Cáncer de mama y ovario hereditario:consejo genético, seguimiento y reducción del riesgo

Of the approximately 16.000 new cases of breast cancer annually diagnosed in Spain, between 5 and 10% are hereditary. A family history of breast cancer is the main criterion to suspect that we could be facing a case of hereditary breast cancer (HBC). Nowadays, mutations in BRCA1 and BRCA2 are the most commonly identified germline alterations associated with HBC. Testing of BRCA1 and BRCA2 in the context of genetic counseling has an important role in risk assessment of breast cancer and associated malignancies, such as ovarian cancer,in carrier individuals. An accurate diagnosis of the hereditary breast and ovarian cancer syndrome (HBOC) is necessary to establish appropriate screening and risk reduction recommendations in the affected individual and at risk relatives

Gade4all: Developing Multi-platform Videogames based on Domain Specific Languages and Model Driven Engineering

The development of applications for mobile devices is a constantly growing market which and more and more enterprises support the development of applications for this kind of devices. In that sense, videogames for mobile devices have become very popular worldwide and are now part of highly profitable and competitive industry. Due to the diversity of platforms and mobile devices and the complexity of this kind of applications, the development time and the number of errors within that development process have increased. The productivity of the developers has also decreased due to the necessity of using many programming languages in the development process. One of the most popular strategies is to employ specialized people to perform the development tasks more efficiently, but this involves an increase of the costs, which makes some applications economically unviable. In this article we present the Gade4all Project, consisting in a new platform that aims to facilitate the development of videogames and entertainment software through the use of Domain Specific Languages and Model Driven Engineering. This tool makes possible for users without previous knowledge in the field of software development to create 2D videogames for multiplatform mobile devices in a simple and innovative way

A survey of modulation of gut microbiota by dietary polyphenols

Dietary polyphenols present in a broad range of plant foods have been related to beneficial health effects. This review aims to update the current information about the modulation of the gut microbiota by dietary phenolic compounds, from a perspective based on the experimental approaches used. After referring to general aspects of gut microbiota and dietary polyphenols, studies related to this topic are presented according to their experimental design: batch culture fermentations, gastrointestinal simulators, animal model studies, and human intervention studies. In general, studies evidence that dietary polyphenols may contribute to the maintenance of intestinal health by preserving the gut microbial balance through the stimulation of the growth of beneficial bacteria (i.e., lactobacilli and bifidobacteria) and the inhibition of pathogenic bacteria, exerting prebiotic-like effects. Combination of in vitro and in vivo models could help to understand the underlying mechanisms in the polyphenols-microbiota-host triangle and elucidate the implications of polyphenols on human health. From a technological point of view, supplementation with richpolyphenolic stuffs (phenolic extracts, phenolic-enriched fractions, etc.) could be an effective option to improve health benefits of functional foods such as the case of dairy fermented foods.The authors of this review were funded by the Spanish MINECO through different projects (AGL2012-40172-C02-01, AGL2010-17499, and BFU2012-35228) and the CONSOLIDER INGENIO 2010 programme (project FUN-CFOOD, CSD2007-063), as well as Comunidad de Madrid (project ALIBIRD P2009/AGR-1469). Montserrat Duenas would like to thank the Spanish “Ramon y Cajal” Programme for a contract.Peer Reviewe

Proanthocyanidin characterization and bioactivity of extracts from different parts of Uncaria tomentosa L. (cat’s claw)

