Diabetes y su impacto en el territorio periodontal

ResumenDiabetes y enfermedad periodontal corresponden probablemente al mejor ejemplo de cómo una enfermedad sistémica puede tener un efecto en el territorio periodontal. Si bien esta asociación ha sido extensamente estudiada, muchas de las asociaciones propuestas presentan contradicciones. En la presente revisión de la literatura se analizan los siguientes tópicos relevantes para la práctica clínica en periodoncia e implantología: i) Identificación de enfermedad periodontal severa y su capacidad para diagnosticar casos de diabetes; ii) Efectos de la diabetes sobre la enfermedad periodontal; iii) Efectos de la diabetes sobre la reparación periodontal y periimplantaria; iv) Efecto del tratamiento periodontal sobre el control metabólico de la diabetes.AbstractDiabetes and periodontal disease correspond to conditions that probably exemplify how a systemic disease may have a strong impact in the periodontium. Although this association has been studied for several years, many of these studies still show contradictory results. The present review analyses the following questions relevant for the clinician in the fields of periodontology: i) Value of the diagnosis of severe periodontitis and its capacity to identify previously un-diagnosed cases of diabetes; ii) Effects of diabetes on periodontal disease; iii) Effects of diabetes on periodontal and periimplant tissue repair and regeneration and; iv) Effect of periodontal therapy on the metabolic control of diabetes

Searching for the Transcriptomic Signature of Immune Tolerance Induction—Biomarkers of Safety and Functionality for Tolerogenic Dendritic Cells and Regulatory Macrophages

The last years have witnessed a breakthrough in the development of cell-based tolerance-inducing cell therapies for the treatment of autoimmune diseases and solid-organ transplantation. Indeed, the use of tolerogenic dendritic cells (tolDC) and regulatory macrophages (Mreg) is currently being tested in Phase I and Phase II clinical trials worldwide, with the aim of finding an effective therapy able to abrogate the inflammatory processes causing these pathologies without compromising the protective immunity of the patients. However, there exists a wide variety of different protocols to generate human tolDC and Mreg and, consequently, the characteristics of each product are heterogeneous. For this reason, the identification of biomarkers able to define their functionality (tolerogenicity) is of great relevance, on the one hand, to guarantee the safety of tolDC and Mreg before administration and, on the other hand, to compare the results between different cell products and laboratories. In this article, we perform an exhaustive review of protocols generating human tolDC and Mreg in the literature, aiming to elucidate if there are any common transcriptomic signature or potential biomarkers of tolerogenicity among the different approaches. However, and although several effectors seem to be induced in common in some of the most reported protocols to generate both tolDC or Mreg, the transcriptomic profile of these cellular products strongly varies depending on the approach used to generate them

Indicadores del nivel del mar durante el MIS 5 y elevación tectónica en el Estrecho de Gibraltar (Norte de Marruecos)

This study investigates the morpho-sedimentary evidence of two highstands registered and dated during MIS 5 stage by U-series dating in the North of Morocco (Strait of Gibraltar). Bioerosive notch and mixed siliciclastic and carbonate deposits, high energy beaches with algal bioherms, were formed in coastal environments during MIS 5a. A sea-level altitude of +10 m asl was inferred for this substage. The record of MIS 5e-2 substage is less complete, consisting in upper foreshore and storm deposits located some meters above the sea-level (+13-15 m asl). A tectonic uplift rate of ~0.1 mm/yr has been estimated for the last 130 ky. This data is consistent with models of coastal uplifts elaborated for the Gibraltar Strait.Este trabajo analiza las evidencias morfosedimentarias de dos altas paradas del nivel marino datadas en el MIS 5 mediante series de U en el Norte de Marruecos. Durante el MIS 5a se formaron socaves bioerosivos (notches) y facies de playas de alta energía constituidas por depósitos mixtos siliciclástico-carbonatados. Una altura de 10 m snm ha sido estimada para esta etapa. El registro del MIS 5e-2 es menos completo, constituidos por depósitos de foreshore y de tormenta formados varios metros sobre el nivel del mar (+13-15 m snm). Se ha deducido una tasa de elevación tectónica de 0.1 mm/año para los últimos 130 ka. Estos datos son consistentes con los modelos previos de levantamiento tectónico elaborados para el Estrecho de Gibraltar.Ministerio de Ciencia, Innovación y Universidades CGL2010-15810/BT

