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Article: Reply to: Characterisation of crevicular fluid microbiota in primary Sjögren's disease.

Martínez-Nava, Gabriela Angélica / Hernández-Hernández, Carlos / Ruiz-González, Vanessa / Llorente, Luis / Hernández-Molina, Gabriela

Clinical and experimental rheumatology

2024

Language	English
Publishing date	2024-03-28
Publishing country	Italy
Document type	Letter
ZDB-ID	605886-3
ISSN	1593-098X ; 0392-856X
ISSN (online)	1593-098X
ISSN	0392-856X
DOI	10.55563/clinexprheumatol/rmyoyk
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Book: La corona de las ciencias naturales

Arquiola, Elvira / Montiel, Luis

la medicina en el tránsito del siglo XVIII al XIX

(Estudios sobre la ciencia ; 20)

1993

Author's details	Elvira Arquiola ; Luis Montiel
Series title	Estudios sobre la ciencia ; 20
Collection
Keywords	History of Medicine, 18th Cent ; History of Medicine, 19th Cent ; Medizin ; Geschichte 1700-1900
Subject	Humanmedizin ; Heilkunst ; Medicine
Language	Spanish
Size	XXII, 392 S. : Ill.
Publisher	Consejo Superior de Investigaciones Cienfíficas
Publishing place	Madrid
Publishing country	Spain
Document type	Book
HBZ-ID	HT006219294
ISBN	84-00-07333-9 ; 978-84-00-07333-6
Database	Catalogue ZB MED Medicine, Health

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1994 B 715	order for loan	Magazin

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Article ; Online: Pancytopenia as Manifestation of Nonarticular Felty Syndrome.

Jakez-Ocampo, Juan / Atisha-Fregoso, Yemil / Llorente, Luis

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

2020 Volume 27, Issue 8S, Page(s) S613–S614

MeSH term(s)	Arthritis, Rheumatoid ; Felty Syndrome/complications ; Felty Syndrome/diagnosis ; Humans ; Pancytopenia/diagnosis ; Pancytopenia/etiology ; Splenomegaly
Language	English
Publishing date	2020-04-03
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.0000000000000906
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Article ; Online: Tear levels of IL-7, IL-1α, and IL-1β may differentiate between IgG4-related disease and Sjögren's syndrome.

Martín-Nares, Eduardo / Hernández-Molina, Gabriela / Lima, Guadalupe / Hernández-Ramírez, Diego Francisco / Chan-Campos, Isela / Saavedra-González, Vanessa / Llorente, Luis

Clinical rheumatology

2023 Volume 42, Issue 4, Page(s) 1101–1105

Abstract: We aim to assess and compare a cytokine and chemokine profile in tears from patients with IgG4-related disease (IgG4-RD) and Sjögren's syndrome (SS), and to see if this profile could aid in differentiating these two diseases. We included 10 patients with ...

