Late-life depression : issues for the general practitioner

Late-life depression (LLD) is both a prevalent and life-threatening disorder, affecting up to 13.3% of the elderly population. LLD can be difficult to identify because patients mainly consult their general practitioner (GP) for somatic complaints. Moreover, patients may be hesitant to express the problem to their GP. Increased vigilance on the part of the GP can only benefit older people with depression. To recognize the risk of LLD, screening tools are provided in addition to treatment options for LLD. This review aims to provide the GP with guidance in recognizing and treating LLD. It tries to connect mainstream etiologies of LLD (e.g., vascular, inflammation, hypothalamo-pituitary-adrenal axis) with risk factors and current therapies. Therefore, we provide a basis to the GP for decision-making when choosing an appropriate therapy for LLD

A Low UVB Dose, with the Potential to Trigger a Protective p53-Dependent Gene Program, Increases the Resilience of Keratinocytes against Future UVB Insults

One protein central in the response of human keratinocytes to ultraviolet B damage is p53. By transactivating genes involved in either cell cycle arrest or DNA repair, p53 has a leading role in the recovery from this damage. Considering this role, we wished to investigate whether the triggering of a p53-dependent gene program by repetitive ultraviolet B (UVB) exposure can induce an adaptive response in human skin cells. In particular, we examined two p53-target genes, p21/WAF1 and p53R2, with a crucial role in p53-induced cell cycle arrest and p53-induced DNA repair respectively. Exposure to a mild UVB dose was able to induce an adaptive response in human keratinocytes, leading to increased survival of cells that maintain their capacity to repair DNA damage upon exposure to apoptotic doses of UVB. Our study indicates that this adaptation response is only achieved if the interval between subsequent UVB insults allows sufficient time for the p53-induced protective gene program to be induced. Our results also demonstrate that small but quickly recurring UVB exposures are as harmful as one intense, continual exposure to UVB irradiation. Future research will be oriented toward investigating alternative ways to induce an adaptive response without pre-exposing the cells to UV

Pectin-bioactive glass self-gelling, injectable composites with high antibacterial activity

The present work focuses on the development of novel injectable, self-gelling composite hydrogels based on two types of low esterified amidated pectins from citrus peels and apple pomace. Sol-gelderived, calcium-rich bioactive glass (BG) fillers in a particle form are applied as delivery vehicles for the release of Ca2+ ions to induce internal gelation of pectins. Composites were prepared by a relatively simple mixing technique, using 20% w/v BG particles of two different sizes (2.5 and <45 µm). Smaller particles accelerated pectin gelation slightly faster than bigger ones, which appears to result from the higher rate of Ca2+ ion release. µCT showed inhomogeneous distribution of the BG particles within the hydrogels. All composite hydrogels exhibited strong antibacterial activity against methicilin-resistant Staphylococcus aureus. The mineralization process of pectin-BG composite hydrogels occurred upon incubation in simulated body fluid for 28 days. In vitro studies demonstrated cytocompatibility of composite hydrogels with MC3T3-E1 osteoblastic cells

De amyloidvorming in de hersenen van Alzheimer-patienten gebeurtvia proteolytische splitsing van een oplosbare vorm van de a-amyloid-precursor

KULeuven Campusbibliotheek Exacte Wetenschappen / UCL - Université Catholique de LouvainSIGLEBEBelgiu

Ouderdomsdepressie : symptomen, risicofactoren en behandeling

Ouderdomsdepressie is een veelvoorkomende psychische stoornis bij ouderen, met een geschatte prevalentie van 13,3%. De aandoening gaat gepaard met een verhoogde morbiditeit en mortaliteit en genereert hoge kosten voor de samenleving. Zo liggen de kosten voor de behandeling van een oudere persoon met depressie 1,86 keer hoger dan de behandeling van een oudere persoon zonder depressie. De gevolgen van onbehandelde ouderdomsdepressie zijn een slechte levenskwaliteit, verergering van chronische ziekten en zelfdoding. Vanwege de atypische presentatie wordt de diagnose vaak over het hoofd gezien. Het vroegtijdig herkennen van een ouderdomsdepressie kan levensreddend zijn. Een behandelde ouderdomsdepressie kent een goede prognose: tot 70% van de oudere patiënten met een depressie behandeld met antidepressiva herstelt van een episode van depressie. Het doel van deze review is om een uitgebreide en praktische leidraad te bieden met betrekking tot de belangrijkste risicofactoren en de diagnostische en therapeutische aanpak van ouderdomsdepressie

Pivotal roles of TRPV1 channel and Nrf2 factor in green light modulation of keratinocyte inflammatory response

ABSTRACT: Photobiomodulation (PBM) is emerging as a promising non-invasive approach for managing inflammatory skin conditions. However, its precise molecular mechanisms, especially within the green light spectrum, remain elusive. In this study, we investigated the anti-inflammatory mechanisms of 520 nm green light in primary human keratinocytes (KCs) exposed to the contact sensitizer 2,4-dinitrochlorobenzene (DNCB). Our data revealed that green light effectively reduces the mRNA expression of pro-inflammatory cytokines IL-6, IL-8, and TNF-α, comparably to the effect of dexamethasone, a conventional anti-inflammatory agent. As Nuclear factor erythroid-2-related factor 2 (Nrf2) is involved in the red light response, we explored Nrf2′s role in green light anti-inflammatory activity. Green light exposure activated the Nrf2 pathway, leading to Nrf2 increased accumulation in KCs and the induction of Nrf2 target genes, including HO-1 and GCLC. Invalidation of Nrf2 with si-RNA diminished the green light's regulatory effect, indicating Nrf2′s essential role in the green light's anti-inflammatory action. As the Transient Receptor Potential Vanilloid 1 (TRPV1) channel is a potential target for green light, we investigated its role in PBM response. Blocking TRPV1 with capsazepine (CPZ) abolished the anti-inflammatory effect of green light and prevented the upregulation of Nrf2 target genes. This finding highlights TRPV1′s integral role in green light beneficial activity via the activation of the Nrf2 pathway. Overall, our study identifies TRPV1 and Nrf2 as critical players in the green light response, highlighting the versatility of PBM in controlling skin inflammation