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1.
J Immunol Res ; 2019: 8063983, 2019.
Article in English | MEDLINE | ID: mdl-31183392

ABSTRACT

Acute coronary syndrome (ACS) can be triggered by the presence of inflammatory factors which promote the activation of immune cells by costimulatory molecules such as CD40 and its ligand CD40L. Environmental and genetic factors are involved in the etiology of the ACS. The aim of this study was to explore the gene and protein expression associated with CD40 and CD40L genetic variants in ACS patients from the western Mexican population. A total of 620 individuals from western Mexico were recruited: 320 ACS patients and 300 individuals without a history of ischemic cardiopathy were evaluated. The genotype was determined using TaqMan SNP genotyping assays. CD40 and CD40L expressions at the mRNA level were quantified using TaqMan Gene Expression Assays. Soluble protein isoforms were measured by enzyme-linked immunosorbent assay. We did not find evidence of association between CD40 (rs1883832, rs4810485, and rs11086998) and CD40L (rs3092952 and rs3092920) genetic variants and susceptibility to ACS, although rs1883832 and rs4810485 were significantly associated with high sCD40 plasma levels. Plasma levels of sCD40L can be affected by gender and the clinical spectrum of acute coronary syndrome. Our results do not suggest a functional role of CD40 and CD40L genetic variants in ACS. However, they could reflect the inflammatory process and platelet activation in ACS patients, even when they are under pharmacological therapy. Due to the important roles of the CD40-CD40L system in the pathogenesis of ACS, longitudinal studies are required to determine if soluble levels of CD40 and CD40L could be clinically useful markers of a recurrent cardiovascular event after an ACS.


Subject(s)
Acute Coronary Syndrome/genetics , CD40 Antigens/genetics , CD40 Ligand/genetics , Genotype , RNA, Messenger/genetics , Aged , Biomarkers , CD40 Antigens/blood , CD40 Ligand/blood , Female , Gene Frequency , Genetic Association Studies , Genetic Predisposition to Disease , Humans , Male , Middle Aged , Polymorphism, Single Nucleotide , Risk Factors , Transcriptome
2.
Clin Rheumatol ; 37(2): 345-353, 2018 Feb.
Article in English | MEDLINE | ID: mdl-28963582

ABSTRACT

The objective of this study was to determine the association of the CD40LG 3'-UTR (CA)n microsatellite with rheumatoid arthritis (RA) and CD40LG mRNA levels in females from western Mexico. A case-control study with 219 RA patients and 175 control subjects (CS) was conducted. Genotyping was performed by polymerase chain reaction (PCR), X 2 test was used to compare genotype and allele frequencies, and odds ratios and 95% confidence intervals were calculated to evaluate the association between RA and the microsatellite. CD40LG mRNA expression was assessed by real-time quantitative PCR. For comparisons between groups, Kruskal-Wallis or Mann-Whitney U tests for non-parametric data and ANOVA test for parametric data were performed. Among the 13 different alleles identified, CA25 was the most represented (45.4% RA and 46.3% CS). Stratification according to CA repeats as CA25 showed a tendency towards a higher frequency of >CA25 alleles in RA patients (29%) compared to CS (23.4%). There was no association between any genotype and the clinical parameters of RA patients. According to the 2-∆∆Cq method, CD40LG mRNA expression in RA patients was 4.5-fold higher compared to CS; this difference was significant when assessed by the 2-∆Cq method (p = 0.028). Compared to carriers of the CA25/CA25 genotype, CS carrying the CA25/>CA25 carriers. The 3'-UTR CD40LG (CA)n microsatellite is not a genetic marker for RA in western Mexican population; however, results suggest that it plays a role in the CD40LG mRNA expression.


