Salud, Enfermedad y Terapéutica Popular en la Ribera Alta

pp. 324Con el presente volumen, dedicado a varios aspectos de la medicina popular en la Ribera Alta, pretendemos continuar la línea iniciada con Salut, malaltia i terapéutica popular als pobles riberencs de l'Albufera. Aunque a lo largo de los distintos capítulos aparecen concepciones diferentes de "medicina popular", en general la definimos como la cultura médica popular de las sociedades urbanas y con cultura escrita en las que tiene que convivir con otros sistemas médicos arcaicos, científicos clásicos o modernos. Como cultura o subcultura incluye patrones de conducta, valores y criterios, ideas y visión de las cosas, vocabulario propios, creencias, etc. relacionados con la salud, las enfermedades y la lucha contra las mismas del llamado pueblo médico o miembros de una sociedad sin posiciones médicas determinadas. No hay que reducirla a los estratos socio económicos inferiores ni confundirla con la vertiente médica del folclore tradicional. En cada sociedad es el resultado de la asimilación de elementos procedentes de las culturas con las que ha convivido a lo largo de su historia, desde hace milenios hasta el más inmediato presente.Este libro se ha publicado con los fondos del proyecto de investigación Medicina moderna, medicina popular y «otras medicinas» en la Comunidad Valenciana. Estudio de los valores, conductas y actitudes de la población, de la Institució Valenciana d'Estudis i Investigació (IVEI)- Introducción CAPITULO PRIMERO - La geografía y los recursos sanitarios, por María Luz López Terrada - Características geográficas de la Ribera Alta - Geografía física - Geografía humana - Los recursos sanitarios - Referencias bibliográficas CAPITULO SEGUNDO - La enfermedad y su prevención, por María José Báguena Cervellera - La enfermedad en el siglo XVIII - Peste: la última visita - Las tercianas y el cultivo del arroz - Otras enfermedades - La enfermedad en el siglo XIX - El cólera y la vacunación anticolérica de Ferrán - La viruela y la difusión de la vacunación antivariólica - El control de la tuberculosis - Otras enfermedades - Conclusiones - Referencias bibliográficas CAPITULO TERCERO - La salud y la enfermedad en la Ribera Alta, por Carla P. Aguirre Marco - Las condiciones de la salud y la enfermedad en la Comunidad Valenciana - La mortalidad - Las diez primeras causas de muerte en la Comunidad Valenciana y en la Ribera Alta - Sobremortalidad y mortalidad prematura evitable en la Ribera Alta - La morbilidad - Las enfermedades atendidas en asistencia primaria en 1984 - La Comunidad Valenciana - La Ribera Alta - Las enfermedades atendidas en asistencia primaria en la actualidad - El caso particular de Carcagente - La Ribera Alta - Las enfermedades de declaración obligatoria - La Ribera Alta en relación con la Comunidad Valenciana - Evolución de la morbilidad, 1984-1992 - La vivencia de la enfermedad: el estado de salud y los principales problemas morbosos que declaran los valencianos - Los principales problemas sanitarios según los profesionales - La percepción de los profesionales de la sanidad pública: diez prioridades sanitarias de la Comunidad Valenciana y sus provincias en 1989 - Prioridades de actuación sanitaria en la Comunidad Valenciana y en la Ribera Alta (1988) según el estudio de la morbilidad atendida en Asistencia Primaria en 1983-84 - La salud, la enfermedad y la medicina en la Ribera Alta - Referencias bibliogáficas CAPITULO CUARTO - El uso popular de las plantas medicinales en la Ribera Alta, por José L. Fresquet Febrer y José A. Tronchoni - Introducción - Las plantas utilizadas - Usos populares de las plantas medicinales - Estudios farmacológicos de las plantas medicinales de uso popular - Referencias bibliográficas - Inventario por familias de las especies de plantas medicinales utilizadas en la comarca de la Ribera Alta del Xúquer CAPITULO QUINTO - Las prácticas mágico-religiosas y los curanderos en la medicina popular de la Ribera Alta, por José L. Fresquet Febrer - La práctica mágica como sistema de acción - La tradición cultural. Adquisición de la identidad social de curandero - El sistema social - El sistema de prácticas del curanderismo - Enfermedades causadas por agentes humanos - Enfermedades de causa natural - Elementos que proceden de la medicina científica - La aparición de elementos de otras procedencias - Los aspectos mágicos - El origen de los rasgos - Referencias bibliográficasPeer reviewedFecha 2014-02-19.--Fujitsu ScanSnap iX500.--Unidad técnica IHMC.--Archivo depósito IHMC.--Solo se permite el uso con fines educativos y de investigació

