19 results on '"Gil-Fernández M"'
Search Results
2. Wild felid species richness affected by a corridor in the Lacandona forest, Mexico
- Author
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Gil–Fernández, M., Muench, C., Gómez–Hoyos, D. A., Dueñas, A., Escobar–Lasso, S., Aguilar–Raya, G., and Mendoza, E.
- Subjects
Habitat fragmentation ,Connectivity ,Neotropical felids ,Corridor ,Landscape ecology ,Zoology ,QL1-991 - Abstract
Wild felids are one of the most vulnerable species due to habitat loss caused by fragmentation of ecosystems. We analyzed the effect of a structural corridor, defined as a strip of vegetation connecting two habitat patches, on the richness and habitat occupancy of felids on three sites in Marqués de Comillas, Chiapas, one with two isolated forest patches, the second with a structural corridor, and the third inside the Montes Azules Biosphere Reserve. We found only two species (L. pardalis and H. yagouaroundi) in the isolated forest patches, five species in the structural corridor, and four species inside the Reserve. The corridor did not significantly affect occupancy, but due to the low detection rates, further investigation is needed to rule out differences. Our results highlight the need to manage habitat connectivity in the remaining forests in order to preserve the felid community of Marqués de Comillas, Chiapas, México.
- Published
- 2017
3. Fiabilidad y correlación en la evaluación de la movilidad de rodilla mediante goniómetro e inclinómetro
- Author
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Gil Fernández, M. and Zuil Escobar, J.C.
- Published
- 2012
- Full Text
- View/download PDF
4. Taxonomical and functional characterization of the intestinal microbiota associated to obesity
- Author
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Ministerio de Economía y Competitividad (España), Gil Fernández, M., Campo, Rosa del, Peláez, Carmen, Requena, Teresa, Martínez-Cuesta, M. Carmen, Ministerio de Economía y Competitividad (España), Gil Fernández, M., Campo, Rosa del, Peláez, Carmen, Requena, Teresa, and Martínez-Cuesta, M. Carmen
- Abstract
[Background and Aims] The intestinal microbiota has been pointed out as a key factor in obesity, since it contributes to metabolic and inmunological homeostasis in the host. The dysbiosis of the gut microbiota linked to obesity has been related to a higher Firmicutes to Bacteroidetes ratio, a lower gene richness and an alteration of the metabolic functions of the gut microbiota. The main objective of this work was to outline the significance of the compositional and/or functional changes in the obese-associated intestinal microbiota., [Methods] The taxonomic composition of the fecal microbiota of obese (Ob) and normal weight (Np) individuals was determined by high-throughput sequencing analysis using the Illumina Seq platform. Amplification of the 16S rRNA gene was carried out using as primers sequences directed towards the V3-V4 regions of the gene. Functional characterization was determined by measuring short chain fatty acids (SCFAs) by High Performance Liquid Chromatography (HPLC) and the ammonium concentration spectrophotometrically., [Results] Data analysis did not show significant differences between Ob and Np individuals in the dominant phyla Bacteroidetes (13%), Firmicutes (76%), Actinobacteria (10%) and Proteobacteria (1.8%). Nevertheless, the proportion of Verrumicrobia was significantly higher in normal weight individuals (Np). At genus level, Collinsella, Alistipes, Clostridium, Clostridium XIVa, Romboutsia and Oscillibacter, among others, showed significant differences between both groups of individuals. Bacterial diversity according to the Chao1 index was significantly higher in Np individuals. Regarding the functional characterization, the fecal samples of Ob individuals showed the highest concentrations of acetic and butyric acids., [Conclusion] In spite of the great interindividual variability, the microbiota of obese individuals is characterized by a higher or lesser proportion of certain microbial groups and a higher formation of SCFAs in relation to the microbiota of normal weight individuals.
