Bactericera tremblayi (Wagner, 1961) (Hemiptera: Triozidae): The Prevalent Psyllid Species in Leek Fields of Northwestern Spain.

Bactericera tremblayi (Wagner, 1961) (Hemiptera: Triozidae), the onion and leek psyllid, belongs to the Bactericera nigricornis Förster complex, along with B. trigonica and B. nigricornis. In contrast to the other two species, there has been a notable absence of studies examining the distribution and seasonal occurrence of B. tremblayi, despite its association with significant issues in leek crops. Surveys were conducted between 2017 and 2020 in the main leek-growing area of Castile and Leon (Spain). An extensive survey encompassing 29 distinct plots was monitored with sweep nets and visual inspection, counting plants with immature forms at three times in the crop cycle. Additionally, a total of seven seasonal monitoring surveys were conducted in the same area of study. Plots were monitored every ten days, employing three distinct sampling methods including horizontal green tile water traps, sweep nets, and visual inspection, counting the juvenile stages by plant. The results revealed that B. tremblayi predominated as the primary species of jumping plant-lice in leek crops throughout the entire crop cycle. To date, there exists no documented incidence of pathogenic agents within symptomatic leeks. Consequently, the manifestation of severe symptoms is highly likely to be a direct consequence of the feeding activity of the onion psyllid. Populations of B. tremblayi were present in leek crops from May-July to harvest (September-November). Adults were captured in horizontal green water traps several days before they were found in sweep net samples, making the former effective in capturing early immigrant individuals. The maximum peaks of B. tremblayi were observed at the end of the crop cycle, particularly during late-season cycles characterized by lower mean temperatures. During observations made in a controlled environment, temperature exerted a significant influence on the developmental time of all stages of B. tremblayi. The complete development from egg to adult occurred within a temperature range of 15 to 25 °C. At 30 °C, the survival of eggs and N1 nymphs was limited and B. tremblayi did not complete its developmental cycle. The optimum temperature for the development of B. tremblayi provided by the models used was close to 24 °C with the application of Briere, Taylor, and Lactin models and around 21 °C with the SSI model. These results provided a good adjustment in predicting the survival patterns of B. tremblayi under the studied environmental conditions.

Survey of Candidatus Liberibacter Solanacearum and Its Associated Vectors in Potato Crop in Spain.

'Candidatus Liberibacter solanacearum' (CaLsol), the etiological agent of potato zebra chip (ZC), is transmitted to potato plants by the psyllid Bactericera cockerelli (Sulc, 1909) in North and Central America and New Zealand. The risk of the dispersion of ZC in Spain depends on the presence of an efficient vector. This work studies the presence and abundance of ZC symptoms and CaLsol in potato plants, as well as the presence and abundance of psyllid species associated with potato crops in the main producing areas in Spain. Eighty-eight plots were surveyed punctually to detect ZC symptoms and psyllid species in the main potato-producing areas. Furthermore, fourteen potato plots were surveyed by different sampling methods during the cropping season to detect psyllid species from 2016 to 2018. Very few symptomatic and CaLsol-positive plants were detected in Mainland Spain, and any positive plant was detected in the Canary Islands. Most of the adult psyllids captured were identified as Bactericera nigricornis (Foerster, 1848), and some of them as Bactericera trigonica, but no B. cockerelli was detected. B. nigricornis was found widely distributed in the northern half of the Iberian Peninsula; however, this psyllid does not seem sufficient to pose a threat to potato production, due to the scarce number of specimens and because the frequency of B. nigricornis specimens that were CaLsol+ was very low.

Regulatory risks associated with bacteria as biostimulants and biofertilizers in the frame of the European Regulation (EU) 2019/1009.

Agriculture represents an important mechanism for the reduction in plant, animal and microbial biodiversity and the alteration of the environment. The high pressure to cope with increasing demands of food for the human population intensifies the environmental impact and requires alternative ways to produce more food and to minimize the decrease in biodiversity. The use of biostimulants and biofertilizers could represent one of such alternatives. However, we need to guarantee that their use does not result in a greater damage for human health and for the environment. The European authorities try to protect humans, plants, animals and the environment by developing the recent European Regulation (EU) 2019/1009 on biostimulants. In the present study, we discuss the taxonomic approach of the EU to limit the use of microorganisms as biostimulants. We also propose an alternative method to evaluate the safety of microorganisms that are used as biostimulants and biofertilizers. That is, we suggest the use of panels of bioassays on model organisms and potential improvements on this system to evaluate the risks associated with the use of microorganisms as biostimulants and biofertilizers.

