1000 resultados para enfermedades neurodegenerativas


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Purpose. Transplantation of human central nervous system stem cells (HuCNS-SC) into the subretinal space of Royal College of Surgeons (RCS) rats preserves photoreceptors and visual function. To explore possible mechanism(s) of action underlying this neuroprotective effect, we performed a detailed morphologic and ultrastructure analysis of HuCNS-SC transplanted retinas. Methods. The HuCNS-SC were transplanted into the subretinal space of RCS rats. Histologic examination of the transplanted retinas was performed by light and electron microscopy. Areas of the retina adjacent to HuCNS-SC graft (treated regions) were analyzed and compared to control sections obtained from the same retina, but distant from the transplant site (untreated regions). Results. The HuCNS-SC were detected as a layer of STEM 121 immunopositive cells in the subretinal space. In treated regions, preserved photoreceptor nuclei, as well as inner and outer segments were identified readily. In contrast, classic signs of degeneration were observed in the untreated regions. Interestingly, detailed ultrastructure analysis revealed a striking preservation of the photoreceptor–bipolar–horizontal cell synaptic contacts in the outer plexiform layer (OPL) of treated areas, in stark contrast with untreated areas. Finally, the presence of phagosomes and vesicles exhibiting the lamellar structure of outer segments also was detected within the cytosol of HuCNS-SC, indicating that these cells have phagocytic capacity in vivo. Conclusions. This study reveals the novel finding that preservation of specialized synaptic contacts between photoreceptors and second order neurons, as well as phagocytosis of photoreceptor outer segments, are potential mechanism(s) of HuCNS-SC transplantation, mediating functional rescue in retinal degeneration.

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Background: Retinal ganglion cell death underlies the pathophysiology of neurodegenerative disorders such as glaucoma or optic nerve trauma. To assess the potential influence of photoreceptor degeneration on retinal ganglion cell survival, and to evaluate functionality, we took advantage of the optic nerve section mouse model. Methods: Surviving retinal ganglion cells were double-stained by exposing both superior colliculi to fluorogold, and by applying dextran-tetramethylrhodamine to the injured optic nerve stump. To assess retinal function in wild-type animals, electroretinograms were recorded on the injured eyes and compared with the contralateral. Similar labelling experiments were carried out on retinal degeneration 1 mice. Surviving retinal ganglion cells were counted 21 days after axotomy and compared with wild-type mice. No functional experiments were performed on retinal degeneration 1 animals because they do not develop normal electroretinographical responses. Results: A significant decrease in retinal ganglion cell density was observed 6 days after axotomy in the wild type. Functional studies revealed that, in scotopic conditions, axotomy induced a significant amplitude decrease in the positive scotopic threshold response component of the electroretinogram. Such decrease paralleled cell loss, suggesting it may be an appropriate technique to evaluate functionality. When comparing retinal ganglion cell densities in wild-type and retinal degeneration 1 mice, a significant greater survival was observed on the latter. Conclusions: After optic nerve section, electroretinographical recordings exhibited a progressive decrease in the amplitude of the positive scotopic threshold response wave, reflecting ganglion cell loss. Interestingly, rod degeneration seemed, at least initially, to protect from axotomy-driven damage.

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Toll-like receptors (TLRs) are expressed by haematopoietic stem and progenitor cells (HSPCs), and may play a role in haematopoiesis in response to pathogens during infection. We have previously demonstrated that (i) inactivated yeasts of Candida albicans induce in vitro differentiation of HSPCs towards the myeloid lineage, and (ii) soluble TLR agonists induce in vivo their differentiation towards macrophages. In this work, using an in vivo model of HSPCs transplantation, we report for the first time that HSPCs sense C. albicans in vivo and subsequently are directed to produce macrophages by a TLR2-dependent signalling. Purified lineage-negative cells (Lin−) from bone marrow of C57BL/6 mice (CD45.2 alloantigen) were transplanted into B6Ly5.1 mice (CD45.1 alloantigen), which were then injected with viable or inactivated C. albicans yeasts. Transplanted cells were detected in the spleen and in the bone marrow of recipient mice, and they differentiate preferentially to macrophages, both in response to infection or in response to inactivated yeasts. The generation of macrophages was dependent on TLR2 but independent of TLR4, as transplanted Lin− cells from TLR2−/− mice did not give rise to macrophages, whereas Lin− cells from TLR4−/− mice generated macrophages similarly to control cells. Interestingly, the absence of TLR2, or in a minor extent TLR4, gives Lin− cells an advantage in transplantation assays, as increases the percentage of transplanted recovered cells. Our results indicatethat TLR-mediated recognition of C. albicans by HSPCs may help replace and/or increase cells that constitute the first line of defence against the fungus, and suggest that TLR-mediated signalling may lead to reprogramming early progenitors to rapidly replenishing the innate immune system and generate the most necessary mature cells to deal with the pathogen.

