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Article ; Online: Post-COVID-19 sequelae: an imbricate network between neuroinflammation and dysbiosis.

2023 Volume 91, Issue 6, Page(s) 723–724

Title translation	Secuelas post-COVID-19: una imbricada red entre la neuroinflamación y la disbiosis.
MeSH term(s)	Humans ; COVID-19/complications ; Neuroinflammatory Diseases ; Dysbiosis/etiology
Language	English
Publishing date	2023-12-14
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	730699-4
ISSN	2444-054X ; 0009-7411
ISSN (online)	2444-054X
ISSN	0009-7411
DOI	10.24875/CIRU.23000511
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Article: Cognitive impairment in patients with central nervous system tuberculosis.

Popoca-Rodríguez, Ignacio / Cárdenas, Graciela

Gaceta medica de Mexico

2022 Volume 157, Issue 4, Page(s) 371–376

Abstract: Introduction: Tuberculosis (TB) in Mexico remains an important cause of morbidity and mortality; in the past 4 years, 110,681 cases of pulmonary tuberculosis and 1571 cases of tuberculous meningitis were reported.: Objective: To determine the ... ...

Title translation	Deterioro cognoscitivo en pacientes con tuberculosis del sistema nervioso central.
Abstract	Introduction: Tuberculosis (TB) in Mexico remains an important cause of morbidity and mortality; in the past 4 years, 110,681 cases of pulmonary tuberculosis and 1571 cases of tuberculous meningitis were reported. Objective: To determine the neurocognitive sequelae, clinical presentation and neuroimaging alterations in patients with central nervous system tuberculosis. Methods: A retrospective, analytical, and cross-sectional study was carried out from 2010 to 2019. Patients with central nervous system tuberculosis, with and without HIV/AIDS coinfection, were included. Results: During the study period, 104 cases with a definitive or probable central nervous system tuberculosis diagnosis were included; 38% had HIV/AIDS coinfection, and 55%, various comorbidities (p = 0.0001); 49% had cognitive alterations, and 14% died. Conclusions: Although HIV/AIDS infection can contribute to cognitive decline in patients with tuberculous meningitis, no differences were observed between patients with and without HIV/AIDS. Cognitive sequelae showed improvement during follow-up with adequate management and therapeutic control of the patients.
MeSH term(s)	Cognitive Dysfunction/epidemiology ; Cognitive Dysfunction/etiology ; Cross-Sectional Studies ; Humans ; Retrospective Studies ; Tuberculosis, Central Nervous System/complications ; Tuberculosis, Central Nervous System/diagnosis ; Tuberculosis, Central Nervous System/epidemiology ; Tuberculosis, Meningeal/complications ; Tuberculosis, Meningeal/diagnosis ; Tuberculosis, Meningeal/epidemiology
Language	English
Publishing date	2022-02-08
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	425456-9
ISSN	0016-3813
ISSN	0016-3813
DOI	10.24875/GMM.M21000577
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Book ; Online: Compilado de proyectos de investigación científica empresarial : semana de la ciencia, la tecnología, la innovación y el emprendimiento

Mendoza Sánchez, Bernardo / Linero Meléndez, Carlos Manuel / Cárdenas Cantillo, Ingrid / Silva Tapias, Leonel / Ruiz Sánchez, Edier Alejandro / Villamil Villadiego, Graciela Esther / Guzman, Kedyn / Callejas Porto, Marcela / Calabria López, Marlon Antonio / Molina, William / Martínez Espeleta, Gustavo Rafael / Martínez T, Juan Carlos / Martínez Torres, Diana Carolina / Redondo Ochoa, Wendy / Towers, Walter / Galiano, Jossi / Martínez Juvene, Johanna / Betancourt Rodríguez, Libnazaret / Cortés Bracho, Oriana /

