Oral glucose lowering drugs in type 2 diabetic patients with chronic kidney disease

Chronic kidney disease (CKD) represents a challenge in the treatment of type 2 diabetic patients. Renal impairment may affect drug clearance and other pharmacokinetic processes which can increase toxicity and drug to drug interactions or cause ineffective therapy. There are many oral glucose lowering drugs available for the treatment of type 2 diabetes mellitus (T2DM) with different mechanisms of action and different pharmacokinetic profiles. While all classes may be used in patients with mild renal impairment, therapeutic options for patients with moderate to severe CKD are still limited. This review focuses on the pharmacokinetics, metabolism, and safety of oral glucose lowering drugs in patients with T2DM and CKD

Diversity for olive oil composition in a collection of varieties from the region of Valencia (Spain)

Olive (Olea europaea) has a long history of cultivation in the Mediterranean region of Valencia (Spain) and many local varieties exist in the area. According to their economic importance, varieties are classified as National, Principal, Secondary, Local, Disseminate, and Minor. We have evaluated during four seasons the olive paste moisture content, fat content, and olive yield, and the olive oil acidity, peroxide index, K232 and K270 parameters, total phenolics, K225 parameter, and fatty acids content in 45 varieties from the Collection of Olive Varieties from the Region of Valencia. Considerable diversity existed among varieties for all traits studied, and the variety effect was much greater than the season effect. Wide ranges of variation have been found for most traits, with differences among varieties being of more than 10-fold for total phenolics. The coefficient of genetic variation and heritability values have been generally high, in particular for fatty acids content. A few varieties were found to present values outside the ranges established in the regulations for several olive oil composition traits, although in some cases, like a variety with above the limit content of oleic acid, they are of interest for breeding. Several correlations were found to be significant between the K232 index and fatty acids profile, in particular with oleic acid. The values obtained for variety averages as well as the principal components analysis show that economically relevant varieties present a lower diversity for composition than varieties with low economic importance. In this respect, selection among traditional materials can be of interest to recover neglected varieties with specific composition profiles, as well as to identify sources of variation for breeding programmes. Discriminant analysis allowed a correct classification of 99.4% of samples, showing that composition profiles, in particular fatty acids content, is a powerful tool for chemometry and fingerprinting of olive oil. Overall, the results show that the wide diversity found in the collection studied, in particular in the less economically important varieties, is of interest for the selection and breeding of olive varieties with improved quality.Authors are grateful to Sergio Paz (Instituto Valenciano de Investigaciones Agrarias, Moncada, Spain) for his technical help, and also to the Laboratorio Agroalimentario de la Conselleria de Agricultura, Pesca, Alimentacion y Agua of the Generalitat Valenciana for the providing the facilities and funds for this research.Ruiz Dominguez, ML.; Raigón Jiménez, MD.; Prohens Tomás, J. (2013). Diversity for olive oil composition in a collection of varieties from the region of Valencia (Spain). Food Research International. 54(2):1941-1949. doi:10.1016/j.foodres.2013.06.023S1941194954

Immunity of an Alternative Host Can Be Overcome by Higher Densities of Its Parasitoids Palmistichus elaeisis and Trichospilus diatraeae

Interactions of the parasitoids Palmistichus elaeisis Delvare & LaSalle and Trichospilus diatraeae Cherian & Margabandhu (Hymenoptera: Eulophidae) with its alternative host Anticarsia gemmatalis (Hübner) (Lepidoptera: Noctuidae) affect the success or failure of the mass production of these parasitoids for use in integrated pest management programs. The aim of this study was to evaluate changes in the cellular defense and encapsulation ability of A. gemmatalis pupae against P. elaeisis or T. diatraeae in adult parasitoid densities of 1, 3, 5, 7, 9, 11 or 13 parasitoids/pupae. We evaluated the total quantity of circulating hemocytes and the encapsulation rate versus density. Increasing parasitoid density reduced the total number of hemocytes in the hemolymph and the encapsulation rate by parasitized pupae. Furthermore, densities of P. elaeisis above 5 parasitoids/pupae caused higher reduction in total hemocyte numbers. The encapsulation rate fell with increasing parasitoid density. However, parasitic invasion by both species induced generally similar responses. The reduction in defensive capacity of A. gemmatalis is related to the adjustment of the density of these parasitoids to their development in this host. Thus, the role of the density of P. elaeisis or T. diatraeae by pupa is induced suppression of cellular defense and encapsulation of the host, even without them possesses a co-evolutionary history. Furthermore, these findings can predict the success of P. elaeisis and T. diatraeae in the control of insect pests through the use of immunology as a tool for evaluation of natural enemies

Daily rhythms of the sleep-wake cycle

The amount and timing of sleep and sleep architecture (sleep stages) are determined by several factors, important among which are the environment, circadian rhythms and time awake. Separating the roles played by these factors requires specific protocols, including the constant routine and altered sleep-wake schedules. Results from such protocols have led to the discovery of the factors that determine the amounts and distribution of slow wave and rapid eye movement sleep as well as to the development of models to determine the amount and timing of sleep. One successful model postulates two processes. The first is process S, which is due to sleep pressure (and increases with time awake) and is attributed to a 'sleep homeostat'. Process S reverses during slow wave sleep (when it is called process S'). The second is process C, which shows a daily rhythm that is parallel to the rhythm of core temperature. Processes S and C combine approximately additively to determine the times of sleep onset and waking. The model has proved useful in describing normal sleep in adults. Current work aims to identify the detailed nature of processes S and C. The model can also be applied to circumstances when the sleep-wake cycle is different from the norm in some way. These circumstances include: those who are poor sleepers or short sleepers; the role an individual's chronotype (a measure of how the timing of the individual's preferred sleep-wake cycle compares with the average for a population); and changes in the sleep-wake cycle with age, particularly in adolescence and aging, since individuals tend to prefer to go to sleep later during adolescence and earlier in old age. In all circumstances, the evidence that sleep times and architecture are altered and the possible causes of these changes (including altered S, S' and C processes) are examined