Uso de Minería de Datos Para la Determinación de Perfiles Socioeconómicos y Sanitarios en la UNCAus

El proyecto PI N° 91, aprobado por Res. N° 332/18 CS, se desarrolla con el fin de obtener información relevante que detecte variables relacionadas con los frecuentes problemas de salud en la ciudad de Presidencia Roque Sáenz Peña (Chaco, Argentina) y su área de influencia, relacionando los pacientes con su hábitat, ecología y salud. Para ello se trabaja con la información proveniente de las actividades curriculares de vinculación comunitaria que la carrera de Medicina de la UNCAus (Universidad Nacional del Chaco Austral) realiza en los distintos barrios de dicha ciudad y su zona de influencia; con dicha información se construye un almacén de datos (data warehouse) que es estudiado con técnicas de minería de datos (data mining), especialmente técnicas de agrupamiento (clusterización) y de árboles de decisión, a los efectos de conseguir los perfiles característicos relacionados con los distintos tipos de diagnósticos; en un principio se buscan modelos descriptivos de minería de datos, para pasar en el futuro a modelos predictivos, lo cual permitiría disponer de conocimiento que permitiría mejorar la toma de decisiones en cuanto a campañas de salud hacia la población de los barrios de la ciudad de P. R. Sáenz Peña. Project PI N ° 91, approved by Res. N ° 332/18 CS, was developed in order to obtain relevant information that detects variables related to frequent health problems in the city of Presidencia Roque Sáenz Peña (Chaco, Argentina) and its area of influence, relating patients to their habitat, ecology, and health. For this, we work with the information coming from the curricular activities based on the relationship with the community that the Medicine undergraduate degree program of the UNCAus (National University of Chaco Austral) carries out in the different neighborhoods of the said city and its area of influence. With this information, a data warehouse was built and studied with data mining techniques, especially clustering techniques and decision trees, in order to achieve the characteristic profiles related to the different types of diagnosis. Initially, descriptive data mining models was sought and moved on to predictive models in the future. This would result to knowledge that would lead to better decision-making regarding health campaigns towards the population of the neighborhoods of the city of P.R. Sáenz Peña

SARS-CoV-2 envelope protein topology in eukaryotic membranes

Coronavirus E protein is a small membrane protein found in the virus envelope. Different coronavirus E proteins share striking biochemical and functional similarities, but sequence conservation is limited. In this report, we studied the E protein topology from the new SARS-CoV-2 virus both in microsomal membranes and in mammalian cells. Experimental data reveal that E protein is a single-spanning membrane protein with the N-terminus being translocated across the membrane, while the C-terminus is exposed to the cytoplasmic side (Ntlum/Ctcyt). The defined membrane protein topology of SARS-CoV-2 E protein may provide a useful framework to understand its interaction with other viral and host components and contribute to establish the basis to tackle the pathogenesis of SARS-CoV-2

Vitamin D3-Induced Tolerogenic Dendritic Cells Modulate the Transcriptomic Profile of T CD4 + Cells Towards a Functional Hyporesponsiveness

The use of autologous tolerogenic dendritic cells (tolDC) has become a promising alternative for the treatment of autoimmune diseases. Among the different strategies available, the use of vitamin D3 for the generation of tolDC (vitD3-tolDC) constitutes one of the most robust approaches due to their immune regulatory properties, which are currently being tested in clinical trials. However, the mechanisms that vitD3-tolDC trigger for the induction of tolerance remain elusive. For this reason, we performed a full phenotypical, functional, and transcriptomic characterization of T cells upon their interaction with autologous, antigen-specific vitD3-tolDC. We observed a strong antigen-specific reduction of T cell proliferation, combined with a decrease in the relative prevalence of T1 subpopulations and IFN- γ production. The analysis of the transcriptomic profile of T CD4 + cells evidenced a significant down-modulation of genes involved in cell cycle and cell response to mainly pro-inflammatory immune-related stimuli, highlighting the role of JUNB gene as a potential biomarker of these processes. Consequently, our results show the induction of a strong antigen-specific hyporesponsiveness combined with a reduction on the T1 immune profile of T cells upon their interaction with vitD3-tolDC, which manifests the regulatory properties of these cells and, therefore, their therapeutic potential in the clinic. https://doi.org/10.13039/5011000033295https://doi.org/10.13039/5011000033293https://doi.org/10.13039/5011000033296https://doi.org/10.13039/501100003329 https://doi.org/10.13039/501100003329_https://doi.org/10.13039/501100003329_https://doi.org/10.13039/501100003329 https://doi.org/10.13039/50110000332

