Showing papers by "University of Buenos Aires published in 2003"

Dermoscopy of pigmented skin lesions: results of a consensus meeting via the Internet

Abstract: Background: There is a need for better standardization of the dermoscopic terminology in assessing pigmented skin lesions. Objective: The virtual Consensus Net Meeting on Dermoscopy was organized to investigate reproducibility and validity of the various features and diagnostic algorithms. Methods: Dermoscopic images of 108 lesions were evaluated via the Internet by 40 experienced dermoscopists using a 2-step diagnostic procedure. The first-step algorithm distinguished melanocytic versus nonmelanocytic lesions. The second step in the diagnostic procedure used 4 algorithms (pattern analysis, ABCD rule, Menzies method, and 7-point checklist) to distinguish melanoma versus benign melanocytic lesions. κ Values, log odds ratios, sensitivity, specificity, and positive likelihood ratios were estimated for all diagnostic algorithms and dermoscopic features. Results: Interobserver agreement was fair to good for all diagnostic methods, but it was poor for the majority of dermoscopic criteria. Intraobserver agreement was good to excellent for all algorithms and features considered. Pattern analysis allowed the best diagnostic performance (positive likelihood ratio: 5.1), whereas alternative algorithms revealed comparable sensitivity but less specificity. Interobserver agreement on management decisions made by dermoscopy was fairly good (mean κ value: 0.53). Conclusion: The virtual Consensus Net Meeting on Dermoscopy represents a valid tool for better standardization of the dermoscopic terminology and, moreover, opens up a new territory for diagnosing and managing pigmented skin lesions. (J Am Acad Dermatol 2003;48:679-93.) J Am Acad Dermatol 2003;48:679-93.

Global patterns of the isotopic composition of soil and plant nitrogen

Abstract: [1] We compiled new and published data on the natural abundance N isotope composition (δ15N values) of soil and plant organic matter from around the world. Across a broad range of climate and ecosystem types, we found that soil and plant δ15N values systematically decreased with increasing mean annual precipitation (MAP) and decreasing mean annual temperature (MAT). Because most undisturbed soils are near N steady state, the observations suggest that an increasing fraction of ecosystem N losses are 15N-depleted forms (NO3, N2O, etc.) with decreasing MAP and increasing MAT. Wetter and colder ecosystems appear to be more efficient in conserving and recycling mineral N. Globally, plant δ15N values are more negative than soils, but the difference (δ15Nplant-δ15Nsoil) increases with decreasing MAT (and secondarily increasing MAP), suggesting a systematic change in the source of plant-available N (organic/NH4+ versus NO3−) with climate. Nitrogen isotopes reflect time integrated measures of the controls on N storage that are critical for predictions of how these ecosystems will respond to human-mediated disturbances of the global N cycle.

Terrestrial ecosystems, increased solar ultraviolet radiation and interactions with other climatic change factors

Abstract: Based on research to date, we can state some expectations about terrestrial ecosystem response as several elements of global climate change develop in coming decades. Higher plant species will vary considerably in their response to elevated UV-B radiation, but the most common general effects are reductions in height of plants, decreased shoot mass if ozone reduction is severe, increased quantities of some phenolics in plant tissues and, perhaps, reductions in foliage area. In some cases, the common growth responses may be lessened by increasing CO2 concentrations. However, changes in chemistry of plant tissues will generally not be reversed by elevated CO2. Among other things, changes in plant tissue chemistry induced by enhanced UV-B may reduce consumption of plant tissues by insects and other herbivores, although occasionally consumption may be increased. Pathogen attack on plants may be increased or decreased as a consequence of elevated UV-B, in combination with other climatic changes. This may be affected both by alterations in plant chemistry and direct damage to some pathogens. Water limitation may decrease the sensitivity of some agricultural plants to UV-B, but for vegetation in other habitats, this may not apply. With global warming, the repair of some types of UV damage may be improved, but several other interactions between warming and enhanced UV-B may occur. For example, even though warming may lead to fewer killing frosts, with enhanced UV-B and elevated CO2 levels, some plant species may have increased sensitivity to frost damage.

