RESUMEN
Bovine in vitro endometrial models that resemble tissue function in vivo are needed to study infertility, long-term uterine alterations induced by pathogens and impact of endocrine disruptor chemicals on reproductive function and other reproductive system complications that cause high economic losses in livestock species. The present study aimed to generate an innovative, reproducible, and functional 3D scaffold-based model of the bovine endometrium structurally robust for long term-culture. We developed a multicellular model containing both endometrial epithelial and stromal cells. Epithelial cells organized to form a luminal-like epithelial layer on the surface of the scaffold. Stromal cells produced their own extracellular matrix forming a stable subepithelial compartment that physiologically resembles the normal endometrium. Both cell types released prostaglandin E2 and prostaglandin F2α following a treatment with oxytocin and arachidonic acid. Additionally signal pathways mediating oxytocin and arachidonic acid stimulation of prostaglandin synthesis were analyzed by real time PCR (RT-PCR). Oxytocin receptor (OXTR), prostaglandin E2 receptor 2 (EP2), prostaglandin E2 receptor 4 (EP4), prostaglandin F receptor (PTGFR), prostaglandin E synthase (PTGES), PGF-synthase (PGFS) and prostaglandin-endoperoxide synthase 2 (COX-2) expression was detected in both control and treatment groups, however, only significant changes in abundance of OXTR mRNA transcripts were found. The results obtained by this study are a step forward in bovine in vitro culture technology. This 3D scaffold-based model provides a platform to study regulatory mechanisms involved in endometrial physiology and can set the basis for a broader tool for designing and testing novel therapeutic strategies for recurrent uterine pathologies.
Asunto(s)
Endometrio , Oxitocina , Femenino , Animales , Bovinos , Oxitocina/farmacología , Oxitocina/metabolismo , Ácido Araquidónico/farmacología , Ácido Araquidónico/metabolismo , Dinoprostona/metabolismo , Prostaglandina-E Sintasas/metabolismoRESUMEN
Hip fracture is a major health care problem worldwide. Business process management systems (PMSs) have made significant contributions in health care environments to improve patient care standards. The effectiveness of PMS applied to hip fracture in older adults in the acute phase has been demonstrated. INTRODUCTION: Fragility fracture is a major health care problem worldwide. Business PMSs have made significant contributions in health care environments to improve patient care standards. It is a new way of management that defines a homogeneous application procedure involving eliminating steps that add no value and developing explicit supervision criteria, in addition to identifying the appropriate managers. PURPOSE: The aim of our trial was to assess the effectiveness of the PMS applied to hip fracture versus the orthogeriatric co-management model in the acute phase. METHODS: All consecutive patients aged ≥ 65 who were admitted to Hospital Universitario Infanta Leonor between January 1, 2009, and December 31, 2016, for acute hip fracture surgery were included. We compared the effectiveness indicators in the acute phase between the preprocess period (orthogeriatric co-management) and the process period. RESULTS: One thousand two hundred twenty-two patients were included (76.6% women). Mean age (SD) was 83.9 (6.4) years. Effectiveness management indicators are the following: length of hospital stay, time to admission to the ward from the emergency department, preoperative stay, surgery in < 48 h, and the operating room availability which were all improved in the process period with statistical significance. Effectiveness clinical indicators are the following: the numbers of patients with operated limb loading approved after surgery, discharged to home, and with osteoporosis treatment postfracture at the time of discharge which were statistically significantly higher in the process period, and the number of patients who suffered from delirium was statistically significantly lower in the process period. The number of in-hospital deaths was lower during the process period without statistical significance. CONCLUSION: Our results demonstrated the effectiveness of the PMS applied to hip fracture in older adults compared with an orthogeriatric co-management model in the acute phase, based on both management indicators and clinical indicators.
Asunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Implementación de Plan de Salud , Servicios de Salud para Ancianos/organización & administración , Fracturas de Cadera/terapia , Evaluación de Procesos, Atención de Salud , Anciano , Anciano de 80 o más Años , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Resultado del TratamientoRESUMEN
Spanish goat encephalitis virus (SGEV) is a recently described member of the genus Flavivirus belonging to the tick-borne encephalitis group of viruses, and is closely related to louping ill virus (LIV). Naturally acquired disease in goats results in severe, acute encephalitis and 100% mortality. Eighteen goats were challenged subcutaneously with SGEV; nine were vaccinated previously against LIV and nine were not. None of the vaccinated goats showed any clinical signs of disease or histological lesions, but all of the non-vaccinated goats developed pyrexia and 5/9 developed neurological clinical signs, primarily tremors in the neck and ataxia. All non-vaccinated animals developed histological lesions restricted to the central nervous system and consistent with a lymphocytic meningomyeloencephalitis. Vaccinated goats had significantly (P <0.003) greater concentrations of serum IgG and lower levels of IgM (P <0.0001) compared with unvaccinated animals. SGEV RNA levels were below detectable limits in the vaccinated goats throughout the experiment, but increased rapidly and were significantly (P <0.0001) greater 2-10 days post challenge in the non-vaccinated group. In conclusion, vaccination of goats against LIV confers highly effective protection against SGEV; this is probably mediated by IgG and prevents an increase in viral RNA load in serum such that vaccinated animals would not be an effective reservoir of the virus.
Asunto(s)
Encefalitis Viral/veterinaria , Infecciones por Flavivirus/veterinaria , Enfermedades de las Cabras/prevención & control , Vacunas Virales/inmunología , Animales , Virus de la Encefalitis Transmitidos por Garrapatas , Femenino , Enfermedades de las Cabras/virología , Cabras , VacunaciónRESUMEN
Spanish goat encephalitis virus (SGEV) is a member of the genus Flavivirus, family Flaviviridae, and causes encephalomyelitis in goats. The aim of this study was to determine whether sheep are susceptible to experimental challenge with SGEV by two different routes. The results show that SGEV can infect sheep by both the subcutaneous and intravenous routes, resulting in neurological clinical disease with extensive and severe histological lesions in the central nervous system. Lambs challenged subcutaneously developed more severe lesions on the ipsilateral side of the brain, but the lesion morphology was similar irrespective of the route of challenge. The clinical presentation, pathogenesis, lesion morphology and distribution shows that SGEV is very similar to louping ill virus (LIV) and therefore any disease control plan must take into account any host species and SGEV vectors as potential reservoirs. Furthermore, discriminatory diagnostics need to be applied to any sheep or goat suspected of disease due to any flavivirus in areas where SGEV and LIV co-exist.
Asunto(s)
Encefalitis Viral/veterinaria , Infecciones por Flavivirus/veterinaria , Enfermedades de las Ovejas/patología , Enfermedades de las Ovejas/virología , Animales , Encéfalo/patología , Encéfalo/virología , Femenino , OvinosRESUMEN
Bovine tuberculosis (TB) infection is infrequently diagnosed in sheep. Most reports are from single individual cases or flock outbreaks. However, in Spain several outbreaks have been reported recently, all of which had epidemiological links with TB-infected cattle herds. A total of 897 sheep suspected of being infected with TB and belonging to 23 flocks cohabiting with TB-infected cattle herds and/or goats were tested between 2009 and 2013 in Galicia (north-western Spain), using pathological, immunological and molecular techniques. Of these, 50.44% were positive by culture, 83.23% by histopathology and 24.92%, 4.86% and 59.42% by single intradermal tuberculin test (SITT), interferon-γ and ELISA, respectively. Results suggest that in circumstances akin to those in our study, sheep may be considered as a potential source of TB. We conclude that under similar conditions, serious consideration should be given to TB testing sheep, as they may represent a potential risk to other susceptible co-habiting species. The SITT and ELISA are recommended as the simplest and most cost-effective initial approaches for the diagnosis of TB in sheep under field conditions. However, when possible, interferon-γ should be applied to increase sensitivity.