Subject(s)
3' Untranslated Regions , Arthritis, Rheumatoid/diagnosis , CD40 Ligand/genetics , Genetic Markers , Microsatellite Repeats , Adult , Alleles , Arthritis, Rheumatoid/genetics , Case-Control Studies , Female , Gene Frequency , Genetic Association Studies , Genetic Predisposition to Disease , Genotype , Humans , Mexico , Middle Aged , Polymorphism, Single Nucleotide , RNA, Messenger/genetics
3.
Genet Mol Res ; 16(3)2017 Sep 27.
Article in English | MEDLINE | ID: mdl-28973758

ABSTRACT

Acute coronary syndrome (ACS) is considered one of the main causes of death worldwide. Contradictory findings concerning the impact of the angiotensin-converting enzyme (ACE) gene on cardiovascular diseases have been reported. Previous conclusions point out that the variability in results depends on ethnicity and genetic polymorphisms to determine the association of rs4340 polymorphisms of the ACE gene and ACE circulating levels in ACS. Genotyping of rs4340 polymorphisms was performed in a total of 600 individuals from Western Mexico divided into two groups: the ACS and the control group (CG). The polymorphisms were identified by polymerase chain reaction. Serum ACE concentration was determined by enzyme-linked immunosorbent assay. D/D carriers had higher ACE levels than I/I carriers (3.6 vs 2.8 ng/mL, P < 0.0021) in the CG. The D/D genotype of the rs4340 polymorphism is associated with higher ACE concentration levels; however, the polymorphism was not associated with ACS.


Subject(s)
Acute Coronary Syndrome/genetics , Peptidyl-Dipeptidase A/genetics , Polymorphism, Single Nucleotide , Acute Coronary Syndrome/blood , Aged , Case-Control Studies , Female , Genotype , Heterozygote , Humans , Male , Mexico , Middle Aged , Peptidyl-Dipeptidase A/blood
4.
Cytokine ; 95: 88-96, 2017 07.
Article in English | MEDLINE | ID: mdl-28254559

ABSTRACT

Interleukin 10 (IL-10) is an immunomodulatory cytokinethat plays a central rolein the pathogenesis of autoimmune diseases. Different studies consistently show increased IL-10 serum levels in rheumatoid arthritis (RA) and it appears to be caused by genetic variants. Three polymorphisms situated at positions -1082, -819 and -592 of IL10 gene and its major haplotypes have been associated with regulating IL10 promoter activity. In this study, we evaluated whether IL10 haplotypes are associated with mRNA expression and IL-10 serum levels as well as susceptibility to RA in a Western Mexican population. A total of 240 RA patients and 240 control subjects (CS) were included. Genotyping of IL10 polymorphisms was performed by PCR and PCR-RFLP, respectively. IL10 mRNA expression was determined by real-time PCR and IL-10 serum levels were measured using an ELISA kit. IL10 mRNA expression was 50-fold higher in RA patients than CS (p<0.001), while IL-10 serum levels did not show differences between groups. However, high IL-10 serum levels were positively related to a higherseropositivityfor rheumatoid factor (FR) and anti-CCP antibodies (p<0.05). No significant differences between the distribution of haplotype frequencies were observed between both study groups, but GCC haplotype was associated with higher IL-10 serum levels compared with the ACC and ATA haplotypes in RA patients (p<0.05). In addition, patients carrying ATA and GCC haplotypes showed higher mRNA expression than ACC (5.4-fold and 8.8-fold, respectively) and surprisingly, this trend was reversed in the controls, although it was not significant. In conclusion, our findings suggest that IL10 (GCC, ACC, and ATA) haplotypes may not be a susceptibility marker for RA in a population from Western Mexico. Nevertheless, independently of the presence of these variants, there is an aberrant overexpression of IL10 gene in RA, and it may play an important role in the pathogenesis of RA.


Subject(s)
Arthritis, Rheumatoid/genetics , Interleukin-10/genetics , Adult , Aged , Arthritis, Rheumatoid/immunology , Autoantibodies/blood , Case-Control Studies , Female , Gene Frequency , Haplotypes , Humans , Interleukin-10/blood , Male , Middle Aged
5.
Genet Mol Res ; 15(4)2016 Oct 24.
Article in English | MEDLINE | ID: mdl-27813548

ABSTRACT

The CD40 pathway is involved in the development and pathogenesis of autoimmune diseases, including rheumatoid arthritis (RA). Two single nucleotide polymorphisms (SNPs) in the CD40 gene, rs1883832 and rs4810485, are associated with susceptibility to inflammatory and autoimmune diseases and are thought to alter CD40 expression at the mRNA and protein level. This study assessed for the first time the association of these SNPs with RA and CD40 mRNA levels in a western Mexican population. A total of 278 RA patients and 318 control subjects were included. Genotyping was performed by polymerase chain reaction (PCR)-restriction fragment length polymorphism, and CD40 mRNA expression was determined by real-time quantitative PCR. No significant differences in genotype and allele frequencies were identified between the RA patients and controls. When stratified by genotype, these SNPs were not found to be associated with the presence of autoantibodies or the clinical activity of the disease. CD40 mRNA levels were elevated 1.5-fold in RA patients compared to control subjects; however, no clear tendencies were observed following stratification by genotype. These results suggest that the CD40 SNPs rs1883832 and rs4810485 are not RA susceptibility markers in the western Mexican population. Further studies are needed to clarify their roles in CD40 mRNA expression.


