+Ciencia: a training program to increase evidence-based science communication and literacy for Hispanic high school and undergraduate students.

Science misinformation represents a significant challenge for the scientific community. Hispanic communities are particularly vulnerable due to language barriers and the lack of accessible information in Spanish. We identified that a key step toward enhancing the accessibility of information for non-native English-speaking communities involves imparting science communication education and training to Hispanic youth. Our goal was to provide them with the skills to become science ambassadors who can effectively engage with their communities and bridge communication gaps. To address this, we developed the first science communication training program in Spanish for Hispanic high school and undergraduate students in Puerto Rico. The program called +Ciencia aims to provide training and education on science communication for Hispanic minorities through experiential and collaborative learning. In the short term, our multifaceted approach works to counter misinformation and promote science literacy within the broader community. Over the long term, our grassroots efforts with students will evolve into a generation of professionals equipped with strong engagement skills and comprehensive training in science communication with a specific focus on Hispanic audiences. Herein, we describe the components of this educational program and provide open access to educational materials and articles developed by three cohorts.

Pharmacokinetics of fluralaner as a systemic drug to control infestations of the common bed bug, Cimex lectularius, in poultry facilities.

BACKGROUND: Bed bug infestations are re-emerging in the poultry industry throughout the USA. Although the impacts of bed bugs on birds' health and welfare are poorly understood, adverse outcomes are expected, including stress, anemia, infections and lower production rates. Worker welfare is also an important consideration in commercial poultry farms. A limited number of insecticides are available for use in the complex spatial environment of commercial farms. Systemic drugs have the potential to overcome the limitations of existing pest management tactics. A recent study showed that fluralaner administered to chickens caused high levels of mortality in bed bugs. METHODS: To further understand the efficacy of this approach, we evaluated the pharmacokinetics of an oral solid formulation of fluralaner in 11 chickens and quantified its plasma concentration in chickens using UPLC/MS. We administered fluralaner to chickens with two doses of Bravecto® (each 0.5 mg/kg body mass) via gavage 1 week apart and evaluated its efficacy on bed bugs that fed on medicated chickens for up to 28 days post-treatment. RESULTS: Bed bugs that fed on fluralaner-treated chickens experienced > 50% mortality within 30 min of the administration of Bravecto and 100% mortality 2 days post-treatment. Mortality slowly declined to 66.6% by day 28. Fluralaner was quantifiable in the hens' plasma for at least 28 days post-treatment. The treatment resulted in maximal plasma concentrations (Cmax) of 106.4 ng/ml around day 9.0 (Tmax), substantially higher than the LC90, the concentration needed to kill 90% of the bed bugs. CONCLUSIONS: Fluralaner appears to be a promising candidate for bed bug control in poultry farms, with a treatment effect lasting at least 28 days.

Spatial distribution of histamine in bed bug-infested homes.

Histamine is a component of the bed bug aggregation pheromone. It was recently identified as an environmental contaminant in homes with active bed bug infestations, posing a potential health risk to humans via skin contact or inhalation. It remains unclear how histamine is distributed in homes and if histamine can become airborne. In the present study, histamine levels in household dust were quantified from multiple locations within bed bug infested and uninfested apartments. Bed bug population levels were quantified using both traps and visual counts. The amount of histamine detected varied significantly with respect to sampling location, with the highest concentration of histamine quantified from bedding material. Infestation severity did not have a significant effect on histamine quantified at any location. Our results indicate that the bedroom should be the primary focus of histamine mitigation efforts, although histamine can be found throughout the home. Histamine quantified from homes without active bed bug infestations suggests that histamine from previous infestations can persist following pest eradication. These findings highlight the importance of histamine as a potential insect allergen and will be important for the development of targeted mitigation strategies of bed bug histamine.

Status of Ecosystem Services in Abandoned Mining Areas in the Iberian Peninsula: Management Proposal.

An abandoned sphalerite mining area in the southwest (SW) of the Iberian Peninsula was studied to evaluate the impact that the presence of metal(loid)s has on soil and ecosystem health. Five zones were delimited: sludge, dump, scrubland, riparian zone, and dehesa. Critical total levels of lead (Pb), zinc (Zn), thallium (Tl), and chromium (Cr), well above the limit indicative of toxicity problems, were found in the areas close to the sources of contamination. Pb-Zn concentrations were very high in the riparian zone, reaching values of 5875 mg/kg Pb and 4570 mg/kg Zn. The whole area is classifiable as extremely contaminated with Tl, with concentrations above 370 mg/kg in the scrubland. Cr accumulation mainly occurred in areas away from the dump, with levels up to 240 mg/kg in the dehesa. In the study area, several plants were found growing luxuriantly despite the contamination. The measured metal(loid)s content is the cause of a significant decrease in ecosystem services, resulting in unsafe soils for food and water production, so the implementation of a decontamination program is advisable. The plant species Retama sphaerocarpa, present in the sludge, scrubland, riparian zone, and dehesa, is postulated as suitable for use in phytoremediation.