Asunto(s)
Brotes de Enfermedades/veterinaria , Prueba de Tuberculina/métodos , Tuberculosis Bovina/epidemiología , Tuberculosis Bovina/patología , Animales , Bovinos , Ensayo de Inmunoadsorción Enzimática/veterinaria , Cabras , Interferón gamma , Ovinos , España/epidemiología , Tuberculosis Bovina/diagnósticoRESUMEN
Wild vertebrates are essential hosts for tick-borne diseases but data on the prevalence and diversity of Anaplasma spp. in wildlife are scarce. In this study, we used real-time PCR to investigate the distribution of Anaplasma species in spleen samples collected from 625 wild animals (137 cervids, 227 wild boar, and 261 carnivores) in two regions in northern Spain. A first generic real-time PCR assay was used to screen for the presence of Anaplasma spp. followed by a second species-specific multiplex real-time PCR or partial sequencing of the 16S rRNA gene for species identification. Anaplasma phagocytophilum was highly prevalent in cervids (64.2%), but it was absent from wild boar and carnivores. Interestingly, Anaplasma marginale and Anaplasma ovis were not detected in cervids, but Anaplasma centrale was identified in 1 roe deer and 1 red deer, A. bovis in 4 roe deer, and a novel Ehrlichia sp. in one badger. These findings were highly associated with the tick burden identified in the different hosts. Thus, Ixodes ricinus, the recognized vector of A. phagocytophilum in Europe, was the main tick species parasitizing cervids (93.5%, 1674/1791), whereas Dermacentor reticulatus was the most abundant in wild boar (76.1%, 35/46) and Ixodes hexagonus in carnivores (58.4%, 265/454). More investigations are needed to assess the impact of the different Anaplasma species in wildlife and the risk of transmission to domestic animals.
Asunto(s)
Infecciones por Anaplasmataceae/veterinaria , Anaplasmataceae/aislamiento & purificación , Vectores Arácnidos/microbiología , Ixodes/microbiología , Infestaciones por Garrapatas/veterinaria , Enfermedades por Picaduras de Garrapatas/veterinaria , Anaplasma/genética , Anaplasma/aislamiento & purificación , Anaplasma phagocytophilum/genética , Anaplasma phagocytophilum/aislamiento & purificación , Anaplasmataceae/genética , Infecciones por Anaplasmataceae/epidemiología , Infecciones por Anaplasmataceae/microbiología , Animales , Carnívoros , Ciervos , Reservorios de Enfermedades/veterinaria , Ehrlichia/genética , Ehrlichia/aislamiento & purificación , Mustelidae , Filogenia , Análisis de Secuencia de ADN/veterinaria , España/epidemiología , Bazo/microbiología , Sus scrofa , Porcinos , Infestaciones por Garrapatas/epidemiología , Infestaciones por Garrapatas/parasitología , Enfermedades por Picaduras de Garrapatas/epidemiología , Enfermedades por Picaduras de Garrapatas/microbiologíaRESUMEN
With the aim of improving our understanding of their epidemiological features, exposure to or presence of Canine Parvovirus (CPV), Canine Distemper Virus (CDV), Leishmania infantum and Sarcoptes scabiei were studied in 88 wild wolves from Asturias (Northern Spain) by means of long-term (2004-2010) serological and molecular data. Individual and population factors and the possible interactions between them were also statistically analyzed for better understanding the contact/presence of studied pathogens. The overall seroprevalence values were 19%, 61%, 20% and 0% for CDV, CPV, S. scabiei and Leishmania, respectively, while a 46% of studied wolves showed Leishmania genetic material presence. Sarcoptic mange, CDV and CPV showed higher seroprevalence values in the areas with higher wolf densities, and a positive association between CDV and S. scabiei antibody responses was detected. Reported data highlight the need of considering concomitant pathogens and their possible interactions for a better understanding of diseases and their management in wildlife.
Asunto(s)
Animales Salvajes , Moquillo/epidemiología , Leishmaniasis Visceral/veterinaria , Infecciones por Parvoviridae/veterinaria , Escabiosis/veterinaria , Lobos , Animales , Moquillo/inmunología , Virus del Moquillo Canino/genética , Leishmania infantum/genética , Leishmaniasis Visceral/epidemiología , Infecciones por Parvoviridae/epidemiología , Parvovirus Canino/genética , Sarcoptes scabiei/genética , Escabiosis/epidemiología , Escabiosis/inmunología , Estudios Seroepidemiológicos , España/epidemiologíaRESUMEN
Flavobacterium psychrophilum is the causative agent of bacterial cold-water disease (CWD) and rainbow trout fry syndrome (RTFS) in salmonids. These diseases are a major problem in the aquaculture industry in Spain, and a better understanding of the epidemiology of F. psychrophilum isolates is necessary to improve management strategies. In this study, to investigate genetic variability of this bacterium, pulsed-field gel electrophoresis after DNA digestion with endonuclease StuI, plasmid profiling analysis and antimicrobial susceptibility testing were undertaken with 25 isolates of F. psychrophilum from Spain. These isolates were classified into 17 patterns by PFGE analysis, which were grouped into four clusters and seven independent branches. Twenty isolates (80%) possessed plasmids of 3.5 kb (n = 13) or 5.5 kb (n = 7). No plasmids were associated with antibiotic resistance to oxytetracycline (OTC) or florfenicol (FLO). Twenty isolates (80%) had minimum inhibitory concentrations (MICs) to OTC of between 2.4 and 9.7 microg mL(-1), and all isolates were susceptible to FLO. A relationship between the origin of the isolates and PFGE genotypes was found. Plasmid profile typing correlated with PFGE profile typing, whereas no correlation was found between antimicrobial susceptibility testing and PFGE profiles. These results suggest that the population of F. psychrophilum with pathogenic potential in northern Spain is quite heterogeneous.