- Published
- 2019
5. Caracterización taxonómica y funcional de la microbiota intestinal asociada a obesidad
- Author
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Gil Fernández, M., Peláez, Carmen, Campo, Rosa del, Requena, Teresa, Martínez-Cuesta, M. Carmen, Ministerio de Ciencia, Innovación y Universidades (España), and Ministerio de Economía y Competitividad (España)
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Taxonomía ,Obesidad ,Microbiota intestinal ,Ácidos grasos de cadena corta - Abstract
Resumen del trabajo presentado a las III Jornadas Científicas CIAL Fórum, celebradas del 22 al 23 de noviembre de 2018 en el Instituto de Investigación en Ciencias de la Alimentación (CIAL)., La microbiota intestinal se ha señalado como un factor clave en la obesidad, dada su influencia en las funciones metabólicas e inmunológicas del hospedador. Desde el punto de vista de la composición estructural, la disbiosis de la microbiota intestinal asociada a obesidad, se ha relacionado con cambios en los ratios de los filos Firmicutes y Bacteroidetes. Estos cambios no han mostrado consistencia en estudios posteriores, si bien la obesidad parece estar relacionada con una menor diversidad bacteriana, una menor riqueza de genes y una alteración de las funciones metabólicas de la microbiota intestinal. Hoy en día, tanto el impacto de la composición y/o la funcionalidad de la microbiota como los mecanismos específicos de acción de esta microbiota en la obesidad, no están del todo claros. El principal objetivo de este trabajo ha sido determinar la importancia relativa de la composición taxonómica y/o funcional de la microbiota intestinal en la obesidad. La composición taxonómica de la microbiota fecal de individuos obesos (Ob) y normopeso (Np) se determinó por secuenciación masiva mediante la plataforma Illumina Seq. La amplificación del gen 16S rARN se realizó empleando como cebadores secuencias dirigidas hacia las regiones V3-V4 del gen. La caracterización funcional se determinó por medida de los ácidos grasos de cadena corta (AGCCs) por cromatografía líquida de alta eficacia (HPLC) y por medida de la concentración de amonio espectrofotométricamente. El análisis de los datos mostró que en el dominio Bacteria los filos más abundantes fueron Bacteroidetes (13%), Firmicutes (76%), Actinobacteria (10%) y Proteobacteria (1.8 %) sin encontrar diferencias significativas entre los individuos Ob y Np. El filo Verrumicrobia se encontró significativamente en mayor proporción en los individuos Np. A nivel de género, los grupos Collinsella, Alistipes, Clostridium sensu stricto, Clostridium XIVa, Romboutsia y Oscillibacter, entre otros, mostraron diferencias significativas entre ambos grupos de individuos. La diversidad bacteriana según el índice Chao1 fue significativamente mayor en los individuos Np a nivel de Filo y Familia. Respecto a la caracterización funcional, las muestras fecales de individuos Ob mostraron las mayores concentraciones de ácidos acético y butírico. Los resultados ponen de manifiesto que aún dentro de la gran variabilidad interindividual, la microbiota de individuos obesos se caracteriza por una mayor o menor presencia de determinados grupos microbianos y una mayor formación de determinados AGCCs respecto a la microbiota de individuos normopeso., Los autores agradecen la financiación otorgada por el Ministerio de Ciencia, Innovación y Universidades a través del proyecto AGL2016-75951-R.
- Published
- 2018
6. Caracterización taxonómica y funcional de la microbiota intestinal asociada a obesidad
- Author
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Ministerio de Ciencia, Innovación y Universidades (España), Ministerio de Economía y Competitividad (España), Gil Fernández, M., Peláez, Carmen, Campo, Rosa del, Requena, Teresa, Martínez-Cuesta, M. Carmen, Ministerio de Ciencia, Innovación y Universidades (España), Ministerio de Economía y Competitividad (España), Gil Fernández, M., Peláez, Carmen, Campo, Rosa del, Requena, Teresa, and Martínez-Cuesta, M. Carmen
- Abstract
La microbiota intestinal se ha señalado como un factor clave en la obesidad, dada su influencia en las funciones metabólicas e inmunológicas del hospedador. Desde el punto de vista de la composición estructural, la disbiosis de la microbiota intestinal asociada a obesidad, se ha relacionado con cambios en los ratios de los filos Firmicutes y Bacteroidetes. Estos cambios no han mostrado consistencia en estudios posteriores, si bien la obesidad parece estar relacionada con una menor diversidad bacteriana, una menor riqueza de genes y una alteración de las funciones metabólicas de la microbiota intestinal. Hoy en día, tanto el impacto de la composición y/o la funcionalidad de la microbiota como los mecanismos específicos de acción de esta microbiota en la obesidad, no están del todo claros. El principal objetivo de este trabajo ha sido determinar la importancia relativa de la composición taxonómica y/o funcional de la microbiota intestinal en la obesidad. La composición taxonómica de la microbiota fecal de individuos obesos (Ob) y normopeso (Np) se determinó por secuenciación masiva mediante la plataforma Illumina Seq. La amplificación del gen 16S rARN se realizó empleando como cebadores secuencias dirigidas hacia las regiones V3-V4 del gen. La caracterización funcional se determinó por medida de los ácidos grasos de cadena corta (AGCCs) por cromatografía líquida de alta eficacia (HPLC) y por medida de la concentración de amonio espectrofotométricamente. El análisis de los datos mostró que en el dominio Bacteria los filos más abundantes fueron Bacteroidetes (13%), Firmicutes (76%), Actinobacteria (10%) y Proteobacteria (1.8 %) sin encontrar diferencias significativas entre los individuos Ob y Np. El filo Verrumicrobia se encontró significativamente en mayor proporción en los individuos Np. A nivel de género, los grupos Collinsella, Alistipes, Clostridium sensu stricto, Clostridium XIVa, Romboutsia y Oscillibacter, entre otros, mostraron diferencias significativas entre
- Published
- 2018
7. Eficacia y efectos secundarios de 3 técnicas analgesicas en el control del dolor postoperatorio en artroplastia de rodilla
- Author
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Illescas, M., Ríos, J. R., Rodríguez de la Torre, R., Mojarroa, I., Gallego, J. I., and Gil-Fernández, M.
