Publications by authors named "Ana Espino"

Background/objectives: The relationship between macronutrient intake and cognitive decline in older adults with type 2 diabetes mellitus (T2DM) remains underexplored.

Methods: This cross-sectional study aimed to evaluate the association between the protein-to-carbohydrate energy ratio (%E:P) and cognitive impairment among 192 elderly T2DM patients. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA) and the Self-Administered Gerocognitive Exam (SAGE), while dietary intake data, including (%E:P), was gathered using a validated semi-quantitative food frequency questionnaire.

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Background: The coronavirus, SARS-CoV-2, is the causative agent for COVID-19, first registered in Wuhan, China and responsible for more than 6 million deaths worldwide. Currently, RT-PCR is the gold-standard method for diagnosing COVID-19. However, serological tests are needed for screening acute disease diagnosis and screening large populations during the COVID-19 outbreak.

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  • A study on 219 older patients with type 2 diabetes aimed to investigate the relationship between liver fibrosis, liver steatosis, and cognitive impairment.
  • Results showed that a significant number of patients had mild cognitive impairment (53.88%) or dementia (16.43%), and those with moderate to high risks of liver fibrosis were more likely to have cognitive issues.
  • The study concluded that liver fibrosis, indicated by a FIB-4 score greater than 1.54, is linked to cognitive impairment, suggesting it could be a potential biomarker for detecting cognitive decline in older diabetes patients.
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  • Type 2 diabetes mellitus currently affects 10.5% of adults worldwide, with predictions showing that by 2045, it could rise to one in eight adults, while mild cognitive impairment affects 19.7% of adults aged 50 and older, indicating a growing public health concern.
  • Both conditions have been increasingly prevalent over the last decade, with forecasts suggesting that dementia cases could nearly triple by 2050, and type 2 diabetes is a known risk factor for cognitive impairment.
  • The PHYND trial aims to test the effects of daily phytate supplementation on mild cognitive impairment progression in patients with type 2 diabetes, hypothesizing that phytate may enhance cognitive function and reduce iron buildup in the brain, potentially
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  • The study focused on comparing IgG antibody profiles in Puerto Rican individuals who recovered from COVID-19 and those vaccinated with mRNA vaccines, highlighting significant differences in immune responses.* -
  • Convalescent individuals showed strong and lasting antibody responses, especially IgG1 and IgG3, while vaccinated individuals primarily exhibited IgG1; those with prior infections and vaccinated had better protection against the Omicron variant.* -
  • Following the third vaccine dose, a notable increase in IgG4 levels was observed, linked to long-lasting immune responses, but raised concerns about the over-administration of boosters due to a potential shift towards immunotolerance.*
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Cervical cancer (CC) is women's fourth most common cancer worldwide. A worrying increase in CC rates in Hispanics suggests that besides Human papillomavirus infections, there may be other cofactors included in the epithelial microenvironment that could play a role in promoting the disease. We hypothesized that the cervical microbiome and the epithelial microenvironment favoring inflammation is conducive to disease progression in a group of Hispanics attending gynecology clinics in Puerto Rico.

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Sepsis is the consequence of a systemic bacterial infection that exacerbates the immune cell's activation via bacterial products, resulting in the augmented release of inflammatory mediators. A critical factor in the pathogenesis of sepsis is the primary component of the outer membrane of Gram-negative bacteria known as lipopolysaccharide (LPS), which is sensed by TLR4. For this reason, scientists have aimed to develop antagonists able to block TLR4 and, thereby the cytokine storm.

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Unlabelled: The helminth is known as a master of immunomodulation. It suppresses antigen specific Th1 responses in concurrent bacterial infections while promoting the Th2/Treg regulatory responses, thus demonstrating its anti-inflammatory ability . We have recently demonstrated that a single intraperitoneal injection with native Glutathione -Transferase (nFhGST), mostly comprised of mu-class isoforms, can suppresses the cytokine storm and increasing the survival rate in a mouse model of septic shock (1).

