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Article ; Online: Effects of ceramic additives and bioactive coatings on the degradation of polylactic acid-based bone scaffolds under hydrolytic conditions.

Donate, Ricardo / Monzón, Mario / Alemán-Domínguez, María Elena / Rodríguez-Esparragón, Francisco

Journal of biomedical materials research. Part B, Applied biomaterials

2022 Volume 111, Issue 2, Page(s) 429–441

Abstract: Polylactic acid (PLA) has been extensively used for the manufacturing of scaffolds in bone tissue engineering applications. Due to the low hydrophilicity and the acidic degradation process of this biomaterial, different strategies have been proposed to ... ...

Abstract	Polylactic acid (PLA) has been extensively used for the manufacturing of scaffolds in bone tissue engineering applications. Due to the low hydrophilicity and the acidic degradation process of this biomaterial, different strategies have been proposed to increase the biofunctionality of the support structure. The use of ceramic particles is a generally preferred option to increase the osteoconductivity of the base material, while acting as buffers to maintain the pH level of the surroundings tissues. Surface modification is another approach to overcome the limitations of PLA for tissue engineering applications. In this work, the degradation profile of 3D-printed PLA scaffolds containing beta-tricalcium phosphate (β-TCP) and calcium carbonate (CaCO
MeSH term(s)	Tissue Scaffolds/chemistry ; Polyesters/chemistry ; Tissue Engineering/methods ; Bone Regeneration ; Printing, Three-Dimensional
Chemical Substances	poly(lactide) (459TN2L5F5) ; Polyesters
Language	English
Publishing date	2022-09-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2099992-6
ISSN	1552-4981 ; 1552-4973 ; 0021-9304
ISSN (online)	1552-4981
ISSN	1552-4973 ; 0021-9304
DOI	10.1002/jbm.b.35162
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Article ; Online: An Artificial Intelligence Prediction Model of Insulin Sensitivity, Insulin Resistance, and Diabetes Using Genes Obtained through Differential Expression.

González-Martín, Jesús María / Torres-Mata, Laura B / Cazorla-Rivero, Sara / Fernández-Santana, Cristina / Gómez-Bentolila, Estrella / Clavo, Bernardino / Rodríguez-Esparragón, Francisco

Genes

2023 Volume 14, Issue 12

Abstract: Insulin is a powerful pleiotropic hormone that affects processes such as cell growth, energy expenditure, and carbohydrate, lipid, and protein metabolism. The molecular mechanisms by which insulin regulates muscle metabolism and the underlying defects ... ...

Abstract	Insulin is a powerful pleiotropic hormone that affects processes such as cell growth, energy expenditure, and carbohydrate, lipid, and protein metabolism. The molecular mechanisms by which insulin regulates muscle metabolism and the underlying defects that cause insulin resistance have not been fully elucidated. This study aimed to perform a microarray data analysis to find differentially expressed genes. The analysis has been based on the data of a study deposited in Gene Expression Omnibus (GEO) with the identifier "GSE22309". The selected data contain samples from three types of patients after taking insulin treatment: patients with diabetes (DB), patients with insulin sensitivity (IS), and patients with insulin resistance (IR). Through an analysis of omics data, 20 genes were found to be differentially expressed (DEG) between the three possible comparisons obtained (DB vs. IS, DB vs. IR, and IS vs. IR); these data sets have been used to develop predictive models through machine learning (ML) techniques to classify patients with respect to the three categories mentioned previously. All the ML techniques present an accuracy superior to 80%, reaching almost 90% when unifying IR and DB categories.
MeSH term(s)	Humans ; Insulin Resistance/genetics ; Artificial Intelligence ; Diabetes Mellitus/genetics ; Insulin/genetics ; Microarray Analysis
Chemical Substances	Insulin
Language	English
Publishing date	2023-11-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2527218-4
ISSN	2073-4425 ; 2073-4425
ISSN (online)	2073-4425
ISSN	2073-4425
DOI	10.3390/genes14122119
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Article ; Online: Persistence of SARS-CoV-2 infection on personal protective equipment (PPE).

Córdoba-Lanús, Elizabeth / García-Pérez, Omar / Cazorla-Rivero, Sara / Rodríguez-Esparragón, Francisco / Piñero, José-Enrique / Clavo, Bernardino / Lorenzo-Morales, Jacob

BMC infectious diseases

2021 Volume 21, Issue 1, Page(s) 1169

Abstract: Background: SARS-CoV-2 stability and infection persistence has been studied on different surfaces, but scarce data exist related to personal protective equipment (PPE), moreover using realist viral loads for infection. Due to the importance for adequate ...