Abstract	We aim to assess and compare a cytokine and chemokine profile in tears from patients with IgG4-related disease (IgG4-RD) and Sjögren's syndrome (SS), and to see if this profile could aid in differentiating these two diseases. We included 10 patients with IgG4-RD who met the Comprehensive Diagnostic Criteria for IgG4-RD and 17 patients who met the AECG criteria for primary SS. The Schirmer-I test was carried out using two standardized sterile tear strips, which were then immediately frozen at - 86 °C until assayed. The tears were extracted from the strips after they had been defrosted using a buffer containing 0.5 M NaCl and 0.5% Tween-20. The amounts (pg/ml) of the following cytokines and chemokines were then measured using luminometry: IFN-γ, TNF-α, G-CSF, IL-1-α, IL-1β, IL-4, IL-7, IL-12p40, IL-12p70, IL-13, IL-17A, CCL2, CCL3, CCL4, CCL11, and CXCL10. In the IgG4-RD group, seven patients had lacrimal gland involvement, five had dry eye symptoms, and six had a positive Schirmer-I test. In the SS group, 16 (94.1%) had dry eyes and all had a positive Schirmer-I test. We were able to differentiate between both diseases using levels of IL-7, IL-1α, and IL-1β; in particular, the IL-7/IL-1α and IL-7/IL-1β ratios had the best discriminatory potential, with cut-off values of 0.32 (AUC: 0.93, sensitivity: 94%, specificity: 80%, p = 0.0003) and 12.55 (AUC: 0.96, sensitivity: 94%, specificity: 90%, p = 0.0001), respectively. Our results suggest that IL-7, IL-1α, and IL-1β tear levels could help differentiate IgG4-RD from SS. Key Points • The lacrimal gland is frequently involved in IgG4-RD and SS. This characteristic makes both diseases mimics of one another. • Patients with IgG4-RD and SS have different profiles of tear cytokines and chemokines. • Tear IL-7, IL-1α, and IL-1β levels may serve as helpful biomarkers in separating IgG4-RD from SS.
MeSH term(s)	Humans ; Immunoglobulin G4-Related Disease/diagnosis ; Immunoglobulin G4-Related Disease/metabolism ; Interleukin-1alpha/chemistry ; Interleukin-1beta/chemistry ; Interleukin-7/chemistry ; Lacrimal Apparatus/metabolism ; Lacrimal Apparatus/pathology ; Sjogren's Syndrome/diagnosis ; Sjogren's Syndrome/metabolism ; Tears/chemistry ; Tears/metabolism
Chemical Substances	IL1A protein, human ; Interleukin-1alpha ; Interleukin-1beta ; Interleukin-7
Language	English
Publishing date	2023-01-11
Publishing country	Germany
Document type	Journal Article
ZDB-ID	604755-5
ISSN	1434-9949 ; 0770-3198
ISSN (online)	1434-9949
ISSN	0770-3198
DOI	10.1007/s10067-023-06501-2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Inflammatory profile in patients with rheumatoid arthritis and sarcopenia.

Lozada-Mellado, Mariel / Llorente, Luis / Hinojosa-Azaola, Andrea / Ogata-Medel, Midori / Valdez-Echeverría, Raymundo David / Lira-Reyes, Ana Rosalía / Castillo-Martínez, Lilia

Clinical rheumatology

2024

Abstract: Introduction: Sarcopenia is characterized by the loss of muscle mass and strength associated with aging; however, individuals with chronic diseases are at risk at the early stages. In rheumatoid arthritis (RA), sustained chronic inflammation influences ... ...

Abstract	Introduction: Sarcopenia is characterized by the loss of muscle mass and strength associated with aging; however, individuals with chronic diseases are at risk at the early stages. In rheumatoid arthritis (RA), sustained chronic inflammation influences muscle deterioration. It may expedite the development of sarcopenia, which has been linked to physical disability, cardiovascular events, disease activity of RA, and premature death. We aimed to compare the inflammatory profiles of patients with RA with and without sarcopenia. Methods: This cross-sectional study involved 165 women with RA. Sarcopenia was diagnosed according to criteria established by the European Working Group on Sarcopenia in Older People. To assess the inflammatory profile, concentrations of cytokines such as EGF, IL-17, IL-1α, IL-1β, IL-6, TNFα, TNFβ, and creatine kinase (CK) were measured. Results: The prevalence of sarcopenia was 15.8% (95% CI: 8.9-18.2). The median age of patients with sarcopenia was 59.5 years (49.8-65.3), compared to 50 years (43-59 years) p = 0.001. The disease duration was also longer in patients with sarcopenia, 21 years (15-30), compared to those without sarcopenia, 13 years (7.3-20) p = 0.001. The inflammatory profile differed between patients with and without sarcopenia, revealing that the cytokines IL-1α, IL-6, and TNFβ concentrations were significantly higher (p < 0.05) in patients with sarcopenia, adjusted for BMI, age, and disease duration. Conclusion: Patients with RA and sarcopenia were older and exhibited longer disease duration and higher levels of inflammatory cytokines compared to those without sarcopenia. These findings suggest potential implications for clinical outcomes. Key Points • The prevalence of sarcopenia in women with rheumatoid arthritis was 15.8% (95% CI, 8.9-18.2). • Levels of IL-1α, IL-6, and TNFβ cytokines were significantly higher in women with rheumatoid arthritis and sarcopenia compared with those without sarcopenia, adjusted for BMI, age, and disease duration.
Language	English
Publishing date	2024-04-26
Publishing country	Germany
Document type	Journal Article
ZDB-ID	604755-5
ISSN	1434-9949 ; 0770-3198
ISSN (online)	1434-9949
ISSN	0770-3198
DOI	10.1007/s10067-024-06974-9
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Article ; Online: Tear levels of IL-7, IL-1α, and IL-1β may differentiate between IgG4-related disease and Sjögren’s syndrome

