An approach to gut microbiota profile in children with autism spectrum disorder

In recent years, there has been an increase in studies on the implications of gut microbiota (GM) on the behaviour of children with autism spectrum disorders (ASD) due to a dysbiosis in GM that can trigger onset, development or progression of ASD through the microbiota–gut–brain axis. The aim of this study is to carry out a systematic review of articles from the last 6 years that analyse GM in children with ASD compared to GM in control groups. Children with ASD showed a higher abundance of Roseburia and Candida genera, and lower abundance of Dialister, Bilophila, Veillonella, Streptococcus, Coprococcus and Prevotella genera. Those differences can be attributed to factors such as different nationalities, nature of control groups, place where the sample was taken, gastrointestinal (GI) problems or bacterial detection methods. It is still too early to define a specific GM profile of children with ASD, and future studies should focus on homogenizing the characteristics of samples and control groups. Furthermore, new multicentre studies should also focus on the impact of GM on GI physiology, neurophysiology and behaviour of children with ASD, and on performing psychometric analyses of the correlation between the severity of ASD behavioural symptoms and GM profiles

Metabolites of the gut microbiota involved in the autism spectrum disorder

En los últimos años, ha habido un aumento de los estudios que buscan comprender la relación existente entre el microbiota intestinal (MI) con el trastorno del espectro autista (TEA), que debe producirse a través del eje microbiota-intestino-cerebro. A pesar de que los distintos autores señalan que los cambios encontrados en distintos filos, familias y géneros bacterianos están implicados en el TEA, no hay consenso científico a día de hoy. Algunos autores apuntan a la posible relación existente entre dichas poblaciones bacterianas con ciertos productos de excreción o metabolitos como el ácido propiónico ya que aparecen con frecuencia en niños con TEA. Aunque en los últimos años la MI comienza a acumular evidencia científica, en términos de neurociencia, el estudio de la metabolómica asociada a la misma y los mecanismos mediante los cuales estos metabolitos pueden influir en la aparición y desarrollo del TEA aún permanece en sus primeros estadios.In recent years, there has been an increase in studies that seek to understand the relationship between gut microbiota (GM) with the behavior of people with autism spectrum disorders (ASD), which must occur through the microbiota-gut-brain axis. Although the different authors point out that the changes found in different phyla, families and bacterial genera are involved in ASD, there is no scientific consensus to date. Some authors point to the possible relationship between these bacterial populations with certain products of excretion or metabolites such as propionic acid since they frequently appear in children with ASD. Although in recent years the GM has begun to accumulate scientific evidence, in terms of neuroscience, the study of the metabolomics associated with it and the mechanisms by which these metabolites can influence the appearance and development of ASD remains in its first stages

A correlative biomarker study and integrative prognostic model in chemotherapy-naïve metastatic castration-resistant prostate cancer treated with enzalutamide

There is a considerable need to incorporate biomarkers of resistance to new antiandrogen agents in the management of castration-resistant prostate cancer (CRPC). We conducted a phase II trial of enzalutamide in first-line chemo-naïve asymptomatic or minimally symptomatic mCRPC and analyzed the prognostic value of TMPRSS2-ERG and other biomarkers, including circulating tumor cells (CTCs), androgen receptor splice variant (AR-V7) in CTCs and plasma Androgen Receptor copy number gain (AR-gain). These biomarkers were correlated with treatment response and survival outcomes and developed a clinical-molecular prognostic model using penalized cox-proportional hazard model. This model was validated in an independent cohort. Ninety-eight patients were included. TMPRSS2-ERG fusion gene was detected in 32 patients with no differences observed in efficacy outcomes. CTC detection was associated with worse outcome and AR-V7 in CTCs was associated with increased rate of progression as best response. Plasma AR gain was strongly associated with an adverse outcome, with worse median prostate specific antigen (PSA)-PFS (4.2 vs. 14.7 m; p < 0.0001), rad-PFS (4.5 vs. 27.6 m; p < 0.0001), and OS (12.7 vs. 38.1 m; p < 0.0001). The clinical prognostic model developed in PREVAIL was validated (C-Index 0.70) and the addition of plasma AR (C-Index 0.79; p < 0.001) increased its prognostic ability. We generated a parsimonious model including alkaline phosphatase (ALP); PSA and AR gain (C-index 0.78) that was validated in an independent cohort. TMPRSS2-ERG detection did not correlate with differential activity of enzalutamide in first-line mCRPC. However, we observed that CTCs and plasma AR gain were the most relevant biomarkers

Bronchoscopist's perception of the quality of the single-use bronchoscope (Ambu aScope4™) in selected bronchoscopies: a multicenter study in 21 Spanish pulmonology services

Background: The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopist's perception of its quality has not been evaluated. Methods: To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy. The variables were described with absolute and relative frequencies, measures of central tendency and dispersion depending on their nature. The existence of learning curves was evaluated by CUSUM analysis. Results: The most frequent indications in 300 included bronchoscopies was bronchial aspiration in 69.3% and the median duration of these was 9.1 min. The route of entry was nasal in 47.2% and oral in 34.1%. The average score for ease of use, image, and aspiration quality was 80/100. All the planned techniques were performed in 94.9% and the bronchoscopist was satisfied in 96.6% of the bronchoscopies. They highlighted the portability and immediacy of the aScope4TM to start the procedure in 99.3%, the possibility of taking and storing images in 99.3%. The CUSUM analysis showed average scores > 70/100 from the first procedure and from the 9th procedure more than 80% of the scores exceeded the 80/100 score. Conclusions: The aScope4™ scored well for ease of use, imaging, and aspiration. We found a learning curve with excellent scores from the 9th procedure. Bronchoscopists highlighted its portability, immediacy of use and the possibility of taking and storing images

How reproducible are surface areas calculated from the BET equation?

