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Article: Complete laboratory diagnosis of Insulin Autoimmune Syndrome.

Galván, Raquel / Fernández-Riejos, Patricia / Sánchez Martínez, Pilar María / Rodríguez-Chacón, Carmen / Sánchez Mora, Catalina / León-Justel, Antonio

Practical laboratory medicine

2023 Volume 36, Page(s) e00320

Abstract: The definition of Insulin autoimmune syndrome includes the presence of high levels of blood insulin and insulin autoantibodies. We encountered a 45-years-old white man with a high insulin serum value that do not fit with the C-peptide result. To discard ... ...

Abstract	The definition of Insulin autoimmune syndrome includes the presence of high levels of blood insulin and insulin autoantibodies. We encountered a 45-years-old white man with a high insulin serum value that do not fit with the C-peptide result. To discard or to confirm an analytical interference and diagnose a possible Insulin Autoimmune Syndrome we performed the following investigations: dilution linearity test, heterophilic antibody blocking, polyethylene glycol precipitation, measurements with alternative assays, and gel filtration chromatography by size exclusion. The latter technique confirmed that most of the insulin was complexed with a 150-kDa protein, corresponding to immunoglobulin G, identified as insulin autoantibodies. These antibodies were responsible for hypoglycemia attacks in the patient, who had a previous autoimmune disease. This case highlights the importance of carefully analyzing the results and ruling out possible interferences, as well as considering all kinds of pathologies, even if they are infrequent.
Language	English
Publishing date	2023-06-19
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2834973-8
ISSN	2352-5517
ISSN	2352-5517
DOI	10.1016/j.plabm.2023.e00320
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Prevalence of undiagnosed diabetes and prediabetes related to periodontitis and its risk factors in elderly individuals.

Portes, Juliana / Bullón, Beatriz / Gallardo, Isabel / Fernandez-Riejos, Patricia / Quiles, Jose Luis / Giampieri, Francesca / Bullón, Pedro

Journal of dentistry

2023 Volume 132, Page(s) 104480

Abstract: Objective: The prevalence of undiagnosed diabetes was estimated to increase with age and can reach 3.5%. The purpose of the study was to evaluate the prevalence of undiagnosed diabetes and prediabetes in the elderly patients who attended a dental clinic ...

Abstract	Objective: The prevalence of undiagnosed diabetes was estimated to increase with age and can reach 3.5%. The purpose of the study was to evaluate the prevalence of undiagnosed diabetes and prediabetes in the elderly patients who attended a dental clinic and to find common risk factors. Methods: Male patients, older than 50 years, attended their first dental visit to the School of Dentistry for a period of two years, and it was proposed to evaluate undiagnosed type 2 diabetes mellitus. Periodontal, biochemical, microbiological examinations, nutritional profile, and physical activity were performed. Results: A total of 106 patients were examined, 6 (5.6%) had diabetes, and 37 (34.9%) had prediabetes without prior diagnosis. The severity of periodontitis was greater in patients with diabetes. Most of the patients were overweight and had increased systolic blood pressure. Patients with prediabetes and periodontitis had a low adherence to the Mediterranean diet. Tannerella forsythia was present in more patients with periodontitis, and the prevalence of Aggregatibacter actinomycetemcomitans is practically absent in groups with periodontitis, except for the group with diabetes. Conclusions: In the population studied, the prevalence of patients without a diagnosis of diabetes and prediabetes was very high and underestimated. The increased severity of periodontitis in patients with diabetes and in conjunction with the high level of cortisol seen in patients with periodontitis, especially those with diabetes, emphasize the dysregulation of the immunoinflammatory system. Clinical significance: It is essential to add all this data to our dental practice to cover patient health with a broader landscape.
MeSH term(s)	Humans ; Male ; Aged ; Prediabetic State/diagnosis ; Prediabetic State/epidemiology ; Prediabetic State/complications ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/etiology ; Prevalence ; Periodontitis/complications ; Risk Factors
Language	English
Publishing date	2023-03-21
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	186068-9
ISSN	1879-176X ; 0300-5712
ISSN (online)	1879-176X
ISSN	0300-5712
DOI	10.1016/j.jdent.2023.104480
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Article ; Online: Screening for Gestational Diabetes Mellitus by Measuring Glycated Hemoglobin Can Reduce the Use of the Glucose Challenge Test.