Asunto(s)
Antibacterianos/farmacología , Farmacorresistencia Bacteriana , Enfermedades de los Peces/microbiología , Infecciones por Flavobacteriaceae/veterinaria , Flavobacterium/efectos de los fármacos , Flavobacterium/genética , Variación Genética , Animales , Electroforesis en Gel de Campo Pulsado , Infecciones por Flavobacteriaceae/microbiología , Flavobacterium/clasificación , Flavobacterium/aislamiento & purificación , Pruebas de Sensibilidad Microbiana , Oncorhynchus mykiss/microbiología , Filogenia , Plásmidos/genética , EspañaRESUMEN
A multiplex PCR assay based on the 16S rRNA genes was developed for the simultaneous detection of three major fish pathogens, Aeromonas salmonicida, Flavobacterium psychrophilum, and Yersinia ruckeri. The assay proved to be specific and as sensitive as each single PCR assay, with detection limits in the range of 6, 0.6, and 27 CFU for A. salmonicida, F. psychrophilum, and Y. ruckeri, respectively. The assay was useful for the detection of the bacteria in artificially infected fish as well as in fish farm outbreaks. Results revealed that this multiplex PCR system permits a specific, sensitive, reproducible, and rapid method for the routine laboratory diagnosis of infections produced by these three bacteria.
Asunto(s)
Aeromonas/aislamiento & purificación , Enfermedades de los Peces/microbiología , Flavobacterium/aislamiento & purificación , Infecciones por Bacterias Gramnegativas/veterinaria , Trucha , Yersiniosis/veterinaria , Yersinia/aislamiento & purificación , Aeromonas/genética , Animales , Flavobacterium/genética , Infecciones por Bacterias Gramnegativas/diagnóstico , Infecciones por Bacterias Gramnegativas/microbiología , Reacción en Cadena de la Polimerasa/métodos , ARN Ribosómico 16S/genética , Sensibilidad y Especificidad , Yersinia/genéticaRESUMEN
AIMS: This study developed a new diagnostic method for the bacterium Flavobacterium psychrophilum based on a TaqMan polymerase chain reaction (PCR) assay. METHODS AND RESULTS: Based on reported and newly designed PCR probes, a rapid procedure, that requires no post-PCR processing, was developed for the detection of F. psychrophilum by measuring the fluorescence produced during PCR amplification. Primers were designed to amplify a 971-bp fragment of the 16S rRNA as the target. When different F. psychrophilum strains and other bacterial species, that are taxonomically and ecologically related, were assayed the fluorogenic test was 100% specific in identifying all of the F. psychrophilum strains. The sensitivity of the assay was found to be 1.1 pg DNA and the assay was linear over a range of 0.1 pg-11.2 ng. With pure cultures of F. psychrophilum, the assay was linear over the range 0.4-4.7 x 104 cfu and was able to detect 4.7 cfu per reaction. The analysis was reproducible using either extracted DNA or pure culture. Results using artificially infected fish and diseased fry from natural fish farm outbreaks showed that the assay was useful for diagnosis. CONCLUSIONS: The data showed that the assay was as specific, sensitive, reproducible and rapid but less toxic than the PCR assays described and so very useful for the diagnosis of these micro-organisms. SIGNIFICANCE AND IMPACT OF THE STUDY: This new approach permits a rapid, easy and safe routine laboratory diagnosis of F. psychrophilum.
