annu al scientific
Transcription
annu al scientific
www.idibaps.ub.edu 000 Cubierta.indd 1 Your gateway to IDIBAPS. A channel that is open to medical communication professionals, scientists and biomedicine enthusiasts where you will find full information about the institution and its activities. Report 2008 Annual Scientific Annual Scientific Report 2008 Institut d’Investigacions Biomèdiques August Pi i Sunyer Villarroel, 170 08036 Barcelona www.idibaps.ub.edu Hospital Clínic - Fundació Clínic University of Barcelona - Faculty of Medicine CSIC – Institut d’Investigacions Biomèdiques de Barcelona Generalitat de Catalunya – Departament de Recerca 21/10/09 17:26:03 209-211 Ind PUBLICACIONS.indd 211 20/10/09 10:47:51 ANNUAL SCIENTIFIC REPORT 2008 Villarroel, 170 08036 Barcelona www.idibaps.ub.edu 003-009 AREA0.indd 3 Hospital Clínic - Fundació Clínic University of Barcelona - Faculty of Medicine CSIC – Institut d’Investigacions Biomèdiques de Barcelona Generalitat de Catalunya – Departament de Recerca 21/10/09 17:23:40 fhklghfljghlfd Published by: IDIBAPS Villarroel, 170 – 08036 Barcelona Coordination and production: IDIBAPS Communication Division Production and design: BPMO Edigrup C/ Guitard, 43, 1a planta 08014 Barcelona Tel. +34933637840 www.grupobpmo.com Legal deposit: B-51.810-2005 Centres de recerca de Catalunya This centre has been cofinanced by the European Union through the European Regional Development Fund (ERDF) 003-009 AREA0.indd 4 21/10/09 17:23:40 summary IDIBAPS 2008 Foreword IDIBAPS Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Research Areas Index Area 1: Biologic Aggression and Response Mechanisms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Area 2: Biopathology and Respiratory, Cardiovascular and Renal Bioengineering . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Area 3: Liver, Digestive System and Metabolism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Area 4: Clinical and Experimental Neurosciences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Area 5: Oncology and Hematology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 Area 6: International Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194 Groups Associated with the Instituto de Investigaciones Sanitarias Hospital Clínic-IDIBAPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 Index Team Leader index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 Journal index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209 003-009 AREA0.indd 5 21/10/09 17:23:47 Foreword IDIBAPS Image: 3d rendered close up of some cells with nucleus 003-009 AREA0.indd 6 21/10/09 17:23:49 IDIBAPS: Research with a Future It is my pleasure to present to you Annual Scientific Report of the Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS). This research carried out in this center is organized into 6 thematic areas, bringing together more than 50 top-level teams. Scientific progress is never the result of coincidence. It involves long-term commitments that include not only the researchers but also society as a whole. IDIBAPS is a consortium that allows Catalonia to take on one of these commitments: To promote translational research, innovation and technological advances in the field of biomedicine, by means of different programs that revolve around diseases with high prevalence, morbidity and mortality. The annual scientific report holds a mirror to this activity and is a tool for evaluating the work of the IDIBAPS researchers; this evaluation is critical for society as a whole to be able to see the efficient use of social and economic resources received from public and private institutions and the return for the social and economic fabric of some of the advances achieved. This year, IDIBAPS signed the program agreement with the Catalan Government, with a total financial attribution of €30 million by 2012. This program agreement defines the development of scientific priorities and has been accompanied by an external audit of all the research groups in order to evaluate their scientific excellence. IDIBAPS has also been accredited as a Health Care Research Institute by the Carlos III Health Institute, another external indicator of the importance of the scientific work carried out. In the framework of this new institute, we are laying the basis for stable collaboration with other reference institutions, such as the Barcelona Biomedical Research Institute (IRB) and Hospital Sant Joan de Déu. In 2008, IDIBAPS published 736 original articles in international journals, with an overall impact factor of 3421. This gives a mean impact factor per article of 4.65. The scientific production of IDIBAPS has grown year after year and has now stabilized with approximately 700 articles per year. The challenge is not so much to increase the number of publications but to improve their scientific quality and the innovative impact of the findings. I would also like to point out the involvement of IDIBAPS in large national and international projects, such as the Network of Centers for Biomedical Research (CIBER), promoted by the Ministry of Science and Innovation. We lead the CIBER on Hepatic and Digestive Diseases (CIBEREHD), on Respiratory Diseases (CIBERES) and on Diabetes and Associated Metabolic Diseases (CIBERDEM). We continue to take part in and lead projects of the Thematic Cooperative Research Networks (RETIC), also promoted by the Carlos III Health Institute, and every day we take part in more projects funded by the European Commission. IDIBAPS currently coordinates 14 of these projects and takes part in 50 more. We also collaborate on projects carried out by both CRESIB, the driving 003-009 AREA0.indd 7 21/10/09 17:23:50 Foreword IDIBAPS force of our international health program, and on other initiatives of other institutions such as the Carreras Foundation, the Cellex Foundation, the Sardà Farriol Foundation and the Seny Foundation. At this difficult time due to the state of the economy of the western world, the commitment to research and innovation is even more critical. There are sectors of society that remain unaware of the critical role that research plays in the progress of humanity and biomedical research in the prevention, diagnosis and treatment of diseases. Years of scientific research may be required before some of the findings find their way into clinical practice. History has shown that quality scientific research with ambitious objectives is the basis for developing scientific and technological systems and for providing support to the business fabric in order to reach the stage of practical applications. Thus, IDIBAPS, together with the centers that make up this consortium (Hospital Clínic, University of Barcelona, Catalan Government and CSIC), are taking on the commitment to reinforce their vocation in the field of biomedical research and are playing a decisive role in the promotion of the new CIBEK research building, via the activity of the Clínic Foundation and the Esther Koplowitz Foundation, and in other structural initiatives for research support, specifically aimed at incorporating talent with its own programs and also with the collaboration of those proposed by ICREA, Ramon y Cajal, Miquel Servet and Río Hortega. We believe that this joint commitment will allow us not only to consolidate everything we have achieved, but also to commit to a far better scientific, economic and social future. All this makes me feel a great admiration for the professionals that move this institute forward and allows me to look to the future with optimism. In the pages of this annual report, you will find interesting lines of research and cutting-edge initiatives. We have achieved many things, but we can surely achieve even more. We have human potential, institutional and financial support, and the enthusiasm to continue going forward. 8 Ramon Gomis Director of IDIBAPS 003-009 AREA0.indd 8 21/10/09 17:23:55 Research Areas Index Area 1 Biologic Aggression and Response Mechanisms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 . Area 2 Biopathology and Respiratory, Cardiovascular and Renal Bioengineering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Area 3 Liver, Digestive System and Metabolism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Area 4 Clinical and Experimental Neurosciences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Area 5 Oncology and Hematology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 Area 6 International Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194 Groups Associated with the Instituto de Investigaciones Sanitarias Hospital Clínic-IDIBAPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 Image: 3d rendered close up of some cells with nucleus 003-009 AREA0.indd 9 21/10/09 17:23:58 010-039 AREA1.indd 10 21/10/09 17:05:38 Area 1 Biological Aggression and Response Mechanisms Inflammatory Arthropathies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Systemic Autoimmune Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Infectious Diseases and AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Immunoreceptors of the Innate and Adaptive System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Musculoskeletal Repair and Plasticity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Immunogenetics in the Autoinflammatory Response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Research and Development in Microbiology and Molecular Clinical Parasitology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Molecular and Cellular Bases of Inflammation Structural and Biologic Mass Spectrometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Image: HIV-infected T-cells under high magnification 010-039 AREA1.indd 11 21/10/09 17:05:41 Inflammatory Arthropathies Team Members Area 1 Biologic Aggression and Response Mechanisms Inflammatory arthropathies Team Leader: ■ Raimon Sanmartí (Hospital Clínic) Tel.: 93 227 54 00 (Ext.: 2236) E-mail: [email protected] 12 IDIBAPS Members: ■ Juan D. Cañete (Hospital Clínic) Collaborators: Guadalupe Ercilla (Hospital Clínic) Jaume Pomés (Hospital Clínic) Xavier Tomas (Hospital Clínic) Odette Viñas (Hospital Clínic) J.A. Gómez-Puerta (Hospital Clínic) Strategic Objectives To promote research into the most prevalent forms of chronic arthritis: rheumatoid arthritis (RA) and spondylarthritis, including psoriatic arthritis. Doctoral Students: Raquel Celis (Fundació Clínic) Gertrudis Sánchez (Fundació Clínic) Eduard Graell (Fundació Clínic) Maria Victoria Hernández (Fundació Clínic) 4.Role of autoinflammatory genes in the pathogenesis of chronic arthritis • Mutations of MEFV in intermittent arthritis. Principal Lines of Research 1.Prognostic factors in early-stage arthritis • Prognostic factors (clinical and immunogenetic) in patients with early-stage rheumatoid arthritis. • Synthesis of new synthetic citrullinated peptides for designing immunoassay tests with diagnostic and prognostic value in early-stage rheumatoid arthritis. 2.Immunopathology of synovitis in chronic arthritis • Value in differential diagnosis and prognosis. Immunopathologic changes related to biologic therapies. Synovial response biomarkers. 3.Predictive factors of the therapeutic response in rheumatoid arthritis • Polymorphism of the FcgammR gene, serum values of ds TNFR2. 010-039 AREA1.indd 12 Synthesis of chimeric filaggrin peptides and the fibrin alpha chain. Immunoassay tests using these citrullinated peptidase antigens have shown a high sensitivity and specificity in detecting antibodies in the serum of patients with rheumatoid arthritis. 21/10/09 17:05:50 I.F.: 21,42 PublicaTions Original Articles Reviews 1 4 3 Moll C, Hernandez MV, Canete JD, Gomez-Puerta JA, Soriano A, Collado A, Sarimarti R. Ilium osteitis as the main manifestation of the SAPHO syndrome: Response to infliximab therapy and review of the literature. SEMIN ARTHRITIS RHEU. 37:299-306. I.F.:3,68. Grants for Research in Progress Sans M. Development of a new DNA array-based diagnostic system (“IBDCHIP”) to predict clinical course, development of complications, and response to therapy in patients with Inflammatory Bowel Disease (IBD). Grant: Ministerio Sanidad y Consumo, AI07/90033. Duration: 26/10/2007-30/12/2009. Panes J, Cañete J. Desarrollo de un kit diagnóstico para las enfermedades inflamatorias mediadas por mecanismos inmunes (IMID-Kit). Subproyecto 1: Estudio de asociación de genoma completo en las enfermedades inflamatorias. Grant: Ministerio de ducación y Ciencia, PSE-010000-2008-9. Duration: 01/01/2008-31/12/2009. Inflammatory arthropathies 2 Dieguez-Gonzalez R, Calaza M, Perez-Pampin E, DeLaSerna AR, Fernandez-Gutierrez B, Castaneda S, Largo R, Joven B, Narvaz J, Navarro F, Marenco JL, Vicario JL, Blanco FJ, Fernandez-Lopez JC, Caliz R, Collado-Escobar MD, Carreno L, Lopez-Longo J, Canete JD, Gomez-Reino JJ, Gonzalez A. Association of interferon regulatory factor 5 haplotypes, similar to that found in systemic lupus erythematosus, in a large subgroup of patients with rheumatoid arthritis. ARTHRITIS RHEUM. 58:1264-+. I.F.:7,68. Cantaert T, Kolln J, Timmer T, Kraan TCV, Vandooren B, Thurlings RM, Canete JD, Catrina AI, Out T, Verweij CL, Zhang YP, Tak PP, Baeten D. B lymphocyte autoimmunity in rheumatoid synovitis is independent of ectopic lymphoid neogenesis. J IMMUNOL. 181:785794. I.F.:6,07. Julia A, Ballina J, Canete JD, Balsa A, Tornero-Molina J, Naranjo A, Alperi-Lopez M, Erra A, Pascual-Salcedo D, Barcelo P, Camps J, Marsal S. Genome-wide association study of rheumatoid arthritis in the Spanish population. ARTHRITIS RHEUM. 58:2275-2286. I.F.:7,68. Biologic Aggression and Response Mechanisms Area 1 13 010-039 AREA1.indd 13 21/10/09 17:05:54 Systemic Autoimmune Diseases Team Members Systemic autoimmune diseases Team Leader: ■ Dr. Ricard Cervera Segura (Hospital Clínic) Tel.: 93 227 57 74 Fax: 93 227 17 07 E-mail: [email protected] IDIBAPS Members: ■ Alfredo Adán (Hospital Clínic) ■ Albert Bové (Facultat de Medicina) ■ Maria Cinta Cid (Hospital Clínic) ■ Gerard Espinosa Garriga(Hospital Clínic) ■ José Hernández Rodríguez (Hospital Clínic) ■ Miguel Ingelmo Morín (Hospital Clínic) ■ Ricardo P. Casaroli (Hospital Clínic) ■ Manuel Ramos Casals (Hospital Clínic) Area 1 Biological Aggression and Response Mechanisms Collaborators: Silvia Bucciarelli (Hospital Clínic) Xavier Bosch Aparici (Hospital Clínic) María Teresa Sainz de la Maza (Hospital Clínic) 14 Doctoral Students: Joan Plaza Nicolau (Hospital Clínic) Ana García Martínez (Hospital Clínic) Sergio Prieto (Hospital Clínic) Georgina Espígol (IDIBAPS) Ester Lozano García (IDIBAPS) Marc Corbera (IDIBAPS) Montserrat Butjosa (Hospital Clínic) Strategic Objectives Principal Lines of Research The research group on systemic autoimmune diseases promotes basic, clinical and translational research into these diseases in a multidisciplinary manner, with the participation of members of the Autoimmune Disease Department, Ophthalmology, Internal Medicine, Nephrology, Immunology, Hemostasis, Hepatology, Obstetrics and Dermatology, and others. 1.Systemic lupus erythematosus And antiphospholipid syndrome • Multicenter epidemiologic studies on the clinical presentation and long-term course of these diseases. • Clinical trials of new biologic therapies. • Study of genetic polymorphisms as risk factors of different clinical presentations of these diseases. • Study of cardiovascular and endothelial lesion risk factors implicated in these diseases. • Basic research in animal models on the mechanism of action of antiphospholipid antibodies. These activities are carried out in close collaboration with different international working groups, of which members of the team are national and/or international coordinators: European Working Party on Systemic Lupus Erythematosus (EWPSLE), European Forum on Antiphospholipid Antibodies (EFAPL), Catastrophic Antiphospholipid Syndrome (CAPS) Registry Project Group, International Pediatric Register of Antiphospholipid Syndrome (Ped-APS Register), Systemic Lupus International Collaborative Centers (SLICC), Sjögren’s Syndrome-Hepatitis C Virus (SS-HCV) Study Group, HISPAMEC Study Group, Grupo de Estudio de Enfermedades Autoinmunes Sistémicas-Uso de Terapias Biológicas (BIOGEAS), Grupo de Estudio Multicéntrico Español de Síndrome de Sjögren (GEMESS), European Vasculitis Study Group (EUVAS), European League Against Rheumatism (EULAR) Systemic Vasculitis Task Force, EULAR Standing Committee for International Clinical Studies Including Therapeutics, and the American College of Rheumatology (ACR) Work Group for Development of Classification Criteria for Polymyalgia Rheumatica, among others. 010-039 AREA1.indd 14 2.Sjörgen syndrome and autoimmune manifestations of infection by the hepatitis C virus: • Multicenter epidemiologic studies on the clinical presentation and long-term course of these d iseases. • Study of lymphomas associated with Sjörgen syndrome. • Study of cardiovascular and endothelial lesion risk factors implicated in this syndrome. • Clinical and basic studies on mixed cryoglobulinemia. • International register of treatments with biologic drugs for systemic autoimmune diseases (BIOGEAS). 21/10/09 17:06:02 • Study of genetic genetic polymorphism in uveitis as risk factors of the different clinical presentations of these ophthalmopathies. • Treatment with anti-vascular endothelial growth factor (VEGF) drugs for choroidal neovascularization and cystic macular edema due to uveitis. 4.Autoimmune ophthalmopathies • Clinical trials of new biologic therapies. LInflammatory and thrombotic vascular lesions responsible for gangrene lesion which required foot amputation in the antiphospholipid antibody syndrome. Systemic autoimmune diseases 3.Systemic vasculitis • Development of a model of organ culture for studying the factors involved in the perpetuation of inflammation and in vascular remodeling. • Research into the mechanisms implicated in and clinical consequences of vascular inflammation in giant cell arteritis. Identification of new therapeutic targets. • Study of the mechanisms involved in the development of ischemic neurological complications in giant cell arteritis. • Studies of the inflammatory involvement of large vessels in the early stages and during the course of giant cell arteritis. • Clinical trials of new biologic therapies in the treatment of systemic vasculitis. • Spanish register of systemic vasculitis. • Spanish register of Behçet disease. Emerging Group Research group on autoimmune ophthalmopathies Principal Investigator: ■ Adán, Alfredo Manuel (ICOF) Associated Group Research group on vasculitis Principal Investigator: ■ Cid, Maria Cinta (ICMiD) This group works on the study of clinical, diagnostic and therapeutic aspects of systematic vasculitis and the mechanisms of production of vascular lesions in these forms of vasculitis. The scientific contribution of this line of research is highly competitive and internationally recognized. It also focuses on clinical studies of systemic vascular lesions in giant cell arteritis, the study of mechanisms of production of vascular lesions in giant cell arteritis, different clinical trials of new biologic therapies and coordinates Spanish registers of vasculitis associated with anti-neutrophil cytoplasmic antibodies (ANCA) and Behçet disease. PublicaTions Original Articles 1 2 Ramos-Casals M, Brito-Zeron P, Munoz S, Soto MJ. A Systematic Review of the Off-Label Use of Biological Therapies in Systemic Autoimmune Diseases. MEDICINE. 87:345-364. I.F.:4,72. Urowitz MB, Gladman D, Ibanez D, Fortin P, SanchezGuerrero J, Bae S, Clarke A, Bernatsky S, Gordon C, 010-039 AREA1.indd 15 I.F.: 147,55 Biological Aggression and Response Mechanisms Area 1 This group works on the study of clinical, diagnostic and therapeutic aspects of autoimmune ophthalmopathies. The scientific contribution of this line of research is highly competitive and internationally recognized. It also focuses on the study of genetic genetic polymorphism in uveitis as risk factors of the different clinical presentations of these ophthalmopathies and different clinical trials of new biologic therapies. 15 Hanly J, Wallace D, Isenberg D, Ginzler E, Merrill J, Alarcon GS, Steinsson K, Petri M, Dooley MA, Bruce I, Manzi S, Khamashta M, Ramsey-Goldman R, Zoma A, Sturfelt G, Nived O, Maddison P, Font J, VanVollenhoven R, Aranow C, Kalunian K, Stoll T. Accumulation of coronary artery disease risk factors actors over three years: Data from an international inception cohort. ARTHRIT RHEUM-ARTHR. 59:176-180. I.F.:7,68. 21/10/09 17:06:07 3 Systemic autoimmune diseases 4 5 6 7 Area 1 Biological Aggression and Response Mechanisms 8 9 10 11 12 16 13 14 010-039 AREA1.indd 16 Ramos-Casal M, Cuadrado MJ, Alba P, Sanna G, BritoZeron P, Bertolaccini L, Babini A, Moreno A, D’cruz D, Khamashta MA. Acute Viral Infections in Patients With Systemic Lupus Erythematosus Description of 23 Cases and Review of the Literature. MEDICINE. 87:311-318. I.F.:4,72. Asherson RA, Cervera R, Klumb E, Stojanovic L, SarziPuttini P, Yinh J, Bucciarelli S, Espinosa G, Levy R, Shoenfeld Y. Amputation of digits or limbs in patients with antiphospholipid syndrome. SEMIN ARTHRITIS RHEU. 38:124-131. I.F.:3,68. Gomez-Puerta JA, Burlingame RW, Cervera R. Anti-chromatin (anti-nucleosome) antibodies: Diagnostic and clinical value. AUTOIMMUN REV. 7:606-611. I.F.:3,86. Sebastiani GD, Morozzi G, Bellisai F, Fineschi I, Bacarelli MR, Simpatico A, Font J, Cervera R, Houssiau F, Fernandez-Nebro A, Garrido ER, DePita O, Smolen J, Galeazzi M. Anti-cofactor autoantibodies in systemic lupus erythematosus: Prevalence, clinical and HLA class II associations. IMMUNOL INVEST. 37:375-385. I.F.:1,53. Asherson RA, Cervera R, Merrill JT, Erkan D. Antiphospholipid antibodies and the antiphospholipid syndrome: Clinical significance and treatment. SEMIN THROMB HEMOST. 34:256-266. I.F.:3,20. Hanly JG, Urowitz MB, Siannis F, Farewell V, Gordon C, Bae SC, Isenberg D, Dooley MA, Clarke A, Bernatsky S, Gladman D, Fortin PR, Manzi S, Steinsson K, Bruce IN, Ginzler E, Aranow C, Wallace DJ, Ramsey-Goldman R, VanVollenhoven R, Sturfelt G, Nived O, SanchezGuerrero J, Alarcon GS, Petri M, Khamashta M, Zoma A, Font J, Kalunian K, Douglas J, Qi Q, Thompson K, Merrill JT. Autoantibodies and neuropsychiatric events at the time of systemic lupus erythematosus diagnosis. ARTHRITIS RHEUM. 58:843-853. I.F.:7,68. Ramos-Casals M, Brito-Zeron P, Soto MJ, Cuadrado MJ, Khamashta MA. Autoimmune diseases induced by TNF-targeted therapies. BEST PRACT RES CL RH. 22:847-861. I.F.:2,09. Cibeira MT, Rozman M, Segarra M, Lozano E, Rosinol L, Cid MC, Filella X, Blade J. Bone marrow angiogenesis and angiogenic factors in multiple myeloma treated with novel agents. CYTOKINE. 