This article belongs to the Special Issue Dietary Antioxidants and Health Promotion.-- et al.Apart from alkaloids, bioactive properties of Uncaria tomentosa L. have been attributed to its phenolic constituents. Although there are some reports concerning low-molecular-weight polyphenols in U. tomentosa, its polymeric phenolic composition has been scarcely studied. In this study, phenolic-rich extracts from leaves, stems, bark and wood (n = 14) of Uncaria tomentosa plants from several regions of Costa Rica were obtained and analysed in respect to their proanthocyanidin profile determined by a quadrupole-time-of-flight analyser (ESI-QTOF MS). Main structural characteristics found for U. tomentosa proanthocyanidins were: (a) monomer composition, including pure procyanidins (only composed of (epi)catechin units) and propelargonidins (only composed of (epi)afzelechin units) as well as mixed proanthocyanidins; and (b) degree of polymerization, from 3 up to 11 units. In addition, U. tomentosa phenolic extracts were found to exhibit reasonable antioxidant capacity (ORAC (Oxygen Radical Absorbance Capacity) values between 1.5 and 18.8 mmol TE/g) and antimicrobial activity against potential respiratory pathogens (minimum IC of 133 µg/mL). There were also found to be particularly cytotoxic to gastric adenocarcinoma AGS and colon adenocarcinoma SW620 cell lines. The results state the particularities of U. tomentosa proanthocyanidins and suggest the potential value of these extracts with prospective use as functional ingredients.This project was partially funded by grant from the Spanish International Development Cooperation Agency (AECID) (Ref. A/023397/09 and A/030037/10) and a joint grant from the Costa Rica-USA Foundation (CRUSA) and the Spanish Scientific Research Council (CSIC) (Ref. CR0024). Authors also thank financial support from the Comunidad de Madrid (Spain) and European funding from FEDER program (projects AVANSECAL-CM S2013/ABI-3028 and ALIBIRD-CM S2013/ABI-2728) and from the University of Costa Rica. Special thanks are due to Eng. Juan Jose Cordero from Costa Rican National Production Council (CNP).Peer Reviewe

Deciphering the interactions between lipids and red wine polyphenols through the gastrointestinal tract

This paper investigates the mutual interactions between lipids and red wine polyphenols at different stages of the gastrointestinal tract by using the simgi® dynamic simulator. Three food models were tested: a Wine model, a Lipid model (olive oil + cholesterol) and a Wine + Lipid model (red wine + olive oil + cholesterol). With regard to wine polyphenols, results showed that co-digestion with lipids slightly affected the phenolic profile after gastrointestinal digestion. In relation to lipid bioaccessibility, the co-digestion with red wine tended to increase the percentage of bioaccessible monoglycerides, although significant differences were not found (p > 0.05). Furthermore, co-digestion with red wine tended to reduce cholesterol bioaccessibility (from 80 to 49 %), which could be related to the decrease in bile salt content observed in the micellar phase. For free fatty acids, almost no changes were observed. At the colonic level, the co-digestion of red wine and lipids conditioned the composition and metabolism of colonic microbiota. For instance, the growth [log (ufc/mL)] of lactic acid bacteria (6.9 ± 0.2) and bifidobacteria (6.8 ± 0.1) populations were significantly higher for the Wine + Lipid food model respect to the control colonic fermentation (5.2 ± 0.1 and 5.3 ± 0.2, respectively). Besides, the production of total SCFAs was greater for the Wine + Lipid food model. Also, the cytotoxicity of the colonic-digested samples towards human colon adenocarcinoma cells (HCT-116 and HT-29) was found to be significantly lower for the Wine and Wine + Lipid models than for the Lipid model and the control (no food addition). Overall, the results obtained using the simgi® model were consistent with those reported in vivo in the literature. In particular, they suggest that red wine may favourably modulate lipid bioaccessibility – a fact that could explain the hypocholesterolemic effects of red wine and red wine polyphenols observed in human

A Survey of Modulation of Gut Microbiota by Dietary Polyphenols

Dietary polyphenols present in a broad range of plant foods have been related to beneficial health effects. This review aims to update the current information about the modulation of the gut microbiota by dietary phenolic compounds, from a perspective based on the experimental approaches used. After referring to general aspects of gut microbiota and dietary polyphenols, studies related to this topic are presented according to their experimental design: batch culture fermentations, gastrointestinal simulators, animal model studies, and human intervention studies. In general, studies evidence that dietary polyphenols may contribute to the maintenance of intestinal health by preserving the gut microbial balance through the stimulation of the growth of beneficial bacteria (i.e., lactobacilli and bifidobacteria) and the inhibition of pathogenic bacteria, exerting prebiotic-like effects. Combination of in vitro and in vivo models could help to understand the underlying mechanisms in the polyphenols-microbiota-host triangle and elucidate the implications of polyphenols on human health. From a technological point of view, supplementation with rich-polyphenolic stuffs (phenolic extracts, phenolic-enriched fractions, etc.) could be an effective option to improve health benefits of functional foods such as the case of dairy fermented foods

