressed in the manuscript, which may not necessarily reflect the opinion or policy of the Pan American Health Organization.
- Published
- 2021
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30. Lower methane emissions were associated with higher abundance of ruminal Prevotella in a cohort of Colombian buffalos.
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Aguilar-Marin SB, Betancur-Murillo CL, Isaza GA, Mesa H, and Jovel J
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- Animals, Bacteria classification, Bacteria genetics, Bacteria isolation & purification, Bacteria metabolism, Buffaloes, Colombia, Euryarchaeota classification, Euryarchaeota genetics, Euryarchaeota isolation & purification, Euryarchaeota metabolism, Fermentation, Gastrointestinal Microbiome genetics, Hydrogen metabolism, Prevotella classification, Prevotella genetics, Prevotella isolation & purification, Propionates metabolism, Methane metabolism, Prevotella metabolism, Rumen microbiology
- Abstract
Background: Ruminants burp massive amounts of methane into the atmosphere and significantly contribute to the deposition of greenhouse gases and the consequent global warming. It is therefore urgent to devise strategies to mitigate ruminant's methane emissions to alleviate climate change. Ruminal methanogenesis is accomplished by a series of methanogen archaea in the phylum Euryarchaeota, which piggyback into carbohydrate fermentation by utilizing residual hydrogen to produce methane. Abundance of methanogens, therefore, is expected to affect methane production. Furthermore, availability of hydrogen produced by cellulolytic bacteria acting upstream of methanogens is a rate-limiting factor for methane production. The aim of our study was to identify microbes associated with the production of methane which would constitute the basis for the design of mitigation strategies., Results: Moderate differences in the abundance of methanogens were observed between groups. In addition, we present three lines of evidence suggesting an apparent higher abundance of a consortium of Prevotella species in animals with lower methane emissions. First, taxonomic classification revealed increased abundance of at least 29 species of Prevotella. Second, metagenome assembly identified increased abundance of Prevotella ruminicola and another species of Prevotella. Third, metabolic profiling of predicted proteins uncovered 25 enzymes with homology to Prevotella proteins more abundant in the low methane emissions group., Conclusions: We propose that higher abundance of ruminal Prevotella increases the production of propionic acid and, in doing so, reduces the amount of hydrogen available for methanogenesis. However, further experimentation is required to ascertain the role of Prevotella on methane production and its potential to act as a methane production mitigator.
- Published
- 2020
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31. Barriers & facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrant clients: Perspectives from frontline service providers in Southeast Michigan.
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Doshi M, Lopez WD, Mesa H, Bryce R, Rabinowitz E, Rion R, and Fleming PJ
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- Delivery of Health Care, Female, Health Personnel, Humans, Interviews as Topic, Male, Michigan, Time-to-Treatment, Health Services Accessibility, Hispanic or Latino, Social Work, Undocumented Immigrants
- Abstract
Immigration- and enforcement-related policies and laws have significantly and negatively impacted the health and well-being of undocumented immigrants. We examine barriers and facilitators to healthcare and social services among undocumented Latino(a)/Latinx immigrants specifically in the post 2016 US presidential election socio-political climate. By grounding our study on the perspectives of frontline providers, we explore their challenges in meeting the needs of their undocumented clients. These include client access to healthcare and social services, the barriers providers face in providing timely and effective services, and avenues to reduce or overcome factors that impede service provision to improve quality of care for this population. Data are from 28 in-depth interviews with frontline healthcare and social service providers. Based on data analysis, we found that the domains of the Three Delays Model used in obstetric care provided a good framework for organizing and framing the responses. Our findings suggest that these undocumented clients encounter three phases of delay: delay in the decision to seek care, delay in identifying and traveling to healthcare facilities, and delay in receiving adequate and appropriate care at healthcare facilities. Given the current socio-political climate for immigrants, healthcare and social services organizations that serve undocumented clients should adapt existing services or introduce new services, including those that are not site-based., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2020
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32. Nitrogen Preferences during Alcoholic Fermentation of Different Non- Saccharomyces Yeasts of Oenological Interest.