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Unlike other Flaviviruses, Zika virus (ZIKV) infection during the first trimester of pregnancy causes severe pregnancy outcomes including the devastating microcephaly and diseases associated with placental dysfunctions. We have previously reported that the maternal decidua basalis, the major maternal-fetal interface, serves as a replication platform enabling virus amplification before dissemination to the fetal compartment. However, the rate of congenital infection is quite low, suggesting the presence of a natural barrier against viral infection.

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Background: Global efforts are needed to elucidate the epidemiology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the underlying cause of coronavirus disease 2019 (COVID-19), including seroprevalence, risk factors, and long-term sequelae, as well as immune responses after vaccination across populations and the social dimensions of prevention and treatment strategies.

Methods: In the United States, the National Cancer Institute in partnership with the National Institute of Allergy and Infectious Diseases, established the SARS-CoV-2 Serological Sciences Network (SeroNet) as the nation's largest coordinated effort to study coronavirus disease 2019. The network comprises multidisciplinary researchers bridging gaps and fostering collaborations among immunologists, epidemiologists, virologists, clinicians and clinical laboratories, social and behavioral scientists, policymakers, data scientists, and community members.

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  • The National Cancer Institute established the Serological Sciences Network (SeroNet) in October 2020 to study immune responses to COVID-19 and enhance serological testing technologies.
  • SeroNet involves 25 research institutions collaborating on COVID-19 serological assays, including developing and sharing assay procedures and harmonization plans.
  • A structured approach was taken to calibrate various serological assays to reference standards, resulting in a wide range of developed assays that will allow for consistent reporting and future data comparisons across studies.
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  • - In October 2020, the National Cancer Institute launched the Serological Sciences Network (SeroNet) to research the immune response to COVID-19 and improve serological testing through collaboration among 25 research institutions.
  • - A detailed survey was conducted to gather information on various COVID-19 serological assays, while a protocol was established to calibrate these assays to reference standards for better data comparison.
  • - SeroNet institutions developed multiple COVID-19 serological assay methods and standardized calibration protocols, which will enhance the accuracy and comparability of future studies on SARS-CoV-2 and vaccine responses.
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The SARS-CoV-2 pandemic has impacted public health systems all over the world. The Delta variant seems to possess enhanced transmissibility, but no clear evidence suggests it has increased virulence. Our data show that pre-exposed individuals had similar neutralizing activity against the authentic COVID-19 strain and the Delta and Epsilon variants.

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In a previous study we demonstrated that Fasciola hepatica fatty acid binding protein (Fh12) significantly suppress macrophage function by inhibiting IL-6, IL-1β, tumor necrosis factor (TNF)-α and IL-12 production in TLR4-stimulated murine macrophages, an effect mediated through the signaling of CD14 co-receptor without affecting the viability of these cells. Given that dendritic cells (DCs) are immune cells that play a central role in the initiation of primary immune responses and that are the only antigen-presenting cells capable of stimulating naïve T-cells, in the present study we investigated the effect of Fh12 on DCs. We found that Fh12 exerts a strong suppressive effect on activation and function of DCs.

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The SARS-CoV-2 pandemic has impacted public health systems all over the world. The Delta variant seems to possess enhanced transmissibility, but no clear evidence suggests it has increased virulence. Our data shows that pre-exposed individuals had similar neutralizing activity against the authentic COVID-19 strain and the Delta and Epsilon variants.

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Both the SARS-CoV-2 pandemic and emergence of variants of concern have highlighted the need for functional antibody assays to monitor the humoral response over time. Antibodies directed against the spike (S) protein of SARS-CoV-2 are an important component of the neutralizing antibody response. In this work, we report that in a subset of patients-despite a decline in total S-specific antibodies-neutralizing antibody titers remain at a similar level for an average of 98 days in longitudinal sampling of a cohort of 59 Hispanic/Latino patients exposed to SARS-CoV-2.