41:244-253. I.F.:2,17. Varela DC, Quintana G, Somers EC, Rojas-Villarraga A, Espinosa G, Hincapie ME, Mccune WJ, Cervera R, Anaya JM. Delayed lupus nephritis. ANN RHEUM DIS. 67:1044-1046. I.F.:6,41. Garcia-Martinez A, Hernandez-Rodriguez J, Arguis P, Paredes P, Segarra M, Lozano E, Nicolau C, Ramirez J, Lomena F, Josa M, Pons F, Cid MC. Development of aortic aneurysm/dilatation during the followup of patients with giant cell arteritis: A cross-sectional screening of fifty-four prospectively followed patients. ARTH RHEUM/AR C RES. 59:422-430. I.F.:7,68. Jimenez S, Tassies D, Espinosa G, Garcia-Criado A, Plaza J, Monteagudo J, Cervera R, Reverter JC. Double heterozygosity polymorphisms for platelet glycoproteins Ia/IIa and IIb/IIIa increases arterial thrombosis and arteriosclerosis in patients with the antiphospholipid syndrome or with systemic lupus erythematosus. ANN RHEUM DIS. 67:835-840. I.F.:6,41. Bertsias G, Ioannidis JPA, Boletis J, Bombardieri S, Cervera R, Dostal C, Font J, Gilboe IM, Houssiau F, Hui- 15 16 17 18 19 20 21 22 23 24 25 zinga T, Isenberg D, Kallenberg CGM, Khamashta M, Piette JC, Schneider M, Smolen J, Sturfelt G, Tincani A, VanVollenhoven R, Gordon C, Boumpas DT. EULAR recommendations for the management of systemic lupus erythematosus. Report of a task force of the EULAR standing committee for international clinical studies including therapeutics. ANN RHEUM DIS. 67:195-205. I.F.:6,41. Casaroli-Marano RP, Adan A. Eye infections associated with ocular implants. ENFERM INFEC MICR CL. 26:581588. I.F.:1,10. Ramos-Casals M, Munoz S, Zeron PB. Hepatitis C Virus and Sjogren’s Syndrome: Trigger or Mimic?. RHEUM DIS CLIN N AM. 34:869-+. I.F.:2,16. Lozano E, Segarra M, Garcia-Martinez A, HernandezRodriguez J, Cid MC. Imatinib mesylate inhibits in vitro and ex vivo biological responses related to vascular occlusion in giant cell arteritis. ANN RHEUM DIS. 67:15811588. I.F.:6,41. Mansour AM, Mackensen F, Arevalo JF, Ziemssen F, Mahendradas P, Mehio-Sibai A, Hrisomalos N, Lai TYY, Dodwell D, Chan WM, Ness T, Banker AS, Pai SA, Berrocal MH, Tohme R, Heiligenhaus A, Bashshur ZF, Khairallah M, Salem KM, Hrisomalos FN, Wood MH, Heriot W, Adan A, Kumar A, Lim L, Hall A, Becker M. Intravitreal bevacizumab in inflammatory ocular neovascularization. AM J OPHTHALMOL. 146:410-416. I.F.:2,63. Cervera R. Lessons from the “Euro-Phospholipid” project. AUTOIMMUN REV. 7:174-178. I.F.:3,86. Asherson RA, Cervera R. Microvascular and microangiopathic antiphospholipid-associated syndromes (“MAPS”) - Semantic or antisemantic?. AUTOIMMUN REV. 7:164-167. I.F.:3,86. Espinosa G, Bucciarelli S, Asherson RA, Cervera R. Morbidity and mortality in the catastrophic antiphospholipid syndrome: Pathophysiology, causes of death, and prognostic factors. SEMIN THROMB HEMOST. 34:290-294. I.F.:3,20. Adan A, Pelegrin L, Alforja S, Giralt J. Optical coherence tomography findings and management of sub-internal limiting membrane haemorrhage. ACTA OPHTHALMOL SCAN. 86:582-583. I.F.:1,85. Mukhtyar C, Flossmann O, Hellmich B, Bacon P, Cid M, Cohen-Tervaert JW, Gross WL, Guillevin L, Jayne D, Mahr A, Merkel PA, Raspe H, Scott D, Witter J, Yazici H, Luqmani RA. Outcomes from studies of antineutrophil cytoplasm antibody associated vasculitis: a systematic review by the European League Against Rheumatism systemic vasculitis task force. ANN RHEUM DIS. 67:1004-1010. I.F.:6,41. Adan A, Casaroli-Marano RP, Gris O, Navarro R, Bitrian E, Pelegrin L, Sanchez-Dalmau B. Pathological findings in the lens capsules and intraocular lens in chronic pseudophakic endophthalmitis: An electron microscopy study. EYE. 22:113-119. I.F.:2,29. Avcin T, Cimaz R, Silverman ED, Cervera R, Gattorno M, Garay S, Berkun Y, Sztajnbok FR, Silva CA, Campos LM, Saad-Magalhaes C, Rigante D, Ravelli A, Martini A, Rozman B, Meroni PL. Pediatric Antiphospholipid Syndrome: Clinical and Immunologic Features of 121 Patients in an International Registry. PEDIATRICS. 122:E1100E1107. I.F.:4,47. 21/10/09 17:06:12 Reviews 1 2 3 4 5 6 Espinosa G, Cervera R. Antiphospholipid syndrome. ARTHRITIS RES THER. 10:-. I.F.:4,04. Cervera R, Balasch J. Bidirectional effects on autoimmunity and reproduction. HUM REPROD UPDATE. 14:359-366. I.F.:7,26. Bosch X, Guilabert A, Espinosa G, Mirapeix E. Immunotherapy for antineutrophil cytoplasmic anti bodyassociated vasculitis: challenging the therapeutic status quo?. TRENDS IMMUNOL. 29:280-289. I.F.:9,48. Brito-Zeron P, Ramos-Casals M. Prognosis of patients with primary Sjogren’s syndrome. MED CLIN-BARCELONA. 130:109-115. I.F.:1,34. Hernandez-Rodriguez J, Molloy ES, Hoffman GS. Single-organ vasculitis. CURR OPIN RHEUMATOL. 20:4046. I.F.:4,30. Garcia-Carrasco M, Jimenez-Hernandez M, Escarcega RO, Mendoza-Pinto C, Pardo-Santos R, Levy R, Maldonado CG, Chavez GP, Cervera R. Treatment of Raynaud’s phenomenon. AUTOIMMUN REV. 8:62-68. I.F.:3,86. Editorials 1 2 3 4 5 Shoenfeld Y, Meroni PL, Cervera R. Antiphospholipid syndrome dilemmas still to be solved: 2008 status. ANN RHEUM DIS. 67:438-+. I.F.:6,41. Shoenfeld Y, Cervera R. Asherson’s syndrome of the catastrophic antiphospholipid antibodies. J RHEUMATOL. 35:2066-2068. I.F.:3,15. Cervera R, Shoenfeld Y. Microangiopathic Antiphospholipid Antibody-Associated Syndromes: A Tribute to Ronald Asherson. ISR MED ASSOC J. 10:894-895. I.F.:0,58. Cid MC. Systemic vasculitis: still a long and winding road. CURR OPIN RHEUMATOL. 20:1-2. I.F.:4,30. Ramos-Casals M. Viruses and lupus: the viral hypothesis. LUPUS. 17:163-165. I.F.:2,25. Multicentric 1 Dasgupta B, Salvarani C, Schirmer M, Crowson CS, Maradit-Kremers H, Hutchings A, Matteson EL. Developing classification criteria for polymyalgia rheumatica: Comparison of views from an expert panel and wider survey. J RHEUMATOL. 35:270-277. I.F.:3,15. Biological Aggression and Response Mechanisms Area 1 010-039 AREA1.indd 17 34 Hernandez-Rodriguez J, Tan CD, Molloy ES, Khasnis A, Rodriguez ER, Hoffman GS. Vasculitis involving the breast - A clinical and histopathologic analysis of 34 patients. MEDICINE. 87:61-69. I.F.:4,72. Systemic autoimmune diseases 26 Siso A, Ramos-Casals M, Bove A, Brito-Zeron P, Soria N, Munoz S, Testi A, Plaza J, Sentis J, Coca A. Previous antimalarial therapy in patients diagnosed with lupus nephiritis: Influence on outcomes and survival. LUPUS. 17:281-288. I.F.:2,25. 27 Mejia-Romero R, Garcia-Carrasco M, Galarza-Maldonado C, Santos P, Mendoza-Pinto C, Escarcega RO, Salinas-Saldivar S, Soto-Vega E, Lopez-Colombo A, Cervera R. Primary antiphospholipid syndrome in Latin American mestizo patients: clinical and immunologic characteristics and comparison with European patients. CLIN RHEUMATOL. 27:891-897. I.F.:1,64. 28 Ramos-Casals M, Solans R, Rosas J, Maria CT, Gil A, DelPino-Montes J, Calvo-Alen J, Jimenez-Alonso J, Mico ML, Beltran J, Belenguer R, Pallares L. Primary Sjogren syndrome in Spain - Clinical and immunologic expression in 1010 patients. MEDICINE. 87:210-219. I.F.:4,72. 29 Asherson RA, Espinosa G, Menahem S, Yinh J, Bucciarelli S, Bosch X, Cervera R. Relapsing catastrophic antiphospholipid syndrome: Report of three cases. SEMIN ARTHRITIS RHEU. 37:366-372. I.F.:3,68. 30 Hanly JG, Urowitz MB, Su L, Sanchez-Guerrero J, Bae SC, Gordon C, Wallace DJ, Isenberg D, Alarcon GS, Merrill JT, Clarke A, Bernatsky S, Dooley MA, Fortin PR, Gladman D, Steinsson K, Petri M, Bruce IN, Manzi S, Khamashta M, Zoma A, Font J, VanVollenhoven R, Aranow C, Ginzler E, Nived O, Sturfelt G, Ramsey-Goldman R, Kalunian K, Douglas J, Qi KQ, Thompson K, Farewell V. Short-term outcome of neuropsychiatric events in systemic lupus erythematosus upon enrollment into an international inception cohort study. ARTHRIT RHEUMARTHR. 59:721-729. I.F.:7,68. 31 Pelegrin L, Gris O, Adan A, Plazas A. Superficial keratectomy and amniotic membrane patch in the treatment of corneal plaque of vernal keratoconjunctivitis. EUR J OPHTHALMOL. 18:131-133. I.F.:1,02. 32 Petri M, Kasitanon N, Singh S, Link K, Magder L, Bae SC, Hanly JG, Nived O, Sturfelt G, VanVollenhoven R, Wallace DJ, Alarcon GS, Adu D, Avila-Casado C, Bernatsky SR, Bruce IN, Clarke AE, Contreras G, Fine DM, Gladman DD, Gordon C, Kalunian KC, Madaio MP, Rovin BH, Sanchez-Guerrero J, Steinsson K, Aranow C, Balow JE, Buyon JP, Ginzler EM, Khamashta MA, Urowitz MB, Dooley MA, Merrill JT, Ramsey-Goldman R, Font J, Tumlin J, Stoll T, Zoma A. Systemic lupus international collaborating clinics renal activity/response exercise - Comparison of agreement in rating renal response. ARTHRITIS RHEUM. 58:1789-1795. I.F.:7,68. 33 Petri M, Kasitanon N, Lee SS, Link K, Magder L, Bae SC, Hanly JG, Isenberg DA, Nived O, Sturfelt G, VanVollenhoven R, Wallace DJ, Alarcon GS, Adu D, Avila-Casado C, Bernatsky SR, Bruce IN, Clarke AE, Contreras G, Fine DM, Gladman DD, Gordon C, Kalunian KC, Madaio MP, Rovin BH, Sanchez-Guerrero J, Steinsson K, Aranow C, Balow JE, Buyon JP, Ginzler EM, Khamashta MA, Urowitz MB, Dooley MA, Merrill JT, Ramsey-Goldman R, Font J, Tumlin J, Stoll T, Zoma A. Systemic lupus international collaborating clinics renal activity/response exercise - Development of a renal activity score and renal response index. ARTHRITIS RHEUM. 58:1784-1788. I.F.:7,68. 17 Grants for Research in Progress Cid MC. Mechanisms involved in the development of neurologic ischemic complications in giant-cell arteritis. Grant: Fundació Marató TV3, 60710. Duration: 06/02/200705/02/2010. Cid MC. Factores relacionados con el mantenimiento de la inflamación y la oclusión vascular. Imoplicaciones en 21/10/09 17:06:16 la evolución clínica de los pacientes con arteritis de células gigantes. Grant: Ministerio Educación y Ciencia, SAF200506250. Duration: 31/12/2005-31/12/2008. Sainz M, Adan AM. A 6 Week, Phase 3, Multicenter, Masked, Randomized Trial (with a 20-Week Safety Extension) to Assess the Safety and Efficacy of Study Drug Applicator System Compared with Sham Study Drug Applicator System in the Treatment of Non-Infectious Ocular Inflamm. Grant: Allergan, 206207-014. Duration: 01/01/2006-31/12/2008. Thesis Cid MC. Factors relacionats amb el manteniment de la inflamació i l’oclusió vascular. Implicacions en l’evolució dels pacients amb arteritis de cèl·lules gegants. Doctorand: Ester Lozano García Ramos-Casals M, Coca A. Historia natural de la nefropatía lúpica. Doctorand: Antoni Sisó (Universitat Barcelona) Area 1 Biological Aggression and Response Mechanisms Systemic autoimmune diseases Ramos M. Susceptibilitat immunogenètica i alteracions metabòliques com a factors etiopatogènics de dolor crònic en pacients amb síndrome de Sjögren en comparació amb pacients atesos a l’àmbit de l’atenció primària. Grant: Fundació La Marató de TV3, 071810. Duration: 13/02/2008-12/02/2011. Casaroli R. Estudio de extension de fase IV, multicéntrico, abierto y con seguimiento a largo plazo para evaluar la seguridad y la tolerabilidad de ranibizumab en pacientes con neovascularizacion coroidea (NVC) subfoveal secundaria a degeneración macular. Grant: Novartis SA, CRFBOO2A2402. Duration: 01/01/2007-31/12/2008. 18 010-039 AREA1.indd 18 21/10/09 17:06:20 Infectious Diseases and AIDS Team members Team Leader: ■ Josep M. Gatell (Hospital Clínic) Tel.: 93 227 54 30 Fax: 93 451 54 38 E-mail: [email protected] Collaborators: José Luis Blanco (Hospital Clínic) Marta Calvo (Fundació Clínic) Carlos Cervera (Hospital Clínic) Nuria Climent (IDIBAPS) Ana del Rio (Fundació Clínic) Teresa Gallart (Hospital Clínic) Cristina Gil (IDIBAPS) Joan Joseph (Fundació Clínic) Elisa de Lazzari (Fundació Clínic) Agathe León (Fundació Clínic) Montserrat Loncà (Fundació Clínic) Ana Milinkovic (Fundacio Clínic) Jose Ignacio Pérez (Fundació Clínic) Technicians: Pilar Callau (IDIBAPS) Tuixent Escriba (IDIBAPS) Ana García (Fundació Clínic) Maria Teresa García (Fundació Clínic) Sonia Gil (Fundació Clínic) Carmen Hurtado (Fundació Clínic) M. José Maleno (Fundació Clínic) Diego Martínez (Fundacio Clínic) Laia Miralles (IDIBAPS) Laura Muñoz (IDIBAPS) Sara Nieto (IDIBAPS) Cristina García de la María (Fundació Clínic) Yolanda Armero (Fundació Clínic) Strategic Objectives In AIDS 1. Immunotherapy of the disease and natural and acquired defense mechanisms, including the development of therapeutic and preventive vaccines. 2. Efficacy, resistance mechanisms and tolerance of new antiviral drugs. 3. Immunopathogenesis, response to treatment and resistance mechanisms of some IOs, including tuberculosis, PCP and toxoplasmosis. In general infections 1. Prophylaxis and support of endocarditis due to multiresistant germs, including experimental models. 2. Infections in recipients of solid organ transplants. 010-039 AREA1.indd 19 Doctoral Students: Fernando Agüero (Fundació Clínic) Victor Casanova (Facultat de Farmacia) Meritxell Guilá (Facultat de Medicina) Maria Lopez-Dieguez (Fundacio Clínic) Christian Manzardo (Fundació Clínic) 3. Interactions between nosocomial infections and the use of antibiotics. Principal Lines of Research In AIDS 1. The most important line focuses on the peripheral response (blood) and central response (lymphatic tissue and cerebrospinal fluid) to different antiretroviral treatment regimens when administered in very early evolution stages (CD4 > 500 mm3). We have prepared highly sensitive techniques for determining viral load in plasma and tissues; techniques for determining genotypic resistance and immunophenotyping and proliferation of CD4+ lymphocytes Biological Aggression and Response Mechanisms Area 1 Sonsoles Sánchez (Fundació Clínic) Narcís Saubí (IDIBAPS) Alex Soriano (Hospital Clínic) Sara Varea (Fundació Clínic) Laura Zamora (IDIBAPS) Emmanuela Fernandez (Fundació Clínic) Maria Larrousse (Hospital Clínic) María Martínez (Hospital Clínic) Víctor Manuel Sánchez (IDIBAPS) Infectious diseases and AIDS IDIBAPS Members: ■ Mireia Arnedo (Fundació Clínic) ■ Miguel Caballero (Hospital Clínic) ■ Felipe García (Hospital Clínic) ■ Montserrat Laguno (Fundació Clínic) ■ Josep Mallolas (Hospital Clínic) ■ Esteban Martínez (Hospital Clínic) ■ José Antonio Martínez (Hospital Clínic) ■ José Mensa (Hospital Clínic) ■ José M. Miró (Hospital Clínic) ■ Asunción Moreno (Hospital Clínic) ■ Montserrat Plana (Fundació Clínic) ■ M. Eloisa Yuste (IDIBAPS) 19 21/10/09 17:06:27 Infectious disease and AIDS Area 1 Biological Aggression and Response Mechanisms in the presence of HIV antigens; and, in collaboration with the clinical pharmacology group, techniques for determining drug levels. The working hypothesis, once the possibility of eradicating HIV has been ruled out, is to see whether it is possible to suppress, almost completely and over the long term, the replication of HIV, recover the immune system and quantify the degree of this recovery. Interruption of treatment leads to a rapid relapse. 2. The mechanism by which the virus is able to escape the cytotoxic response is the object of our study and may be the selection of different quasispecies from the reservoirs (immunologic resistance). For this reason, we have started a line of research aimed at developing techniques for stimulating the immune system to associated with antiretroviral treatment. Cyclic interruption of treatment may lead to a recovery of the specific immune response to HIV antigens associated with a spontaneous drop in the viral load, which correlates to the level of proliferative and specific cytotoxic response against HIV-1 in a small percentage of patients. 3. We have also prepared an immunotherapy technique based on the administration of autologous dendritic cells stimulated ex vivo with the patient’s virus. The first study, in phase I with patients, has already been completed and published. The second study, using higher concentrations of the virus to stimulate the autologous dendritic cells ex vivo is near completion. 4. We are developing different immunogens that may be potential candidates for therapeutic or preventive vaccines. In general infections 1. Clinical and experimental endocarditis including endocarditis in drug addicts (Dr. J.M. Miró). 2. Infections in transplant recipients. Diagnosis, microbiology and prognostic markers (Dr. A Moreno). 3. Predictive factors and treatment response markers of nosocomial infections (Dr. J. Mensa) 4. Treatment response, resistance and transmission of tuberculosis. 5. Prognostic factors for community-acquired and nosocomial respiratory infection, in both immunocompetent and immunosuppressed hosts. 6. The genetic bases of host susceptibility and the biochemical and molecular bases in the replication ability of the resistant strains. 20 010-039 AREA1.indd 20 Evolution of mean CD4+ T lymphocyte counts in the plasma of patients subject to cyclical interruptions of treatment and patients who received continuous treatment. In the 2 groups with cyclical interruptions, the CD4+ T lymphocyte count did not recover and this strategy should, therefore, not be used. (León A. et al. JAC 2009, 63;184188. Advance Access 11 Nov 2008). Associated Group Endocarditis. Cardiovascular infections. Experimental model Principal Investigator: ■ Miró, Josep Maria (ICMiD) This group works on the study of clinical, diagnostic and therapeutic aspects of infectious endocarditis. We do this by means of local, national and international (ICE) cohort studies that have shown the increase in endocarditis produced by methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant S aureus (MRSA). The studies in the experimental model of endocarditis due to MRSA and GISA have evaluated the activity of new combinations of antibiotics (fosfomycin and imipenem) or new antibiotics such as daptomycin and telavancin. Associated Group Infections in recipients of solid organ transplants Principal Investigator: ■ Moreno, Asunción (ICMiD) Over the last year, this group has studied the clinical and evolutionary characteristics of bacteremia in patients with different solid organ transplants (kidney, liver, heart and kidney and pancreas). We have shown that mannose-binding lectin (MBL) polymorphisms condition an increase in the prevalence of the disease due to CMV and we have analyzed mortality risk factors in pneumonia in transplant patients. The prevalence of other virus of the herpes family (HVV-6 and 7) in the transplant population and its pathogenic role in the post-transplant period have been studied. These studies have been carried out together with researchers in microbiology, immunology and the different transplant units (Institutes for Digestive Diseases, Nephrology and Thorax). Associated Group AIDS and HIV Infection Principal Investigator: ■ Gatell, Josep Maria (ICMiD) This group works on the clinical, diagnostic, therapeutic and preventive aspects of HIV infection. The scientific contribution of this line of research is highly competitive and internationally recognized. This group of researchers focuses on exploring the potential for eradicating HIV infection and reconstituting the immune system, including the development of preventive and therapeutic vaccines. Since its beginning in 2002, Dr. Gatell has coordinated the Spanish network of research groups on AIDS (RIS), financed by the FIS and, since 2007, the HIVACAT project for research on HIV vaccines. 21/10/09 17:06:32 I.F.: 309,56 Publications Original articles 1 13 14 15 16 17 18 19 20 Biological Aggression and Response Mechanisms Area 1 010-039 AREA1.indd 21 12 Infectious diseases and AIDS Ramos-Casal M, Cuadrado MJ, Alba P, Sanna G, BritoZeron P, Bertolaccini L, Babini A, Moreno A, D’cruz D, Khamashta MA. Acute Viral Infections in Patients With Systemic Lupus Erythematosus Description of 23 Cases and Review of the Literature. MEDICINE. 87:311-318. I.F.:4,72. 2 Clotet B, Capetti A, Soto-Ramirez LE, Gatell JM, Rowell L, Salgo M, Schapiro JM. A randomized, controlled study evaluating an induction treatment strategy in which enfuvirtide was added to an oral, highly active antiretroviral therapy regimen in treatment-experienced patients: the INTENSE study. J ANTIMICROB CHEMOTH. 62:1374-1378. I.F.:4,04. 3 Laufer N, Laguno M, Perez I, Cifuentes C, Murillas J, Vidal F, Bonet L, Veloso S, Gatell JM, Mallolas J. Abacavir does not influence the rate of virological response in HIV-HCV-coinfected patients treated with pegylated interferon and weight-adjusted ribavirin. ANTIVIR THER. 13:953-957. I.F.:4,55. 4 Sierra JM, Rodriguez-Puig D, Soriano A, Mensa J, Piera C, Vila J. Accumulation of Tc-99m-ciprofloxacin in Staphylococcus aureus and Pseudomonas aeruginosa. ANTIMICROB AGENTS CH. 52:2691-2692. I.F.:4,39. 5 DelSaz SV, Sued O, Falco V, Aguero F, Crespo M, Pumarola T, Curran A, Gatell JM, Pahissa A, Miro JM, Ribera E. Acute meningoencephalitis due to human immunodeficiency virus type 1 infection in 13 patients: clinical description and follow-up. J NEUROVIROL. 14:474-479. I.F.:1,94. 6 Dambrava PG, Torres A, Valles X, Mensa J, Marcos MA, Penarroja G, Camps M, Estruch R, Sanchez M, Menendez R, Niederman MS. Adherence to guidelines’ empirical antibiotic recommendations and communityacquired pneumonia outcome. EUR RESPIR J. 32:892901. I.F.:5,35. 7 Miravitlles M, Monso E, Mensa J, Perez JA, Barberan J, Caamano MB, Merino JLC, Martinez M, DeZarate O, Mir MSM, Picazo JJ, Jimenez JAQ, Garcia-Rodriguez JA. Antimicrobial treatment of exacerbation in chronic obstructive pulmonary disease: 2007 consensus statement. ARCH BRONCONEUMOL. 44:100-108. I.F.:1,56. 8 Ortega M, Almela M, Soriano A, Marco F, Martinez JA, Munoz A, Penarroja G, Mensa J. Bloodstream infections among human immunodeficiency virus-infected adult patients: epidemiology and risk factors for mortality. EUR J CLIN MICROBIOL. 27:969-976. I.F.:2,31. 9 Baddley JW, Benjamin DK, Patel M, Miro J, Athan E, Barsic B, Bouza E, Clara L, Elliott T, Kanafani Z, Klein J, Lerakis S, Levine D, Spelman D, Rubinstein E, Tornos P, Morris AJ, Pappas P, Fowler VG, Chu VH, Cabell C, Gatell JM, Miro JM. Candida infective endocarditis. EUR J CLIN MICROBIOL. 27:519-529. I.F.:2,31. 10 Soto SM, Bosch J, JimenezDeAnta MT, Vila J. Comparative study of virulence traits of Escherichia coli clinical isolates causing early and late neonatal sepsis. J CLIN MICROBIOL. 46:1123-1125. I.F.:3,71. 11 Durante-Mangoni E, Bradley S, Selton-Suty C, Tripodi MF, Barsic B, Bouza E, Cabell CH, Ramos AIDO, Fowler V, Hoen B, Konecny P, Moreno A, Murdoch D, Pappas P, Sexton DJ, Spelman D, Tattevin P, Miro JM, VanDerMeer JTM, Utili R, Gatell JM. Current Features of Infective Endocarditis in Elderly Patients - Results of the International Collaboration on Endocarditis Prospective Cohort Study. ARCH INTERN MED. 168:2095-2103. I.F.:8,39. Marco F, DeLaMaria CG, Armero Y, Amat E, Soy D, Moreno A, DelRio A, Almela M, Mestres CA, Gatell JM, JimenezDeAnta MT, Miro JM. Daptomycin is effective in treatment of experimental endocarditis due to methicillin-resistant and glycopeptide-intermediate Staphylococcus aureus. ANTIMICROB AGENTS CH. 52:2538-2543. I.F.:4,39. Jaen A, Esteve A, Miro JM, Tural C, Montoliu A, Ferrer E, Riera M, Segura F, Force L, Sued O, Vilaro J, Garcia I, Masabeu A, Altes J, Clotet B, Podzamczer D, Murillas J, Navarro G, Gatell JM, Casabona J. Determinants of HIV progression and assessment of the optimal time to initiate highly active antiretroviral therapy - PISCIS cohort (Spain). JAIDS-J ACQ IMM DEF. 47:212-220. I.F.:4,41. Lifson AR, Belloso WH, Carey C, Davey RT, Duprez D, El-Sadr WM, Gatell JM, Gey DC, Hoy JF, Krum EA, Nelson R, Nixon DE, Paton N, Pedersen C, Perez G, Price RW, Prineas RJ, Rhame FS, Sampson J, Worley J. Determination of the underlying cause of death in three multicenter international HIV clinical trials. HIV CLIN TRIALS. 9:177-185. I.F.:1,62. Grau JJ, Caballero M, Monzo M, Munoz-Garcia C, Domingo-Domenech J, Navarro A, Conill C, Campayo M, Bombi JA. Dihydropyrimidine dehydrogenases and cytidine-deaminase gene polymorphisms as outcome predictors in resected gastric cancer patients treated with fluoropyrimidine adjuvant chemotherapy. J SURG ONCOL. 