Peptidyl-prolyl cis-trans isomerase ROF2 modulates intracellular pH homeostasis in Arabidopsis

[EN] Intracellular pH must be kept close to neutrality to be compatible with cellular functions, but the mechanisms of pH homeostasis and the responses to intracellular acidification are mostly unknown. In the plant Arabidopsis thaliana, we found that intracellular acid stress generated by weak organic acids at normal external pH induces expression of several chaperone genes, including ROF2, which encodes a peptidyl-prolyl cis-trans isomerase of the FK506-binding protein class. Loss of function of ROF2, and especially double mutation of ROF2 and the closely related gene ROF1, results in acid sensitivity. Over-expression of ROF2 confers tolerance to intracellular acidification by increasing proton extrusion from cells. The activation of the plasma membrane proton pump (H+-ATPase) is indirect: over-expression of ROF2 activates K+ uptake, causing depolarization of the plasma membrane, which activates the electrogenic H+ pump. The depolarization of ROF2 over-expressing plants explains their tolerance to toxic cations such as lithium, norspermidine and hygromycin B, whose uptake is driven by the membrane potential. As ROF2 induction and intracellular acidification are common consequences of many stresses, this mechanism of pH homeostasis may be of general importance for stress tolerance.This work was supported by grants BFU2008-00604 from the Ministerio de Ciencia e Innovacion (Madrid, Spain) and PROMETEO/2010/ 038 of the 'Conselleria de Educacion' (Valencia, Spain). We thank Dr Eugenio Grau (Sequencing Service, Instituto de Biologia Molecular y Celular de Plantas, Valencia, Spain) for sequencing of the various genes, and Dr Vicente Fornes (Instituto de Tecnologia Quimica, Valencia, Spain) for assistance with atomic absorption spectrophotometry. None of the authors has a conflict of interest to declare.Bissoli, G.; Niñoles Rodenes, R.; Fresquet Corrales, S.; Palombieri, S.; Bueso Ródenas, E.; Rubio, L.; Garcia-Sanchez, MJ.... (2012). Peptidyl-prolyl cis-trans isomerase ROF2 modulates intracellular pH homeostasis in Arabidopsis. Plant Journal. 70(4):704-716. https://doi.org/10.1111/j.1365-313X.2012.04921.xS70471670

Growth and nutrient absorption of Cape Gooseberry (Physalis Peruviana L.) in soilless culture