Systemic veterinary drugs for control of the common bed bug, Cimex lectularius, in poultry farms.

BACKGROUND: The common bed bug, Cimex lectularius L., is a hematophagous ectoparasite that was a common pest in poultry farms through the 1960s. Dichlorodiphenyltrichloroethane (DDT) and organophosphates eradicated most infestations, but concurrent with their global resurgence as human ectoparasites, infestations of bed bugs have been reappearing in poultry farms. Although the impact of bed bugs on chicken health has not been quantified, frequent biting and blood-feeding are expected to cause stress, infections and even anemia in birds. Bed bug control options are limited due to the sensitive nature of the poultry environment, limited products labeled for bed bug control and resistance of bed bug populations to a broad spectrum of active ingredients. Veterinary drugs are commonly used to control endo- and ectoparasites in animals. In this study, we evaluated the effects of two common veterinary drugs on bed bugs by treating the host with systemic antiparasitic drugs. METHODS: We conducted dose-response studies of ivermectin and fluralaner against several bed bug strains using a membrane feeding system. Also, different doses of these drugs were given to chickens and two delivery methods (topical treatment and ingestion) were used to evaluate the efficacy of ivermectin and fluralaner on bed bug mortality. RESULTS: Using an artificial feeding system, both ivermectin and fluralaner caused high mortality in insecticide-susceptible bed bugs, and fluralaner was found to be effective on pyrethroid- and fipronil-resistant bed bugs. Ivermectin was ineffective in chickens either by the topical treatment or ingestion, whereas bed bugs that fed on chickens which had ingested fluralaner suffered high mortality when feeding on these chickens for up to 28 days post treatment. CONCLUSIONS: These findings suggest that systemic ectoparasitic drugs have great potential for practical use to control bed bug infestations in poultry farms. These findings also demonstrate the efficacy of fluralaner (and potentially other isoxazolines) as a potent new active ingredient for bed bug control.

Threats of metal mining on ecosystem services. Conservation proposals.

We have studied, in a protected area with intense hunting activity, the consequences of the abandonment of facilities and tailings of a metal mine. The area studied has the peculiarity of having a steep slope and containing a water reservoir for irrigation and human consumption. Soil, sludge, vegetation, and water samples were analyzed, in which many metal(loid)s exceeded the generic reference levels (NGR) established for the health of the ecosystem. The concentration of Tl in the soils ranged between 300 and 700 mg kg-1, because of continuous diffuse pollution, produced both by the alteration of sphalerite and the combustion products of a coal-fired power plant near the study area. Soil concentrations of Pb (250-1500 mg kg-1) and Zn (350-700 mg kg-1) from the tailings indicate extreme contamination in the areas adjacent to them and in the reservoir. The contamination affects the water quality of the stream running through the study area, with 64 µg L-1 of Tl and 9.1 µg L-1 of Zn having been detected in the reservoir water. To ensure protection of human and ecosystem health, the following is proposed: (i) soil stabilization for erosion control and reduction of diffuse pollution, (ii) monitoring of soils for agricultural use and water quality, and (iii) study the impact of contamination on wildlife, both hunting and non-game species. Given their capacity to accumulate heavy metals it is proposed to use Cistus ladanifer, Lavandula stoechas and Retama sphaerocarpa as phytoremedial species. The novelty of this research lies in two considerations. First, a proposal for the analysis of environmental compartments as an interconnected and interdependent network in terms of impacts and their repercussions on the ES. Secondly, the application of the model DPSIR, which assumes that anthropogenic activities have an impact on the environment.

Multiple Mechanisms Confer Fipronil Resistance in the German Cockroach: Enhanced Detoxification and Rdl Mutation.

