Probióticos en la prevención de enterocolitis necrotizante en neonatos pretérminos del servicio de neonatología del Hospital Vicente Corral Moscoso. Cuenca 2012 / Probiotics in the prevention of necrotizing enterocolitis in preterm newborns of the neonatology service of the Hospital Vicente Corral Moscoso. Cuenca 2012

OBJETIVO: Comparar la frecuencia de ECN en pretérminos que reciben probióticos más terapia convencional en el año 2012 con pacientes que recibieron terapia convencional en la unidad de neonatología del Hospital Vicente Corral Moscoso en el 2011. METODOLOGÍA: Estudio de cohorte con dos grupos de 113 prematuros en cada uno. El grupo de intervención recibió 1g de probióticos VSL#3 durante el año 2012 una vez al día hasta el alta, con un máximo 14 días. Durante la administración, se registraron los casos de ECN según los criterios de Bell, y se comparó con la frecuencia de ECN presentados en 113 pretérminos del 2011. RESULTADOS: En el 2011 se observó un 22,1% de ECN mientras quienes recibieron probióticos presentaron un 10,6%. Los grupos que representaron una reducción estadísticamente significativa fueron los pretérminos de muy bajo peso y los prematuros moderados (valor p<0,05). Una porcentaje menor (7,5%) de ECN se observó en los neonatos de género masculino en relación con el femenino (13,3%) con la administración de VSL#3. El porcentaje de ECN fue de 20% y 25% en el género masculino y femenino respectivamente que no recibieron probióticos. CONCLUSIONES: El probiótico VSL#3 disminuyó la frecuencia de ECN en los prematuros del servicio de neonatología del Hospital Vicente Corral Moscoso durante el 2012, con una reducción del riesgo relativo (RRR) del 52%.

OBJECTIVE: To compare the frequency of NEC in preterm infants who are receiving probiotics plus conventional therapy in 2012 with patients who received conventional therapy in the neonatal unit of the Vicente Corral Moscoso Hospital in 2011. METHODOLOGY: A cohort study with two groups of 113 premature children in each one. The intervention group received 1g of VSL#3 probiotic in 2012 once daily until discharge, with a maximum of 14 days. During the administration, some cases of NEC were recorded according to the criteria of Bell, and they were compared with the frequency of 113 preterm ECN presented in 2011. RESULTS: In 2011 22.1% of NEC was observed while children who received probiotics showed 10.6%. The groups who represented a statistically significant reduction were the preterm with low weight and moderate preterm (p < 0.05). A smaller percentage (7.5%) of NEC was observed in male infants in relation to females (13.3%) with the administration of VSL # 3. The percentage of NEC was 20% and 25% in male and female respectively who received probiotics. CONCLUSIONS: The VSL # 3 probiotic reduced the frequency of NEC in the preterm neonatal service from the Vicente Corral Moscoso Hospital during 2012, with a relative risk reduction (RRR) of 52%.

The chemokine receptor CXCR4 is expressed in pancreatic intraepithelial neoplasia.

OBJECTIVE: The chemokine CXCL12, together with its specific receptor, CXCR4, have been shown to mediate invasiveness and metastatic behaviour in pancreatic cancer cells. The expression of CXC12/CXCR4 has not been previously examined in pancreatic intraepithelial neoplasias (PanIN), the accepted precursor lesions to pancreatic duct cancer. DESIGN: In this study we sought to characterise the expression of CXCL12 and CXCR4 during the progression of PanIN using both a murine model and human tissues. RESULTS: These studies reveal that both CXCL12 and CXCR4 are expressed in PanIN and that the frequency increases during PanIN progression (0% CXCR4 expression in normal mouse and human ducts vs 100% in mouse PanIN 3 and 77% in human PanIN 3). Next we demonstrate a dose-dependent increase in the proliferation of murine PanIN cells when exposed to CXCL12. Finally, we show that expression of CXCR4 in murine PanIN cells is partially dependent on mitogen-activated protein kinase (MAPK) signalling and that the effect of CXCL12 on PanIN proliferation can be abrogated by an MAPK inhibitor. CONCLUSIONS: Together these results demonstrate that CXCL12/CXCR4 expression begins in the pre-invasive stages of pancreatic neoplasia, and suggest that the presence of an autocrine loop that is at least partially regulated by MAPK signalling. Further studies that define the role of CXCR4 signalling in PanIN progression will determine if CXCR4 could serve as a novel target for chemoprevention and early stage therapy in pancreatic cancer.

The role of temporal sensing in bioelectromagnetic effects.

Experiments were conducted to see whether the cellular response to electromagnetic (EM) fields occurs through a detection process involving temporal sensing. L929 cells were exposed to 60 Hz magnetic fields and the enhancement of ornithine decarboxylase (ODC) activity was measured to determine cellular response to the field. In one set of experiments, the field was turned alternately off and on at intervals of 0.1 to 50 s. For these experiments, field coherence was maintained by eliminating the insertion of random time intervals upon switching. Intervals < or = 1 s produced no enhancement of ODC activity, but fields switched at intervals > or 10 s showed ODC activities that were enhanced by a factor of approximately 1.7. These data indicate that it is the interval over which field parameters (e.g., amplitude or frequency) remain constant, rather than the interval over which the field is coherent, that is critical to cellular response to an EMF. In a second set of experiments, designed to determine how long it would take for cells to detect a change in field parameters, the field was interrupted for brief intervals (25-200 ms) once each second throughout exposure. In this situation, the extent of EMF-induced ODC activity depended upon the duration of the interruption. Interruptions > or = 100 ms were detected by the cell as shown by elimination of field-induced enhancement of ODC. That two time constants (0.1 and 10 s) are involved in cellular EMF detection is consistent with the temporal sensing process associated with bacterial chemotaxis. By analogy with bacterial temporal sensing, cells would continuously sample and average an EM field over intervals of about 0.1 s (the "averaging" time), storing the averaged value in memory. The cell would compare the stored value with the current average, and respond to the EM field only when field parameters remain constant over intervals of approximately 10 s (the "memory" time).

