Material deprivation is associated with liver stiffness and liver-related outcomes in people with HIV.

BACKGROUND: Socioeconomic status (SES) is a driver of health disparities and chronic diseases. People with HIV (PWH) are at risk for chronic liver diseases. We evaluated the association between low SES and hepatic outcomes in PWH. METHODS: We included PWH from a prospective cohort. SES was assessed by the Pampalon material and social deprivation index to classify the cohort into quintiles of deprivation. Multivariable linear regression was used to investigate associations of material and social deprivation with liver stiffness measurement (LSM) and controlled attenuation parameter (CAP) as markers of hepatic fibrosis and steatosis, respectively. Incidence of outcomes was evaluated through survival analysis. RESULTS: Among the 804 PWH included, 45% and 72% were living in areas of the highest material and social deprivation, respectively. Materially deprived PWH were more frequently female and of non-white ethnicity and had higher prevalence of metabolic comorbidities. After adjustments, material deprivation correlated with increased LSM (ß = 1.86, 95% CI 0.53-3.17) but not with CAP (ß = 6.47, 95% CI -5.55-18.49). Patients were observed for a median follow-up of 3.8 years. Incidence of liver-related events was higher in most materially deprived compared to most privileged PWH (hazard ratio 3.03, 95% CI 1.03-8.92), while there was no difference in extrahepatic outcomes or all-cause mortality. Social deprivation showed no association with either LSM or clinical outcomes. CONCLUSIONS: Living in materially deprived neighbourhoods as a proxy for lower SES, is associated with LSM and liver-related events in PWH. Future strategies should explore mechanisms underlying these relationships and whether enhanced material security improves hepatic outcomes.

Techniques of incorporation of salty compounds, food matrix, and sodium behaviour and its effect over saltiness perception: an overview.

The salty taste is usually associated with the positively charged ion sodium present in sodium chloride. Due to its relevance in the food industry, there have been several studies to determine how this ion behaves in various food matrices, or the use of techniques to improve saltiness perception to reduce the amount necessary for savoury food. Several databases were searched, and it was discovered that sodium can interact with the protein, modifying its mobility, as well as, other components of the food matrix, such as fat, that seem to interfere with saltiness perception, increasing or reducing it. Several techniques were used to identify the interaction between sodium and the food matrix, as well as sensory testing to determine the influence of different modification strategies to enhance the saltiness perception. Due to the multiple factors involved in the salty taste, understanding the effect of the technique to modify saltiness perception, the interaction of the matrix components of the food, and the sodium interaction with those components, can be of use in the developing process of foods with a reduction in the sodium content. Supplementary Information: The online version contains supplementary material available at 10.1007/s13197-023-05861-6.

Role of fatty liver in the epidemic of advanced chronic liver disease among people with HIV: protocol for the Canadian LIVEHIV multicentre prospective cohort.

INTRODUCTION: Advanced chronic liver disease (ACLD) is a major cause of death for people with HIV (PWH). While viral hepatitis coinfections are largely responsible for this trend, metabolic dysfunction-associated steatotic liver disease (MASLD) is an emerging concern for PWH. We aimed to assess the contribution of MASLD to incident ACLD in PWH. METHODS AND ANALYSIS: This multicentre prospective observational cohort study will enrol 968 consecutive HIV monoinfected patients from four Canadian sites, excluding subjects with alcohol abuse, liver disease other than MASLD, or ACLD at baseline. Participants will be followed annually for 4 years by clinical evaluation, questionnaires, laboratory testing and Fibroscan to measure liver stiffness measurement (LSM) and controlled attenuation parameter (CAP). The primary outcome will be incidence of ACLD, defined as LSM>10 kPa, by MASLD status, defined as CAP≥285 dB/m with at least one metabolic abnormality, and to develop a score to classify PWH according to their risk of ACLD. Secondary outcomes will include health-related quality of life (HRQoL) and healthcare resource usage. Kaplan-Meier survival method and Cox proportional hazards regression will calculate the incidence and predictors of ACLD, respectively. Propensity score methods and marginal structural models will account for time-varying exposures. We will split the cohort into a training set (to develop the risk score) and a validation set (for validation of the score). HRQoL scores and healthcare resource usage will be compared by MASLD status using generalised linear mixed effects model. ETHICS AND DISSEMINATION: This protocol has been approved by the ethics committees of all participating institutions. Written informed consent will be obtained from all study participants. The results of this study will be shared through scientific publications and public presentations to advocate for the inclusion of PWH in clinical trials of MASLD-targeted therapies and case-finding of ACLD in PWH.