Populations of Blattella germanica (L.) (German cockroach) have been documented worldwide to be resistant to a wide variety of insecticides with multiple modes of action. The phenylpyrazole insecticide fipronil has been used extensively to control German cockroach populations, exclusively in baits, yet the highest reported fipronil resistance is 38-fold in a single population. We evaluated five populations of German cockroaches, collected in 2018-2019 in apartments in North Carolina and assayed in 2019, to determine the status of fipronil resistance in the state. Resistance ratios in field-collected strains ranged from 22.4 to 37.2, indicating little change in fipronil resistance over the past 20 yr. In contrast, resistance to pyrethroids continues to escalate. We also assessed the roles of detoxification enzymes in fipronil resistance with four synergists previously shown to diminish metabolic resistance to various insecticides in German cockroaches-piperonyl butoxide, S,S,S-tributyl phosphorotrithioate, diethyl maleate, and triphenyl phosphate. These enzymes appear to play a variable role in fipronil resistance. We also sequenced a fragment of the Rdl (resistant to dieldrin) gene that encodes a subunit of the GABA receptor. Our findings showed that all field-collected strains are homozygous for a mutation that substitutes serine for an alanine (A302S) in Rdl, and confers low resistance to fipronil. Understanding why cockroaches rapidly evolve high levels of resistance to some insecticides and not others, despite intensive selection pressure, will contribute to more efficacious pest management.

Analysis of the Effects of Melanin Depigmentation on Immunohistochemical Staining.

Heavily pigmented lesions are difficult to evaluate histologically, as melanin obscures cellular details. Several classic laboratory techniques aim to clear melanin and allow evaluation. Most of them are old and appeared before immunohistochemistry (IHC) use. Many laboratories perform IHC with aminoethylcarbazole instead of diaminobenzidine (DAB) in heavily pigmented lesions, as red-stained is easy to interpret despite pigmentation. Nevertheless, many laboratories lack alternatives to DAB. The aim of this study is to compare 6 different tissue bleaching techniques and evaluate which is the best for immunohistochemical staining with DAB. In the present study we have selected a case with gross pigmentation because of the high grade of melanin deposition. We have performed 6 different bleaching techniques and subsequently performed 2 different IHC stains, frequently used in melanoma: SOX10 (nuclear) and Melan-A (cytoplasmic). Five different pathologists, 2 of them with expertise in dermatopathology, have blindly reviewed and scored the staining quality. Our results indicate a high grade of interobserver concordance in the evaluation of IHC results between pathologists. All the bleaching techniques that included a sulfuric acid led to tissue detachment from the slide. The best method for SOX10 was that based in potassium permanganate, with a high quality of staining (4 over 5), while the best method for Melan-A was the 1 based in peroxide hydrogen (4 over 5). We consider this study can be quite useful for those laboratories lacking aminoethylcarbazole for IHC techniques, allowing the use of DAB for IHC of heavily pigmented lesions.

Resistance to Fipronil in the Common Bed Bug (Hemiptera: Cimicidae).

Cimex lectularius L. populations have been documented worldwide to be resistant to pyrethroids and neonicotinoids, insecticides that have been widely used to control bed bugs. There is an urgent need to discover new active ingredients with different modes of action to control bed bug populations. Fipronil, a phenylpyrazole that targets the GABA receptor, has been shown to be highly effective on bed bugs. However, because fipronil shares the same target site with dieldrin, we investigated the potential of fipronil resistance in bed bugs. Resistance ratios in eight North American populations and one European population ranged from 1.4- to >985-fold, with highly resistant populations on both continents. We evaluated metabolic resistance mechanisms mediated by cytochrome P450s, esterases, carboxylesterases, and glutathione S-transferases using synergists and a combination of synergists. All four detoxification enzyme classes play significant but variable roles in bed bug resistance to fipronil. Suppression of P450s and esterases with synergists eliminated resistance to fipronil in highly resistant bed bugs. Target-site insensitivity was evaluated by sequencing a fragment of the Rdl gene to detect the A302S mutation, known to confer resistance to dieldrin and fipronil in other species. All nine populations were homozygous for the wild-type genotype (susceptible phenotype). Highly resistant populations were also highly resistant to deltamethrin, suggesting that metabolic enzymes that are responsible for pyrethroid detoxification might also metabolize fipronil. It is imperative to understand the origins of fipronil resistance in the development or adoption of new active ingredients and implementation of integrated pest management programs.

Behavioral Responses of the Common Bed Bug to Essential Oil Constituents.