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Octodon degus is a rodent with diurnal crepuscular activity. Here we compare the function and morphology of the retina of this diurnal rodent with the retinas of nocturnal rodents and humans.

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Purpose. The DBA/2J mouse line develops essential iris atrophy, pigment dispersion, and glaucomatous age-related changes, including an increase of IOP, optic nerve atrophy, and retinal ganglion cell (RGC) death. The aim of this study was to evaluate possible morphological changes in the outer retina of the DBA/2J mouse concomitant with disease progression and aging, based on the reduction of both the a- and b-waves and photopic flicker ERGs in this mouse line. Methods. Vertically sectioned DBA/2J mice retinas were evaluated at 3, 8, and 16 months of age using photoreceptor, horizontal, and bipolar cell markers. Sixteen-month-old C57BL/6 mice retinas were used as controls. Results. The DBA/2J mice had outer retinal degeneration at all ages, with the most severe degeneration in the oldest retinas. At 3 months of age, the number of photoreceptor cells and the thickness of the OPL were reduced. In addition, there was a loss of horizontal and ON-bipolar cell processes. At 8 months of age, RGC degeneration occurred in patches, and in the outer retina overlying these patches, cone morphology was impaired with a reduction in size as well as loss of outer segments and growth of horizontal and bipolar cell processes into the outer nuclear layer. At 16 months of age, connectivity between photoreceptors and horizontal and bipolar cell processes overlying these patches was lost. Conclusions. Retinal degeneration in DBA/2J mice includes photoreceptor death, loss of bipolar and horizontal cell processes, and loss of synaptic contacts in an aging-dependent manner.

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La disponibilidad de nuevas herramientas multimedia favorece la generación de material docente auxiliar para la enseñanza de las diversas materias y puede suponer un aliciente añadido para el estudiante. Así, además de fomentar su interés por la materia, se puede potenciar su aprendizaje autónomo. Con el objetivo de evaluar las ventajas de la visualización de vídeos como apoyo a las explicaciones teóricas se planteó la siguiente experiencia: con alumnos de la asignatura "Farmacología", del Grado en Óptica y Optometría, se analizó y comparó la comprensión de la materia con y sin la visualización de vídeos como material de apoyo. El análisis mediante cuestionarios mostró que la visualización ayudó a fijar los conocimientos previamente adquiridos. El 79% de los estudiantes consideró que los vídeos les ayudaron a conseguir una mejor comprensión de la materia. El 95% de los alumnos consideró más útil escuchar primero la explicación del docente. El profesorado implicado manifiesta la dificultad de la selección de material óptimo debido su escasez, por lo que resulta conveniente la elaboración de material específico. Podemos concluir que el material audiovisual supone una buena herramienta complementaria para las clases teóricas, si bien debe integrarse de forma adecuada en el desarrollo de la clase.

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Durante el curso 2013-2014 la Universidad de Alicante ha propuesto la implantación del Master en Optometría Avanzada y Salud Visual, dicha solicitud está siendo actualmente evaluada por la ANECA. Con el fin de coordinar la docencia de este Máster y dentro del Proyecto de Redes de Investigación en Docencia Universitaria 2013-2014, se ha creado una red formada por todos los profesores que han participado en la elaboración del plan de estudios. En esta red esta red se pretende la coordinación entre las distintas asignaturas para elaborar las guías docentes a partir de los datos de las fichas enviadas a la ANECA. Por otra parte también se ha modificado la memoria atendiendo a las alegaciones realizadas por la ANECA. Y se han desarrollado los contenidos, la metodología de las distintas actividades propuestas con el fin de asegurar la consecución de las competencias previstas.

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El aprendizaje basado en problemas (ABP) se viene utilizando desde hace años como estrategia de enseñanza porque fomenta el autoaprendizaje y está bien valorado por los estudiantes. El objetivo de este trabajo fue crear una colección de problemas que sea de utilidad como recurso didáctico para el estudio de la Farmacología. Para ello se preparó una colección de problemas sobre alteraciones del comportamiento inducidas por fármacos, para ser utilizados en tres universidades iberoamericanas: Universidad de Alicante (España), Universidad Nacional de Tucumán (Argentina) y Universidad de Montevideo (Uruguay). Los problemas fueron elaborados de forma colaborativa por profesores de las tres universidades; fueron analizados por expertos en diferentes materias (psiquiatría, derecho, sociología) y después fueron aplicados a nivel grado (Criminología, Universidad de Alicante y Odontología, Universidad de Tucumán) y postgrado (Universidad de Montevideo). La calidad del aprendizaje se midió de forma cuantitativa (grado de acierto a las preguntas que se realizaban después de cada problema) y de forma cualitativa (valoración de las actitudes mediante encuesta con escala Likert). En todos los casos los problemas demostraron ser de utilidad en las tres universidades y fueron bien valorados por el profesorado, los expertos y los estudiantes.