Subject(s)
Arthritis, Rheumatoid/genetics , CD40 Antigens/genetics , Genetic Association Studies , Genetic Predisposition to Disease , Adult , Aged , Arthritis, Rheumatoid/pathology , CD40 Antigens/biosynthesis , Female , Gene Expression Regulation , Genotype , Humans , Male , Mexico , Middle Aged , Polymorphism, Single Nucleotide , RNA, Messenger/biosynthesis , RNA, Messenger/genetics
6.
Genet Mol Res ; 13(4): 8561-7, 2014 Feb 13.
Article in English | MEDLINE | ID: mdl-24615093

ABSTRACT

Polymorphisms in the FTO gene are associated with obesity, body mass index, hip circumference, and visceral and subcutaneous fat area. The objective of this study was to analyze the association of the FTO rs17817449 genetic variant (T>G polymorphism) with body fat distribution patterns in women. We included 65 women and 71 healthy subjects in this study. Anthropometric parameters were determined and laboratory studies were performed. The polymorphism was detected by a PCR-RFLP method. The groups were categorized by type of body fat distribution: gynoid (N = 29) and android (N = 36). We found that the FTO gene polymorphism was not associated with body fat distribution according to the type of obesity (P > 0.05). The contribution of G and T alleles among groups indicated no statistically significant differences between the reference and gynoid group [P = 0.93; odds ratio (OR) = 0.97; 95% confidence interval (CI) = 0.46-2.02] and the reference and android group (P = 0.56; OR = 1.20; 95%CI = 0.54-2.82). Thorax circumference and thorax breast circumference were significantly different between the two groups (P = 0.009 and 0.021, respectively) with the genotype TT. We conclude that the FTO rs17817449 TT genotype predisposes individuals to fat deposition in the thoracic and breast region; individuals carrying this genotype had a decrease in thoracic and breast dimensions indirectly causing the gynoid phenotype in Mexican women.


Subject(s)
Adiposity/genetics , Body Fat Distribution , Genetic Association Studies , Polymorphism, Single Nucleotide , Proteins/genetics , Adult , Alleles , Alpha-Ketoglutarate-Dependent Dioxygenase FTO , Case-Control Studies , Female , Gene Frequency , Genotype , Humans , Mexico , Middle Aged , Risk Factors
7.
Hum Immunol ; 75(5): 433-9, 2014 May.
Article in English | MEDLINE | ID: mdl-24530749

ABSTRACT

Macrophage migration inhibitory factor (MIF) is an upstream immunoregulatory cytokine associated with the pathogenesis of autoimmune inflammatory diseases. There is evidence that MIF functions in a positive feedback loop with TNF-α that could perpetuate the inflammatory process in systemic lupus erythematosus (SLE). In this case-control study we investigated whether commonly occurring functional MIF polymorphisms are associated with SLE as well as with MIF and TNF-α serum levels in a Mexican-Mestizo population. Genotyping of the -794 CATT5-8 (rs5844572) and -173 G>C (rs755622) MIF polymorphisms was performed by PCR and PCR-RFLP, respectively in 186 SLE patients and 200 healthy subjects. MIF and TNF-α serum levels were determined by ELISA. A significant increase of MIF and TNF-α levels was found in SLE patients. According to a genetic model, we found a significant association of genotypes carrying the -794 CATT7 and -173(∗)C risk alleles with susceptibility to SLE and with a significant increase of TNF-α. In conclusion, MIF gene polymorphisms are associated with SLE susceptibility and with an increase of TNF-α serum levels in a Mexican-Mestizo population.


