3 research outputs found

    Análogos de fenstatinas e isocombretastatinas basados en piridina

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    [ES]El cáncer es una de las enfermedades con mayor mortalidad a nivel mundial, por ese motivo, durante los últimos años se han desarrollado multitud de compuestos antitumorales con capacidad para frenar la división anormal de estas células. La Combretastatina A-4 es uno de los compuestos con estructura más sencilla y mayor potencia capaces de unirse a la tubulina en el sitio de unión de la colchicina, causando la muerte celular mediante la inhibición de la polimerización de esta proteína. Dos de los principales inconvenientes que presenta la CA-4 es su baja solubilidad acuosa y la inestabilidad del doble enlace cis, por este motivo, en nuestro grupo de investigación se diseñan, sintetizan y evalúan análogos de combretastatinas en los que diferentes anillos aromáticos se unen por un puente de un solo átomo en sustitución del doble enlace cis, de manera que se puedan solventar ambos inconvenientes. En este trabajo nos hemos centrado en la síntesis y evaluación de fenstatinas e isocombretastatinas con anillos de piridina, en sustitución del anillo de trimetoxifenilo de la CA-4 que hasta ahora se consideraba indispensable para la actividad, en un intento de mejorar tanto la potencia como la solubilidad acuosa. Sobre dicha estructura base, también se han realizado modificaciones en el otro anillo aromático, que se ha reemplazado por p-metoxifenilo o N-metilindolilo, habiendo procedido a la introducción de grupos amino, aldehídos, nitrilos, oximas, etc. La actividad de estos compuestos ha sido evaluada in vitro mediante ensayos de inhibición de polimerización de tubulina, y ensayos de citotoxicidad sobre cultivos celulares tumorales (Hela, HT29, HL60). Así mismo, también se ha determinado la solubilidad acuosa de los compuestos

    How do women living with HIV experience menopause? Menopausal symptoms, anxiety and depression according to reproductive age in a multicenter cohort

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    CatedresBackground: To estimate the prevalence and severity of menopausal symptoms and anxiety/depression and to assess the differences according to menopausal status among women living with HIV aged 45-60 years from the cohort of Spanish HIV/AIDS Research Network (CoRIS). Methods: Women were interviewed by phone between September 2017 and December 2018 to determine whether they had experienced menopausal symptoms and anxiety/depression. The Menopause Rating Scale was used to evaluate the prevalence and severity of symptoms related to menopause in three subscales: somatic, psychologic and urogenital; and the 4-item Patient Health Questionnaire was used for anxiety/depression. Logistic regression models were used to estimate odds ratios (ORs) of association between menopausal status, and other potential risk factors, the presence and severity of somatic, psychological and urogenital symptoms and of anxiety/depression. Results: Of 251 women included, 137 (54.6%) were post-, 70 (27.9%) peri- and 44 (17.5%) pre-menopausal, respectively. Median age of onset menopause was 48 years (IQR 45-50). The proportions of pre-, peri- and post-menopausal women who had experienced any menopausal symptoms were 45.5%, 60.0% and 66.4%, respectively. Both peri- and post-menopause were associated with a higher likelihood of having somatic symptoms (aOR 3.01; 95% CI 1.38-6.55 and 2.63; 1.44-4.81, respectively), while post-menopause increased the likelihood of having psychological (2.16; 1.13-4.14) and urogenital symptoms (2.54; 1.42-4.85). By other hand, post-menopausal women had a statistically significant five-fold increase in the likelihood of presenting severe urogenital symptoms than pre-menopausal women (4.90; 1.74-13.84). No significant differences by menopausal status were found for anxiety/depression. Joint/muscle problems, exhaustion and sleeping disorders were the most commonly reported symptoms among all women. Differences in the prevalences of vaginal dryness (p = 0.002), joint/muscle complaints (p = 0.032), and sweating/flush (p = 0.032) were found among the three groups. Conclusions: Women living with HIV experienced a wide variety of menopausal symptoms, some of them initiated before women had any menstrual irregularity. We found a higher likelihood of somatic symptoms in peri- and post-menopausal women, while a higher likelihood of psychological and urogenital symptoms was found in post-menopausal women. Most somatic symptoms were of low or moderate severity, probably due to the good clinical and immunological situation of these women
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