Bacterias marinas antagonistas de Staphylococcus aureus y Vibrio parahaemolyticus, agentes de enfermedades trasmitidas por alimentos.

Este estudio tuvo como objetivo la identificación de microorganismos marinos de las costas mexicanas que presentenactividad antimicrobiana contra Staphylococcus aureus y Vibrio parahaemolyticus, conocidos en el ámbito mundial por ser agentes de intoxicación alimentaria. Se colectaron muestras representativas de algas, sedimentos salinos, crustáceos y moluscos. De las 42 cepas probadas, 15 inhibieron estos patógenos. La secuenciación del gen 16S rRNA identificó solo cepas de Bacillus. Las cepas con la actividad inhibidora más alta contra S. aureus fueron B. aerius y B. pumilus. Las cepas B. pumilus, B. altitudinis y B. oryzicola mostraron una mayor actividad antimicrobiana contra V. parahaemolyticus. Este es el primer estudio del aislamiento de B. aerius, B. oryzicola, B. safensis, B. boroniphilus y B. altitudinis de ecosistemas marinos en México, así como el primer estudio que reporta sus efectos inhibidores contra S. aureus y V. parahaemolyticus. Los compuestos activos de los antagonistas se están identificando y evaluando actualmente. Los ecosistemas marinos tienen la mayor diversidad bacteriana asociada con invertebrados y algas; sin embargo, esta diversidad bacteriana no ha sido bien estudiada en las costas mexicanas

May Measurement Month 2017: an analysis of blood pressure screening in Spain-Europe.

May Measurement Month 2017 is a global initiative aimed at raising awareness of high blood pressure (BP) and to act as a temporary solution to the lack of screening programs worldwide, in which Spain participated actively. The primary objective was to raise awareness and increase control of BP in Spain. An opportunistic cross-sectional survey of volunteers aged ≥18 was set up in May 2017. Following the design of the International Society of Hypertension, data were collected from the 17 autonomous communities in which Spain is divided, mainly in community pharmacies, primary care centres and some hypertension (HT) units, and cardiovascular departments in hospitals. No additional training of volunteers was necessary. A total of 3849 individuals were screened. After multiple imputation, our data showed that 1923 (50.0%) had HT. In those not receiving antihypertensive medication, 17.5% were hypertensives, in individuals receiving antihypertensive medication, 33.9% had uncontrolled BP. May Measurement Month 2017 was the largest BP screening campaign undertaken in Spain. In total, 17.5% of people with HT did not receive medication. One-third of hypertensive participants receiving treatment did not have their BP controlled. These results confirm that an opportunistic screening can identify a significant number of subjects with and untreated and inadequately treated BP

RESPUESTA RIZOGÉNICA EN PINUS MAXIMARTINEZII RZEDOWSKI

El piñón azul o maxi piñónPinus maximartineziiRzedowski es una especie endémica en peligro de extinción debido a la alteración de sus poblaciones en su hábitat natural y que ha sobrevivido a una restricción genética extrema, además es considerado el más raro de los pinos piñoneros. En este trabajo se evaluó la respuesta rizogénica de brotes dePinus maximartinezii, obtenidos a partir de embriones cigóticos regenerado vía organogénesis, los cuales se sometieron a tratamientos de enraizamientoin vitro. La mayor respuesta de enraizamiento se presentó con pulso de 24 h en presencia de 2.0 mg L-1 de IBA en los medios de cultivo DCR, GD y MS, al 100 y 50% de su concentración original más 0.5% de carbón activado por L-1. Después de ocho semanas se evaluó la variable conforme al número de brotes con raíces, la prueba de X2 mostró que el enraizamiento es independiente de los medios de cultivo así como la concentración de los mismos y dependiente al tiempos de pulso. La formación de raíces obtenidas en los brotes permite proponer esta especie con capacidad para ser propagadain vitro

Energy substrate metabolism, mitochondrial structure and oxidative stress after cardiac ischemia-reperfusion in mice lacking UCP3.

