The Snail zinc-finger transcription factors trigger epithelial-mesenchymal transitions (EMTs), endowing epithelial cells with migratory and invasive properties during both embryonic development and tumor progression. During EMT, Snail provokes the loss of epithelial markers, as well as changes in cell shape and the expression of mesenchymal markers. Here, we show that in addition to inducing dramatic phenotypic alterations, Snail attenuates the cell cycle and confers resistance to cell death induced by the withdrawal of survival factors and by pro-apoptotic signals. Hence, Snail favors changes in cell shape versus cell division, indicating that with respect to oncogenesis, although a deregulation/increase in proliferation is crucial for tumor formation and growth, this may not be so for tumor malignization. Finally, the resistance to cell death conferred by Snail provides a selective advantage to embryonic cells to migrate and colonize distant territories, and to malignant cells to separate from the primary tumor, invade, and form metastasis.
Haemolytic uraemic syndrome (HUS) is a clinical entity defined as the triad of nonimmune haemolytic anaemia, thrombocytopenia, and acute renal failure, in which the underlying lesions are mediated by systemic thrombotic microangiopathy (TMA). Different causes can induce the TMA process that characterizes HUS. In this document we consider atypical HUS (aHUS) a sub-type of HUS in which the TMA phenomena are the consequence of the endotelial damage in the microvasculature of the kidneys and other organs due to a disregulation of the activity of the complement system. In recent years, a variety of aHUs-related mutations have been identified in genes of the the complement system, which can explain approximately 60% of the aHUS cases, and a number of mutations and polymorphisms have been functionally characterized. These findings have stablished that aHUS is a consequence of the insufficient regulation of the activiation of the complement on cell surfaces, leading to endotelial damage mediated by C5 and the complement terminal pathway. Eculizumab is a monoclonal antibody that inhibits the activation of C5 and blocks the generation of the pro-inflammatory molecule C5a and the formation of the cell membrane attack complex. In prospective studies in patients with aHUS, the use of Eculizumab has shown a fast and sustained interruption of the TMA process and it has been associated with significative long-term improvements in renal function, the interruption of plasma therapy and important reductions in the need of dialysis. According to the existing literature and the accumulated clinical experience, the Spanish aHUS Group published a consensus document with recommendations for the treatment of aHUs (Nefrologia 2013;33[1]:27-45). In the current online version of this document, we update the aetiological classification of TMAs, the pathophysiology of aHUS, its differential diagnosis and its therapeutic management.
The 1-year results of the Ovation Abdominal Stent Graft System demonstrate excellent safety and effectiveness in treatment of patients with AAAs, particularly in patients with challenging anatomic characteristics, including short aortic necks and narrow iliac arteries. Longer-term follow-up is needed.
The miniaturization of analytical systems for different applications is currently a very active field of research. The inherent advantages of micro total analysis systems (lTASs) are well known. Although the fluidic platforms and the development of suitable miniaturized detection systems have been studied extensively, the integration in a single substrate of the electronics that is needed to manage the whole system using a single technology is still a sizeable challenge. In this overview, we discuss the role of the low-temperature co-fired ceramics (LTCC) as a potential alternative for miniaturizing analytical systems, since a single technology can easily combine fluidics and electronics to produce a number of novel chemical microanalyzers.
Water scarcity is one of the main challenges faced by modern agriculture, leading to a substantial drop in crop productivity and a threat to food security. Thus, novel agricultural approaches are necessary and urgent to face this problem. Some natural compounds such as amino acids have been shown to increase yield and mitigate the effects of drought stress. In this study, we demonstrate that the application of pyroglutamic acid (PG) is capable of increasing lettuce yield, under field conditions with 30% less than optimal irrigation. PG treatment showed a clearly protective effect in stressed plants, enhancing their fresh weight by 37% and yield by 31%, in comparison to untreated plants. PG appears to promote drought tolerance effects in deficit irrigated lettuce plants, with several advantages. It acts by enhancing photosynthesis rate and antioxidant defences, while maintaining osmotic and water balance, without toxicity to soil microorganisms. This illustrates the potential use of PG to combat productivity losses due to water scarcity.
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