Maesa, Jose Maria / Fernandez-Riejos, Patricia / Gonzalez-Rodriguez, Concepcion / Sanchez-Margalet, Victor

Annals of laboratory medicine

2019 Volume 39, Issue 6, Page(s) 524–529

Abstract: Background: Physiological changes during pregnancy, such as dilutional anemia and a reduced half-life of red blood cells, have prevented the use of glycated Hb (HbA: Methods: This case-control study involved 607 pregnant women between the 24th and ... ...

Abstract	Background: Physiological changes during pregnancy, such as dilutional anemia and a reduced half-life of red blood cells, have prevented the use of glycated Hb (HbA Methods: This case-control study involved 607 pregnant women between the 24th and 28th week of gestation. HbA Results: The AUC for HbA Conclusions: HbA
MeSH term(s)	Adult ; Area Under Curve ; Biomarkers/blood ; Case-Control Studies ; Diabetes, Gestational/diagnosis ; Female ; Gestational Age ; Glucose Tolerance Test ; Glycated Hemoglobin A/analysis ; Humans ; Pregnancy ; ROC Curve ; Sensitivity and Specificity
Chemical Substances	Biomarkers ; Glycated Hemoglobin A
Language	English
Publishing date	2019-06-25
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2677441-0
ISSN	2234-3814 ; 2234-3806
ISSN (online)	2234-3814
ISSN	2234-3806
DOI	10.3343/alm.2019.39.6.524
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Article: Periodontitis and Other Risk Factors Related to Myocardial Infarction and Its Follow-Up.

Seoane, Tania / Bullon, Beatriz / Fernandez-Riejos, Patricia / Garcia-Rubira, Juan Carlos / Garcia-Gonzalez, Nestor / Villar-Calle, Pablo / Quiles, Jose Luis / Battino, Maurizio / Bullon, Pedro

Journal of clinical medicine

2022 Volume 11, Issue 9

Abstract: The main issue in the prevention of myocardial infarction (MI) is to reduce risk factors. Periodontal disease is related to cardiovascular disease and both share risk factors. The purpose of this study is to investigate whether periodontitis can be ... ...

Abstract	The main issue in the prevention of myocardial infarction (MI) is to reduce risk factors. Periodontal disease is related to cardiovascular disease and both share risk factors. The purpose of this study is to investigate whether periodontitis can be considered a risk factor for MI and common risk factors in a case-control study and in a prospective follow-up study in patients with MI. The test group (MIG) was made up of 144 males who had MI in the previous 48 h. The control group (CG) was composed of 138 males without MI. Both groups were subdivided according to the presence or absence of stage III and IV of periodontitis. General data; Mediterranean diet and physical activity screening; periodontal data; and biochemical, microbiological and cardiological parameters were recorded. ANOVA, Mann-Whitney U and Kruskal-Wallis statistical tests and binary logistic regression analysis were applied. No differences in anthropometric variables were observed between the four groups. The average weekly exercise hours have a higher value in CG without periodontitis. The number of leukocytes was higher in MIG, the number of monocytes was higher in CG and the number of teeth was lower in MIG with periodontitis. Adherence to the Mediterranean diet was higher in CG.
Language	English
Publishing date	2022-05-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11092618
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Article ; Online: Molecular inflammation and oxidative stress are shared mechanisms involved in both myocardial infarction and periodontitis.

Díaz, Carmen M / Bullon, Beatriz / Ruiz-Salmerón, Rafael J / Fernández-Riejos, Patricia / Fernández-Palacín, Ana / Battino, Maurizio / Cordero, Mario D / Quiles, José L / Varela-López, Alfonso / Bullón, Pedro

Journal of periodontal research

2020 Volume 55, Issue 4, Page(s) 519–528

Abstract: Background and objective: Our aims were to improve the understanding of the pathogenic relationship between cardiovascular diseases and periodontitis and to generate new perspectives in the prevention and treatment of acute myocardial infarction (AMI) ... ...