Asunto(s)
Enfermedades de los Peces/diagnóstico , Enfermedades de los Peces/microbiología , Flavobacterium/aislamiento & purificación , Infecciones por Bacterias Gramnegativas/diagnóstico , Infecciones por Bacterias Gramnegativas/veterinaria , Trucha , Animales , Acuicultura , Flavobacterium/genética , Reacción en Cadena de la Polimerasa/métodos , Sensibilidad y Especificidad , Polimerasa TaqRESUMEN
In the Principality of Asturias (PA), Spain. three Salmonella serovar Panama outbreaks were registered in August 1998. In order to achieve an accurate identification of the strains implicated in the outbreaks and to study the molecular epidemiology of this serovar in the PA, the isolates collected over 1990-1999 were examined by DNA fingerprinting and antimicrobial resistance analysis. The origin of the isolates was: human (65, of which 20 were associated with the three outbreaks), octopus (2), beef (2), eggs (7), poultry faeces (2), sea water (5), sewage (2) and unknown (1). Sixteen lineages were defined by ribotyping, enterobacterial repetitive intergenic consensus sequences analysis, and randomly amplified polymorphic DNA segment analysis. One lineage was endemic in the PA and was also represented by isolates from other Spanish regions. The organisms of this lineage can be differentiated (by resistance-, plasmid- and integron-profiles) into 19 types. The three outbreaks were caused by organisms falling into a single type (nalidixic acid-resistant, plasmid- and integron-free) belonging to the endemic lineage, which was associated with poultry as the reservoir. Isolates showing drug-resistance (71%) fell into six lineages and 23 types. Ten multidrug-resistant types carried class I integrons with three types of variable regions containing resistance gene cassettes.
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Antibacterianos/farmacología , Intoxicación Alimentaria por Salmonella/epidemiología , Salmonella/clasificación , Salmonella/efectos de los fármacos , Animales , Pollos/microbiología , Brotes de Enfermedades , Reservorios de Enfermedades/veterinaria , Farmacorresistencia Bacteriana , Epidemiología Molecular , Técnica del ADN Polimorfo Amplificado Aleatorio , Ribotipificación , Salmonella/genética , Salmonella/aislamiento & purificación , Intoxicación Alimentaria por Salmonella/tratamiento farmacológico , Intoxicación Alimentaria por Salmonella/microbiología , España/epidemiologíaRESUMEN
It has been suggested that in species with monocentric chromosomes axial element (AE) components may be responsible for sister chromatid cohesion during meiosis. To test this hypothesis in species with holocentric chromosomes we selected three heteropteran species with different sex-determining mechanisms. We observed in surface-spreads and sections using transmission electron microscopy that the univalent sex chromosomes form neither AEs nor synaptonemal complexes (SCs) during pachytene. We also found that a polyclonal antibody recognizing SCP3/Cor1, a protein present at AEs and SC lateral elements of rodents, labels the autosomal SCs but not AEs or SC stretches corresponding to the sex chromosomes. Cytological analysis of the segregational behaviour of the sex univalents demonstrates that although these chromosomes segregate equationally during anaphase I they never show precocious separation of sister chromatids during late prophase I or metaphase I. These results suggest that AEs are not responsible for sister cohesion in sex chromosomes. The segregational behaviour of these chromosomes during both meiotic divisions also indicates that different achiasmate modes of chromosome association exist in heteropteran species.
Asunto(s)
Heterópteros/genética , Meiosis/genética , Cromosomas Sexuales/genética , Intercambio de Cromátides Hermanas/genética , Animales , División Celular/genética , Núcleo Celular/ultraestructura , Cromátides/genética , Cromátides/metabolismo , Cromátides/ultraestructura , Segregación Cromosómica/genética , Cariotipificación , Masculino , Cromosomas Sexuales/ultraestructura , Intercambio de Cromátides Hermanas/fisiologíaRESUMEN
Characterization of sex chromosomes in males of Mantis religiosa L. (2n = 24 + X1X2Y) was carried out by C-banding, silver staining and fluorescence in situ hybridization. They are meta- or submetacentric, their arms being designated as X1L, X1R, X2R, X2L, YL and YR. Meiotic behaviour of the sex trivalent was examined through the analysis of synaptonemal complexes (SCs), prometaphase I (metaphase I) and metaphase II nuclei. On the basis of the SC analysis, chromosomal length measurements at mitosis and prometaphase I and data from several orthopteran species, it is proposed that the breakpoints of the reciprocal translocation that originated this complex sex-determining mechanism were close to the centromeres of the X and the largest autosome, and that the asynapsed X1L and X2R regions observed in the sex trivalent at pachytene represent the original X chromosome. The X centromere being probably that of the X2 element because it lacks a partner in the SC pachytene trivalent. The relationship among synaptic pattern, chiasma localization and balanced segregation of the sex trivalent is also discussed.
