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1.
Int J Mol Sci ; 23(16)2022 Aug 18.
Article in English | MEDLINE | ID: mdl-36012547

ABSTRACT

Xanthophyllomyces dendrorhous is a natural source of astaxanthin and mycosporines. This yeast has been isolated from high and cold mountainous regions around the world, and the production of these secondary metabolites may be a survival strategy against the stress conditions present in its environment. Biosynthesis of astaxanthin is regulated by catabolic repression through the interaction between MIG1 and corepressor CYC8-TUP1. To evaluate the role of the stress-associated transcription factors SKN7, ROX1, and YAP6, we employed an omic and phenotypic approach. Null mutants were constructed and grown in two fermentable carbon sources. The yeast proteome and transcriptome were quantified by iTRAQ and RNA-seq, respectively. The total carotenoid, sterol, and mycosporine contents were determined and compared to the wild-type strain. Each mutant strain showed significant metabolic changes compared to the wild type that were correlated to its phenotype. In a metabolic context, the principal pathways affected were glycolysis/gluconeogenesis, the pentose phosphate (PP) pathway, and the citrate (TCA) cycle. Additionally, fatty acid synthesis was affected. The absence of ROX1 generated a significant decline in carotenoid production. In contrast, a rise in mycosporine and sterol synthesis was shown in the absence of the transcription factors SKN7 and YAP6, respectively.


Subject(s)
Basidiomycota , Fungal Proteins , Secondary Metabolism , Transcription Factors , Basidiomycota/genetics , Basidiomycota/metabolism , Carotenoids/metabolism , DNA-Binding Proteins/metabolism , Fungal Proteins/genetics , Fungal Proteins/metabolism , Repressor Proteins/metabolism , Sterols/metabolism , Transcription Factors/genetics , Transcription Factors/metabolism
2.
mSphere ; 5(2)2020 04 01.
Article in English | MEDLINE | ID: mdl-32238568

ABSTRACT

Xanthophyllomyces dendrorhous is a carotenogenic yeast with a singular metabolic capacity to produce astaxanthin, a valuable antioxidant pigment. This yeast can assimilate several carbon sources and sustain fermentation even under aerobic conditions. Since astaxanthin biosynthesis is affected by the carbon source, the study of carotenogenesis regulatory mechanisms is key for improving astaxanthin yield in X. dendrorhous This study aimed to elucidate the regulation of the metabolism of different carbon sources and the phenomenon of catabolic repression in this yeast. To this end, protein and transcript levels were quantified by iTRAQ (isobaric tags for relative and absolute quantification) and transcriptomic sequencing (RNA-seq) in the wild-type strain under conditions of glucose, maltose, or succinate treatment and in the mutant strains for genes MIG1, CYC8, and TUP1 under conditions of glucose treatment. Alternative carbon sources such as maltose and succinate affected the relative abundances of 14% of the wild-type proteins, which were mainly grouped into the carbohydrate metabolism category, with the glycolysis/gluconeogenesis and citrate cycle pathways being the most highly represented pathways. Each mutant strain showed significant proteomic profile changes, affecting approximately 2% of the total proteins identified, compared to the wild-type strain under glucose treatment conditions. Similarly to the results seen with the alternative carbon sources, the changes in the mutant strains mainly affected carbohydrate metabolism, with glycolysis/gluconeogenesis and the pentose phosphate and citrate cycle pathways being the most highly represented pathways. Our results showed convergence between carbon assimilation and catabolic repression in the strains studied. Interestingly, indications of cooperative, opposing, and overlapping processes during catabolic regulation were found. We also identified target proteins of the regulatory processes, reinforcing the likelihood of catabolic repression at the posttranscriptional level.IMPORTANCE The conditions affecting catabolic regulation in X. dendrorhous are complex and suggest the presence of an alternative mechanism of regulation. The repressors Mig1, Cyc8, and Tup1 are essential elements for the regulation of the use of glucose and other carbon sources. All play different roles but, depending on the growth conditions, can work in convergent, synergistic, and complementary ways to use carbon sources and to regulate other targets for yeast metabolism. Our results reinforced the belief that further studies in X. dendrorhous are needed to clarify a specific regulatory mechanism at the domain level of the repressors as well as its relationship with those of other metabolic repressors, i.e., the stress response, to elucidate carotenogenic regulation at the transcriptomic and proteomic levels in this yeast.