Genome Sequence of Leucobacter sp. 4J7B1, a Plant-Osmoprotectant Soil Microorganism.

We report the first genome sequence for Leucobacter sp. 4J7B1, a newly described desiccation-tolerant strain. The complete genome sequence of Leucobacter sp. 4J7B1 has been sequenced and is estimated to be around 3.5 Mb in size, with an average GC content of 62.18%. We predict 2,953 protein-coding sequences.

By-product of Lavandula latifolia essential oil distillation as source of antioxidants.

The objective of this work was to evaluate the antioxidant properties of Lavandula latifolia waste obtained after essential oil distillation. Samples of 12 wild populations of the Lavandula genus collected between 2009 and 2010 were hydrodistilled and their by-products were analyzed using the Folin-Ciocalteu, free radical scavenging activity (2,2-diphenyl-1-picrylhydrazyl), and the ferric reducing antioxidant power (FRAP) methods. Rosmarinic acid, apigenin, and luteolin contents were analyzed by high-performance liquid chromatography-diode array detection. The mean of total phenolic content ranged from 1.89 ± 0.09 mg gallic acid equivalents/g dry weight to 3.54 ± 0.22 mg gallic acid equivalents/g dry weight. The average value of the half maximal effective concentration (EC50) for scavenging activity ranged from 5.09 ± 0.17 mg/mL to 14.30 ± 1.90 mg/mL and the variability of the EC50 in FRAP ranged from 3.72 ± 0.12 mg/mL to 18.55 ± 0.77 mg/mL. Annual variation was found among this samples and the environmental conditions of 2009 were found to be more favorable. The plants collected from Sedano showed the highest antioxidant power. Our results show that rosmarinic acid and apigenin in L. latifolia contributed to the antioxidant properties of the waste. In conclusion, the by-product of the distillation industry could be valorizing as a source of natural antioxidants.

Genome Sequence of Arthrobacter siccitolerans 4J27, a Xeroprotectant-Producing Desiccation-Tolerant Microorganism.

We report the first genome sequence for Arthrobacter siccitolerans 4J27, a newly described desiccation-tolerant species. The complete genome of A. siccitolerans 4J27 has been sequenced and is estimated to be around 5.3 Mb in size, with an average GC content of 65.13%. We predict 4,480 protein-coding sequences (CDSs).

Arthrobacter siccitolerans sp. nov., a highly desiccation-tolerant, xeroprotectant-producing strain isolated from dry soil.

A novel desiccation-tolerant, xeroprotectant-producing bacterium, designated strain 4J27(T), was isolated from a Nerium oleander rhizosphere subjected to seasonal drought in Granada, Spain. Phylogenetic analysis based on 16S rRNA gene sequencing placed the isolate within the genus Arthrobacter, its closest relative being Arthrobacter phenanthrenivorans Shep3 DSM 18606(T), with which it showed 99.23 % 16S rRNA gene sequence similarity. DNA-DNA hybridization measurements showed less than 25 % relatedness between strain 4J27(T) and Arthrobacter phenanthrenivorans DSM 18606(T). The DNA base composition of strain 4J27(T) was 65.3 mol%. The main fatty acids were anteiso C15 : 0, anteiso C17 : 0, C16 : 0 and iso C16 : 0 and the major menaquinone was MK-9 (H2). The peptidoglycan type was A3α with an l-Lys-l-Ser-l-Thr-l-Ala interpeptide bridge. The bacterium tested positive for catalase activity and negative for oxidase activity. Phylogenetic, chemotaxonomic and phenotypic analyses indicated that the desiccation-tolerant strain 4J27(T) represents a novel species within the genus Arthrobacter, for which the name Arthrobacter siccitolerans is proposed. The type strain is 4J27(T) ( = CECT 8257(T) = LMG 27359(T)).

Persistent organic pollutants (POPs) in sediments from fishing grounds in the NW Mediterranean: ecotoxicological implications for the benthic fish Solea sp.

Sediment polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), organochlorinated pesticides (OCls) and polybrominated diphenyl ethers (PBDEs) were measured during winter 2011 at seven sites on the Catalan coast (NW Mediterranean). Also at these sites, the benthic fish Solea solea and Solea senegalensis were fished for biomarker analysis. Chemical concentrations did not exceed the values considered safe by sediment quality guidelines (SQGs) for PAHs. However, levels of DDT (94.5 ng/g d.w.) and PCBs (15.1 ng/g d.w.) were significant in the Ebre Delta. Nonspecific immune parameters in S. solea showed a positive correlation between lysozyme activity in plasma and PAH content in sediment (r=0.982, p<0.01) and the opposite trend occurred with the complement test (ACH50) (r=-0.837; p<0.05). Cell counts (monocytes, lymphocytes and granulocytes) were elevated at most PAH-affected sites. A high concentration of bile FACs (fluorescent aromatic compounds) occurred at the northern station.