Ethyl Pyruvate Induces Tolerogenic Dendritic Cells

Altres ajuts: Cost Action BM1305Dendritic cells (DC) are professional antigen presenting cells that have a key role in shaping the immune response. Tolerogenic DC (tolDC) have immuno-regulatory properties and they are a promising prospective therapy for multiple sclerosis and other autoimmune diseases. Ethyl pyruvate (EP) is a redox analog of dimethyl fumarate (Tecfidera), a drug for multiple sclerosis treatment. We have recently shown that EP ameliorates experimental autoimmune encephalomyelitis, a multiple sclerosis murine model. Here, we expanded our study to its tolerogenic effects on DC. Phenotypic analysis has shown that DC obtained from mice or humans reduce expression of molecules required for T cell activation such as CD86, CD83, and HLA-DR under the influence of EP, while CD11c expression and viability of DC are not affected. Furthermore, EP-treated DC restrain proliferation and modulate cytokine production of allogeneic lymphocytes. These results demonstrate that EP has the ability to direct DC toward tolDC

Manifestaciones dermatológicas que permiten sospechar SIDA

ResumenLa infección por el virus de la inmunodeficiencia humana (VIH), se acompaña entre un 90 a 100% de alteraciones cutáneas de enfermedades frecuentes como psoriasis, dermatitis seborreica o verrugas virales entre otras. Estas alteraciones cutáneas pueden ser la manifestación inicial de la infección o señal de alarma sobre el compromiso acelerado de la inmunidad del paciente. Como cuidadosos clínicos debemos reconocer y aprender a interpretar las manifestaciones dermatológicas que nos permiten sospechar la infección por VIH.[Martínez SO, Cáceres P, Cadena LM. Manifestaciones dermatológicas que permiten sospechar SIDA. MedUNAB 2002; 5(14):136-145].Palabras clave: Virus de la inmunodeficiencia human, síndrome de inmunodeficiencia adquirida, dermatosis

Ethyl Pyruvate Induces Tolerogenic Dendritic Cells

Dendritic cells (DC) are professional antigen presenting cells that have a key role in shaping the immune response. Tolerogenic DC (tolDC) have immuno-regulatory properties and they are a promising prospective therapy for multiple sclerosis and other autoimmune diseases. Ethyl pyruvate (EP) is a redox analog of dimethyl fumarate (Tecfidera), a drug for multiple sclerosis treatment. We have recently shown that EP ameliorates experimental autoimmune encephalomyelitis, a multiple sclerosis murine model. Here, we expanded our study to its tolerogenic effects on DC. Phenotypic analysis has shown that DC obtained from mice or humans reduce expression of molecules required for T cell activation such as CD86, CD83, and HLA-DR under the influence of EP, while CD11c expression and viability of DC are not affected. Furthermore, EP-treated DC restrain proliferation and modulate cytokine production of allogeneic lymphocytes. These results demonstrate that EP has the ability to direct DC toward tolDC

Vitamin C enhances NF-κB-driven epigenomic reprogramming and boosts the immunogenic properties of dendritic cells

Dendritic cells (DCs), the most potent antigen-presenting cells, are necessary for effective activation of naïve T cells. DCs' immunological properties are modulated in response to various stimuli. Active DNA demethylation is crucial for DC differentiation and function. Vitamin C, a known cofactor of ten-eleven translocation (TET) enzymes, drives active demethylation. Vitamin C has recently emerged as a promising adjuvant for several types of cancer; however, its effects on human immune cells are poorly understood. In this study, we investigate the epigenomic and transcriptomic reprogramming orchestrated by vitamin C in monocyte-derived DC differentiation and maturation. Vitamin C triggers extensive demethylation at NF-κB/p65 binding sites, together with concordant upregulation of antigen-presentation and immune response-related genes during DC maturation. p65 interacts with TET2 and mediates the aforementioned vitamin C-mediated changes, as demonstrated by pharmacological inhibition. Moreover, vitamin C increases TNFβ production in DCs through NF-κB, in concordance with the upregulation of its coding gene and the demethylation of adjacent CpGs. Finally, vitamin C enhances DC's ability to stimulate the proliferation of autologous antigen-specific T cells. We propose that vitamin C could potentially improve monocyte-derived DC-based cell therapies