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Background: Retinitis pigmentosa is a heterogeneous group of inherited neurodegenerative retinal disorders characterized by a progressive peripheral vision loss and night vision difficulties, subsequently leading to central vision impairment. Chronic microglia activation is associated with various neurodegenerative diseases including retinitis pigmentosa. The objective of this study was to quantify microglia activation in the retina of P23H rats, an animal model of retinitis pigmentosa, and to evaluate the therapeutic effects of TUDCA (tauroursodeoxycholic acid), which has been described as a neuroprotective compound. Methods: For this study, homozygous P23H line 3 and Sprague-Dawley (SD) rats were injected weekly with TUDCA (500 mg/kg, ip) or vehicle (saline) from 20 days to 4 months old. Vertical retinal sections and whole-mount retinas were immunostained for specific markers of microglial cells (anti-CD11b, anti-Iba1 and anti-MHC-II). Microglial cell morphology was analyzed and the number of retinal microglial was quantified. Results: Microglial cells in the SD rat retinas were arranged in regular mosaics homogenously distributed within the plexiform and ganglion cell layers. In the P23H rat retina, microglial cells increased in number in all layers compared with control SD rat retinas, preserving the regular mosaic distribution. In addition, a large number of amoeboid CD11b-positive cells were observed in the P23H rat retina, even in the subretinal space. Retinas of TUDCA-treated P23H animals exhibited lower microglial cell number in all layers and absence of microglial cells in the subretinal space. Conclusions: These results report novel TUDCA anti-inflammatory actions, with potential therapeutic implications for neurodegenerative diseases, including retinitis pigmentosa.

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Con objeto de encontrar nuevas metodologías que contribuyan a la formación de los estudiantes, se planteó una actividad grupal mediante el uso de la red social Twitter. El objetivo final fue fomentar la interacción, planteando una pseudo-competición donde cada participante pudiera utilizar la información generada por el resto de participantes. La actividad se realizó con alumnos de la asignatura "Farmacología" del Grado en Óptica y Optometría. Se propuso a los estudiantes la resolución de un caso clínico real publicado en una revista científica internacional, sobre un problema relacionado con el uso de fármacos en patologías oculares. Para la resolución se facilitaron una serie de pistas secuencialmente y separadas en el tiempo. Los alumnos pudieron participar proponiendo una solución al caso o planteando preguntas para su resolución. Tanto la participación activa como el planteamiento de preguntas pertinentes para la resolución del caso y su resolución implicaron una bonificación en la nota final de la asignatura. Un 60% de los alumnos matriculados participaron en la actividad. El profesorado implicado valora de forma positiva el resultado.

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En el marco del EEES el sistema de evaluación debe valorar las competencias adquiridas por el estudiante en una determinada materia, según los conocimientos, las habilidades y las aptitudes que ha desarrollado a lo largo del proceso de enseñanza-aprendizaje. Además de las pruebas escritas diseñadas para evaluar los conocimientos y las capacidades de razonamiento, las distintas actividades de las nuevas asignaturas, como seminarios, prácticas de ordenador y de laboratorio o tutorías, se deben valorar con distintos modelos evaluadores, que dependerán a su vez de la metodología docente empleada. El objetivo de este estudio fue revisar los métodos de evaluación empleados en diversas asignaturas del Grado en Nutrición Humana y Dietética y del Grado en Óptica y Optometría de la Universidad de Alicante y analizar su contribución en los resultados globales de las asignaturas. Se han tenido en cuenta los diversos métodos de evaluación de las actividades así como las distintas formas de aplicar la evaluación continua y su influencia cualitativa en la calificación global.