Myocardial ischemia-reperfusion (IR) injury may result in cardiomyocyte dysfunction. Mitochondria play a critical role in cardiomyocyte recovery after IR injury. The mitochondrial uncoupling protein 3 (UCP3) has been proposed to reduce mitochondrial reactive oxygen species (ROS) production and to facilitate fatty acid oxidation. As both mechanisms might be protective following IR injury, we investigated functional, mitochondrial structural, and metabolic cardiac remodeling in wild-type mice and in mice lacking UCP3 (UCP3-KO) after IR. Results showed that infarct size in isolated perfused hearts subjected to IR ex vivo was larger in adult and old UCP3-KO mice than in equivalent wild-type mice, and was accompanied by higher levels of creatine kinase in the effluent and by more pronounced mitochondrial structural changes. The greater myocardial damage in UCP3-KO hearts was confirmed in vivo after coronary artery occlusion followed by reperfusion. S1QEL, a suppressor of superoxide generation from site IQ in complex I, limited infarct size in UCP3-KO hearts, pointing to exacerbated superoxide production as a possible cause of the damage. Metabolomics analysis of isolated perfused hearts confirmed the reported accumulation of succinate, xanthine and hypoxanthine during ischemia, and a shift to anaerobic glucose utilization, which all recovered upon reoxygenation. The metabolic response to ischemia and IR was similar in UCP3-KO and wild-type hearts, being lipid and energy metabolism the most affected pathways. Fatty acid oxidation and complex I (but not complex II) activity were equally impaired after IR. Overall, our results indicate that UCP3 deficiency promotes enhanced superoxide generation and mitochondrial structural changes that increase the vulnerability of the myocardium to IR injury.We are grateful to F. S´ anchez-Madrid, B. Iba´nez ˜ and E. Lara for facilitating experiments at CNIC (Madrid, Spain) and to W.E. Louch for facilitating experiments at the University of Oslo (Oslo, Norway). We thank B. Littlejohns, I. Khaliulin and H. Lin from M.S. Suleiman’s group (University of Bristol, Bristol, UK) for their valuable help with Langendorff perfusion experiments. We also thank E.T. Chouchani from M.P. Murphy’s group (Cambridge, UK) for help with metabolomics analysis, M. Guerra of the Electron Microscopy Unit at CBMSO (Madrid, Spain) for processing the samples for electron microscopy analysis, and A.V. Alonso (CNIC) for echocardiography analyses. The work in our laboratory is funded the Instituto de Salud Carlos III (FIS PI19/01030) to SC. Institutional grants from the Fundacion ´ Ramon ´ Areces and Banco de Santander to the CBMSO are also acknowledged.S

Cost-effectiveness analysis of a multiple health behaviour change intervention in people aged between 45 and 75 years: a cluster randomized controlled trial in primary care (EIRA study)

Background: Multiple health behaviour change (MHBC) interventions that promote healthy lifestyles may be an efficient approach in the prevention or treatment of chronic diseases in primary care. This study aims to evaluate the cost-utility and cost-effectiveness of the health promotion EIRA intervention in terms of MHBC and cardiovascular reduction. Methods: An economic evaluation alongside a 12-month cluster-randomised (1:1) controlled trial conducted between 2017 and 2018 in 25 primary healthcare centres from seven Spanish regions. The study took societal and healthcare provider perspectives. Patients included were between 45 and 75 years old and had any two of these three behaviours: smoking, insufficient physical activity or low adherence to Mediterranean dietary pattern. Intervention duration was 12 months and combined three action levels (individual, group and community). MHBC, defined as a change in at least two health risk behaviours, and cardiovascular risk (expressed in % points) were the outcomes used to calculate incremental cost-effectiveness ratios (ICER). Quality-adjusted life-years (QALYs) were estimated and used to calculate incremental cost-utility ratios (ICUR). Missing data was imputed and bootstrapping with 1000 replications was used to handle uncertainty in the modelling results. Results: The study included 3062 participants. Intervention costs were €295 higher than usual care costs. Five per-cent additional patients in the intervention group did a MHBC compared to usual care patients. Differences in QALYS or cardiovascular risk between-group were close to 0 (- 0.01 and 0.04 respectively). The ICER was €5598 per extra health behaviour change in one patient and €6926 per one-point reduction in cardiovascular risk from a societal perspective. The cost-utility analysis showed that the intervention increased costs and has no effect, in terms of QALYs, compared to usual care from a societal perspective. Cost-utility planes showed high uncertainty surrounding the ICUR. Sensitivity analysis showed results in line with the main analysis. Conclusion: The efficiency of EIRA intervention cannot be fully established and its recommendation should be conditioned by results on medium-long term effects. Trial registration: Clinicaltrials.gov NCT03136211. Registered 02 May 2017 – Retrospectively registered © 2021, The Author(s)