Martín-Nares, Eduardo / Hernández-Molina, Gabriela / Lima, Guadalupe / Hernández-Ramírez, Diego Francisco / Chan-Campos, Isela / Saavedra-González, Vanessa / Llorente, Luis

Clin Rheumatol 2023 Apr., v. 42, no. 4, p. 1101-1105

2023 , Page(s) 1101–1105

Abstract: We aim to assess and compare a cytokine and chemokine profile in tears from patients with IgG4-related disease (IgG4-RD) and Sjögren’s syndrome (SS), and to see if this profile could aid in differentiating these two diseases. We included 10 patients with ...

Abstract	We aim to assess and compare a cytokine and chemokine profile in tears from patients with IgG4-related disease (IgG4-RD) and Sjögren’s syndrome (SS), and to see if this profile could aid in differentiating these two diseases. We included 10 patients with IgG4-RD who met the Comprehensive Diagnostic Criteria for IgG4-RD and 17 patients who met the AECG criteria for primary SS. The Schirmer-I test was carried out using two standardized sterile tear strips, which were then immediately frozen at − 86 °C until assayed. The tears were extracted from the strips after they had been defrosted using a buffer containing 0.5 M NaCl and 0.5% Tween-20. The amounts (pg/ml) of the following cytokines and chemokines were then measured using luminometry: IFN-γ, TNF-α, G-CSF, IL-1-α, IL-1β, IL-4, IL-7, IL-12p40, IL-12p70, IL-13, IL-17A, CCL2, CCL3, CCL4, CCL11, and CXCL10. In the IgG4-RD group, seven patients had lacrimal gland involvement, five had dry eye symptoms, and six had a positive Schirmer-I test. In the SS group, 16 (94.1%) had dry eyes and all had a positive Schirmer-I test. We were able to differentiate between both diseases using levels of IL-7, IL-1α, and IL-1β; in particular, the IL-7/IL-1α and IL-7/IL-1β ratios had the best discriminatory potential, with cut-off values of 0.32 (AUC: 0.93, sensitivity: 94%, specificity: 80%, p = 0.0003) and 12.55 (AUC: 0.96, sensitivity: 94%, specificity: 90%, p = 0.0001), respectively. Our results suggest that IL-7, IL-1α, and IL-1β tear levels could help differentiate IgG4-RD from SS.
Keywords	biomarkers ; chemokines ; interleukin-12 ; interleukin-13 ; interleukin-17 ; interleukin-4 ; interleukin-7 ; lacrimal apparatus ; polysorbates
Language	English
Dates of publication	2023-04
Size	p. 1101-1105
Publishing place	Springer International Publishing
Document type	Article ; Online
ZDB-ID	604755-5
ISSN	0770-3198
ISSN	0770-3198
DOI	10.1007/s10067-023-06501-2
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Cachexia measured by bioelectrical impedance vector analysis and risk of infection in women with rheumatoid arthritis

Ogata-Medel, Midori / Llorente, Luis / Hinojosa-Azaola, Andrea / Lozada-Mellado, Mariel / Pineda-Juarez, Juan Antonio / Rocha-Gonzalez, Hector Isaac / Castillo Martínez, Lilia

Clin Rheumatol. 2023 Feb., v. 42, no. 2, p. 391-397

2023 , Page(s) 391–397

Abstract: Rheumatoid arthritis (RA) patients have a higher frequency of infections than the healthy population. The reason has yet to be explained but involves several factors, of which body composition and rheumatoid cachexia are often overlooked. This study ... ...