Porosity and surface area analysis play a prominent role in modern materials science. At the heart of this sits the Brunauer-Emmett-Teller (BET) theory, which has been a remarkably successful contribution to the field of materials science. The BET method was developed in the 1930s for open surfaces but is now the most widely used metric for the estimation of surface areas of micro- and mesoporous materials. Despite its widespread use, the calculation of BET surface areas causes a spread in reported areas, resulting in reproducibility problems in both academia and industry. To prove this, for this analysis, 18 already-measured raw adsorption isotherms were provided to sixty-one labs, who were asked to calculate the corresponding BET areas. This round-robin exercise resulted in a wide range of values. Here, the reproducibility of BET area determination from identical isotherms is demonstrated to be a largely ignored issue, raising critical concerns over the reliability of reported BET areas. To solve this major issue, a new computational approach to accurately and systematically determine the BET area of nanoporous materials is developed. The software, called "BET surface identification" (BETSI), expands on the well-known Rouquerol criteria and makes an unambiguous BET area assignment possible

Candida spp. in the gut microbiota of people with autism: a systematic review

Introducción. Existe gran interés en los estudios sobre las implicaciones que la microbiota intestinal ejerce en el comportamiento de personas con trastornos del espectro autista (TEA) a través del eje microbiota-intestino-cerebro. La mayoría de los estudios sobre microbiota están enfocados en la posible implicación de las bacterias sobre personas con TEA, pero pocos versan sobre el efecto de los microorganismos del reino Fungi. Sujetos y métodos. Se realiza una revisión sistemática mediante el protocolo PRISMA de la presencia de Candida spp. en las personas con TEA. Resultados. Se encontró un total de tres artículos tras aplicar los criterios de exclusión e inclusión de la revisión sistemática. Dos estudios coincidieron en mostrar diferencias significativas en el aumento de la frecuencia del género Candida spp. en personas con TEA, mientras que en otro no se hallaron diferencias. Conclusiones. Pese a que existe una clara falta de investigación tanto del género Candida ssp. como de todo el reino Fungi en las personas con TEA, los estudios apuntan a una importante presencia de dicho género en este colectivo. Concretamente, en los resultados encontrados se destaca la mayor prevalencia del género C. albicans en los niños con TEA. Sin embargo, aún se sabe poco sobre la implicación de Candida spp. y otros tipos de hongos sobre los síntomas gastrointestinales y la sintomatología del autismo en niños con TEA.Introduction. There is great interest in studies on the implications that gut microbiota exerts on the behavior of people with autism spectrum disorders (ASD), through the microbiota-gut-brain axis. Most studies on microbiota are focused on the possible involvement of bacteria on people with ASD, but few of them are focussed on the effect of microorganisms in the Fungi kingdom. Subjects and methods. The present study performs a systematic review of the presence of Candida spp. in people with ASD using the PRISMA method. Results. A total of three articles were found after applying the exclusion and inclusion criteria of the systematic review. Two studies coincided in reporting significant differences in the increase in the frequency of the Candida spp. genus in people with ASD. while the third study did not report significant differences of Candida spp. genus between people with ASD. Conclusions. Although there is a clear lack of investigation of both the Candida ssp. genus and the whole Fungi kingdom in people with ASD, the studies point to an important presence of this genre in this group. Specifically, in the results found in this review, the highest prevalence of the C. albicans in children with ASD stands out. However, little is still known about the involvement of Candida spp., and other types of fungi, on gastrointestinal symptoms and ASD symptoms, in children with ASD

Consideraciones sobre el funcionamiento hidrogeológico y la vulnerabilidad a la contaminación de la Sierra de las Nieves (Málaga) a partir de un ensayo de trazador en condiciones de estiaje

A tracer test during low-flow conditions was carried out in the karstic aquifer of Sierra de las Nieves (Málaga) in order to assess its hydrogeological functioning and vulnerability to contamination. Two kilogrammes of Eosine were injected in an active siphon located in the Sima del Aire cave shaft (-640 m) at the end of August 2003. The springs were sampled until November 2003. For more than 50 days, the tracer was not detected at any of the springs. After several rainfall events in October 2003, a signal was observed in the two Río Grande springs. The first arrival of Eosine appears before the increase of spring discharge and the dilution effect of the most important rainfalls (86 mm, October 25th). The calculated groundwater velocities (below 4 m/hour) are not representative of the dry period because rainfall forced the Eosine transport. However, they give an idea about the long residence time if a contamination event occurs during low-flow conditions