Publications by authors named "Antonio Perez-Perez"

Histones are essential nuclear proteins that package eukaryotic DNA into chromosomes, play a vital role in gene regulation, DNA replication, DNA repair and chromosome condensation. Understanding histone modifications is crucial for grasping biological and disease-related processes. Specific alterations in histone modifications serve as sensitive and selective biomarkers for conditions like cancer, impacting both tumor and immune cells and affecting their interactions.

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  • The study focuses on ulnar-basilic fistulas (UBFs) for hemodialysis, which are less common than radiocephalic fistulas due to specific anatomical challenges.
  • A retrospective review analyzed 11 UBFs created between 2008 and 2023, finding that while only 3.3% of functional distal AVFs were UBFs, many demonstrated immediate success.
  • The results indicated that UBFs are safe and durable options for hemodialysis despite technical difficulties, particularly for patients with multiple health issues.
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Introduction: All-cause mortality and cardiovascular mortality (CVM) risk can be very high in adults with type 2 diabetes mellitus (DM2) with previous cardiovascular disease (CVD). Our objective was to determine this risk among the different clinical spectrum of CVD.

Material And Methods: The DIABET-IC trial is a multicenter, prospective, observational, and analytical study.

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  • - The study focuses on how different titanium surface treatments (MACH, AE, GBLAST, GBLAST + AE) influence the effectiveness of dental implants by affecting osseointegration, which is essential for successful implantation.
  • - Four surface types were analyzed for their physical properties, revealing that GBLAST and GBLAST + AE surfaces exhibited better roughness and microhardness, which are important for cellular interaction and implant stability.
  • - The research found that human amniotic mesenchymal stem cells (hAMSCs) showed better viability and osteogenic differentiation on GBLAST surfaces compared to human epithelial stem cells (hAECs), indicating that specific implant surface treatments can enhance bone-forming capabilities.
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  • Obesity is a chronic disease marked by excess fat, leading to low-grade inflammation that promotes the release of proinflammatory substances, which can contribute to cancer development and progression.
  • Proinflammatory molecules, like those released during obesity, attract immunosuppressive cells called myeloid-derived suppressor cells (MDSCs) to tumors, which are linked to worse cancer outcomes.
  • The review analyzes how obesity-related MDSCs affect cancer in research and patients, highlights leptin's role in enhancing MDSC activity, and discusses therapeutic options aimed at targeting these cells in obesity-associated cancer.
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During pregnancy, apoptosis is a physiological event critical in the remodeling and aging of the placenta. Increasing evidence has pointed toward the relevance of hypoxia as modulator of trophoblast cell death. Previous reports have shown that leptin, a placental cytokine, promotes cell survival in both cell culture and placental explant models.

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  • Cardiovascular disease is a major concern for individuals with diabetes, even with normal LDL cholesterol levels, due to dyslipidaemia that includes high triglycerides and low HDL cholesterol.
  • Understanding the complex relationship between lipoprotein composition and cardiovascular risk is crucial for recognizing hidden threats in diabetes patients.
  • The review emphasizes three levels of lipoprotein analysis—routine tests, advanced NMR profiling, and the study of minor lipoprotein components—to improve research on cardiovascular disease in diabetes populations.
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  • Diabetes mellitus (DM), particularly type 2 diabetes, is a major global health issue, affecting 1 in 11 adults, mainly due to rising obesity rates since 2008.
  • Cardiovascular (CV) risk is a leading cause of health complications and deaths among these individuals, putting a strain on healthcare systems.
  • Leptin, a hormone related to fat cells, is crucial for regulating metabolism and inflammation; understanding its resistance in obese and diabetic patients could enhance CV disease management and prevention strategies.
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T-cell activation in patients with chronic rhinosinusitis with nasal polyps (CRSwNP) is enriched by late cytotoxic T cells. The proportion of early and intermediate activated cytotoxic T cells decreases in nasal polyps of patients with CRSwNP. Our results identify late activated cytotoxic T cells as potential biomarkers or therapeutic targets for patients with CRSwNP.

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Cardiovascular diseases (CVD) continue to be the main cause of death in our country. Adequate control of lipid metabolism disorders is a key challenge in cardiovascular prevention that is far from being achieved in real clinical practice. There is a great heterogeneity in the reports of lipid metabolism from Spanish clinical laboratories, which may contribute to its poor control.

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SARS-CoV-2 infection is the cause of the disease named COVID-19, a major public health challenge worldwide. Differences in the severity, complications and outcomes of the COVID-19 are intriguing and, patients with similar baseline clinical conditions may have very different evolution. Myeloid-derived suppressor cells (MDSCs) have been previously found to be recruited by the SARS-CoV-2 infection and may be a marker of clinical evolution in these patients.