- Subjects
femoral block ,bloqueo femoral ,Total knee arthroplasty ,analgesia epidural ,Controlled patient analgesia ,epidural analgesia ,Artroplastia total de rodilla ,Analgesia controlada por paciente - Abstract
Objetivo: El dolor postoperatorio en artroplastia total de rodilla, aún considerándose uno de los más severos, es un reto por resolver. Con nuestro estudio pretendemos analizar y comparar la eficacia analgésica, incidencia y severidad de efectos secundarios de una pauta epidural, otra consistente en bloqueo femoral y una pauta intravenosa con morfina. Material y métodos: Se trata de un estudio observacional retrospectivo en el que se revisan 359 hojas de seguimiento de pacientes sometidos a artroplastia total de rodilla. Según la pauta analgésica que recibieron en el postoperatorio fueron asignados a tres grupos diferentes: a) Grupo Femoral (n=56) a los que se realizó bloqueo femoral continuo con ropivacaina al 0,2 %. En todos los casos se asoció un bloqueo del nervio ciático mediante punción única medio-femoral con ropivacaina al 0,2%. b) Grupo epidural (n=135) a los que se coloca catéter epidural lumbar mediante el cuál se administra bupivacaina al 0,07%+ fentanilo 2 µg/ml. c) Grupo intravenoso (n=168) a los que se administra morfina intravenosa. En todas las pautas el modo de administración es mediante perfusión continua con PCA. Todos los pacientes recibieron como analgesia complementaria Paracetamol IV 1g/6h. Valoramos el grado de analgesia en reposo, náuseas y vómitos, bloqueo motor, sedación, prurito y necesidad de analgesia de rescate en las primeras 24 horas del postoperatorio. Resultados: No se encontraron diferencias significativas en cuanto a eficacia analgésica entre las 3 pautas analizadas. Igualmente, no encontramos diferencias significativas respecto a sedación ni naúseas y vómitos, siendo el bloqueo motor y el prurito superiores en los casos de bloqueo femoral y epidural respectivamente. Conclusiones: Aunque el perfil de efectos secundarios sea discretamente mayor en cuanto a prurito en el grupo epidural y bloqueo motor en el grupo femoral, no podemos afirmar la superioridad en cuanto a eficacia analgésica de ninguna estrategia con respecto a otra. Purpose: Despite the fact that it is expected and intense, postoperative pain after knee arthroplasty is still an unresolved challenge. In our study we intend to analyse and compare analgesic efficacy, incidence and severity of adverse effects resulting from three different techniques: a )Epidural analgesia , b)Femoral block, and c) intravenous analgesia with mor-phine. Patients and Methods: An observational and retrospective study is presented, re-viewing data obtained from 359 patients who had a total knee arthroplasty: Patients were assigned to three different groups, according to the method of pain relief that was prescribed for each of them: a) Femoral group (n=56).A continuous femoral block was performed using ropivacaine 0.2%. Sciatic block was associated on each patient (single injection at middle femoral point with ropivacaine 0.2%). b) Epidural group (n=135).This figure includes patients in whom an epidural catheter was inserted and bupivacaine 0.07% plus fentanyl 2 mc./mi was administered through the catheter. c) Intravenous group (n=168). Intravenous morphine was administered to this group of patients. Each analgesic plan included continuous perfusión of drugs via PCA devices, and paracetamol (lg iv every 6 hourly) was prescribed as complementary analgesia in all the cases. Parameters to evalúate: analgesia obtained at rest, nausea and vomiting, motor blockade, sedation, pruritus and complementary analgesia given in the first 24 hours postoperatively. Results: Significative differences were not appreciated at the moment of evaluation of the analgesic efficieney of the three analgesic plans. Equally, sedation, nausea and vomiting had the same incidence in all groups. Motor blockade and pruritus appeared more frequently in the cases treated with femoral block and epidural catheter respectively. Conclusión: We can not assert that any of the analgesic strategies was superior to the others as to its analgesic effectiveness, although pruritus appeared in the epidural group and motor blockade did in the femoral group, as adverse effects in few cases.
- Published
- 2007
8. Eficacia y efectos secundarios de 3 técnicas analgesicas en el control del dolor postoperatorio en artroplastia de rodilla
- Author
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Illescas Rodríguez, Manuel, Ríos, J. R., Rodríguez de la Torre, R., Mojarroa, I., Gallego Alonso, J. I., Gil Fernández, M., Illescas Rodríguez, Manuel, Ríos, J. R., Rodríguez de la Torre, R., Mojarroa, I., Gallego Alonso, J. I., and Gil Fernández, M.
