Variaciones en el número y función de los linfocitos asesinos naturales durante infecciones recurrentes o graves

Introduction: The information about defects affecting natural killer cell (NK) development and activity in patients with an abnormal increase of recurrent infections is scarce.Objective: To perform a systematic analysis of NK abnormalities in patients with recurrent infections.Materials and methods: Our study enrolled twenty patients with severe or recurrent viral infections. Natural killer cell subsets, surface receptors expression and cytotoxicity were analyzed. Results were compared with those from age- and sex-matched healthy controls.Results: Transient alterations were observed in the percentages and absolute numbers of NK cells in patients with infection active episodes. We also described five patients with stable disturbances in the distribution of NK cell subpopulations. These defects are mainly due to a decrease in the CD56dimCD16bright cells in peripheral blood. In addition, NK cell function abnormalities were observed in some patients, however, those were always transient and mainly associated to active disease.Conclusions: These findings demonstrate transient alterations in the percentages and absolute numbers of NK cells in patients with recurrent or severe infection. Also, stable disturbances in CD56dimCD16bright NK cells are observed in these patients. Nevertheless, these parameters must be thoroughly studied to determine the mechanisms that entail these immune abnormalities and investigate how they alter the immune response.Introducción. Existen pocos datos sobre los defectos que afectan el desarrollo y función de los linfocitos asesinos naturales (natural killers, NK) en pacientes con un incremento anormal en la recurrencia de infecciones.Objetivo. Realizar una evaluación sistemática de las diferentes subpoblaciones y la función de estas células en pacientes con infecciones recurrentes.Materiales y métodos. Se incluyeron 20 pacientes con infecciones graves o recurrentes y se analizaron las subpoblaciones y la respuesta citotóxica de los linfocitos NK en sangre periférica. Los resultados de los pacientes se compararon con controles sanos pareados por edad y sexo.Resultados. Los pacientes con episodios infecciosos activos presentaron anormalidades transitorias en el porcentaje o el número absoluto de linfocitos NK. Se caracterizaron, además, cinco pacientes con alteraciones persistentes en la distribución de las subpoblaciones de linfocitos NK. Estas alteraciones se debieron principalmente a la disminución de células CD56dimCD16bright. Se evidenciaron, también, defectos en la función de los linfocitos NK en algunos de nuestros pacientes; sin embargo, estas alteraciones fueron transitorias y se asociaron principalmente a la fase activa de la enfermedad.Conclusiones. Nuestros resultados evidencian defectos transitorios en el número y función de los linfocitos NK en pacientes con infecciones recurrentes o graves, además de alteraciones persistentes en los LNK CD56dimCD16bright en algunos individuos. Es necesario profundizar en los mecanismos que conllevan al desarrollo de estos defectos inmunes y estudiar cómo estas alteraciones influyen en la respuesta inmune

Indications, Complications, and Retrievals of Inferior Vena Cava Filters in a Colombian Hospital

Introduction: Inferior vena cava filters are endovascular devices utilized in clinical practice to mitigate the risk of acute venous thromboembolic disease progression to pulmonary embolism in cases of absolute contraindications to anticoagulation. Currently, there are no reports on the experience of using such devices in Colombia. Objective: To assess the indications, practices, retrieval rates, and complications of inferior vena cava filters in a university hospital in Colombia. Methods: A retrospective study was conducted at a tertiary-level university hospital in Colombia. Patients who had undergone inferior vena cava filter implantation were included, with exclusion of those with essential data missing for analysis. Descriptive statistics and Student’s t-test were performed for group comparisons. Results: A total of 196 patients with acute venous thromboembolic disease who had undergone inferior vena cava filter implantation were included. None of the patients received the device as primary prophylaxis. Filter-related complications occurred in 13 patients, and retrieval was considered for 118 patients, of whom 108 retrievals were successful. Among the included oncology patients who received an inferior vena cava filter, 36 underwent retrieval attempts, achieving success in 32 cases (88.8%). Conclusions: This study revealed that the most common indications for inferior vena cava filter implantation were the need for surgery, acute bleeding or bleeding risk, and catheter-guided local thrombolysis. The most frequent complication was acute inferior vena cava thrombosis and filter tilting. Inferior vena cava filter retrieval was successful in the majority of attempted cases

The COSMOS-Web ring: in-depth characterization of an Einstein ring lensing system at z~2