"This is an Author's Accepted Manuscript of an article published in [include the complete citation information for the final version of the article as published in the Journal of Plant Nutrition 2015 March, available online at: http://www.tandfonline.com/10.1080/01904167.2014.934474."Cape gooseberry (Physalis peruviana L.) is a solanaceous plant. The growth and time-course of nutrient accumulation of the plant and its partitioning between roots, stems, leaves, and fruits were examined. The study was conducted analyzing two nutrient solutions in soilless culture under greenhouse conditions during two consecutive seasons. The macronutrient contents were analyzed. On average, the yield was 8.9 t.ha(-1). Growth of the plant until 90 d after transplanting obeys an exponential function of time and the relative growth rate for this period was determined. Nitrogen (N) was the element that showed the highest concentration, corresponding to leaves (4.67%), followed by potassium (K) in stems (4.46%). The highest accumulations of N, phosphorous (P), calcium (Ca), and magnesium (Mg) were found in leaves and of K in the stems. Potassium showed the highest nutrient accumulation (29 g.plant(-1)) and the highest specific uptake rate.Torres Rubio, JF.; Pascual Seva, N.; San Bautista Primo, A.; Pascual España, B.; López Galarza, SV.; Alagarda Pardo, J.; Maroto Borrego, JV. (2015). Growth and nutrient absorption of Cape Gooseberry (Physalis Peruviana L.) in soilless culture. Journal of Plant Nutrition. 38(4):485-496. doi:10.1080/01904167.2014.934474S485496384Bellaloui, N., & Brown, P. H. (1998). Plant and Soil, 198(2), 153-158. doi:10.1023/a:1004343031242Bennett, J. P., Oshima, R. J., & Lippert, L. F. (1979). Effects of ozone on injury and dry matter partitioning in pepper plants. Environmental and Experimental Botany, 19(1), 33-39. doi:10.1016/0098-8472(79)90022-4CAUSTON, D. R. (1991). Plant Growth Analysis: The Variability of Relative Growth Rate Within a Sample. Annals of Botany, 67(2), 137-144. doi:10.1093/oxfordjournals.aob.a088112Convenio MAG-IICA (Ministerio de Agricultura y Ganadería. Institución Interamericana de Cooperación para la Agricultura). 2001. The cape gooseberry (Physalis peruvianaL.Physalis edulis). Subprograma de Cooperación Técnica, Ecuador. Available at: http://www.sica.gov.ec/agronegocios/Biblioteca/Convenio%20MAG%20IICA/productos/uvilla_mag.pdf (Accessed July 2007, in Spanish).El-Tohamy, W. A., El-Abagy, H. M., Abou-Hussein, S. D., & Gruda, N. (2009). Response of Cape gooseberry (Physalis peruviana L.) to nitrogen application under sandy soil conditions. Gesunde Pflanzen, 61(3-4), 123-127. doi:10.1007/s10343-009-0211-0Fresquet, J., Pascual, B., López-Galarza, S., Bautista, S., Baixauli, C., Gisbert, J. M., & Maroto, J. V. (2001). Nutrient uptake of pepino plants in soilless cultivation. The Journal of Horticultural Science and Biotechnology, 76(3), 338-343. doi:10.1080/14620316.2001.11511373Heuvelink, E., Bakker, M. J., Elings, A., Kaarsemaker, R. C., & Marcelis, L. F. M. (2005). EFFECT OF LEAF AREA ON TOMATO YIELD. Acta Horticulturae, (691), 43-50. doi:10.17660/actahortic.2005.691.2Leskovar, D. I., & Cantliffe, D. J. (1993). Comparison of Plant Establishment Method, Transplant, or Direct Seeding on Growth and Yield of Bell Pepper. Journal of the American Society for Horticultural Science, 118(1), 17-22. doi:10.21273/jashs.118.1.17Marcelis, L. F. M. (1993). Fruit growth and biomass allocation to the fruits in cucumber. 1. Effect of fruit load and temperature. Scientia Horticulturae, 54(2), 107-121. doi:10.1016/0304-4238(93)90059-yPuente, L. A., Pinto-Muñoz, C. A., Castro, E. S., & Cortés, M. (2011). Physalis peruviana Linnaeus, the multiple properties of a highly functional fruit: A review. Food Research International, 44(7), 1733-1740. doi:10.1016/j.foodres.2010.09.034Radford, P. J. (1967). Growth Analysis Formulae - Their Use and Abuse1. Crop Science, 7(3), 171. doi:10.2135/cropsci1967.0011183x000700030001xRamadan, M. F., & Moersel, J. T. (2007). Impact of enzymatic treatment on chemical composition, physicochemical properties and radical scavenging activity of goldenberry (Physalis peruviana L.) juice. Journal of the Science of Food and Agriculture, 87(3), 452-460. doi:10.1002/jsfa.2728Ramadan, M. F., & Moersel, J.-T. (2009). Oil extractability from enzymatically treated goldenberry (Physalis peruvianaL.) pomace: range of operational variables. International Journal of Food Science & Technology, 44(3), 435-444. doi:10.1111/j.1365-2621.2006.01511.xSalazar, M. R., Jones, J. W., Chaves, B., & Cooman, A. (2008). A model for the potential production and dry matter distribution of Cape gooseberry (Physalis peruviana L.). Scientia Horticulturae, 115(2), 142-148. doi:10.1016/j.scienta.2007.08.015Scholberg, J., McNeal, B. L., Jones, J. W., Boote, K. J., Stanley, C. D., & Obreza, T. A. (2000). Growth and Canopy Characteristics of Field-Grown Tomato. Agronomy Journal, 92(1), 152. doi:10.2134/agronj2000.921152xTrinchero, G. D., Sozzi, G. O., Cerri, A. M., Vilella, F., & Fraschina, A. A. (1999). Ripening-related changes in ethylene production, respiration rate and cell-wall enzyme activity in goldenberry (Physalis peruviana L.), a solanaceous species. Postharvest Biology and Technology, 16(2), 139-145. doi:10.1016/s0925-5214(99)00011-3Turner, A. (1994). Dry Matter Assimilation and Partitioning in Pepper Cultivars Differing in Susceptibility to Stress-induced Bud and Flower Abscission. Annals of Botany, 73(6), 617-622. doi:10.1006/anbo.1994.1077WILLIAMS, R. F. (1946). The Physiology of Plant Growth with Special Reference to the Concept of Net Assimilation Rate. Annals of Botany, 10(1), 41-72. doi:10.1093/oxfordjournals.aob.a083119Zapata, J.L., A. Saldarriaga, M. Londoño, and C. Díaz. 2002. Cape gooseberry Management in Colombia. Antioquia, Colombia: Rionegro, Programa Nacional de Transferencia de Tecnología Agropecuaria - Corpoica Regional Cuatro (in Spanish).Zerihun, A. (2000). Compensatory Roles of Nitrogen Uptake and Photosynthetic N-use Efficiency in Determining Plant Growth Response to Elevated CO2: Evaluation Using a Functional Balance Model. Annals of Botany, 86(4), 723-730. doi:10.1006/anbo.2000.123