- Abstract
Purpose: Despite the fact that it is expected and intense, postoperative pain after knee arthroplasty is still an unresolved challenge. In our study we intend to analyse and compare analgesic efficacy, incidence and severity of adverse effects resulting from three different techniques: a )Epidural analgesia , b)Femoral block, and c) intravenous analgesia with mor-phine. Patients and Methods: An observational and retrospective study is presented, re-viewing data obtained from 359 patients who had a total knee arthroplasty: Patients were assigned to three different groups, according to the method of pain relief that was prescribed for each of them: a) Femoral group (n=56).A continuous femoral block was performed using ropivacaine 0.2%. Sciatic block was associated on each patient (single injection at middle femoral point with ropivacaine 0.2%). b) Epidural group (n=135).This figure includes patients in whom an epidural catheter was inserted and bupivacaine 0.07% plus fentanyl 2 mc./mi was administered through the catheter. c) Intravenous group (n=168). Intravenous morphine was administered to this group of patients. Each analgesic plan included continuous perfusión of drugs via PCA devices, and paracetamol (lg iv every 6 hourly) was prescribed as complementary analgesia in all the cases. Parameters to evalúate: analgesia obtained at rest, nausea and vomiting, motor blockade, sedation, pruritus and complementary analgesia given in the first 24 hours postoperatively. Results: Significative differences were not appreciated at the moment of evaluation of the analgesic efficieney of the three analgesic plans. Equally, sedation, nausea and vomiting had the same incidence in all groups. Motor blockade and pruritus appeared more frequently in the cases treated with femoral block and epidural catheter respectively. Conclusión: We can not assert that any of the analgesic strategies was superior to the others as to its analgesic effectiveness, although pruritus appeared in the e, Objetivo: El dolor postoperatorio en artroplastia total de rodilla, aún considerándose uno de los más severos, es un reto por resolver. Con nuestro estudio pretendemos analizar y comparar la eficacia analgésica, incidencia y severidad de efectos secundarios de una pauta epidural, otra consistente en bloqueo femoral y una pauta intravenosa con morfina. Material y métodos: Se trata de un estudio observacional retrospectivo en el que se revisan 359 hojas de seguimiento de pacientes sometidos a artroplastia total de rodilla. Según la pauta analgésica que recibieron en el postoperatorio fueron asignados a tres grupos diferentes: a) Grupo Femoral (n=56) a los que se realizó bloqueo femoral continuo con ropivacaina al 0,2 %. En todos los casos se asoció un bloqueo del nervio ciático mediante punción única medio-femoral con ropivacaina al 0,2%. b) Grupo epidural (n=135) a los que se coloca catéter epidural lumbar mediante el cuál se administra bupivacaina al 0,07%+ fentanilo 2 µg/ml. c) Grupo intravenoso (n=168) a los que se administra morfina intravenosa. En todas las pautas el modo de administración es mediante perfusión continua con PCA. Todos los pacientes recibieron como analgesia complementaria Paracetamol IV 1g/6h. Valoramos el grado de analgesia en reposo, náuseas y vómitos, bloqueo motor, sedación, prurito y necesidad de analgesia de rescate en las primeras 24 horas del postoperatorio. Resultados: No se encontraron diferencias significativas en cuanto a eficacia analgésica entre las 3 pautas analizadas. Igualmente, no encontramos diferencias significativas respecto a sedación ni naúseas y vómitos, siendo el bloqueo motor y el prurito superiores en los casos de bloqueo femoral y epidural respectivamente. Conclusiones: Aunque el perfil de efectos secundarios sea discretamente mayor en cuanto a prurito en el grupo epidural y bloqueo motor en el grupo femoral, no podemos afirmar la superioridad en cuanto a eficacia analgésica de ninguna estrategia con respecto a otra.
- Published
- 2007
9. Estimación de la prevalencia e intensidad del dolor postoperatorio y su relación con la satisfacción de los pacientes
- Author
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Gallego Alonso, J. I., Rodríguez de la Torre, R., Vázquez-Guerrero, J. C., Gil Fernández, M., Gallego Alonso, J. I., Rodríguez de la Torre, R., Vázquez-Guerrero, J. C., and Gil Fernández, M.