Abstract	Rheumatoid arthritis (RA) patients have a higher frequency of infections than the healthy population. The reason has yet to be explained but involves several factors, of which body composition and rheumatoid cachexia are often overlooked. This study aimed to evaluate whether patients with cachexia, measured by bioelectrical impedance vector analysis, are at an increased risk of developing infections compared with patients without cachexia. A secondary analysis of 186 women with RA enrolled in a randomized trial (ClinicalTrials.gov ID: NCT02900898, September 14, 2016) was completed. Medical records and phone calls were used to record infectious events diagnosed and treated during follow-up. Hazard ratios were calculated using Cox proportional hazard regression analysis, and a predictive model of infection was created. After 36 months of follow-up, 62 patients (26.7% non-cachectic and 44.3% cachectic, p < 0.01) developed at least one infectious event. The most common site of was the urinary tract, followed by the lungs and respiratory tract. The presence of cachexia (HR 1.90, 95% CI 1.15–3.13) and the use of glucocorticoids (HR 1.77, 95% CI 1.01–3.09) were associated with infection in univariate and multivariate models. Body mass index (BMI), smoking, and methotrexate use were not associated with a higher frequency of infections. The presence of cachexia and the use of glucocorticoids were identified as predictors of infections in a cohort of female RA patients. More extensive measurements of body composition should be performed beyond BMI in RA patients to better understand its impact and to prevent additional comorbidities and complications. Key Points • The presence of cachexia measured by bioelectrical impedance vector analysis was associated with infectious events in women with rheumatoid arthritis, whereas body mass index did not show an association. • Glucocorticoids were the only drug associated with a higher frequency of infection. None of the disease-modifying antirheumatic drugs, including methotrexate, showed an association.
Keywords	bioelectrical impedance ; body composition ; body mass index ; cachexia ; females ; glucocorticoids ; methotrexate ; models ; regression analysis ; respiratory system ; rheumatoid arthritis ; risk ; urinary tract
Language	English
Dates of publication	2023-02
Size	p. 391-397
Publishing place	Springer International Publishing
Document type	Article ; Online
ZDB-ID	604755-5
ISSN	0770-3198
ISSN	0770-3198
DOI	10.1007/s10067-022-06431-5
Database	NAL-Catalogue (AGRICOLA)

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Article: Phimosis: A rare complication of immunotherapy with durvalumab.

Vázquez-Lavista, Luis Gabriel / Llorente, Luis / Alatorre-Alexander, Jorge / Ramírez-Muciño, José Arturo

Urology case reports

2020 Volume 33, Page(s) 101350

Abstract: We present a case of a 69 year old man with phimosis associated with immunotherapy with durvalumab for metastatic non-small-cell lung cancer. The patient developed vitiligo like dermatosis after the induction dose of durvalumab, subsequent administration ...

Abstract	We present a case of a 69 year old man with phimosis associated with immunotherapy with durvalumab for metastatic non-small-cell lung cancer. The patient developed vitiligo like dermatosis after the induction dose of durvalumab, subsequent administration of the immunotherapy the patient developed a fibrous ring of the foreskin. Immune-mediated adverse reactions have been described after the use of durvalumab, but, to our knowledge, there are no reports of phimosis and vitiligo like reactions.
Language	English
Publishing date	2020-07-16
Publishing country	United States
Document type	Case Reports
ZDB-ID	2745459-9
ISSN	2214-4420
ISSN	2214-4420
DOI	10.1016/j.eucr.2020.101350
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Article ; Online: Chronic lymphocytic leukaemia: could immunological tolerance mechanisms be the origin of lymphoid neoplasms?

García-Muñoz, Ricardo / Llorente, Luis

Immunology

2014 Volume 142, Issue 4, Page(s) 536–550

Abstract: Immunological tolerance theory in chronic lymphocytic leukaemia (CLL): we suggest that B cells that express B-cell receptors (BCR) that recognize their own BCR epitopes are viewed by immune system as 'dangerous cells'. BCR autonomous signalling may ... ...