Asunto(s)
Ortópteros/genética , Procesos de Determinación del Sexo , Complejo Sinaptonémico/genética , Cromosoma X/genética , Cromosoma Y/genética , Animales , Bandeo Cromosómico , Masculino , Ortópteros/citología , España , Translocación Genética , Cromosoma X/ultraestructura , Cromosoma Y/ultraestructuraAsunto(s)
Cromosomas/ultraestructura , Meiosis/genética , Ortópteros/genética , Animales , Centrómero/ultraestructura , Bandeo Cromosómico , Cromosomas/genética , Femenino , Heterocromatina/genética , Masculino , Microscopía Electrónica , Profase/fisiología , Complejo Sinaptonémico/genética , Telómero/ultraestructura , Cromosoma X/genética , Cromosoma X/ultraestructuraRESUMEN
Surface-spread synaptonemal complexes and chiasma distributions in spermatocytes with different C-banding patterns and chiasma distributions in oocytes were analyzed in the grasshopper Pyrgomorpha conica. Male meiosis was characterized by a proximal/distal chiasma localization and complete pairing of homologous chromosomes at pachytene. However, there were indications of a relationship between the frequency and location of pairing initiation sites and chiasma distribution. The presence of a proximal supernumerary segment in a medium-sized chromosome does not increase the mean cell chiasma frequency of carrier individuals compared with those lacking it but may modify chiasma distribution in at least some carrier bivalents. This effect could be related to heterosynapsis in the region near the segment. Mean cell chiasma frequency was significantly lower in females than in males. Females also showed altered chiasma distributions compared with males, with fewer proximal chiasmata and more interstitial and distal chiasmata.
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Bandeo Cromosómico , Cromosomas/química , Saltamontes/genética , Meiosis , Complejo Sinaptonémico , Animales , Cromátides/química , Cromatina/química , Cromosomas/ultraestructura , Femenino , Cariotipificación , Masculino , Metafase , Microscopía Electrónica , Espermatocitos/citologíaRESUMEN
The purpose of this study was to evaluate the fat and oil intake and their distribution according to the dietary origin in students of the University of Buenos Aires. A 7 day dietary record of students (49 males and 127 females) attendant to the 1989 Course of Nutrition, School of Pharmacy and Biochemistry, to obtain in Pharmacy and Biochemistry was collected. This information was processed in a PC Computer (VAN Program, Lujan University, Argentina) to obtain the energy and fat daily intake, according to the Dietary Composition Tables compiled by INCAP; missing data were completed t with the German, Italian or Argentine Tables. The results obtained were (average daily intake +/- SD) for females and males, respectively: Energy (Kcal): 1805 +/- 5431 and 2551 +/- 712; total fat (g): 65.6 +/- 21.8 and 87.8 +/- 28.7; percentage of energy provided by fat: 33.0 and 31.1. The distribution of fat intake according to its dietary source was (g/100 g): meat: 33.3; oils: 15.5; diary products: 19.3; cakes and pasta: 11.6; cereals (bread, crackers, etc.): 8.3; separate animal fat: 5.1; legumes and oil seeds: 1.4; eggs: 2.9; poultry: 1.5; margarines: 0.6; fish: 0.3; viscera: 0.3. These data show that the fat intake is not excessive, about 30% of the energy intake; but the high percentage of animal fat might be one of the risk factors responsible for the high incidence of cardiovascular diseases in the population of Buenos Aires.
Asunto(s)
Grasas de la Dieta , Estudiantes , Adulto , Argentina , Registros de Dieta , Grasas de la Dieta/clasificación , Ingestión de Energía , Conducta Alimentaria , Femenino , Humanos , Masculino , Aceites , UniversidadesRESUMEN
A 46-year-old woman with acromegaly and marked hyperprolactinemia was treated chronically with sandostatin (50 micrograms b.i.d. up to 100 micrograms t.i.d.). Plasma growth hormone (GH) was reduced by 90% of basal values and prolactin (PRL) dropped from initially 204 to 74 ng/ml. Serial CAT scans detected a volume reduction of the pituitary adenoma of 46.7%, but discontinuation of therapy was followed by re-expansion of the tumor. Tissue collected at transsphenoidal adenomectomy was examined by immunohistology and found positive for both GH and PRL. This characteristic would explain the dual hormonal response to the specific GH inhibitor sandostatin.