Prognostic value of non-invasive scores based on liver stiffness measurement, spleen diameter and platelets in HIV-infected patients.

BACKGROUND AND AIMS: People living with HIV (PLWH) are at high risk for advanced chronic liver disease and related adverse outcomes. We aimed to validate the prognostic value of non-invasive scores based on liver stiffness measurement (LSM) and on markers of portal hypertension (PH), namely platelets and spleen diameter, in PLWH. METHODS: We combined data from eight international cohorts of PLWH with available non-invasive scores, including LSM and the composite biomarkers liver stiffness-spleen size-to-platelet ratio score (LSPS), LSM-to-Platelet ratio (LPR) and PH risk score. Incidence and predictors of all-cause mortality, any liver-related event and classical hepatic decompensation were determined by survival analysis, controlling for competing risks for the latter two. Non-invasive scores were assessed and compared using area under the receiver operating curve (AUROC). RESULTS: We included 1695 PLWH (66.8% coinfected with hepatitis C virus). During a median follow-up of 4.7 (interquartile range 2.8-7.7) years, the incidence rates of any liver-related event, all-cause mortality and hepatic decompensation were 13.7 per 1000 persons-year (PY) (95% confidence interval [CI], 11.4-16.3), 13.8 per 1000 PY (95% CI, 11.6-16.4) and 9.9 per 1000 PY (95% CI, 8.1-12.2), respectively. The AUROC of LSM was similar to that of the composite biomarkers, ranging between 0.83 and 0.86 for any liver-related event, 0.79-0.85 for all-cause mortality and 0.87-0.88 for classical hepatic decompensation. All individual non-invasive scores remained independent predictors of clinical outcomes in multivariable analysis. CONCLUSIONS: Non-invasive scores based on LSM, spleen diameter and platelets predict clinical outcomes in PLWH. Composite biomarkers do not achieve higher prognostic performance compared to LSM alone.

Fibroscan-Aspartate Aminotransferase Score Predicts Liver-Related Outcomes, but Not Extrahepatic Events, in a Multicenter Cohort of People With Human Immunodeficiency Virus.

BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is frequent in people with human immunodeficiency virus (PWH). The Fibroscan-aspartate aminotransferase (FAST) score was developed to identify patients with nonalcoholic steatohepatitis (NASH) and significant fibrosis. We investigated prevalence of NASH with fibrosis and the value of FAST score in predicting clinical outcomes in PWH. METHODS: Transient elastography (Fibroscan) was performed in PWH without viral hepatitis coinfection from 4 prospective cohorts. We used FAST >0.35 to diagnose NASH with fibrosis. Incidence and predictors of liver-related outcomes (hepatic decompensation, hepatocellular carcinoma) and extrahepatic events (cancer, cardiovascular disease) were evaluated through survival analysis. RESULTS: Of the 1472 PWH included, 8% had FAST >0.35. Higher body mass index (adjusted odds ratio [aOR], 1.21 [95% confidence interval {CI}, 1.14-1.29]), hypertension (aOR, 2.24 [95% CI, 1.16-4.34]), longer time since HIV diagnosis (aOR, 1.82 [95% CI, 1.20-2.76]), and detectable HIV RNA (aOR, 2.22 [95% CI, 1.02-4.85]) were associated with FAST >0.35. A total of 882 patients were followed for a median of 3.8 years (interquartile range, 2.5-4.2 years). Overall, 2.9% and 11.1% developed liver-related and extrahepatic outcomes, respectively. Incidence of liver-related outcomes was higher in patients with FAST >0.35 versus FAST ≤0.35 (45.1 [95% CI, 26.2-77.7] vs 5.0 [95% CI, 2.9-8.6] per 1000 person-years). FAST >0.35 remained an independent predictor of liver-related outcomes (adjusted hazard ratio, 4.97 [95% CI, 1.97-12.51]). Conversely, FAST did not predict extrahepatic events. CONCLUSIONS: A significant proportion of PWH may have NASH with significant liver fibrosis. FAST score predicts liver-related outcomes and can help management of this high-risk population.