Botanical-derived pesticides have arisen as an attractive alternative to synthetic insecticides to effectively manage infestations of bed bugs (Cimex lectularius L.). While information on contact, residual, and fumigant toxicity of plant-essential oils against bed bugs have been recently published, there is a gap of information regarding the repellent activity of these products and their constituents. Identification of essential oil constituents (EOCs) with repellent activity will help develop potentially efficacious essential oil-based formulations for use in bed bug management programs. In this study, we first screened fresh and 24 h-aged residues of geraniol, eugenol, carvacrol, thymol, citronellic acid, linalool, menthone, trans-cinnamaldehyde, α-pinene, ß-pinene, and limonene for avoidance behavior from individual bed bugs with a video-tracking system. Six EOCs, geraniol, eugenol, citronellic acid, thymol, carvacrol, and linalool were further evaluated overnight in choice tests to determine whether 24-h aged residues were still avoided by groups of bed bugs. While bed bugs avoided resting on filter papers treated with 24-h aged residues of geraniol, eugenol, citronellic acid, and carvacrol, bed bugs aggregated in areas treated with linalool-aged residues. Barriers of EOCs did not prevent bed bugs from reaching a warmed blood source and acquiring blood meals. Our results show that novel formulations of natural product insecticides that include geraniol, eugenol, carvacrol, or citronellic acid have potential to repel bed bugs. The presence of host-associated cues might interfere with these responses.

BRIP1, a Gene Potentially Implicated in Familial Colorectal Cancer Type X.

Familial colorectal cancer Type X (FCCTX) comprises a heterogeneous group of families with an increased risk of developing colorectal cancer and other related tumors, but with mismatch repair-proficient, microsatellite-stable (MSS) tumors. Unfortunately, the genetic basis underlying their cancer predisposition remains unknown. Although pathogenic germline variants in BRIP1 increase the risk of developing hereditary ovarian cancer, the involvement of BRIP1 in hereditary colorectal cancer is still not well known. In order to identify new BRIP1 variants associated with inherited colorectal cancer, affected and nonaffected individuals from 18 FCCTX or high-risk MSS colorectal cancer families were evaluated by whole-exome sequencing, and another 62 colorectal cancer patients from FCCTX or high-risk MSS colorectal cancer families were screened by a next-generation sequencing (NGS) multigene panel. The families were recruited at the Genetic Counseling Unit of Hospital Clínico San Carlos of Madrid. A total of three different BRIP1 mutations in three unrelated families were identified. Among them, there were two frameshift variants [c.1702_1703del, p.(Asn568TrpfsTer9) and c.903del, p.(Leu301PhefsTer2)] that result in the truncation of the protein and are thus classified as pathogenic (class 5). The remaining was a missense variant [c.2220G>T, p.(Gln740His)] considered a variant of uncertain significance (class 3). The segregation and loss-of-heterozygosity studies provide evidence linking the two BRIP1 frameshift variants to colorectal cancer risk, with suggestive but not definitive evidence that the third variant may be benign. The results here presented suggest that germline BRIP1 pathogenic variants could be associated with hereditary colorectal cancer predisposition.Prevention Relevance: We suggest that BRIP1 pathogenic germline variants may have a causal role in CRC as moderate cancer susceptibility alleles and be associated with hereditary CRC predisposition. A better understanding of hereditary CRC may provide important clues to disease predisposition and could contribute to molecular diagnostics, improved risk stratification, and targeted therapeutic strategies.

Cytoplasmic Increase in Hsp70 Protein: A Potential New Biomarker of Early Infiltration of Cutaneous Squamous Cell Carcinoma Arising from Actinic Keratosis.

BACKGROUND: Cutaneous squamous skin cell carcinoma (SCC) is the second most frequent type of non-melanoma skin cancer and is the second leading cause of death by skin cancer in Caucasian populations. However, at present it is difficult to predict patients with poor SCC prognosis. OBJECTIVE: To identify proteins with expression levels that could predict SCC infiltration in SCC arising from actinic keratosis (SCC-AK). METHODS: A total of 20 biopsies from 20 different patients were studied; 10 were SCC-AK samples and 10 were taken from normal skin. Early infiltrated SCC-AK samples were selected based on histological examination, and to determine the expression of proteins, fresh skin samples were processed by two-dimensional electrophoresis. RESULTS: The expression levels of three proteins, namely alpha hemoglobin and heat shock proteins 27 and 70 (Hsp27 and Hsp70, respectively) were significantly increased in SCC-AK samples with respect to normal control skin. However, only the expression level of Hsp70 protein positively correlated with the level of SCC-AK dermis infiltration. Immunohistological examination suggested that increased expression of Hsp70 proteins seemed to mainly occur in the cytoplasm of keratinocytes. The increased cytoplasmic Hsp70 expression in SCC-AK was confirmed by Western blot experiments. CONCLUSION: Cytoplasmic expression of Hsp70 could be a potential biomarker of early infiltration of SCC arising from AK.