Martínez Torres, Juan Carlos

2023

Keywords	YQV ; Marketing ; Research ; Technological innovations ; Social entrepreneurship ; Rural development projects ; Industrial project management ; Small and medium-sized companies
Language	Spanish
Size	1 electronic resource (21 pages pages)
Publisher	Corporación Universitaria Americana
Publishing place	Barranquilla
Document type	Book ; Online
Note	Spanish
HBZ-ID	HT030380835
ISBN	9789585169531 ; 9585169533
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: [No title information]

Ignacio Popoca-Rodríguez / Graciela Cárdenas

Gaceta Médica de México, Vol 157, Iss

2021 Volume 4

Abstract: Introducción: La tuberculosis en México sigue siendo causa importante de morbimortalidad; en los últimos cuatro años, se reportaron 110 681 casos de tuberculosis pulmonar y 1571 casos de tuberculosis meníngea. Objetivo: Determinar las secuelas ... ...

Abstract	Introducción: La tuberculosis en México sigue siendo causa importante de morbimortalidad; en los últimos cuatro años, se reportaron 110 681 casos de tuberculosis pulmonar y 1571 casos de tuberculosis meníngea. Objetivo: Determinar las secuelas neurocognoscitivas, presentación clínica y alteraciones en los estudios de neuroimagen en pacientes con tuberculosis del sistema nervioso central. Métodos: Se realizó un estudio retrospectivo, analítico y transversal de 2010 a 2019. Se incluyeron pacientes con tuberculosis del sistema nervioso central, con y sin coinfección por VIH/sida. Resultados: Durante el periodo de estudio se incluyeron 104 casos con diagnóstico definitivo y probable de tuberculosis del sistema nervioso central; de acuerdo con los criterios de Marais, 38 % presentó coinfección por VIH/sida y 55 %, diversas comorbilidades (p = 0.0001); 49 % presentó alteraciones cognoscitivas y 14 % falleció. Conclusiones: Aunque la infección por VIH/sida puede contribuir al deterioro cognitivo del paciente con tuberculosis meníngea, no se observaron diferencias entre pacientes con y sin VIH/sida. Las secuelas cognoscitivas mostraron mejoría en el seguimiento con el adecuado manejo y control terapéutico de los pacientes.
Keywords	Deterioro cognitivo. Secuelas cognitivas. Tuberculosis meníngea. Sistema nervioso central. VIH/sida ; Public aspects of medicine ; RA1-1270 ; Internal medicine ; RC31-1245
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	Permanyer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Neuroinflammation in Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection: Pathogenesis and clinical manifestations.

Cárdenas, Graciela / Fragoso, Gladis / Sciutto, Edda

Current opinion in pharmacology

2021 Volume 63, Page(s) 102181

Abstract: Peripheral inflammation and neuroinflammation are host-mounted to eliminate injury, infection, or toxin to restore homeostasis. However, when inflammation persists, it may promote collateral tissue damage that ultimately culminates in pathological ... ...

Abstract	Peripheral inflammation and neuroinflammation are host-mounted to eliminate injury, infection, or toxin to restore homeostasis. However, when inflammation persists, it may promote collateral tissue damage that ultimately culminates in pathological peripheral damage or neurodegeneration. Since the beginning of the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic, responsible of Coronavirus disease 2019 (COVID-19), accumulating evidence describes neurological manifestations and complications worldwide particularly in approximately one-third of patients with COVID-19 particularly in those affected with the severe forms of the disease. Different access routes to the central nervous system have been identified. One immediately used is the entrance by the olfactory and trigeminus nervous affecting olfactory and sensory nerve endings when individuals get the infection by the intranasal route. It can also reach the central nervous system through the choroid plexuses and periventricular areas that lack blood-brain barrier or by its disruption by the exacerbated peripheral inflammation. Until now, the long-term sequelae of SARS-CoV-2 infection is still under research and the post-COVID syndrome. This review focuses on the consequences of the neuroinflammatory response in patients with COVID-19 considering its potential relevance in the appearance of neurological sequelae including neurodegenerative disorders.
MeSH term(s)	COVID-19/complications ; Humans ; Inflammation/complications ; Nervous System Diseases ; Neuroinflammatory Diseases ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2021-12-31
Publishing country	England
Document type	Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2037057-X
ISSN	1471-4973 ; 1471-4892
ISSN (online)	1471-4973
ISSN	1471-4892
DOI	10.1016/j.coph.2021.12.008
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Article ; Online: Gut dysbiosis and homocysteine: a couple for boosting neurotoxicity in Huntington disease.