Optimización del método captación del radical 2, 2-difenil-1-picrilhidrazilo (DPPH) para evaluar actividad antioxidante en bebida de café / Optimization of the DPPH method to evaluate antioxidant activity of coffee brew

El café es una de las bebidas más consumidas en el mundo siendo apreciado por sus características organolépticas y más recientemente por su potencial efecto beneficioso en la salud humana. Se han descrito compuestos en el café que le confieren propiedades antioxidantes. La actividad antioxidante puede ser medida con diferentes test y el método de captura del radical DPPH es un método utilizado por numerosos autores que han ido realizando adaptaciones del mismo para evaluar diversos alimentos (frutas, zumos, café, verduras).El objetivo de este estudio es evaluar la capacidad antioxidante del café mediante una optimización del ensayo DPPH en condiciones normales de consumo, empleando tres tipos de cafetera (filtro, expreso e italiana), comparado con cafés de distintos orígenes (Colombia, Kenia y Etiopía) y café descafeinado. Los resultados de la optimización del ensayo muestran valores de absorbancias inferiores (0,709) cuando la muestra es sometida a la etapa de centrifugación (modificación de Delgado-Andrade, 2005) respecto a aquellas que son sometidas solo a agitación (1,609). Los datos de actividad antioxidante obtenidos muestran una elevada capacidad antioxidante con porcentajes de inhibición superior a 50 % destacando el café Colombia, Etiopía y Kenia elaborados con cafetera de filtro con valores de 70,56%, 73,52% y 73,65% respectivamente. En conclusión, según los resultados obtenidos, vemos la necesidad de adaptar los métodos establecidos de captura de radicales a las características del alimento o producto evaluado para asegurar al 100% la actividad antioxidante del alimento. La actividad antioxidante de la bebida de café no varía en función de la procedencia del café ni del contenido de cafeína que presenta. Por otro lado, en nuestro estudio, sólo observamos diferencias de actividad antioxidante del café referidas al tipo de cafetera, donde el café elaborado mediante la cafetera tipo expreso presenta menor actividad antioxidante (p<0,05) que los otros dos procedimientos. Sería por ello interesante recomendar el uso de cafeteras (filtro e italiana) para la obtención de café y conseguir un buen aporte de antioxidantes dietéticos (AU)

Coffee is one of the most consumed beverages in the world, being appreciated for its organoleptic characteristics and more recently for its potential beneficial effects on human health. Coffee is also known to be a rich source of compounds with potent antioxidant activity. The antioxidant activity can be measured with different test and method of capture radical DPPH, is a method used by many authors that have been carried out to assess adaptation in various foods (fruits, juices, coffee, vegetables).This study aim to evaluate the antioxidant capacity, by the DPPH assay, of coffee brew prepared in three commonly used ways (filter, espresso, italian) from different countries of origin (Colombia, Kenya and Ethiopia) and decaffeinated coffee. The optimization results of the test show lower values of absorbance (0.709) when the sample is subjected to centrifugation step (modification to Delgado-Andrade, 2005) with respect to only those that are subjected to agitation (1.609). The antioxidant activity data obtained show a high antioxidant capacity with inhibition percentages above 50%, with the coffee Colombia, Ethiopia and Kenya coffee filter made with values 70.56%, 73.52% and 73.65% respectively. In conclusion, according to the results, we see the need to adapt the methods set out radical capture the characteristics of the food or product evaluated to ensure 100% food antioxidant activity. The antioxidant activity of coffee drinking from different origins is similar and does not vary depending on the presence or absence of caffeine. Moreover, we observed only differences antioxidant activity relating to the type procedure, where coffee type "espresso" has less antioxidant activity (p<0.05) than the other two procedures. It would be interesting therefore recommend the use of the procedures (filter and Italian) for the obtaining of coffee and get a good intake of dietary antioxidants (AU)

Xeroprotectants for the stabilization of biomaterials.