Snacking between main meals is associated with a higher risk of metabolic syndrome in a Mediterranean cohort: the SUN Project (Seguimiento Universidad de Navarra)

OBJECTIVE: To evaluate the association of snacking between main meals with the risk of developing metabolic syndrome. DESIGN: A dynamic prospective cohort study (the SUN Project; Seguimiento Universidad de Navarra). Snack consumption was evaluated using the question: 'Do you have the habit of snacking between main meals?' Metabolic syndrome was defined according to the updated harmonizing criteria. We estimated multivariable-adjusted relative risks (RR) of metabolic syndrome and their 95 % confidence intervals using Poisson regression models. An exploratory factor analysis was also used to identify patterns of snacking. SETTING: University of Navarra, Spain. SUBJECTS: The study included 6851 university graduates, initially free of metabolic syndrome, and followed-up them for a median of 8·3 years. RESULTS: Among our participants, 34·6% reported usual snacking between main meals. The cumulative incidence of metabolic syndrome was 5·1 % (9·5% among men and 2·8% among women). Snacking between main meals was significantly associated with higher risk for developing metabolic syndrome after multivariable adjustment (RR=1·44; 95%CI 1·18, 1·77). Higher adherence to an 'unhealthy snacking pattern' was also independently associated with increased incidence of metabolic syndrome (fourth quartile of adherence compared with non-snacking: RR=1·68; 95% CI 1·23, 2·29; P for trend <0·001). CONCLUSIONS: Our findings suggest that avoidance of snacking between main meals can be included among the preventive approaches to reduce the risk of metabolic syndrome development, especially when snacks contain foods of poor nutritional quality

Myocardial Edema After Ischemia/Reperfusion Is Not Stable and Follows a Bimodal Pattern Imaging and Histological Tissue Characterization

Background: It is widely accepted that edema occurs early in the ischemic zone and persists in stable form for at least 1 week after myocardial ischemia/reperfusion. However, there are no longitudinal studies covering from very early (minutes) to late (1 week) reperfusion stages confirming this phenomenon. Objectives: This study sought to perform a comprehensive longitudinal imaging and histological characterization of the edematous reaction after experimental myocardial ischemia/reperfusion. Methods: The study population consisted of 25 instrumented Large-White pigs (30 kg to 40 kg). Closed-chest 40-min ischemia/reperfusion was performed in 20 pigs, which were sacrificed at 120 min (n = 5), 24 h (n = 5), 4 days (n = 5), and 7 days (n = 5) after reperfusion and processed for histological quantification of myocardial water content. Cardiac magnetic resonance (CMR) scans with T2-weighted short-tau inversion recovery and T2-mapping sequences were performed at every follow-up stage until sacrifice. Five additional pigs sacrificed after baseline CMR served as controls. Results: In all pigs, reperfusion was associated with a significant increase in T2 relaxation times in the ischemic region. On 24-h CMR, ischemic myocardium T2 times returned to normal values (similar to those seen pre-infarction). Thereafter, ischemic myocardium-T2 times in CMR performed on days 4 and 7 after reperfusion progressively and systematically increased. On day 7 CMR, T2 relaxation times were as high as those observed at reperfusion. Myocardial water content analysis in the ischemic region showed a parallel bimodal pattern: 2 high water content peaks at reperfusion and at day 7, and a significant decrease at 24 h. Conclusions: Contrary to the accepted view, myocardial edema during the first week after ischemia/reperfusion follows a bimodal pattern. The initial wave appears abruptly upon reperfusion and dissipates at 24 h. Conversely, the deferred wave of edema appears progressively days after ischemia/reperfusion and is maximal around day 7 after reperfusion