- Abstract
The first line therapy for any type of pain aims to eliminate its cause, although this is not always possible, obviously. Furthermore, pain is sometimes so severe that requires to take fast and effective analgesic measures. Postoperative pain presents both characteristics: the need for a fast treatment and the impossibility to eliminate its cause. The aim of this study has been to assess the prevalence and severity of postoperative pain, as well as patient satisfaction with the medical and nursing staff; to quantify the time elapsed between the request of the analgesic drug and its administration, as perceived by the patient; and, finally, to ascertain the opinion of the patients regarding the effectiveness of analgesic drugs for postoperative pain. This was a descriptive study in which 388 patients undergoing elective surgery at the services of General Surgery, Traumatology, Gynecology, Vascular Surgery, ORL and Urology, were interviewed. Conclusion: According to this review, postoperative pain still represents a negative aspect of postoperative care and requires corrective action. The results suggest the need to design more appropriate analgesic protocols that take into account the needs of the patients and to optimize the interaction between the surgical services and the anesthesia service., El tratamiento de elección para cualquier tipo de dolor consiste en eliminar la causa que lo provoca aunque esto no es, obviamente, siempre posible. Por otra parte, existen ocasiones en las que el dolor es tan intenso que es necesario instaurar medidas analgésicas rápidas y eficaces. El dolor del periodo postoperatorio cumple ambas características: necesidad de tratamiento rápido e imposibilidad de eliminar la causa que lo provoca. Los objetivos de este estudio han consistido en evaluar la prevalencia e intensidad del dolor postoperatorio, la satisfacción de los pacientes con el personal médico y de enfermería, cuantificar el tiempo percibido por el paciente trascurrido desde que solicita medicación analgésica hasta que la recibe y por último, conocer la opinión de los pacientes sobre la efectividad de los analgésicos en el dolor postoperatorio. Se trata de un estudio descriptivo en el que se entrevistaron 388 pacientes intervenidos quirúrgicamente de manera programada por los servicios de Cirugía General, Traumatología, Ginecología, Cirugía Vascular, ORL y Urología. Conclusión: En la revisión expuesta, el dolor postoperatorio continúa representando un aspecto negativo de los cuidados postoperatorios, precisando medidas para su corrección. Los resultados revelan la necesidad de diseñar protocolos analgésicos más adecuados a las necesidades de los pacientes y optimizar la interacción entre los servicios quirúrgicos y el servicio de anestesia.
- Published
- 2004
10. Specialized Proresolving Mediators Protect Against Experimental Autoimmune Myocarditis by Modulating Ca 2+ Handling and NRF2 Activation.
- Author
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Val-Blasco A, Prieto P, Jaén RI, Gil-Fernández M, Pajares M, Domenech N, Terrón V, Tamayo M, Jorge I, Vázquez J, Bueno-Sen A, Vallejo-Cremades MT, Pombo-Otero J, Sanchez-García S, Ruiz-Hurtado G, Gómez AM, Zaragoza C, Crespo-Leiro MG, López-Collazo E, Cuadrado A, Delgado C, Boscá L, and Fernández-Velasco M
- Abstract
Specialized proresolving mediators and, in particular, 5(S), (6)R, 7-trihydroxyheptanoic acid methyl ester (BML-111) emerge as new therapeutic tools to prevent cardiac dysfunction and deleterious cardiac damage associated with myocarditis progression. The cardioprotective role of BML-111 is mainly caused by the prevention of increased oxidative stress and nuclear factor erythroid-derived 2-like 2 (NRF2) down-regulation induced by myocarditis. At the molecular level, BML-111 activates NRF2 signaling, which prevents sarcoplasmic reticulum-adenosine triphosphatase 2A down-regulation and Ca
2+ mishandling, and attenuates the cardiac dysfunction and tissue damage induced by myocarditis., Competing Interests: This work was supported by the Spanish Ministry of Economy and Competitiveness and the European Regional Development Fund (SAF-2017-84777R), Instituto de Salud Carlos III (ISCIII) (PI17/01093, PI17/01344, and PI20/01482), Sociedad Española de Cardiología, Proyecto Traslacional 2019 and Asociación del Ritmo Cardiaco (SEC, España), Proyecto Asociación Insuficiencia Cardiaca (Trasplante Cardiaco) 2020, Fondo Europeo de Desarrollo Regional, Fondo Social Europeo, and CIBERCV, a network funded by ISCIII, Spanish Ministry of Science, Innovation and Universities (PGC2018-097019-B-I00), Ministerio de Economía, Industria y Competitividad/Agencia Estatal de Investigación 10.13039/501100011033 PID2020-113238RB-I00, PID2019-105600RB-I00, the Instituto de Salud Carlos III (Fondo de Investigación Sanitaria grant PRB3 [PT17/0019/0003-ISCIII-SGEFI/ERDF, ProteoRed]), and “la Caixa” Foundation (project code HR17-00247). The Centro Nacional de Investigaciones Cardiovasculares is supported by the ISCIII, the Ministerio de Ciencia, Innovación y Universidades. Dr Ruiz-Hurtado is Miguel Servet I researcher of ISCIII (CP15/00129 Carlos III Health Institute). Dr Tamayo and R.I. Jaén, and M. Gil-Fernández were or currently are PhD students funded by the Formación de Profesorado Universitario program of the Spanish Ministry of Science, Innovation and Universities (FPU17/06135; FPU16/00827, FPU1901973). The authors have reported that they have no relationships relevant to the contents of this paper to disclose., (© 2022 The Authors.)- Published
- 2022
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11. The Aryl Hydrocarbon Receptor Ligand FICZ Improves Left Ventricular Remodeling and Cardiac Function at the Onset of Pressure Overload-Induced Heart Failure in Mice.