Coconut Flour (Cocos nucifera L.) as a Partial Replacement in Wheat Flour (Triticum aestivum)-Based Tortillas and Its Effect on Dough Rheology and Tortilla Quality.

Wheat-flour (WF) tortillas are among the popular flatbreads used in northern Mexico to prepare 'burritos', which are widely accepted in the USA and other countries but have low nutritional quality. Therefore, to increase the protein and fiber contents, we replaced 10 or 20% of the WF with coconut (Cocos nucifera, variety Alto Saladita) flour (CF) and evaluated the effects on the dough rheology and quality of the composite tortillas. There were differences in the optimum mixing times among the doughs. The protein, fat, and ash contents of the tortillas increased (p < 0.05) with increasing CF content. The carbohydrate content was unchanged (p > 0.05), but the 20% CF tortillas contained more fiber than the control tortilla. Tortilla firmness increased (p < 0.05) and extensibility decreased (p < 0.05) with increasing CF content. The 80:20 blended tortillas showed the highest firmness (7.9 N), whereas the control and 90:10 blended tortillas did not differ (p > 0.05) in firmness. There were no differences (p > 0.05) in extensibility between the composite tortillas. The physicochemical properties of the tortillas indicated that the 20% CF-containing tortilla was a more nutritious option to the wheat flour tortilla due to its higher dietary fiber and protein contents, in addition to the slight reduction seen in extensibility compared to the WF tortilla.

A Triple-Blind Randomized Trial of Preemptive Use of Gabapentin Before Laparoscopic Hysterectomy for Benign Gynaecologic Conditions.

OBJECTIVE: This study sought to examine the efficacy of preemptive use of gabapentin in laparoscopic hysterectomy for benign gynaecologic conditions. METHODS: In a triple-blind trial, the study investigators randomly assigned women undergoing laparoscopic hysterectomy to receive 600 mg gabapentin (n = 43) or placebo (n = 45) orally 1 hour before the procedure. Patient-controlled opioid analgesia was provided postoperatively. The primary outcome of the trial was cumulative opioid consumption in the first postoperative 24 hours. The study also assessed pain at rest and on movement, the presence of side effects, and patient satisfaction at 2, 8, and 24 hours after surgery. RESULTS: Between March 10, 2016 and May 1, 2018, 215 women were assessed for eligibility, 110 were randomized, and 88 completed the study. Enrolment was started after trial registration. The investigators found no difference in 24-hour cumulative morphine equivalent opioid consumption between the gabapentin group (26.9 ± 14.7 mg) and the placebo group (27.1 ± 15.1 mg). This provided a mean difference of 0.2 mg (95% CI -6.1 to 6.5, P = 0.943). Pain scores at 2, 8, and 24 hours were also not found to differ between groups. Gabapentin was associated with increased dizziness, but it significantly reduced the use of antiemetic at any time in the first 24 postoperative hours. Patient satisfaction in the two groups was good and not found to differ. CONCLUSION: Preemptive administration of gabapentin before laparoscopic hysterectomy does not decrease postoperative pain scores and narcotic consumption.