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Article Synopsis
  • Patients with immune conditions were not included in Covid-19 vaccine trials, leading to uncertainties about vaccine responses in individuals on immune-modifying therapies.
  • The study aims to investigate the immune responses to Covid-19 vaccines in patients with Inflammatory Bowel Disease (IBD) undergoing biologic or immunomodulatory treatments.
  • Early results from 19 subjects showed that, while total IgG antibody levels were lower compared to healthy controls after vaccination, the neutralizing capacity was similar after the second dose, suggesting effective cellular immunity despite lower antibody responses.
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The placenta, the first and largest organ to develop after conception, not only nurtures and promotes the development of the conceptus, but, it also functions as a barrier against invading pathogens. Early phases of pregnancy are associated with expansion of specific subsets of Natural Killer cells (dNK) and macrophages (dMφ) at the maternal uterine mucosa, the basal decidua. In concert with cells of fetal origin, dNK cells, and dMφ orchestrate all steps of placenta and fetus development, and provide the first line of defense to limit vertical transmission.

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Vaccines represent preventative interventions amenable to immunogenetic prediction of how human variability will influence their safety and efficacy. The genetic polymorphism among individuals within any population can render possible that the immunity elicited by a vaccine is variable in length and strength. The same immune challenge (virus and/or vaccine) could provoke partial, complete or even failed protection for some individuals treated under the same conditions.

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Both the SARS-CoV-2 pandemic and emergence of variants of concern have highlighted the need for functional antibody assays to monitor the humoral response over time. Antibodies directed against the spike (S) protein of SARS-CoV-2 are an important component of the neutralizing antibody response. In this work, we report that in a subset of patients-despite a decline in total S-specific antibodies-neutralizing antibody titers remain at a similar level for an average of 98 days in longitudinal sampling of a cohort of 59 Hispanic/Latino patients exposed to SARS-CoV-2.

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The recent outbreak of Zika virus (ZIKV) was associated with birth defects and pregnancy loss when maternal infection occurs in early pregnancy, but specific mechanisms driving placental insufficiency and subsequent ZIKV-mediated pathogenesis remain unclear. Here we show, using large scale metabolomics, that ZIKV infection reprograms placental lipidome by impairing the lipogenesis pathways. ZIKV-induced metabolic alterations provide building blocks for lipid droplet biogenesis and intracellular membrane rearrangements to support viral replication.

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This chapter presents a proteomic approach to purify and identify native excretory-secretory products (ESPs) in the range of >10-30 kDa proteins capable of interacting with toll-like receptors (TLRs). Here we present a protocol to fractionate the total ESPs using an ultrafiltration system to recover ESP proteins >10-30 kDa. The fraction of the proteins >10-30 kDa is purified by ion exchange chromatography (IEC) using a mono Q-column in a fast protein liquid chromatography system (FPLC) to separate its components based on charge.

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This chapter presents the different techniques to purify the native forms of Fasciola hepatica fatty acid-binding protein (Fh12) using size exclusion chromatography and isoelectric focusing (IEF). Also, it presents the procedure to study the immunological effect of the purified protein Fh12 using monocyte-derived macrophages (MDM) obtained from healthy human donors. For this purpose, I present the procedure to isolate and culture peripheral blood mononuclear cells (PBMCs) to generate alternatively activated macrophages (AAMΦ) by in vitro exposure to Fh12.

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The aim of this study was to identify inflammation-associated markers during the early phase of sepsis in rhesus macaque. Four rhesus macaques were given an intravenous dose of 10 CFU/kg of . Blood samples were collected before, or 30 minutes, 2, 4, 6 and 8 hours after infusion.

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Parasitic helminths and helminth-derived molecules have demonstrated to possess powerful anti-inflammatory properties and confirmed therapeutic effects on inflammatory diseases. The helminth Fasciola hepatica has been reported to suppress specific Th1 specific immune responses induced by concurrent bacterial infections, thus demonstrating its anti-inflammatory ability in vivo. In this study, we demonstrate that native F.

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