- Author
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Tamayo M, Martín-Nunes L, Piedras MJ, Martin-Calvo M, Martí-Morente D, Gil-Fernández M, Gómez-Hurtado N, Moro MÁ, Bosca L, Fernández-Velasco M, and Delgado C
- Subjects
- Animals, Cardiomegaly metabolism, Fibrosis, Ligands, Mice, Mice, Inbred C57BL, Myocytes, Cardiac metabolism, Carbazoles pharmacology, Heart Failure drug therapy, Heart Failure etiology, Heart Failure metabolism, Receptors, Aryl Hydrocarbon genetics, Receptors, Aryl Hydrocarbon metabolism, Ventricular Remodeling
- Abstract
Adverse ventricular remodeling is the heart's response to damaging stimuli and is linked to heart failure and poor prognosis. Formyl-indolo [3,2-b] carbazole (FICZ) is an endogenous ligand for the aryl hydrocarbon receptor (AhR), through which it exerts pleiotropic effects including protection against inflammation, fibrosis, and oxidative stress. We evaluated the effect of AhR activation by FICZ on the adverse ventricular remodeling that occurs in the early phase of pressure overload in the murine heart induced by transverse aortic constriction (TAC). Cardiac structure and function were evaluated by cardiac magnetic resonance imaging (CMRI) before and 3 days after Sham or TAC surgery in mice treated with FICZ or with vehicle, and cardiac tissue was used for biochemical studies. CMRI analysis revealed that FICZ improved cardiac function and attenuated cardiac hypertrophy. These beneficial effects involved the inhibition of the hypertrophic calcineurin/NFAT pathway, transcriptional reduction in pro-fibrotic genes, and antioxidant effects mediated by the NRF2/NQO1 pathway. Overall, our findings provide new insight into the role of cardiac AhR signaling in the injured heart.
- Published
- 2022
- Full Text
- View/download PDF
12. Ca 2+ mishandling in heart failure: Potential targets.
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Val-Blasco A, Gil-Fernández M, Rueda A, Pereira L, Delgado C, Smani T, Ruiz Hurtado G, and Fernández-Velasco M
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- Arrhythmias, Cardiac metabolism, Calcium metabolism, Humans, Protein Processing, Post-Translational, Sarcoplasmic Reticulum metabolism, Heart Failure metabolism, Myocytes, Cardiac metabolism
- Abstract
Ca
2+ mishandling is a common feature in several cardiovascular diseases such as heart failure (HF). In many cases, impairment of key players in intracellular Ca2+ homeostasis has been identified as the underlying mechanism of cardiac dysfunction and cardiac arrhythmias associated with HF. In this review, we summarize primary novel findings related to Ca2+ mishandling in HF progression. HF research has increasingly focused on the identification of new targets and the contribution of their role in Ca2+ handling to the progression of the disease. Recent research studies have identified potential targets in three major emerging areas implicated in regulation of Ca2+ handling: the innate immune system, bone metabolism factors and post-translational modification of key proteins involved in regulation of Ca2+ handling. Here, we describe their possible contributions to the progression of HF., (© 2021 Scandinavian Physiological Society. Published by John Wiley & Sons Ltd.)- Published
- 2021
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13. Genetic Deletion of NOD1 Prevents Cardiac Ca 2+ Mishandling Induced by Experimental Chronic Kidney Disease.
- Author
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Gil-Fernández M, Navarro-García JA, Val-Blasco A, González-Lafuente L, Martínez JC, Rueda A, Tamayo M, Morgado JL, Zaragoza C, Ruilope LM, Delgado C, Ruiz-Hurtado G, and Fernández-Velasco M
- Subjects
- Animals, Calcium metabolism, Calcium Signaling genetics, Disease Models, Animal, Humans, Kidney pathology, Mice, Myocytes, Cardiac metabolism, Myocytes, Cardiac pathology, NF-kappa B genetics, Nod1 Signaling Adaptor Protein ultrastructure, Protein Conformation, Receptor-Interacting Protein Serine-Threonine Kinase 2 ultrastructure, Renal Insufficiency, Chronic pathology, Sarcoplasmic Reticulum genetics, Sarcoplasmic Reticulum pathology, Kidney metabolism, Nod1 Signaling Adaptor Protein genetics, Receptor-Interacting Protein Serine-Threonine Kinase 2 genetics, Renal Insufficiency, Chronic genetics
- Abstract
Risk of cardiovascular disease (CVD) increases considerably as renal function declines in chronic kidney disease (CKD). Nucleotide-binding oligomerization domain-containing protein 1 (NOD1) has emerged as a novel innate immune receptor involved in both CVD and CKD. Following activation, NOD1 undergoes a conformational change that allows the activation of the receptor-interacting serine/threonine protein kinase 2 (RIP2), promoting an inflammatory response. We evaluated whether the genetic deficiency of Nod1 or Rip2 in mice could prevent cardiac Ca
2+ mishandling induced by sixth nephrectomy (Nx), a model of CKD. We examined intracellular Ca2+ dynamics in cardiomyocytes from Wild-type ( Wt ), Nod1-/- and Rip2-/- sham-operated or nephrectomized mice. Compared with Wt cardiomyocytes, Wt -Nx cells showed an impairment in the properties and kinetics of the intracellular Ca2+ transients, a reduction in both cell shortening and sarcoplasmic reticulum Ca2+ load, together with an increase in diastolic Ca2+ leak. Cardiomyocytes from Nod1-/- -Nx and Rip2-/- -Nx mice showed a significant amelioration in Ca2+ mishandling without modifying the kidney impairment induced by Nx. In conclusion, Nod1 and Rip2 deficiency prevents the intracellular Ca2+ mishandling induced by experimental CKD, unveiling new innate immune targets for the development of innovative therapeutic strategies to reduce cardiac complications in patients with CKD.- Published
- 2020
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14. Innate Immune Receptors, Key Actors in Cardiovascular Diseases.
