Publications by authors named "Nunez-Alvarez C"

Objectives: To evaluate the prevalence and clinical associations of anti-C1q antibodies in IgG4-related disease (IgG4-RD), focusing on renal involvement and cutaneous small-vessel vasculitis (CSVV).

Methods: We enrolled patients who met the revised 2020 Comprehensive Diagnostic Criteria and/or the 2019 ACR/EULAR Classification Criteria for IgG4-RD. Variables included demographics, organ involvement, clinical phenotypes, disease activity, serum biomarkers, follow-up duration, remission, and relapses.

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  • The study focuses on "post-acute COVID-19 syndrome" (PACS), also known as long COVID, which affects a significant portion of survivors, with 37.2% of participants meeting PACS criteria 7-19 months post-infection.
  • Researchers examined clinical, immunological, and metabolomic factors in 51 patients and found notable differences in immune responses and metabolite levels associated with PACS.
  • Key findings included elevated levels of certain immune cells and metabolites like interleukin-8 and pyruvate in PACS patients, suggesting that these biomarkers during acute infection could help predict the risk of developing PACS.
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  • * A total of 99 adult IIM patients were assessed for various autoantibodies, revealing that 70.7% tested positive for at least one antibody related to CD, while duodenal biopsy confirmed CD in 2% of cases.
  • * The study found that specific antibodies (e.g., anti-MDA5 and anti-Mi2) were significantly associated with positive CD serology, highlighting the importance of recognizing IIM patients as a high-risk group for
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Objectives: To assess nailfold video capillaroscopic (NVC) abnormalities and their association with clinical features, myositis-specific autoantibodies (MSA), and myositis-associated antibodies (MAA) in a large multi-ethnic cohort of patients with idiopathic inflammatory myopathies (IIM).

Methods: We recruited 155 IIM patients from three centres in Mexico, Spain, and the USA. We evaluated the clinical and laboratory features of the patients and performed semiquantitative and quantitative analyses of the NVC.

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Introduction: Immunoglobulin A (IgA) is the main antibody isotype in body fluids such as tears, intestinal mucous, colostrum, and saliva. There are two subtypes of IgA in humans: IgA1, mainly present in blood and mucosal sites, and IgA2, preferentially expressed in mucosal sites like the colon. In clinical practice, immunoglobulins are typically measured in venous or capillary blood; however, alternative samples, including saliva, are now being considered, given their non-invasive and easy collection nature.

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Background: Currently, there is scant information regarding the features associated to the persistence of post-COVID-19 syndrome, which is the main aim of the present study.

Methods: A cohort study of 102 COVID-19 patients was conducted. The post-COVID-19 symptoms were assessed by a standardised questionnaire.

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  • Research on long-term antibody responses to COVID-19 focused on anti-SARS-CoV-2 IgG titers without considering patients' baseline immune profiles, which may affect antibody responses.
  • The study followed 103 COVID-19 patients, assessing their immune profiles and antibody levels at multiple time points over six months to identify factors linked to sustained immunity.
  • Findings indicated that critical illness status and certain immune factors at baseline were significantly associated with a prolonged immune response, highlighting the importance of early immune characteristics in recovery.
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  • The study aimed to evaluate the levels of myeloid-derived suppressor cells (MDSCs) and their markers in patients with idiopathic inflammatory myopathies (IIMs), particularly focusing on their expression of arginase-1 and PD-L1.
  • A total of 37 IIM patients and 10 healthy individuals were analyzed for clinical features and MDSC levels using flow cytometry, revealing a distinct expansion of both PMN-MDSCs and M-MDSCs in IIM patients with significant increases in PD-L1 expression.
  • The findings indicate that MDSC levels and their characteristics can influence disease activity and correlate with various inflammatory cytokines, highlighting their potential role in disease progression and as therapeutic targets in I
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Background: Serum anti-myenteric autoantibodies define autoimmune achalasia and tissue MMP-9 activity may locally process autoantigenic proteins in the muscle of the lower esophageal sphincter (LES) of achalasia patients.

Methods: Biopsies of the LES muscle from 36 achalasia patients, 6 esophagogastric junction outflow obstruction (EGJOO) patients, and 16 transplant donors (TD) were compared in a blind cross-sectional study. Histological characteristics such as inflammation, fibrosis, presence of ganglion cells, cells of Cajal, GAD65, PNMA2, S-100, P substance, and MMP-9 proteoforms in tissue were assessed by H&E and Picrosirius Red staining and immunohistochemistry analysis.

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Introduction: Anti-phospatidylserine/prothrombin (aPS/PT) antibodies have been described in cutaneous Polyarteritis Nodosa (PAN) in association with specific manifestations.

Objectives: To determine aPS/PT antibodies in patients with PAN and its correlation with clinical manifestations.

Methods: Cross-sectional comparative study including PAN patients and 20 controls (10 Microscopic Polyangiitis [MPA] and 10 Behçet's disease [BD]).

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Background: Colchicine is an available, safe, and effective anti-inflammatory drug and has been suggested as a COVID-19 treatment, but its usefulness in hospitalized severe COVID-19 patients has not been thoroughly demonstrated.

Objective: To address the safety and efficacy of colchicine in hospitalized patients with severe COVID-19.

Design: We conducted a triple-blind parallel non-stratified placebo-controlled clinical trial.