Evaluación del metabolismo colónico de un vino tinto mediante el empleo de un nuevo modelo de simulación gastrointestinal dinámico (SIMGI)

Este libro recoge el amplio y significativo elenco de estudios recientemente realizados por los grupos de investigación de la red GIENOL (Grupos de investigación enológica).Los polifenoles del vino pueden influir positivamente en la salud del hombre modificando la actividad metabólica y/o composición de la microbiota intestinal. El objetivo de este trabajo ha sido evaluar el metabolismo colónico de un vino tinto mediante el empleo de un nuevo modelo de simulación dinámico del tracto gastrointestinal (denominado SIMGI), utilizando heces humanas de donantes sanos (n=2). Para los tres compartimentos del colon ‐ascendente, transverso y descendente‐ se llevó a cabo la monitorización de diferentes parámetros metabólicos (compuestos fenólicos del vino y sus metabolitos, ion amonio y ácidos grasos de cadena corta (SCFA)) y microbiológicos (recuentos, qPCR), incluyendo la comparativa tras la alimentación del sistema con vino sintético (sin polifenoles). Los resultados mostraron que la ingesta moderada de vino activaba el metabolismo de la microbiota colónica. Se encontraron aumentos significativos para los ácidos gálico, protocatéquico, 3‐Ometilgálico, 4‐hidroxibenzoico, 3,4‐dihidroxifenilpropiónico, vainillínico, siríngico, y salicílico después de la alimentación con vino. Simultáneamente, se observó una disminución en la formación del ion amonio y un incremento en la proporción del ácido butanoico. A nivel microbiológico, los principales cambios tuvieron lugar en el colon ascendente. En conclusión, estos resultados ponen de manifiesto que el vino modula la actividad metabólica de la microbiota intestinal in vitro, y demuestran la utilidad del SIMGI como modelo de simulación gastrointestinal dinámico.Este trabajo ha sido financiado por el MINECO a través del proyecto AGL2012‐40172‐C02‐01, el Programa de la Comunidad Madrid ALIBIRD‐CM S2013/ABI ‐2728 y el Proyecto Intramural CSIC 201270E065.Peer Reviewe

Simulador gastrointestinal dinámico (simgi®): Una herramienta potencialmente útil en nutrición clínica