Subject(s)
Basidiomycota/metabolism , Carbon/metabolism , Gene Expression Regulation, Fungal , Basidiomycota/genetics , Carbohydrate Metabolism , Fungal Proteins/genetics , Fungal Proteins/metabolism , Proteomics , Repressor Proteins/genetics , Repressor Proteins/metabolism
3.
Pest Manag Sci ; 74(8): 1861-1869, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29427377

ABSTRACT

BACKGROUND: A new Beauveria bassiana-based attract and infect device (AID) to control Rhynchophorus ferrugineus Olivier (Coleoptera: Curculionidae) was developed. The virulence and persistence of the fungal formulation used in the AID were evaluated in the laboratory. Semi-field and field trials were carried out to validate the results and establish the potential of this device as a control tool. RESULTS: In laboratory conditions, a 50% lethal time (LT50 ) of 4.33 days was obtained when adults (7-10 days old) were exposed to the inoculation tunnel (IT) containing 1 × 1010 conidia g-1 in an oil-based fungal formulation. This formulation maintained conidium viability at 50% for up to 2 months. Moreover, when adults were exposed to 2.5-month field-aged ITs, mortality still reached 50% 40 days after exposure. In addition, no differences were observed between ITs aged in early spring and those aged in summer, suggesting that the fungal formulation is not strongly affected by environmental factors in Mediterranean basin conditions. Semi-field assays showed that the device allowed an easy transit of weevils through the IT, which were effectively attracted and infected. Using the AIDs in 4-ha plot field trials, a reduction of >50% in the percentage of infested sentinel palms was obtained. CONCLUSION: Based on the results obtained in terms of the efficacy and persistence of this new AID in the field and its potential in reducing R. ferrugineus populations and palm infestation, this device could become a key tool for the management of R. ferrugineus. © 2018 Society of Chemical Industry.


Subject(s)
Beauveria/physiology , Pest Control, Biological/methods , Weevils/microbiology , Weevils/physiology , Animals , Female , Insect Control/methods , Larva/growth & development , Larva/microbiology , Larva/physiology , Male , Phoeniceae/genetics , Pupa/growth & development , Pupa/microbiology , Pupa/physiology , Spain , Weevils/growth & development
4.
Biol Reprod ; 93(3): 64, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26157072

ABSTRACT

Sperm viability, acrosome integrity, motility, and swimming velocity are determinants of male fertility and exhibit an extreme degree of variation among closely related species. Many of these sperm parameters are associated with sperm ATP content, which has led to predictions of trade-offs between ATP content and sperm motility and velocity. Selective pressures imposed by sperm competition have been proposed as evolutionary causes of this pattern of diversity in sperm traits. Here, we examine variation in sperm viability, acrosome integrity, motility, swimming velocity, and ATP content over time, among 18 species of closely related muroid rodents, to address the following questions: (a) Do sperm from closely related species vary in ATP content after a period of incubation? (b) Are these differences in ATP levels related to differences in other sperm traits? (c) Are differences in ATP content and sperm performance over time explained by the levels of sperm competition in these species? Our results revealed a high degree of interspecific variability in changes in sperm ATP content, acrosome integrity, sperm motility and swimming velocity over time. Additionally, species with high sperm competition levels were able to maintain higher levels of sperm motility and faster sperm swimming velocity when they were incubated under conditions that support sperm survival. Furthermore, we show that the maintenance of such levels of sperm performance is correlated with the ability of sperm to sustain high concentrations of intracellular ATP over time. Thus, sperm competition may have an important role maximizing sperm metabolism and performance and, ultimately, the fertilizing capacity of spermatozoa.