Soft-gluon resummation for Higgs boson production at hadron colliders

Abstract: We consider QCD corrections to Higgs boson production through gluon-gluon fusion in hadron collisions. We compute the cross section, performing the all-order resummation of multiple soft-gluon emission at next-to-next-to-leading logarithmic level. Known fixed-order results (up to next-to-next-to-leading order) are consistently included in our calculation. We give phenomenological predictions for Higgs boson production at the Tevatron and at the LHC. We estimate the residual theoretical uncertainty from perturbative QCD contributions. We also quantify the differences obtained by using the presently available sets of parton distributions.

An International Prospective Study of Pneumococcal Bacteremia: Correlation with In Vitro Resistance, Antibiotics Administered, and Clinical Outcome

Abstract: We performed a prospective, international, observational study of 844 hospitalized patients with blood cultures positive for Streptococcus pneumoniae. Fifteen percent of isolates had in vitro intermediate susceptibility to penicillin (minimum inhibitory concentration [MIC], 0.12-1 microg/mL), and 9.6% of isolates were resistant (MIC, >or=2 microg/mL). Age, severity of illness, and underlying disease with immunosuppression were significantly associated with mortality; penicillin resistance was not a risk factor for mortality. The impact of concordant antibiotic therapy (i.e., receipt of a single antibiotic with in vitro activity against S. pneumoniae) versus discordant therapy (inactive in vitro) on mortality was assessed at 14 days. Discordant therapy with penicillins, cefotaxime, and ceftriaxone (but not cefuroxime) did not result in a higher mortality rate. Similarly, time required for defervescence and frequency of suppurative complications were not associated with concordance of beta-lactam antibiotic therapy. beta-Lactam antibiotics should still be useful for treatment of pneumococcal infections that do not involve cerebrospinal fluid, regardless of in vitro susceptibility, as determined by current NCCLS breakpoints.

Resolution of ventilator-associated pneumonia: prospective evaluation of the clinical pulmonary infection score as an early clinical predictor of outcome.

Abstract: ObjectivesTo prospectively evaluate the performance of the Clinical Pulmonary Infection Score (CPIS) and its components to identify early in the hospital course of ventilator-associated pneumonia (VAP) which patients are responding to therapy.DesignProspective, multicenter, in a cohort of mechanical

Hypothalamic Proopiomelanocortin Neurons Are Glucose Responsive and Express KATP Channels

Abstract: Hypothalamic proopiomelanocortin (POMC) neurons are critical for controlling homeostatic functions in the mammal. We used a transgenic mouse model in which the POMC neurons were labeled with enhanced green fluorescent protein to perform visualized, whole-cell patch recordings from prepubertal female hypothalamic slices. The mouse POMC-enhanced green fluorescent protein neurons expressed the same endogenous conductances (a transient outward K(+) current and a hyperpolarization-activated, cation current) that have been described for guinea pig POMC neurons. In addition, the selective micro -opioid receptor agonist DAMGO induced an outward current (maximum of 12.8 +/- 1.2 pA), which reversed at K(+) equilibrium potential (E(K+)), in the majority (85%) of POMC neurons with an EC(50) of 102 nM. This response was blocked by the opioid receptor antagonist naloxone with an inhibition constant of 3.1 nM. In addition, the gamma-aminobutyric acid(B) receptor agonist baclofen (40 micro M) caused an outward current (21.6 +/- 4.0 pA) that reversed at E(K+) in these same neurons. The ATP-sensitive potassium channel opener diazoxide also induced an outward K(+) current (maximum of 18.7 +/- 2.2 pA) in the majority (92%) of POMC neurons with an EC(50) of 61 micro M. The response to diazoxide was blocked by the sulfonylurea tolbutamide, indicating that the POMC neurons express both Kir6.2 and sulfonylurea receptor 1 channel subunits, which was verified using single cell RT-PCR. This pharmacological and molecular profile suggested that POMC neurons might be sensitive to metabolic inhibition, and indeed, we found that their firing rate varied with changes in glucose concentrations. Therefore, it appears that POMC neurons may function as an integrator of metabolic cues and synaptic input for controlling homeostasis in the mammal.