Subject(s)
Genetic Predisposition to Disease , Lupus Erythematosus, Systemic/genetics , Macrophage Migration-Inhibitory Factors/genetics , Polymorphism, Single Nucleotide , Adolescent , Adult , Aged , Alleles , Case-Control Studies , Female , Gene Frequency , Genotype , Humans , Lupus Erythematosus, Systemic/blood , Macrophage Migration-Inhibitory Factors/blood , Male , Mexico , Middle Aged , Odds Ratio , Promoter Regions, Genetic , Tumor Necrosis Factor-alpha/blood , Tumor Necrosis Factor-alpha/genetics , Young Adult
8.
Genet Mol Res ; 12(4): 4413-21, 2013 Oct 10.
Article in English | MEDLINE | ID: mdl-24222221

ABSTRACT

Oral anticoagulants of the coumarin type have an inconveniently narrow therapeutic window, making their use difficult. In Mexico, genetic variables that participate in the heterogeneity of the therapeutic response remain poorly investigated. With the focus on warfarin, extensive pharmacogenomic studies have been performed, including those on the CYP450 family and APOE. The objective of this study was to determine the contribution of CYP2C9, CYP2C19, and APOE polymorphisms to the variations in response to the doses of acenocoumarol, which is the main anticoagulant prescribed to the Mexican population. The polymerase chain reaction-restriction fragment length polymorphism method was applied to identify 2 and 3 of CYP2C9, 2 of CYP2C19, and APOE variants. The genetic distribution of every polymorphism tested showed high variability when compared with other populations worldwide. Our results showed statistical differences only in the CYP2C19 gene between the 1 1 and 1 2 groups, with effective acenocoumarol doses of 2.56 ± 1.34 mg/day vs 1.35 ± 0.84 mg/day (P = 0.005), respectively. Multiple regression analysis, including patient age and both the CYP2C9 and CYP2C19 genes, showed that these variables explained more than 20% of the dose variations. This is the first report in Mexico searching for the relationship between CYP450 and APOE polymorphisms and the dose requirements of acenocoumarol. Our results suggest that, in the Mexican population, CYP2C19 is more involved in acenocoumarol metabolism than CYP2C9 and APOE. Besides considering the age factor, pharmacogenetic testing for CYP2C19 2 before initiating acenocoumarol treatment could lead to a safer anticoagulation therapy in Mexican patients.


Subject(s)
Acenocoumarol/pharmacology , Anticoagulants/pharmacology , Apolipoproteins E/genetics , Aryl Hydrocarbon Hydroxylases/genetics , Polymorphism, Single Nucleotide , Acenocoumarol/metabolism , Acenocoumarol/therapeutic use , Adult , Aged , Anticoagulants/metabolism , Anticoagulants/therapeutic use , Cardiovascular Diseases/drug therapy , Cardiovascular Diseases/genetics , Cytochrome P-450 CYP2C19 , Cytochrome P-450 CYP2C9 , Female , Gene Frequency , Genetic Association Studies , Humans , Inactivation, Metabolic , Male , Middle Aged
9.
Genet Mol Res ; 12(3): 2821-8, 2013 Aug 08.
Article in English | MEDLINE | ID: mdl-24065638

ABSTRACT

Recombination patterns can be indirectly inferred by means of linkage disequilibrium (LD) estimates, since LD is negatively correlated with genetic distance. However, LD does not necessarily have absolute correspondence with genetic distance. We estimated LD at 5 loci located in the 21q22.3 region. These STRs (D21S1440, D21S168, D21S1260, D21S1446, and D21S1411) covered 8.81 Mb of the 21q22.3 region. They were genotyped by conventional PCR. Similar size samples previously validated by sequencing were used as a genotyping control. Three hundred and sixty-nine individuals (62 families) living in Guadalajara, Mexico, were included. As an inclusion criterion, each family had a positive paternity test by autosomal markers for the CODIS core loci. Two hundred and thirty phase known haplotypes were identified by familial segregation. Only those haplotypes whose frequency was higher than 4% were taken into account for LD estimation, expressed as Lewontin's D' coefficient and Bonferroni's correction P values. For all 5 loci, the genetic distributions were in agreement with Hardy-Weinberg expectations. Heterozygosity and haplotype diversity were ≥ 0.69 and 99.58%, respectively. D21S1440-D21S168 (4.51 cM) and D21S1446-D21S1411 (4.58 cM) marker haplotype frequencies were significantly different from those expected by random distribution. The remaining haplotypes, including those with minimal inter-distance (D21S1260-D21S1446, 1.44 Mb), did not show LD. The 5 STRs at the 21q22.3 region in this Mexican population showed a non-homogeneous LD pattern, which demonstrates that recombination or linkage should not be assumed solely on the basis of genetic distance.