Subject(s)
Adenosine Triphosphate/pharmacology , Muridae , Spermatozoa/drug effects , Acrosome/drug effects , Animals , Arvicolinae , Dose-Response Relationship, Drug , Germ Cells/drug effects , Guinea Pigs , Male , Mice , Organ Size , Rats , Species Specificity , Sperm Count , Sperm Motility/drug effects , Testis/anatomy & histology
5.
J Biol Chem ; 290(33): 20613-26, 2015 Aug 14.
Article in English | MEDLINE | ID: mdl-26048989

ABSTRACT

Mouse sperm produce enough ATP to sustain motility by anaerobic glycolysis and respiration. However, previous studies indicated that an active glycolytic pathway is required to achieve normal sperm function and identified glycolysis as the main source of ATP to fuel the motility of mouse sperm. All the available evidence has been gathered from the studies performed using the laboratory mouse. However, comparative studies of closely related mouse species have revealed a wide range of variation in sperm motility and ATP production and that the laboratory mouse has comparatively low values in these traits. In this study, we compared the relative reliance on the usage of glycolysis or oxidative phosphorylation as ATP sources for sperm motility between mouse species that exhibit significantly different sperm performance parameters. We found that the sperm of species with higher oxygen consumption/lactate excretion rate ratios were able to produce higher amounts of ATP, achieving higher swimming velocities. Additionally, we show that the species with higher respiration/glycolysis ratios have a higher degree of dependence upon active oxidative phosphorylation. Moreover, we characterize for the first time two mouse species in which sperm depend on functional oxidative phosphorylation to achieve normal performance. Finally, we discuss that sexual selection could promote adaptations in sperm energetic metabolism tending to increase the usage of a more efficient pathway for the generation of ATP (and faster sperm).


Subject(s)
Adenosine Triphosphate/biosynthesis , Glycolysis , Oxidative Phosphorylation , Sperm Motility , Animals , Male , Mice , Oxygen Consumption , Species Specificity
6.
BMC Genomics ; 16: 289, 2015 Apr 12.
Article in English | MEDLINE | ID: mdl-25887121

ABSTRACT

BACKGROUND: Astaxanthin is a potent antioxidant with increasing biotechnological interest. In Xanthophyllomyces dendrorhous, a natural source of this pigment, carotenogenesis is a complex process regulated through several mechanisms, including the carbon source. X. dendrorhous produces more astaxanthin when grown on a non-fermentable carbon source, while decreased astaxanthin production is observed in the presence of high glucose concentrations. In the present study, we used a comparative proteomic and metabolomic analysis to characterize the yeast response when cultured in minimal medium supplemented with glucose (fermentable) or succinate (non-fermentable). RESULTS: A total of 329 proteins were identified from the proteomic profiles, and most of these proteins were associated with carotenogenesis, lipid and carbohydrate metabolism, and redox and stress responses. The metabolite profiles revealed 92 metabolites primarily associated with glycolysis, the tricarboxylic acid cycle, amino acids, organic acids, sugars and phosphates. We determined the abundance of proteins and metabolites of the central pathways of yeast metabolism and examined the influence of these molecules on carotenogenesis. Similar to previous proteomic-stress response studies, we observed modulation of abundance from several redox, stress response, carbohydrate and lipid enzymes. Additionally, the accumulation of trehalose, absence of key ROS response enzymes, an increased abundance of the metabolites of the pentose phosphate pathway and tricarboxylic acid cycle suggested an association between the accumulation of astaxanthin and oxidative stress in the yeast. Moreover, we observed the increased abundance of late carotenogenesis enzymes during astaxanthin accumulation under succinate growth conditions. CONCLUSIONS: The use of succinate as a carbon source in X. dendrorhous cultures increases the availability of acetyl-CoA for the astaxanthin production compared with glucose, likely reflecting the positive regulation of metabolic enzymes of the tricarboxylic acid and glyoxylate cycles. The high metabolite level generated in this pathway could increase the cellular respiration rate, producing reactive oxygen species, which induces carotenogenesis.