Genetic basis of yield as viewed from a crop physiologist's perspective

Abstract: Summary The final yield of a crop is the product of growth during the growing season and a number of developmental processes occurring throughout the life cycle of a crop, with most genes influencing the final outcome to a degree. However, recent advances in molecular biology have developed the potential to identify and map many genes or QTLs related to various important traits, including yield, plant adaptation and tolerance to stresses. Significant G×E interactions for yield have been identified, as have interactions associated with QTLs for yield. However, there is little evidence available to confirm that a QTL for yield from a parental line in one mapping population may improve yield when transferred into an adapted, high-yielding line of another population. In order to narrow the apparent gap between the genotype and the phenotype with regard to yield, it is important to identify key traits related to yield and then attempt to identify and locate the genes controlling them. The partitioning of the developmental time to anthesis into different phases: from sowing to the onset of stem elongation and from then to anthesis, as a relatively simple physiological attribute putatively related to yield, is discussed. If the relationship holds in a wider range of conditions and the genetic factors responsible are located then the genetic basis of yield should be identified. There has also been significant progress in crop simulation modelling. Using knowledge of crop physiology and empirical relationships these models can simulate the performance of crops, including the G×E interactions. Such models require information regarding the genetic basis of yield, which are included in the form of genetic coefficients. Essentially models are constructed as decision-making tools for management but may be of use in detecting prospective traits for selection within a breeding programme. Problems associated with this approach are discussed. This review discusses the need to use crop physiology approaches to analyse components of yield in order to reliably identify the genetic basis of yield.

Chemical and microbiological parameters for the characterisation of the stability and maturity of pruning waste compost

Abstract: Composting of pruning waste, leaves and grass clippings was monitored by different parameters. A windrow composting pile, having the dimensions 2.5 m (height) x 30 m (length) was establish. The maturation of pruning waste compost was accompanied by a decline in NH4+-N concentration, water soluble C (WSC) and an increase in NO3–-N content. Both organic matter (OM) content and total N (TN) losses during composting followed a first-order kinetic equation. These results were in agreement with the microbiological activity measured either by the CO2 respiration or dehydrogenase (DH-ase) activity during the process. Statistically significant correlations were found between DH-ase activity, easily biodegradable organic C forms, NH4+-N and NO3–-N concentrations and organic matter content and N losses. For this reason, DH-ase activity and the CO2 evolution could be used as good indicators of pruning waste compost maturity. In contrast, humification parameters data from the organic matter fractionation did not agree with the initially expected values and did not contribute to the assessment of compost maturity. Neither the cation exchange capacity nor the germination index showed a clear tendency during the composting time, suggesting that these parameters are not suitable for evaluating the dynamics of the process.

Microglial activation with atypical proinflammatory cytokine expression in a rat model of Parkinson's disease.

Abstract: Microglial activation has been associated with the pathogenesis of Parkinson's disease (PD). Among the many components of this reaction, cytokines have been proposed as candidates to mediate neurodegenerative or neuroprotective effects. We investigated the interleukin-1 system and tumour necrosis factor-alpha mRNA and protein levels at different time intervals in the subacute intrastriatal 6-hydroxydopamine rat model of PD, in parallel with the inflammatory response. Immunohistochemistry showed that microglial cells were activated from days 6-30 postlesion in the substantia nigra pars compacta. This microglial activation was accompanied by an atypical proinflammatory cytokine production: Interleukin-1alpha and beta mRNAs were found to be elevated 30 days post-6-hydroxydopamine injection (2- and 16-fold, respectively), but no induction for interleukin-1alpha or beta at the protein level was detected by ELISA. As a control, a classical proinflammatory stimulus, namely endotoxin, was capable of inducing these cytokines at similar mRNA levels but also at the protein level. In addition, tumour necrosis factor-alpha mRNA was hardly or not detected in the substantia nigra at any time point studied. Our data point out a tight control of key proinflammatory cytokine production in our model of PD. This work supports the notion that chronic neuronal death per se does not induce secretion of these proinflammatory cytokines but that an additional stimulus is necessary to stimulate proinflammatory cytokine production. The production of proinflammatory cytokines from "primed" microglia may in turn modulate disease progression as has been recently proposed in a model of prion disease.

