Expression of histone methyltransferases as novel biomarkers for renal cell tumor diagnosis and prognostication

Renal cell tumors (RCTs) are the most lethal of the common urological cancers. The widespread use of imaging entailed an increased detection of small renal masses, emphasizing the need for accurate distinction between benign and malignant RCTs, which is critical for adequate therapeutic management. Histone methylation has been implicated in renal tumorigenesis, but its potential clinical value as RCT biomarker remains mostly unexplored. Hence, the main goal of this study was to identify differentially expressed histone methyltransferases (HMTs) and histone demethylases (HDMs) that might prove useful for RCT diagnosis and prognostication, emphasizing the discrimination between oncocytoma (a benign tumor) and renal cell carcinoma (RCC), especially the chromophobe subtype (chRCC). We found that the expression levels of three genes-SMYD2, SETD3, and NO66-was significantly altered in a set of RCTs, which was further validated in a large independent cohort. Higher expression levels were found in RCTs compared to normal renal tissues (RNTs) and in chRCCs comparatively to oncocytomas. SMYD2 and SETD3 mRNA levels correlated with protein expression assessed by immunohistochemistry. SMYD2 transcript levels discriminated RCTs from RNT, with 82.1% sensitivity and 100% specificity (AUC=0.959), and distinguished chRCCs from oncocytomas, with 71.0% sensitivity and 73.3% specificity (AUC: 0.784). Low expression levels of SMYD2, SETD3, and NO66 were significantly associated with shorter disease-specific and disease-free survival, especially in patients with non-organ confined tumors. We conclude that expression of selected HMTs and HDMs might constitute novel biomarkers to assist in RCT diagnosis and assessment of tumor aggressiveness.

Hydrogels and cell based therapies in spinal cord injury regeneration

Spinal cord injury (SCI) is a central nervous system- (CNS-) related disorder for which there is yet no successful treatment. Within the past several years, cell-based therapies have been explored for SCI repair, including the use of pluripotent human stem cells, and a number of adult-derived stem and mature cells such as mesenchymal stem cells, olfactory ensheathing cells, and Schwann cells. Although promising, cell transplantation is often overturned by the poor cell survival in the treatment of spinal cord injuries. Alternatively, the therapeutic role of different cells has been used in tissue engineering approaches by engrafting cells with biomaterials. The latter have the advantages of physically mimicking the CNS tissue, while promoting a more permissive environment for cell survival, growth, and differentiation. The roles of both cell- and biomaterial-based therapies as single therapeutic approaches for SCI repair will be discussed in this review. Moreover, as the multifactorial inhibitory environment of a SCI suggests that combinatorial approaches would be more effective, the importance of using biomaterials as cell carriers will be herein highlighted, as well as the recent advances and achievements of these promising tools for neural tissue regeneration.

Doppler echocardiographic study in adolescents and young adults with sickle cell anemia

OBJECTIVE: Anatomical and functional assessment of the heart through Doppler and echocardiography in patients with cell anemia (SCA). METHODS: Twenty-five patients with SCA and ages ranging from 14 to 45 years were prospectively studied in a comparison with 25 healthy volunteers. All of them underwent clinical and laboratory evaluation and Doppler echocardiography as well.The measurements were converted into body surface indices. RESULTS: There were increases in all chamber diameters and left ventricle (LV) mass of the SCA patients. It was characterised an eccentric hypertrophy of the left ventricle. The preload was increased (left ventricle end-diastolic volume) and the afterload was decreased (diastolic blood pressure, peripheral vascular resistance and end-systolic parietal stress ESPS). The cardiac index was increased due to the stroke volume. The ejection fraction and the percentage of the systolic shortening , as well as the systolic time intervals of the LV were equivalent. The isovolumetric contraction period of the LV was increased. The mitral E-septum distance and the end-systolic volume index (ESVi) were increased. The ESPS/ESVi ratio,a loading independent parameter, was decreased in SCA, suggesting systolic dysfunction. No significant differences in the diastolic function or in the pulmonary pressure occurred. CONCLUSION: Chamber dilations, eccentric hypertrophy and systolic dysfunction confirm the evidence of the literature in characterizing a sickle cell anemia cardiomyopathy.