Aims. We provide an in-depth analysis of the COSMOS-Web ring, an Einstein ring at z=2 that we serendipitously discovered in the COSMOS-Web survey and possibly the most distant lens discovered to date. Methods. We extract the visible and NIR photometry from more than 25 bands and we derive the photometric redshifts and physical properties of both the lens and the source with three different SED fitting codes. Using JWST/NIRCam images, we also produce two lens models to (i) recover the total mass of the lens, (ii) derive the magnification of the system, (iii) reconstruct the morphology of the lensed source, and (iv) measure the slope of the total mass density profile of the lens. Results. The lens is a very massive and quiescent (sSFR < 10^(-13) yr-1) elliptical galaxy at z = 2.02 \pm 0.02 with a total mass Mtot(<thetaE) = (3.66 \pm 0.36) x 10^11 Msun and a stellar mass M* = (1.37 \pm 0.14) x 10^11 Msun. Compared to SHMRs from the literature, we find that the total mass is consistent with the presence of a DM halo of mass Mh = 1.09^(+1.46)_(-0.57) x 10^13 Msun. In addition, the background source is a M* = (1.26 \pm 0.17) x 10^10 Msun star-forming galaxy (SFR=(78 \pm 15) Msun/yr) at z = 5.48 \pm 0.06. Its reconstructed morphology shows two components with different colors. Dust attenuation values from SED fitting and nearby detections in the FIR also suggest it could be partially dust-obscured. Conclusions. We find the lens at z=2. Its total, stellar, and DM halo masses are consistent within the Einstein ring, so we do not need any unexpected changes in our description of the lens (e.g. change its IMF or include a non-negligible gas contribution). The most likely solution for the lensed source is at z = 5.5. Its reconstructed morphology is complex and highly wavelength dependent, possibly because it is a merger or a main sequence galaxy with a heterogeneous dust distribution.Comment: 16 pages, submitted to A&

CONCIENTIZACIÓN AMBIENTAL SOBRE LOS GEI Y EL CAMBIO CLIMÁTICO EN EL INSTITUTO TECNOLÓGICO METROPOLITANO, INSTITUCIÓN UNIVERSITARIA (ITM)

La preocupación actual por las notables evidencias del cambio climático global está llevando a los países a mitigar sus principales causas: los gases efecto invernadero (GEI), a través de diferentes estrategias, entre ellas y haciendo un gran énfasis esta la educación ambiental.  La huella de carbono es un indicador del impacto ambiental sobre la atmósfera, que cuantifica las diferentes emisiones de GEI, que se pueden estimar de manera aproximada haciendo uso de los aplicativos disponibles en la web. Se presentan en el presente artículo las principales campañas de educación ambiental y experiencias desarrolladas por el semillero de cultura, gestión e investigación ambiental “Cuida Tu Huella”, con relación a la Huella de  Carbono en el Instituto Tecnológico Metropolitano (ITM). La estimación de la huella de carbono personal arrojó resultados de 4.22 y 3.87 ton CO2/año para los años 2011 y 2012 respectivamente, siendo aún más importante el impacto que se ha podido lograr en la comunidad académica, que trasciende el espacio geográfico de la Institución, ya que ha permitido lograr la concientización en cuanto a identificar las diferentes actividades que más producen GEI, transformando así los hábitos de vida por otros más ambientalmente sostenibles.

T Helper 1–Inducing Adjuvant Protects against Experimental Paracoccidioidomycosis

Immunostimulatory therapy is a promising approach to improving the treatment of systemic fungal infections such as paracoccidioidomycosis (PCM), whose drug therapy is usually prolonged and associated with toxic side effects and relapses. The current study was undertaken to determine if the injection of a T helper (Th) 1–stimulating adjuvant in P. brasiliensis–infected mice could have a beneficial effect on the course of experimental PCM. For this purpose, mice were infected and treated with complete Freund's adjuvant (CFA), a well-established Th1 experimental inductor, or incomplete Freund's adjuvant (IFA - control group) on day 20 postinfection. Four weeks after treatment, the CFA-treated mice presented a mild infection in the lungs characterized by absence of epithelioid cell granulomas and yeast cells, whereas the control mice presented multiple sites of focal epithelioid granulomas with lymphomonocytic halos circumscribing a high number of viable and nonviable yeast cells. In addition, CFA administration induced a 2.4 log reduction (>99%) in the fungal burden when compared to the control group, and led to an improvement of immune response, reversing the immunosuppression observed in the control group. The immunotherapy with Th1-inducing adjuvant, approved to be used in humans, might be a valuable tool in the treatment of PCM and potentially useful to improve the clinical cure rate in humans