Dielectronic recombination data for dynamic finite-density plasmas - I. Goals and methodology

Abstract: A programme is outlined for the assembly of a comprehensive dielectronic recombination database within the generalized collisional-radiative (GCR) framework. It is valid for modelling ions of elements in dynamic finite-density plasmas such as occur in transient astrophysical plasmas such as solar flares and in the divertors and high transport regions of magnetic fusion devices. The resolution and precision of the data are tuned to spectral analysis and so are sufficient for prediction of the dielectronic recombination contributions to individual spectral line emissivities. The fundamental data are structured according to the format prescriptions of the Atomic Data and Analysis Structure (ADAS) and the production of relevant GCR derived data for application is described and implemented following ADAS. The requirements on the dielectronic recombination database are reviewed and the new data are placed in context and evaluated with respect to older and more approximate treatments. Illustrative results validate the new high-resolution zero-density dielectronic recombination data in comparison with measurements made in heavy-ion storage rings utilizing an electron cooler. We also exemplify the role of the dielectronic data on GCR coefficient behaviour for some representative light and medium weight elements.

Melatonin effects on bone: experimental facts and clinical perspectives

Abstract: Bone formation proceeds through a remodeling process that runs continuously, involving the resorption of old bone by osteoclasts, and the subsequent formation of new bone by osteoblasts. This is controlled by growth factors and cytokines produced in bone marrow microenvironment and by the action of systemic hormones, like parathyroid hormone, estradiol or growth hormone (GH). One candidate for hormonal modulation of osteoblast and osteoclast formation is melatonin. Because circulating melatonin declines with age, its possible involvement in post-menopausal and senescence osteoporosis is considered. This review article discusses early studies on melatonin-bone relationships and recent data that suggest a direct effect of melatonin on bone. Melatonin could act as an autacoid in bone cells as it is present in high quantities in bone marrow, where precursors of bone cells are located. Melatonin dose-dependently augmented proteins that are incorporated into the bone matrix, like procollagen type I c-peptide. Osteoprotegerin, an osteoblastic protein that inhibits the differentiation of osteoclasts is also augmented by melatonin in vitro. Another possible target cell for melatonin is the osteoclast, which degrades bone partly by generating free radicals. Melatonin through its free radical scavenger and antioxidant properties may impair osteoclast activity and bone resorption. At least in one study melatonin was both inhibitory to osteoclastic and osteoblastic cells. Therefore, the documented bone-protecting effect of melatonin in ovariectomized rats can depend in part on the free radical scavenging properties of melatonin. Additionally, melatonin may impair development of osteopenia associated with senescence by improving non-rapid eye movement sleep and restoring GH secretion. Whether melatonin can be used as a novel mode of therapy for augmenting bone mass in diseases deserves to be studied.

Land cover classification in the Argentine Pampas using multi-temporal Landsat TM data.

Abstract: The objective of this study was to explore the use of multi-temporal Landsat TM data from the same growing season for the classification of land cover types in the south-western portion of the Argentine Pampas. Investigations were made on how many dates are necessary to obtain an accurate classification and, given a fixed number of dates, which is the particular combination of dates that yield the best results. Additionally, the effect of using the NDVI instead of all the bands available on the classification accuracy and the use of a moving window filter over the classified image were tested. Scenes acquired in spring, early summer, late summer and early fall of the 1996-1997 growing season were used. Land cover information for the same period was collected from farms and ranches and this information was included in a GIS. Supervised classifications were performed using all the 15 possible ways to combine the four dates. At least two scenes are needed for a satisfactory classification. These scenes must ...

The role of NMDA glutamate receptors, PKA, MAPK, and CAMKII in the hippocampus in extinction of conditioned fear.

Abstract: Pavlovian conditioning involves the association of initially neutral conditioned stimuli (CS) with unconditioned stimuli (US) that elicit a response. In contextual fear conditioning in rodents, the CS is the context of a training apparatus and the US is a foot shock. Retrieval of memory of the training is tested by presenting the CS alone. But a retrieval test also initiates extinction of the conditioned response. That is, presentation of the CS alone results in new learning, i.e., the CS no longer predicts the US. Here we report that extinction is triggered by two hippocampal signaling pathways underlying retrieval (the cAMP-dependent protein kinase and the mitogen-activated protein kinase pathways) and two other mechanisms that become activated at the same time and are not necessary for retrieval (N-methyl-D-aspartate glutamatergic receptors and the calcium/calmodulin-dependent protein kinase II signaling pathway). Thus, the molecular mechanisms underlying acquisition and/or consolidation of the memory for extinction are similar to those described for the acquisition and/or consolidation of the original contextual fear. Hippocampus 2003;13:53–58. © 2003 Wiley-Liss, Inc.