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  • COVID-19 is linked to increased production of neutrophil extracellular traps (NETs) and associated autoimmune responses, particularly in severe cases.
  • The study found that patients with severe/critical COVID-19 had a higher proportion of low-density granulocytes (LDGs) and reduced capacity to degrade NETs, which were connected to the severity of the disease and inflammatory markers.
  • Anti-NET antibodies were identified in COVID-19 patients, correlating with the presence of other autoantibodies, indicating that NETs may drive both inflammation and potential autoimmune reactions.
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Background/objective: Biomarkers for disease activity and damage accrual in idiopathic inflammatory myopathies (IIMs) are currently lacking. The purpose of this cross-sectional study is to analyze the relationship among low-density granulocytes (LDGs), neutrophil extracellular traps (NETs), and clinical and immunological features of patients with IIM.

Methods: We assessed disease activity, damage accrual, amount of LDGs, NETs, expression of LL-37, and serum cytokines in 65 adult patients with IIM.

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Objective: To assess the mean platelet volume (MPV), platelet-to-lymphocyte ratio (PLR), the neutrophil-to-lymphocyte ratio (NLR) and the MPV-to-lymphocyte ratio, and to test them according to the clinical/serological status, shift through time and other comorbidities in APS.

Methods: We included 96 primary APS patients according to the Sydney classification criteria and/or patients with thrombocytopenia and/or autoimmune hemolytic anemia who also fulfilled the serological criteria. We tested aCL, anti-β2GP-I and aPS/PT antibodies and LA.

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Background: Bovine bone matrix is a natural material that has been used in the treatment of bone lesions. In this study, bovine bone matrix Nukbone® (NKB) was investigated due its osteoconductive and osteoinductive properties. This biomaterial induces CBFA-1 activation and osteogenic differentiation, although the cytokines involved in these processes is still unknown.

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Introduction/objective: Thrombotic microangiopathy (TMA) in systemic lupus erythematosus is a rare manifestation associated with activation of the complement system. This study aimed to compare plasma and urine complement activation products between patients with active lupus nephritis (aLN) and those with acute TMA plus concomitant active LN (aTMA+aLN).

Methods: Plasma and urine samples were obtained from 20 patients with aTMA+aLN, 20 patients with aLN matched by the histological activity index, 5 patients with chronic TMA, 20 patients with inactive LN, and 10 kidney donors.

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Fibrosing diseases are causes of morbidity and mortality around the world, and they are characterized by excessive extracellular matrix (ECM) accumulation. The bHLH transcription factor scleraxis (SCX) regulates the synthesis of ECM proteins in heart fibrosis. SCX expression was evaluated in lung fibroblasts and tissue derived from fibrotic disease patients and healthy controls.

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Introduction: Anti-phosphatidylserine/prothrombin (aPS/PT) antibodies have been described in cutaneous Polyarteritis Nodosa (PAN) in association with specific manifestations.

Objectives: To determine aPS/PT antibodies in patients with PAN and its correlation with clinical manifestations.

Methods: Cross-sectional comparative study including PAN patients and 20 controls (10 Microscopic Polyangiitis [MPA] and 10 Behçet's disease [BD]).

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Objective: To determine the differences between clinical, manometric, and neuroimmunological profile of esophagogastric junction outflow obstruction (EGJOO) and achalasia patients.

Methods: Seven EGJOO and 27 achalasia patients were enrolled in a blind cross-sectional study. Peripheral blood (PB) of 10 healthy donors and 10 lower esophageal sphincter (LES) muscle biopsies from organ transplant donors were included as controls.

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  • Monocytes and toll-like receptors (TLR) play a significant role in the inflammation seen in idiopathic inflammatory myopathies (IIM), but their specific subsets and TLR expression have not been fully explored.
  • A study involving 45 IIM patients and 15 healthy controls assessed monocyte subsets, TLR expression, disease activity, and related health parameters using flow cytometry and other evaluations.
  • Findings revealed that IIM patients had increased intermediate monocytes and TLR4 expression, with various correlations between TLR expression and clinical characteristics, such as dysphagia and interstitial lung disease.
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Background: Idiopathic achalasia is an uncommon esophageal motor disorder. The disease involves interaction between inflammatory and autoimmune responses. However, the antigens related to the disease are still unknown.

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The HIV-1 envelope protein (Env) mediates the membrane fusion process allowing virus entry to target cells and the efficiency to induce membrane fusion is an important determinant of HIV-1 pathogenicity. In addition to virus receptors, other adhesion/signaling molecules on infected and target cells and virus particles can enhance fusion. The presence of antilymphocyte autoantibodies (ALA) in HIV patients' serum suggests that they may contribute to the inhibition of Env-mediated membrane fusion.

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Introduction: In previous studies we showed that prevalence of myocardial fibrosis as assessed by late enhancement on cardiac MRI in SSc patients is 45% and is associated to diffuse disease (dcSSc) and lower left ventricle ejection fraction; microvascular damage defined as decreased perfusion on cardiac MRI after adenosine infusion, was also very frequent (79%). Our aim was to identify baseline characteristics associated to the development of cardiovascular outcomes (heart failure, coronary artery disease, arrhythmias, vasculopathy, elevated systolic pulmonary artery pressure and death) in SSc patients with previously documented myocardial fibrosis and microvascular damage.

Patients And Methods: We included 62 SSc patients who participated in the study of prevalence of myocardial fibrosis (2008-2010) and in our local SSc cohort.

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