Cutaneous myiasis in skin cancer and malignant wounds: a systematic review.

BACKGROUND: Cutaneous myiasis in patients with malignant wounds or skin cancer is a rare and undesirable event with limited epidemiological data. A subregister of reports, lack of education in the population, inadequate empirical treatments, and medical underestimation are components of a public health problem that threatens patients' lives. METHODS: We conducted a systematic review of the literature of cutaneous myiasis associated with malignant wounds and skin cancer, characterizing sociodemographic variables, risk factors, clinical and histological features, and treatment. Additionally, we present a demonstrative case with the adequate taxonomic evaluation. DISCUSSION: Cutaneous myiasis is an underestimated and poorly managed infestation, which can generate severe complications in oncological patients. This is the first systematic review in the literature about this clinical scenario, which provides information to the physician and clinical researcher about the epidemiological gaps and what has been published so far. CONCLUSIONS: Findings from the current review have helped to display the sociodemographic, epidemiological, and clinical behavior of myiasis in skin cancer and malignant wounds. Its contribution to the greater tumor tissue destruction is clear; however, more studies are required. The therapeutic management in these patients is equally clarified.

Updating control of puberty in male European sea bass: A holistic approach.

Puberty is the process by which an immature animal acquires the ability to reproduce for the first time; its onset occurs soon after sexual differentiation and is characterized by the beginning of gametogenesis in both sexes. Here we present new insights on when and how the onset of puberty occurs in male European sea bass, its dependence on reaching a critical size, and how it can be controlled by photoperiod, revealing the existence of a photolabile period with important applications in aquaculture. Regarding size, apparently only European sea bass above a certain size threshold attain the ability to carry out gametogenesis during their first year of life, while their smaller counterparts fail to do so. This could imply that fish need to achieve an optimal threshold of hormone production, particularly from the kisspeptin/Gnrh/Gth systems, in order to initiate and conclude puberty. However, a long-term restricted feeding regime during the second year of life did not prevent the onset of puberty, thus suggesting that the fish are able to maintain the reproductive function, even at the expense of other functions. Finally, the study of daily hormonal rhythms under different photoperiod regimes revealed the equivalence between their core values and those of seasonal rhythms, in such a way that the daily rhythms could be considered as the functional units of the seasonal rhythms.

Melatonin-induced changes in kiss/gnrh gene expression patterns in the brain of male sea bass during spermatogenesis.

Evidence exists that melatonin may drive the seasonal changes in kisspeptin-expressing cells and GnRH/gonadotropin secretion in mammals, thus modulating their reproductive activity. This study established the influence of long-term melatonin administration (as an implant) on growth performance and reproduction of adult male sea bass. Melatonin reduced the fish weight and condition factor, thus affecting the performance of fish. Melatonin also affected gonadogenesis, as shown by a decrease in the gonadosomatic index after 150 days of treatment and the lower percentage of running males during the spermatogenesis and full spermiation stages of this species. Exogenous melatonin also resulted in lower plasma androgen levels during the reproductive period, and showed a significant decrease in serum Lh and Fsh concentration after 30 and 60 days of treatment, respectively. Thus, melatonin elicited seasonal changes in key reproductive hormones that affected testicular maturity. The hypothalamic expression of kiss1 was significantly higher in melatonin-treated fish than in controls after 30 days of treatment, while a significant increase in kiss2 expression was detected on day 90 of treatment. By contrast, melatonin showed a significant decrease in kisspeptin expression in the dorsal brain on day 150 of treatment and also affected the expression of gnrh-1 and gnrh-3 and gnrhr-II-1a and 2b and the fshß gene in the pituitary. These results suggest that in this species, melatonin evokes changes in the mRNA levels of kisspeptin and gnrh system genes that appear to mirror disturbances in spermatogenesis.