- Author
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Jaén RI, Val-Blasco A, Prieto P, Gil-Fernández M, Smani T, López-Sendón JL, Delgado C, Boscá L, and Fernández-Velasco M
- Abstract
Cardiovascular diseases (CVDs) are the leading cause of death in the industrialized world. Most CVDs are associated with increased inflammation that arises mainly from innate immune system activation related to cardiac damage. Sustained activation of the innate immune system frequently results in maladaptive inflammatory responses that promote cardiovascular dysfunction and remodeling. Much research has focused on determining whether some mediators of the innate immune system are potential targets for CVD therapy. The innate immune system has specific receptors-termed pattern recognition receptors (PRRs)-that not only recognize pathogen-associated molecular patterns, but also sense danger-associated molecular signals. Activation of PRRs triggers the inflammatory response in different physiological systems, including the cardiovascular system. The classic PRRs, toll-like receptors (TLRs), and the more recently discovered nucleotide-binding oligomerization domain-like receptors (NLRs), have been recently proposed as key partners in the progression of several CVDs (e.g., atherosclerosis and heart failure). The present review discusses the key findings related to the involvement of TLRs and NLRs in the progression of several vascular and cardiac diseases, with a focus on whether some NLR subtypes (nucleotide-binding oligomerization domain, leucine rich repeat and pyrin domain-containing receptor 3 and nucleotide-binding oligomerization domain-containing protein 1) can be candidates for the development of new therapeutic strategies for several CVDs., (© 2020 The Authors.)
- Published
- 2020
- Full Text
- View/download PDF
15. Deficiency of NOD1 Improves the β-Adrenergic Modulation of Ca 2+ Handling in a Mouse Model of Heart Failure.
- Author
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Val-Blasco A, Navarro-García JA, Tamayo M, Piedras MJ, Prieto P, Delgado C, Ruiz-Hurtado G, Rozas-Romero L, Gil-Fernández M, Zaragoza C, Boscá L, and Fernández-Velasco M
- Abstract
Heart failure (HF) is a complex syndrome characterized by cardiac dysfunction, Ca
2+ mishandling, and chronic activation of the innate immune system. Reduced cardiac output in HF leads to compensatory mechanisms via activation of the adrenergic nervous system. In turn, chronic adrenergic overstimulation induces pro-arrhythmic events, increasing the rate of sudden death in failing patients. Nucleotide-binding oligomerization domain-containing protein 1 (NOD1) is an innate immune modulator that plays a key role in HF progression. NOD1 deficiency in mice prevents Ca2+ mishandling in HF under basal conditions, but its role during β-adrenergic stimulation remains unknown. Here, we evaluated whether NOD1 regulates the β-adrenergic modulation of Ca2+ signaling in HF. Ca2+ dynamics were examined before and after isoproterenol perfusion in cardiomyocytes isolated from healthy and from post-myocardial infarction (PMI) wild-type (WT) and Nod1-/- mice. Isoproterenol administration induced similar effects on intracellular [Ca2+ ]i transients, cell contraction, and sarcoplasmic reticulum (SR)-Ca2+ load in healthy WT and Nod1-/- cells. However, compared with WT-PMI cells, isoproterenol exposure induced a significant increase in the [Ca2+ ]i transients and cell contraction parameters in Nod1-/- -PMI cells, which mainly due to an increase in SR-Ca2+ load. NOD1 deficiency also prevented the increase in diastolic Ca2+ leak (Ca2+ waves) induced by isoproterenol in PMI cells. mRNA levels of β1 and β2 adrenergic receptors were significantly higher in Nod1-/- -PMI hearts vs WT-PMI hearts. Healthy cardiomyocytes pre-treated with the selective agonist of NOD1, iE-DAP, and perfused with isoproterenol showed diminished [Ca2+ ]i transients amplitude, cell contraction, and SR-Ca2+ load compared with vehicle-treated cells. iE-DAP-treated cells also presented increased diastolic Ca2+ leak under β-adrenergic stimulation. The selectivity of iE-DAP on Ca2+ handling was validated by pre-treatment with the inactive analog of NOD1, iE-Lys. Overall, our data establish that NOD1 deficiency improves the β-adrenergic modulation of Ca2+ handling in failing hearts.- Published
- 2018
- Full Text
- View/download PDF
16. [Pulmonary edema related to administration of 15-methyl-prostaglandin F2alpha during a cesarean section].