98:130-134. I.F.:2,38. Caballero M, Vilaseca I, Bernal-Sprekelsen M, Guilemany JM, Moragas M, Blanch JL. DISTANT METASTASES AFTER TRANSORAL LASER MICROSURGERY FOR LARYNGEAL AND HYPOPHARYNGEAL SQUAMOUS CELL CARCINOMA. HEAD NECK-J SCI SPEC. 30:15991606. I.F.:2,01. AntiretroviralTherapyCohortCollaboration (ART-CC), Gatell JM, Miro JM, Agusti C. Does short-term virologic failure translate to clinical events in antiretroviral-naive patients initiating antiretroviral therapy in clinical practice? The Antiretroviral Therapy Cohort Collaboration (ART-CC)anti. AIDS. 22:2481-2492. I.F.:5,84. Len O, Gavalda J, Blanes M, Montejo M, Juan RS, Moreno A, Carratala J, DeLaTorre-Cisneros J, Bou G, Cordero E, Munoz P, Cuervas-Mons V, Alvarez MT, Borrell N, Fortun J, Pahissa A. Donor infection and transmission to the recipient of a solid allograft. AM J TRANSPLANT. 8:2420-2425. I.F.:6,42. Marcos M, Inurrieta A, Soriano A, Martinez JA, Almela M, Marco F, Mensa J. Effect of antimicrobial therapy on mortality in 377 episodes of Enterobacter spp. bacteraemia. J ANTIMICROB CHEMOTH. 62:397-403. I.F.:4,04. Carr A, Ritzhaupt A, Zhang W, Zajdenverg R, Workman C, Gatell JM, Cahn P, Chaves R. Effects of boosted tipranavir and lopinavir on body composition, insulin sen- 21 21/10/09 17:06:37 21 Infectious disease and AIDS 22 23 Area 1 Biological Aggression and Response Mechanisms 24 25 26 27 28 29 22 30 31 010-039 AREA1.indd 22 sitivity and adipocytokines in antiretroviral-naive adults. AIDS. 22:2313-2321. I.F.:5,84. Chu VH, Woods CW, Miro JM, Hoen B, Cabell CH, Pappas PA, Federspiel J, Athan E, Stryjewski ME, Nacinovich F, Marco F, Levine DP, Elliott TS, Fortes CQ, Tornos P, Gordon DL, Utili R, Delahaye F, Corey GR, Fowler VG. Emergence of coagulase-negative staphylococci as a cause of native valve endocarditis. CLIN INFECT DIS. 46:232-242. I.F.:6,75. Petti CA, Simmon KE, Miro JM, Hoen B, Marco F, Chu VH, Athan E, Bukovski S, Bouza E, Bradley S, Fowler VG, Giannitsioti E, Gordon D, Reinbott P, Korman T, Lang S, Garcia-De-La-Maria C, Raglio A, Morris AJ, Plesiat P, Ryan S, Doco-Lecompte T, Tripodi F, Utili R, Wray D, Federspiel JJ, Boisson K, Reller LB, Murdoch DR, Woods CW. Genotypic diversity of coagulase-negative staphylococci causing endocarditis: a global perspective. J CLIN MICROBIOL. 46:1780-1784. I.F.:3,71. Autran B, Murphy RL, Costagliola D, Tubiana R, Clotet B, Gatell J, Staszewski S, Wincker N, Assoumou L, El-Habib R, Calvez V, Walker B, Katlama C. Greater viral rebound and reduced time to resume antiretroviral therapy after therapeutic immunization with the ALVAC-HIV vaccine (vCP1452). AIDS. 22:1313-1322. I.F.:5,84. DeLazzari E, Leon A, Arnaiz JA, Martinez E, Knobel H, Negredo E, Clotet B, Montaner J, Storfer S, Asenjo MA, Mallolas J, Miro JM, Gatell JM. Hepatotoxicity of nevirapine in virologically suppressed patients according to gender and CD4 cell counts. HIV MED. 9:221-226. I.F.:3,35. Navarro G, Nogueras MM, Segura F, Casabona J, Miro JM, Murillas J, Tural C, Ferrer E, Jaen A, Force L, Vilaro J, Garcia I, Masabeu A, Altes J, Esteve A, Sued O, Riera M, Clotet B, Podzamczer D, Gatell JM. HIV-1 infected patients older than 50 years. PISCIS cohort study. J INFECTION. 57:64-71. I.F.:2,84. Anton A, Cervera C, Pumarola T, Moreno A, Benito N, Linares L, Esteva C, Cofan F, JimenezDeAnta MT, Marcos MA. Human herpesvirus 7 primary infection in kidney transplant recipients. TRANSPLANTATION. 85:298-302. I.F.:3,64. Perello R, Moreno A, Camps M, Cervera C, Linares L, Pumarola T, Marcos MA. Human immunodeficiency virusinfected patients with community-acquired pneumonia: implication of respiratory viruses. ENFERM INFEC MICR CL. 26:85-87. I.F.:1,10. Crespo G, Cervera C, Michelena J, Marco F, Moreno A, Navasa M. Immune Reconstitution Syndrome After Voriconazole Treatment for Cryptococcal Meningitis in a Liver Transplant Recipient. LIVER TRANSPLANT. 14:16711674. I.F.:3,75. Mallolas J, Pich J, Penaranda M, Domingo P, Knobel H, Pedrol E, Gutierrez F, Barrufet P, Peraire J, Asenjo MA, Vidal F, Gatell JA. Induction therapy with trizivir plus efavirenz or lopinavir/ritonavir followed by trizivir alone in naive HIV-1-infected adults. AIDS. 22:377-384. I.F.:5,84. Marti J, Cervera C, Filella X, Marin JL, Almela M, Gatell JM, Moreno A. Inflammatory response in elderly patients with bacteremia. ENFERM INFEC MICR CL. 26:146149. I.F.:1,10. Soriano A, Marco F, Martinez JA, Pisos E, Almela M, Dimova VP, Alamo D, Ortega M, Lopez J, Mensa J. Influen- 32 33 34 35 36 37 38 39 40 41 42 ce of vancomycin minimum inhibitory concentration on the treatment of methicillin-resistant Staphylococcus aureus bacteremia. CLIN INFECT DIS. 46:193-200. I.F.:6,75. Mocroft A, Kirk O, Aldins P, Chies A, Blaxhult A, Chentsova N, Vetter N, Dabis F, Gatell J, Lundgren JD. Loss to follow-up in an international, multicentre observational study. HIV MED. 9:261-269. I.F.:3,35. Emery S, Neuhaus JA, Phillips AN, Babiker A, Cohen CJ, Gatell JM, Girard PM, Grund B, Law M, Losso MH, Palfreeman A, Wood R, Arnaiz JA. Major clinical outcomes in antiretroviral therapy (ART)-naive participants and in those not receiving ART at baseline in the SMART study. J INFECT DIS. 197:1133-1144. I.F.:6,04. Menendez R, Cavalcanti M, Reyes S, Mensa J, Martinez R, Marcos MA, Filella X, Niederman M, Torres A. Markers of treatment failure in hospitalised community acquired pneumonia. THORAX. 63:447-452. I.F.:6,23. Vila J, Soriano A, Mensa J. Molecular basis of microbial adherence to prosthetic materials. Role of biolayers in prosthesis-associated infection. ENFERM INFEC MICR CL. 26:48-55. I.F.:1,10. Perno CF, Moyle G, Tsoukas C, Ratanasuwan W, Gatell J, Schechter M. Overcoming resistance to existing therapies in HIV-infected patients: The role of new antiretroviral drugs. J MED VIROL. 80:565-576. I.F.:2,83. Mussini C, Manzardo C, Johnson M, Monforte AD, Uberti-Foppa C, Antinori A, Gill MJ, Sighinolfi L, Borghi V, Lazzarin A, Sabin C, Miro JM. Patients presenting with AIDS in the HAART era: a collaborative cohort analysis. AIDS. 22:2461-2469. I.F.:5,84. Simmon KE, Hall L, Woods CW, Marco F, Miro JM, Cabell C, Hoen B, Marin M, Utili R, Giannitsioti E, DocoLecompte T, Bradley S, Mirrett S, Tambic A, Ryan S, Gordon D, Jones P, Korman T, Wray D, Reller LB, Tripodi MF, Plesiat P, Morris AJ, Lang S, Murdoch DR, Petti CA. Phylogenetic analysis of viridans group streptococci causing endocarditis. J CLIN MICROBIOL. 46:3087-3090. I.F.:3,71. Alvarez-Martinez MJ, Moreno A, Miro JM, Valls ME, Rivas PV, DeLazzari E, Sued O, Benito N, Domingo P, Ribera E, Santin M, Sirera G, Segura F, Vidal F, Rodriguez F, Riera M, Cordero ME, Arribas JR, JimenezDeAnta MT, Gatell JM, Wilson PE, Meshnick SRM. Pneumocystis jirovecii pneumonia in Spanish HIV-infected patients in the combined antiretroviral therapy era: prevalence of dihydropteroate synthase mutations and prognostic factors of mortality. DIAGN MICR INFEC DIS. 62:34-43. I.F.:2,45. Gordin FM, Roediger MP, Girard PM, Lundgren JD, Miro JM, Palfreeman A, Rodriguez-Barradas MC, Wolff MJ, Easterbrook PJ, Clezy K, Slater LN. Pneumonia in HIVinfected persons - Increased risk with cigarette smoking and treatment interruption. AM J RESP CRIT CARE. 178:630-636. I.F.:9,07. Moyle G, Perno CF, Ratanasuwan W, Schechter M, Tsoukas C, Gatell JM. Potential for new antiretrovirals to address unmet needs in the management of HIV-1 infection. AIDS PATIENT CARE ST. 22:459-471. I.F.:2,40. Trullas JC, Barril G, Cofan F, Moreno A, Cases A, Fernandez-Lucas M, Martinez-Ara J, Ceballos M, GarciaDe-Diego J, Muniz ML, Molina J, Martinez-Castelao A, Gonzalez-Garcia J, Miro JM. Prevalence and Clinical Characteristics of HIV Type 1-Infected Patients Receiving 21/10/09 17:06:45 43 44 46 48 49 50 51 010-039 AREA1.indd 23 Reviews 1 2 3 Miro JM, Sanz J, Lozano F, Mallolas J, Moreno S, Aguirrebengoa K, Perez-Molina J. 2008 prevention of opportunistic infections in HIV-infected adolescents and adults guidelines - Recommendations of GESIDA/National AIDS Plan. ENFERM INFEC MICR CL. 26:437-464. I.F.:1,10. Almirante B, Miro JM. Infections associated with prosthetic heart valves, vascular prostheses, and cardiac pacemakers and defibrillators. ENFERM INFEC MICR CL. 26:647-664. I.F.:1,10. Martin-Davila P, Forun J, Lopez-Velez R, Norman F, DeOca MM, Zamarron P, Gonzalez MI, Moreno A, Pumarola T, Garrido G, Candela A, Moreno S. Transmission of tropical and geographically restricted infections during solidorgan transplantation. CLIN MICROBIOL REV. 21:60-+. I.F.:15,76. Editorials 1 Almirante B, Alonso J, Martinez-Martinez L, Miro JM, Pascual A. Toward Modernization of the Editorial Process in Enfermedades Infecciosas y Microbiologia Clinica. ENFERM INFEC MICR CL. 26:605-606. I.F.:1,10. Multicentrics 1 2 3 4 Sabin CA, Monforte AD, Friis-Moller N, Weber R, El-Sadr WM, Reiss P, Kirk O, Mercie P, Law MG, DeWit S, Pradier C, Phillips AN, Lundgren JD, Gatell JM, Miro JM, Zamora L. Changes over time in risk factors for cardiovascular disease and use of lipid-lowering drugs in HIV-infected individuals and impact on myocardial infarction. CLIN INFECT DIS. 46:1101-1110. I.F.:6,75. DeLuca A, Ammassari A, Pezzotti P, Cinque P, Gasnault J, Berenguer J, DiGiambenedetto S, Cingolani A, Taoufik Y, Miralles P, Marra CM, Antinori A, Mallolas J. Cidofovir in addition to antiretroviral treatment is not effective for AIDS-associated progressive multifocal leukoencephalopathy: a multicohort analysis. AIDS. 22:1759-1767. I.F.:5,84. [ANON], Gatell JM, Miro JM. Comparison of genotypic resistance profiles and virological response between patients starting nevirapine and efavirenz in EuroSIDA. AIDS. 22:367-376. I.F.:5,84. Cozzi-Lepri A, Phillips AN, Clotet B, Mocroft A, Ruiz L, Kirk O, Lazzarin A, Wiercinska-Drapalo A, Karlsson A, Lundgren JD, Gatell JM, Miro JM. Detection of HIV drug resistance during antiretroviral treatment and clinical Biological Aggression and Response Mechanisms Area 1 47 52 Serra MC, Cervera C, Pumarola T, Moreno A, Perello R, Torres A, JimenezDeAnta MT, Marcos MA. Virological diagnosis in community-acquired pneumonia in immunocompromised patients. EUR RESPIR J. 31:618-624. I.F.:5,35. 53 Ferrer E, Gatell JM, Sanchez P, Domingo P, Puig T, Niubo J, Cortes C, Veloso S, Pedrol E, Leon A, Gutierrez M, Podzamczer D. Zidovudine/lamivudine/abacavir plus tenofovir in HIV-Infected naive patients: A 96-week prospective one-arm pilot study. AIDS RES HUM RETROV. 24:931-934. I.F.:2,02. Infectious diseases and AIDS 45 Dialysis in Spain: Results of a Spanish Survey in 2006: GESIDA 48/05 Study. AIDS RES HUM RETROV. 24:12291235. I.F.:2,02. Laguno M, Larrousse M, Blanco JL, Leon A, Milinkovic A, Martinez-Rebozler M, Lonca M, Martinez E, SanchezTapias JM, DeLazzari E, Gatell JM, Costa J, Mallolas J. Prevalence and clinical relevance of occult hepatitis B in the fibrosis progression and antiviral response to INF therapy in HIV-HCV-Coinfected patients. AIDS RES HUM RETROV. 24:547-553. I.F.:2,02. Steigbigel RT, Cooper DA, Kumar PN, Eron JE, Schechter M, Markowitz M, Loutfy MR, Lennox JL, Gatell JM, Rockstroh JK, Katlama C, Yeni P, Lazzarin A, Clotet B, Zhao J, Chen J, Ryan DM, Rhodes RR, Killar JA, Gilde LR, Strohmaier KM, Meibohm AR, Miller MD, Hazuda DJ, Nessly ML, Dinubile MJ, Isaacs RD, Nguyen B, Teppler H. Raltegravir with optimized background therapy for resistant HIV-1 infection. NEW ENGL J MED. 359:339-354. I.F.:52,59. Martin M, DelCacho E, Codina C, Tuset M, DeLazzari E, Mallolas J, Miro JM, Gatell JM, Ribas J. Relationship between Adherence Level, Type of the Antiretroviral Regimen, and Plasma HIV Type 1 RNA Viral Load: A Prospective Cohort Study. AIDS RES HUM RETROV. 24:1263-1268. I.F.:2,02. Linares L, Cervera C, Cofan F, Lizaso D, Marco F, Ricart MJ, Esforzado N, Oppenheimer F, Campistol JM, Moreno A. Risk factors for infection with extended-spectrum and AmpC beta-lactamase-producing gram-negative rods in renal transplantation. AM J TRANSPLANT. 8:1000-1005. I.F.:6,42. Montaner J, Yeni P, Clumeck NN, Fatkenheuer G, Gatell J, Hay P, Seminari E, Peeters MP, Scholler-Gyure M, Simonts M, Woodfall B. Safety, tolerability, and preliminary efficacy of 48 weeks of etravirine therapy in a phase IIb dose-ranging study involving treatment-experienced patients with HIV-1 infection. CLIN INFECT DIS. 47:969978. I.F.:6,75. Mestre G, Garcia F, Martinez E, Milinkovic A, Leon A, Mora B, Argelich R, Lozano JM, Pena J, Gatell JM, Plana M. Short Communication Natural Killer Cells and Expression of KIR Receptors in Chronic HIV Type 1-Infected Patients after Different Strategies of Structured Therapy Interruption. AIDS RES HUM RETROV. 24:1485-1495. I.F.:2,02. Cooper DA, Steigbigel RT, Gatell JM, Rockstroh JK, Katlama C, Yeni P, Lazzarin A, Clotet B, Kumar PN, Eron JE, Schechter M, Markowitz M, Loutfy MR, Lennox JL, Zhao J, Chen J, Ryan DM, Rhodes RR, Killar JA, Gilde LR, Strohmaier KM, Meibohm AR, Miller MD, Hazuda DJ, Nessly ML, Dinubile MJ, Isaacs RD, Teppler H, Nguyen BY. Subgroup and resistance analyses of raltegravir for resistant HIV-1 infection. NEW ENGL J MED. 359:355365. I.F.:52,59. Soriano A, Bori G, Garcia-Ramiro S, Martinez-Pastor JC, Miana T, Codina C, Macule F, Basora M, Martinez JA, Riba J, Suso S, Mensa J. Timing of antibiotic prophylaxis for primary total knee arthroplasty performed during ischemia. CLIN INFECT DIS. 46:1009-1014. I.F.:6,75. Vives N, Almeda J, Contreras CA, Garcia F, Campins M, Casabona J. Use of non-occupational HIV post-exposure prophylaxis in Spain (2001-2005). ENFERM INFEC MICR CL. 26:546-551. I.F.:1,10. 23 21/10/09 17:06:50 5 Infectious disease and AIDS 6 7 8 Area 1 Biological Aggression and Response Mechanisms 9 10 11 12 13 24 14 010-039 AREA1.indd 24 progression in a large European cohort study. AIDS. 22:2187-2198. I.F.:5,84. Reekie J, Mocroft A, Sambatakou H, Machala L, Chiesi A, VanLunzen J, Clumeck N, Kirk O, Gazzard B, Lundgren JD, Miro JM, Gatell JM. Does less frequent routine monitoring of patients on a stable, fully suppressed cART regimen lead to an increased risk of treatment failure?. AIDS. 22:2381-2390. I.F.:5,84. Calmy A, Carey D, Mallon PWG, Wand H, Law M, Cooper DA, Carr A, Gatell JM. Early changes in adipokine levels and baseline limb fat may predict HIV lipoatrophy over 2 years following initiation of antiretroviral therapy. HIV MED. 9:101-110. I.F.:3,35. Podlekareva D, Mocroft A, Kirk O, Reiss P, Aldins P, Katlama C, Kovari H, Stellbrink HJ, Monforte AD, Lundgren JD, Gatell JM, Miro JM. Fungal infection as a risk factor for HIV disease progression among patients with a CD4 count above 200/l in the era of cART. SCAND J INFECT DIS. 40:908-913. I.F.:1,21. Monforte AD, Abrams D, Pradier C, Weber R, Reiss P, Bonnet F, Kirk O, Law M, DeWit S, Friis-Moller N, Phillips AN, Sabin CA, Lundgren JD, Gatell JM, Miro JM, Zamora L. HIV-induced immunodeficiency and mortality from AIDS-defining and non-AIDS-defining malignancies. AIDS. 22:2143-2153. I.F.:5,84. Valor L, Navarro J, Carbone J, Rodriguez-Sainz C, Gil J, Lopez F, Fernandez-Cruz E, Gatell JM. Immunization with an HIV-1 immunogen induces CD4(+) and CD8(+) HIV-1specific polyfunctional responses in patients with chronic HIV-1 infection receiving antiretroviral therapygatega. VACCINE. 26:2738-2745. I.F.:3,38. Bannister WP, Friis-Moller N, Mocroft A, Viard JP, VanLunzen J, Kirk O, Gargalianos P, Banhegyi D, Chiesi A, Lundgren JD, Gatell JM, Miro JM. Incidence of abacavir hypersensitivity reactions in EuroSIDA. ANTIVIR THER. 13:687-696. I.F.:4,55. Smith CJ, Mocroft A, Lundgren JD, Gatell JM. Incidence of pancreatitis in HIV-infected patients, and the association with antiretroviral therapy. AIDS. 22:997-998. I.F.:5,84. Lundgren JD, Babiker A, El-Sadr W, Emery S, Grund B, Neaton JD, Neuhaus J, Phillips AN, Gatell JM, Arnaiz JA. Inferior clinical outcome of the CD4(+) cell count guided antiretroviral treatment interruption strategy in the SMART study: Role of CD4(+) cell counts and HIV RNA levels during follow-up. J INFECT DIS. 197:1145-1155. I.F.:6,04. Caram LB, Linefsky JP, Read KM, Murdoch DR, Lalani T, Woods CW, Reller LB, Kanj SS, Premru MM, Ryan S, AlHegelan M, Donnio PY, Orezzi C, Paiva MG, Tribouilloy C, Watkin R, Harris O, Eisen DP, Corey GR, Cabell CH, Petti CA, Gatell JM, Miro JM, Almela M. Leptotrichia endocarditis: Report of two cases from the International Collaboration on Endocarditis (ICE) database and review of previous casesgatell. EUR J CLIN MICROBIOL. 27:139143. I.F.:2,31. Hogg R, Lima V, Sterne JAC, Grabar S, Battegay M, Bonarek M, Monforte AD, Esteve A, Gill MJ, Harris R, Justice A, Hayden A, Lampe F, Mocroft A, Mugavero MJ, Staszewski S, Wasmuth JC, VanSighem A, Kitahata M, Guest J, Egger M, May M, AntiretroviralTherapyCohortCollaboration (ART-CC), Gatell JM, Miro JM. Life expectancy of individuals on combination antiretroviral 15 16 17 18 19 20 21 22 therapy in high-income countries: a collaborative analysis of 14 cohort studies. LANCET. 372:293-299. I.F.:28,64. Pineda JA, Perez-Elias MJ, Pena JM, Luque I, RodriguezAlcantara F, Mallolas J. Low Rate of Adverse Hepatic Events Associated with Fosamprenavir/Ritonavir-Based Antiretroviral Regimens. HIV CLIN TRIALS. 9:309-313. I.F.:1,62. Deforche K, Cozzi-Lepri A, Theys K, Clotet B, Camacho RJ, Kjaer J, VanLaethem K, Phillips A, Moreau Y, Lundgren JD, Vandamme AM, Gatell JM, Miro JM. Modelled in vivo HIV fitness under drug selective pressure and estimated genetic barrier towards resistance are predictive for virological response. ANTIVIR THER. 13:399-407. I.F.:4,55. Molina JM, Andrade-Villanueva J, Echevarria J, Chetchotisakd P, Corral J, David N, Moyle G, Mancini M, Percival L, Yang R, Thiry A, Mcgrath D, Gatell JA. Once-daily atazanavir/ritonavir versus twice-daily lopinavir/ritonavir, each in combination with tenofovir and erntricitabine, for management of antiretroviral-naive HIV-1-infected patients: 48 week efficacy and safety results of the CASTLE study. LANCET. 372:646-655. I.F.:28,64. Tedaldi E, Peters L, Neuhaus J, Puoti M, Rockstroh J, Klein MB, Dore GJ, Mocroft A, Soriano V, Clotet B, Lundgren JD, Gatell JM. Opportunistic Disease and Mortality in Patients Coinfected with Hepatitis B or C Virus in the Strategic Management of Antiretroviral Therapy (SMART) Study. CLIN INFECT DIS. 47:1468-1475. I.F.:6,75. Gomez-Lopez A, Alastruey-Izquierdo A, Rodriguez D, Almirante B, Pahissa A, Rodriguez-Tudela JL, Cuenca-Estrella A, Mensa J, Almela M, Reverter J, Soler C. Prevalence and susceptibility profile of Candida metapsilosis and Candida orthopsilosis: Results from populationbased surveillance of candidemia in Spain. ANTIMICROB AGENTS CH. 52:1506-1509. I.F.:4,39. Mocroft A, Horban A, Clotet B, Monforte AD, Bogner JR, Aldins P, Staub T, Antunes F, Katlama C, Lundgren JD, Gatell JM, Miro JM. Regional differences in the risk of triple class failure in European patients starting combination antiretroviral therapy after 1 January 1999. HIV MED. 9:41-46. I.F.:3,35. Sabin CA, Smith CJ, Monforte AD, Battegay M, Gabiano C, Galli L, Geelen S, Gibb D, Guiguet M, Judd A, Leport C, Dabis F, Pantazis N, Porter K, Raffi F, Thorne C, Torti C, Walker S, Warszawski J, Wintergerst U, Chene G, Lundgren J, Weller I, Costagliola D, Ledergerber B, Touloumi G, Meyer L, Krause MM, Goujard C, DeWolf F, Reiss P, Dorrucci M, Sabin C, Amo J, Obel N, Mocroft A, Kirk O, Staszewski S, Perez-Hoyos S, Almeda J, Antinori A, Tovo PA, Salzberger B, Fatkenheuer G, Ramos J, Mussini C, Tookey P, Casabona J, Miro JM, Castagna A, Wit S, Teira R, Garrido M, Dedes N, Phillips A, Furrer H, Egger M, Newell ML, Sterne J, Telenti A, [ANON]. Response to combination antiretroviral therapy: variation by age - The Collaboration of Observational HIV Epidemiological Research Europe (COHERE) study group. AIDS. 22:1463-1473. I.F.:5,84. El-Sadr WM, Grund B, Neuhaus J, Babiker A, Cohen CJ, Darbyshire J, Emery S, Lundgren JD, Phillips A, Neaton JD, Gatell JM, Arnaiz JA. Risk for opportunistic disease and death after reinitiating continuous antiretroviral therapy in patients with HIV previously receiving episodic therapy - a randomized trial. ANN INTERN MED. 149:289W62. I.F.:15,52. 21/10/09 17:07:00 23 Soriano V, Mocroft A, Rockstroh J, Ledergerber B, Knysz B, Chaplinskas S, Peters L, Karlsson A, Katlama C, Toro C, Kupfer B, Vogel M, Lundgren J, Gatell JM, Arnaiz JA. Spontaneous viral clearance, viral load, and genotype distribution of hepatitis C virus (HCV) in HIV-infected patients with anti-HCV antibodies in Europe. J INFECT DIS. 198:1337-1344. I.F.:6,04. 24 Bannister WP, Cozzi-Lepri A, Clotet B, Mocroft A, Kjaer J, Reiss P, VonWyl V, Lazzarin A, Katlama C, Phillips AN, Ruiz L, Lundgren JD, Gatell JM, Miro JM. Transmitted drug resistant HIV-1 and association with virologic and CD4 cell count response to combination Antiretroviral therapy in the EuroSIDA study. JAIDS-J ACQ IMM DEF. 48:324-333. I.F.:4,41. 25 Podzamczer D, Miro JM, Mallolas J, Moreno S, Berenguer J. Treatment of opportunistic infections in adolescent and adult patients infected by the human immunodeficiency virus during the era of highly active antiretroviral therapy - AIDS Study Group (GESIDA) and National AIDS Plan Expert Committe. ENFERM INFEC MICR CL. 26:356-379. I.F.:1,10. 26 Lundgren JD, Neuhaus J, Babiker A, Cooper D, Duprez D, Ei-Sadr W, Emery S, Gordin F, Kowalska J, Phillips A, Prineas OJ, Reiss P, Sabin C, Tracy R, Weber R, Grund B, Neaton AD, Gatell JM, Miro JM, Zamora A. Use of nucleoside reverse transcriptase inhibitors and risk of myocardial infarction in HIV-infected patients. AIDS. 22:F17-F24. I.F.:5,84. 27 Sabin CA, Worm SW, Weber R, Reiss P, El-Sadr W, Dabis F, DeWit S, Law M, Monforte AD, Friis-Moller N, Kirk O, Pradier C, Weller I, Phillips AN, Lundgren JD, Gatell JM, Miro JM, Zamora L. Use of nucleoside reverse transcriptase inhibitors and risk of myocardial infarction in HIV-infected patients enrolled in the D : A : D study: a multi-cohort collaboration. LANCET. 371:1417-1426. I.F.:28,64. 