Abstract	Background and objective: Our aims were to improve the understanding of the pathogenic relationship between cardiovascular diseases and periodontitis and to generate new perspectives in the prevention and treatment of acute myocardial infarction (AMI) and periodontitis. The present study evaluates possible differences in inflammation, oxidative stress, and autophagy markers among subject suffering AMI, periodontitis, or both, to explore possible common pathogenic mechanisms. Material and methods: A total of 260 subjects were enrolled in the study: 106 subjects that survived to a first AMI (AMI group) and 154 subjects had no cardiac events in their clinical record (control group). A questionnaire was used to assess age, height, weight, blood pressure, and heart rate. The clinical probing depth, clinical attachment loss, number of remaining teeth, and average number of sites with bleeding on probing were assessed. Lipid peroxidation and protein levels of phosphorylated AMP-activated protein kinase (p-AMPK) and microtubule-associated proteins 1A/1B-light chain 3-II (LC3-II) were determined in isolated peripheral blood mononuclear cells by thiobarbituric acid reactive substances (TBARS) assay and Western blot, respectively. Plasma levels of interleukin-1β were determined using a commercial ELISA kit. All the obtained variables were compared between subjects suffering an AMI with or without periodontitis and control subject periodontal healthy or with periodontitis. Results: A higher proportion of subjects suffering AMI + periodontitis than only AMI (without periodontitis) was found. Higher levels of TBARS were found in subjects with periodontitis than in subjects without periodontitis in both AMI and control subjects. Positive correlations between IL-1β levels and TBARS and between IL-1β levels and LC3-II were found only in control subjects. Conclusion: Results from the present study are consistent with the suggestion of periodontitis as a potential risk factor for AMI. Periodontitis association with circulating lipid peroxides in both AMI and control subjects were found. The absence of differences in IL-1β levels between AMI subjects (only AMI vs AMI + periodontitis) suggests that oxidative stress could be the main pathogenic link between AMI and periodontitis.
MeSH term(s)	Dental Plaque Index ; Humans ; Inflammation ; Leukocytes, Mononuclear ; Myocardial Infarction/complications ; Oxidative Stress ; Periodontal Attachment Loss ; Periodontal Index ; Periodontitis/complications
Language	English
Publishing date	2020-02-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	390953-0
ISSN	1600-0765 ; 0022-3484
ISSN (online)	1600-0765
ISSN	0022-3484
DOI	10.1111/jre.12739
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Article: Fasting Glycemia as Screening Tool to Rule-Out Gestational Diabetes in Low-Risk Population.

Maesa, Jose-Maria / Fernandez-Riejos, Patricia / Sanchez-Margalet, Victor / Gonzalez-Rodriguez, Concepcion

Clinical laboratory

2018 Volume 64, Issue 4, Page(s) 461–465

Abstract: Background: The use of a glucose challenge test as the universal screening for gestational diabetes is common in many countries. This test represents significant costs for laboratories and inconveniences for the patients, who have to wait for one hour ... ...

Abstract	Background: The use of a glucose challenge test as the universal screening for gestational diabetes is common in many countries. This test represents significant costs for laboratories and inconveniences for the patients, who have to wait for one hour and, very often, feel discomfort and nausea. In this work we propose the use of fasting glycemia, in a population with low prevalence of gestational diabetes as a pre-screening test that would avoid the oral glucose overload in those pregnant women with low risk of gestational diabetes. Methods: The study was done with the fasting glucose levels of 6,573 pregnant women who underwent a two steps strategy to screen for gestational diabetes, a first step consisting of a 50 g glucose challenge test, followed when glycemia ≥ 140 mg/dL by a 100 g Oral Glucose Tolerance Test, based on recommendations made by National Diabetes Data Group. Results: The ROC curve for fasting glucose was calculated, and we obtained an AUC = 0.633 (0.569 - 0.696). The sensitivity, specificity, and predictive values were established for different thresholds. Conclusions: We proposed that women with fasting glycemia ≤ 62 mg/dL, (S = 91.3%, NPV = 98.79% and LR- = 0.87) are in low risk of suffering gestational diabetes, which means that 10% of our population would not undergo the glucose challenge test.
MeSH term(s)	Adult ; Blood Glucose/metabolism ; Diabetes, Gestational/blood ; Diabetes, Gestational/diagnosis ; Fasting/blood ; Female ; Glucose Tolerance Test ; Humans ; Mass Screening/methods ; Pregnancy ; ROC Curve ; Retrospective Studies
Chemical Substances	Blood Glucose
Language	English
Publishing date	2018-05-08
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1307629-2
ISSN	1433-6510 ; 0941-2131
ISSN	1433-6510 ; 0941-2131
DOI	10.7754/Clin.Lab.2017.170920
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Article: Evaluation of 3 Hemoglobin A1c Point of Care Instruments. Point of Care Testing for HbA1c: Evaluation of Cobas b101, B-Analyst and Afinion™.