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Roca-Mesa H, Sendra S, Mas A, Beltran G, and Torija MJ
- Abstract
Non- Saccharomyces yeasts have long been considered spoilage microorganisms. Currently, oenological interest in those species is increasing, mostly due to their positive contribution to wine quality. In this work, the fermentative capacity and nitrogen consumption of several non- Saccharomyces wine yeast ( Torulaspora delbrueckii, Lachancea thermotolerans, Starmerella bacillaris, Hanseniaspora uvarum, and Metschnikowia pulcherrima ) were analyzed. For this purpose, synthetic must with three different nitrogen compositions was used: a mixture of amino acids and ammonium, only organic or inorganic nitrogen. The fermentation kinetics, nitrogen consumption, and yeast growth were measured over time. Our results showed that the good fermentative strains, T. delbrueckii and L. thermotolerans , had high similarities with Saccharomyces cerevisiae in terms of growth, fermentation profile, and nitrogen assimilation preferences, although L. thermotolerans presented an impaired behavior when only amino acids or ammonia were used, being strain-specific. M. pulcherrima was the non- Saccharomyces strain least affected by the nitrogen composition of the medium. The other two poor fermentative strains, H. uvarum and S. bacillaris , behaved similarly regarding amino acid uptake, which occurred earlier than that of the good fermentative species in the absence of ammonia. The results obtained in single non- Saccharomyces fermentations highlighted the importance of controlling nitrogen requirements of the wine yeasts, mainly in sequential fermentations, in order to manage a proper nitrogen supplementation, when needed., Competing Interests: The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
- Published
- 2020
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33. Overexpression of a modified eIF4E regulates potato virus Y resistance at the transcriptional level in potato.
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Gutierrez Sanchez PA, Babujee L, Jaramillo Mesa H, Arcibal E, Gannon M, Halterman D, Jahn M, Jiang J, and Rakotondrafara AM
- Subjects
- Alleles, Capsicum genetics, Gene Expression Profiling methods, Gene Ontology, Genes, Recessive, Plant Diseases virology, Plants, Genetically Modified, Potyvirus genetics, Potyvirus physiology, Signal Transduction genetics, Solanum tuberosum virology, Disease Resistance genetics, Eukaryotic Initiation Factor-4E genetics, Gene Expression Regulation, Plant, Plant Diseases genetics, Plant Proteins genetics, Solanum tuberosum genetics
- Abstract
Background: Potato virus Y (PVY) is a major pathogen of potatoes with major impact on global agricultural production. Resistance to PVY can be achieved by engineering potatoes to express a recessive, resistant allele of eukaryotic translation initiation factor eIF4E, a host dependency factor essential to PVY replication. Here we analyzed transcriptome changes in eIF4E over-expressing potatoes to shed light on the mechanism underpinning eIF4E-mediated recessive PVY resistance., Results: As anticipated, modified eIF4E-expressing potatoes demonstrated a high level of resistance, eIF4E expression, and an unexpected suppression of the susceptible allele transcript, likely explaining the bulk of the potent antiviral phenotype. In resistant plants, we also detected marked upregulation of genes involved in cell stress responses., Conclusions: Our results reveal a previously unanticipated second layer of signaling attributable to eIF4E regulatory control, and potentially relevant to establishment of a broader, more systematic antiviral host defense.
- Published
- 2020
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34. Atrioesophageal Fistula: A Catastrophic Complication of a Benign Esophageal Ulcer.
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Moraveji S, Mesa H, and Siddiqui AA
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- 2019
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35. A qualitative study on the impact of the 2016 US election on the health of immigrant families in Southeast Michigan.
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Fleming PJ, Lopez WD, Mesa H, Rion R, Rabinowitz E, Bryce R, and Doshi M
- Subjects
- Adult, Child, Emigrants and Immigrants statistics & numerical data, Fear psychology, Female, Financing, Government, Health Facilities economics, Hispanic or Latino statistics & numerical data, Humans, Infant, Male, Medical Staff psychology, Medical Staff statistics & numerical data, Michigan, Organizations, Nonprofit, Pregnancy, Qualitative Research, United States, Emigrants and Immigrants psychology, Emigration and Immigration legislation & jurisprudence, Health Status, Hispanic or Latino psychology, Politics
- Abstract
Background: Given the anti-immigrant rhetoric and policy proposals by President Donald Trump during the 2016 presidential campaign and afterwards, his election to president in November 2016 and subsequent policy changes has affected immigrant families. In this study, we aim to better understand how post-election policy change may have impacted the health and well-being, including health and social service utilization, of Latino immigrants in Southeastern Michigan., Methods: We conducted 28 in-depth interviews with frontline staff at two Federally Qualified Health Centers and a non-profit agency. These staff had intimate knowledge of and insights into the lived experiences of the mixed-status immigrant families they serve. The interviews were audio recorded, transcribed, and analyzed thematically., Results: Our findings show three major themes: (1) An increased and pervasive fear of deportation and family separation among mixed-status immigrant clients, (2) The fear of deportation and family separation has resulted in fractures in community cohesion, and (3) Fear of deportation and family separation has had an impact on the healthcare utilization and health-related behaviors of mixed-status families. Staff members report that these three factors have had an impact on physical and mental health of these immigrant clients., Conclusions: These results add to previous literature on the effect of immigration policies on the health and provide key insights for interventions to improve the health of immigrants within this socio-political environment.