Subject(s)
Basidiomycota/metabolism , Carbon/metabolism , Metabolome/physiology , Proteome/analysis , Acetyl Coenzyme A/metabolism , Basidiomycota/growth & development , Carotenoids/metabolism , Electrophoresis, Gel, Two-Dimensional , Fungal Proteins/metabolism , Glucose/metabolism , Metabolomics , Oxidative Stress , Proteomics , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization , Succinic Acid/metabolism , Xanthophylls/biosynthesis
7.
BMC Microbiol ; 12: 235, 2012 Oct 18.
Article in English | MEDLINE | ID: mdl-23075035

ABSTRACT

BACKGROUND: Xanthophyllomyces dendrorhous is a basidiomycetous yeast that synthesizes astaxanthin, which is a carotenoid with a great biotechnological impact. The ergosterol and carotenoid synthesis pathways are derived from the mevalonate pathway, and in both pathways, cytochrome P450 enzymes are involved. RESULTS: In this study, we isolated and described the X. dendrorhous CYP61 gene, which encodes a cytochrome P450 involved in ergosterol biosynthesis. This gene is composed of nine exons and encodes a 526 amino acid polypeptide that shares significant percentages of identity and similitude with the C22-sterol desaturase, CYP61, from other fungi. Mutants derived from different parental strains were obtained by disrupting the CYP61 gene with an antibiotic selection marker. These mutants were not able to produce ergosterol and accumulated ergosta-5,8,22-trien-3-ol and ergosta-5,8-dien-3-ol. Interestingly, all of the mutants had a more intense red color phenotype than their respective parental strains. The carotenoid composition was qualitatively and quantitatively analyzed by RP-HPLC, revealing that the carotenoid content was higher in the mutant strains without major changes in their composition. The expression of the HMGR gene, which encodes an enzyme involved in the mevalonate pathway (3-hydroxy-3-methylglutaryl-CoA reductase), was analyzed by RT-qPCR showing that its transcript levels are higher in the CYP61 mutants. CONCLUSIONS: These results suggest that in X. dendrorhous, ergosterol regulates HMGR gene expression by a negative feedback mechanism and in this way; it contributes in the regulation of the carotenoid biosynthesis.


Subject(s)
Basidiomycota/genetics , Basidiomycota/metabolism , Carotenoids/biosynthesis , Cytochrome P-450 Enzyme System/genetics , Ergosterol/metabolism , Metabolic Engineering , Oxidoreductases/genetics , Cytochrome P-450 Enzyme System/metabolism , DNA, Fungal/chemistry , DNA, Fungal/genetics , Gene Knockout Techniques , Metabolic Networks and Pathways/genetics , Molecular Sequence Data , Oxidoreductases/metabolism , Sequence Analysis, DNA
8.
BMC Microbiol ; 11: 131, 2011 Jun 13.
Article in English | MEDLINE | ID: mdl-21669001

ABSTRACT

BACKGROUND: The yeast Xanthophyllomyces dendrorhous is used for the microbiological production of the antioxidant carotenoid astaxanthin. In this study, we established an optimal protocol for protein extraction and performed the first proteomic analysis of the strain ATCC 24230. Protein profiles before and during the induction of carotenogenesis were determined by two-dimensional polyacrylamide gel electrophoresis and proteins were identified by mass spectrometry. RESULTS: Among the approximately 600 observed protein spots, 131 non-redundant proteins were identified. Proteomic analyses allowed us to identify 50 differentially expressed proteins that fall into several classes with distinct expression patterns. These analyses demonstrated that enzymes related to acetyl-CoA synthesis were more abundant prior to carotenogenesis. Later, redox- and stress-related proteins were up-regulated during the induction of carotenogenesis. For the carotenoid biosynthetic enzymes mevalonate kinase and phytoene/squalene synthase, we observed higher abundance during induction and/or accumulation of carotenoids. In addition, classical antioxidant enzymes, such as catalase, glutathione peroxidase and the cytosolic superoxide dismutases, were not identified. CONCLUSIONS: Our results provide an overview of potentially important carotenogenesis-related proteins, among which are proteins involved in carbohydrate and lipid biosynthetic pathways as well as several redox- and stress-related proteins. In addition, these results might indicate that X. dendrorhous accumulates astaxanthin under aerobic conditions to scavenge the reactive oxygen species (ROS) generated during metabolism.