Abstract	Background: SARS-CoV-2 stability and infection persistence has been studied on different surfaces, but scarce data exist related to personal protective equipment (PPE), moreover using realist viral loads for infection. Due to the importance for adequate PPE management to avoid risk of virus infection, RNA stability was evaluated on PPE. Methods: Persistence of SARS-CoV-2 infection and detection of genomic RNA in PPE (gowns and face masks) were determined by in-vitro assays and RT-qPCR, respectively. Samples were infected with a clinical sample positive for SARS-CoV-2 (Clin-Inf), and with a heat-inactivated SARS-CoV-2 strain sample (Str-Inf) as a control. Results: PPE samples infected with Clin-Inf were positive for the 3 viral genes on gowns up to 5 days post-infection, whereas these overall genes were detected up to 30 days in the case of face masks. However, gowns and FFP2 masks samples contaminated with Clin-Inf showed a cytopathic effect over VERO cells up to 5-7 days post-infection. Conclusions: SARS-CoV-2 RNA was detected on different PPE materials for 5 to 30 days, but PPE contaminated with the virus was infectious up to 5-7 days. These findings demonstrate the need to improve PPE management and to formulate strategies to introduce viricidal compounds in PPE fabrics.
MeSH term(s)	Animals ; COVID-19 ; Chlorocebus aethiops ; Health Personnel ; Humans ; Infection Control ; Personal Protective Equipment ; RNA, Viral/genetics ; SARS-CoV-2 ; Vero Cells
Chemical Substances	RNA, Viral
Language	English
Publishing date	2021-11-19
Publishing country	England
Document type	Journal Article
ISSN	1471-2334
ISSN (online)	1471-2334
DOI	10.1186/s12879-021-06861-7
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Article ; Online: Effects of Ozone Treatment on Health-Related Quality of Life and Toxicity Induced by Radiotherapy and Chemotherapy in Symptomatic Cancer Survivors.

Clavo, Bernardino / Cánovas-Molina, Angeles / Ramallo-Fariña, Yolanda / Federico, Mario / Rodríguez-Abreu, Delvys / Galván, Saray / Ribeiro, Ivone / Marques da Silva, Susana C / Navarro, Minerva / González-Beltrán, Damián / Díaz-Garrido, Juan A / Cazorla-Rivero, Sara / Rodríguez-Esparragón, Francisco / Serrano-Aguilar, Pedro

International journal of environmental research and public health

2023 Volume 20, Issue 2

Abstract: 1) Background: The continuous improvement in cancer treatment has led to improvement in patients’ survival and a subsequent increase in the number of cancer survivors living with adverse side effects of cancer treatments, sometimes with a high and ... ...

Abstract	(1) Background: The continuous improvement in cancer treatment has led to improvement in patients’ survival and a subsequent increase in the number of cancer survivors living with adverse side effects of cancer treatments, sometimes with a high and adverse impact on their health-related quality of life (HRQOL). Side effects of cancer treatments are frequently associated with chronic status of oxidative stress, inflammation, and/or ischemia. The potential for ozone treatment to modulate those processes and improve some of those adverse effects has previously been described. The aim of this study was to evaluate the effect of ozone treatment on the HRQOL and grade of toxicity in symptomatic cancer survivors. (2) Methods: Before and after ozone treatment, we assessed (i) the HRQOL (according to the EQ-5D-5L questionnaire) and (ii) the grade of toxicity (according to the Common Terminology Criteria for Adverse Events of the National Cancer Institute of EEUU (CTCAE v.5.0)) in 26 cancer survivors with chronic side effects of radiotherapy and chemotherapy. (3) Results: There was a significant (p < 0.001) improvement in the EQ-5D-5L index as per the self-reported outcome evaluation of patients’ health status. All the dimensions of the EQ-5D-5L questionnaire (mobility, self-care, activities, pain/discomfort, and anxiety/depression) and the self-evaluation of the health status using the visual analog scale were significantly improved (p < 0.05). The grade of toxicity was also significantly decreased (p < 0.001). (4) Conclusions: In cancer survivors with chronic side effects of cancer treatment, ozone treatment can improve the grade of toxicity and the HRQOL. These results merit additional research. Further studies are ongoing.
MeSH term(s)	Humans ; Quality of Life ; Cancer Survivors ; Cross-Sectional Studies ; Health Status ; Surveys and Questionnaires ; Neoplasms
Language	English
Publishing date	2023-01-13
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20021479
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Article: Effects of ozone therapy on anxiety and depression in patients with refractory symptoms of severe diseases: a pilot study.