With the advancement of science and technology, it is crucial to have effective preservation methods for the stable long-term storage of biological material (biomaterials). As an alternative to cryopreservation, various techniques have been developed, which are based on the survival mechanism of anhydrobiotic organisms. In this sense, it has been found that the synthesis of xeroprotectants can effectively stabilize biomaterials in a dry state. The most widely studied xeroprotectant is trehalose, which has excellent properties for the stabilization of certain proteins, bacteria, and biological membranes. There have also been attempts to apply trehalose to the stabilization of eukaryotic cells but without conclusive results. Consequently, a xeroprotectant or method that is useful for the stable drying of a particular biomaterial might not necessarily be suitable for another one. This article provides an overview of recent advances in the use of new techniques to stabilize biomaterials and compare xeroprotectants with other more standard methods.

Influence of spike lavender (Lavandula latifolia Med.) essential oil in the quality, stability and composition of soybean oil during microwave heating.

Lipids oxidation is one of the main factors leading to quality losses in foods. Its prevention or delay could be obtained by the addition of antioxidants. In this sense the present work intend to monitor the protective effects of Lavandula latifolia essential oil during soybean oil microwave heating. To achieve the proposed goal quality parameters (free acidity, peroxide value, specific coefficients of extinction and ΔK), fatty acids profile, tocopherols and tocotrienols composition, antioxidant activity and oxidative stability were evaluated in soybean oil with and without spike lavender essential oils (EO) submitted to different microwave heating exposure times (1, 3, 5, 10 and 15 min; 1000 Watt) with a standard domestic microwave equipment. Microwave heating induced severe quality and composition losses, mainly above 3 min of microwave heating, regardless the sample tested. However, spike lavender EO addition counteracts the oxidation comparatively to control oils, by presenting enhanced values in quality parameters. A higher protection in unsaturated fatty acids loss was also observed as well as a higher antioxidant activity and oxidative stability. The microwave heating effects were clearly different in the samples with essential oils addition, allowing discrimination from plain soybean oils by a principal component analysis, being also capable to discriminate the different heating times tested within each sample.

Rapid method for isolation of desiccation-tolerant strains and xeroprotectants.

A novel biotechnological process has been developed for the isolation of desiccation-tolerant microorganisms and their xeroprotectants, i.e., compatible solutes involved in long-term stability of biomolecules in the dry state. Following exposure of soil samples to chloroform, we isolated a collection of desiccation-tolerant microorganisms. This collection was screened for the production of xeroprotectants by a variation of the bacterial milking (osmotic downshock) procedure and by a novel air-drying/rehydration ("dry milking") incubation method. The resultant solutes were shown to protect both proteins and living cells against desiccation damage, thereby validating them as xeroprotectants. Nuclear magnetic resonance (NMR) analytical studies were performed to identify the xeroprotectants; synthetic mixtures of these compounds were shown to perform similarly to natural isolates in drying experiments with proteins and cells. This new approach has biotechnological and environmental implications for the identification of new xeroprotectants of commercial and therapeutic value.

Microbial enzymatic activities in a pilot-scale MBR experimental plant under different working conditions.

Phosphatases, glucosidase, protease, esterase and dehydrogenase activities in a MBR (membrane bioreactor) system equipped with ultrafiltration membranes for the treatment of real urban wastewater were measured at different volatile suspended solid (VSS) concentrations, total suspended solid (TSS) concentrations, hydraulic retention times (HRT), temperatures and inflow rates. The results showed the capacity of the MBR system to remove COD and BOD(5) at TSS between 7200 and 13,300 mg/L; HRT values of 8.05 and 15.27 h; inflow rates of 14.67 and 27.81 L/h; and temperatures between 4 and 27 degrees C. The enzymatic activities are influenced by increases in VSS and TSS concentrations. These results suggest that the ability to get adapted to environmental changes of the bacterial populations and their microbial enzymatic activities is essential to understand the biological processes that occur in MBR systems and crucial for proper urban wastewater treatment when using MBR technologies.

Application of bioemulsifiers in soil oil bioremediation processes. Future prospects.