Antarctic Oscillation signal on precipitation anomalies over southeastern South America

Abstract: [1] The relation between the Antarctic Oscillation (AAO) and the precipitation in southeastern South America (SESA) is examined. The AAO influence is particularly strong during winter and late spring although of opposite sign. In particular during spring, AAO positive (negative) phases are associated with the intensification of an upper-level anticyclonic (cyclonic) anomaly, weakened (enhanced) moisture convergence and decreased (increased) precipitation over SESA. The combined influence of both ENSO and AAO on SESA precipitation was also explored and significant correlation values between both oscillations are only observed during spring. Results show that during that particular season, AAO activity produces a strong modulation of the ENSO signal on SESA precipitation.

Production of reactive oxygen species by isolated mitochondria of the Antarctic bivalve Laternula elliptica (King and Broderip) under heat stress.

Abstract: Formation of reactive oxygen species (ROS) in mitochondrial isolates from gill tissues of the Antarctic polar bivalve Laternula elliptica was measured fluorimetrically under in vitro conditions. When compared to the rates measured at habitat temperature (1 degrees C), significantly elevated ROS formation was found under temperature stress of 7 degrees C and higher. ROS formation correlated significantly with oxygen consumption in individual mitochondrial preparations over the entire range of experimental temperatures (1-12 degrees C). ROS generation per mg of mitochondrial protein was significantly higher in state 3 at maximal respiration and coupling to energy conservation, than in state 4+, where ATPase-activity is inhibited by oligomycin and only proton leakage is driving the residual oxygen consumption. The percent conversion of oxygen to the membrane permeant hydrogen peroxide amounted to 3.7% (state 3) and 6.5% (state 4+) at habitat temperature (1 degrees C), and to 7% (state 3) and 7.6% (state 4+) under experimental warming to 7 degrees C. This is high compared to 1-3% oxygen to ROS conversion in mammalian mitochondrial isolates and speaks for a comparatively low control of toxic oxygen formation in mitochondria of the polar bivalve. However, low metabolic rates at cold Antarctic temperatures keep absolute rates of mitochondrial ROS production low and control oxidative stress at habitat temperatures. Mitochondrial coupling started to fall beyond 3 degrees C, closely to pejus temperature (4 degrees C) of the bivalve. Accordingly, the proportion of state 4 respiration increased from below 30% at 1 degrees C to over 50% of total oxygen consumption at 7 degrees C, entailing reduced ADP/O ratios under experimental warming. Progressive mitochondrial uncoupling and formation of hazardous ROS contribute to bias mitochondrial functioning under temperature stress in vitro. Deduced from a pejus temperature, heat stress commences already at 5 degrees C, and is linked to progressive loss of phosphorylation efficiency, increased mitochondrial oxygen demand and elevated oxidative stress above pejus temperatures.

6-methylapigenin and hesperidin: new valeriana flavonoids with activity on the CNS.

Abstract: Valerian is an ancient tranquillizing drug obtained from the underground organs of several Valeriana species. Its active principles were assumed to be terpenoids in the form of valepotriates and/or as components of the essential oil. However, unknown active compounds were not discarded and synergic effects were suspected. We have recently isolated 6-methylapigenin (MA) from Valeriana wallichii and proved that it is a benzodiazepine binding site (BDZ-bs) ligand [Planta Med. 68 (2002) 934]. The present paper is the first report of the presence of 2S(−)-hesperidin in valeriana and describes that it has sedative and sleep-enhancing properties. MA, in turn, was found to have anxiolytic properties and was able to potentiate the sleep-enhancing properties of hesperidin (HN). MA and HN are new members of the growing family of natural flavonoids with activity on the CNS, and their properties suggest that they are promising drug leads in the field.