Clavo, Bernardino / Cánovas-Molina, Angeles / Díaz-Garrido, Juan A / Cañas, Silvia / Ramallo-Fariña, Yolanda / Laffite, Horus / Federico, Mario / Rodríguez-Abreu, Delvys / Galván, Saray / García-Lourve, Carla / González-Beltrán, Damián / Caramés, Miguel A / Hernández-Fleta, Jose L / Serrano-Aguilar, Pedro / Rodríguez-Esparragón, Francisco

Frontiers in psychology

2023 Volume 14, Page(s) 1176204

Abstract: Background: Patients with refractory symptoms of severe diseases frequently experience anxiety, depression, and an altered health-related quality of life (HRQOL). Some publications have described the beneficial effect of ozone therapy on several ... ...

Abstract	Background: Patients with refractory symptoms of severe diseases frequently experience anxiety, depression, and an altered health-related quality of life (HRQOL). Some publications have described the beneficial effect of ozone therapy on several symptoms of this kind of patient. The aim of this study was to preliminarily evaluate, in patients treated because of refractory symptoms of cancer treatment and advanced nononcologic diseases, if ozone therapy has an additional impact on self-reported anxiety and depression. Methods: Before and after ozone treatment, we assessed (i) anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS); (ii) the HRQOL (according to the EQ-5D-5L questionnaire), which includes a dimension on anxiety and depression and a visual analog scale (VAS) measuring self-perceived general health. Results: Before ozone therapy, 56% of patients were on anxiolytic and/or antidepressant treatment. Before and after ozone therapy, the anxiety and depression HADS subscales (i) significantly correlated with the anxiety/depression dimension of the EQ-5D-5L questionnaire and (ii) inversely correlated with the health status as measured by the VAS. After ozone therapy, we found a significant improvement in anxiety and depression measured by both the (i) HADS subscales and (ii) EQ-5D-5L questionnaire. Conclusion: The addition of ozone therapy for patients with refractory symptoms of cancer treatment and advanced chronic nononcologic diseases can decrease anxiety and depression severity levels. Additional, more focused studies are ongoing to provide the needed explanatory information for this finding.
Language	English
Publishing date	2023-08-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2563826-9
ISSN	1664-1078
ISSN	1664-1078
DOI	10.3389/fpsyg.2023.1176204
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Article ; Online: Analysis of ANRIL Isoforms and Key Genes in Patients with Severe Coronary Artery Disease.

Rodríguez-Esparragón, Francisco / Torres-Mata, Laura B / Cazorla-Rivero, Sara E / Serna Gómez, Jaime A / González Martín, Jesús M / Cánovas-Molina, Ángeles / Medina-Suárez, José A / González-Hernández, Ayose N / Estupiñán-Quintana, Lidia / Bartolomé-Durán, María C / Rodríguez-Pérez, José C / Varas, Bernardino Clavo

International journal of molecular sciences

2023 Volume 24, Issue 22

Abstract: ANRIL (Antisense Noncoding RNA in the INK4 Locus), also named CDKN2B-AS1, is a long non-coding RNA with outstanding functions that regulates genes involved in atherosclerosis development. ANRIL genotypes and the expression of linear and circular isoforms ...

Abstract	ANRIL (Antisense Noncoding RNA in the INK4 Locus), also named CDKN2B-AS1, is a long non-coding RNA with outstanding functions that regulates genes involved in atherosclerosis development. ANRIL genotypes and the expression of linear and circular isoforms have been associated with coronary artery disease (CAD). The CDKN2A and the CDKN2B genes at the CDKN2A/B locus encode the Cyclin-Dependent Kinase inhibitor protein (CDKI) p16INK4a and the p53 regulatory protein p14ARF, which are involved in cell cycle regulation, aging, senescence, and apoptosis. Abnormal ANRIL expression regulates vascular endothelial growth factor (VEGF) gene expression, and upregulated Vascular Endothelial Growth Factor (VEGF) promotes angiogenesis by activating the NF-κB signaling pathway. Here, we explored associations between determinations of the linear, circular, and linear-to-circular ANRIL gene expression ratio, CDKN2A, VEGF and its receptor kinase insert domain-containing receptor (KDR) and cardiovascular risk factors and all-cause mortality in high-risk coronary patients before they undergo coronary artery bypass grafting surgery (CABG). We found that the expression of ANRIL isoforms may help in the prediction of CAD outcomes. Linear isoforms were correlated with a worse cardiovascular risk profile while the expression of circular isoforms of ANRIL correlated with a decrease in oxidative stress. However, the determination of the linear versus circular ratio of ANRIL did not report additional information to that determined by the evaluation of individual isoforms. Although the expressions of the VEFG and KDR genes correlated with a decrease in oxidative stress, in binary logistic regression analysis it was observed that only the expression of linear isoforms of ANRIL and VEGF significantly contributed to the prediction of the number of surgical revascularizations.
MeSH term(s)	Humans ; Coronary Artery Disease/genetics ; Vascular Endothelial Growth Factor A ; RNA, Long Noncoding/genetics ; RNA, Long Noncoding/metabolism ; NF-kappa B/genetics ; Cyclin-Dependent Kinase Inhibitor p16/genetics ; Protein Isoforms/genetics
Chemical Substances	Vascular Endothelial Growth Factor A ; RNA, Long Noncoding ; NF-kappa B ; Cyclin-Dependent Kinase Inhibitor p16 ; Protein Isoforms
Language	English
Publishing date	2023-11-09
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2019364-6
ISSN	1422-0067 ; 1422-0067 ; 1661-6596
ISSN (online)	1422-0067
ISSN	1422-0067 ; 1661-6596
DOI	10.3390/ijms242216127
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Article ; Online: A Review of Genetic Polymorphisms and Susceptibilities to Complications after Aneurysmal Subarachnoid Hemorrhage.