Subject(s)
Basidiomycota/chemistry , Fungal Proteins/analysis , Proteome/analysis , Electrophoresis, Gel, Two-Dimensional , Mass Spectrometry , Xanthophylls/biosynthesis
9.
Pest Manag Sci ; 66(6): 657-63, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20157929

ABSTRACT

BACKGROUND: Chemosterilisation with lufenuron bait stations is a recently developed technique that is being implemented for Ceratitis capitata Wiedemann control. The aim of this work was to evaluate the chemosterilising effect of lufenuron against four economically important Latin American fruit flies species: Anastrepha ludens (Loew.), A. obliqua Macquart, A. serpentina Wiedemann and A. striata Schiner (Diptera: Tephritidae) in order to design a similar strategy for their control. RESULTS: Sexually mature adults were treated by ingestion with concentrations ranging from 0.1 to 30.0 mg g(-1) of lufenuron in the diet. In addition, conspecific crosses with only one of the sexes being treated (30.0 mg g(-1)) were performed in order to appraise the contribution of each sex to the sterilising effect. In all cases, fecundity was not affected by the treatments, as opposed to fertility where all Anastrepha species studied were significantly affected, although to different extents. The conspecific crosses showed that treated males of A. ludens, A. obliqua and A. serpentina were not able to transmit the sterility to their respective untreated females. Only in the case of A. striata did crossing treated males with untreated females significantly reduced egg hatch. CONCLUSION: Although further investigations are required, the present results demonstrate that the use of lufenuron for controlling A. striata could be potentially viable.


Subject(s)
Benzamides/pharmacology , Chemosterilants/pharmacology , Tephritidae/drug effects , Tephritidae/physiology , Animals , Female , Fertility/drug effects , Male
10.
J Agric Food Chem ; 54(8): 2921-5, 2006 Apr 19.
Article in English | MEDLINE | ID: mdl-16608209

ABSTRACT

Paraherquamide H (1) and paraherquamide I (2), two new compounds of the paraherquamide (PHQ) family, together with the already known paraherquamide A (3), paraherquamide B (4), paraherquamide E (5), VM55596 (N-oxide paraherquamide) (6), paraherquamide VM55597 (7), and five known diketopiperazines (8-12) have been isolated from the culture broth of Penicillium cluniae Quintanilla. The structure of 1 and 2, on the basis of NMR and MS analysis, was established. It is worth noticing that, in both cases, an unusual oxidative substitution in C-16 was found, which had only previously been detected in PHQ 7. Isolated compounds were tested for insecticidal activity against the hemipteran Oncopeltus fasciatus Dallas. Mortality data have allowed preliminary structure activity relationships to be proposed. The most potent product was 5 with a LD(50) of 0.089 microg/nymph.


Subject(s)
Indolizines , Insecticides , Spiro Compounds , Animals , Hemiptera , Indolizines/chemistry , Magnetic Resonance Spectroscopy , Mass Spectrometry , Molecular Structure , Penicillium/metabolism , Spiro Compounds/chemistry
11.
J Agric Food Chem ; 53(21): 8296-301, 2005 Oct 19.
Article in English | MEDLINE | ID: mdl-16218678