The human gastrointestinal tract harbours the most complex and abundant community of the human body, the colon being where the highest microbial concentration is found (10 12 cell/g). The intestinal microbiota exerts metabolic, trophic and protective functions which are important in the maintenance of the host health. Over recent decades, numerous studies have attempted to provide scientific evidence about the environmental factors that can impact on human health through the modulation of the intestinal microbiota composition. However, this approach is changing, and a new focus on assessing changes at functional level is being developed. If we apply this dual approach to the role played by the diet, it is obvious the need of dynamic gastrointestinal simulation models such as simgi®, that allow to evaluate the transformations undergone by food and/or food ingredients during their transit through the gastrointestinal tract, as well as to determine potential changes in the composition and functionality of the intestinal microbiota after food ingestion. So far the studies using the simgi® have confirmed its potential applications in the area of food as a prior step to its application in clinical nutrition to prevent and/or treat diseases associated with intestinal dysbiosis and metabolic disorders. Likewise, this review includes feasible perspectives of the use of simgi® in clinical research concerning to diseases related to the intestinal microbiota.Dentro de la microbiota humana, el tracto gastrointestinal alberga el ecosistema más complejo y abundante del cuerpo humano, siendo el colon donde se encuentra la concentración más alta de microorganismos (1012 cel/g). La microbiota intestinal desempeñaa funciones metabólicas, tróficas y de protección que son de gran importancia para el hospedador. Durante las últimas décadas, son numerosos los estudios que han tratado de aportar evidencias científicas acerca de los factores que, a través de cambios en la composición de la microbiota intestinal, influyen en la salud humana. Sin embargo, esta aproximación está cambiando, y son cada vez más los expertos que apuestan por evaluar cambios a nivel de funcionalidad de la microbiota. Si aplicamos este enfoque dual al papel desempeñado por la dieta, resulta obvia la necesidad de disponer de modelos dinámicos de simulación gastrointestinal, como es el simgiR, que permitan evaluar las transformaciones que sufren los alimentos y/o ingredientes alimentarios durante el tránsito por el tracto gastrointestinal, así como para determinar los posibles cambios en la composición y funcionalidad de la microbiota intestinal derivados de la ingesta de alimentos. Los estudios llevados a cabo hasta el momento con el simgiR constatan sus potenciales aplicaciones en el área de los alimentos como paso previo a su aplicación en nutrición clínica, para prevenir y/o tratar enfermedades asociadas a disbiosis intestinal, así como trastornos metabólicos. Asimismo, esta revisión recoge posibles perspectivas de utilización del simgiR en la investigación clínica relativa a enfermedades vinculadas con disfunciones de la microbiota intestinalEste trabajo ha sido realizado gracias a la financiación del MINECO (proyecto AGL2015- 64522-C2-R) y la Comunidad de Madrid (Programa ALIBIRD-CM S2013/ABI-2728-CM). Alba Tamargo es beneficiaria de un contrato en el Programa de Garantía Juvenil-CSIC financiado gracias al Fondo Social Europeo. Irene Gil Sánchez es beneficiaria de una beca FPU del MECD (FPU14/0576

Some contributions to the study of oenological lactic acid bacteria through their interaction with polyphenols

Probiotic features and the ability of two oenological lactic acid bacteria strains (Pediococcus pentosaceus CIAL‐86 and Lactobacillus plantarum CIAL‐121) and a reference probiotic strain (Lactobacillus plantarum CLC 17) to metabolize wine polyphenols are examined. After summarizing previous results regarding their resistance to lysozyme, gastric juice and bile salts, the three strains were assessed for their ability to release phenolic metabolites after their incubation with a wine phenolic extract. Neither of the two bacteria were able to metabolize wine polyphenols, at least in the conditions used in this study, although a certain stimulatory effect on bacterial growth was observed in the presence of a wine‐derived phenolic metabolite (i.e., 3,4‐dihydroxyphenylacetic acid) and a wine phenolic compound (i.e., (+) ‐catechin). Bacteria cell‐free supernatants from the three strains delayed and inhibited almost completely the growth of the pathogen E. coli CIAL‐153, probably due to the presence of organic acids derived from the bacterial metabolism of carbohydrates. Lastly, the three strains showed a high percentage of adhesion to intestinal cells, and pre‐incubation of Caco‐2 cells with bacteria strains prior to the addition of E. coli CIAL‐153 produced a notable inhibition of the adhesion of E. coli to the intestinal cells.The study was supported by the projects AGL2012-40172-C02-01 and AGL2015-64522-C2-1-R of the Spanish Ministry of Economy and Competitiveness (MINECO) and ALIBIRD S2013/ABI-2728 of the Comunidad de Madrid, as well as COST Action POSITIVe FA1403. IG-S is the recipient of an FPU contract from the Spanish Ministry of Education. AE-F is the recipient of an FPI contract from the Spanish MINECO (Project AGL2012-40172-C02-01). We acknowledge support by the CSIC Open Access Publication Initiative through its Unit of Information Resources for Research (URICI).We acknowledge the support of the publication fee by the CSIC Open Access Publication Support Initiative through its Unit of Information Resources for Research (URICI)