- Published
- 2019
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36. The Triticum Mosaic Virus Internal Ribosome Entry Site Relies on a Picornavirus-Like YX-AUG Motif To Designate the Preferred Translation Initiation Site and To Likely Target the 18S rRNA.
- Author
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Jaramillo-Mesa H, Gannon M, Holshbach E, Zhang J, Roberts R, Buettner M, and Rakotondrafara AM
- Subjects
- Plant Diseases virology, Potyviridae metabolism, RNA, Viral genetics, Ribosomes genetics, Sequence Deletion genetics, Triticum virology, 5' Untranslated Regions genetics, Codon, Initiator genetics, Peptide Chain Initiation, Translational genetics, Potyviridae genetics, Protein Biosynthesis genetics, RNA, Ribosomal, 18S genetics
- Abstract
Several viruses encode an internal ribosome entry site (IRES) at the 5' end of their RNA, which, unlike most cellular mRNAs, initiates translation in the absence of a 5' m7GpppG cap. Here, we report a uniquely regulated translation enhancer found in the 739-nucelotide (nt) sequence of the Triticum mosaic virus (TriMV) leader sequence that distinguishes the preferred initiation site from a plethora of IRES-encoded AUG triplets. Through deletion mutations of the TriMV 5' untranslated region (UTR), we show that the TriMV 5' UTR encodes a cis -acting picornaviral Y
16 -X11 -AUG-like motif with a 16-nt polypyrimidine CU-tract (Y16 ), at a precise, 11-nt distance (X11 ) from the preferred 13th AUG. Phylogenetic analyses indicate that this motif is conserved among potyviral leader sequences with multiple AUGs. Consistent with a broadly conserved mechanism, the motif could be functionally replaced with known picornavirus YX-AUG motifs and is predicted to function as target sites for the 18S rRNA by direct base pairing. Accordingly, mutations that disrupted overall complementarity to the 18S rRNA markedly reduced TriMV IRES activity, as did the delivery of antisense oligonucleotides designed to block YX-AUG accessibility. To our knowledge, this is the first report of a plant viral IRES YX-AUG motif, and our findings suggest that a conserved mechanism regulates translation for multiple economically important plant and animal positive single-stranded RNA viruses. IMPORTANCE Uncapped viral RNAs often rely on their 5' leader sequences to initiate translation, and the Triticum mosaic virus (TriMV) devotes an astonishing 7% of its genome to directing ribosomes to the correct AUG. Here we uncover a novel mechanism by which a TriMV cis -regulatory element controls cap-independent translation. The upstream region of the functional AUG contains a 16-nt polypyrimidine tract located 11 nt from the initiation site. Based on functional redundancy with similar motifs derived from human picornaviruses, the motif is likely to operate by directing ribosome targeting through base pairing with 18S rRNA. Our results provide the first report of a broad-spectrum mechanism regulating translation initiation for both plant- and animal-hosted picornaviruses., (Copyright © 2019 American Society for Microbiology.)- Published
- 2019
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37. Relationship between HSP90a, NPC2 and L-PGDS proteins to boar semen freezability.