Cu-Ni-K/γ-Al2O3 supported catalysts for ethanol steam reforming: Formation of hydrotalcite-type compounds as a result of metal–support interaction

Abstract: The interaction of Cu2+, Ni2+ and Al3+ ions during the impregnation step of K/γ-Al2O3 support was studied. Cu-Ni catalyst precursors (“just impregnated solids”), just reduced precursors (H2, 300 °C), and calcined precursors in the range of 400–800 °C were characterised by X-ray diffraction (XRD), temperature programmed reduction (TPR) and X-ray photoelectron spectroscopy (XPS) measurements. In addition, the catalytic behaviour of reduced precursors and calcined catalysts was analysed in the ethanol steam reforming reaction at 300 °C and atmospheric pressure. XRD results of different precursors indicated that, after the impregnation step, copper is present in two different phases: a copper basic nitrate and a CuAl and/or CuNiAl hydrotalcite-type compound (HT). In the sample containing only nickel, this metal is present as a NiAl-HT compound. At constant copper content of 6 wt.%, the ratio between the copper phases depends on the nickel content. Adding nickel favours the formation of HT compounds. While calcination of Cu-Ni precursors in the range of 400–800 °C produces a CuO segregated phase and/or a phase of copper called “surface spinel”, nickel is always found as a nickel aluminate after the calcination treatment. The catalytic behaviour of the samples strongly depends on the conditions of the thermal treatments. Thus, the increase in the calcination temperature of the precursors produces a strong interaction between nickel and aluminium, decreasing nickel reducibility and selectivity to C1 compounds. On the other hand, the just reduced precursors showed to have the best catalytic performance for the ethanol steam reforming reaction at 300 °C.

The state of the art on Wells–Dawson heteropoly-compounds: A review of their properties and applications

Abstract: The scientific literature concerning the structure, hydrolytic stability in solution, thermal stability in the solid state, redox-acid properties and applications of heteropoly-compounds (HPCs) with Wells–Dawson structure is summarized in the present work. Wells–Dawson heteropoly-anions possess the formula [(X n+ )2M18O62] (16−2n)− where X n+ represents a central atom (phosphorous(V), arsenic(V), sulfur(VI), fluorine) surrounded by a cage of M addenda atoms, such as tungsten(VI), molybdenum(VI) or a mixture of elements, each of them composing MO6 (M-oxygen) octahedral units. The addenda atoms are partially substituted by other elements, such as vanadium, transition metals, lanthanides, halogens and inorganic radicals. The Wells–Dawson heteropoly-anion is associated with inorganic (H + , alkaline elements, etc.) or organic countercations forming hybrid compounds. Wells–Dawson acids (phospho-tungstic H6P2W18O62·24H2O, phospho-molybdic H6P2Mo18O62·nH2O and arsenicmolybdic H6As2Mo18O62·nH2O) possess super-acidity and a remarkably stability both in solution and in the solid state. These properties make them suitable catalytic materials in homogeneous and heterogeneous liquid-phase reactions replacing the conventional liquid acids (HF, HCl, H2SO4, etc.). Although, the application of the acids in heterogeneous gas-phase reactions is less developed, there is a patented method to oxidize alkanes to carboxylic acids on a supported Wells–Dawson catalyst that combines acid and redox properties. Wells–Dawson anions possess the ability to accept or release electrons through an external potential or upon exposure to visible and UV radiation (electro and photochemical reactions). Additionally, Wells–Dawson HPCs catalyze the oxidation of organic molecules with molecular oxygen, hydrogen peroxide and iodosylarenes; epoxidation and hydrogenation in homogeneous and heterogeneous liquid-phase conditions. The ability of transition metal substituted Wells–Dawson HPCs to be reduced and re-oxidized without degradation of the structure is promising in the application of those HPCs replacing metalloporphyrins catalysts in redox and electrochemical reactions.