Biodegradation is one of the primary mechanisms for elimination of petroleum and other hydrocarbon pollutants from the environment. It is considered an environmentally acceptable way of eliminating oils and fuel because the majority of hydrocarbons in crude oils and refined products are biodegradable. Petroleum hydrocarbon compounds bind to soil components and are difficult to remove and degrade. Bioemulsifiers can emulsify hydrocarbons enhancing their water solubility and increasing the displacement of oily substances from soil particles. For these reasons, inclusion of bioemulsifiers in a bioremediation treatment of a hydrocarbon polluted environment could be really advantageous. There is a useful diversity of bioemulsifiers due to the wide variety of producer microorganisms. Also their chemical compositions and functional properties can be strongly influenced by environmental conditions. The effectiveness of the bioemulsifiers as biostimulating agent in oil bioremediation processes has been demonstrated by several authors in different experimental assays. For example, they have shown to be really efficient in combination with other products frequently used in oil bioremediation such as they are inorganic fertilizer (NPK) and oleophilic fertilizer (i.e. S200C). On the other hand, the bioemulsifiers have shown to be more efficient in the treatment of soil with high percentage of clay. Finally, it has been proved their efficacy in other biotechnological processes such as in situ treatment and biopiles. This paper reviews literature concerning the application of bioemulsifiers in the bioremediation of soil polluted with hydrocarbons, and summarizes aspects of the current knowledge about their industrial application in bioremediation processes.

[Seasonal perodicity in vascular access thrombosis for haemodialysis]. / Ritmo estacional en la trombosis del acceso vascular para hemodiálisis.

Different studies have shown that some clinical events, particularly cardiovascular and thrombotic events, show a regularity in its appearance. The aim of our study was to analyse the possible existence of seasonal periodicity in the incidence of the vascular access thrombosis in patients on chronic haemodialysis. Prospectively, we collected information of 164 patients with 250 episodes of vascular access thrombosis referred to our hospital from january 1995 to december 1999. An ANOVA test for comparison of the means, and a time series analysis were performed. During the five year study the consecutive number of thrombosis were 43, 57, 55, 59 and 36. When the different seasons were analysed, the cumulative number of events in summer during the study period were 91, a significant increase compared to spring, autumn, and winter (54, 54, and 51, respectively; p<0.001). Time series analysis confirmed that thrombolic events during summer showed an increased incidence over the mean (p<0.001), and it occurred every year. The same results were obtained when the PTFE grafts were analyzed separetely (july RR 2.62, p=0.002; august, RR 2.37, p=0.04), but not with the arteriovenous fistulae. In conclusion, this study showed a seasonal periodicity of vascular access thrombosis, with a PTFE graft. Although the causes were unknown, these data alert us on the convenience of an increased attention to the vascular access during the summer months in order to prevent its thrombosis.

[Digestive haemorrhage due to angiodysplasia in dialysis patients. Treatment with conjugated estrogens]. / Hemorragia digestiva por angiodisplasia en pacientes en hemodiálisis. Tratamiento con estrógenos conjugados.

Gastrointestinal angiodysplasia is a very common cause of digestive hemorrhage among elderly patients with chronic renal insufficiency. Therapeutic possibilities are scarce, as well as information available. Here we present our experience with 8 cases of dialysis patients that were treated with conjugated estrogens because of digestive hemorrhage due to angiodysplasia. Dissapearance of bleeding was observed after the onset of estrogen therapy, with a significant decrease of blood transfusions. This type of non-invasive treatment can avoid aggressive therapeutic interventions in patients with a high prevalence of co-morbid conditions (old patients undergoing chronic dialysis).

Hemorragia digestiva por angiodisplasia en pacientes en hemodiálisis. Tratamiento con estrógenos conjugados / Digestive haemorrhage due to angiodisplasia in dialysis patients. Treatment with conjugated strogens

Las angiodisplasias son causa frecuente de sangrado digestivo en pacientes con insuficiencia renal crónica, sobre todo en ancianos. Existe escasa información a cerca de las posibilidades terapéuticas en estos enfermos. Presentamos nuestra experiencia con 8 pacientes con insuficiencia renal crónica que fueron tratados con estrógenos conjugados equinos por sangrado digestivo secundario a angiodisplasia demostrada mediante endoscopia. Se consiguió la remisión clínica reduciendo de forma significativa las necesidades transfusionales. El tratamiento hormonal evitaría procedimientos terapéuticos mucho más agresivos en pacientes que ya presentan alto riesgo de morbi-mortalidad (ancianos, insuficiencia renal crónica)

Gastrointestinal angiodysplasia is a very common cause of digestive hemorrhage among elderly patients with chronic renal insufficiency. Therapeutic possibilities are scarce, as well as information available. Here we present our experience with 8 cases of dialysis patients that were treated with conjugated estrogens because of digestive hemorrhage due to angiodysplasia. Dissapearance of bleeding was observed after the onset of estrogen therapy, with a significant decrease of blood transfusions. This type of non-invasive treatment can avoid aggressive therapeutic interventions in patients with a high prevalence of co-morbid conditions (old patients undergoing chronic dialysis)

Pregnancy in renal transplant recipients.