Reversion of epigenetically mediated BIM silencing overcomes chemoresistance in Burkitt lymphoma

In Burkitt lymphoma/leukemia (BL), achievement of complete remission with first-line chemotherapy remains a challenging issue, as most patients who respond remain disease-free, whereas those refractory have few options of being rescued with salvage therapies. The mechanisms underlying BL chemoresistance and how it can be circumvented remain undetermined. We previously reported the frequent inactivation of the proapoptotic BIM gene in B-cell lymphomas. Here we show that BIM epigenetic silencing by concurrent promoter hypermethylation and deacetylation occurs frequently in primary BL samples and BL-derived cell lines. Remarkably, patients with BL with hypermethylated BIM presented lower complete remission rate (24% vs 79%; P = .002) and shorter overall survival (P = .007) than those with BIM-expressing lymphomas, indicating that BIM transcriptional repression may mediate tumor chemoresistance. Accordingly, by combining in vitro and in vivo studies of human BL-xenografts grown in immunodeficient RAG2(-/-)γc(-/-) mice and of murine B220(+)IgM(+) B-cell lymphomas generated in Eμ-MYC and Eμ-MYC-BIM(+/-) transgenes, we demonstrate that lymphoma chemoresistance is dictated by BIM gene dosage and is reversible on BIM reactivation by genetic manipulation or after treatment with histone-deacetylase inhibitors. We suggest that the combination of histone-deacetylase inhibitors and high-dose chemotherapy may overcome chemoresistance, achieve durable remission, and improve survival of patients with BL

LMO2 expression reflects the different stages of blast maturation and genetic features in B-cell acute lymphoblastic leukemia and predicts clinical outcome

BACKGROUND: LMO2 is highly expressed at the most immature stages of lymphopoiesis. In T-lymphocytes, aberrant LMO2 expression beyond those stages leads to T-cell acute lymphoblastic leukemia, while in B cells LMO2 is also expressed in germinal center lymphocytes and diffuse large B-cell lymphomas, where it predicts better clinical outcome. The implication of LMO2 in B-cell acute lymphoblastic leukemia must still be explored. DESIGN AND METHODS: We measured LMO2 expression by real time RT-PCR in 247 acute lymphoblastic leukemia patient samples with cytogenetic data (144 of them also with survival and immunophenotypical data) and in normal hematopoietic and lymphoid cells. RESULTS: B-cell acute lymphoblastic leukemia cases expressed variable levels of LMO2 depending on immunophenotypical and cytogenetic features. Thus, the most immature subtype, pro-B cells, displayed three-fold higher LMO2 expression than pre-B cells, common-CD10+ or mature subtypes. Additionally, cases with TEL-AML1 or MLL rearrangements exhibited two-fold higher LMO2 expression compared to cases with BCR-ABL rearrangements or hyperdyploid karyotype. Clinically, high LMO2 expression correlated with better overall survival in adult patients (5-year survival rate 64.8% (42.5%-87.1%) vs. 25.8% (10.9%-40.7%), P= 0.001) and constituted a favorable independent prognostic factor in B-ALL with normal karyotype: 5-year survival rate 80.3% (66.4%-94.2%) vs. 63.0% (46.1%-79.9%) (P= 0.043). CONCLUSIONS: Our data indicate that LMO2 expression depends on the molecular features and the differentiation stage of B-cell acute lymphoblastic leukemia cells. Furthermore, assessment of LMO2 expression in adult patients with a normal karyotype, a group which lacks molecular prognostic factors, could be of clinical relevance