Extended-Spectrum β-Lactamases in Enterobacteriaceae in Buenos Aires, Argentina, Public Hospitals

Abstract: Resistance to extended-spectrum cephalosporins is often associated with plasmid encoded extended spectrum β-lactamases (ESBL). In order to evaluate the prevalence and diversity of ESBLs in enterobacteria in our city, a 1-month-period survey was carried out from April to May 2000. Extended-spectrum-cephalosporin-resistant strains, isolated from inpatient clinical specimens other than stools, were collected among 17 participating hospitals. From a total of 427 enterobacterial strains that were collected during this period, 39 were extended-spectrum cephalosporin resistant. The National Committee for Clinical Laboratory Standards' Screening and Confirmatory Tests for ESBL production were performed using cefotaxime and ceftazidime; cefepime and cefepime-clavulanic acid-containing disks were included. β-Lactamases were characterized by isoelectric focusing and PCR amplification using specific primers. Three different ESBLs were detected: SHV-related (4 isolates), PER-2-type (9 isolates), and CTX-M-2-related (26 isolates). Sequencing of the corresponding genes confirmed CTX-M-2 in 19 of 21 and CTX-M-31 (an allelic variant) in the remaining 2 of 21. CTX-M-2 (or its variant) was detected in all Escherichia coli, Enterobacter aerogenes, Serratia marcescens, Proteus mirabilis, and Providencia stuartii strains, while PER-2 was detected in Enterobacter cloacae, E. aerogenes, and Klebsiella pneumoniae; SHV-related ESBL were found only in K. pneumoniae. These results clearly show that CTX-M-2 is the most prevalent ESBL produced by enterobacterial species isolated from public hospitals in Buenos Aires.

Involvement of bone morphogenetic protein 4 (BMP-4) in pituitary prolactinoma pathogenesis through a Smad/estrogen receptor crosstalk

Abstract: Pituitary tumor development involves clonal expansion stimulated by hormones and growth factors/cytokines. Using mRNA differential display, we found that the bone morphogenetic protein (BMP) inhibitor noggin is down-regulated in prolactinomas from dopamine D2-receptor-deficient mice. BMP-4 is overexpressed in prolactinomas taken from dopamine D2-receptor-deficient female mice, but expression of the highly homologous BMP-2 does not differ in normal pituitary tissue and prolactinomas. BMP-4 is overexpressed in other prolactinoma models, including estradiol-induced rat prolactinomas and human prolactinomas, compared with normal tissue and other pituitary adenoma types (Western blot analysis of 48 tumors). BMP-4 stimulates, and noggin blocks, cell proliferation and the expression of c-Myc in human prolactinomas, whereas BMP-4 has no action in other human pituitary tumors. GH3 cells stably transfected with a dominant negative of Smad4 (Smad4dn; a BMP signal cotransducer) or noggin have reduced tumorigenicity in nude mice. Tumor growth recovered in vivo when the Smad4dn expression was lost, proving that BMP-4/Smad4 are involved in tumor development in vivo. BMP-4 and estrogens act through overlapping intracellular signaling mechanisms on GH3 cell proliferation and c-myc expression: they had additive effects at low concentrations but not at saturating doses, and their action was inhibited by blocking either pathway with the reciprocal antagonist (i.e., BMP-4 with ICI 182780 or 17β-estradiol with Smad4dn). Furthermore, coimmunoprecipitation studies demonstrate that under BMP-4 stimulation Smad4 and Smad1 physically interact with the estrogen receptor. This previously undescribed prolactinoma pathogenesis mechanism may participate in tumorigenicity in other cells where estrogens and the type β transforming growth factor family have important roles.

The Plausibility of Micronutrient Deficiencies Being a Significant Contributing Factor to the Occurrence of Pregnancy Complications

Abstract: Numerous studies support the concept that a major cause of pregnancy complications can be suboptimal embryonic and fetal nutrition. Although the negative effects of diets low in energy on pregnancy outcome are well documented, less clear are the effects of diets that are low in one or more essential micronutrients. However, several observational and intervention studies suggest that diets low in essential vitamins and minerals can pose a significant reproductive risk in diverse human populations. Although maternal nutritional deficiencies typically occur as a result of low dietary intakes of essential nutrients, nutritional deficiencies at the level of the conceptus can arise through multiple mechanisms. Evidence from experimental animals supports the concept that in addition to primary deficiencies, secondary embryonic and fetal nutritional deficiencies can be caused by diverse factors including genetics, maternal disease, toxicant insults and physiological stressors that can trigger a maternal acute phase response. These secondary responses may be significant contributors to the occurrence of birth defects. An implication of the above is that the frequency and severity of pregnancy complications may be reduced through an improvement in the micronutrient status of the mother.