Subject(s)
Down Syndrome/genetics , Linkage Disequilibrium , Microsatellite Repeats/genetics , Recombination, Genetic , Alleles , Chromosome Mapping , Genotype , Haplotypes/genetics , Heterozygote , Humans , Mexico , Polymorphism, Single Nucleotide/genetics , Regression Analysis
10.
Cytokine ; 61(3): 759-65, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23402792

ABSTRACT

Macrophage migration inhibitory factor (MIF) is an upstream pro-inflammatory cytokine that is associated with the pathogenesis of autoimmune inflammatory diseases including rheumatoid arthritis (RA). Two polymorphisms in the upstream region exist in the MIF gene and are associated with RA susceptibility or severity in different populations. In this case-control study, we investigated whether MIF polymorphisms are associated with RA susceptibility or activity in a western Mexican population .The relationship of MIF levels with clinical features of disease also was assessed. Genotyping of the -794 CATT5-8 (rs5844572) and the -173 G>C (rs755622) polymorphisms was performed by PCR and PCR-RFLP respectively on 226 RA patients and 210 healthy subjects. Serum MIF levels were determined by ELISA. We found a significant association between the -794 CATT5-8 6,7 MIF genotype with RA. Moreover, we detected an association between the -794 CATT7 allele with early onset RA. The -794 CATT7 and -173(*)C alleles, which are in linkage disequilibrium, were associated with high disease activity on RA patients. A positive correlation between circulating MIF levels and C-reactive protein, erythrocyte sedimentation rate, rheumatoid factor, anti-citrullinated protein/peptides antibodies and TNFα was detected. MIF levels appear to be associated with disease progression rather than disease activity, which is distinct from the established relationship between disease activity and TNFα levels. In conclusion, the MIF gene and protein are associated with RA in a western Mexican population, with a main contribution onto early onset and early stages of disease.


Subject(s)
Arthritis, Rheumatoid/genetics , Genetic Association Studies , Genetic Predisposition to Disease , Intramolecular Oxidoreductases/genetics , Macrophage Migration-Inhibitory Factors/genetics , Adolescent , Adult , Age of Onset , Aged , Aged, 80 and over , Arthritis, Rheumatoid/blood , Case-Control Studies , Female , Gene Frequency/genetics , Haplotypes/genetics , Humans , Intramolecular Oxidoreductases/blood , Macrophage Migration-Inhibitory Factors/blood , Male , Middle Aged , Polymorphism, Single Nucleotide/genetics , Promoter Regions, Genetic/genetics , Tumor Necrosis Factor-alpha/blood , Young Adult
11.
Rheumatol Int ; 30(5): 655-9, 2010 Mar.
Article in English | MEDLINE | ID: mdl-19582456

ABSTRACT

Tumor necrosis factor-alpha (TNF-alpha) plays a central role in inflammation, and it has been directly implicated in the pathogenesis of rheumatoid arthritis (RA). TNF-alpha activity is mediated through TNFRI and TNFRII cell surface receptors, which act as physiological attenuators of TNF-alpha activity. We recruited 190 RA patients and 190 healthy subjects (HS) in order to associate the -383A>C TNFRI polymorphism with sTNFRI levels and DAS28 score in RA. In results, sTNFRI levels were higher in RA patients than HS (P = 0.04). The -383A>C TNFRI polymorphism did not show significant differences in both studied groups. However, in the RA group the sTNFRI levels were significantly elevated (P = 0.004) in A/A genotype carriers. In addition, the A/A genotype carriers had the higher DAS28 score than A/C genotype (P = 0.02). These data suggest that -383A>C TNFRI polymorphism is not a susceptibility marker in RA, whereas the increased levels of sTNFRI could reflect the clinical activity in RA patients.