ABSTRACT

The capacity of inhibition of the mammalian mitochondrial respiratory chain of brevioxime 5a, a natural insecticide compound isolated from Penicillium brevicompactum culture broth, and another 15 analogue compounds, other oximes 5b and 5c; two diastereomeric pyrrolidines 1c' and 1c' '; five pyrrolines 3c', 3c' ' (diastereomers between them), 3a, 3b, and 6; two oxazines 4c' and 4c' ' (also diastereomers between them); and four pyrrol derivatives 7-10, are analyzed in this paper. Compounds 3b, 3c', 3c' ', 4c', 4c' ', 5b, 5c, 6, and 10 were found to be inhibitors of the integrated electron transfer chain (NADH oxidase activity) in beef heart submitochondrial particles (SMP), establishing that all of them except compound 3b and 6 only affected to complex I of the mitochondrial respiratory chain. The most potent product was 5b, with an IC50 of 0.27 microM, similar to the IC50 values of other known complex I inhibitors. The diastereomeric pairs 1c'/1c' ', 3c'/3c' ', 4c'/4c' ', and 5c have not been previously described. Chemical characterization, on the basis of spectral data, is also shown.


Subject(s)
Electron Transport/drug effects , Oximes/isolation & purification , Oximes/pharmacology , Penicillium/chemistry , Pyrroles/isolation & purification , Pyrroles/pharmacology , Animals , Cattle , Electron Transport Complex I/antagonists & inhibitors , Enzyme Inhibitors/pharmacology , Mitochondria, Heart/drug effects , Oximes/chemical synthesis , Pyrroles/chemical synthesis
12.
J Antibiot (Tokyo) ; 58(6): 416-9, 2005 Jun.
Article in English | MEDLINE | ID: mdl-16156520

ABSTRACT

Circumdatin H (1), a new alkaloid from the culture broth of Aspergillus ochraceus, has been isolated, together with a known circumdatin, circumdatin E (2) and other known compounds: flavacol (3) and stephacidin A (4). The structure of 1 was established on the basis of chemical and spectral evidence. All of these alkaloids showed biological activity as inhibitors of the mammalian mitochondrial respiratory chain.


Subject(s)
Aspergillus ochraceus/metabolism , Benzodiazepinones/pharmacology , Enzyme Inhibitors/pharmacology , Mitochondria/enzymology , Multienzyme Complexes/antagonists & inhibitors , NADH, NADPH Oxidoreductases/antagonists & inhibitors , Benzodiazepinones/isolation & purification , Chemical Phenomena , Chemistry, Physical , Electron Transport/drug effects , Enzyme Inhibitors/isolation & purification , Fermentation , Magnetic Resonance Spectroscopy , Mass Spectrometry , Mitochondria/drug effects , Spectrophotometry, Infrared , Spectrophotometry, Ultraviolet
13.
Mutat Res ; 539(1-2): 187-94, 2003 Aug 05.
Article in English | MEDLINE | ID: mdl-12948827

ABSTRACT

In the search for new natural products with anti-oxidant activity, we have combined the cell-free assay based on the scavenging of the stable radical 2,2-diphenyl-1-picrylhydrazyl (DPPH), with a bioassay that detects oxidative mutagens. This bioassay uses a new Escherichia coli tester strain, IC203, specifically sensitive to oxidative stress due to a deficiency in the OxyR function. OxyR is a redox-sensitive transcriptional activator of genes encoding anti-oxidant enzymes such as catalase and peroxiredoxin alkyl hydroperoxide reductase. The positive response observed in E. coli IC203 with several known anti-oxidants, including cysteine, catechol and ascorbic acid, suggested to us the usefulness of the mutagenicity assay for a rapid screening of anti-oxidant compounds. The extract from Penicillium novae-zeelandiae was found to scavenge the DPPH radical. Subsequently, guided by the DPPH-scavenging assay and the oxidative mutagenesis assay, we isolated and identified three compounds in fractions from that active extract: patulin (1). 3-hydroxybenzyl alcohol (2). and gentisyl alcohol (2,5-dihydroxybenzyl alcohol) (3). Of these, gentisyl alcohol showed both DPPH-scavenging activity and oxidative mutagenicity. This compound also gave rise to intracellular formation of superoxide, evaluated by monitoring the oxidation of dihydroethidium, and was able to inhibit mutagenesis induced by the model oxidant t-butyl hydroperoxide (t-BuOOH).