- Author
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Valencia J, Gómez G, López W, Mesa H, and Henao FJ
- Abstract
Background: The purpose of this study was to determine the association of three proteins involved in sperm function on the freezability of porcine semen: the heat shock protein 90 alpha (HSP90a), the Niemann-Pick disease type C2 protein (NPC2), and lipocalin-type prostaglandin D synthase (L-PGDS). Six adult boars (each boar was ejaculated three times, 18 in total) were classified by freezability based on the percentage of functionally competent sperm. The male semen with highest freezability (MHF) and the male semen with lowest freezability (MLF) were centrifuged immediately after collection to separate seminal plasma and spermatozoa to make four possible combinations of these two components and to incubate them for 3 h, adjusting the temperature to 17 °C, to freeze them afterwards. The quantification of proteins was performed in two stages: at zero and at 3 h after incubation of the four combinations., Results: The spermatozoa × incubation time (IT) interaction only had effect ( P < 0.01) on HSP90a levels; this protein increased in seminal plasma, after 3 h of incubation, in larger quantity ( P < 0.05) in combinations with MLF spermatozoa. In relation with the NPC2 protein, two isoforms of 16 and 19 kDa were identified. The 19 kDa isoform was affected ( P < 0.01) only by the seminal plasma × IT interaction, with superior values ( P < 0.01) both at zero and three hours of incubation, in the combinations with MHF seminal plasma; and 16 kDa isoform was affected ( P < 0.01) only by the IT with reduction after 3 h of incubation. The levels of L-PGDS was affected ( P < 0.01) only by the spermatozoa × IT interaction, which reduced ( P < 0.01) in combinations with MLF spermatozoa after 3 h of incubation., Conclusions: It is possible to consider that the three proteins evaluated were associated with freezability of boar semen due, especially, to the fact that mixtures with MLF spermatozoa showed greater increase levels of the HSP90a protein and reduction of L-PGDS in plasma. In addition, the seminal plasma of MHF had higher concentration of the NPC2 of 19 kDa protein, which was reduced by incubating with MHF spermatozoa.
- Published
- 2017
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38. Markedly Increased Rate of Primary Liver Malignancies at Autopsy in Male US Veterans.
- Author
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Nasir A, Manivel JC, Yousaf H, Albrecht JH, Dykoski R, and Mesa H
- Subjects
- Adenocarcinoma epidemiology, Adenocarcinoma secondary, Aged, Autopsy, Carcinoma, Squamous Cell epidemiology, Carcinoma, Squamous Cell secondary, Colonic Neoplasms epidemiology, Colonic Neoplasms pathology, Hepatitis C, Chronic epidemiology, Humans, Liver Cirrhosis epidemiology, Liver Neoplasms secondary, Lung Neoplasms epidemiology, Lung Neoplasms pathology, Male, Pancreatic Neoplasms epidemiology, Pancreatic Neoplasms pathology, Prevalence, Small Cell Lung Carcinoma epidemiology, Small Cell Lung Carcinoma secondary, United States epidemiology, Bile Duct Neoplasms epidemiology, Carcinoma, Hepatocellular epidemiology, Cholangiocarcinoma epidemiology, Liver Neoplasms epidemiology, Veterans statistics & numerical data
- Published
- 2017
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39. Between a rock and a hard place.
- Author
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Suvorava N, Richmond S, Patel N, Bell B, and Mesa H
- Subjects
- Biopsy, Fine-Needle adverse effects, Diagnosis, Differential, Fatal Outcome, Humans, Lymphohistiocytosis, Hemophagocytic complications, Lymphohistiocytosis, Hemophagocytic therapy, Lymphoma, Large B-Cell, Diffuse complications, Lymphoma, Large B-Cell, Diffuse therapy, Male, Middle Aged, Spleen injuries, Lymphohistiocytosis, Hemophagocytic pathology, Lymphoma, Large B-Cell, Diffuse pathology, Spleen pathology
- Published
- 2016
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40. Asymptomatic Multiple Myeloma Presenting as a Nodular Hepatic Lesion: A Case Report and Review of the Literature.
- Author
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Huang H, Bazerbachi F, Mesa H, and Gupta P
- Abstract
Background: Plasma cell myeloma is the most common primary bone malignancy in adults. However, liver involvement in the form of an initial and asymptomatic nodular plasmacytoma is exceedingly rare., Case Report: A 64-year-old male was found to have a right hepatic lobe nodule on a routine abdominal ultrasound prior to bariatric surgery. Liver biopsy revealed a plasma cell neoplasm that, given the location of the lesion, was favored to represent a lymphoma with prominent plasmacytic differentiation. Positron emission tomography (PET) demonstrated a hypermetabolic hepatic mass and identified multiple destructive bony lesions. Biopsy of a clavicular lesion revealed sheets of plasma cells and confirmed the diagnosis of multiple myeloma. The patient underwent 6 cycles of chemotherapy with cyclophosphamide, bortezomib, and dexamethasone before transitioning to lenalidomide and dexamethasone because of early disease progression. Although the patient had International Staging System I (low-risk) disease, his disease demonstrated an aggressive clinical course and resistance to multiple lines of therapy., Conclusion: Extramedullary nodular hepatic plasmacytoma is exceedingly rare. Nevertheless, extramedullary plasmacytomas should be included in the differential diagnosis of patients with indistinct hepatic lesions visualized on computed tomography scan, especially if PET scans show associated bony lesions. In general, extramedullary plasmacytomas are a poor prognostic sign and a harbinger of an aggressive clinical course in the context of multiple myeloma.