Fertility is restored after renal transplantation when good function is achieved. Our aim was to describe the gestations of our transplanted patients, analyzing outcomes and complications as well as long-term evolution of renal function. From 1976 to 2004, 43 gestations occurred in 35 renal transplanted women: their mean age was 31.7 +/- 4.06 years, with a mean time from the transplant to pregnancy of 4.32 years (0.4-13). At conception, all showed normal renal function (SCr 1.05 +/- 0.2 mg/dL). There were 19 abortions (43.8%), 9 of them spontaneous (21%) and 10 therapeutic (six cases for noncompliance with described criteria of European Best Practice Guidelines for Renal Transplantation, especially pregnancy less than 6 months after transplantation). Excluding these six cases of therapeutic abortions, 24 successful pregnancies occurred in 37 women (65.7%), although eight (29.1%) had premature delivery with live fetuses. Arterial hypertension was the most frequently complication (64%). Preeclampsia occurred in nine (37.5%) pregnancies, with proteinuria in five and only two with mild renal function deterioration. The majority of patients received cyclosporine (n = 20) or tacrolimus (n = 19). Since 1996, mycophenolate mofetil and sirolimus were stopped before conception. Birth weight was lower than 2500 g in 33.3% of pregnancies. Every newborn baby was healthy. Afterward, of the 24 patients with successfully pregnancy, 21 (87.5%) have functioning renal transplants at 53.2 months. After delivery, all currently show good renal function (SCr 1.16 +/- 0.35 mg/dL, CrCl 91 +/- 28.45 mL/m). In conclusion, pregnancy in our renal transplant women shows a success rate of 65.6%. However, complications related to arterial hypertension such as preeclampsia are frequent. The incidence of spontaneous abortions was similar to other series (21%). Long-term graft survival does not seem to be negatively affected by pregnancy.

Anti-CD25 monoclonal antibody sequential immunosuppressive induction therapy in renal transplants with high risk of delayed graft function.

There is little experience on the use of monoclonal antibodies that block the high-affinity interleukin-2 receptor (basiliximab and daclizumab) in sequential therapy in renal transplants with risk of delayed graft function. This study sougth to test the efficacy and safety of the substitution of anticalcineurins with two doses of basiliximab or daclizumab in the immediate posttransplant period for recipients at risk of delayed renal graft function. Immunosuppression consisted of steroids, mycophenolate mofetil, and two doses of basiliximab (20 mg/day) on days 0 and 4 posttransplant or daclizumab (1 mg/kg per day) on days 0 and 15 posttransplant. Anticalcineurins were not administered until the beginning of graft function. Among 49 recipients (mean age 63.5 +/- 10.5 years), 40 received a kidney from a donor over 60 years of age, three from a non-heart-beating donor, and six from donors with an acute elevation of serum creatinine to 2.4 +/- 0.86 (1.7-3.7). At a mean follow-up of 14.2 +/- 8.4 months, five patients experienced acute rejection episodes. Only 15 patients needed posttransplant dialysis (2.7 +/- 1.6). In 11 patients, cyclosporine (CsA) was introduced at 6 +/- 2.9 days posttransplant and in 37, tacrolimus on 8.6 +/- 3.6 days posttransplant. The incidence of kidney graft loss was 16.3%. Patient survival was 96%. Thirty-nine recipients are alive with functioning grafts, with mean serum creatinine of 1.4 mg/dL. In conclusion, substitution for anticalcineurins with interleukin-2-receptor blockade in the immediate posttransplant period for patients at risk of delayed graft function minimizes nephrotoxicity and reduces tubular necrosis, without increasing the risk of an acute rejection episode.

Tacrolimus as basic immunosuppression in pregnancy after renal transplantation. A single-center experience.

Renal transplantation restores fertility within an average of 6 months, so women of childbearing age are able to consider pregnancy. Successful pregnancies have been reported in recent years under different immunosuppressive regimens, but the optimal treatment to achieve the maximum safety for both the mother and fetus remains unclear. Tacrolimus has been demonstrated to provide long-term immunosuppression and prevent rejection in most renal transplants. It seems safe, but experience is limited compared with cyclosporine. We report our experience highlighting the high rate of successful pregnancies attained in women treated with tacrolimus as the basic immunosuppressant and advised of recommendations to achieve a healthy newborn. Renal function was preserved during the pregnancy. The puerperal period and the rate of gestation-related difficulties appeared similar to that of the general population.