Publications by authors named "Amalia Lamana"

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  • * Researchers genotyped 552 SNPs in genes related to bone health in 268 patients, using data from the PEARL study, and analyzed their connection to BMD using linear regression.
  • * Significant associations were found between specific SNPs in the RANK and OPG genes with clinical severity and BMD; one SNP (rs1805034) was highlighted as a potential biomarker for severity in rheumatoid arthritis patients.
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  • * Key findings indicated that certain genetic variations in the TYK2 and VIP genes were linked to a reduced severity of the disease, while variations in TLR7 and OAS1 were associated with increased severity.
  • * The research suggests that these genetic markers could help identify individuals at greater risk for severe COVID-19 outcomes.
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Several neuropeptides present in bone tissues, produced by nerve fibers and bone cells, have been reported to play a role in regulating the fine-tuning of osteoblast and osteoclast functions to maintain bone homeostasis. This study aims to characterize the influence of the neuropeptide vasoactive intestinal peptide (VIP) on the differentiation process of human mesenchymal stem cells (MSCs) into osteoblasts and on their anabolic function. We describe the mRNA and protein expression profile of VIP and its receptors in MSCs as they differentiate into osteoblasts, suggesting the presence of an autocrine signaling pathway in these cells.

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  • The study investigates the connection between SARS-CoV-2 viral load (viremia) and genetic variations (SNPs) linked to the severity of COVID-19 in a group of hospitalized patients at University Hospital La Princesa.
  • Out of 340 patients analyzed, only 37.1% had positive viremia, with specific SNPs (like rs2071746 and rs78958998) associated with a higher risk of viremia, while others (like rs11052877 and rs33980500) were linked to a lower risk.
  • The findings suggest that certain genetic variants contribute to differences in SARS-CoV-2 viremia among individuals, highlighting the
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  • - Galectin-1 (Gal1) is an important immune system regulator, and its levels in serum (sGal1) are increased in rheumatoid arthritis (RA) patients compared to healthy donors, but its role in spondyloarthritis (SpA) was previously unclear.
  • - A study comparing sGal1 levels in healthy donors, RA patients, and SpA patients found that sGal1 levels were significantly lower in SpA patients, similar to healthy individuals, while also establishing a cut-off to distinguish RA from SpA and healthy individuals.
  • - The findings suggest that sGal1 could serve as a useful diagnostic biomarker for RA, helping to differentiate it from SpA, although no correlation was found between sGal
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  • The study investigates the expression of vasoactive intestinal peptide (VIP) and its receptors VPAC1 and VPAC2 in patients with immune-mediated inflammatory disorders (IMID) to understand their shared mechanisms.
  • Results show that IMID patients had significantly higher levels of VIP and greater VPAC2 expression compared to healthy controls, making these markers potential indicators for diagnosing IMIDs.
  • Treatment with biological therapies, like anti-TNFα and anti-IL12/23, influenced serum VIP levels, and specific miRNA signatures were linked to VIP and VPAC2 levels, suggesting a deeper connection between these markers and IMIDs.
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  • Galectin 1 (Gal1) is linked to immune regulation and is found at higher levels in rheumatoid arthritis patients compared to healthy individuals.
  • The study aimed to identify genetic variants in the Gal1 gene (LGALS1) that influence its expression in early arthritis patients, focusing on three specific genetic markers.
  • Results showed that certain genetic variants correlated with higher Gal1 serum levels and lower IL-6 levels in patients, suggesting that these genetic factors contribute to differences in disease characteristics and treatment responses.
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  • Naïve CD4 T cells require different signals during activation to elicit a proper immune response, and this study focused on their behavior after stimulation for 14 days.
  • The findings revealed that activated CD4 T cells showed increased glucose needs and developed a pathogenic Th17 profile, indicating a potential flexibility towards a Th17/1 phenotype, while regulatory T cells did not appear functional.
  • The study also highlighted the role of the vasoactive intestinal peptide (VIP) system, which was found to modulate gene expressions related to Th17 stabilization and plasticity, underlining VIP's importance in T cell responses in various conditions.
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We aimed to evaluate the direct action of VIP on crucial molecules involved in human osteoclast differentiation and function. We also investigated the relationship between VIP serum levels and bone remodeling mediators in early arthritis patients. The expression of VIP receptors and osteoclast gene markers in monocytes and in vitro differentiated osteoclasts was studied by real-time PCR.

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Pro-inflammatory CD4CD28 T cells are characteristic of immunosenescence, but also of several autoimmune/inflammatory diseases. Vasoactive intestinal peptide (VIP) acts as an anti-inflammatory and immunomodulatory mediator on these cells. Our objective was to study the mutual influence between senescent Th cells and VIP axis in early arthritis (EA), comparing with non-EA donors.

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  • * The research involved analyzing Gal1 levels in serum and synovial fluid from 62 early arthritis patients and comparing them to 24 healthy individuals, revealing that RA patients had significantly higher Gal1 levels.
  • * While Gal1 levels were elevated in patients with RA, they did not correlate with the severity of the disease, indicating that Gal1 may be useful for diagnosis but not for assessing disease severity.
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  • Rheumatoid arthritis (RA) is a long-term inflammatory condition where the immune system attacks joints, leading to varying degrees of disease severity and joint damage for most patients.
  • Researchers identified suppressor of cytokine signaling 1 (SOCS1) as a key molecule that may help predict disease outcomes, finding that lower mRNA levels of SOCS1 are linked to worse disease activity and response to treatments like methotrexate and rituximab.
  • Genetic variations (single nucleotide polymorphisms) in the SOCS1 gene were also discovered that could aid in identifying early RA patients and their potential disease progression, emphasizing the importance of mRNA levels in guiding treatment decisions.
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Immune-mediated inflammatory disorders (IMID) are a group of diseases that present inflammation as a major pathogenic mechanism. They affect 15% of the population and pose a heavy socio-economic burden. Despite the growing knowledge on the etiopathogenesis of these diseases and the marked improvement in their management, there is a lack of predictive markers of IMID development or severity suitable for early diagnosis and adjustment of treatment intensity.