Low-level light-assisted photodynamic therapy using a wearable cap-like device for the treatment of actinic keratosis of the scalp.

BACKGROUND: Daylight photodynamic therapy (dlPDT) is a painless and increasingly cost-effective treatment for actinic keratosis (AK). New protocols avoid incubation, minimizing pain and adverse events. However, it is time-consuming and dependent on specific weather conditions. In patients with AK of the scalp, we evaluated the efficacy of indoor photodynamic therapy (PDT) using a wearable low-level light therapy (LLLT) device, without pre-incubation with a photosensitizing agent. METHODS: In this pilot study, 27 patients with thin and moderately thick AK (Olsen Grades I-II) underwent a single 15-minute session of LLLT using a wearable cap-like device immediately after application of methyl-aminolevulinate (MAL) cream, with no prior preparation of the affected area. Treatment efficacy was quantified by measuring the reduction in AK lesion number and the AK quality of life (AKQoL) score. All AK lesions were mapped at baseline for follow-up 2 months later. Paired pre/post scalp biopsies from 5 patients were analysed using histological and immunohistochemical techniques (p53, p27, cyclin D1, p63, and Ki67 expression). Data were analysed using the Wilcoxon signed-rank test. RESULTS: In all patients we observed a global reduction in the number of AK lesions (71%; p < 0.0001) and AKQoL score (from 5.6 to 4.4; p = 0.034) 2 months after treatment. Histology and immunohistochemistry of skin biopsies from 5 patients also revealed marked improvements after LLLT. No patients reported any pain during treatment. CONCLUSION: PDT using LLLT is a rapid, painless, and efficacious modality for the treatment of AK.

Effect of Synergists on Deltamethrin Resistance in the Common Bed Bug (Hemiptera: Cimicidae).

The common bed bug, Cimex lectularius L. (Hemiptera: Cimicidae), is an obligate hematophagous insect that has resurged worldwide since the early 2000s. Bed bug control is largely based on the widespread, intensive application of pyrethroid-based insecticide formulations, resulting in the emergence of insecticide-resistant bed bug populations. Insecticide resistance is frequently linked to metabolic detoxification enzymes such as cytochrome monooxygenase (P450s), esterases, glutathione S-tranferase, and carboxylesterase. Therefore, one way to overcome insecticide resistance could be the formulation of insecticides with synergists that counteract metabolic resistance. To test this hypothesis, we evaluated the impact of four synergists-piperonyl butoxide (PBO), diethyl maleate (DEM), S,S,S-tributyl phosphorotrithioate (DEF), and triphenyl phosphate (TPP)-on deltamethrin efficacy in two pyrethroid-resistant bed bug strains. A statistically significant difference in synergism ratios (SR) of a highly resistant field-derived strain (Jersey City, resistance ratio [RR] = 20,000) was noted when any of the four synergists (PBO SR = 20.5; DEM SR = 11.7; DEF SR = 102.3; and TPP SR = 9.7) were used with deltamethrin. In a less deltamethrin-resistant strain, Cincinnati (RR = 3,333), pretreatment with PBO and DEM significantly synergized deltamethrin (PBO SR = 158.8; DEM = 58.8), whereas application of DEF and TPP had no synergistic effect. The synergism data collected strongly suggest that detoxification enzymes play a significant role in the metabolic mechanisms that mediate deltamethrin resistance in bed bugs. The development and use of safe metabolic synergists that suppress detoxification enzymes offers an interesting avenue for the management of insecticide-resistant field populations.

Efectos de una intervención educativa de enfermería basada en el autocuidado, en la prevención de caídas en los adultos mayores institucionalizados / Effects of and educational participation based upon self-care, fall prevention in institutionalized aged