Subject(s)
Arthritis, Rheumatoid/genetics , Polymorphism, Genetic , Receptors, Tumor Necrosis Factor, Type I/genetics , Adult , Aged , Aged, 80 and over , Arthritis, Rheumatoid/diagnosis , Arthritis, Rheumatoid/ethnology , Arthritis, Rheumatoid/immunology , Biomarkers/blood , Case-Control Studies , Female , Gene Frequency , Genetic Association Studies , Genetic Predisposition to Disease , Humans , Male , Mexico/epidemiology , Middle Aged , Phenotype , Receptors, Tumor Necrosis Factor, Type I/blood , Risk Assessment , Risk Factors , Severity of Illness Index , Young Adult
12.
Scand J Rheumatol ; 38(5): 332-5, 2009.
Article in English | MEDLINE | ID: mdl-19579138

ABSTRACT

OBJECTIVE: To measure levels of soluble tumour necrosis factor alpha (TNFalpha) receptor type I (sTNFRI) and type II (sTNFRII) in order to correlate them with C-reactive protein (CRP), rheumatoid factor (RF), erythrocyte sedimentation rate (ESR), and disease activity score (DAS28) in RA patients. METHODS: We recruited 41 RA patients classified according to American College of Rheumatology (ACR) criteria and 38 healthy subjects (HS). sTNFRI and sTNFRII were measured using an enzyme-linked immunosorbent assay (ELISA) kit. Clinical activity in RA patients was evaluated using the Disease Activity Score using 28 joint counts (DAS28). The statistical analysis was realized using SPSS version 10.0. RESULTS: Soluble TNFRI and TNFRII levels were higher in RA patients (p = 0.04 and 0.001, respectively) than HS. Serum levels of sTNFRI correlated with sTNFRII (r = 0.699, p < 0.0001). sTNFRII correlated with DAS28 (r = 0.375, p = 0.017), RF (r = 0.505, p = 0.004), and ESR (r = 0.323, p = 0.042). CONCLUSION: The increased levels of both sTNFRI and sTNFRII suggest a secondary event related to the inflammatory state observed in RA, whereas the correlation of sTNFRII with RF, ESR, and DAS28 reflects the preferential TNFRII shedding induced by TNFalpha. sTNFRII may be useful as an additional inflammatory marker in RA.


Subject(s)
Arthritis, Rheumatoid/blood , Receptors, Tumor Necrosis Factor, Type II/blood , Receptors, Tumor Necrosis Factor, Type I/blood , Severity of Illness Index , Adult , Biomarkers/blood , Blood Sedimentation , C-Reactive Protein/metabolism , Case-Control Studies , Enzyme-Linked Immunosorbent Assay , Female , Humans , Male , Middle Aged , Rheumatoid Factor/blood
13.
Bipolar Disord ; 10(3): 400-12, 2008 May.
Article in English | MEDLINE | ID: mdl-18402628

ABSTRACT

OBJECTIVE: The Mood Disorder Questionnaire (MDQ) is an instrument for the detection of patients with bipolar disorder (BD). The original English version is validated in both the psychiatric and the general population, but a validated Spanish version is not yet available. Psychometric properties of the Spanish adaptation of the MDQ in psychiatry are described. METHODS: The MDQ is a self-administered questionnaire comprising a list of 13 hypomanic symptoms and two questions about concurrence of symptoms and functional impairment caused by the symptoms. We selected patients from 15 psychiatric outpatient departments, diagnosed with BD type I and II (BDI and BDII) and major depression (MD) according to DSM-IV-TR criteria (concurrent validity instrument). A control group of healthy subjects (HS) was selected. The patient-selection criteria included stability of the disorder and pharmacological treatment. The MDQ was administered to 236 subjects, distributed among the four groups, on two occasions, four weeks apart. We analysed the internal consistency, test-retest reliability, and discriminative capacity of the MDQ for the detection of patients with BD. RESULTS: Concurrent validity based on diagnosis according to DSM-IV-TR was 0.83. The internal consistency, evaluated by Cronbach's alpha, was 0.90. The mean (SD) number of affirmative responses by group was: 9.8 (2.4) for BDI, 8.5 (2.8) for BDII, 2.7 (2.2) for MD, and 1.02 (1.9) for HS. Statistically significant differences between all the groups were found (Kruskal-Wallis test, p < 0.001). Concurrent validity using the diagnostic variable was 0.83. Test-retest reliability was 0.92. We analysed the scale's discriminative capacity, revealing a sensitivity value of 0.60 [95% confidence interval (CI) = 0.51-0.69] and a specificity value of 0.98 (95% CI = 0.94-0.99) in the detection of BD. The positive and negative probability ratios were 35.5 and 2.4, respectively. If we consider only seven positive responses as the discriminative criterion, sensitivity increases to 0.81 (95% CI = 0.73-0.88), the specificity value is 0.95 (95% CI = 0.89-0.98) and the positive and negative probability quotients are 16 and 5.3. CONCLUSIONS: The psychometric characteristics of the Spanish version are similar to those of the original version. In the Spanish adaptation of the MDQ, seven positive responses to hypomanic symptoms show a good discriminative capacity for BD in patients attending psychiatric outpatient facilities; therefore, this cut-off score is proposed for the detection of BD in psychiatric outpatients.