[Factors correlated with low-income diabetic patients' quality of life in Bogota]. / Factores correlacionados con la calidad de vida en pacientes diabéticos de bajos ingresos en Bogotá

OBJECTIVE: Identifying the factors correlated with health-related quality of life (QOL) amongst low-income diabetic patients attending two public hospitals in Bogotá. METHODS: This was a cross-sectional study involving 153 type 2 diabetic patients. The variables studied were socio-demographic characteristics, social support, lifestyle and clinical measurements (HbA1c, BMI, and cholesterol). The SF-8 health survey (8-item short form) was used for assessing health-related QOL. RESULTS: Overall physical score was 41.4 (SE 8.5) and overall mental score 46.5 (SE 7.3); the scores never exceeded 50 points. The factors correlated with lower QOL regarding the physical domain were occupation, social support, physical activity and fat intake and age, occupation, social support, and smoking status regarding the mental domain. CONCLUSIONS: The patients surveyed here had a poor QOL. The factors correlated with health-related QOL included socio-demographic characteristics, social support and lifestyle. These findings should be taken into account when formulating public health policy to readdress the current healthcare model for controlling diabetes.

Factores correlacionados con la calidad de vida en pacientes diabéticos de bajos ingresos en Bogotá / Factors correlated with low-income diabetic patients' quality of life in Bogota

Objetivos Identificar los factores correlacionados con la calidad de vida relacionada con salud en pacientes con diabetes mellitus 2 de bajos ingresos que asisten a control en dos hospitales de la red pública de Bogotá. Métodos Estudio transversal que incluyó a 153 diabéticos de estratos 1 y 2. Las variables fueron características socio-demográficas, apoyo social, modos de vida y mediciones clínicas (HbA1c, IMC y colesterol). La calidad de vida se midió a través del SF-8. Resultados El puntaje global físico de la calidad de vida relacionada con la salud fue de 41,4 (DE. 8,5); el puntaje global mental fue de 46,5 (DE. 7,3). Los puntajes de calidad de vida nunca fueron superiores a 50 puntos. Los factores correlacionados a una menor calidad de vida de las personas con DM2 en la escala física fueron la ocupación, apoyo social, actividad física y consumo de grasas; en la escala mental fueron la edad, la ocupación, el apoyo social y el consumo de cigarrillo. Conclusiones Los pacientes de este estudio tienen una mala calidad de vida. Los factores correlacionados con la calidad de vida relacionada con la salud incluyen las características sociodemográficas, de apoyo social y de los modos de vida. Es importante tener en cuenta estos resultados en las políticas de salud pública con el fin de reorientar los modelos de atención en salud para el control de la diabetes.

Objective Identifying the factors correlated with health-related quality of life (QOL) amongst low-income diabetic patients attending two public hospitals in Bogotá. Methods This was a cross-sectional study involving 153 type 2 diabetic patients. The variables studied were socio-demographic characteristics, social support, lifestyle and clinical measurements (HbA1c, BMI, and cholesterol). The SF-8 health survey (8-item short form) was used for assessing health-related QOL. Results Overall physical score was 41.4 (SE 8.5) and overall mental score 46.5 (SE 7.3); the scores never exceeded 50 points. The factors correlated with lower QOL regarding the physical domain were occupation, social support, physical activity and fat intake and age, occupation, social support, and smoking status regarding the mental domain. Conclusions The patients surveyed here had a poor QOL. The factors correlated with health-related QOL included socio-demographic characteristics, social support and lifestyle. These findings should be taken into account when formulating public health policy to readdress the current healthcare model for controlling diabetes.

Towards the fabrication of the top-contact electrode in molecular junctions by photoreduction of a metal precursor.

Langmuir films of 4-{[4-({4-[(trimethylsilyl)ethynyl]phenyl}ethynyl)phenyl]ethynyl} benzenaminium chloride ([1 H]Cl) undergo anion metathesis when assembled on an aqueous auric acid (HAuCl4 ) subphase. Subsequent transfer to solid supports gives well-formed Langmuir-Blodgett (LB) monolayers of [1 H]AuCl4 in which the trimethylsilyl group serves as the surface contacting group. Photoreduction of the aurate on these monolayers leads to the formation of metallic gold nanoislands, which were distributed over the surface of the film. Electrical properties of these nascent devices were determined by recording current-voltage (I-V) curves with conductive atomic force microscopy (c-AFM) using the PeakForce tunneling AFM (PF-TUNA) mode. This gives consistent sigmoidal I-V curves that are indicative of well-behaved junctions free of metallic filaments and short circuits. The photoreduction of a metal precursor incorporated onto monomolecular films is therefore proposed as an effective method for the fabrication of molecular junctions.

