A pilot study identifying a set of microRNAs as precise diagnostic biomarkers of acute kidney injury

In the last decade, Acute Kidney Injury (AKI) diagnosis and therapy have not notably improved probably due to delay in the diagnosis, among other issues. Precocity and accuracy should be critical parameters in novel AKI biomarker discovery. microRNAs are key regulators of cell responses to many stimuli and they can be secreted to the extracellular environment. Therefore, they can be detected in body fluids and are emerging as novel disease biomarkers. We aimed to identify and validate serum miRNAs useful for AKI diagnosis and management. Using qRT-PCR arrays in serum samples, we determined miRNAs differentially expressed between AKI patients and healthy controls. Statistical and target prediction analysis allowed us to identify a panel of 10 serum miRNAs. This set was further validated, by qRT-PCR, in two independent cohorts of patients with relevant morbi-mortality related to AKI: Intensive Care Units (ICU) and Cardiac Surgery (CS). Statistical correlations with patient clinical parameter were performed. Our results demonstrated that the 10 selected miRNAs (miR-101-3p, miR-127-3p, miR-210-3p, miR-126-3p, miR-26b-5p, miR-29a-3p, miR-146a-5p, miR-27a-3p, miR-93-3p and miR-10a-5p) were diagnostic biomarkers of AKI in ICU patients, exhibiting areas under the curve close to 1 in ROC analysis. Outstandingly, serum miRNAs estimated before CS predicted AKI development later on, thus becoming biomarkers to predict AKI predisposition. Moreover, after surgery, the expression of the miRNAs was modulated days before serum creatinine increased, demonstrating early diagnostic value. In summary, we have identified a set of serum miRNAs as AKI biomarkers useful in clinical practice, since they demonstrate early detection and high diagnostic value and they recognize patients at risk.

Tendinopathies du sportif: étiologie, diagnostic et traitement [Tendinitis in athletes: etiology, diagnosis and treatment].

Tendinopathy is one of the most common diagnosis in sports. Knowledges about their etiology, the repair process to their diagnosis and their treatment have improved thanks to the development of imaging, especially ultra- sound. The disorder whose etiology could be mechanical or degenerative can cause long- term disability and sometimes the end of the sport carreer. The risk of reccurence is com- mon; this may lead to tendon rupture whose functional effects can be significative. The management should be early: it must respect the deadlines for tendon healing and pro- pose a gradual recovery efforts after elimina tion of the contributing factors involved.

Runoff and sediment production in a Mediterranean basin under two different land uses

This study analyses the infl uence of two diff erent land uses on the hydrology of the Vernegà experimental basin between the years 2005 and 2009. It is located in the Northeast of the Iberian Peninsula and is infl uenced by a Mediterranean climate, with an average annual rainfall of 646 mm. The study of rainfall distributi on in the 1982 to 2009 period shows that the majority occurs during autumn, winter, and spring representi ng 33.2%, 25.5%, and 25.7% respecti vely of the total annual rainfall. Surface runoff is concentrated from October to June. Between 2005 and 2009, total runoff was 242.38 mm at the"Bosc" gauging stati on, which drains an area of 1.60 km2, and 298.54 mm at the"Campàs" gauging stati on, which drains an area of 2.57 km2 and is located at the outlet of the basin. More than 80% of the total surface runoff yielded during the study period corresponds to the 2005-2006 hydrologic year. Finally, Campàs gauging stati on registers a higher total runoff than Bosc gauging stati on. Part of this phenomenon may be due to the intercepti on of rainfall and plant biomass in the forested area of the basin. In relati on to the sediment yield, an overall increase in the two basins has been detected. Recent forest management practi ces undertaken in the catchment area are considered to be one of the most important reasons for this change.