Toro-Crespo, María De / Sánchez-Mora, Catalina / Fernández-Riejos, Patricia / Maesa-Márquez, José M / González-Rodríguez, Concepción

Clinical laboratory

2017 Volume 63, Issue 7, Page(s) 1107–1112

MeSH term(s)	Blood Cell Count ; Diabetes Mellitus/diagnosis ; Glycated Hemoglobin A ; Humans ; Point-of-Care Systems ; Point-of-Care Testing
Chemical Substances	Glycated Hemoglobin A
Language	English
Publishing date	2017-07-01
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1307629-2
ISSN	1433-6510 ; 0941-2131
ISSN	1433-6510 ; 0941-2131
DOI	10.7754/Clin.Lab.2017.161212
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Article ; Online: Zenit RA evaluation, a solid-phase chemiluminescence immunoassay for detection of anti-cellular antibodies.

Melguizo Madrid, Enrique / González-Rodríguez, Concepción / Ávila-García, María de Gracia / Arrobas-Velilla, Teresa / Fernández-Riejos, Patricia

Bioanalysis

2017 Volume 9, Issue 5, Page(s) 435–445

Abstract: Aim: The objective was to compare Zenit RA chemiluminescent immunoassay (CLIA) from Menarini Diagnostics and ELISA from INOVA Diagnostics for the presence of specific anti-Ro/SS-A, anti-La/SS-B, anti-U1snRNP, anti-Sm, anti-Scl-70, anti-Jo-1 antibodies. ... ...

Abstract	Aim: The objective was to compare Zenit RA chemiluminescent immunoassay (CLIA) from Menarini Diagnostics and ELISA from INOVA Diagnostics for the presence of specific anti-Ro/SS-A, anti-La/SS-B, anti-U1snRNP, anti-Sm, anti-Scl-70, anti-Jo-1 antibodies. Results/methodology: We studied 501 samples (178 connective autoimmune disease, 150 other autoimmune or inflammatory disease and 173 other disease or healthy). All samples were analyzed using CLIA and ELISA. The Kappa agreement was excellent for anti-SSA/Ro (0.864), good for anti-SSB/La (0.735), anti-Scl-70 (0.685) and ENA-screening (0.778), moderate for anti-RNP (0.563) and bad for anti-Sm (0.266) and anti-Jo-1 (0.243). Different combination of cut-off improved the specificity and agreement. Conclusion: Zenit RA CLIA for detecting autoantibodies, provides a simple, useful and accurate tool.
MeSH term(s)	Antibodies, Antinuclear/analysis ; Autoimmune Diseases/diagnosis ; Case-Control Studies ; Enzyme-Linked Immunosorbent Assay ; Humans ; Immunoassay ; Logistic Models ; Luminescent Measurements ; Nuclear Proteins/immunology ; Ribonucleoproteins, Small Nuclear/immunology
Chemical Substances	Antibodies, Antinuclear ; Jo-1 antibody ; Nuclear Proteins ; Ribonucleoproteins, Small Nuclear ; SNRNP35 protein, human ; Scl 70 antigen, human
Language	English
Publishing date	2017-03
Publishing country	England
Document type	Journal Article
ISSN	1757-6199
ISSN (online)	1757-6199
DOI	10.4155/bio-2016-0252
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Article ; Online: Role of leptin as a link between metabolism and the immune system.

