Metástasis pulmonar de cáncer de páncreas / No disponible

Está aceptado que el tratamiento quirúrgico de las metástasis pulmonares aumenta la supervivencia en pacientes seleccionados y en distintas estirpes histológicas. En el caso de las lesiones de origen pancreático no hay datos concluyentes debido a la escasa supervivencia de esta enfermedad. Presentamos el caso de un paciente con lesión pulmonar única a los 14 meses de una intervención quirúrgica por neoplasia de páncreas. Se realiza resección quirúrgica de la lesión pulmonar avalada por los escasos datos que hay en la literatura médica, que parecen demostrar una tendencia al aumento de la supervivencia tras tratamiento quirúrgico de estas lesiones

Surgical treatment of pulmonary metastasis is an accepted treatment that increases the survival rate in chosen patients and histolgical types. Regarding pulmonary metastases of a pancreatic nature, there is no conclusive data due to the low survival rate of this disease. Supported by the limited data available in the medical literature that suggests an increased survival rate after surgical treatment of these lesions, we performed resection of a solitary pulmonary nodule in a patient fourteen months after surgical treatment of a pancreatic cancer

Abnormal mitochondrial function in locomotor and respiratory muscles of COPD patients.

Several cellular and molecular alterations have been described in skeletal and respiratory muscles of patients with chronic obstructive pulmonary disease (COPD), but information on potential abnormalities of mitochondrial function is scarce. The aim of the present study was to investigate mitochondrial function in the vastus lateralis (VL) and external intercostalis (EI) of COPD patients. Biopsies from VL and EI were obtained during surgery for lung cancer in 13 patients with mild to moderate COPD (age 68+/-6 yrs, forced expiratory volume in one second (FEV(1)) 66+/-15% predicted) and 19 control subjects (age 67+/-9 yrs, FEV(1) 95+/-18% pred). State 3 and 4 mitochondrial oxygen consumption (V'(O(2),m)), ATP synthesis, citrate synthase, cytochrome oxidase (COX) and complex I-III activities, as well as reactive oxygen species (ROS) production, were determined. In COPD patients, in both muscles, COX activity (VL: COPD 3.0+/-0.8 versus control 2.0+/-0.8; EI: 3.7+/-1.6 versus 2.4+/-0.9 micromol min(-1) mg(-1)) and ROS production (VL: 1,643+/-290 versus 1,285+/-468; EI: 1,033+/-210 versus 848+/-288 arbitrary units) were increased, whereas state 3 V'(O(2),m) was reduced (VL: 2.9+/-0.3 versus 3.6+/-0.4; EI: 3.6+/-0.3 versus 4.1+/-0.4 mmol min(-1) kg(-1)). Skeletal muscle mitochondria of patients with chronic obstructive pulmonary disease show electron transport chain blockade and excessive production of reactive oxygen species. The concurrent involvement of both vastus lateralis and external intercostalis suggests a systemic (rather than a local) mechanism(s) already occurring in relatively early stages (Global Initiative for Chronic Obstructive Lung Disease stage II) of the disease.

Computational studies on the BF3-catalyzed cycloaddition of furan with methyl vinyl ketone: a new look at Lewis acid catalysis

Transition structures for both uncatalyzed and BF3-catalyzed Diels-Alder reactions involving furan and methyl vinyl ketone have been determined at the hybrid DFT (B3LYP/6-31G*) level of theory. The transition structures are predicted to be relatively concerted and highly asynchronous in all cases. A subsequent bond-order analysis has been carried out at the MP2/6-31G*//B3LYP/6-31G*. The role of the Lewis acid and the origin of the endo selectivity have been discussed in terms of the nature and number of interactions present in the four possible transition structures. The partition of the potential energy barrier has also been used to estimate the contributions of the pure deformation energy and the differential interaction between the reaction partners on passing from the ground state to the saddle point. This analysis reveals that the major influence arises from the heterodiene-dienophile interaction instead of that corresponding to a BF3-dienophile interaction.