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Los títulos de Formación Profesional (FP) de Grado Superior permiten el acceso a estudios universitarios; de hecho, es frecuente encontrar estudiantes que se matriculan en FP con este propósito. Para finalizar el Ciclo Formativo el último módulo que han de superar es el de Formación en Centros de Trabajo (FCT) en el que ponen en práctica los conocimientos adquiridos en las clases teóricas. Estas prácticas, además de mejorar sus capacidades profesionales, también suponen su primera inserción en el mundo laboral. Este contacto con la realidad les puede hacer cambiar su vocación inicial, reformulando su proyecto de futuro. En este estudio se lanzó una encuesta a nivel nacional a profesores y alumnos de FP para identificar y cuantificar el perfil de los estudiantes que cambian de idea, analizando qué les ha llevado a modificar su planteamiento inicial. Los resultados –aun provisionales- muestran que a lo largo de las prácticas, (1) aumenta el número de estudiantes que deciden continuar sus estudios en la Universidad y (2) uno de cada cinco cambia de preferencia sobre qué titulación le gustaría cursar.

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Retinal neurodegenerative diseases like age-related macular degeneration, glaucoma, diabetic retinopathy and retinitis pigmentosa each have a different etiology and pathogenesis. However, at the cellular and molecular level, the response to retinal injury is similar in all of them, and results in morphological and functional impairment of retinal cells. This retinal degeneration may be triggered by gene defects, increased intraocular pressure, high levels of blood glucose, other types of stress or aging, but they all frequently induce a set of cell signals that lead to well-established and similar morphological and functional changes, including controlled cell death and retinal remodeling. Interestingly, an inflammatory response, oxidative stress and activation of apoptotic pathways are common features in all these diseases. Furthermore, it is important to note the relevant role of glial cells, including astrocytes, Müller cells and microglia, because their response to injury is decisive for maintaining the health of the retina or its degeneration. Several therapeutic approaches have been developed to preserve retinal function or restore eyesight in pathological conditions. In this context, neuroprotective compounds, gene therapy, cell transplantation or artificial devices should be applied at the appropriate stage of retinal degeneration to obtain successful results. This review provides an overview of the common and distinctive features of retinal neurodegenerative diseases, including the molecular, anatomical and functional changes caused by the cellular response to damage, in order to establish appropriate treatments for these pathologies.

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Visual symptoms are relatively common in Parkinson's disease (PD) and optical coherence tomography has indicated possible retinal thinning. Accumulation of aggregated α-synuclein is thought to be a central pathogenic event in the PD brain but there have not as yet been reports of retinal synucleinopathy. Retinal wholemounts were prepared from subjects with a primary clinicopathological diagnosis of PD (N = 9), dementia with Lewy bodies (DLB; N = 3), Alzheimer's disease (N = 3), progressive supranuclear palsy (N = 2) as well as elderly normal control subjects (N = 4). These were immunohistochemically stained with an antibody against α-synuclein phosphorylated at serine 129, which is a specific molecular marker of synucleinopathy. Phosphorylated α-synuclein-immunoreactive (p-syn IR) nerve fibers were present in 7/9 PD subjects and in 1/3 DLB subjects; these were sparsely distributed and superficially located near or at the inner retinal surface. The fibers were either long and straight or branching, often with multiple en-passant varicosities along their length. The straight fibers most often had an orientation that was radial with respect to the optic disk. Together, these features are suggestive of either retinopetal/centrifugal fibers or of ganglion cell axons. In one PD subject there were sparse p-syn IR neuronal cell bodies with dendritic morphology suggestive of G19 retinal ganglion cells or intrinsically photosensitive ganglion cells. There were no stained nerve fibers or other specific staining in any of the non-PD or non-DLB subjects. It is possible that at least some of the observed visual function impairments in PD subjects might be due to α-synucleinopathy.

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High-voltage-activated calcium channels are hetero-oligomeric protein complexes that mediate multiple cellular processes, including the influx of extracellular Ca2+, neurotransmitter release, gene transcription, and synaptic plasticity. These channels consist of a primary α1 pore-forming subunit, which is associated with an extracellular α2δ subunit and an intracellular β auxiliary subunit, which alter the gating properties and trafficking of the calcium channel. The cellular localization of the α2δ3 subunit in the mouse and rat retina is unknown. In this study using RT-PCR, a single band at ∼305 bp corresponding to the predicted size of the α2δ3 subunit fragment was found in mouse and rat retina and brain homogenates. Western blotting of rodent retina and brain homogenates showed a single 123-kDa band. Immunohistochemistry with an affinity-purified antibody to the α2δ3 subunit revealed immunoreactive cell bodies in the ganglion cell layer and inner nuclear layer and immunoreactive processes in the inner plexiform layer and the outer plexiform layer. α2δ3 immunoreactivity was localized to multiple cell types, including ganglion, amacrine, and bipolar cells and photoreceptors, but not horizontal cells. The expression of the α2δ3 calcium channel subunit to multiple cell types suggests that this subunit participates widely in Ca-channel-mediated signaling in the retina.