The effect of pulsed and sinusoidal magnetic fields on the morphology of developing chick embryos.

Several investigators have reported robust, statistically significant results that indicate that weak (approximately 1 microT) magnetic fields (MFs) increase the rate of morphological abnormalities in chick embryos. However, other investigators have reported that weak MFs do not appear to affect embryo morphology at all. We present the results of experiments conducted over five years in five distinct campaigns spanning several months each. In four of the campaigns, exposure was to a pulsed magnetic field (PMF); and in the final campaign, exposure was to a 60 Hz sinusoidal magnetic field (MF). A total of over 2500 White Leghorn chick embryos were examined. When the results of the campaigns were analyzed separately, a range of responses was observed. Four campaigns (three PMF campaigns and one 60 Hz campaign) exhibited statistically significant increases (P > or = 0.01), ranging from 2-fold to 7-fold, in the abnormality rate in MF-exposed embryos. In the remaining PMF campaign, there was only a slight (roughly 50%), statistically insignificant (P = 0.2) increase in the abnormality rate due to MF exposure. When the morphological abnormality rate of all of the PMF-exposed embryos was compared to that of all of the corresponding control embryos, a statistically significant (P > or = .001) result was obtained, indicating that PMF exposure approximately doubled the abnormality rate. Like-wise, when the abnormality rate of the sinusoid-exposed embryos was compared to the corresponding control embryos, the abnormality rate was increased (approximately tripled). This robust result indicates that weak EMFs can induce morphological abnormalities in developing chick embryos. We have attempted to analyze some of the confounding factors that may have contributed to the lack of response in one of the campaigns. The genetic composition of the breeding stock was altered by the breeder before the start of the nonresponding campaign. We hypothesize that the genetic composition of the breeding stock determines the susceptibility of any given flock to EMF-induced abnormalities and therefore could represent a confounding factor in studies of EMF-induced bioeffects in chick embryos.

The role of coherence time in the effect of microwaves on ornithine decarboxylase activity.

Previously, we demonstrated the requirements for a minimum coherence time of an applied, small amplitude (10 microT) ELF magnetic field if the field were to produce an enhancement of ornithine decarboxylase activity in L929 fibroblasts. Further investigation has revealed a remarkably similar coherence time phenomenon for enhancement of ornithine decarboxylase activity by amplitude-modulated 915 MHz microwaves of large amplitude (SAR 2.5 W/kg). Microwave fields modulated at 55, 60, or 65 Hz approximately doubled ornithine decarboxylase activity after 8 h. Switching modulation frequencies from 55 to 65 Hz at coherence times of 1.0 s or less abolished enhancement, while times of 10 s or longer provided full enhancement. Our results show that the microwave coherence effects are remarkably similar to those observed with ELF fields.

ELF in vitro exposure systems for inducing uniform electric and magnetic fields in cell culture media.

Many in vitro experiments on the biological effects of extremely low frequency (ELF) electromagnetic fields utilize a uniform external magnetic flux density (B) to expose biological materials. A significant number of researchers do not measure or estimate the resulting electric field strength (E) or current density (J) in the sample medium. The magnitude and spatial distribution of the induced E field are highly dependent on the sample geometry and its relative orientation with respect to the magnetic field. We have studied the E fields induced in several of the most frequently used laboratory culture dishes and flasks under various exposure conditions. Measurements and calculations of the E field distributions in the aqueous sample volume in the containers were performed, and a set of simple, quantitative tables was developed. These tables allow a biological researcher to determine, in a straightforward fashion, the magnitudes and distributions of the electric fields that are induced in the aqueous sample when it is subjected to a uniform, sinusoidal magnetic field of known strength and frequency. In addition, we present a novel exposure technique based on a standard organ culture dish containing two circular, concentric annular rings. Exposure of the organ culture dish to a uniform magnetic field induces different average electric fields in the liquid medium in the inner and outer rings. Results of experiments with this system, which were reported in a separate paper, have shown the dominant role of the magnetically induced E field in producing specific biological effects on cells, in vitro. These results emphasize the need to report data about the induced E field in ELF in-vitro studies, involving magnetic field exposures. Our data tables on E and J in standard containers provide simple means to enable determination of these parameters.

Delineation of electric and magnetic field effects of extremely low frequency electromagnetic radiation on transcription.

The relative effects of the electric and magnetic field components of extremely low frequency electromagnetic radiation (ELF) on transcription were examined in human leukemia HL-60 cells. Delineation of the individual field contributions was achieved by irradiating cells in separate concentric compartments of a culture dish within a solenoid chamber. This exposure system produced a homogeneous magnetic field with a coincident electric field whose strength varied directly with distance from the center of the culture dish. Irradiation of HL-60 cells with sine wave ELF at 60 Hz and a field strength of 10 Gauss produced a transient increase in the transcriptional rates which reached a maximum of 50-60% enhancement at 30-120 minutes of irradiation and declined to near basal levels by 18 hours. Comparison of transcription responses to ELF of cells in different concentric compartments revealed that the transcriptional effects were primarily the result of the electric field component with little or no contribution from the magnetic field.