Medina-Suárez, Jose / Rodríguez-Esparragón, Francisco / Sosa-Pérez, Coralia / Cazorla-Rivero, Sara / Torres-Mata, Laura B / Jiménez-O'Shanahan, Aruma / Clavo, Bernardino / Morera-Molina, Jesús

International journal of molecular sciences

2022 Volume 23, Issue 23

Abstract: Delayed cerebral ischemia (DCI) and vasospasm are two complications of subarachnoid hemorrhages (SAHs) which entail high risks of morbidity and mortality. However, it is unknown why only some patients who suffer SAHs will experience DCI and vasospasm. ... ...

Abstract	Delayed cerebral ischemia (DCI) and vasospasm are two complications of subarachnoid hemorrhages (SAHs) which entail high risks of morbidity and mortality. However, it is unknown why only some patients who suffer SAHs will experience DCI and vasospasm. The purpose of this review is to describe the main genetic single nucleotide polymorphisms (SNPs) that have demonstrated a relationship with these complications. The SNP of the nitric oxide endothelial synthase (eNOS) has been related to the size and rupture of an aneurysm, as well as to DCI, vasospasm, and poor neurological outcome. The SNPs responsible for the asymmetric dimetilarginine and the high-mobility group box 1 have also been associated with DCI. An association between vasospasm and the SNPs of the eNOS, the haptoglobin, and the endothelin-1 receptor has been found. The SNPs of the angiotensin-converting enzyme have been related to DCI and poor neurological outcome. Studies on the SNPs of the Ryanodine Receptor yielded varying results regarding their association with vasospasm.
Language	English
Publishing date	2022-12-06
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2019364-6
ISSN	1422-0067 ; 1422-0067 ; 1661-6596
ISSN (online)	1422-0067
ISSN	1422-0067 ; 1661-6596
DOI	10.3390/ijms232315427
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Article: Long-term improvement by ozone treatment in chronic pain secondary to chemotherapy-induced peripheral neuropathy: A preliminary report.

Clavo, Bernardino / Rodríguez-Abreu, Delvys / Galván, Saray / Federico, Mario / Martínez-Sánchez, Gregorio / Ramallo-Fariña, Yolanda / Antonelli, Carla / Benítez, Gretel / Rey-Baltar, Dolores / Jorge, Ignacio J / Rodríguez-Esparragón, Francisco / Serrano-Aguilar, Pedro

Frontiers in physiology

2022 Volume 13, Page(s) 935269

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2022-08-30
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564217-0
ISSN	1664-042X
ISSN	1664-042X
DOI	10.3389/fphys.2022.935269
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Article ; Online: Clinical relevance of circulating angiogenic cells in patients with ischemic stroke.

Rodríguez-Esparragón, Francisco / Torres-Mata, Laura B / López-Fernández, Juan Carlos / Cappiello, Laura / González-Martín, Jesús M / Clavo, Bernardino / Serna-Gómez, Jaime A / Estupiñán-Quintana, Lidia / Torres-Ascensión, Cristina / Villar, Jesús

BMC cardiovascular disorders

2022 Volume 22, Issue 1, Page(s) 118

Abstract: Background: Endothelial progenitor cells (EPCs) are circulating angiogenic cells with endothelial features associated with risk for stroke. We aimed to delve into their functional characteristics. EPCs were isolated and cultured from Ischemic Stroke (IS) ...