Controlling the structural and electrical properties of diacid oligo(phenylene ethynylene) Langmuir-Blodgett films.

The preparation, characterization and electrical properties of Langmuir-Blodgett (LB) films composed of a symmetrically substituted oligomeric phenylene ethynylene derivative, namely, 4,4'-[1,4-phenylenebis(ethyne-2,1-diyl)]dibenzoic acid (OPE2A), are described. Analysis of the surface pressure versus area per molecule isotherms and Brewster angle microscopy reveal that good-quality Langmuir (L) films can be formed both on pure water and a basic subphase. Monolayer L films were transferred onto solid substrates with a transfer ratio of unity to obtain LB films. Both L and LB films prepared on or from a pure water subphase show a red shift in the UV/Vis spectrum of about 14 nm, in contrast to L and LB films prepared from a basic subphase, which show a hypsochromic shift of 15 nm. This result, together with X-ray photoelectron spectroscopic and quartz crystal microbalance experiments, conclusively demonstrate formation of one-layer LB films in which OPE2A molecules are chemisorbed onto gold substrates and consequently -COO-Au junctions are formed. In LB films prepared on a basic subphase the other terminal acid group is also deprotonated and associates with an Na(+) counterion. In contrast, LB films prepared from a pure water subphase preserve the protonated acid group, and lateral H-bonds with neighbouring molecules give rise to a supramolecular structure. STM-based conductance studies revealed that films prepared from a basic subphase are more conductive than the analogous films prepared from pure water, and the electrical conductance of the deprotonated films also coincides more closely with single-molecule conductance measurements. This result was interpreted not only in terms of better electron transmission in -COO-Au molecular junctions, but also in terms of the presence of lateral H-bonds in the films formed from pure water, which lead to reduced conductance of the molecular junctions.

Directionally oriented LB films of an OPE derivative: assembly, characterization, and electrical properties.

Langmuir films have been fabricated from 4-[4'-(4''-thioacetyl-phenyleneethynylene)-phenyleneethynylene]-aniline (NOPES) after cleavage of the thioacetyl protecting group. Characterization by surface pressure vs area per molecule isotherms and Brewster angle microscopy reveal the formation of a high quality monolayer at the air-water interface. One layer Langmuir-Blodgett (LB) films were readily fabricated by the transfer of the NOPES Langmuir film onto solid substrates. X-ray photoelectron spectroscopy (XPS), surface polarization-modulated infrared reflection-absorption spectroscopy (PM-IRRAS), and quartz crystal microbalance (QCM) experiments conclusively demonstrate the formation of one layer LB films in which the functional group associated with binding to the substrate can be tailored by the film transfer conditions. Using LB methods this molecule could be transferred to gold samples with either the amine or thiol group attached to the gold surface. The amine group is directly attached to the gold substrate (Au-NH(2)-OPE-SH) when the substrate is initially immersed in the subphase and withdrawn during the transfer process; in contrast, monomolecular films in which the thiolate group is attached to the gold substrate (Au-S-OPE-NH(2)) are obtained when the substrate is initially out of the subphase and immersed during the transfer process. The morphology of these films was analyzed by atomic force microscopy (AFM), showing the formation of homogeneous layers. Film homogeneity was confirmed by cyclic voltammetry, which revealed a large passivation of gold electrodes covered by NOPES monolayers. Electrical properties for both polar orientated junctions have been investigated by scanning tunnelling microscopy (STM), with both orientations featuring a nonrectifying behavior.

Metal-molecule-metal junctions in Langmuir-Blodgett films using a new linker: trimethylsilane.