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Objective: Zinc transporter 8 autoantibodies (ZNt8A) are 1 of the 4 main autoantibodies used for the diagnosis of type 1 diabetes (T1D), with glutamic acid decarboxylase autoantibodies (GADA), islet antigen-2 autoantibodies (IA-2A), and insulin autoantibodies (IAA). The objective of this study is to evaluate the diagnostic efficiency of these autoantibodies for the diagnosis of T1D in pediatric patients.

Methods: A retrospective analysis of patients under 16 years of age with suspected T1D was made between June 2020 and January 2021.

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  • The Spanish adaptation of the 2021 European Guidelines emphasizes both individual and population-level strategies for preventing cardiovascular diseases (CVD).
  • Systematic risk assessments for CVD are recommended for those with major vascular risk factors, and there is a new stepwise approach to treatment intensification based on individual patient profiles.
  • Updated tools like the SCORE2 algorithm for estimating 10-year CVD risk, along with tailored lifestyle and management recommendations for various risk categories, are included for different age groups and conditions, such as chronic kidney disease.
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Gestational diabetes mellitus (GDM) is the most frequent pathophysiological state of pregnancy, which in many cases produces fetuses with macrosomia, requiring increased nutrient transport in the placenta. Recent studies by our group have demonstrated that leptin is a key hormone in placental physiology, and its expression is increased in placentas affected by GDM. However, the effect of leptin on placental nutrient transport, such as transport of glucose, amino acids, and lipids, is not fully understood.

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The Royal Philanthropic Vaccine Expedition is considered in the history of medicine as the first international health expedition aimed at the global elimination of a contagious disease: smallpox. However, the initiatives carried out in this way before the arrival of the Balmis Expedition, by surgeons from the Spanish Navy, are less well known. Thus, the main objective of this research work is to offer an overview of the different anti-variolic vaccination initiatives prior to the campaign financed by the Spanish crown from these health facilities.

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Background: the success of strategies with earlier anti-TNF drugs for the treatment of inflammatory bowel disease (IBD) have been shadowed by the development of anti-drug antibodies that reduce their effectiveness. The HLA-DQA1*05 allele has been shown to increase the risk of immunogenicity to anti-TNF drugs by approximately two-fold. The negative impact of this allele has not been fully investigated for newer biotherapies.

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Cardiovascular diseases (CVD) continue to be the main cause of death in our country. Adequate control of lipid metabolism disorders is a key challenge in cardiovascular prevention that is far from being achieved in real clinical practice. There is a great heterogeneity in the reports of lipid metabolism from Spanish clinical laboratories, which may contribute to its poor control.

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Cardiovascular diseases (CVD) continue to be the main cause of death in our country. Adequate control of lipid metabolism disorders is a key challenge in cardiovascular prevention that is far from being achieved in real clinical practice. There is a great heterogeneity in the reports of lipid metabolism from Spanish clinical laboratories, which may contribute to its poor control.

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  • The placenta and extraembryonic tissues, especially the amniotic membrane, are promising sources of cells for regenerative medicine, particularly due to the presence of human amniotic epithelial cells (hAECs) with stem cell characteristics.
  • hAECs are advantageous because they have easy access, minimal ethical issues, can express markers typical of embryonic stem cells, and can differentiate into various cell types without forming tumors.
  • Given the critical need for liver treatments, this review explores the ability of hAECs to differentiate into liver cells and their potential use in addressing liver diseases and failures.
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Obesity, which is considered a pandemic due to its high prevalence, is a risk factor for many types of cancers, including lymphoma, through a variety of mechanisms by promoting an inflammatory state. Specifically, over the last few decades, obesity has been suggested not only to increase the risk of lymphoma but also to be associated with poor clinical outcomes and worse responses to different treatments for those diseases. Within the extensive range of proinflammatory mediators that adipose tissue releases, leptin has been demonstrated to be a key adipokine due to its pleotropic effects in many physiological systems and diseases.

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Background And Objective: Polycystic ovary syndrome (PCOS) is a complex metabolic disorder associated with ovulatory dysfunction, hyperandrogenism, obesity, and insulin resistance, which leads to subfertility. PCOS is the most frequent metabolic disorder in women and the major cause of infertility. Susceptibility to developing PCOS is determined by a complex interaction between environmental and genetic factors.

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We present the Spanish adaptation of the 2021 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice. The current guidelines besides the individual approach greatly emphasize on the importance of population level approaches to the prevention of cardiovascular diseases. Systematic global cardiovascular disease risk assessment is recommended in individuals with any major vascular risk factor.

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Obesity is a growing worldwide health problem, affecting many people due to excessive saturated fat consumption, lack of exercise, or a sedentary lifestyle. Leptin is an adipokine secreted by adipose tissue that increases in obesity and has central actions not only at the hypothalamic level but also in other regions and nuclei of the central nervous system (CNS) such as the cerebral cortex and hippocampus. These regions express the long form of leptin receptor LepRb, which is the unique leptin receptor capable of transmitting complete leptin signaling, and are the first regions to be affected by chronic neurocognitive deficits, such as mild cognitive impairment (MCI) and Alzheimer's Disease (AD).

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