28 Fox Z, Phillips A, Cohen C, Neuhaus J, Baxter J, Emery S, Hirschel B, Hullsiek KH, Stephan C, Lundgren J, Arnaiz JA, Gatell JM. Viral resuppression and detection of drug resistance following interruption of a suppressive nonnucleoside reverse transcriptase inhibitor-based regimen. AIDS. 22:2279-2289. I.F.:5,84. Gatell JM. Construcción de una vacuna contra el virus de la inmunodeficiencia humana tipo 1 basada en BCG y virus vaccinia recombinante. Grant: Fundacion Mutua Madrileña, FundMM_500992. Duration: 05/07/2005-04/07/2008. Grants for Research in Progress Gatell JM. Red de SIDA. Grant: Ministerio Sanidad y Consumo, RD06/0006/0000. Duration: 01/01/2007-31/12/2010. Martinez JA. Comparación de dos estrategias de uso de antibióticos con actividad anti-P aeruginosa (rotación frente a mezcla) en la adquisición de bacilos gram negativos resistentes en pacientes ingresados en una unidad de cuidado intensivo médica. Grant: Ministerio Sanidad y Consumo, PI050167. Duration: 01/01/2006-30/12/2008. Martinez E. Estudio exploratorio de los factores genéticos asociados a la lipoatrofia y a la enfermedad cardiovascular en pacientes infectados por el VIH en tratamiento antirretrovial. Grant: Ministerio Sanidad y Consumo, PI050255. Duration: 01/01/2006-30/12/2008. Plana M. Caracterización Ex Vivo de la respuesta inmunitaria celular frente al VIH-1 mediante vectores virales. Grant: Ministerio Sanidad y Consumo, PI070291. Duration: 26/11/200730/12/2010. Caballero M. Desarrollo de un modelo experimental en cobaya de enfermedad de vías aéreas superiores por exposición al humo de tabaco. Estudio de los cambios anatomopatológicos y de los marcadores de inflamación. Grant: Ministerio Sanidad y Consumo, PI070434. Duration: 26/11/2007-30/12/2010. Gatell JM. Estudio de la respuesta inmunitaria “in vitro” a una vacuna terapéutica contra el VIH-1 preparada con células dendríticas mieloides autólogas pulsadas con diferentes inmunógeno. Grant: Ministerio Educación y Ciencia, SAF200505566. Duration: 31/12/2005-31/12/2008. Gatell JM. Unitat de SIDA. Grant: Comissionat per a Universitats i Recerca, 2005SGR00369. Duration: 19/10/200531/12/2008. Miro JM. Estudio FIPSE de trasplante hepático en pacientes infectados por el VIH en España (2002-2007). Estudio GESIDA 4505. Grant: Fundación para la Investigación y la Prevención del Sida en España, TOH/VIH/05. Duration: 16/01/2006-16/01/2008. Mallolas J. Cohorte de GESIDA de pacientes coinfectados por VIH y virus de hepatitis C que reciben tratamiento para la hepatitis C (2008-2010). Grant: Fundación para la Investigación y la Prevención del Sida en España, 36702/07. Duration: 19/11/2007-18/11/2010. Arnedo M. Factores genéticos implicados en el desarrollo de dislipemia en pacientes infectados por VIH-1 que inician tratamiento antiretroviral de gran actividad. Grant: FIPSEFundación para la Investigación y Prevención del SIDA en España, 36715/08. Duration: 30/10/2008-29/10/2011. 010-039 AREA1.indd 25 Biological Aggression and Response Mechanisms Area 1 Gatell JM. NoE - European AIDS Treatment Network. Grant: European Commision, LSHP-CT-2006-037570. Duration: 01/02/2007-31/01/2012. Garcia F. Estudio en fase I de inmunogenicidad y seguridad de una vacuna preventiva para el VIH basada en un vector poxvirus que expresa proteinas ENV, GAG, POL y NEF del VIH-1 subtipo B en individuos no infectados por el VIH. Grant: Ministerio Sanidad y Consumo, PI050058. Duration: 01/01/2006-30/12/2008. Infectious diseases and AIDS Garcia F. STREP - Mucosal Nano Vaccine Candidate for HIV. Grant: European Commision, LSHP-CT-2006-037200. Duration: 01/01/2007-31/12/2009. Garcia F. Desarrollo de vectores virales seguros para el uso en vacunas terapéuticas contra el VIH-a preparadas con células dendríticas derivadas de monocitos. Grant: Fundacion Mutua Madrileña, FundMM_501138. Duration: 03/07/200603/07/2009. 25 21/10/09 17:07:05 Joseph J. Second International Workshop on Lipid Mediators. Grant: Ministerio de Educación y Ciencia, SAF200730206-E. Duration: 01/02/2008-31/12/2008. Plana M. Estudi de la resposta immune en pacients infectats pel VIH-1 sotmesos a teràpies immunomediades. Doctorand: Anna López Plana. Universitat de Barcelona. Arnedo M. Factores genéticos implicados en el desarrollo de dislipemia en pacientes infectados por VIH-1 que inician tratamiento antiretroviral de gran actividad. Grant: FIPSEFundación para la Investigación y Prevención del SIDA en España, 36715/08. Duration: 30/10/2008-29/10/2011. Garcia F, Plana M. Evaluación de las características fenotípicas en las poblaciones de linfocitos T y células natural killer y de la expresión de los NK cell receptors inhibitorios en pacientes infectados por el VIH con diversas estrategias de interrupción del tratamiento. Doctorand: Gabriel Mestre Roca. Univarsitat de Barcelona. Plana M, Miro JM. Factores inmunitarios protectivos del huesped contra la infección por el VIH-1 y la progresión del sida: Quimiocinas y sus receptores. Doctorand: Catalina Martínez Ibarra. Univarsitat de Barcelona. Garcia F, Plana M. Estudio de la influencia de estímulos inmunológicos repetidos en forma de un calendario vacunal en pacientes adultos infectados por el virus de la inmunodeficiencia humana en estadios tempranos de la infección. Doctorand: Pdreo Castro Rebollo. Universitat de Barcelona. Miro JM, Plana M. Infección por VIH en pacientes muy inmunodeprimidos: características clínico-epidemiológicas, reconstitución inmunológica y optimización del tratamiento antirretroviral. Doctorand: Christian manzardo. Universitat de Barcelona. Serra JM, Martinez-Chamorro E. Atrofia de la grasa facial en los pacientes VIH+. Tratamiento mediante inyección de tejido adiposo antólogo. Doctorand: Joan Fontdevila Font. Universitat de Barcelona. Area 1 Biological Aggression and Response Mechanisms Infectious disease and AIDS Thesis 26 010-039 AREA1.indd 26 21/10/09 17:07:09 Immunoreceptors of the Innate and Adaptive System Team members Team Leader: ■ Francisco Lozano (Hospital Clínic/UB) Tel.: 93 227 54 88 Fax: 93 451 80 38 E-mail: [email protected] Collaborators: Carles Serra Pagès (Hospital Clínic) Maria Rosa Sarrias (FIS/Hospital Clínic) Cristina Escoda (MEC/FPI) Technicians: Mireia Antón (IDIBAPS/AVCRI) Clara Estévez (MEC) Belén Suárez (Hospital Clínic) Cristina Astasio (FIS) Adriana Lázaro (Fundació Clínic) Laia Llinas (IDIBAPS) Strategic Objectives 1. Genetic and molecular characterization of the receptors of the innate and adaptive immune system. 2. Functional characterization of the ligand-receptor interactions responsible for intracellular communication between components of the innate and adaptive immune system. 3. Molecular characterization of pathogen-host interactions. 4. Molecular characterization of the biology, pathogenesis and immunology of cytomegalovirus (CMV). Biological Aggression and Response Mechanisms Area 1 Doctoral Students: Erola Ainsua (FPI/MEC) Lyzette Bonet (ACRIBIM) Rafael Fenutría (MCyT) Montse Gustems (MCyT) Elena Isern (IDIBAPS) Gloria Montañés (MEC) Irene Oliver (IDIBAPS) Ifigenia Saborit (FIS) Jose Manuel de Salort (Fundació Clinic) Jordi Sintes (UB) Jorge Vera (MEC) Antonio Guilabert Vidal (FIS-FSE) Maite Figueras (MEC) Mario Martínez Florensa (FBG) Esther Carrasco Miguel (FC) Cristina Miró (MEC/FPU) Natalia Pérez Carmona (UB) Immunoreceptors of the innate and adaptive system IDIBAPS Members: ■ Ana Angulo (RyC/IDIBAPS) ■ Pablo Engel (UB) ■ Margarita Martín (RyC/IDIBAPS) 27 Principal Lines of Research 1. Study of the structure and function of leukocyte molecules of the signalling lymphocytic activation molecule (SLAM) and SLAM-associated protein (SLAP) families. 2. Identification and characterization of leukocyte receptors and intracellular ligands of the adaptor mo- 010-039 AREA1.indd 27 Molecular modelling of CD6 interaction with its ligand ALCAM/CD166. Two details of the interaction surface of the two involved extracellular domains are included: The SRCR domain of CD6, more proximal to the membrane (DIII), and the immunoglobulin-type domain (Ig) of ALCAM, more distal to the membrane (IgI). 21/10/09 17:07:16 Immunoreceptors of the innate and adaptive system 1 Area 1 Biological Aggression and Response Mechanisms Molecular mechanisms of the pathogenesis of cytomegalovirus Principal Investigator: ■ Angulo, Ana (IDIBAPS) Cytomegalovirus (CMV) is a ubiquitous pathogen that establishes latent infections that last for life, leading to severe consequences in immunocompromised individuals. The group studies different aspects of the interaction of CMV with its host, with special emphasis on the mechanisms that regulate viral genetic expression, determination of new functions coded for the virus and the identification of the processes of interference with the immune system. I.F.: 34,54 PublicaTions Original Articles 28 Emerging Group lecule 3BP2. Molecular dissection of the signal pathways of 3BP2 in lymphocytes. 3. Study of molecules that play a role in leukocyte adhesion and inflammation. 4. Immunogenetics of receptors and molecules implicated in the regulation of the innate and adaptive immune responses. 5. Study of the role of CD5 and CD6 receptors in lymphocyte differentiation and activation. 6. Molecular and functional characterization of nonlymphoid members of the superfamily of receptors with extracellular dominions rich in cysteine, such as scavenger (scavenger receptor cysteine-rich, SRCR). 7. Characterization of gene regulation mechanisms of CMV and identification of functions coded for CMV. 8. Study of the modulation of the immune response due to CMV and immunoevasion strategies. 2 3 4 5 6 7 010-039 AREA1.indd 28 Martin M, DelCacho E, Codina C, Tuset M, DeLazzari E, Mallolas J, Miro JM, Gatell JM, Ribas J. Relationship between Adherence Level, Type of the Antiretroviral Regimen, and Plasma HIV Type 1 RNA Viral Load: A Prospective Cohort Study. AIDS RES HUM RETROV. 24:1263-1268. I.F.:2,02. Huerva V, Martin M, Canto LM, Yague J. Absence of cornea verticillata in hemizygotes of a novel mutation in Fabry disease. CORNEA. 27:970-972. I.F.:1,78. Sintes J, Romero X, Marin P, Terhorst C, Engel P. Differential expression of CD150 (SLAM) family receptors by human hematopoietic stem and progenitor cells. EXP HEMATOL. 36:1199-1204. I.F.:3,15. Lozano M, Peidro L, Merino I, Segur JM, Pereira A, Cid J, Lozano L, Mazzara R, Macule F, Basora M, Salazar F. Effectiveness and safety of tranexamic acid administration during total knee arthroplasty. VOX SANG. 95:3944. I.F.:2,59. Domingo P, Suarez-Lozano I, Torres F, Teira R, Lopez-Aldeguer J, Vidal F, Munoz A, Viciana P, Lozano F, Vergara A, Roca B, Alcalde MLG, Cosin J, Terron A, Galindo MJ, Geijo P, Ribera E, Gonzalez J, Sanchez T, Lacalle JR, Garrido M. First-line antiretroviral therapy with efavirenz or lopinavir/ritonavir plus two nucleoside analogues: the SUSKA study, a non-randomized comparison from the VACH cohort. J ANTIMICROB CHEMOTH. 61:1348-1358. I.F.:4,04. Gustems M, Busche A, Messerle M, Ghazal P, Angulo A. In Vivo Competence of Murine Cytomegalovirus under the Control of the Human Cytomegalovirus Major Immediate-Early Enhancer in the Establishment of Latency and Reactivation. J VIROL. 82:10302-10307. I.F.:5,33. Teixe T, Nieto-Blanco P, Vilella R, Engel P, Reina M, Espel E. Syndecan-2 and-4 expressed on activated primary human CD4(+) lymphocytes can regulate T cell activation. MOL IMMUNOL. 45:2905-2919. I.F.:3,74. 8 Saborit-Villarroya I, Martinez-Barriocanal A, Oliver-Vila I, Engel P, Sayos J, Martin M. The adaptor 3BP2 activates CD244-mediated cytotoxicity in PKC- and SAP-dependent mechanisms. MOL IMMUNOL. 45:3446-3453. I.F.:3,74. 9 Oliver-Vila I, Saborit-Villarroya I, Engel P, Martin M. The leukocyte receptor CD84 inhibits Fc epsilon RI-mediated signaling through homophilic interaction in transfected RBL-2H3 cells. MOL IMMUNOL. 45:2138-2149. I.F.:3,74. 10 Darwich L, Cabrera C, Romeu J, Martinez-Picado J, Este JA, Tural C, Bellido R, Clotet B, Angulo A, Ruiz L, Bofill M. The Magnitude of Interferon-gamma Responses to Human Cytomegalovirus Is Predictive for HIV-1 Disease Progression. JAIDS-J ACQ IMM DEF . 49:507-512. I.F.:4,41. Reviews 1 2 3 Miro JM, Sanz J, Lozano F, Mallolas J, Moreno S, Aguirrebengoa K, Perez-Molina J. 2008 prevention of opportunistic infections in HIV-infected adolescents and adults guidelines - Recommendations of GESIDA/National AIDS Plan. ENFERM INFEC MICR CL. 26:437-464. I.F.:1,10. Busche A, Angulo A, Kay-Jackson P, Ghazal P, Messerle M. Phenotypes of major immediate-early gene mutants of mouse cytomegalovirus. MED MICROBIOL IMMUN . 197:233-240. I.F.:1,54. Calpe S, Wang NH, Romero X, Berger SB, Lanyi A, Engel P, Terhorst C. The SLAM and SAP gene families control innate and adaptive immune responses. ADV IMMUNOL . 97:177-250. I.F.:6,26. Grants for Research in Progress Sarrias M. Estudio de las propiedades inmunoreguladoras de la proteina Scavenger Spalpha en la respuesta antiinfecciosa. Grant: Ministerio Sanidad y Consumo, PI070036. Duration: 26/11/2007-30/12/2010. 21/10/09 17:07:25 Angulo A. Identificación de determinantes moleculares de la activación del citomegalovirus: enfoque en el locus principal inmediatamente temprano. Grant: Ministerio Educación y Ciencia, SAF2005-05633. Duration: 15/10/2005-14/10/2008. Martin M. Identificación y caracterización de receptores leucocitarios y ligandos intrecelulares que regulan la función de la molecula adaptadora 3BP2 en celulas hematopoyeticas. Grant: Ministerio Educación y Ciencia, SAF2006-00574. Duration: 01/10/2006-30/09/2009. Engel P. Función del inmunoreceptor CD229 y del adaptador de la familia SAP EAT2. Grant: Ministerio Educación y Ciencia, SAF2006-00490. Duration: 01/01/2006-01/01/2009. Lozano F. Nova bioteràpia en sepsis fùngica i polimicrobiana. Grant: CIDEM, VALTEC08-2-0034. Duration: 01/01/200831/12/2010. Angulo A. Regulación transcripcional y funciones de los genes principales inmediatamente tempranos: implicaciones en la patogénesis viral. Grant: Ministerio Educación y Ciencia, SAF2008-00382. Duration: 01/01/2008-31/12/2011. Lozano F. Red Española de Investigación en Patología Infecciosa (REIPI). Grant: Instituto de Salud Carlos III, RD06/0008. Duration: 01/01/2008-31/12/2010. Engel P. Study of CD84 induced innate and adaptive immune responses in experimental colitis. Grant: Crhon’s and Colitis Foundation of America. Duration: 01/01/2006-31/12/2008. Patents Lozano F. Interacción de CD6 recombinante soluble humano (rsCD6) con componentes de las superficies microbianas (bacterianas, virales y fúngicas) y sus implicaciones terapéuticas Jorge Vera, Francisco Lozano. Composiciones farmaceúticas de CD5. Immunoreceptors of the innate and adaptive system Lozano F. Estudio de las propiedades inmunomoduladoras de miembros linfoides y no linfoides de la superfamilia de receptores SRCR (Scavenger Receptor Cysteine-Rich). Grant: Ministerio Educación y Ciencia, SAF2007-62197. Duration: 01/12/2007-30/11/2010. en las infecciones y sus procesos inflamatorios asociados. Grant: AVCRI, PPV017-07. Duration: 01/01/2008-31/12/2009. Biological Aggression and Response Mechanisms Area 1 29 010-039 AREA1.indd 29 21/10/09 17:07:29 Musculoskeletal Repair and Plasticity Team Members Area 1 Biologic Aggression and Response Mechanisms Musculoskeletal repair and plasticity Team Leader: ■ Joaquim Forés i Viñeta (Hospital Clínic) Tel.: 93 227 93 14 E-mail: [email protected] 30 IDIBAPS Members: ■ Jesús Benito (Hospital Clínic) ■ Andrés Combalía (Hospital Clínic) ■ Francisco Maculé (Hospital Clínic) ■ Montserrat Nuñez (Hospital Clínic) ■ Jaume Pomés (Hospital Clínic) ■ Josep M. Segur (Hospital Clínic) ■ Josep M. Serra (Hospital Clínic) ■ Àlex Soriano (Hospital Clínic) Collaborators: M.ª Teresa Anglada (Hospital Clínic) Jordi Asunción (Hospital Clínic) Misericordia Basora (Hospital Clínic) Guillem Bori (Hospital Clínic) Xavier Carné (Hospital Clínic) Ana Carreño (Hospital Clínic) Adela Faulí (Hospital Clínic) Pablo Fernández de Retana (Hospital Clínic) Jenaro A. Fernández-Valencia (Hospital Clínic) Joan Xavier Fontdevila (Hospital Clínic) Salvador Fuster (Hospital Clínic) Xavier Gallart (Hospital Clínic) Eloy M. García Díez Ruben García Elvira Sebastian Garcia Ramiro Raquel García Tarriño Strategic Objectives Our research group, which joined IDIBAPS in 2007, aims to agglutinate and generate synergies between professionals from different specialties working in the area of the motor apparatus. This is an area with growing social and technological demand but with little incidence in the area of research of this institution. Many aspect of the knew knowledge relate to the musculoskeletal system: cellular, gene and drug therapy; new materials and implants; robotics; state-of-the-art surgical and anesthetic technology; and sophisticated imaging techniques. The lack of clinical scientific evidence for much knew knowledge and the extraordinary volume of patients in our area are, with very few resources, an important source of work that provides 010-039 AREA1.indd 30 Anna López Gutiérrez Francisco Maculé (Hospital Clínic) Montserrat Nuñez (Hospital Clínic) Felipe Orient (Hospital Clínic) Lluis Peidro (Hospital Clínic Daniel Poggio (Hospital Clínic) Dragos Popescu (Hospital Clínic) Salvi Prat (Hospital Clínic) Josep Riba (Hospital Clínic) Moisés Rios (Hospital Clínic) Xavier Sala (Hospital Clínic) Isabel Sañudo (Hospital Clínic) Sergi Sastre (Hospital Clínic) Josep M. Segur (Hospital Clínic) Santiago Suso (Hospital Clínic) Xavier Tomás (Hospital Clínic) Pere Torner (Hospital Clínic) Antoni Trilla (Hospital Clínic) Raquel Vilarrasa (Hospital Clínic) Secretary: Antònia Bayo (Hospital Clínic) intellectual productivity. Working with humility but thinking big, we believe, is the best strategy for achieving the objective of becoming a reference standard group in our field. Principal Lines of Research 1. Bone pathophysiology, disease variation with age, evaluation of techniques for fixing fractures and bone replacements. 2.Cartilage, degeneration and repair using tissue engineering. 3.Evaluation and design of new prosthetic implants. 4.Minimally invasive surgery with new technology and instruments. 5.Infections of the motor system, their prophylaxis and treatment. 21/10/09 17:07:41 15.Surgical treatment of facial lipoatrophy by the injection of autologous fat in patients with HIV infection. Navigation and robotics applied to skeletal stents. I.F.: 49,43 PublicaTions Original Articles 1 3 4 5 6 7 8 010-039 AREA1.indd 31 9 10 11 12 13 14 15 16 Biologic Aggression and Response Mechanisms Area 1 2 Sierra JM, Rodriguez-Puig D, Soriano A, Mensa J, Piera C, Vila J. Accumulation of Tc-99m-ciprofloxacin in Staphylococcus aureus and Pseudomonas aeruginosa. ANTIMICROB AGENTS CH. 52:2691-2692. I.F.:4,39. Ortega M, Almela M, Soriano A, Marco F, Martinez JA, Munoz A, Penarroja G, Mensa J. Bloodstream infections among human immunodeficiency virus-infected adult patients: epidemiology and risk factors for mortality. EUR J CLIN MICROBIOL. 27:969-976. I.F.:2,31. Marcos M, Inurrieta A, Soriano A, Martinez JA, Almela M, Marco F, Mensa J. Effect of antimicrobial therapy on mortality in 377 episodes of Enterobacter spp. bacteraemia. J ANTIMICROB CHEMOTH. 62:397-403. I.F.:4,04. Soriano A, Marco F, Martinez JA, Pisos E, Almela M, Dimova VP, Alamo D, Ortega M, Lopez J, Mensa J. Influence of vancomycin minimum inhibitory concentration on the treatment of methicillin-resistant Staphylococcus aureus bacteremia. CLIN INFECT DIS. 46:193-200. I.F.:6,75. Vila J, Soriano A, Mensa J. Molecular basis of microbial adherence to prosthetic materials. Role of biolayers in prosthesis-associated infection. ENFERM INFEC MICR CL. 26:48-55. I.F.:1,10. Soriano A, Bori G, Garcia-Ramiro S, Martinez-Pastor JC, Miana T, Codina C, Macule F, Basora M, Martinez JA, Riba J, Suso S, Mensa J. Timing of antibiotic prophylaxis for primary total knee arthroplasty performed during ischemia. CLIN INFECT DIS. 46:1009-1014. I.F.:6,75. Lozano M, Peidro L, Merino I, Segur JM, Pereira A, Cid J, Lozano L, Mazzara R, Macule F, Basora M, Salazar F. Effectiveness and safety of tranexamic acid administration during total knee arthroplasty. VOX SANG. 95:39-44. I.F.:2,59. Sastre S, Suso S, Segur JM, Bori G, Carbonell JA, Agusti E, Nunez M. Cryopreserved and frozen hyaline cartilage imaged by environmental scanning electron microscope. An experimental and prospective study. J RHEUMATOL. 35:1639-1644. I.F.:3,15. Gandia J, Galino J, Amaral OB, Soriano A, Lluis C, Franco R, Ciruela F. Detection of higher-order G protein-coupled receptor oligomers by a combined BRETBiFC technique. FEBS LETT. 582:2979-2984. I.F.:3,26. Conill C, Setoain X, Colomo L, Palacin A, CombaliaAleu A, Pomes J, Marruecos J, Vargas M, Maurel J. Diagnostic efficacy of bone scintigraphy, magnetic resonance imaging, and positron emission tomography in bone metastases of myxoid liposarcoma. J MAGN RESON IMAGING. 27:625-628. I.F.:2,21. Kumru H, Vidal J, Kofler M, Benito J, Garcia A, VallsSole J. Exaggerated auditory startle responses in patients with spinal cord injury. J NEUROL. 255:703-709. I.F.:2,48. Lozano LM, Segur JM, Macule F, Nunez M, Torner P, Castillo F, Suso S. Intramedullary versus Extramedullary Tibial Cutting Guide in Severely Obese Patients Undergoing Total Knee Replacement: A Randomized Study of 70 Patients with Body Mass Index > 35 kg/m(2). OBES SURG. 18:1599-1604. I.F.:2,85. Aleu AC, Popescu D, Pomes J, Palacin A. Long-standing pain in a 25-year-old patient with a non-diagnosed cervical osteoblastoma: a case report. ARCH ORTHOP TRAUM SU. 128:567-571. I.F.:0,91. Raigosa M, Clavero JA, Benito-Ruiz J, Yoon T, Carreras A, Ferreres A. Multislice Computed Tomography Angiography of the Fourth Dorsal Interosseous Space in Cadavers. J HAND SURG-AM. 33A:1860-1867. I.F.:1,07. Sanzana ES, Macule F, Suso S, Planell JA, Ginebra MP, Navarro M. Of the in vivo behavior of calcium phosphate cements and glasses as bone substitutes. ACTA BIOMATER. 4:1924-1933. I.F.:3,11. Nunez M, Nuñez S, Segur JM, Macule F, Sastre S. Prevalence of knee osteoarthritis and analysis of pain, rigidity, and functional incapacity. ORTHOPEDICS. 8:-. I.F.:0,58. Musculoskeletal repair and plasticity 6. Nervous system: a) repair by tubulization of lesions of the peripheral nervous system b) e xperimental reimplantation of paraganglial avulsed nerve roots. 7. Acute postoperative pain and chronic musculoskeletal pain. 8. Functional rehabilitation and prevalence of degenerative arthropathy. 9. Biology of autologous adipose tissue grafts. 10.Musculoskeletal tissue bank. 11.Diagnostic imaging, new technologies in diagnosis and follow-up. 12.Collaboration on joint projects with UASP. 13.Acute-phase response in open fractures. Utility of IL-6, PCR and CK in predicting results and correlation with the Gustilo classification. 14.Vascular anatomy of the upper limbs applied to reconstructive procedures. 31 21/10/09 17:07:45 17 Psychometric characteristics of the Spanish version of instruments to measure neck pain disability. BMC MUSCULOSKEL DIS. 9:-. I.F.:1,32. 18 Raigosa M, Benito-Ruiz J, Fontdevila J, Ballesteros JR. Waterproof camera case for intraoperative photographs. AESTHET PLAST SURG. 32:368-370. I.F.:0,56. Reviews Moll C, Hernandez MV, Canete JD, Gomez-Puerta JA, Soriano A, Collado A, Sarimarti R. Ilium osteitis as the main manifestation of the SAPHO syndrome: Response to infliximab therapy and review of the literature. SEMIN ARTHRITIS RHEU. 37:299-306. I.F.:3,68. Fores J. Eficacia del tratamiento con infiltraciones de ácido hialurónico en las rizartrosis. Medición con tests sensoriales y funcionales cuantitativos y tests subjetivos. Análisis de concordancia. Grant: Sociedad Española de Cirugía Ortopédica y Traumatología. Duration: 30/11/2007-30/11/2009. Fores J. Taller sobre el dolor per pacients i familiars (Chronic pain workshop for patients and relatives). Grant: Fundació La Marató de TV3, 72810. Duration: 22/01/200821/01/2011. Thesis Grants for Research in Progress Fores J. A controlled, randomized, comparison, blind evaluation of repair of upper extremity nerve lesions in man using an implanted collagen nerve guide conduit. Grant: Integra LifeSciences Corporation, PNG-EU-9901. Duration: 01/03/2001-01/03/2009. Fores J. Tratamiento fármaco-celular de las lesiones por avulsión de las raíces nerviosas. Grant: Fundació de la So- Serra JM, Martinez-Chamorro E. Atrofia de la grasa facial en los pacientes VIH+. Tratamiento mediante inyección de tejido adiposo antólogo. Doctorand: Joan Fontdevila Font. Universitat de Barcelona. Patents Jordi Asunción. Trefina para la extracción de un injerto óseo y para la colocación de dicho injerto. Area 1 Biological Aggression and Response Mechanisms Musculoskeletal repair and plasticity 1 cietat Española de Cirurgia Ortopèdic y Traumatologia. Duration: 20/09/2007-30/09/2009. 