- Published
- 2015
41. Gastric-type extremely well-differentiated adenocarcinoma arising in the blind pouch of a bypassed stomach, presenting as colonic pseudo-obstruction.
- Author
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McFarland S, Manivel CJ, Ramaswamy A, and Mesa H
- Abstract
Gastric carcinoma after gastric bypass is rare. Extremely well-differentiated adenocarcinoma (EWDA) of the stomach is a rare variant that has been mostly reported in Japan. We present a case of a 68-year-old man with EWDA arising in the bypassed stomach that presented as a colonic pseudo-obstruction (CPO). Several imaging, endoscopic and pathologic studies performed in the course of 2 months were non-diagnostic. An iatrogenic duodenal perforation during a diagnostic procedure led to an emergent exploratory laparotomy in which the dilated colonic segment was resected. Pathologic examination showed metastatic EWDA in the colonic wall. Post-operative complications led to the patient's demise. At autopsy the primary tumor was identified in the blind pouch of the bypassed stomach. A literature review on gastric EWDA and carcinomas arising in bypassed stomachs is discussed. EWDA of the stomach is rare, difficult to diagnose, and shows an aggressive clinical course discordant with its near-benign histology. Gastric cancer arising in a bypassed stomach is uncommon; when it occurs it is usually diagnosed at advanced stage. Surveillance of the blind pouch is not currently recommended. Malignant infiltration of the colonic wall should be included in the differential diagnosis of CPO of unclear etiology.
- Published
- 2015
42. Expression and phosphorylation of eukaryotic translation initiation factor 4E binding protein 1 in B-cell lymphomas and reactive lymphoid tissues.
- Author
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Kodali D, Rawal A, Ninan MJ, Patel MR, Mesa H, Knapp D, Schnitzer B, Kratzke RA, and Gupta P
- Subjects
- Adaptor Proteins, Signal Transducing genetics, Biomarkers, Tumor metabolism, Blotting, Western, Cell Cycle Proteins, Germinal Center metabolism, Germinal Center pathology, Humans, Immunohistochemistry, Lymph Nodes metabolism, Lymph Nodes pathology, Lymphoid Tissue pathology, Lymphoma, B-Cell genetics, Lymphoma, B-Cell pathology, Lymphoma, Follicular metabolism, Lymphoma, Follicular pathology, Phosphoproteins genetics, Phosphorylation, Pseudolymphoma genetics, Pseudolymphoma pathology, Adaptor Proteins, Signal Transducing metabolism, Lymphoid Tissue metabolism, Lymphoma, B-Cell metabolism, Phosphoproteins metabolism, Pseudolymphoma metabolism, RNA Caps metabolism
- Abstract
Context: Cap-mediated messenger RNA translation controlled by the eukaryotic initiation factor 4F (eIF-4F) complex plays a key role in human cancer. eIF-4F activity is controlled by a repressor binding protein (4E-BP1), which promotes translation when phosphorylated., Objective: To examine the level of expression and phosphorylation of 4E-BP1 in various subtypes of B-cell lymphoma and reactive lymphoid tissues., Design: Archival formalin-fixed, paraffin-embedded B-cell lymphoma samples and reactive lymphoid tissues were immunostained and examined for expression of 4E-BP1 and phosphorylated 4E-BP1. Expression of components of the eIF-4F complex and unphosphorylated and phosphorylated 4E-BP1 was confirmed using Western immunoblotting on lysates of frozen lymphoma samples and reactive tissues., Results: Immunohistochemical analysis demonstrated weak to undetectable 4E-BP1 staining within benign, reactive germinal centers (N = 10). In contrast, 4E-BP1 was consistently expressed (moderate to strong staining) in 98% of various subtypes of mature B-cell lymphoma (N = 50). 4E-BP1 expression was also demonstrable in all 4 lymph nodes with in situ or partial involvement by follicular lymphoma and in all 12 cases of BCL2-negative lymphoma. The level of phosphorylation of 4E-BP1 in lymphomas, evaluated by immunohistochemistry, was heterogeneous., Conclusions: The immunohistochemical expression pattern of 4E-BP1 exhibits regional and cellular specificity in reactive lymphoid tissues and may offer a diagnostic tool for distinguishing reactive follicles from neoplastic B-cell proliferations.
- Published
- 2011
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