Abstract	Immunological tolerance theory in chronic lymphocytic leukaemia (CLL): we suggest that B cells that express B-cell receptors (BCR) that recognize their own BCR epitopes are viewed by immune system as 'dangerous cells'. BCR autonomous signalling may induce constant receptor editing and mistakes in allelic exclusion. The fact that whole BCR recognizes a self-antigen or foreing antigen may be irrelevant in early B cell development. In early B cells, autonomous signalling induced by recognition of the BCR's own epitopes simulates an antigen-antibody engagement. In the bone marrow this interaction is viewed as recognition of self-molecules and induces receptor editing. In mature B cells autonomous signalling by the BCR may promote 'reversible anergy' and also may correct self-reactivity induced by the somatic hypermutation mechanisms in mutated CLL B cells. However, in unmutated CLL B cells, BCR autonomous signalling in addition to self-antigen recognition augments B cell activation, proliferation and genomic instability. We suggest that CLL originates from a coordinated normal immunologic tolerance mechanism to destroy self-reactive B cells. Additional genetic damage induced by tolerance mechanisms may immortalize self-reactive B cells and transform them into a leukemia.
MeSH term(s)	B-Lymphocytes/immunology ; B-Lymphocytes/pathology ; Humans ; Immune Tolerance ; Leukemia, Lymphocytic, Chronic, B-Cell/immunology ; Leukemia, Lymphocytic, Chronic, B-Cell/pathology ; Receptors, Antigen, B-Cell/immunology ; Signal Transduction/immunology
Chemical Substances	Receptors, Antigen, B-Cell
Language	English
Publishing date	2014-03-19
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	80124-0
ISSN	1365-2567 ; 0019-2805 ; 0953-4954
ISSN (online)	1365-2567
ISSN	0019-2805 ; 0953-4954
DOI	10.1111/imm.12285
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Article: Characterisation of crevicular fluid microbiota in primary Sjögren's syndrome.

Martínez-Nava, Gabriela Angélica / López-Reyes, Alberto / Hernández-Hernández, Carlos / Ruiz-González, Vanessa / Llorente-Chávez, Amaya / Saavedra-González, Vanessa / Llorente, Luis / Hernández-Molina, Gabriela

Clinical and experimental rheumatology

2023 Volume 41, Issue 12, Page(s) 2458–2466

Abstract: Objectives: To describe the taxonomy of the microbiota in crevicular fluid of primary Sjögren's syndrome (pSS) patients, and evaluate its association with clinical/serological variables, and oral quality of life.: Methods: Observational study that ... ...

Abstract	Objectives: To describe the taxonomy of the microbiota in crevicular fluid of primary Sjögren's syndrome (pSS) patients, and evaluate its association with clinical/serological variables, and oral quality of life. Methods: Observational study that included 48 pSS without diabetes mellitus, no active neoplasia, no antibiotic use in the previous two weeks, and no current active infection. We registered demographics, oral/ocular sicca symptoms, parotid enlargement and anti-Ro/La serology. We assessed the non-stimulated whole salivary flow (NSWSF), the EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI), and the Xerostomia-related Quality of Life Scale (XeQoLS). Two periodontists determined the presence of periodontal disease and collected crevicular fluid from 6 teeth using filter paper. Samples were frozen at -86°C until processing. We included 17 sex- and age-matched control subjects. Bacterial DNA was extracted from the crevicular fluid sample using a commercial kit. 16SrRNA V3-V4 region was sequenced using reversible adaptor technology. Sequences were pre-processed and analysed using QIIME2 and phyloseq software programs. Functionality profiles were predicted using the Tax4Fun2 package. Results: PSS patients had more bacteria of the genera Prevotella, Streptococcus, Veillonella, Fusobacterium, and Leptotrichia and fewer bacteria of the genus Selenomonas than controls. The pSS microbiota contained more genes encoding accessory secretory proteins. Microbiota also differed between patients with anti-Ro/La status, parotid gland enlargement, and periodontal disease severity, but did not correlate with NSWSF and XeQoLS. Conclusions: The crevicular fluid microbiota of pSS patients and controls differed significantly, even in SSP patients depending on their serology, parotid gland enlargement, and periodontal disease status.
MeSH term(s)	Humans ; Sjogren's Syndrome/complications ; Quality of Life ; Xerostomia ; Microbiota ; Periodontal Diseases
Language	English
Publishing date	2023-12-04
Publishing country	Italy
Document type	Observational Study ; Journal Article
ZDB-ID	605886-3
ISSN	1593-098X ; 0392-856X
ISSN (online)	1593-098X
ISSN	0392-856X
DOI	10.55563/clinexprheumatol/k3vx8u
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