Martínez-Lazcano, Juan Carlos / González-Guevara, Edith / Boll, Catherine / Cárdenas, Graciela

Reviews in the neurosciences

2022 Volume 33, Issue 7, Page(s) 819–827

Abstract: Huntington's disease (HD), a neurodegenerative disorder caused by an expansion of the huntingtin triplet (Htt), is clinically characterized by cognitive and neuropsychiatric alterations. Although these alterations appear to be related to mutant Htt (mHtt) ...

Abstract	Huntington's disease (HD), a neurodegenerative disorder caused by an expansion of the huntingtin triplet (Htt), is clinically characterized by cognitive and neuropsychiatric alterations. Although these alterations appear to be related to mutant Htt (mHtt)-induced neurotoxicity, several other factors are involved. The gut microbiota is a known modulator of brain-gut communication and when altered (dysbiosis), several complaints can be developed including gastrointestinal dysfunction which may have a negative impact on cognition, behavior, and other mental functions in HD through several mechanisms, including increased levels of lipopolysaccharide, proinflammatory cytokines and immune cell response, as well as alterations in Ca
MeSH term(s)	Animals ; Cytokines ; Dysbiosis ; Homocysteine ; Humans ; Huntington Disease ; Lipopolysaccharides ; Mice ; Nerve Growth Factors
Chemical Substances	Cytokines ; Lipopolysaccharides ; Nerve Growth Factors ; Homocysteine (0LVT1QZ0BA)
Language	English
Publishing date	2022-04-12
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	639035-3
ISSN	2191-0200 ; 0334-1763
ISSN (online)	2191-0200
ISSN	0334-1763
DOI	10.1515/revneuro-2021-0164
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Article ; Online: Viral Biology and Immune Privilege in the Development of Extrahepatic Manifestations During Hepatitis E Virus Infection.

Orozco-Cordoba, Javier / Mazas, Camila / Du Pont, Gisela / Lamoyi, Edmundo / Cárdenas, Graciela / Fierro, Nora A

Viral immunology

2023 Volume 36, Issue 10, Page(s) 627–641

Abstract: Hepatitis E virus (HEV) exhibits tropism toward hepatocytes and thus affects the liver; however, HEV may also affect other tissues, including the heart, kidneys, intestines, testicles, and central nervous system. To date, the pathophysiological links ... ...

Abstract	Hepatitis E virus (HEV) exhibits tropism toward hepatocytes and thus affects the liver; however, HEV may also affect other tissues, including the heart, kidneys, intestines, testicles, and central nervous system. To date, the pathophysiological links between HEV infection and extrahepatic manifestations have not yet been established. Considering that HEV infects multiple types of cells, the direct effects of virus replication in peripheral tissues represent a plausible explanation for extrahepatic manifestations. In addition, since the immune response is crucial in the development of the disease, the immune characteristics of affected tissues should be revisited to identify commonalities explaining the effects of the virus. This review summarizes the most recent advances in understanding the virus biology and immune-privileged status of specific tissues as major elements for HEV replication in diverse organs. These discoveries may open avenues to explain the multiple extrahepatic manifestations associated with HEV infection and ultimately to design effective strategies for infection control.
MeSH term(s)	Humans ; Hepatitis E virus ; Immune Privilege ; Hepatitis E ; Biology
Language	English
Publishing date	2023-12-08
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	639075-4
ISSN	1557-8976 ; 0882-8245
ISSN (online)	1557-8976
ISSN	0882-8245
DOI	10.1089/vim.2023.0096
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Article ; Online: Cryptococcal Meningitis in a Mexican Neurological Center.