Immune cell changes in swimmers : response to acute exercise and training

O treino competitivo envolve exercício intenso e prolongado, capaz de modular o número e actividade das células imunitárias. Quando demasiado exigente poderá induzir fadiga e aumentar a susceptibilidade a doenças. Esta dissertação apresenta três estudos desenvolvidos no âmbito da Imunologia do Exercício, considerando a análise da resposta celular imunitária sistémica aguda e crónica ao exercício aplicada em situações reais do treino competitivo de natação, controlando factores passíveis de influenciar esta resposta. Pretendeu-se avaliar a resposta imunitária a uma sessão de treino prolongada e intensa, durante as 24h de recuperação (Estudo 1) e a uma época de treino com sete meses (Estudo 2), e estudar a influência de um macrociclo de treino de quatro meses sobre a resposta imunitária à mesma sessão de treino e período de recuperação (Estudo 3), controlando sexo, fases do ciclo menstrual, maturidade, escalão, especialidade, performance, cargas de treino e sintomas respiratórios superiores (URS). A sessão de treino induziu a diminuição da vigilância imunitária adquirida imediatamente e, pelo menos nas 2h seguintes. Juvenis e seniores recuperaram totalmente 24h depois, mas não os juniores, reforçando a ideia da existência de uma janela aberta para a infecção após exercícios prolongados e intensos e sugerindo uma recuperação menos eficiente para os juniores. No período de treino mais intenso da época observou-se uma imunodepressão e maior prevalência de URS. No final da época, a imunidade inata diminuiu aparentando maior sensibilidade aos efeitos cumulativos da carga de treino, enquanto a imunidade adquirida parece ter recuperado após o taper. O macrociclo de treino atenuou a resposta imunitária à sessão de treino e aumentou o período de janela aberta às infecções (efeitos mais acentuados nos adolescentes). Os resultados evidenciam a importância de controlar alterações imunitárias durante a época competitiva, especialmente em períodos de treino intenso e quando se realizam sessões de treino intensas consecutivas com recuperações inferiores a 24h.

Motilidad Orientada de Células Neurales: La comunicación celular a distancia. Oriented neural cell motility: Cell comunication at a distance.

La motilidad celular orientada (o mecanismo quimiotáctico de orientación), es una respuesta celular a señales moleculares de su micro-ambiente necesaria para modular la distribución celular en sitios específicos y con elevada precisión. Nuestra hipótesis establece que la migración orientada de células neurales es regulada por gradientes de concentración de moléculas solubles liberadas por sus regiones "blanco". Este proyecto es continuación del estudio de la quimiotaxis de células de cresta neural (CCN) y de neuronas ventriculares (NV) inducida respectivamente por factores difusibles de la región del futuro ganglio ciliar y del bulbo olfatorio.En el sistema de CCN, hemos caracterizado como moléculas quimiotácticas a la quimioquina Stromal Cell-Derived Factor-1, y los factores tróficos Stem Cell Factor y Neurotrophic Factor-3, habiendo determinado la expresión de sus respectivos receptores CXCR4, TrkC y p75 en la población de CCN mesencefálicas de ambrión de pollo. Actualmente, estamos desarrollando experimentos con el Ciliary Neurotrophic Factor y factores de la familia Bone Morphogenetic Proteins. Además de la estrategia experimental in vitro, hemos determinado en el embrión entero la expresión de las moléculas quimioatractantes mediante hibridación in situ del ARNm y la presencia de las respectivas proteínas mediante inmunocitoquímica. En el sistema de NV, estamos analizando la motilidad celular en relación con moléculas liberadas por el bulbo olfatorio. En los dos sistemas biológicos, estamos analizando elementos de la transducción de señales y cambios en el citoesqueleto, en ambos casos asociados con la respuesta temprana en la orientación quimiotáctica de la célula. Asimismo, en ambos sistemas biológicos, evaluamos los efectos del etanol sobre la migración y distribución celular, en condiciones equivalentes a las que inducen el Sindrome Fetal Alcohólico en mamíferos.En base a resultados ya obtenidos en experimentos in vitro, en la presente etapa intentaremos su caracterización in vivo mediante el bloqueo funcional de las moléculas quimiotácticas (y/o sus receptores) sobre embriones enteros, mediante silenciamiento con ARNsi (o morfolinos específicos) mediante electroporación, y posterior determinación de la distribución celular mediante marcadores específicos anti-CCN (o lipofílicos de tipo DiI).Los resultados permitirán mejorar el conocimiento del mecanismo de la migración celular orientada y aportar al diseño de recursos diagnósticos, terapéuticos o de control de anomalías embrionarias o patologías tumorales por mala distribución celular como las Neurocristopatías, o inducidas por tóxicos exógenos como el Sindrome Fetal Alcohólico.