32 010-039 AREA1.indd 32 21/10/09 17:07:54 Immunogenetics in the Autoinflammatory Response Team members Team Leader: ■ Jordi Yagüe (Hospital Clínic) Tel.: 93 227 54 00 (Ext: 2155) Fax: 93 451 80 38 E-mail: [email protected] Immunogenetics in the autoinflammatory response IDIBAPS Members: ■ Juan Ignacio Aróstegui (Hospital Clínic) ■ Manel Juan (Hospital Clínic) Collaborators: Laura Carretero (IDIBAPS) Mariona Pascal (Hospital Clínic) Principal Lines of Research In the field of autoinflammatory diseases To promote basic, clinical and translational research on the physiopathics of autoinflammatory diseases as a model for a deeper understanding of the regulation of the normal inflammatory response, its dysfunctions and their repercussion on the immune response. In the field of autoinflammatory diseases 1. Determination of the genetic and molecular bases of the autoinflammatory response. 2. Characterization of inflammasome regulator mechanisms and their dysfunction. 3. Characterization of the specific transcriptional profiles of autoinflammatory diseases. 4.Isolation of new genes responsible for hereditary autoinflammatory disease and identification of genetic susceptibility factors for the development of polygenic autoinflammatory processes. 5.Definition of new therapeutic targets for the treatment of autoinflammatory diseases. In the field of the immune response To determine which components of the normal and pathologic inflammatory response are essential to modulating the phenomena of specific recognition of the immune response. PublicaTions Original Articles 1 Huerva V, Martin M, Canto LM, Yague J. Absence of cornea verticillata in hemizygotes of a novel mutation in Fabry disease. CORNEA. 27:970-972. I.F.:1,78. 2 Gunduz Z, Dursun I, Arostegui JI, Yague J, Dusunsel R, Poyrazoglu HM, Gurgoze MK, Yikilmaz A. A fatal turkish case of CINCA-NOMID syndrome due to the novel Val-351-Leu CIAS1 gene mutation. RHEUMATOL INT. 28:379-383. I.F.:1,27. 3 Granell M, Urbano-Ispizua A, Pons A, Arostegui JI, Gel B, Navarro A, Jansa S, Artells R, Gaya A, Talarn 010-039 AREA1.indd 33 I.F.: 48,44 C, Fernandez-Avilles F, Martinez C, Rovira M, Carreras E, Rozman C, Juan M, Yague J, Montserrat E, Monzo M. Common variants in NLRP2 and NLRP3 genes are strong prognostic factors for the outcome of HLAidentical sibling allogeneic stem cell transplantation. BLOOD. 112:4337-4342. I.F.:10,90. 4 Puigdomenech I, Massanella M, Izquierdo-Useros N, Ruiz-Hernandez R, Curriu M, Bofill M, MartinezPicado J, Juan M, Clotet B, Blanco J. HIV transfer between CD4 T cells does not require LFA-I binding to ICAM-I and is governed by the interaction of HIV envelope glycoprotein with CD4. RETROVIROLOGY. 5:-. I.F.:4,04. Biological Aggression and Response Mechanisms Area 1 Strategic Objectives 33 21/10/09 17:08:00 5 Grants for Research in Progress Yague J. Análisis de las bases moleculares responsables de las enfermedades autoinflamatorias sistémicas no filiadas: desarrollo y validación de pruebas diagnósticas e identificación de potenciales dianas para terapias biológicas inmunomoduladoras. Grant: Ministerio Sanidad y Consumo, PI060241. Duration: 18/10/2006-30/12/2009. Juan M. Variantes de CCL4 (MIP-1beta) y linfocitos T intratiroideos: modelo de la implicación de las quimiocinas en el reconocimiento de los linfocitos T CD4+ autorreactivos. Grant: Instituto de Salud Carlos III, PI070329. Duration: 23/01/2008-30/12/2010. Reviews 1 Arstegui JI, Yague J. Hereditary systemic autoinflammatory diseases. Part II: cryopyrin-associated periodic syndromes, pediatric systemic granulomatosis and PAPA syndrome. MED CLIN-BARCELONA. 130:429-438. I.F.:1,34. Area 1 Biological Aggression and Response Mechanisms Immunogenetics in the autoinflammatory response 6 Colobran R, Comas D, Faner R, Pedrosa E, Anglada R, Pujol-Borrell R, Bertranpetit J, Juan M. Population structure in copy number variation and SNPs in the CCL4L chemokine gene. GENES IMMUN. 9:279-288. I.F.:4,09. VonBernuth H, Picard C, Jin ZB, Pankla R, Xiao H, Ku CL, Chrabieh M, BenMustapha I, Ghandil P, Camcioglu Y, Vasconcelos J, Sirvent N, Guedes M, Vitor AB, HerreroMata MJ, Arostegui JI, Rodrigo C, Alsina L, Ruiz-Ortiz E, Juan M, Fortuny C, Yague J, Anton J, Pascal M, Chang HH, Janniere L, Rose Y, Garty BZ, Chapel H, Issekutz A, Marodi L, Rodriguez-Gallego C, Banchereau J, Abel L, Li XX, Chaussabel D, Puel A, Casanova JL. Pyogenic bacterial infections in humans with MyD88 deficiency. SCIENCE. 321:691-696. I.F.:26,37. 34 010-039 AREA1.indd 34 21/10/09 17:08:09 Research and Development in Microbiology and Molecular Clinical Parasitology Team members Team Leader: ■ Jordi Vila Estapé (Hospital Clínic) Tel.: 93 227 55 22 E-mail: [email protected] Collaborators: Manel Almela Prades (Hospital Clínic) Jordi Bosch Mestres (Hospital Clínic) Jorge Puig de la Bellacasa Brugada (Hospital Clínic) Jordi Más Capó (Hospital Clínic) M. Eugenia Valls Lolla (Hospital Clínic) The general research objectives of the microbiology department of Hospital Clínic include the following 3 areas of microbiology: 1. New diagnostic techniques 2. Microbial pathogenesis 3. Antimicrobial resistance The principal objective is to translate the results obtained in research to the daily clinical practice of the microbiology department. However, the development of basic research to explain problems or situation that regularly occur in clinical practice is also very common. 2. New microbiology techniques in etiologic diagnosis of pneumonia. 3. Research on the relationship between antibiotic resistance and virulence. 4. Molecular bases of antibiotic resistance in multiresistant bacteria. 5. Design of new antibacterial agents. Principal Lines of Research The lines of research aimed at achieving the above objectives are: 1. Mechanisms of resistance of Mycobacterium tuberculosis. I.F.: 118,74 PublicaTions Biological Aggression and Response Mechanisms Area 1 Strategic Objectives Doctoral Students: Cristina Pitarch (Hospital Clínic) Griselda Tudó Vilanova (Hospital Clínic) Ignasi Roca (Hospital Clínic) Anna Fábrega Santamaria (Hospital Clínic) Paula Andrea Espinal (Hospital Clínic) Emma Rey Jurado (Hospital Clínic) Sonia Borell Farnov (Hospital Clínic) Andrés Antón (Hospital Clínic) Xavier Vila Farrés (Hospital Clínic) Research and Development in Microbiology and Molecular Clinical Parasitology IDIBAPS Members: ■ Julià Gonzàlez Martín (Hospital Clínic) ■ M. Teresa Jiménez de Anta (Hospital Clínic) ■ Francesc Marco Reverté (Hospital Clínic) ■ M. Angeles Marcos Maeso (Hospital Clínic) ■ Tomás Pumarola Suñe (Hospital Clínic) ■ Sara Soto González (Hospital Clínic) 35 Original Articles 1 2 Sierra JM, Rodriguez-Puig D, Soriano A, Mensa J, Piera C, Vila J. Accumulation of Tc-99m-ciprofloxacin in Staphylococcus aureus and Pseudomonas aeruginosa. ANTIMICROB AGENTS CH. 52:2691-2692. I.F.:4,39. DelSaz SV, Sued O, Falco V, Aguero F, Crespo M, Pumarola T, Curran A, Gatell JM, Pahissa A, Miro JM, Ribera E. Acute meningoencephalitis due to human immuno- 010-039 AREA1.indd 35 3 deficiency virus type 1 infection in 13 patients: clinical description and follow-up. J NEUROVIROL. 14:474-479. I.F.:1,94. Dambrava PG, Torres A, Valles X, Mensa J, Marcos MA, Penarroja G, Camps M, Estruch R, Sanchez M, Menendez R, Niederman MS. Adherence to guidelines’ empirical antibiotic recommendations and communityacquired pneumonia outcome. EUR RESPIR J. 32:892901. I.F.:5,35. 23/10/09 10:36:57 4 5 Area 1 Biological Aggression and Response Mechanisms Research and Development in Microbiology and Molecular Clinical Parasitology 6 36 7 8 9 10 11 12 13 14 15 16 010-039 AREA1.indd 36 Ortega M, Almela M, Soriano A, Marco F, Martinez JA, Munoz A, Penarroja G, Mensa J. Bloodstream infections among human immunodeficiency virus-infected adult patients: epidemiology and risk factors for mortality. EUR J CLIN MICROBIOL. 27:969-976. I.F.:2,31. Soto SM, Bosch J, JimenezDeAnta MT, Vila J. Comparative study of virulence traits of Escherichia coli clinical isolates causing early and late neonatal sepsis. J CLIN MICROBIOL. 46:1123-1125. I.F.:3,71. Marco F, DeLaMaria CG, Armero Y, Amat E, Soy D, Moreno A, DelRio A, Almela M, Mestres CA, Gatell JM, JimenezDeAnta MT, Miro JM. Daptomycin is effective in treatment of experimental endocarditis due to methicillinresistant and glycopeptide-intermediate Staphylococcus aureus. ANTIMICROB AGENTS CH. 52:2538-2543. I.F.:4,39. Marcos M, Inurrieta A, Soriano A, Martinez JA, Almela M, Marco F, Mensa J. Effect of antimicrobial therapy on mortality in 377 episodes of Enterobacter spp. bacteraemia. J ANTIMICROB CHEMOTH. 62:397-403. I.F.:4,04. Chu VH, Woods CW, Miro JM, Hoen B, Cabell CH, Pappas PA, Federspiel J, Athan E, Stryjewski ME, Nacinovich F, Marco F, Levine DP, Elliott TS, Fortes CQ, Tornos P, Gordon DL, Utili R, Delahaye F, Corey GR, Fowler VG. Emergence of coagulase-negative staphylococci as a cause of native valve endocarditis. CLIN INFECT DIS. 46:232-242. I.F.:6,75. Petti CA, Simmon KE, Miro JM, Hoen B, Marco F, Chu VH, Athan E, Bukovski S, Bouza E, Bradley S, Fowler VG, Giannitsioti E, Gordon D, Reinbott P, Korman T, Lang S, GarciaDe-La-Maria C, Raglio A, Morris AJ, Plesiat P, Ryan S, Doco-Lecompte T, Tripodi F, Utili R, Wray D, Federspiel JJ, Boisson K, Reller LB, Murdoch DR, Woods CW. Genotypic diversity of coagulase-negative staphylococci causing endocarditis: a global perspective. J CLIN MICROBIOL. 46:1780-1784. I.F.:3,71. Anton A, Cervera C, Pumarola T, Moreno A, Benito N, Linares L, Esteva C, Cofan F, JimenezDeAnta MT, Marcos MA. Human herpesvirus 7 primary infection in kidney transplant recipients. TRANSPLANTATION. 85:298-302. I.F.:3,64. Perello R, Moreno A, Camps M, Cervera C, Linares L, Pumarola T, Marcos MA. Human immunodeficiency virusinfected patients with community-acquired pneumonia: implication of respiratory viruses. ENFERM INFEC MICR CL. 26:85-87. I.F.:1,10. Crespo G, Cervera C, Michelena J, Marco F, Moreno A, Navasa M. Immune Reconstitution Syndrome After Voriconazole Treatment for Cryptococcal Meningitis in a Liver Transplant Recipient. LIVER TRANSPLANT. 14:1671-1674. I.F.:3,75. Soriano A, Marco F, Martinez JA, Pisos E, Almela M, Dimova VP, Alamo D, Ortega M, Lopez J, Mensa J. Influence of vancomycin minimum inhibitory concentration on the treatment of methicillin-resistant Staphylococcus aureus bacteremia. CLIN INFECT DIS. 46:193-200. I.F.:6,75. Menendez R, Cavalcanti M, Reyes S, Mensa J, Martinez R, Marcos MA, Filella X, Niederman M, Torres A. Markers of treatment failure in hospitalised community acquired pneumonia. THORAX. 63:447-452. I.F.:6,23. Vila J, Soriano A, Mensa J. Molecular basis of microbial adherence to prosthetic materials. Role of biolayers in prosthesis-associated infection. ENFERM INFEC MICR CL. 26:48-55. I.F.:1,10. Simmon KE, Hall L, Woods CW, Marco F, Miro JM, Cabell C, Hoen B, Marin M, Utili R, Giannitsioti E, Doco-Lecompte 17 18 19 20 21 22 23 24 25 26 T, Bradley S, Mirrett S, Tambic A, Ryan S, Gordon D, Jones P, Korman T, Wray D, Reller LB, Tripodi MF, Plesiat P, Morris AJ, Lang S, Murdoch DR, Petti CA. Phylogenetic analysis of viridans group streptococci causing endocarditis. J CLIN MICROBIOL. 46:3087-3090. I.F.:3,71. Alvarez-Martinez MJ, Moreno A, Miro JM, Valls ME, Rivas PV, DeLazzari E, Sued O, Benito N, Domingo P, Ribera E, Santin M, Sirera G, Segura F, Vidal F, Rodriguez F, Riera M, Cordero ME, Arribas JR, JimenezDeAnta MT, Gatell JM, Wilson PE, Meshnick SRM. Pneumocystis jirovecii pneumonia in Spanish HIV-infected patients in the combined antiretroviral therapy era: prevalence of dihydropteroate synthase mutations and prognostic factors of mortality. DIAGN MICR INFEC DIS. 62:34-43. I.F.:2,45. Linares L, Cervera C, Cofan F, Lizaso D, Marco F, Ricart MJ, Esforzado N, Oppenheimer F, Campistol JM, Moreno A. Risk factors for infection with extended-spectrum and AmpC beta-lactamase-producing gram-negative rods in renal transplantation. AM J TRANSPLANT. 8:1000-1005. I.F.:6,42. Serra MC, Cervera C, Pumarola T, Moreno A, Perello R, Torres A, JimenezDeAnta MT, Marcos MA. Virological diagnosis in community-acquired pneumonia in immunocompromised patients. EUR RESPIR J. 31:618-624. I.F.:5,35. Domingo P, Suarez-Lozano I, Torres F, Teira R, Lopez-Aldeguer J, Vidal F, Munoz A, Viciana P, Lozano F, Vergara A, Roca B, Alcalde MLG, Cosin J, Terron A, Galindo MJ, Geijo P, Ribera E, Gonzalez J, Sanchez T, Lacalle JR, Garrido M. First-line antiretroviral therapy with efavirenz or lopinavir/ ritonavir plus two nucleoside analogues: the SUSKA study, a non-randomized comparison from the VACH cohort. J ANTIMICROB CHEMOTH. 61:1348-1358. I.F.:4,04. Rodriguez-Bano J, Marti S, Soto S, Fernandez-Cuenca F, Cisneros JM, Pachon J, Pascual A, Martinez-Martinez L, Mcqueary C, Actis LA, Vila J. Biofilm formation in Acinetobacter baumannii: associated features and clinical implications. CLIN MICROBIOL INFEC. 14:276-278. I.F.:2,98. Marti S, Sanchez-Cespedes J, Blasco MD, Ruiz M, Espinal P, Alba V, Fernandez-Cuenca F, Pascual A, Vila J. Characterization of the carbapenem-hydrolyzing oxacillinase Oxa-58 in an Acinetobacter genospecies 3 clinical isolate. ANTIMICROB AGENTS CH. 52:2955-2958. I.F.:4,39. Marti S, Sanchez-Cespedes J, Blasco MD, Espinal P, Ruiz M, Alba V, Vila J. Characterization of the carbapenemhydrolyzing oxacillinase OXA-58 in an Acinetobacter phenon 6/ct13TU clinical isolate. DIAGN MICR INFEC DIS. 61:468-470. I.F.:2,45. Fernandez-Cuenca F, Egea P, Lopez-Cerero L, Alba PDD, Vila J, Pascual A. Comparison of 3 methods for determining sensitivity to imipenem and meropenem in Acinetobacter baumannii with a carbapenem-heteroresistant phenotype. ENFERM INFEC MICR CL. 26:485-488. I.F.:1,10. Ruiz J, Mensa L, Pons MJ, Vila J, Gascon J. Development of Escherichia coli rifaximin-resistant mutants: frequency of selection and stability. J ANTIMICROB CHEMOTH. 61:1016-1019. I.F.:4,04. Beceiro A, Fernandez-Cuenca F, Ribera A, MartinezMartinez L, Pascual A, Vila J, Rodriguez-Bano J, Cisneros JM, Pachon J, Bou G. False extended-spectrum betalactamase detection in Acinetobacter spp. due to intrinsic susceptibility to clavulanic acid. J ANTIMICROB CHEMOTH. 61:301-308. I.F.:4,04. 21/10/09 17:08:27 27 Tomas M, Vazquez E, Fernandez-Fernandez JM, Subiranaa I, Plata C, Heras M, Vila J, Marrugat J, Valverde MA, Senti M. Genetic variation in the KCNMA1 potassium channel alpha subunit as risk factor for severe essential hypertension and myocardial infarction. J HYPERTENS. 26:2147-2153. I.F.:4,36. 28 Camps M, Vilella A, Marcos MA, Letang E, Muñoz J, Salvado E, Gonzalez A, Gascon J, JimenezDeAnta MT, Pumarola T. Incidence of respiratory viruses among travelers with a febrile syndrome returning from tropical and subtropical areas. J MED VIROL. 80:711-715. I.F.:2,83. 29 Madurga S, Sanchez-Cespedes J, Belda I, Vila J, Giralt E. Mechanism of binding of fluoroquinolones to the quinolone resistance-determining region of DNA gyrase: Towards an understanding of the molecular basis of quinolone resistance. CHEMBIOCHEM. 9:2081-2086. I.F.:3,45. 30 Mendez-Arancibia E, Vargas M, Soto S, Ruiz J, Kahigwa E, Schellenberg D, Urassa H, Gascon J, Vila J. Prevalence of different virulence factors and biofihn production in enteroaggregative Escherichia coli isolates causing diarrhea in children in Ifakara (Tanzania). AM J TROP MED HYG. 78:985-989. I.F.:2,18. 31 Camps M, Ricart S, Dimova V, Rovira N, Munoz-Almagro C, Garcia JJ, Pons-Odena M, Marcos MA, Pumarola T. Prevalence of human metapneumovirus among hospitalized children younger than 1 year in Catalonia, Spain. J MED VIROL. 80:1452-1460. I.F.:2,83. 32 Mensa L, Marco F, Vila J, Gascon J, Ruiz J. Quinolone resistance among Shigella spp. isolated from travellers returning from India. CLIN MICROBIOL INFEC. 14:279-281. I.F.:2,98. Vila J. Bases moleculars de la resistència bacteriana als antibiòtics. Disseny de noves estratègies terapèutiques. Grant: Comissionat per a Universitats i Recerca, 2005SGR00444. Duration: 19/10/2005-31/12/2008. Reviews Gonzalez J. Eficacia in vitro del tratamiento antibiótico frente a cepas resistentes de Mycobacterium tuberculosis. Estudio de la capacidad infectiva sobre macrófagos y evaluación de la actividad sinérgica de diversas combinaciones de fármacos. Grant: Ministerio Sanidad y Consumo, PI050217. Duration: 01/01/2006-30/12/2008. 3 4 Multicentrics 1 Conejo MC, Mata C, Navarro F, Pascual A, Marco F. Detection and reporting beta-lactam resistance phenotypes in Escherichia coli and Klebsiella pneumoniae: a multicenter proficiency study in Spain. DIAGN MICR INFEC DIS. 62:317-325. I.F.:2,45. Jimenez De Anta M. Investigar la relación entre la resistencia a quinolonas y virulencia en aislamientos clínicos de Escherichia coli uropatógenos, Salmonella spp. y Yersinia enterocolítica. Grant: Ministerio Sanidad y Consumo, PI050097. Duration: 01/01/2006-30/12/2008. Marco F. Evaluación de las pautas actuales y de nuevos antibióticos en el tratamiento de la endocarditis experimental en conejos por Staphylococcus epidermidis resistentes a la meticilina (SERM) o con sensibilidad disminuida a los glucopéptidos (GISE). Grant: Ministerio Sanidad y Consumo, PI050170. Duration: 01/01/2006-30/12/2008. Marcos M. Diagnóstico de la neumonia por virus respiratorios, Chlamydophila pneumoniae y Mycoplasma pneumoniae en el paciente inmunodeprimido mediante PCR a tiempo real. Grant: Ministerio Sanidad y Consumo, PI060270. Duration: 18/10/2006-30/12/2009. Vila J. Análisis proteomico para identificar biomarcadores de infección en los líquidos articular y pleural. Grant: Ministerio Sanidad y Consumo, PI070423. Duration: 26/11/200730/12/2010. Vila J. REIPI - Red Española de Investigación en patología Infecciosa. Grant: Ministerio Sanidad y Consumo, RD06/0008/0008. Duration: 01/01/2007-31/12/2010. Thesis Biological Aggression and Response Mechanisms Area 1 2 Martin-Davila P, Forun J, Lopez-Velez R, Norman F, DeOca MM, Zamarron P, Gonzalez MI, Moreno A, Pumarola T, Garrido G, Candela A, Moreno S. Transmission of tropical and geographically restricted infections during solid-organ transplantation. CLIN MICROBIOL REV. 21:60-+. I.F.:15,76. Vila J, Martinez JL. Clinical Impact of the Over-Expression of Efflux Pump in Nonfermentative Gram-Negative Bacilli, Development of Efflux Pump Inhibitors. CURR DRUG TARGETS. 9:797-807. I.F.:4,04. Fabrega A, Sanchez-Cespedes J, Soto S, Vila J. Quinolone resistance in the food chain. INT J ANTIMICROB AG. 31:307-315. I.F.:2,34. Vila J, Pachon J. Therapeutic options for Acinetobacter baumannii infections. EXPERT OPIN PHARMACO. 9:587599. I.F.:1,70. Vila J. Caracterización, inducción e inhibición de sistemas de expulsión activa en Escherichia coli y Acinetobacter baumannii y su relación con la producción de biofilm. Grant: Ministerio Sanidad y Consumo, PI050068. Duration: 01/01/2006-30/12/2008. Research and Development in Microbiology and Molecular Clinical Parasitology 1 Pumarola T. Estudio de la prevalencia la clínica y los factores epidemiológicos asociados a la infección por el metapneumovirus humano (MPVh) en población infantil y adulta.. Grant: Ministerio Sanidad y Consumo, PI050063. Duration: 01/01/2006-30/12/2008. 37 Vila J. Implicación de diversos mecanismos de resistencia a quinolonas en bacilos Gram-negativos: diseño de una nueva fluoroquinolona. Doctorand: Javier Sánchez-Céspedes. Grants for Research in Progress Vila J. IP - Mastering Hospital Antimicrobial Resistance and its spread into the Community. Grant: European Commision, 2005-037941. Duration: 01/02/2007-31/01/2012. 010-039 AREA1.indd 37 Vila J. Molecular bases of antimicrobial resistance in Acinetobacter spp.clinical isolates. Doctorand: Sara Martí Martí. 21/10/09 17:08:31 Molecular and Cellular Bases of Inflammation Structural and Biologic Mass Spectrometry Team members Area 1 Biological Aggression and Response Mechanisms Molecular and Cellular Bases of Inflammation Structural and Biologic Mass Spectrometry Team Leader: ■ Daniel Closa (IIBB-CSIC) Tel.: 93 363 83 43 38 IDIBAPS Members: ■ Joaquín Abián (IIBB-CSIC-UAB) ■ Oriol Bulbena (IIBB-CSIC) ■ Emili Gelpí (IIBB-CSIC) ■ Pere Puig (Faculty of Medicine) Collaborators: E. Folch (RC) F. Pí (IIBB-CSIC) A. Salas (RC) A. Serrano (IIBB-CSIC) N. Franco (CIBEREHD) R. Rodriguez de la Flor (IIBB-CSIC) Doctoral Students: M. Ferrés (Becaria IIBB-CSIC) Pedro Hortúa (Hospital Clínic) Marisol Veny (Becaria FPI, IIBB-CSIC) B. Alguero (TS-WHO) V. Casas (TS- I3P) I. Forné Ferrer (UB) M. Gay (TS) D. Ovelleiro (Proteored) M. Trigo (TS-I3P) S. Gea (TS) M. Gorga (Fundació Clínic) C. Lebrero (GENAME) M. Gay (TS) Strategic Objectives Molecular and cellular bases of inflammatioN Study of the inflammatory response in general. Structural and biologic mass spectrometry Development of techniques for resolving problems in proteomics and in the analysis of biomolecules in general. Application to the study of antigenic presentation in autoimmune diseases and research on therapeutic targets and disease markers. 010-039 AREA1.indd 38 Technicians: L. Ignacio Sanchez Gemma Gay M. Carrascal (IIBB-CSIC) Mª T. Del Hierro (Empresa) Marisa Garcia (Proteored) Judith (Proteored) V. Sirenko (IDIBAPS) F. Vilà (CIBEREHD) A. Navarrete (IIBB-CSIC) Principal Lines of Research Molecular and cellular bases of inflammation 1. Oxidative stress and its relation to diet. 2.Mechanisms implicated in the development of systemic inflammatory processes. 3.New therapies for idiopathic pulmonary fibrosis. 4. Study of the protein associated with pancreatitis. 5.Mechanisms of the protective effect of ischemic preconditioning. 21/10/09 17:08:46 Structural and biologic mass spectrometry 1. Toxic oil syndrome. 2. Phosphoproteomics of human T-lymphocyte. 3. Diagnostic and prognostic markers in cancer and other diseases. 4. External technical-scientific services. Proteomics services and coordination of the Proteored network. I.F.: 40,25 Original Articles 1 2 3 5 6 8 9 Gutierrez PT, Folch-Puy E, Bulbena O, Closa D. Oxidised lipids present in ascitic fluid interfere with the regulation of the macrophages during acute pancreatitis, promoting an exacerbation of the inflammatory response. GUT. 57:642-648. I.F.:10,02. Franco-Pons N, Marsillach J, Joven J, Camps J, Closa D. Serum paraoxonase undergoes inhibition and proteolysis during experimental acute pancreatitis. J GASTROINTEST SURG. 12:891-899. I.F.:2,27. Muixi L, Carrascal M, Alvarez I, Daura X, Marti M, Armengol MP, Pinilla C, Abian J, Pujol-Borrell R, Jaraquemada D. Thyroglobulin peptides associate in vivo to HLA-DR in autoimmune thyroid glands. J IMMUNOL. 