Herein trimethylsilane (TMS) is demonstrated to be an efficient binding group suitable for construction of metal-molecule-metal (M-mol-M') junctions, in which one of the metal contacts is an atomically flat gold surface and the other a scanning tunnelling microscopy (STM) tip. The molecular component of the M-mol-M' devices is an oligomeric phenylene ethynylene (OPE) derivative Me(3)Si C≡C{C(6)H(4)C≡C}(2)C(6)H(4)NH(2), featuring both Me(3)SiC≡C and NH(2) metal contacting groups. This compound can be assembled into Langmuir-Blodgett (LB) films on Au--substrates by surface binding through the amine groups. Alternatively, low coverage (sub-monolayer) films are formed by adsorption from solution. In the case of condensed monolayers top electrical contacts are formed to STM tips through the TMS end group. In low coverage films, single molecular bridges can be formed between the gold surface and a gold STM tip. The similarity in the I-V response of a one-layer LB film and the single molecule conductance experiments reveals several points of critical importance to the design of molecular components for use in the construction of M-mol-M' junctions. Firstly, the presence of neighbouring π systems does not have a significant effect on the conductance of the M-mol-M' junction. Secondly, in the STM configuration, intermolecular electron hopping does not significantly enhance the junction transport characteristics. Thirdly, the symmetric behaviour of the I-V curves obtained, despite the different metal-molecule contacts, indicates that the molecule is simply an amphiphilic electron-donating wire and not a molecular diode with strong rectifying characteristics. Finally, the conductance values obtained from the amine/TMS-contacted OPE described here are of the same order of magnitude as thiol anchored OPEs, making them attractive alternatives to the more conventionally used thiol-contacting chemistry for OPE molecular wires.

Degeneración combinada subaguda, neuropatía periférica y neuropatía óptica en un paciente con anemia perniciosa: reporte de un caso en el Hospital Universitario San Ignacio / Subacute combined degeneration, peripheral and optical neuropathies in a patient with pernicious anemia: a case reported by Hospital Universitario San Ignacio

La deficiencia de vitamina B12 puede resultar en lesiones que comprometen los nervios periféricos, médula espinal, nervios ópticos y cerebro. Sin embargo, es poco frecuente que dichas manifestaciones se presenten de manera simultánea. La anemia perniciosa es una importante causa de déficit de vitamina B12 pero esta última puede ser también secundaria a fallas nutricionales, gastrectomía, y malabsorción intestinal entre otros. En este reporte presentamos un caso recientemente atendido en el Hospital Universitario San Ignacio, con el que pretendemos dar una visión actualizada del tema y revisar algunos aspectosconcernientes con este trastorno.

Silicoantracosis en el cerrejón - propuesta para la acción / Solicoantracosis in the cerrejon: a proposal for action

Se presenta un paciente de 37 años de edad con antecedentes de trabajar por m'as de diez años como operario en las minas de carbón del Cerrejón Guajira. Clínicamente presente disneas y sincopes de esfuerzo, con dolor retroestema, ritmo de galope ocasional e ingurgitación yugular, compatibles con cor-pulmonar crónico. La radiografía de tórax presenta una opacidad conglomerada, mayor de un cintímetro de diámetro ubicada en los lóbulos medios del pulmón, además calcificaciones en forma de cascara de huevo en los gaglios linfáticos biliares y mediastinicos. La espirometría; muestra disminución de la capacidad vital (VC) y del volúmen espiratorio forzado (FEV), gasometría que demuestra disminución al esfuerzo y el reposos de las presiones parciales de O; y CO; respiectivamente. En la biopsia del pulmón se encontró conglomerados fibroticos con pérdida de la arquitectura pulmonar y granulomas necrobioticos con gran inflmación periférica y máculas de carbón alrededor de los bronquiolos. Además se encontró anticuerpos antinucleares positivos en el suero del paciente. El caso se concluyó como una "Silicoantracosis" profesional y corresponde a un grupo de 53 personas compatibles con neumoconiosis, diagnosticadas en 1995 por un estudio previo (Veles H. et. al 1995) de las cuales han fallecido 5 personas. En este mismo estudio se encontraron adem'as otras afecciones profesionales: 50 casos con daño músculo - esqueléticos. 66 casos con trastornos de la visión. 18 con hipoacusia, asi como altos niveles de panículas de carbón supendidas en el aire (más de 400 mg), violentando las normas de la legislación Colombiana para la salud ocupacional (MTSS, 1989). Por estas razones el grupo de investigadores de Universidad Popular del Cesar propone realizar un programa de vigilancia y control para prevenir la aparición de casos nuevos, controlar y rehabilitar los casos existentes y dar cumplimiento a las medidas de protección para el trabajo recomendadas por la Organización Internacional del Trabajo (OIT, 1985)