Subject(s)
Bipolar Disorder/diagnosis , Psychiatric Status Rating Scales/standards , Surveys and Questionnaires , Translations , Adolescent , Adult , Aged , Bipolar Disorder/classification , Factor Analysis, Statistical , Humans , Middle Aged , Psychiatric Status Rating Scales/statistics & numerical data , ROC Curve , Reproducibility of Results , Sensitivity and Specificity , Spain/epidemiology
14.
Trends Ecol Evol ; 16(2): 89-94, 2001 Feb 01.
Article in English | MEDLINE | ID: mdl-11165707

ABSTRACT

New studies are showing that the El Niño Southern Oscillation (ENSO) has major implications for the functioning of different ecosystems, ranging from deserts to tropical rain forests. ENSO-induced pulses of enhanced plant productivity can cascade upward through the food web invoking unforeseen feedbacks, and can cause open dryland ecosystems to shift to permanent woodlands. These insights suggest that the predicted change in extreme climatic events resulting from global warming could profoundly alter biodiversity and ecosystem functioning in many regions of the world. Our increasing ability to predict El Niño effects can be used to enhance management strategies for the restoration of degraded ecosystems.

17.
Oecologia ; 109(3): 398-406, 1997 Feb.
Article in English | MEDLINE | ID: mdl-28307537

ABSTRACT

We monitored the cover and seed bank response of shrubs, perennial herbs, and ephemeral plants to experimental exclusion of both the principal rodent herbivore, Octodon degus, and its vertebrate predators from 1989 to 1994 in a semiarid Chilean mediterranean site. Although both richness and species composition of the plant community at the study site were largely determined by abiotic factors (mainly rainfall and soil nutrients), predator and herbivore exclusion had significant effects on the relative abundance of several plant species. Experimental exclusion of herbivores was associated with increased cover of some shrubs and a perennial grass, and decreased cover and seed densities of several ephemerals, especially those exotic or restricted to areas underneath shrubs. Herbivores apparently reduced shrubs through browsing and indirectly affected herb cover and seed densities by opening up areas under shrubs and/or modifying physical and chemical conditions of the soil. Plant responses to predator exclusion were less clear. Nevertheless, higher cover of some shrubs and ephemerals in the presence of predators suggests tritrophic effects through changes in small mammal densities and/or foraging behavior.

18.
Rev Gastroenterol Mex ; 61(3): 178-83, 1996.
Article in Spanish | MEDLINE | ID: mdl-9102738

ABSTRACT

BACKGROUND: Almost all colorectal cancers develop from adenomatous polyp, its detection and resection prevent the malignization. Several adenoma characteristics like: number, size, morphology, histologic type and grade of dysplasia have become considered as malignization risk factors. AIMS: This study was designed to determine the frequency of colorectal adenoma and the principal risk factors for malignization. METHODS: Between June of 1989 and July of 1994, 846 colonoscopies were performed and retrospectively analyzed in the same number of patients. The patients with colorectal polyps were chosen for the analysis of this study as well all the polyps characteristics, to determine the risk factors for malignization. RESULTS: There were 183 patients (21.6%) with 322 colorectal polyps. Of all of them, only 214 (66.4%) underwent colonoscopy snare resection and were studied; 120 (57%) were neoplastic polyps and 94 (43%) non neoplastic; among those neoplastic polyps, 100 (83.4%) were tubular adenomas, 11 (9.1%) were tubulovillous adenomas, and 9 (7.5%) were villous adenomas. We found 16 (7.4%) polyps with adenocarcinoma, 14 (87.5%) were found in patients older than 50 years of age and in polyps larger than 1 cm in diameter (p 0.040). Eleven (68.7%) were sessiles (p 0.001). CONCLUSIONS: After the evaluation of polyps, the tubular adenomas were the neoplastic polyps more frequently found. In this particular study, the patient age, polyp size and morphology were the more statistically significant risk factors for malignization in our patient group.