181:795-807. I.F.:6,07. Grants for Research in Progress Closa D. Regulació de la inflamació aguda i crònica. Grant: Comissionat per a Universitats i Recerca, 2005SGR00797. Duration: 19/10/2005-31/12/2008. Roselló J. Estudio de la proteína asociada a la pancreatitis (PAP/REG) como agente inmunomodulador y anti-inflamatorio. Grant: Ministerio Sanidad y Consumo, PIO50219. Duration: 23/12/2005-31/12/2008. Roselló J. Análisis proteómico de marcadores de enfermedad en suero humano. Grant: Ministerio Sanidad y Consumo - Iniciativa Ingenio 2000/CENIT, PI060679. Duration: 31/03/2005-31/03/2008. Biological Aggression and Response Mechanisms Area 1 4 Navaza AP, Encinar JR, Carrascal M, Abian J, SanzMedel A. Absolute and site-specific quantification of protein phosphorylation using integrated elemental and molecular mass spectrometry: Its potential to assess phosphopeptide enrichment procedures. ANAL CHEM. 80:1777-1787. I.F.:5,29. Guillen J, Soriano S, Demestre M, Falques A, Palanques A, Puig P. Alteration of bottom roughness by benthic organisms in a sandy coastal environment. CONT SHELF RES. 28:2382-2392. I.F.:1,68. Casanovas A, Carrascal M, Abian J, Lopez-Tejero MD, Llobera M. Application of proteomic tools to detect the nonspecificity of a polyclonal antibody against lipoprotein lipase. J PROTEOME RES. 7:4173-4177. I.F.:5,68. Carbo C, Arderiu G, Escolar G, Fuste B, Cases A, Carrascal M, Abian J, Diaz-Ricart M. Differential expression of proteins from cultured endothelial cells exposed to uremic versus normal serum. AM J KIDNEY DIS. 51:603-612. I.F.:3,98. Gelpi E. From large analogical instruments to small digital black boxes: 40 years of progress in mass spectrometry and its role in proteomics. Part I 1965-1984. J MASS SPECTROM. 43:419-435. I.F.:3,06. Almendros I, Gutierrez PT, Closa D, Navajas D, Farre R. One-lung overventilation does not induce inflammation in the normally ventilated contralateral lung. RESP PHYSIOL NEUROBI. 162:100-102. I.F.:2,20. 7 Molecular and Cellular Bases of Inflammation Structural and Biologic Mass Spectrometry PublicaTions 39 010-039 AREA1.indd 39 21/10/09 17:08:51 040-071 AREA2.indd 40 21/10/09 16:56:31 Area 2 Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Atherosclerosis and Coronary Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Arrhythmias and Cardiac Stimulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Nephro-Urologic Diseases and Kidney Transplant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Hypertension, Lipids and Cardiovascular Risk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Respiratory Biophysics and Bioengineering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Applied Research on Infectious Respiratory Diseases, Critical Patients and Lung Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Pathophysiologic Mechanisms of Respiratory Diseases . . . . . . . . . . . . . . . . . . . . . . . . . 64 Clinical and Experimental Respiratory Immunoallergy (IRCE) . . . . . . . . . . . . . . . . . . 68 Image: Alveoli in the lung 040-071 AREA2.indd 41 21/10/09 16:56:35 Atherosclerosis and Coronary Disease Team Members Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Atherosclerosis and coronary disease Team Leader: ■ Magda Heras Fortuny (Hospital Clínic) Tel.: 93 227 93 05 Fax: 93 451 41 48 E-mail: [email protected] 42 IDIBAPS Members: ■ Amadeu Betriu (Hospital Clínic) ■ Xavier Bosch (Hospital Clínic) ■ Ana Paula Dantas (IDIBAPS) ■ Carles Paré (Hospital Clínic) ■ Félix Pérez Villa (Hospital Clínic) ■ José Luis Pomar (Hospital Clínic) ■ Montserrat Rigol (IDIBAPS) ■ Eulàlia Roig (Hospital Clínic) ■ Mercè Roqué (Hospital Clínic) Collaborators: Montserrat Batlle (IDIBAPS) Mònica Masotti (Hospital Clínic) África Muxí (Hospital Clínic) Núria Solanes (FCRB) José Ortiz Pérez (Hospital Clínic) Alessandro Sionis (Hospital Clínic) Strategic Objectives 1. Pathophysiology and prognosis of patients with acute coronary syndromes a. Stratification of risk of patients with chest pain and negative troponins. Evaluation and validation of a clinical index allows a better diagnosis of these patients and stratification of their risk. b. Evaluation of the diagnostic and prognostic value of different inflammation and hemodynamic stress markers. Performance of a randomized prospective clinical trial. 2. Pathophysiology of heart failure. Study of its molecular and cellular bases. 3. Mechanisms of control of post-lesion vascular intimal hyperplasia and regulation of vascular tone: a. Pig model with transplant of femoral arteries b. Vasculopathy model of graft by by means of aorta transplant in rats c. Model of vascular lesion in p27 and p21 Knockout mouse d. Model of femoral artery lesion in BPH (spontaneously hypertensive) mouse 4. Post-infarct myocardial regeneration: Study of the differentiation mechanism of pluripotent stem cells in myocardial regeneration in a pig model. 5. Determination of the mechanisms implicated in the regulation of the nitric oxide and superoxide anion 040-071 AREA2.indd 42 Technicians: Laura Novensà (IDIBAPS) Mireia Nicolás (IDIBAPS) Nadia Castillo (IDIBAPS) Nurses: Teresa Martorell (FCRB) Mª Jesús Alcocer (IDIBAPS) Secretary: Montserrat Vázquez González (FCRB) Mª Angeles Alvarez (Hospital Clínic) system via steroidal receptors and its role in regulating the development of cardiovascular diseases such as atherosclerosis, hypertension, diabetes and metabolic syndrome. Principal Lines of Research 1. Pathophysiology and prognosis of acute coronary syndrome with and without T-segment elevation. Role of vascular inflammation and thrombosis mechanisms in its etiopathogenesis in patients with abnormal glucose metabolism. 2. MASCARA register (Management of Acute Coronary Syndrome. Updated Register) 3.Stratification of risk of patients with chest pain, with no change in the electrocardiogram and negative troponins. 4. Study of the impact of gender differences in ischemic cardiopathy. Evaluation of the characteristics of cardiovascular disease in women and the different factors that affect its outcome. 5. Vascular biology. Study of the mechanisms of formation of intimal hyperplasia following revascularization procedures. Within this line of research, we have different projects in which we use different models of vascular lesion, in both large animals, such as pigs, and small animals, such as rats and 21/10/09 16:56:39 PublicaTions 1 2 3 4 5 Tomas M, Vazquez E, Fernandez-Fernandez JM, Subiranaa I, Plata C, Heras M, Vila J, Marrugat J, Valverde MA, Senti M. Genetic variation in the KCNMA1 potassium channel alpha subunit as risk factor for severe essential hypertension and myocardial infarction. J HYPERTENS. 26:2147-2153. I.F.:4,36. Delgado V, Sitges M, Vidal B, Silva E, Azqueta M, Tolosana JM, Mont L, Pare C, Brugada J. Assessment of left ventricular dyssynchrony by real-time three-dimensional echocardiography. REV ESP CARDIOL. 61:825-834. I.F.:2,21. Egea CJ, Azpuru F, Pinto JA, Ayuela JM, Ballester E, Zamarron C, Sojo A, Montserrat JM, Barbe F, Angel M, Gomez A, Rubio R, Loobo JL, Duran-Cantolla J, Zorrila V, Nunez R, Cortes J, Jimenez A, Cifrian J, Ortega M, Carpizo R, Sanchez A, Teran J, Iglesias L, Fernandez C, Alonso ML, Cordero J, Roig E, Perez F, Muxi A, Gude F, Amaro A, Calvo U, Masa JF, Utrabo I, Porras Y, Lanchas I, Sanchez E. Cardiac function after CPAP therapy in patients with chronic heart failure and sleep apnea: A multicenter study. SLEEP MED. 9:660-666. I.F.:2,80. Betriu A. Clinical implications of the results of recent atherothrombotic trials on patient management. EUR HEART J SUPPL. 10:30-32. I.F.:1,62. Sanchis J, Bosch X, Bodi V, Bellera N, Nunez J, Benito B, Ordonez J, Consuegra L, Heras M, Llacer A. Combination of clinical risk profile, early exercise testing and circulating biomarkers for evaluation of patients with 040-071 AREA2.indd 43 Trichrome stain for mouse femoral artery elastic fibers apoE KO. I.F.: 111,39 acute chest pain without ST-segment deviation or troponin elevation. HEART. 94:311-315. I.F.:4,14. 6 Gomez-Caro A, Martinez E, Rodriguez A, Sanchez D, Martorell J, Gimferrer JM, Haverich A, Harringer W, Pomar JL, Macchiarini P. Cryopreserved Arterial Allograft Reconstruction After Excision of Thoracic Malignancies. ANN THORAC SURG. 86:1753-1761. I.F.:2,02. 7 Rigol M, Solanes N, Sionis A, Galvez C, Martorell J, Rojo I, Brunet M, Ramirez J, Roque M, Roig E, PerezVilla F, Barquin L, Pomar JL, Sanz G, Heras M. Effects of cyclosporine, tacrolimus and sirolimus on vascular changes relate to immune response. J HEART LUNG TRANSPL. 27:416-422. I.F.:3,09. 8 Ellis SG, Tendera M, DeBelder MA, VanBoven AJ, Widimsky P, Janssens L, Andersen HR, Betriu A, Savonitto S, Adamus J, Peruga JZ, Kosmider M, Katz O, Neunteufl T, Jorgova J, Dorobantu M, Grinfeld L, Armstrong P, Brodie BR, Herrmann HC, Montalescot G, Neumann FJ, Effron MB, Barnathan ES, Topol EJ. Facilitated PCI in patients with ST-elevation myocardial infarction. NEW ENGL J MED. 358:2205-2217. I.F.:52,59. 9 Delgado V, Vidal B, Sitges M, Tamborero D, Mont L, Berruezo A, Azqueta M, Pare C, Brugada J. Fate of left atrial function as determined by real-time three-dimensional echocardiography study after radiofrequency catheter ablation for the treatment of atrial fibrillation. AM J CARDIOL. 101:1285-1290. I.F.:3,60. 10 Rigol M, Solanes N, Roque M, Farre J, Batle M, Roura S, Bellera N, Prat-Vidal C, Sionis A, Ramirez J, Sitges M, Sanz G, Bayes-Genis A, Heras M. Hemosiderin Deposits Confounds Tracking of Iron-Oxide-Labeled Stem Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 Original Articles oxide and superoxide systems and their role in regulating cardiovascular function during the ageing process, in both healthy people and people with pre-existing cardiovascular diseases. Atherosclerosis and coronary disease mice. In the experimental cardiology laboratory, we have a model of angioplasty and stent implant in pigs, a model of development of intimal hyperplasia in mice, which we use to carry out studies on genetically modified animals, and two models of vascular transplant in pigs and rats. 6. Study of neurohormonal activation and the fibrotic process associated with ventricular remodeling in heart failure, in idiopathic dilated myocardiopathies of ischemic origin. We use molecular biology and immunohistochemical techniques in myocardial tissue and serum neurohormonal determinations. This line will allow us to gain greater knowledge of the pathophysiologic methods and course of heart failure. 7. Analysis of the mechanisms involved in the process of differentiation of mesenchymal stem cells derived from subcutaneous fat in post-infarct myocardial regeneration, using a pig model of myocardial infarct. This model allows us to study therapeutic strategies (different routes of administration for stem cells, differences between transplant of autologous and heterologous stem cells) for clinical application. 8. Investigation of the mechanisms by which estrogen receptors regulate the signal pathways of the nitric 43 21/10/09 16:56:42 11 Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Atherosclerosis and coronary disease 12 44 13 14 15 16 17 18 19 20 040-071 AREA2.indd 44 Cells: An Experimental Study. TRANSPL P. 40:36193622. I.F.:1,03. Benito B, Conget I, Bosch X, Heras M, Ordonez J, Sionis A, Diaz G, Esmatjes E. Intensive insulin therapy in nondiabetic patients with myocardial infarction and hyperglycemia. INSUCOR study. MED CLIN-BARCELONA. 130:601-605. I.F.:1,34. Sanchis J, Bodi V, Nunez J, Bosch X, Lorna-Sorio P, Mainar L, Santas E, Minana G, Robles R, Llacer A. Limitations of clinical history for evaluation of patients with acute chest pain, non-diagnostic electrocardiogram, and normal troponin. AM J CARDIOL. 101:613-617. I.F.:3,60. Crespo-Leiro MG, Alonso-Pulpon L, DePrada JAV, Almenar L, Arizon JM, Brossa V, Delgado JF, Fernandez-Yanez J, Manito N, Rabago G, Lage E, Roig E, DiazMolina B, Pascual D, Muniz J. Malignancy after heart transplantation: Incidence, prognosis and risk factors. AM J TRANSPLANT. 8:1031-1039. I.F.:6,42. Ferreira-Gonzalez I, Permanyer-Miralda G, Marrugat J, Heras M, Cunat J, Civeira E, Aros F, Rodriguez JJ, Sanchez PL, Bueno H. MASCARA (Manejo del Sindrome Coronado Agudo. Registro Actualizado) study. General findings. REV ESP CARDIOL. 61:803-816. I.F.:2,21. Arzamendi D, Garcia-Alvarez A, Roig E, Benito B, Kiamco R, Perez-Villa F, Loma-Osorio P, Bosch X, Pomar JL, Cartana R, Castella M, Massotti M, Betriu A. New insights in the management of cardiogenic shock complicating myocardial infarction: Role of urgent heart transplantation. J HEART LUNG TRANSPL. 27:984-989. I.F.:3,09. Feffeira-Gonzalez I, Permanyer-Miralda G, Heras M, Cunat J, Civeira E, Aros F, Rodriguez JJ, Sanchez PL, Marsal JR, Ribera A, Marrugat J, Bueno H. Patterns of use and effectiveness of early invasive strategy in nonST-segment elevation acute coronary syndromes: An assessment by propensity score. AM HEART J. 156:946953. I.F.:3,65. DeIsla LP, Porro R, Pare JC, DeLaMorena G, Macaya C, Zamorano J. Relationship between intraventricular cardiac asynchrony and degree of systolic dysfunction. J AM SOC ECHOCARDIOG. 21:214-218. I.F.:2,06. Vahanian A, Alfieri O, Al-Attar N, Antunes M, Bax J, Cormier B, Cribier A, DeJaegere P, Fournial G, Kappetein AP, Kovac J, Ludgate S, Maisano F, Moat N, Mohr F, Nataf P, Pierard L, Pomar JL, Schofer J, Tornos P, Tuzcu M, VanHout B, VonSegesser LK, Walther T. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of CardioThoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percu. EUR HEART J. 29:1463-1470. I.F.:7,92. Parra V, Fita G, Rovira I, Matute P, Gomar C, Pare C. Transoesophageal echocardiography accurately detects cardiac output variation: a prospective comparison with thermodilution in cardiac surgery. EUR J ANAESTH. 25:135-143. I.F.:1,44. Lafuente S, Trilla A, Bruni L, Gonzalez R, Bertran MJ, Pomar JL, Asenjo MA. Validation of the EuroSCORE Probabilistic model in patients undergoing coronary bypass grafting. REV ESP CARDIOL. 61:589-594. I.F.:2,21. Reviews 1 2 Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galie N, Pruszczyk P, Bengel F, Brady AJB, Ferreira D, Janssens U, Klepetko W, Mayer E, Remy-Jardin M, Bassand JP, Vahanian A, Camm J, DeCaterina R, Dean V, Dickstein K, Filippatos G, Funck-Brentano C, Hellemans I, Kristensen SD, Mcgregor K, Sechtem U, Silber S, Tendera M, Widimsky P, Zamorano JL, Andreotti F, Ascherman M, Athanassopoulos G, DeSutter J, Fitzmaurice D, Forster T, Heras M, Jondeau G, Kjeldsen K, Knuuti J, Lang I, Lenzen M, Lopez-Sendon J, Nihoyannopoulos P, Isla LP, Schwehr U, Torraca L, Vachiery JL. Guidelines on the diagnosis and management of acute pulmonary embolism The task force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). EUR HEART J. 29:2276-2315. I.F.:7,92. VanDeWerf F, Bax J, Betriu A, Blomstrom-Lundqvist C, Crea F, Falk V, Filippatos G, Fox K, Huber K, Kastrati A, Rosengren A, Steg PG, Tubaro M, Verheugt F, Weidinger F, Weis M, Vahanian A, Camm J, DeCaterina R, Dean V, Dickstein K, Funck-Brentano C, Hellemans I, Kristensen SD, Mcgregor K, Sechtem U, Silber S, Tendera M, Widimsky P, Zamorano JL, Aguirre FV, Al-Attar N, Alegria E, Andreotti F, Benzer W, Breithardt O, Danchin N, Mario CD, Dudek D, Gulba D, Halvorsen S, Kaufmann P, Kornowski R, Lip GYH, Rutten F. Management of acute myocardial infarction in patients presenting with persistent ST-segment elevation. EUR HEART J. 29:2909-2945. I.F.:7,92. Editorials 1 2 Marrugat J, Lopez-Lopez JR, Heras M, Tamargo J, Valverde M. The HERACLES cardiovascular network. REV ESP CARDIOL. 61:66-75. I.F.:2,21. Vahanian A, Alfieri OR, At-Attar N, Antunes MJ, Bax J, Cormier B, Cribier A, DeJaegere P, Fournial G, Kappetein AP, Kovac J, Ludgate S, Maisano F, Moat N, Mohr FW, Nataf P, Pierard L, Pomar JL, Schofer J, Tornos P, Tuzcu M, VanHout B, VonSegesser LK, Walther T. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percu. EUR J CARDIO-THORAC. 34:1-8. I.F.:2,01. Multicentrics 1 2 Fox K, Ford I, Steg PG, Tendera M, Ferrari R. Ivabradine for patients with stable coronary artery disease and left-ventricular systolic dysfunction (BEAUTIFUL): a randomised, double-blind, placebo-controlled trial. LANCET. 372:807-816. I.F.:28,64. Fox K, Recena JB, Garcia-Aranda VL, Valderrama JC, Alonso LFI, Calvar ASR, Aviles FF, Villa FP, Cortada JB, Alvarez RF, Peiro FN, Iglesias FC, Toral BS, Bescos LL, DeBurgos FG, Casado RS, Galve E, Garcia GC, Dellborg M, Herlitz J, Ullman B, Blomgren J, 21/10/09 16:56:48 Grants for Research in Progress Bosch X. Grado de inflamación vascular y trombogenicidad en pacientes no diabéticos con síndrome coronario agudo sin elevación del segmento ST y alteración en el metabolismo de la glucosa. Grant: Ministerio Sanidad y Consumo, PI050120. Duration: 01/01/2006-30/12/2008. Rigol M. Regeneración miocárdica mediante células madre mesenquimales en un modelo porcino de infarto de miocardio: comparación entre las vías de administración intracoronaria e intramiocárdica dirigida por sistema carto. Grant: Ministerio Sanidad y Consumo, PI060110. Duration: 18/10/2006-30/12/2009. Heras M. HERACLES - Determinantes Genéticos y Ambientales de la Disfunción Vascular en la Hipertensión y Cardiopatía Isquémica. Grant: Ministerio Sanidad y Consumo, RD06/0009/0008. Duration: 01/01/2007-31/12/2010. Perez F. Aplicación de nuevos marcadores circulantes para el diagnóstico y el seguimiento de al cardiopatía isquémica. Grant: Ministerio Educación y Ciencia, SAF200506643-C03-02. Duration: 31/12/2005-31/12/2008. Atherosclerosis and coronary disease Bandh S, Ohlin H, Dubach P, Gallino A, Hess O, Moccetti T, Eeckhout E, Vontobel H, Delabays A, Erol K, Kozan O, Mutlu B, Ergene O, Acarturk E, Yilmaz H, Ural D, Parkhomenko O, Polyvoda S, Dyadyk A, Vatutin M, Karpenko O, Kubyshkin V, Rudenko L, Putintsev V, Krayz I, Kovalsky I, Rudyk Y, Yurlov V, Mostovoy Y, Rishko M, Barna O, Slyvka Y, Perepelytsya M, Seredyuk N, Bazylevych A, Glushko L, Tashchuk V, Girina O, Vizir V, Pertseva T, Vlasenko M, Goloborodko B, Kolomiets S, Dzyak G, Sharuk O, Storozhuk B, Kovalenko V, Khomazyuk T, Soldatchenko S, Lutay M, Zharinov O, Serkova V, Korkushko O, Korzh O, Netyazhenko V, Sakharchuk I, Stadnyuk L, Bereznyakov I, Semidotska Z, Kolchin Y, Voronkov L, Tseluyko V, Amosova K, Batushkin V, Hall A, Lindsay S, Moriarty A, Kadr H, Francis CM, Saltissi S, Rozkovec A, Groves P, Crook JR, Purvis J, Brooksby P, Stewart M, Dutka D, Timmis A, Baig MW, Brady A, Williams S, Brooks N, Greaves K. The BEAUTIFUL study: Randomized trial of ivabradine in patients with stable coronary artery disease and left ventricular systolic dysfunction baseline characteristics of the study population. CARDIOLOGY. 110:271-282. I.F.:1,70. 3 Garin O, Soriano N, Ribera A, Ferrer M, Pont A, Alonso J, Permanyer G. Validation of the Spanish version of the Minnesota living with heart failure questionnaire. REV ESP CARDIOL. 61:251-259. I.F.:2,21. Pomar JL. Computational disease modellingCentre coordinador: IDIBAPS. Grant: European Science Foundation, 08/003. Duration: 25/09/2008-26/09/2008. Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 45 040-071 AREA2.indd 45 21/10/09 16:56:53 Arrhythmias and Cardiac Stimulation Team Members Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Arrhythmias and cardiac stimulation Team Leader: ■ Josep Brugada (Hospital Clínic) Tel.: 93 227 55 51 Fax: 93 452 30 45 E-mail: [email protected] IDIBAPS Members: ■ Lluis Mont (Hospital Clínic) ■ Marta Sitges (Hospital Clínic) Collaborators: Xavi Alsina (Hospital Clínic) Antonio Berruezo (Hospital Clínic) Mª Àngels Castel (Fundació Clínic) Mariona Matas (Hospital Clínic) Neus Portella (Fundació Clínic) Sílvia Ruvira (Hospital Clínic) José Mª Tolosana (Hospital Clínic) Bárbara Vidal (Hospital Clínic) Silvia Poyatos (Fundació Clínic) Valeria Sirenko (Fundació Clínic) Diego Pérez (Hospital Clínic - Fundació Clínic) Mercè Nadal (Hospital Clínic - Fundació Clínic) Marta Aceña (Hospital Clínic - Fundació Clínic) Strategic Objectives The objectives for the coming year are essentially to continue developing the group’s four principal lines of research (conduction disorders, effect of exercise in an experimental model, atrial fibrillation and cardiac resynchronization) and consolidating the new line of research on ablation of ventricular tachycardia. Furthermore, we want to continue to potentiate multicenter projects that allow for more ambitious results with greater transcendency. At the same time we will continue to encourage practical clinical research aimed at continuing to improve our patient-care activity. Ana Martín (Hospital Clínic - Fundació Clínic) Eduard Guasch (Hospital Clínic - Fundació Clínic) David Andreu (Fundació Clínic) Silvia Montserrat (Hospital Clínic - Fundació Clínic) José T Ortiz (Hospital Clínic) Teresa M De Caralt (Hospital Clínic) Rosario J Perea (Hospital Clínic) Doctoral Students: Gemma Gay-Jordi (Beca FIS) Etel Silva (Beca CENIT) David Tamborero (Beca IDIBAPS) Paola Berne (Beca FIS) Begoña Benito Villabriga (IDIBAPS) model and, at the same time, to initiate a stable collaboration with Dr. Nattel at the Montreal Heart Institute in order to expand studies on the inducibility of arrhythmias in the model. Principal Lines of Research 46 1. Conduction disorders: We are continuing to recruit patients on the Brugada syndrome register and to analyze the value of electrophysical studies in prognosis. We also analyze the utility of ajmaline in diagnosing the disease. Furthermore, several genetic studies are in progress, in collaboration with Dr. Ramon Brugada of the University of Girona. 2. Resistance exercise model in rats: We intend to continue analyzing the mechanisms that condition the development of atrial and ventricular fibrosis in the 040-071 AREA2.indd 46 Three-dimensional reconstruction of a fused ventricle with anteroposterior MRI scan of a patient with TV ablation. Region of fractionated signal with low potential exclusively at the epicardial level, where the application of RF made the tachycardia non-inducible. 21/10/09 16:57:01 3. Atrial fibrillation (AF): We continue to study etiologic factors in primary atrial fibrillation, specifically the role of hypertension not detected during physical exercise. We have also started the SARA study (Spanish Atrial Fibrillation vis Antiarrhythmic Drugs). Comparative multicenter study of the efficacy of ablation vs drug treatment and different studies comparing different AF ablation techniques. 4. Cardiac resynchronization: This year saw the start of the SPARE II study to prospectively evaluate the result of resynchronization in patients with atrial fibrillation and we expect to initiate multicenter studies to evaluate the effect of optimization on the success of resynchronization. We are continuing to recruit patients for the ECHO-CRT study and we will start a study on the acute repercussions of resynchronization. Associated Group Cardiac resynchronization This group has completed the collection of data from the SCAR II studies (Spanish Cardiac Resynchronization Study), which will analyze the contribution of echocardiogram dyssynchrony in the selection of patients, and the SPARE study (Spanish Atrial Fibrillation and Resynchronization). The next objective is to start the SPARE II study to prospectively evaluate the result of resynchronization in patients with atrial fibrillation. We also continue to collect data on the study of the efficacy of resynchronization in patients with narrow QRS and we are designing a multicenter study in these patients associated with the indication of prophylactic defibrillation (Spanish Narrow QRS and Resynchronization study, SNAQE). PublicaTions Original Articles 2 3 4 5 6 7 Delgado V, Sitges M, Vidal B, Silva E, Azqueta M, Tolosana JM, Mont L, Pare C, Brugada J. Assessment of left ventricular dyssynchrony by real-time three-dimensional echocardiography. REV ESP CARDIOL. 