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The neuroendocrine and immune systems are coordinated to maintain the homeostasis of the organism, generating bidirectional communication through shared mediators and receptors. Vasoactive intestinal peptide (VIP) is the paradigm of an endogenous neuropeptide produced by neurons and endocrine and immune cells, involved in the control of both innate and adaptive immune responses. Exogenous administration of VIP exerts therapeutic effects in models of autoimmune/inflammatory diseases mediated by G-protein-coupled receptors (VPAC1 and VPAC2).

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The axis comprised by the Vasoactive Intestinal Peptide (VIP) and its G protein-coupled receptors (GPCRs), VPAC1, and VPAC2, belong to the B1 family and signal through Gs or Gq proteins. VPAC receptors seem to preferentially interact with Gs in inflammatory cells, rather than Gq, thereby stimulating adenylate cyclase activity. cAMP is able to trigger various downstream pathways, mainly the canonical PKA pathway and the non-canonical cAMP-activated guanine nucleotide exchange factor (EPAC) pathway.

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Objectives: Methotrexate (MTX) is the anchor drug for treatment of rheumatoid arthritis (RA), but the mechanism of its anti-inflammatory action is not fully understood. In RA, macrophages display a proinflammatory polarisation profile that resembles granulocyte-macrophage colony-stimulating factor (GM-CSF)-differentiated macrophages and the response to MTX is only observed in thymidylate synthase GM-CSF-dependent macrophages. To determine the molecular basis for the MTX anti-inflammatory action, we explored toll-like receptor (TLR), RA synovial fluid (RASF) and tumour necrosis factor receptor (TNFR)-initiated signalling in MTX-exposed GM-CSF-primed macrophages.

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We previously reported that early arthritis (EA) patients with low vasoactive intestinal peptide (VIP) serum levels demonstrate a worse clinical disease course. In this study, we analysed whether variants in the VIP gene correlated with its serum levels and clinical EA parameters. The VIP gene was sequenced in patients with extremely high/low VIP levels, measured by enzyme immunoassay.

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Objective: To analyze the effect of single nucleotide polymorphisms (SNPs) with well-known functional impact of methylenetetrahydrofolatereductase (MTHFR; rs1801131 and rs1801133), the membrane transporter ABCB1 (rs1045642), the AICAR transformylase/IMP cyclohydrolase (ATIC; rs2372536) and folyl-polyglutamatesynthetase (FPGS; rs1544105), on liver and bone marrow toxicity of methotrexate (MTX).

Patients And Methods: We analyzed 1415 visits from 350 patients of the PEARL (Princesa Early Arthritis Register Longitudinal) study: (732 with MTX, 683 without MTX). The different SNPs were genotyped using specific TaqMan probes (Applied Biosystems).

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Extracellular vesicles (EVs) are emerging as potent non-invasive biomarkers. However, current methodologies are time consuming and difficult to translate to clinical practice. To analyse EV-encapsulated circulating miRNA, we searched for a quick, easy and economic method to enrich frozen human serum samples for EV.

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Background: The vasoactive intestinal peptide (VIP) receptors VPAC1 and VPAC2 mediate anti-inflammatory and immunoregulatory responses in rheumatoid arthritis (RA). Data on the expression of these receptors could complement clinical assessment in the management of RA. Our goal was to investigate the correlation between expression of both receptors and the 28-Joint Disease Activity Score (DAS28) in peripheral blood mononuclear cells (PBMCs) from patients with early arthritis (EA).

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Objective: The T allele of rs7574865 in STAT4 confers risk of developing autoimmune disorders. However, its functional significance remains unclear. Here we analyze how rs7574865 affects the transcription of STAT4 and its protein expression.

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Spondyloarthritis (SpA) is a family of inflammatory diseases sharing clinical, genetic, and radiological features. While crucial for tailoring early interventions, validated prognostic biomarkers are scarce in SpA. We analyze the correlation between serum levels of vasoactive intestinal peptide (VIP) and disease activity/severity in patients with early chronic inflammatory back pain.

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Objective: Suitable biomarkers are essential for the design of therapeutic strategies in personalized medicine. Vasoactive intestinal peptide (VIP) has demonstrated immunomodulatory properties in autoimmune murine and ex vivo human models. Our aim was to study serum levels of VIP during the follow-up of an early arthritis (EA) cohort and to analyze its value as a biomarker predicting severity and therapeutic requirements.

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Background: The number of copies of the HLA-DRB1 shared epitope, and the minor alleles of the STAT4 rs7574865 and the PTPN22 rs2476601 polymorphisms have all been linked with an increased risk of developing rheumatoid arthritis. In the present study, we investigated the effects of these genetic variants on disease activity and disability in patients with early arthritis.

Methodology And Results: We studied 640 patients with early arthritis (76% women; median age, 52 years), recording disease-related variables every 6 months during a 2-year follow-up.

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The P-selectin glycoprotein ligand-1 (PSGL-1) is involved in the initial contact of leukocytes with activated endothelium, and its adhesive function is regulated through its proteolytic processing. We have found that the metalloprotease ADAM8 is both associated with PSGL-1 through the ezrin–radixin–moesin actin-binding proteins and able to cause the proteolytic cleavage of this adhesion receptor. Accordingly, ADAM8 knockdown increases PSGL-1 expression, and functional assays show that ADAM8 is able to reduce leukocyte rolling on P-selectin and hence on activated endothelial cells.

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