Pérez-Pérez, Antonio / Vilariño-García, Teresa / Fernández-Riejos, Patricia / Martín-González, Jenifer / Segura-Egea, Juan José / Sánchez-Margalet, Víctor

Cytokine & growth factor reviews

2017 Volume 35, Page(s) 71–84

Abstract: Leptin is an adipocyte-derived hormone not only with an important role in the central control of energy metabolism, but also with many pleiotropic effects in different physiological systems. One of these peripheral functions of leptin is a regulatory ... ...

Abstract	Leptin is an adipocyte-derived hormone not only with an important role in the central control of energy metabolism, but also with many pleiotropic effects in different physiological systems. One of these peripheral functions of leptin is a regulatory role in the interplay between energy metabolism and the immune system, being a cornerstone of the new field of immunometabolism. Leptin receptor is expressed throughout the immune system and the regulatory effects of leptin include cells from both the innate and adaptive immune system. Leptin is one of the adipokines responsible for the inflammatory state found in obesity that predisposes not only to type 2 diabetes, metabolic syndrome and cardiovascular disease, but also to autoimmune and allergic diseases. Leptin is an important mediator of the immunosuppressive state in undernutrition status. Placenta is the second source of leptin and it may play a role in the immunomodulation during pregnancy. Finally, recent work has pointed to the participation of leptin and leptin receptor in the pathophysiology of inflammation in oral biology. Therefore, leptin and leptin receptor should be considered for investigation as a marker of inflammation and immune activation in the frontier of innate-adaptive system, and as possible targets for intervention in the immunometabolic mediated pathophysiology.
Language	English
Publishing date	2017-06
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1330534-7
ISSN	1879-0305 ; 1359-6101
ISSN (online)	1879-0305
ISSN	1359-6101
DOI	10.1016/j.cytogfr.2017.03.001
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Article ; Online: Periodontitis and Other Risk Factors Related to Myocardial Infarction and Its Follow-Up

Tania Seoane / Beatriz Bullon / Patricia Fernandez-Riejos / Juan Carlos Garcia-Rubira / Nestor Garcia-Gonzalez / Pablo Villar-Calle / Jose Luis Quiles / Maurizio Battino / Pedro Bullon

Journal of Clinical Medicine, Vol 11, Iss 2618, p

2022 Volume 2618

Abstract	The main issue in the prevention of myocardial infarction (MI) is to reduce risk factors. Periodontal disease is related to cardiovascular disease and both share risk factors. The purpose of this study is to investigate whether periodontitis can be considered a risk factor for MI and common risk factors in a case–control study and in a prospective follow-up study in patients with MI. The test group (MIG) was made up of 144 males who had MI in the previous 48 h. The control group (CG) was composed of 138 males without MI. Both groups were subdivided according to the presence or absence of stage III and IV of periodontitis. General data; Mediterranean diet and physical activity screening; periodontal data; and biochemical, microbiological and cardiological parameters were recorded. ANOVA, Mann–Whitney U and Kruskal–Wallis statistical tests and binary logistic regression analysis were applied. No differences in anthropometric variables were observed between the four groups. The average weekly exercise hours have a higher value in CG without periodontitis. The number of leukocytes was higher in MIG, the number of monocytes was higher in CG and the number of teeth was lower in MIG with periodontitis. Adherence to the Mediterranean diet was higher in CG. Porphyromonas gingivalis and Tannerella forsythia were higher in CG with periodontitis and in MIG with and without periodontitis. At follow-up, the left ventricular ejection fraction (LVEF) data were better in the non-periodontitis group: 15 patients had Mayor Cardiovascular Adverse Events (MACE), 13 of them had periodontitis and 2 did not show periodontitis. Periodontitis, exercise, diet and smoking are risk factors related to MI. MACE presented in the ‘MI follow-up’ shows periodontitis, weight, exercise hours and dyslipidemia as risk factors. LVEF follow-up values are preserved in patients without periodontitis. Our data suggest that periodontitis can be considered a risk factor for MI and MACE in the studied population.
Keywords	chronic periodontitis ; myocardial infarction ; risk factors ; exercise ; energy intake ; mayor cardiovascular adverse events ; Medicine ; R
Subject code	610
Language	English
Publishing date	2022-05-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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