Cárdenas, Graciela / Vargas-García, Luis Felipe / Adames-Espinal, Heidy / Soto-Hernández, José Luis / Castañón-Olivares, Laura Rocío

The neurologist

2023 Volume 28, Issue 4, Page(s) 237–243

Abstract: Background: Cryptococcal meningitis, one of the most severe infections affecting the central nervous system, often involves severe neurological sequels and high mortality.: Methods: A retrospective review was performed, including 76 cases admitted in ...

Abstract	Background: Cryptococcal meningitis, one of the most severe infections affecting the central nervous system, often involves severe neurological sequels and high mortality. Methods: A retrospective review was performed, including 76 cases admitted in a 10-year period at a neurological referral center in Mexico City. From 68 isolates, 52 fungal specimens were identified as part of the Cryptococcus neoformans var. neoformans complex, 15 as C. neoformans var gattii complex, and one as Cryptococcus non- neoformans/gattii . Results: Higher cryptococcal meningitis incidence and severity were found in HIV-infected men; other risk factors frequently observed were diabetes mellitus and labor exposure to poultry. The main clinical manifestations were subacute headache, cognitive alterations, and photophobia (exclusively in HIV patients). MRI was highly sensitive for pathologic findings such as meningeal enhancements and cryptococcomas, most of them associated to C. neoformans complex. Eleven patients developed severe brain vasculitis, as observed by transcranial Doppler. Hydrocephalus with intracranial hypertension was the most frequent complication. Conclusions: One-half of the population died, and the rest had neurological sequels, mainly neuropsychiatric manifestations and secondary headaches. These patients developed severe functional limitations in performing daily activities in an independent manner.
MeSH term(s)	Male ; Humans ; Meningitis, Cryptococcal/complications ; Meningitis, Cryptococcal/epidemiology ; HIV Infections/complications ; Mexico/epidemiology ; Cryptococcus neoformans ; Cryptococcus gattii ; Headache/complications
Language	English
Publishing date	2023-07-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1361380-7
ISSN	2331-2637 ; 1074-7931
ISSN (online)	2331-2637
ISSN	1074-7931
DOI	10.1097/NRL.0000000000000482
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Article ; Online: Liquid biopsy in clinical outcomes and detection of T790M mutation in metastatic non-small cell lung cancer after progression to EGFR-TKI.

Heredia, David / Bolaño-Guerra, Laura / Valencia-Velarde, Angel / Santoyo, Edgar Varela / Lara-Mejía, Luis / Cárdenas-Fernández, Daniela / Orozco, Mario / Cruz-Rico, Graciela / Arrieta, Oscar

Cancer biomarkers : section A of Disease markers

2023

Abstract: Background: Liquid biopsy (LB) is used to detect epidermal growth factor receptor (EGFR) mutations in non-small cell lung cancer (NSCLC) and has been demonstrated to have prognostic and predictive value.: Objective: To associate the rates of EGFR and ...

Abstract	Background: Liquid biopsy (LB) is used to detect epidermal growth factor receptor (EGFR) mutations in non-small cell lung cancer (NSCLC) and has been demonstrated to have prognostic and predictive value. Objective: To associate the rates of EGFR and T790M mutations detected by LB during disease progression after first- or second-generation EGFR-TKIs with clinical characteristics and survival outcomes. Methods: From January 2018 to December 2021, 295 patients with advanced EGFR mutant (EGFRm) NSCLC treated with first- or second-generation EGFR-TKIs were retrospectively analyzed. LB was collected at the time of progression. The frequency of EGFRT790M mutations, overall survival (OS), and the clinical characteristics associated with LB positivity were determined. Results: The prevalence of EGFRT790M mutation detected using LB was 44%. In patients with negative vs. positive LB, the median OS was 45.0 months vs. 25.0 months (p= 0.0001), respectively. Patients with a T790M mutation receiving osimertinib had a median OS of 44 months (95% CI [33.05-54.99]). Clinical characteristics associated with positive LB at progression extra-thoracic involvement, > 3 metastatic sites, and bone metastases. Conclusions: Our findings showed that LB positivity was associated with worse survival outcomes and specific clinical characteristics. This study also confirmed the feasibility and detection rate of T790M mutation in a Latin American population.
Language	English
Publishing date	2023-11-23
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2203517-5
ISSN	1875-8592 ; 1574-0153 ; 1875-8592
ISSN (online)	1875-8592 ; 1574-0153
ISSN	1875-8592
DOI	10.3233/CBM-230124
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Article ; Online: Unveiling the Link Between Antiphospholipid Antibodies and Cognitive Dysfunction in the Almenara Lupus Cohort.