Galanina, un nuevo neuropéptido. Revisión / Galanina, a new neuropeptide. review

La galanina es un péptido que consta de 29 aminoácidos originalmente aislado de intestino de porcino. Se sintetiza inicialmente como parte de una proteína mayor precursora (preprogalanina). En todas las especies, la porción N-terminal se conserva completamente. Sin embargo, la región C-terminal se modifica ligeramente. Algunas de las características fisiológicas de la galactina son contraer preparaciónes aisladas de fundus, ileo, colon y vejiga urinaria e induce hiperglucemia ligera y sostenida. Su administración estimula el consumo de alimento y tiende a aumentar las concentraciones plasmáticas de la hormona de crecimiento, de prolactina y disminuye la concentración de dopamina. Los estrógenos estimulan dramáticamente la síntesis de ARNm para la galanina y la subsecuente síntesis del péptido. La amplia distribución de la inmunoreactividad semejante a galanina y su localización en los gránulos neurotransmisores sugieren que la galanina puede funcionar como neurotransmisor. Sin embargo, la detección de la inmunorreactividad semejante a galanina después de la estimulación con 17 ß-estradiol sugiere que la galanina hipofisiaria tiene un blanco a distancia, por lo que puede ser una hormona adicional de la hipófisis anterior. Debido a que la galanina se ha localizado en los tejidos reproductivos, parece jugar un papel mediado por estrógenos en la función hipotalámica e hipofisiaria

Changes in lysosomal enzyme activities in pre-ovulatory follicles and endometrium of PMSG superovulated rats

Large superovulatory doses of gonadotrophins result in reduced fertility in laboratory and large domestic animals and it has been postulated that some of the superovulated oocytes are derived from abnormal follicles wich would not ovulate under normal physiological stimuli. Follicular growth, follicular maturation and atresia, ovulation and the nidation of the fertilized oocute require intense tissue remodelation which can be accomplished only through the action of hydrolytic enzymen. We have studied the activities and sub-cellular distribution of three lysosomal ensymes (acid phosphatase, N-acetyl-ß-D-glucosaminidase and ß-glucuronidase) in the follicular fluid, granulosa and theca cells of preovulatory follicles and in the endometrial tissue of immature Wistar rats injected with 4 (control) or 40 (superovulated) IU of pregnant mare serum gonadotrophin (PMSG). Enzyme activities were from four to ten time higher in theca than in granulosa cells. This difference was particularly important in the case of ß-glucuronidase. Large preovulatory follicles tended to have higher activities of lysosomal ensymes in the free fraction of all the compartments studied. This difference was remarkable in theca cells where free enzymes could be required to help ovulation. Forty IU of PMSG induced higher activities of acid phosphatase in theca and granulosa cells than 4 IU, but in endometrial tissue this latter dose of PMSG was more efficient to induce higher activities of this enzyme. The endometrial bound fraction of N-acetyl-ß-D-glucosaminidase was almost three times higher than the free activity. This behavior was also observed in endometrial ß-glucosaminidase but only in the control rats. The results observed in follicular fluid were less homogeneous. The activities of glucosaminidase and acid phosphatase were two to three times higher in rats overstimulated with 40 IU of PMSG than int he controls rats, whereas the activities of ß-glucuronidase were lower in the superovulated rats. Our results suggest that alterations in the process of tissue remodeling required for ovulation of mature, normal oocytes and for nidation of the fertilized ovum may be important factors to explain pregnancy failure in the PMSG superovulated female