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

The COSMOS-Web ring: In-depth characterization of an Einstein ring lensing system at z ∼ 2

Aims. We provide an in-depth analysis of the COSMOS-Web ring, an Einstein ring at z ≈ 2 that we serendipitously discovered during the data reduction of the COSMOS-Web survey and that could be the most distant lens discovered to date.Methods. We extracted the visible and near-infrared photometry of the source and the lens from more than 25 bands. We combined these observations with far-infrared detections to study the dusty nature of the source and we derived the photometric redshifts and physical properties of both the lens and the source with three different spectral energy distribution (SED) fitting codes. Using JWST/NIRCam images, we also produced two lens models to (i) recover the total mass of the lens, (ii) derive the magnification of the system, (iii) reconstruct the morphology of the lensed source, and (iv) measure the slope of the total mass density profile of the lens.Results. We find the lens to be a very massive elliptical galaxy at z = 2.02 ± 0.02 with a total mass within the Einstein radius of Mtot(<θEin = (3.66 ± 0.36) × 1011 M⊙ and a total stellar mass of M⋆ = 1.37−0.11+0.14 × 1011 M⊙. We also estimate it to be compact and quiescent with a specific star formation rate below 10−13 yr. Compared to stellar-to-halo mass relations from the literature, we find that the total mass of the lens within the Einstein radius is consistent with the presence of a dark matter (DM) halo of total mass Mh = 1.09−0.57+1.46 × 1013 M⊙. In addition, the background source is a M⋆ = (1.26 ± 0.17) × 1010 M⊙ star-forming galaxy (SFR ≈ (78 ± 15) M⊙ yr) at z = 5.48 ± 0.06. The morphology reconstructed in the source plane shows two clear components with different colors. Dust attenuation values from SED fitting and nearby detections in the far infrared also suggest that the background source could be at least partially dust-obscured.Conclusions. We find the lens at z ≈ 2. Its total, stellar, and DM halo masses are consistent within the Einstein ring, so we do not need any unexpected changes in our description of the lens such as changing its initial mass function or including a non-negligible gas contribution. The most likely solution for the lensed source is at z ≈ 5.5. Its reconstructed morphology is complex and highly wavelength dependent, possibly because it is a merger or a main sequence galaxy with a heterogeneous dust distribution

Immunological Basis for the Gender Differences in Murine Paracoccidioides brasiliensis Infection

This study aimed to investigate the immunological mechanisms involved in the gender distinct incidence of paracoccidioidomycosis (pcm), an endemic systemic mycosis in Latin America, which is at least 10 times more frequent in men than in women. Then, we compared the immune response of male and female mice to Paracoccidioides brasiliensis infection, as well as the influence in the gender differences exerted by paracoccin, a P. brasiliensis component with carbohydrate recognition property. High production of Th1 cytokines and T-bet expression have been detected in the paracoccin stimulated cultures of spleen cells from infected female mice. In contrast, in similar experimental conditions, cells from infected males produced higher levels of the Th2 cytokines and expressed GATA-3. Macrophages from male and female mice when stimulated with paracoccin displayed similar phagocytic capability, while fungicidal activity was two times more efficiently performed by macrophages from female mice, a fact that was associated with 50% higher levels of nitric oxide production. In order to evaluate the role of sexual hormones in the observed gender distinction, we have utilized mice that have been submitted to gonadectomy followed by inverse hormonal reconstitution. Spleen cells derived from castrated males reconstituted with estradiol have produced higher levels of IFN-γ (1291±15 pg/mL) and lower levels of IL-10 (494±38 pg/mL), than normal male in response to paracoccin stimulus. In contrast, spleen cells from castrated female mice that had been treated with testosterone produced more IL-10 (1284±36 pg/mL) and less IFN-γ (587±14 pg/mL) than cells from normal female. In conclusion, our results reveal that the sexual hormones had a profound effect on the biology of immune cells, and estradiol favours protective responses to P. brasiliensis infection. In addition, fungal components, such as paracoccin, may provide additional support to the gender dimorphic immunity that marks P. brasiliensis infection