Subject(s)
Benzyl Alcohols/isolation & purification , Biphenyl Compounds/analysis , Hydrazines/analysis , Patulin/isolation & purification , Penicillium/chemistry , Antimutagenic Agents , Escherichia coli/drug effects , Mutagenicity Tests , Mutagens , Picrates , Superoxides/analysis
14.
J Agric Food Chem ; 51(8): 2156-60, 2003 Apr 09.
Article in English | MEDLINE | ID: mdl-12670149

ABSTRACT

Penitrem G (7), a new indole-diterpenoid compound, has been isolated together with the already known mycotoxins penitrems A-D (1-4) and F (6) from the mycelium of Penicillium crustosum Thom. The structure of penitrem G was established on the basis of spectroscopic data. In addition, paspaline (8), another indole-diterpenoid mycotoxin that has not been previously described in this fungus, was also isolated. These compounds were tested for insecticidal activity against the hemipteran Oncopeltus fasciatus Dallas and the dipteran Ceratitis capitata Wiedemann. Penitrems A-D and F showed convulsive and insecticidal activities against both insect species. In addition, important reductions in the fecundity and fertility of the surviving C. capitata females were observed. In contrast, penitrem G and paspaline did not show any kind of activity. Mortality data and sublethal effects of the treatments have allowed preliminary structure-activity relationships to be proposed.


Subject(s)
Insecticides/isolation & purification , Mycotoxins/isolation & purification , Penicillium/chemistry , Animals , Diptera , Hemiptera , Molecular Structure , Mycotoxins/chemistry , Structure-Activity Relationship
15.
Rev. calid. asist ; 15(1): 31-35, ene. 2000. tab
Article in Es | IBECS | ID: ibc-14015

ABSTRACT

Introducción: La mortalidad hospitalaria es un indicador clásico de calidad asistencial, influenciada de forma importante por la patología y estructura de edad de la población asistida. Los Grupos Relacionados con el Diagnóstico (GRD) se han convertido en el sistema de clasificación de pacientes más utilizado en nuestro país. Objetivos: Conocer y analizar la letalidad hospitalaria por GRD en los pacientes menores de 80 años del Hospital del SAS de Algeciras durante el período 1995 - 1998 .Metodología: Estudio del conjunto mínimo básico de datos al alta hospitalaria (CMBDH). Se usaron los programas CLINOS v 3.31, SPSS v7.5 y C.I.A. v1.0.Resultados: La tasa de mortalidad fue de 2.95 por ciento para los enfermos menores de 80 años (IC 95 por ciento 2.79 - 3.11).Los GRD con mayor número de defunciones fueron: 082 neoplasias respiratorias (éxitus 86, letalidad IC 95 por ciento 16,9 24,7 ), 014 Trastornos cerebro-vasculares (84, letalidad 15,0 - 22,2), 123 Trastornos circulatorios con infarto agudo de miocardio y con defunción (83, letalidad 100 por ciento), 470 No agrupables (81, letalidad3,9 - 6,1) y 127 Insuficiencia cardíaca/shock (55, letalidad 5,8 - 9,9).Los éxitus están agrupados en un número reducido de GRD. El 52.4 por ciento de los fallecimientos se concentran en 15 GRD y el 63.1 por ciento se reúnen en 25 GRD. Conclusiones: la tasa de letalidad por GDR en pacientes menores de 80 años es un indicador de fácil obtención que permite monitorizar resultados adversos de la asistencia hospitalaria (AU)


Subject(s)
Adult , Female , Male , Middle Aged , Humans , Hospitals, General/statistics & numerical data , Hospitals, General/organization & administration , Hospital Mortality , Quality Control , Multivariate Analysis , R Factors , Risk Factors , Mortality/statistics & numerical data , Mortality/standards , Clinical Diagnosis , Diagnosis of Health Situation in Specific Groups
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