61:825-834. I.F.:2,21. Delgado V, Vidal B, Sitges M, Tamborero D, Mont L, Berruezo A, Azqueta M, Pare C, Brugada J. Fate of left atrial function as determined by real-time three-dimensional echocardiography study after radiofrequency catheter ablation for the treatment of atrial fibrillation. AM J CARDIOL. 101:1285-1290. I.F.:3,60. Rigol M, Solanes N, Roque M, Farre J, Batle M, Roura S, Bellera N, Prat-Vidal C, Sionis A, Ramirez J, Sitges M, Sanz G, Bayes-Genis A, Heras M. Hemosiderin Deposits Confounds Tracking of Iron-Oxide-Labeled Stem Cells: An Experimental Study. TRANSPL P. 40:36193622. I.F.:1,03. Benito B, Brugada R, Perich RM, Lizotte E, Cinca J, Mont L, Berruezo A, Tolosana JM, Freixa X, Brugada P, Brugada J. A mutation in the sodium channel is responsible for the association of long QT syndrome and familial atrial fibrillation. HEART RHYTHM. 5:1434-1440. I.F.:4,20. Freixa X, Berruezo A, Mont L, Magnani S, Benito B, Tolosana JM, Perafan P, Tarnborero D, Brugada J. Characterization of focal right atrial appendage tachycardia. EUROPACE. 10:105-109. I.F.:1,38. Oliva A, Bjerregaard P, Hong K, Evans S, Vernooy K, Mccormack J, Brugada J, Brugada P, Pascali VL, Brugada R. Clinical heterogeneity in sodium channelopathies - What is the meaning of carrying a genetic mutation?. CARDIOLOGY. 110:116-122. I.F.:1,70. Tolosana JM, Madrid AH, Brugada J, Sitges M, Bolao IG, Lozano IF, Ferrer JM, Quesada A, Macias A, Marin 040-071 AREA2.indd 47 W, Escudier JM, Gomez AA, Alcala MG, Tamborero D, Berruezo A, Mont L. Comparison of benefits and mortality in cardiac resynchronization therapy in patients with atrial fibrillation versus patients in sinus rhythm (results of the Spanish atrial fibrillation and resynchronization [SPARE] study). AM J CARDIOL. 102:444-449. I.F.:3,60. 8 Matiello M, Mont L, Tamborero D, Berruezo A, Benito B, Gonzalez E, Brugada J. Cooled-tip vs. 8 mm-tip catheter for circumferential pulmonary vein ablation: comparison of efficacy, safety, and lesion extension. EUROPACE. 10:955-960. I.F.:1,38. 9 Junttila MJ, Brugada P, Hong K, Lizotte E, DeZutter M, Sarkozy A, Brugada J, Benito B, Perkiomaki JS, Makikallio TH, Huikuri HV, Brugada R. Differences in 12-lead electrocardiogram between symptomatic and asymptomatic brugada syndrome patients. J CARDIOVASC ELECTR. 19:380-383. I.F.:3,48. 10 Benito B, Sarkozy A, Mont L, Henkens S, Berruezo A, Tamborero D, Arzamendi D, Berne P, Brugada R, Brugada P, Brugada J. Gender Differences in Clinical Manifestations of Brugada Syndrome. J AM COLL CARDIOL. 52:1567-1573. I.F.:11,05. 11 Boussy T, Paparella G, DeAsmundis C, Sarkozy A, Chierchia GB, Brugada J, Brugada R, Brugada P. Genetic basis of ventricular arrhythmias. CARDIOL CLIN. 26:335-+. I.F.:0,97. 12 Wilkoff BL, Auricchio A, Brugada J, Cowie M, Ellenbogen KA, Gillis AM, Hayes DL, Howlett JG, Kautzner J, Love CJ, Morgan JM, Priori SG, Reynolds DW, Schoenfeld MH, Vardas PE. HRS/EHRA expert consensus on the monitoring of cardiovascular implantable electronic devices (CIEDs): Description of techniques, indications, personnel, frequency and ethical considerations. EUROPACE. 10:707-725. I.F.:1,38. Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 1 I.F.: 70,43 Arrhythmias and cardiac stimulation Principal Investigator: ■ Mont, Lluis (ICT) 47 21/10/09 16:57:07 Arrhythmias and cardiac stimulation Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering 48 13 Mont L, Ruiz-Granell R, Martinez JG, Carmona JR, Fidalgo M, Cobo E, Riera M, Navarro X. Impact of anti-tachycardia pacing on atrial fibrillation burden when added on top of preventive pacing algorithms: results of the prevention or termination (POT) trial. EUROPACE. 10:28-34. I.F.:1,38. 14 Junttila MJ, Gonzalez M, Lizotte E, Benito B, Vernooy K, Sarkozy A, Huikuri HV, Brugada P, Brugada J, Brugada R. Induced brugada-type electrocardiogram, a sign for imminent malignant Arrhythmias. CIRCULATION. 117:1890-1893. I.F.:12,76. 15 Perea RJ, Tamborero D, Mont L, DeCaralt TM, Ortiz JT, Berruezo A, Matiello M, Sitges M, Vidal B, Sanchez M, Brugada J. Left atrial contractility is preserved after successful circumferential pulmonary vein ablation in patients with atrial fibrillation. J CARDIOVASC ELECTR. 19:374-379. I.F.:3,48. 16 Muxi A, Paredes P, Mont L, Setoain FJ, Duch J, Fuertes S, Ortin J, Diaz-Infante E, Pons F. Left ventricular function and visual phase analysis with equilibrium radionuclide angiography in patients with biventricular device. EUR J NUCL MED MOL I. 35:912-921. I.F.:4,10. 17 Molina L, Mont L, Marrugat J, Berruezo A, Brugada J, Bruguera J, Rebato C, Elosua R. Long-term endurance sport practice increases the incidence of lone atrial fibrillation in men: a follow-up study. EUROPACE. 10:618-623. I.F.:1,38. 18 Roguin A, Schwitter J, Vahlhaus C, Lombardi M, Brugada J, Vardas P, Auricchio A, Priori S, Sommer T. Magnetic resonance imaging in individuals with cardiovascular implantable electronic devices. EUROPACE. 10:334-344. I.F.:1,38. 19 Mont L, Tamborero D, Elosua R, Molina I, Coll-Vinent B, Sitges M, Vidal B, Scalise A, Tejeira A, Berruezo A, Brugada J. Physical activity, height, and left atrial size are independent risk factors for lone atrial fibrillation in middle-aged healthy individuals. EUROPACE. 10:15-20. I.F.:1,38. 20 Arriagada G, Berruezo A, Mont L, Tamborero D, Molina I, Coll-Vinent B, Vidal B, Sitges M, Berne P, Brugada J. Predictors of arrhythmia recurrence in patients with lone atrial fibrillation. EUROPACE. 10:9-14. I.F.:1,38. 21 Funck RC, Boriani G, Manolis AS, Puererfellner H, Mont L, Tukkie R, Pisapia A, Israel CW, Grovale N, Grammatico A, Padeletti L. The MINERVA study design and rationale: A controlled randomized trial to assess the clinical benefit of minimizing ventricular pacing in pacemaker patients with atirial tachyarrhythmias. AM HEART J. 156:445-451. I.F.:3,65. 22 Brignole M, Menozzi C, Botto GL, Mont L, Asensi JO, Medina DG, Oddone D, Navazio A, Luzi M, Iacopino S, DeFabrizio G, Proclemer A, Vardas P. Usefulness of echo-guided cardiac resynchronization pacing in patients undergoing “Ablate and Pace” therapy for permanent atrial fibrillation and effects of heart rate regularization and left ventricular resynchronization. AM J CARDIOL. 102:854-860. I.F.:3,60. Reviews 1 040-071 AREA2.indd 48 Benito B, Brugada R, Brugada J, Brugada P. Brugada syndrome. PROG CARDIOVASC DIS. 51:1-22. I.F.:2,78. Editorials 1 2 Berruezo A, Brugada J. Betablockers: Is the reduction of sudden death related to pure electrophysiologic effects?. CARDIOVASC DRUG THER. 22:163-164. I.F.:1,86. Mont L, Sitges M. Improving the results of Cardiac Resynchronization Therapy: the Role of Imaging Techniques. REV ESP CARDIOL. 61:914-916. I.F.:2,21. Multicentrics 1 2 Alegret JM, Vinolas X, Sagrista J, HernandezMadrid A, Berruezo A, Moya A, Sande JLM, Pastor A. Clinical characteristics of patients with persistent atrial fibrillation referred for cardioversion: Spanish cardioversion registry (REVERSE). REV ESP CARDIOL. 61:630-634. I.F.:2,21. Almendral J, Arribas F, Wolpert C, Ricci R, Adragao P, Cobo E, Navarro X, Quesada A. Dual-chamber defibrillators reduce clinically significant adverse events compared with single-chamber devices: results from the DATAS (Dual chamber and Atrial Tachyarrhythmias Adverse events Study) trial. EUROPACE. 10:528-535. I.F.:1,38. Grants for Research in Progress Brugada J. Grup d’Arítmies i Estimulació Cardíaca. Grant: Comissionat per a Universitats i Recerca, 2005SGR00497. Duration: 19/10/2005-31/12/2008. Brugada J. Integración de las diferentes técnicas de imagen médica en una única imagen multimodal. Desarrollo de distintos modelos de aplicación. Estudios electrofisiológicos y de imagen cardiaca. Grant: Ministerio de Industria Turismo y Comercio, CDTEAM1. Duration: 11/01/200611/01/2010. Mont L. Beneficio de la resincronización en pacientes con QRS estrecho y Papel pronóstico de las metaloproteasas y del procolageno tipo I (PIP) en la resignación cardiaca. Grant: Ministerio Sanidad y Consumo, PI050105. Duration: 01/01/2006-30/12/2008. Sitges M. Análisis de la metodología y de la utilidad clínica de la optimazación de los dispositivos de resincronización cardiaca en los pacientes con insuficiencia cardiaca.. Grant: Ministerio Sanidad y Consumo, PI050118. Duration: 01/01/2006-30/12/2008. Brugada J. Relación entre la fibrilación auricular aislada y la práctica deportiva crónica. Estudio de las repercusiones estructurales y electrofisiológicas en la aurícula derivadas del ejercicio crónico mediante el desarrollo de un modelo experimental con ratas. Grant: Ministerio Sanidad y Consumo, PI050210. Duration: 01/01/2006-30/12/2008. Brugada J. REDISCOR - Red de Investigación en Insuficiencia Cardíaca en España. Grant: Ministerio Sanidad y Consumo, RD06/0003/0008. Duration: 01/01/2007-31/12/2010. 21/10/09 16:57:13 Thesis Mont L, Sitges M. Teràpia de resincronització cardíaca a la insuficiència cardíaca: paper de les noves tècniques d’imatge cardíaca en la seva implementació i seguiment. Doctorand: Dra. Bàrbara Vidal Hagemeijer. Universitat de Barcelona. Mont L. Estudio de los factores predictores de mejoría clínica mediante la resincronización cardiaca en la insuficiencia cardíaca avanzada. Doctorand: Dr. Ernesto Díaz Infante. Universidad de Sevilla. Brugada J. Genética y caos eléctrico. Doctorand: Dr. Ramon Brugada Terradellas. Universitat Autònoma de Barcelona. Arrhythmias and cardiac stimulation Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 49 040-071 AREA2.indd 49 21/10/09 16:57:18 Nephro-Urologic Diseases and Kidney Transplant Team Members Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Nephro-urologic diseases and kidney transplant Team Leader: ■ Josep Mª Campistol (Hospital Clínic) Tel.: 93 227 54 00 (Ext.: 9346) E-mail: [email protected] IDIBAPS Members: ■ Antonio Alcaraz (Hospital Clínic) ■ Pilar Arrizabalaga (Hospital Clínic) ■ Albert Botey (Hospital Clínic) ■ Mercè Brunet (Hospital Clínic) ■ Aleix Cases (Hospital Clínic) ■ Guadalupe Ercilla (Hospital Clínic) ■ Georgina Hotter (IIBB-CSIC) ■ Jaume Martorell (Hospital Clínic) ■ Eduard Mirapeix (Hospital Clínic) ■ Federico Oppenheimer (Hospital Clínic) ■ Esteban Poch (Hospital Clínic) Collaborators: N. Amezaga (Hospital Clínic) Celia Bádenas (Fundació Clínic) Pablo Carretero (Hospital Clínic) Federico Cofán (Hospital Clínic) Elisabeth Coll (Hospital Clínic) Marta Crespo (Hospital Clínic) Nuria Esforzado (Hospital Clínic) V. Fortuna (Hospital Clínic) J. Jiménez (Hospital Clínic) Judith Jo (Fundació Clínic) Sergio Lario (IDIBAPS) M.A. Millán (Hospital Clínic) O. Millán (Hospital Clínic) Vicenç Torregrosa (Hospital Clínic) Anna Sola (IIBB-CSIC) José Luis Viñas (IIBB-CSIC) Eugenia Vinuesa (IIBB-CSIC) Doctoral Students: Mónica Bescos (Fundació Clínic) Sonia López (Fundació Clínic) Joan Nistal (Fundació Clínic) Michaela Jung (IIBB-CSIC) Albert Pérez Ladaga (IIBB-CSIC) Marina Ventayol (IIBB-CSIC) Chrysa Mastora (IIBB-CSIC) Technicians: Mª Angeles Muñoz Herrero (IIBB-CSIC) Maite del Hierro (IIBB-CSIC) Strategic Objectives Principal Lines of Research The general objectives of this research team are to gain greater knowledge of the pathophysiology and treatment of diseases of the kidneys and male urinary and reproductive apparatus, and of the medical complications deriving from replacement renal treatment by means of dialysis or transplant. The objectives include, especially, the study of immunosuppression in pharmacokinetic and pharmacodynamic aspect. 1. Hereditary kidney diseases, particularly renal polycystosis, Alport syndrome and benign family hematuria. 2. Amyloidosis associated with dialysis or beta-2 microglobulin, other types of hereditary and nonhereditary amyloidosis with renal involvement. 3. Diabetic nephropathy, antiproteinuric of ARA II. 4. Anemia of renal origin, erythropoiesis-stimulating proteins in uremia. 5. Uremic myopathy. 6. Renal osteodystrophy and calcium-phosphorous metabolism. 7. Cardiovascular risk and accelerated arteriosclerosis in kidney patients. 8. Infection by hepatitis C virus in dialysis and kidneytransport patients. 9. Endothelial dysfunction, the effect of the uremic medium in endothelial cells. 10.Chronic rejection, role of TGF-beta. 50 Furthermore, with the incorporation of a team specializing in transplant immunology, our objectives also include improving the tolerance to allografts and xenografts and reducing as far as possible the need for immunosuppressants. Another new challenge is to increase our knowledge regarding the level of immunosuppression recommended in patients according to their needs: pharmacokinetic-pharmacodynamic relationship. 040-071 AREA2.indd 50 21/10/09 16:57:25 which, therefore, determine tolerance to transplant antigens. 18.Establishment of the pharmacokinetic and pharmacodynamic parameters that make it possible to adjust the minimum necessary and sufficient immunosuppression for each organ recipient. 19.Identification of strategies that make it possible to substitute the functions of cells, organs or tissues, minimizing the use of immunosuppressants. Our researchers also have shared lines of research with other IDIBAPS teams, particularly in the areas of arterial hypertension, endothelial dysfunction and systemic autoimmune diseases with renal involvement. I.F.: 103,36 PublicaTions Original Articles 1 040-071 AREA2.indd 51 8 9 10 11 12 13 14 Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 Trullas JC, Barril G, Cofan F, Moreno A, Cases A, Fernandez-Lucas M, Martinez-Ara J, Ceballos M, Garcia-De-Diego J, Muniz ML, Molina J, MartinezCastelao A, Gonzalez-Garcia J, Miro JM. Prevalence and Clinical Characteristics of HIV Type 1-Infected Patients Receiving Dialysis in Spain: Results of a Spanish Survey in 2006: GESIDA 48/05 Study. AIDS RES HUM RETROV. 24:1229-1235. I.F.:2,02. 2 Linares L, Cervera C, Cofan F, Lizaso D, Marco F, Ricart MJ, Esforzado N, Oppenheimer F, Campistol JM, Moreno A. Risk factors for infection with extended-spectrum and AmpC betalactamase-producing gram-negative rods in renal transplantation. AM J TRANSPLANT. 8:1000-1005. I.F.:6,42. 3 Carbo C, Arderiu G, Escolar G, Fuste B, Cases A, Carrascal M, Abian J, Diaz-Ricart M. Differential expression of proteins from cultured endothelial cells exposed to uremic versus normal serum. AM J KIDNEY DIS. 51:603-612. I.F.:3,98. 4 Gomez-Caro A, Martinez E, Rodriguez A, Sanchez D, Martorell J, Gimferrer JM, Haverich A, Harringer W, Pomar JL, Macchiarini P. Cryopreserved Arterial Allograft Reconstruction After Excision of Thoracic Malignancies. ANN THORAC SURG. 86:1753-1761. I.F.:2,02. 5 Rigol M, Solanes N, Sionis A, Galvez C, Martorell J, Rojo I, Brunet M, Ramirez J, Roque M, Roig E, Perez-Villa F, Barquin L, Pomar JL, Sanz G, Heras M. Effects of cyclosporine, tacrolimus and sirolimus on vascular changes relate to immune response. J HEART LUNG TRANSPL. 27:416-422. I.F.:3,09. 6 Vallancien G, Emberton M, Alcaraz A, Matzkin H, VanMoorselaar RJA, Hartung R, Harving N, Elhilali M. Alfuzosin 10 mg once daily for treating benign prostatic hyperplasia: a 3-year experience in reallife practice. BJU INT. 101:847-852. I.F.:2,75. 7 DeOca J, Azuara D, Sanchez-Santos R, Navarro M, Capella G, Moreno V, Sola A, Hotter G, Biondo S, Osorio A, Marti-Rague J, Rafecas A. Caspase-3 activity, response to chemotherapy and clinical outcome in patients with colon cancer. INT J COLORECTAL DIS. 23:21-27. I.F.:1,92. Coll E, Larrousse M, DeLaSierra A, Collado S, Jimenez W, Cases A. Chronic hypotension in hemodialysis patients: role of functional vascular changes and vasodilator agents. CLIN NEPHROL. 69:114-120. I.F.:1,32. Macchiarini P, Jungebluth P, Go T, Asnaghi MA, Rees LE, Cogan TA, Dodson A, Martorell J, Bellini S, Parnigotto PP, Dickinson SC, Hollander AP, Mantero S, Conconi MT, Birchall MA. Clinical transplantation of a tissue-engineered airway. LANCET. 372:20232030. I.F.:28,64. Maduell F, Serra N, Arias M, Vera M, Bergada E, Cases A. Control of hypertension refractory to medical management by means of short daily hemodialysis. NEFROLOGIA. 28:99-101. I.F.:0,52. Diekmann F, Budde K, Slowinski T, Oppenheimer F, Fritsche L, Neumayer HH, Campistol JM. Conversion to sirolimus for chronic allograft dysfunction: long-term results confirm predictive value of proteinuria. TRANSPL INT. 21:152-155. I.F.:2,30. Bergua C, Torregrosa JV, Fuster D, GutierrezDalmau A, Oppenheimer F, Campistol JM. Effect of Cinacalcet on hypercalcemia and bone mineral density in renal transplanted patients with secondary hyperparathyroidism. TRANSPLANTATION. 86:413-417. I.F.:3,64. Rovira J, Arellano EM, Burke JT, Brault Y, Moya-Rull D, Banon-Maneus E, Ramirez-Bajo MJ, GutierrezDalmau A, Revuelta I, Quintana LF, Campistol JM, Diekmann F. Effect of mTOR inhibitor on body weight: from an experimental rat model to human transplant patients. TRANSPL INT. 21:992-998. I.F.:2,30. Seron D, Oppenheimer F, Pallardo LM, Lauzurica R, Errasti P, Gomez-Huertas E, Bosmans LL, SanchezPlumed J, Romero R, Marques M, Fulladosa X, Moreso F. Fluvastatin in the prevention of renal transplant vasculopathy: Results of a prospective, Nephro-urologic diseases and kidney transplant 11.Dyslipidemia and cardiovascular risk in kidney transplant, polymorphisms of apolipoprotein. 12.Pharmacokinetics and pharmacodynamics of immunosuppressant drugs: calcineurin inhibitors, sirolimus, rapamycin and MMF. 13.Kidney and pancreas transport, metabolic control. 14.Neoplasias of the urinary apparatus (kidney, prostate and bladder). 15.Erectile dysfunction, the use of sildenafil in kidney transplant. 16.Experimental kidney transplant. 17.Establishment of the molecular bases of the mechanisms that govern clonal deletion or anergy in a model of allogenic or xenogenic presentation and 51 21/10/09 16:57:31 15 Nephro-urologic diseases and kidney transplant 16 17 18 19 Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering 20 21 22 23 24 52 25 26 040-071 AREA2.indd 52 randomized, double-blind, placebo-controlled trial. TRANSPLANTATION. 86:82-87. I.F.:3,64. Maduell F, Vera M, Arias M, Fontsere N, Blasco M, Serra N, Bergada E, Cases A, Campistol JM. How much should dialysis time be increased when catheters are used?. NEFROLOGIA. 28:633-636. I.F.:0,52. Morales JM, Grinyo JM, Campistol JM, GarciaMartinez J, Arias M, Paul J, Sanchez-Fructuoso A, Brunet M, Granados E, Munoz-Robles JA. Improved renal function, with similar proteinuria, after two years of early tacrolimus withdrawal from a regimen of sirolimus plus tacrolimus. TRANSPLANTATION. 86:620-622. I.F.:3,64. Maduell F, Vera M, Arias M, Serra N, Blasco M, Bergada E, Fontsere N, Cases A, Campistol JM. Influence of the ionic dialysance monitor on Kt measurement in hemodialysis. AM J KIDNEY DIS. 52:85-92. I.F.:3,98. Maduell F, Vera M, Serra N, Collado S, Carrera M, Fernandez A, Arias M, Blasco M, Bergada E, Cases A, Campistol JM. Kt as control and follow-up of the dose at a hemodialysis unit. NEFROLOGIA. 28:4347. I.F.:0,52. Vinuesa E, Sola A, Jung M, Alfaro V, Hotter G. Lipocalin-2-induced renal regeneration depends on cytokines. AM J PHYSIOL-RENAL. 295:F1554-F1562. I.F.:4,42. Vinuesa E, Hotter G, Jung M, Herrero-Fresneda I, Torras J, Sola A. Macrophage involvement in the kidney repair phase after ischaemia/reperfusion injury. J PATHOL. 214:104-113. I.F.:5,42. Marin-Aguilera M, Mengual L, Burset M, Oliver A, Ars E, Ribal MJ, Colomer D, Mellado B, Villavicencio H, Algaba F, Alcaraz A. Molecular Lymph Node Staging in Bladder Urothelial Carcinoma: Impact on Survival. EUR UROL. 54:1363-1372. I.F.:5,63. Seron D, Anaya F, Marcen R, DelMoral RG, Martul EV, Alarcon A, Andres A, Burgos D, Capdevila L, Molina MG, Jimenez C, Morales JM, Oppenheimer F, Pallardo L, Fructuoso AS. Recommendations by indication, obtaining, processing and evaluation of biopsies in renal transplants. NEFROLOGIA. 28:385396. I.F.:0,52. Arrizabalaga P, Sole M, Abellana R, Ascaso C. Renal expression of adhesion molecules in Ancaassociated disease. J CLIN IMMUNOL. 28:411-419. I.F.:2,89. Ramos R, Poveda R, Bernis C, Ara J, Sunyer M, Arrizabalaga P, Grinyo JM. Renal involvement in benign monoclonal gammopathies: an underdiagnosed condition. NEFROLOGIA. 28:525529. I.F.:0,52. Domingo-Domenech J, Fernandez PL, Filella X, Martinez-Fernandez A, Molina R, Fernandez E, Alcaraz A, Codony J, Gascon P, Mellado B. Serum HER2 extracellular domain predicts an aggressive clinical outcome and biological PSA response in hormoneindependent prostate cancer patients treated with docetaxel. ANN ONCOL. 19:269-275. I.F.:4,88. Molina MG, Diekmann F, Burgos D, Cabello M, Lopez V, Oppenheimer F, Navarro A, Campistol J. Sympathetic dystrophy associated with sirolimus therapy. TRANSPLANTATION. 85:290-292. I.F.:3,64. 27 Delgado P, Diaz JM, Silva I, Osorio JM, Osuna A, Bayes B, Lauzurica R, Arellano E, Campistol JM, Dominguez R, Gomez-Alamillo C, Ibernon M, Moreso F, Benitez R, Lampreave I, Porrini E, Torres A. Unmasking glucose metabolism alterations in stable renal transplant recipients: A multicenter study. CLIN J AM SOC NEPHRO. 3:808-813. I.F.:2,24. Reviews 1 Bosch X, Guilabert A, Espinosa G, Mirapeix E. Immunotherapy for antineutrophil cytoplasmic anti body-associated vasculitis: challenging the therapeutic status quo?. TRENDS IMMUNOL. 29:280-289. I.F.:9,48. Editorials 1 Poch E, Riviello ED, Christopher K. Acute renal failure in the intensive care unit. MED CLINBARCELONA. 130:141-148. I.F.:1,34. 2 Alcaraz A. Management of the hormone sensitivity of prostate cancer: Where are we now?. EUR UROL. 54:247-250. I.F.:5,63. 3 Trullas JC, Sanchez M, Sole M, Mirapeix E. Wife of 50 years with infiltrates. MED CLIN-BARCELONA. 131:699-709. I.F.:1,34. Grants for Research in Progress Hotter G. Bioregeneració i micromonitorització hipòxica. Grant: Comissionat per a Universitats i Recerca, 2005SGR00703. Duration: 19/10/2005-31/12/2008. Poch E. Análisis proteómico de la orina en la afección renal asociada a diabetes tipo II. Efecto del bloqueo del sistema renina angiotensina. Grant: Ministerio Sanidad y Consumo, PI050015. Duration: 01/01/2006-31/01/2008. Campistol JM. Análisis y utilidad del proteoma urinario en el diagnóstico precoz de la nefropatia crónica del injerto renal. Grant: Ministerio Sanidad y Consumo, PI061222. Duration: 18/10/2006-30/12/2009. Alcaraz A. Determinación de la diseminación linfática del carcinoma urotelial de vejiga mediante marcadores moleculares y utilización de éstos para pronosticar la evolución clínica de la enfermedad. Grant: Ministerio Sanidad y Consumo, PI070040. Duration: 26/11/2007-30/12/2010. Poch E. REDINREN - Red de Investigación en Enfermedades Renales. Grant: Ministerio Sanidad y Consumo, RD06/0016/0015. Duration: 01/01/200731/12/2010. Hotter G. Papel de la apoptosis del neutrofilo en la resolución del proceso inflamatorio asociado al síndrome de isquemia/reperfusión intestina. Grant: Ministerio Sanidad y Consumo, PIO50156. Duration: 23/12/2005-31/12/2008. 