- Author
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Rodríguez de la Torre MR, Gallego Alonso JI, and Gil Fernández M
- Subjects
- Adolescent, Female, Humans, Pregnancy, Carboprost adverse effects, Cesarean Section, Intraoperative Complications chemically induced, Oxytocics adverse effects, Pulmonary Edema chemically induced
- Abstract
An 18-year-old woman pregnant at 37 weeks gestation and with a history of recurrent urinary tract infection was admitted with a clinical picture of pyelonephritis that responded favorably to antibiotic treatment. After 2 days, cervical ripening was induced with prostaglandin E2 gel and labor was induced with oxytocin. The patient requested epidural analgesia. Six hours after induction, cesarean delivery was indicated owing to risk of fetal distress. The operation was carried out under epidural anesthesia with 10 mL of 0.5% bupivacaine without a vasoconstrictor. After delivery, uterine atony was treated unsuccessfully with oxytocin and methylergometrine maleate; the obstetrician then gave an intramyometrial injection of 0.25 mg of 15-methyl-prostaglandin F2alpha (PGF2alpha). After 5 minutes, SpO2 fell to 89%, accompanied by dyspnea and sinus tachycardia of 130-140 beats/min, with normal cardiorespiratory sounds. The patient was transferred to the postoperative recovery unit, where a chest radiograph led to a diagnosis of acute pulmonary edema. Treatment to reduce edema was successful. PGF2alpha and its analogs are useful for treating uterine atony that does not respond to other drugs, but side effects are not unknown. Caution in prescribing PGF2alpha and care in monitoring the patient's reaction are therefore recommended during and after anesthesia. Unnecessary overhydration should be avoided.
- Published
- 2004
17. [Ondansetron is not a panacea].
- Author
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García-Romero J, Jiménez-Romero M, and Gil-Fernández M
- Subjects
- Humans, Antiemetics therapeutic use, Cholecystectomy, Laparoscopic adverse effects, Ondansetron therapeutic use, Vomiting prevention & control
- Published
- 1997
18. [Anesthesia for cesarean section in patients with mitral valve prolapse].
- Author
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García-Romero J, Jiménez-Romero M, and Gil-Fernández M
- Subjects
- Female, Humans, Pregnancy, Anesthesia, Obstetrical, Cesarean Section, Mitral Valve Prolapse, Pregnancy Complications, Cardiovascular
- Published
- 1997
19. [Evoked potentials and psychometric tests in the diagnosis of subclinical neurological damage in a group of workers exposed to low concentrations of mercury vapor].
- Author
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Martínez Vázquez C, Rodríguez Sáez E, Gil Fernández M, Torres Pombo J, Rodríguez M, Iglesias Groba MT, and Herves Beloso C
- Subjects
- Adult, Chemical Industry, Electroretinography drug effects, Evoked Potentials drug effects, Humans, Male, Mercury urine, Mercury Poisoning physiopathology, Mercury Poisoning psychology, Middle Aged, Neurologic Examination methods, Occupational Diseases physiopathology, Occupational Diseases psychology, Psychometrics, Spain, Mercury Poisoning diagnosis, Occupational Diseases diagnosis
- Abstract
We study the effects of low concentrations of mercury vapour on the nervous system of a group of eleven workers of a chloroalkali plant exposed to it. Twenty-three non-exposed workers in the same factory were used as control group. We used clinical and analytic explorations, psychometric tests and evoked potentials to evaluate the subjects. The average Hg in urine of the exposed group was 41.74 micrograms/gr creatinine and the average of the non-exposed group as 9.71 mu/yr. In the exposed group the evoked potentials have found a slowing-down of conduction in all the nervous paths studied (optical, auditive and somatosensory) and in the latency of P300 wave, although this was not statistically significant compared to the control group. Of the psychometric test used, only Rey's Complex Figure Test showed deterioration in the visual memory subtest of the exposed group (p < 0.05) compared to the control group, although in Wechsler's digit span test lower scores were obtained which were close to being statistically significant comparing the averages of the two groups (0.05 < p < 0.051). Bearing in mind these results we think that the amounts of Hg in urine and TLV-TWA (50 micrograms/gr creatinine and 50 micrograms/m3 respectively) accepted by most authors as innocuous should be reduced.
- Published
- 1996
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