El objetivo de esta investigación cuasiexperimental fue analizar la aplicación de una intervención educativa de enfermería basada en el autocuidado, con la disminución de caídas en los adultos mayores institucionalizados. El universo corresponde aproximadamente a 150 adultos mayores institucionalizados en el Centro de rehabilitación CAPREDENA La Florida, La muestra estuvo constituida por 28 adultos mayores que cumplían con los criterios de selección de : edad 65 años o más, con una capacidad funcional según Katz entre A y F, y sin deterioro severo en su función intelectual, según el Test de Memoria Acortado. La muestra se dividió en dos grupos, un grupo de intervención y un grupo control, cada unos constituido por 14 adultos mayores, efectuando el pareo en función de las caraterísticas del grupo a intervenir. Se aplicó una pauta para valorar los Factores Condicionantes Básicos de Autocuidado. Posteriormente se realizó una intervención educativa dirigida al grupo de intervención, cuyo objetivo fue potenciar las capacidades de autocuidado en relación a la prevención de caídas. Durante 3 meses, se observó y registró el número de caídas producidas en ambos grupos y además se identificaron las condiciones en las cuales se produjo el suceso. El análisis de datos reveló en el grupo control y ninguna en el de intervención. Se compararon las medias del número de caídas ocurridas en ambos grupos (t-student). Estadísticamente no se pudo concluir que la ausencia de caídas en el grupo intervención se deba al efecto de la educación, por lo que se acepta la hipótesis nula

Uso periconcepcional de ácido fólico en la prevención de defectos del tubo neural: conceptos actuales / Periconceptional use of folic acid for the prevention of neural tube defects. current concepts

La frecuencia de defectos del tubo neural (DNT) es alrededor de 1.3 casos por 1000 nacidos vivos. La incidencia más alta se presenta en ciertos grupos étnicos y algunas áreas geográficas. La morbilidad fetal es importante, el tratamiento es oneroso y ofrece una mala calidad de vida. Aún no se sabe exactamente cuál es el mecanismo bioquímico que involucra al ácido fólico en la patogénesis de los DTN. Sin embargo, las concentraciones elevadas de homocisteína y la disminución concomitante de metionina pueden interferir con el cierre del tubo neural. El uso farmacológico de 0.4-4.0 mg/día de ácido fólico reduce el riesgo de ocurrencia de DTN en aproximadamente 40-75 por ciento. Una alta ingesta alimenticia de folatos quizás pueda también reducir la frecuencia del problema

Respuesta inmune peritoneal en endometriosis / Peritoneal immune response in endometriosis

Se presenta el análisis sistemático del estado de inmunidad en el compartimiento peritoneal de mujeres con endometriosis. Se analizaron 25 pacientes que se distribuyeron en los siguientes grupos A. Endometriosis y B. Esterilidad de causa no identificada. En todas las pacientes se capturó líquido peritoneal (LP) durante laparoscopía diagnóstica y de modo simultáneo se tomó muestra de sangre periférica. Ambas muestras fueron procesadas para análisis de subpoblaciones de linfocitos (ASL) por citometría de flujo utilizando anticuerpos monoclonales con reactividad a linfocitos T totales (CD3+), linfocitos B (CD19+), auxiliares/inductores (CD3+CD4+), supresores/citotóxicos (CD3+CD8)n NK (CD3-CD16++56+). El ASL peritoneales de los dos grupos se caracterizó por disminución pronunciada en linfocitos B, disminución moderada de activadores, incremento pronunciado de supresores, relación CD4+/CD8+ alterada en favor de la supresión y disminución de NK al compararlos con su propio compartimiento sanguíneo. Todos los valores anteriores fueron idénticos para los dos grupos y la única diferencia significativa se encontró al comparar la subpoblación de linfocitos T activados que fue menor en los LP de mujeres con endometriosis. Es este el único dato que apoya la existencia de inmunidad alterada en el peritoneo de estas pacientes, que afecta la expresión de linfocitos activados. Sin embargo tomando como criterio el resto de las subpoblaciones, tanto en la endometriosis con en la ECNI el microambiente se inclina a la supresión y no son distinguibles entre sí. Por otro lado, se inició la caracterización de la señal que condiciona la inducción de supresión de activación de linfocitos en el ambiente peritoneal de mujeres con endometriosis. Se analizaron 10 muestras de LP de pacientes utilizando linfocitos periféricos purificados por gradiente de densidad de donadoras voluntarias normales fértiles. Las células fueron cultivadas y estimuladas in vitro con Concanavalina A en presencia de Timidina H. En los pozos experimentales se agrego el LP en concentración dosis-respuesta y se evaluó la diferencia en síntesis de ADN radiactivo contra las células incubadas en ausencia de LP. Fue posible demostrar la presencia de factores asociados al LP de las pacientes con endometriosis que la proliferación de linfocitos estimulados con ConA no así en muestras de ECNI. La existencia de estos factores permite suponer la presencia de señales solubles que condicionan la supresión inmunológica local