Abstract	Background: Endothelial progenitor cells (EPCs) are circulating angiogenic cells with endothelial features associated with risk for stroke. We aimed to delve into their functional characteristics. EPCs were isolated and cultured from Ischemic Stroke (IS) patients and predictors of their variance evaluated. Methods: This is a single-center observational study evaluating 187 consecutively hospitalized patients with IS. EPCs were isolated from blood samples. The number of circulating angiogenic cells (CACs), colony-forming units (CFU-ECs) and the emergence of late outgrowths endothelial cells (LOECs) were counted. We collected clinical variables and measured the stromal cell-derived factor 1 alpha (SDF1α) serum levels. We also examined the relative telomere length and the expression of osteogenic gene markers in CACs. Results: CACs counts and CFU-ECs colony numbers were positively correlated (rho = 0.41, p < 0.001, n = 187). We found significant differences according to whether thrombolytic treatment was performed in the distribution of CFU-ECs (odds ratio (OR) = 2.5; 95% confidence interval (CI) 1.01-6.35; p = 0.042) and CACs (OR = 4.45; 95% IC 1.2-15.5; p = 0.012). The main determinants of CACs variation were the number of risks factors, thrombolysis treatment, arterial hypertension, LOECs occurrence, and the vascular endothelial growth factor expression, whereas CFU-ECs variations depended on hemoglobin content and the relative reduction in the National Institutes of Health Stroke Scale (NIHSS) criteria. The main predictors of LOECs appearance were thrombolysis and length of hospital stay. Conclusions: Our study supports the relevance of patient risk factors and treatments in the analysis of the functional properties of EPCs.
MeSH term(s)	Endothelial Progenitor Cells ; Humans ; Ischemic Stroke ; Stem Cells/metabolism ; Stroke/diagnosis ; Stroke/therapy ; Vascular Endothelial Growth Factor A/metabolism
Chemical Substances	Vascular Endothelial Growth Factor A
Language	English
Publishing date	2022-03-21
Publishing country	England
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2059859-2
ISSN	1471-2261 ; 1471-2261
ISSN (online)	1471-2261
ISSN	1471-2261
DOI	10.1186/s12872-021-02421-8
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Article ; Online: Ozone treatment effectively eliminates SARS-CoV-2 from infected face masks.

Córdoba-Lanús, Elizabeth / García-Pérez, Omar / Rodríguez-Esparragón, Francisco / Bethencourt-Estrella, Carlos J / Torres-Mata, Laura B / Blanco, Angeles / Villar, Jesús / Sanz, Oscar / Díaz, Juan J / Martín-Barrasa, José L / Serrano-Aguilar, Pedro / Piñero, José-Enrique / Clavo, Bernardino / Lorenzo-Morales, Jacob

PloS one

2022 Volume 17, Issue 7, Page(s) e0271826

Abstract: The current COVID-19 pandemic is causing profound health, economic, and social problems worldwide. The global shortage of medical and personal protective equipment (PPE) in specialized centers during the outbreak demonstrated the need for efficient ... ...

Abstract	The current COVID-19 pandemic is causing profound health, economic, and social problems worldwide. The global shortage of medical and personal protective equipment (PPE) in specialized centers during the outbreak demonstrated the need for efficient methods to disinfect and recycle them in times of emergency. We have previously described that high ozone concentrations destroyed viral RNA in an inactivated SARS-CoV-2 strain within a few minutes. However, the efficient ozone dosages for active SARS-CoV-2 are still unknown. The present study aimed to evaluate the systematic effects of ozone exposure on face masks from hospitalized patients infected with SARS-CoV-2. Face masks from COVID-19 patients were collected and treated with a clinical ozone generator at high ozone concentrations in small volumes for short periods. The study focused on SARS-CoV-2 gene detection (assessed by real-time quantitative polymerase chain reaction (RT-qPCR)) and on the virus inactivation by in vitro studies. We assessed the effects of different high ozone concentrations and exposure times on decontamination efficiency. We showed that high ozone concentrations (10,000, 2,000, and 4,000 ppm) and short exposure times (10, 10, and 2 minutes, respectively), inactivated both the original strain and the B.1.1.7 strain of SARS-CoV-2 from 24 contaminated face masks from COVID-19 patients. The validation results showed that the best condition for SARS-CoV-2 inactivation was a treatment of 4,000 ppm of ozone for 2 minutes. Further studies are in progress to advance the potential applications of these findings.
MeSH term(s)	COVID-19/prevention & control ; Humans ; Masks ; Ozone/pharmacology ; Ozone/therapeutic use ; Pandemics/prevention & control ; SARS-CoV-2
Chemical Substances	Ozone (66H7ZZK23N)
Language	English
Publishing date	2022-07-22
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0271826
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