Velarde-Mejía, Yelitza / Gamboa-Cárdenas, Rocío / Zevallos, Francisco / Medina, Mariela / Rodriguez-Bellido, Zoila / Pastor-Asurza, Cesar / Alarcón, Graciela S / Ugarte-Gil, Manuel F

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases

2023 Volume 30, Issue 2, Page(s) 41–45

Abstract: Objective: Cognitive dysfunction is a prevalent manifestation of systemic lupus erythematosus (SLE). There is evidence for the role of antiphospholipid (aPL) antibodies on its etiopathogenesis. Our objective was to identify the association between aPL ... ...

Abstract	Objective: Cognitive dysfunction is a prevalent manifestation of systemic lupus erythematosus (SLE). There is evidence for the role of antiphospholipid (aPL) antibodies on its etiopathogenesis. Our objective was to identify the association between aPL antibodies and cognitive dysfunction in SLE patients. Methods: This cross-sectional study included 135 patients evaluated from March 2015 to October 2017 at one center. Cognitive deficit was measured using the NEUROPSI test. Disease activity and damage were ascertained using the SLEDAI-2K (SLE Disease Activity Index 2000) and the SDI (Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index), respectively; aPL antibodies were measured by enzyme-linked immunosorbent assay. The association between cognitive dysfunction and aPL antibodies was evaluated using univariable and multivariable linear regression models adjusted for age, sex, education, socioeconomic status, disease duration, SLEDAI-2K, SDI, mean current dose of prednisone, time of exposure to glucocorticoids, and drug use (immunosuppressants, hydroxychloroquine, aspirin, and warfarin). Results: One hundred thirty-one patients (97.1%) were women; their mean (SD) age was 46.6 (12.5) years; 59 patients (43.7%) had positivity for at least 1 aPL antibody. IgM anticardiolipin (aCL) was positive in 24.5%, IgG in 13.5%, IgM aβ2GP1 in 16.8%, IgG anti-β2 glycoprotein in 24.6%, and the lupus anticoagulant in 5.3%. Ninety patients (66.7%) had some cognitive dysfunction. In the univariable analysis, a significant correlation between the NEUROPSI score and IgM aCL antibodies was found (B = -20.87 [SE, 3.2]; p < 0.001), which remained significant in the multivariable model (B = -13.89 [SE, 3.14]; p < 0.001). Conclusions: IgM aCL antibodies are associated with cognitive dysfunction in patients with SLE. Larger and longitudinal studies are needed to assess the impact of these findings.
MeSH term(s)	Humans ; Female ; Middle Aged ; Male ; Antibodies, Antiphospholipid ; Cross-Sectional Studies ; Lupus Erythematosus, Systemic/complications ; Antiphospholipid Syndrome/complications ; Antiphospholipid Syndrome/diagnosis ; Antiphospholipid Syndrome/epidemiology ; Antibodies, Anticardiolipin ; Cognitive Dysfunction/epidemiology ; Cognitive Dysfunction/etiology ; Immunoglobulin G ; Immunoglobulin M
Chemical Substances	Antibodies, Antiphospholipid ; Antibodies, Anticardiolipin ; Immunoglobulin G ; Immunoglobulin M
Language	English
Publishing date	2023-12-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1283266-2
ISSN	1536-7355 ; 1076-1608
ISSN (online)	1536-7355
ISSN	1076-1608
DOI	10.1097/RHU.0000000000002049
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