Homozygous deletions localize novel tumor suppressor genes in B-cell lymphomas

Integrative genomic and gene-expression analyses have identified amplified oncogenes in B-cell non-Hodgkin lymphoma (B-NHL), but the capability of such technologies to localize tumor suppressor genes within homozygous deletions remains unexplored. Array-based comparative genomic hybridization (CGH) and gene-expression microarray analysis of 48 cell lines derived from patients with different B-NHLs delineated 20 homozygous deletions at 7 chromosome areas, all of which contained tumor suppressor gene targets. Further investigation revealed that only a fraction of primary biopsies presented inactivation of these genes by point mutation or intragenic deletion, but instead some of them were frequently silenced by epigenetic mechanisms. Notably, the pattern of genetic and epigenetic inactivation differed among B-NHL subtypes. Thus, the P53-inducible PIG7/LITAF was silenced by homozygous deletion in primary mediastinal B-cell lymphoma and by promoter hypermethylation in germinal center lymphoma, the proapoptotic BIM gene presented homozygous deletion in mantle cell lymphoma and promoter hypermethylation in Burkitt lymphoma, the proapoptotic BH3-only NOXA was mutated and preferentially silenced in diffuse large B-cell lymphoma, and INK4c/P18 was silenced by biallelic mutation in mantle-cell lymphoma. Our microarray strategy has identified novel candidate tumor suppressor genes inactivated by genetic and epigenetic mechanisms that substantially vary among the B-NHL subtypes

Preclinical models for prediction of immunotherapy outcomes and immune evasion mechanisms in genetically heterogeneous multiple myeloma

The historical lack of preclinical models reflecting the genetic heterogeneity of multiple myeloma (MM) hampers the advance of therapeutic discoveries. To circumvent this limitation, we screened mice engineered to carry eight MM lesions (NF-κB, KRAS, MYC, TP53, BCL2, cyclin D1, MMSET/NSD2 and c-MAF) combinatorially activated in B lymphocytes following T cell-driven immunization. Fifteen genetically diverse models developed bone marrow (BM) tumors fulfilling MM pathogenesis. Integrative analyses of ∼500 mice and ∼1,000 patients revealed a common MAPK-MYC genetic pathway that accelerated time to progression from precursor states across genetically heterogeneous MM. MYC-dependent time to progression conditioned immune evasion mechanisms that remodeled the BM microenvironment differently. Rapid MYC-driven progressors exhibited a high number of activated/exhausted CD8+ T cells with reduced immunosuppressive regulatory T (Treg) cells, while late MYC acquisition in slow progressors was associated with lower CD8+ T cell infiltration and more abundant Treg cells. Single-cell transcriptomics and functional assays defined a high ratio of CD8+ T cells versus Treg cells as a predictor of response to immune checkpoint blockade (ICB). In clinical series, high CD8+ T/Treg cell ratios underlie early progression in untreated smoldering MM, and correlated with early relapse in newly diagnosed patients with MM under Len/Dex therapy. In ICB-refractory MM models, increasing CD8+ T cell cytotoxicity or depleting Treg cells reversed immunotherapy resistance and yielded prolonged MM control. Our experimental models enable the correlation of MM genetic and immunological traits with preclinical therapy responses, which may inform the next-generation immunotherapy trials

The unfolded protein response and its relevance to connective tissue diseases

The unfolded protein response (UPR) has evolved to counter the stresses that occur in the endoplasmic reticulum (ER) as a result of misfolded proteins. This sophisticated quality control system attempts to restore homeostasis through the action of a number of different pathways that are coordinated in the first instance by the ER stress-senor proteins IRE1, ATF6 and PERK. However, prolonged ER-stress-related UPR can have detrimental effects on cell function and, in the longer term, may induce apoptosis. Connective tissue cells such as fibroblasts, osteoblasts and chondrocytes synthesise and secrete large quantities of proteins and mutations in many of these gene products give rise to heritable disorders of connective tissues. Until recently, these mutant gene products were thought to exert their effect through the assembly of a defective extracellular matrix that ultimately disrupted tissue structure and function. However, it is now becoming clear that ER stress and UPR, because of the expression of a mutant gene product, is not only a feature of, but may be a key mediator in the initiation and progression of a whole range of different connective tissue diseases. This review focuses on ER stress and the UPR that characterises an increasing number of connective tissue diseases and highlights novel therapeutic opportunities that may arise