Subject(s)
Adenoma/pathology , Colonic Neoplasms/pathology , Colonic Polyps/pathology , Adenoma/epidemiology , Adult , Aged , Aged, 80 and over , Cell Transformation, Neoplastic , Colonic Neoplasms/epidemiology , Female , Humans , Male , Middle Aged , Retrospective Studies , Risk Factors
19.
Biotherapy ; 7(1): 27-37, 1993.
Article in English | MEDLINE | ID: mdl-8068482

ABSTRACT

Twenty patients meeting DSM-III criteria for Schizophrenic Disorder, Paranoid Type were studied. After a 30 day drug-free period the patients were randomized in two groups. During a year, patients in Group 1 received intramuscular injections of a placebo while Group 2 received recombinant IFN alpha-2b. Both groups took anti-psychotic medication (APM) as needed on an individual basis, depending on their psychiatric symptomatology. Double blind evaluations, were performed at the beginning and at the end of the trial, using the Brief Psychiatric Rating Scale (BPRS) and the Reyes Scale for Social Evolution (RSSE). Information about relapses was gathered such as months without relapse, number and duration of the relapses and maximum dosages of APM given for relapse control. The statistical analysis of the results was performed with a matched pairs sign or Student's t tests for comparisons of each group before and after treatment. Groups were compared between them using the Fisher's exact test for frequencies and Student's t test for continuous variables. In Group 1: only one patient improved on the BPRS score; two had improved ratings on the RSSE; 2 patients got worse; and there were no changes in the rest of the group; three patients had no relapses and one increased in relapse frequency. These changes were not significant. The rate of relapses per year and their duration were not significantly modified in Group 1. The maximum dose of APM required for their relapse control was larger than before treatment although not significantly. All these patients required continuous APM. In Group 2 (IFN treated): 6 patients had improved BPRS scores (N = 6, K = 6, p < 0.01) and 5 improved their RSSE scores (n = 5, K = 5, p < 0.05). In 5 patients there were no relapses on their frequency decreased. There was significant reduction in the duration of the relapses (37.8 +/- 14.6 to 20.7 +/- 12.5 days; t = 4.83; d.f. = 9; p = 0.0009) after treatment. Only 3 patients in Group 2 needed continuous APM after a relapse and the maximum dose required for control was significantly less (1281 +/- 527 to 687 +/- 552 chlorpromazine-equivalent mg. per day; t = 5.56, p < 0.001). Comparisons between groups showed advantage for the IFN treated group in the BPRS change, proportion of patients needing continuous APM and integral evaluation. These results indicate that alpha IFN may be useful in the treatment of Schizophrenic Disorder, Paranoid Type.


Subject(s)
Interferon-alpha/therapeutic use , Schizophrenia, Paranoid/drug therapy , Adult , Double-Blind Method , Female , Humans , Injections, Intramuscular , Interferon alpha-2 , Interferon-alpha/adverse effects , Male , Psychiatric Status Rating Scales , Recombinant Proteins
20.
Oecologia ; 94(2): 153-158, 1993 May.
Article in English | MEDLINE | ID: mdl-28314026

ABSTRACT

The effects of vertebrate predation have been monitored since 1989 on 16 replicated 0.56 ha study plots in a semiarid thorn scrub community in north-central Chile. Using fences of different heights with and without holes and suspended game netting to alter principal predator (foxes and raptors) and large rodent herbivore (Octodon degus) access, four grids each have been assigned to the following treatments: 1) low fencing and holes allowing free access of predators and small mammals; 2) low fencing without holes to exclude degus only; 3) high fencing and netting with holes to exclude predators only; and 4) high fencing and netting without holes to exclude predators and degus. Small mammal population censuses are conducted monthly using mark-recapture techniques. Degu population trends during 1989 and 1990 showed strongly but nonsignificantly lower numbers in control plots during months when densities were characteristically low (September-November) for this seasonally reproductive species; since March 1991, differences have become persistent and increasingly significant. Predators appear to have greater numerical effects when their prey populations are low. Survival times of degus, particularly established adults, were significantly longer in predator exclusion grids during the 2 1/2 years of observation; thus, predation also affects prey population structure.

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