MicroRNA-155 Deficiency Attenuates Liver Steatosis and Fibrosis without Reducing Inflammation in a Mouse Model of Steatohepatitis

BACKGROUND & AIM: MicroRNAs (miRs) regulate hepatic steatosis, inflammation and fibrosis. Fibrosis is the consequence of chronic tissue damage and inflammation. We hypothesized that deficiency of miR-155, a master regulator of inflammation, attenuates steatohepatitis and fibrosis. METHODS: Wild type (WT) and miR-155-deficient (KO) mice were fed methionine-choline-deficient (MCD) or -supplemented (MCS) control diet for 5 weeks. Liver injury, inflammation, steatosis and fibrosis were assessed. RESULTS: MCD diet resulted in steatohepatitis and increased miR-155 expression in total liver, hepatocytes and Kupffer cells. Steatosis and expression of genes involved in fatty acid metabolism were attenuated in miR-155 KO mice after MCD feeding. In contrast, miR-155 deficiency failed to attenuate inflammatory cell infiltration, nuclear factor kappa beta (NF-kappaB) activation and enhanced the expression of the pro-inflammatory cytokines tumor necrosis factor alpha (TNFalpha) and monocyte chemoattractant protein-1 (MCP1) in MCD diet-fed mice. We found a significant attenuation of apoptosis (cleaved caspase-3) and reduction in collagen and alpha smooth muscle actin (alphaSMA) levels in miR-155 KO mice compared to WTs on MCD diet. In addition, we found attenuation of platelet derived growth factor (PDGF), a pro-fibrotic cytokine; SMAD family member 3 (Smad3), a protein involved in transforming growth factor-beta (TGFbeta) signal transduction and vimentin, a mesenchymal marker and indirect indicator of epithelial-to-mesenchymal transition (EMT) in miR-155 KO mice. Nuclear binding of CCAAT enhancer binding protein beta (C/EBPbeta) a miR-155 target involved in EMT was significantly increased in miR-155 KO compared to WT mice. CONCLUSIONS: Our novel data demonstrate that miR-155 deficiency can reduce steatosis and fibrosis without decreasing inflammation in steatohepatitis

El farmacéutico comunitario, necesario en el abordaje de la hipertensión arterial y el riesgo vascular

En la actualidad la hipertensión arterial (HTA) es uno de los problemas de salud pública más importantes en los países desarrollados. Se trata de una enfermedad que aumenta considerablemente el riesgo vascular y que se caracteriza por ser asintomática, fácil de detectar y, en la mayoría de los casos, de tratar, pero que se asocia a incapacidad, disminución de la calidad de vida (puede lesionar órganos como el corazón, riñones, cerebro, retina…) y, finalmente, mortalidad prematura si no se previene y se trata de forma adecuada. Es la causa de por lo menos la mitad de las muertes por cardiopatías y por accidente cerebrovascular

RHIZOGENIC RESPONSE OF PINUS MAXIMARTINEZII RZEDOWSKI

El piñón azul o maxi piñónPinus maximartineziiRzedowski es una especie endémica en peligro de extinción debido a la alteración de sus poblaciones en su hábitat natural y que ha sobrevivido a una restricción genética extrema, además es considerado el más raro de los pinos piñoneros. En este trabajo se evaluó la respuesta rizogénica de brotes dePinus maximartinezii, obtenidos a partir de embriones cigóticos regenerado vía organogénesis, los cuales se sometieron a tratamientos de enraizamientoin vitro. La mayor respuesta de enraizamiento se presentó con pulso de 24 h en presencia de 2.0 mg L-1 de IBA en los medios de cultivo DCR, GD y MS, al 100 y 50% de su concentración original más 0.5% de carbón activado por L-1. Después de ocho semanas se evaluó la variable conforme al número de brotes con raíces, la prueba de X2 mostró que el enraizamiento es independiente de los medios de cultivo así como la concentración de los mismos y dependiente al tiempos de pulso. La formación de raíces obtenidas en los brotes permite proponer esta especie con capacidad para ser propagadain vitro.</span