21/10/09 16:57:37 Alcaraz A. Red de Investigación de Reacciones Adversas a Alérgenos y Fármacos (RIRAAF). Grant: Instituto de Salud Carlos III, RD07/0064/0006. Duration: 29/02/200831/12/2011. Hotter G. Hypoxic renal proliferation (PROLIGEN). Grant: European Comission, LIFESCI/STREP/03/0652. Duration: 01/01/2006-31/12/2009. Thesis Alcaraz A. Estudio molecular y citogenético del carcinoma urotelial. Detección temprana en la enfermedad y de su diseminación. Doctorand: Mercedes Marín Aguilera. Luis F. Quintana, Amanda Sole, Elisenda BañonManeus, Josep Mª Campistol, Pedro Rodriguez. Healthy kidney Biomarkers. Luis F. Quintana, Elisenda Bañon-Maneus, Josep Mª Campistol. WNT1 como Biomarcador de daño renal. Nephro-urologic diseases and kidney transplant Hotter G. Terapia celular regenerativa en la isquemiareperfusión renal: tratamiento con macrófagos. Grant: FIS, 20062B810. Duration: 01/01/2006-31/12/2009. Patents Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 53 040-071 AREA2.indd 53 21/10/09 16:57:42 Hypertension, Lipids and Cardiovascular Risk Team Members Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Hypertension, lipids and cardiovascular risk Team Leader: ■ Emili Ros (Hospital Clínic) Tel.: 93 227 93 83 E-mail: [email protected] 54 IDIBAPS Members: ■ Antonio Coca (Hospital Clínic) ■ Alejandro de la Sierra (Hospital Clinic) ■ Cristina Sierra (Hospital Clínic) ■ Daniel Zambón (Hospital Clínic) Collaborators: N. Bargalló (Hospital Clínic) M.T. de Caralt (Hospital Clínic) M. Doménech (Fundació Clínic) R. Estruch (Hospital Clínic) R. Gilabert (Hospital Clínic) I. Núñez (Hospital Clínic) M. Cofán (ISCIII) A Sala-Vila (ISCIII) Nurses: M. Peña (Fundació Clínic) Statistician: E. Corbella (Fundació Clínic) Dieticians: A. Pérez-Heras (Fundació Clínic) M. Serra (ISCIII) Doctoral Students: V. Escurriol (AGAUR) C. Valls (ISCIII) Strategic Objectives Principal Lines of Research The general objective of our team is to advance in the study of the epidemiology, pathogenesis, diagnosis, treatment and prevention of arterial hypertension, dyslipidemias and associated cardiovascular risk. The lines of research we wish to continue consolidating are the following: 1.In collaboration with other laboratories, characterization of genetic dyslipidemias, essentially hypercholesterolemias of autosomal dominant transmission, including family hypercholesteremia (FH) and combined family hyperlipidemia (CFH), with: the study of specific mutations of the genes of the LDL receptor and apo B in FH, influence of cholesterol absorption in the lipid phenotype when no mutations are detected, and search for genetic determinants of CFH; detection, treatment and monitoring of patient families and index of affected members; relationship between genotype and phenotype and therapeutic response; and study of emerging risk factors and their relationship with preclinical atherosclerosis. 2. External ultrasound of carotid and femoral arteries, coronary CT and NMRI of carotic plaques Relationship between preclinical atherosclerosis and conventional and emergent risk factors and markers of the regular diet, including omega-3 fatty acids and phytosterols. Influence of diet on the vulnerability of atheroma plaques of the carotid vessels, evaluated by sequential NMRI. Plaque composition correlation by NMRI with histology. 1. Mechanisms and consequences of the silent lesion of hypertension target organs 2. Interaction of environmental determinants in cardiovascular disease with the consumption of salt and the phenomenon of sensitivity to salt 3. Candidate genes for hypertension and its complications 4. Characterization of genetic dyslipidemias 5. Detecting preclinical atherosclerosis 6. Study of intestinal absorption of cholesterol 7. Determination of the fatty-acid pattern in phospholipids and blood-cell membranes and its association with diet and the phenotype of cardiovascular risk 8. Study of the cardiovascular functionality of foods 9.Evaluation of mild cognitive deterioration in patients with high cardiovascular risk 040-071 AREA2.indd 54 21/10/09 16:57:50 Original Articles 1 2 3 4 5 Siso A, Ramos-Casals M, Bove A, Brito-Zeron P, Soria N, Munoz S, Testi A, Plaza J, Sentis J, Coca A. Previous antimalarial therapy in patients diagnosed with lupus nephiritis: Influence on outcomes and survival. LUPUS. 17:281-288. I.F.:2,25. Coll E, Larrousse M, DeLaSierra A, Collado S, Jimenez W, Cases A. Chronic hypotension in hemodialysis patients: role of functional vascular changes and vasodilator agents. CLIN NEPHROL. 69:114-120. I.F.:1,32. Zazpe I, Sanchez-Tainta A, Estruch R, LamuelaRaventos RM, Schroder H, Salas-Salvado J, Corella D, Fiol M, Gomez-Gracia E, Aros F, Ros E, Ruiz-Gutierrez V, Iglesias P, Conde-Herrera M, Martinez-Gonzalez MA. A large randomized individual and group intervention conducted by registered dietitians increased adherence to Mediterranean-type diets: The PREDIMED study. J AM DIET ASSOC. 108:1134-1144. I.F.:3,01. Sanchez-Tainta A, Estruch R, Bullo M, Corella D, Gomez-Gracia E, Fiol M, Algorta J, Covas MI, Lapetra J, Zazpe I, Ruiz-Gutierrez V, Ros E, Martinez-Gonzalez MA. Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3204 high-risk patients. EUR J CARDIOV PREV R. 15:589-593. I.F.:2,22. Fuentes F, Lopez-Miranda J, Garcia A, Perez-Martinez P, Moreno J, Cofan M, Caballero J, Paniagua JA, Ros E, Perez-Jimenez F. Basal plasma concentrations of plant sterols can predict LDL-C response to sitosterol in pa- 040-071 AREA2.indd 55 Dispersion graph of carotidal intima-media thickness compared to the Framingham risk score for suffering from coronary disease after 10 years. Symbols: Green triangles, individuals with estimated vascular age lower than their chronologic age; orange circles, vascular age up to 10 years higher than chronologic age; red squares, vascular age >10 years higher than chronologic age. Junyent et al. Atherosclerosis 2007; Feb 20 [Epub ahead of print] PMID: 17320091. I.F.: 83,27 tients with familial hypercholesterolemia. EUR J CLIN NUTR. 62:495-501. I.F.:2,33. 6 Junyent M, Zambon D, Gilabert R, Nunez I, Cofan M, Ros E. Carotid atherosclerosis and vascular age in the assessment of coronary heart disease risk beyond the Framingham Risk Score. ATHEROSCLEROSIS. 196:803809. I.F.:4,29. 7 Junyent M, Zambon D, Gilabert R, Cofan M, Nunez I, Ros E. Carotid atherosclerosis in familial combined hyperlipidemia associated with the APOB/APOA-1 ratio. ATHEROSCLEROSIS. 197:740-746. I.F.:4,29. 8 Vinyoles E, Felip A, Pujol E, DeLaSierra A, Dura R, DelRey R, Sobrino J, Gorostidi M, DeLaFiguera M, Segura J, Banegas JR, Ruilope LM. Clinical characteristics of isolated clinic hypertension. J HYPERTENS. 26:438-445. I.F.:4,36. 9 Civeira F, Ros E, Jarauta E, Plana N, Zambon D, Puzo J, DeEsteban JPM, Ferrando J, Zabala S, Almagro F, Gimeno JA, Masana L, Pocovi M. Comparison of Genetic Versus Clinical Diagnosis in Familial Hypercholesterolemia. AM J CARDIOL. 102:1187-1193. I.F.:3,60. 10 Salas-Salvado J, Garcia-Arellano A, Estruch R, Marquez-Sandoval F, Corella D, Fiol M, Gomez-Gracia E, Vinoles E, Aros F, Herrera C, Lahoz C, Lapetra J, Perona JS, Munoz-Aguado D, Martinez-Gonzalez M, Ros E. Components of the mediterranean-type food pattern and serum inflammatory markers among patients at high risk for cardiovascular disease. EUR J CLIN NUTR. 62:651-659. I.F.:2,33. 11 Salas-Salvado J, Fernandez-Ballart J, Ros E, MartinezGonzalez MA, Fito M, Estruch R, Corella D, Fiol M, Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 PublicaTions cal atherosclerosis of the carotid vessels, evaluated using high-resolution ultrasound with microbubble contrast and NMR. Hypertension, lipids and cardiovascular risk 3. Circadian patterns, variability of arterial pressure and injury of target organs. Sensitivity to salt in arterial hypertension. Inflammation in hypertension. Hypertension and atrial fibrillation as a manifestation of cardiac lesion induced by hypertension. 4. Candidate genes for stroke risk in hypertensive patients. Candidate genes for the appearance of left ventricular hypertrophy and heart failure in hypertensive patients. 5. Functionality of diet patterns and complete foods: influence on arterial pressure evaluated by means of outpatient and domiciliary monitoring, resistance to insulin, biologic markers of cholesterol absorption and vascular risk, oxidation of low-density lipoproteins (LDLs). 6. Mild cognitive deterioration in situations of high cardiovascular risk: evaluation of patients with FH and effects of the Mediterranean diet. Evaluation of rates of neurodegeneration in follow-up. 7. Absorption and synthesis of cholesterol: measurement, genetic determinants, influence on cardiovascular risk, effect of foods with a high phytosterol content and relationship with the lipid response to phytosterols and hypolipemiant drugs. 8. Influence of highly polyunsaturated long-chain fatty acids (vegetable and marine omega-3) on preclini- 55 21/10/09 16:57:55 Hypertension, lipids and cardiovascular risk 12 13 14 Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering 15 16 17 18 19 20 Gomez-Gracia E, Aros F, Flores G, Lapetra J, LamuelaRaventos R, Ruiz-Gutierrez V, Bullo M, Basora J, Covas MI. Effect of a Mediterranean Diet Supplemented With Nuts on Metabolic Syndrome Status One-Year Results of the PREDIMED Randomized Trial. ARCH INTERN MED. 168:2449-2458. I.F.:8,39. DeLaSierra A, Gorostidi M, Marin R, Redon J, Banegas JR, Armario P, Puig JG, Zarco J, Llisterri JL, Sanchis C, Abarca B, Palomo V, Gomis R, Otero A, Villar F, Honorato J, Tamargo J, Lobos JM, Macias-Nunez J, Sarria A, Aranda P, Ruilope LM. Evaluation and management of hypertension in Spain. A consensus guide. MED CLINBARCELONA. 131:104-116. I.F.:1,34. Junyent M, Gilabert R, Zambon D, Pocovi M, Mallen M, Cofan M, Nunez I, Civeira F, Tejedor D, Ros E. Femoral atherosclerosis in heterozygous familial hypercholesterolemia influence of the genetic defect. ARTERIOSCL THROM VAS. 28:580-586. I.F.:7,22. Junyent M, Gilabert R, Nunez I, Corbella E, Cofan M, Zambon D, Ros E. Femoral ultrasound in the assessment of preclinical atherosclerosis. Distribution of intima-media thickness and frequency of atheroma plaques in a Spanish community cohort. MED CLINBARCELONA. 131:566-571. I.F.:1,34. Civeira F, Jarauta E, Cenarro A, Garcia-Otin AL, Tejedor D, Zambon D, Mallen M, Ros E, Pocovi M. Frequency of Low-Density Lipoprotein Receptor Gene Mutations in Patients With a Clinical Diagnosis of Familial Combined Hyperlipidemia in a Clinical Setting. J AM COLL CARDIOL. 52:1546-1553. I.F.:11,05. Banegas JR, Segura J, DeLaSierra A, Gorostidi M, Rodriguez-Artalejo F, Sobrino J, DeLaCruz JJ, Vinyoles E, DelRey RH, Graciani A, Ruilope LM. Gender Differences in Office and Ambulatory Control of Hypertension. AM J MED. 121:1078-1084. I.F.:4,91. Guizy M, David M, Arias C, Zhang L, Cofan M, RuizGutierrez V, Ros E, Lillo MP, Martens JR, Valenzuela C. Modulation of the atrial specific Kv1.5 channel by the n-3 polyunsaturated fatty acid, alpha-linolenic acid. J MOL CELL CARDIOL. 44:323-335. I.F.:5,25. Llaverias G, Pou J, Ros E, Zambon D, Cofan M, Sanchez A, Vazquez-Carrera M, Sanchez RM, Laguna JC, Alegret M. Monocyte gene-expression profile in men with familial combined hyperlipidemia and its modification by atorvastatin treatment. PHARMACOGENOMICS. 9:10351054. I.F.:3,37. Coca A, Messerli FH, Benetos A, Zhou Q, Champion A, Cooper-Dehoff RM, Pepine CJ. Predicting stroke risk in hypertensive patients with coronary artery disease - A report from the INVEST. STROKE. 39:343-348. I.F.:6,30. DeLaSierra A, Egocheaga MI, Aguilera MT. Prevalence and clinical characteristics of microalbuminuria in the Spanish hypertensive population. MED CLIN-BARCELONA. 130:201-205. I.F.:1,34. 21 Kjeldsen SE, Mcinnes GT, Mancia G, Hua TA, Julius S, Weber MA, Coca A, Girerd X, Jamerson K, Larochelle P, Macdonald T, Schmieder RE, Schork MA, Viskoper R, Widimsky J, Zanchetti A. Progressive effects of valsartan compared with amlodipine in prevention of diabetes according to categories of diabetogenic risk in hypertensive patients: The VALUE trial. BLOOD PRESSURE. 17:170-177. I.F.:1,39. 22 Oliveras A, LaSierra A, Martinez-Estrada OM, Larrousse M, Vazquez S, Soler MJ, Zuasti M, Vila JS, Reina M, Roca-Cusachs A, Lloveras J. Putative endothelial progenitor cells are associated with flow-mediated dilation in refractory hypertensives. BLOOD PRESSURE. 17:298305. I.F.:1,39. Reviews 1 Coca A. Economic benefits of treating high-risk hypertension with angiotensin II receptor antagonists (blockers). CLIN DRUG INVEST. 28:211-220. I.F.:0,60. Editorials 1 2 DeLaSierra A. Pulse pressure and cardiovascular risk: from epidemiology to pathophysiology. MED CLINBARCELONA. 130:374-375. I.F.:1,34. Ruilope LM, DeLaSierra A. Recient evidence of support to arterial hypertension treatment guides. MED CLINBARCELONA. 131:101-103. I.F.:1,34. Grants for Research in Progress Coca A. NoE - Integrated Genomics, Clinical Research and Care in Hypertension. Grant: European Commision, LHSMCT-2006-037093. Duration: 01/11/2006-31/10/2010. Ros E. Caracterización de las hipercolesterolemias autosómicas dominantes no dependientes de los genes del receptor LDL o apoB. Subproyecto 2: Concentraciones séricas de fitoesteroles y aterosclerosis carotídea. Grant: Ministerio Sanidad y Consumo, PI060365. Duration: 18/10/200630/12/2009. Ros E. Subproject 1: Effects of Mediterranean diet intervention on the primary prevention of cardiovascular diseaseProject: Effects of a mediterranean diet intervention on the atherosclerotic burden measured by imaging techniques and systemic biomarkers. Modulat. Grant: Centro Nacional de Investigaciones Cardiovasculares (CNIC), 06-2007-S01. Duration: 19/02/2008-18/02/2012. 56 040-071 AREA2.indd 56 21/10/09 16:58:01 Respiratory Biophysics and Bioengineering Team members Team Leader: ■ Ramon Farré (University of Barcelona) Tel.: 93 402 45 15 Fax: 93 403 52 78 E-mail: [email protected] Collaborators: Carles Falcón (IDIBAPS) Raúl Tudela (CIBER-BBN) Albert Cot (CIBER-BBN) Francisco Pino (ICO) Jordi Alcaraz (UB) Xavier Trepat (UB-IBEC) Theodora Tsapikouni (CIBERES) Valentina Isetta (UE) Raul Tudela (CIBER-BBN) Doctoral Students: Irene Acerbi (MEC) Alba Carreras (MEC) Núria Roé (IDIBAPS) Raimon Sunyer (DURSI) Valentina Isseta (UE) Naira Martínez (IDIBAPS) Berta Martí (CIBER-BBN) Esther Melo (MEC) Tomas Luque (CIBERES) Strategic Objectives The general objectives of the group are the study of the biophysical mechanisms that determine respiratory function, and the development of models and methods for processing biomedical signals and images. The group’s work is based on an interdisciplinary approach and on the integration of basic and clinical research. In parallel to the scientific objectives, our group potentiates the transfer to industry of the technologic advances deriving from the research. Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 Technicians: Miguel Rodríguez (UB) Rocío Nieto (CIBERES) Respiratory biophysics and bioengineering IDIBAPS Members: ■ Daniel Navajas (UB-IBEC) ■ Javier Pavía (Hospital Clínic) ■ Domènec Ros (University of Barcelona) ■ Mar Rotger (University of Barcelona) Principal Lines of Research 1. Respiratory mechanics The objective of research on respiratory mechanics is to study the viscoelastic properties of the airways and lung tissue. Work uscurrently aimed at studying the collapsibility of the upper airways in obstructive sleep apnea-hypopnea and monitoring noninvasive mechanical ventilation during respiratory failure. The clinical objective of this research is to obtain better noninvasive diagnostic techniques and to optimize treatment methods by means of ventilatory support. 040-071 AREA2.indd 57 57 Axial sections of a mouse cranium. The images correspond to a SPECT bone study with 99mTc-HDP, using tomography and a reconstruction algorithm developed by the group. 21/10/09 16:58:07 Respiratory biophysics and bioengineering Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering 58 2. Molecular and cellular nanomechanics The event of nanotechnology means that we can handle matter at the nanometer and picoNewton scale and this has opened up new opportunities for studying individual cells and biomolecules. Our group uses the atomic force microscope, magnetic microspheres and traction microscope to study cell adhesion and the mechanical properties of lung cells and leukocytes. We also study the mechanical properties of embryo and adult stem cells during the differentiation process and how mechanical stimuli can encourage differentiation into the alveolar epithelial phenotype. 3. Analysis of biomedical images Research into image analysis is currently aimed at processing photon emission tomography (SPECT) and positron emission tomography (PET) with the objective of achieving a more accurate quantification of scintigraphy studies. With this aim in mind, we are developing iterative algorithms to reconstruct images in three dimensions and to merge SPECT images and nuclear magnetic resonance images (NMRI). For more information: http://www.ub.edu/biofisica I.F.: 45,10 PublicaTions Original Articles 1 Almendros I, Gutierrez PT, Closa D, Navajas D, Farre R. One-lung overventilation does not induce inflammation in the normally ventilated contralateral lung. RESP PHYSIOL NEUROBI. 162:100-102. I.F.:2,20. 2 Pareto D, Aguiar P, Pavia J, Gispert JD, Cot A, Falcon C, Benabarre A, Lomena F, Vieta E, Ros D. Assessment of SPM in perfusion brain SPECT studies. A numerical simulation study using bootstrap resampling methods. IEEE T BIO-MED ENG. 55:1849-1853. I.F.:1,62. 3 Farre R, Montserrat JM, Navajas D. Assessment of upper airway mechanics during sleep. RESP PHYSIOL NEUROBI. 163:74-81. I.F.:2,20. 4 Almendros I, Acerbi I, Vilaseca I, Montserrat JM, Navajas D, Farre R. Continuous positive airway pressure (CPAP) induces early nasal inflammation. SLEEP. 31:127-131. I.F.:4,34. 5 Aguiar P, Pareto D, Gispert JD, Crespo C, Falcon C, Cot A, Lomena F, Pavia J, Ros D. Effect of anatomical variability, reconstruction algorithms and scattered photons on the SPM output of brain PET studies. NEUROIMAGE. 39:1121-1128. I.F.:5,46. 6 Parellada E, Lomena F, Font M, Pareto D, Gutierrez F, Simo M, Fernandez-Egea E, Pavia J, Ros D, Bernardo M. Fluordeoxyglucose-PET study in first-episode schizophrenic patients during the hallucinatory state, after remission and during linguistic-auditory activation. NUCL MED COMMUN. 29:894-900. I.F.:1,30. 7 Gavara N, Roca-Cusachs P, Sunyer R, Farre R, Navajas D. Mapping cell-matrix stresses during stretch reveals inelastic reorganization of the cytoskeleton. BIOPHYS J. 95:464-471. I.F.:4,63. 8 Roca-Cusachs P, Alcaraz J, Sunyer R, Samitier J, Farre R, Navajas D. Micropatterning of single endothelial cell shape reveals a tight coupling between nuclear volume in G1 and proliferation. BIOPHYS J. 94:4984-4995. I.F.:4,63. 9 Farre R, Montserrat JM, Navajas D. Morbidity due to obstructive sleep apnea: insights from animal models. CURR OPIN PULM MED. 14:530-536. I.F.:2,65. 10 Crespo C, Gallego J, Cot A, Falcon C, Bullich S, Pareto D, Aguiar P, Sempau J, Lomena F, Calvino F, Pavia J, Ros D. Quantification of dopaminergic neurotransmission SPECT studies with I-123-labelled radioligands. A comparison between different imaging systems and 040-071 AREA2.indd 58 data acquisition protocols using Monte Carlo simulation. EUR J NUCL MED MOL I. 35:1334-1342. I.F.:4,10. 11 Paredes P, Vidal-Sicart S, Zanon G, Roe N, Rubi S, Lafuente S, Pavia J, Pons F. Radioguided occult lesion localisation in breast cancer using an intraoperative portable gamma camera: first results. EUR J NUCL MED MOL I. 35:230-235. I.F.:4,10. 12 Catafau AM, Bullich S, Danus M, Penengo MM, Cot A, Abanades S, Farre M, Pavia J, Ros D. Test-retest variability and reliability of 123I-IBZM SPECT measurement of striatal dopamine D2 receptor availability in healthy volunteers and influence of iterative reconstruction algorithms. SYNAPSE. 62:62-69. I.F.:2,52. 13 Almendros I, Carreras A, Ramirez J, Montserrat JM, Navajas D, Farre R. Upper airway collapse and reopening induce inflammation in a sleep apnoea model. EUR RESPIR J. 32:399-404. I.F.:5,35. Editorials 1 Trepat X, Farre R. Alveolar permeability and stretch: too far, too fast. EUR RESPIR J. 32:826-828. I.F.:5,35. Grants for Research in Progress Navajas D. Fisiopatologia i tractament de les malalties respiratòries. Grant: Comissionat per a Universitats i Recerca, 2005SGR00822. Duration: 19/10/2005-31/12/2008. Farré R. Estudio de los mecanismos de ruptura de la membrana epitelial alveolar por sobredistensión en la lesión pulmonar inducida por el ventilador. Grant: Ministerio Educación y Ciencia, SAF2005-00110. Duration: 30/12/200531/12/2008. Navajas D. Micromechanics of the airway smooth muscle cell. Grant: National Institutes of Health, R01HL65960-06. Duration: 01/06/2005-31/12/2010. Farré R. An open, ubiquitous and adaptive chronic disease management platform for COPD and renal insufficiency (CHRONIOUS). Grant: European Commission, FP7ICT-2007-1. Duration: 01/01/2007-31/12/2011. Navajas D. Aplicación de pinzas ópticas el estudio de la cinética del enlace ligando-selectina en neutrófilos. Grant: 21/10/09 16:58:13 Ministerio de Educación y Ciencia, Acción Estratégica de Nanociencia y Nanotecnología, NAN2004-09348-C04-04. Duration: 30/12/2005-31/12/2008. Navajas D. Integrated molecular and cellular mechanotransduction mediated by protein p130Cas (CELL-TRANS). Grant: European Commission, PIOF-GA-2008-219401. Duration: 30/12/2008-31/12/2010. Ros D. Consorcio para el Desarrollo de Tecnologías Avanzadas Para La Medicina (CDTEAM). Grant: Ministerio de Industria, Comercio y Turismo, CDTI, Convocatoria CenitIngenio., CDTEAM. Duration: 01/01/2006-31/12/2009. Farré R. CIBER de Enfermedades Respiratorias (CIBERES). Grant: Ministerio de Sanidad y Consumo (FIS), CB06. Duration: 01/01/2008-31/12/2008. Ritort F, Navajas D. Contribution of active processes to the cytoskeleton dynamics of living cells. Doctorand: Raimon Sunyer Borrell. Ros D, Pavia J. Procesamiento de imágenes en SPECT cerebral: Cuantificación de estudios de neurotransmisión en el sistema dopaminérgico y registro de estudios de flujo en la epilepsia farmacorresistente. Doctorand: Cristina Crespo Vázquez. Pavia J, Ros D. Reconstruction, quantification and standardization methods in positron emission tomography. Doctorand: Pablo Aguiar Fernández. Patents Francisco Pino, Carles Falcón, Albert Cot, Domènec Ros, Javier Pavía. Software de Reconstrucció Iterativa per SPECT d’animal petit de radi de gir variable equipat amb col·limador Pin-hole (SORIP). Respiratory biophysics and bioengineering Navajas D. Estudi dels mecanismes biofísics de l’adhesió cel·lular mitjançant microscòpia de força atòmica. Grant: DURSI – Generalitat de Catalunya. Duration: 30/12/2008-31/12/2009. Thesis Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 59 040-071 AREA2.indd 59 21/10/09 16:58:19 Applied Research on Infectious Respiratory Diseases, Critical Patients and Lung Cancer Team Members Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Applied research on infectious respiratory diseases, critical patients and lung cancer Team Leader: ■ Antoni Torres (Hospital Clínic) Tel.: 93 227 55 49 Fax: 93 227 55 49 E-mail: [email protected] 60 IDIBAPS Members: ■ Carles Agustí (Hospital Clínic) ■ Joan Ramon Badia (Hospital Clínic) ■ Eugeni Ballester (Hospital Clínic) ■ Miquel Ferrer (Hospital Clínic) ■ Ramon Marrades (Hospital Clínic) ■ Josep Mª Montserrat (Hospital Clínic) ■ Néstor Soler (Hospital Clínic) ■ Dolors Soy (Hospital Clínic) Collaborators: Marc Miravitlles (Fundació Clínic) Núria Sànchez (CAPSE) Jacobo Sellarés (Hospital del Mar) Pilar Martínez (Hospital Clínic) Eva Polverino (Hospital Clínic/ CibeRes) Montserrat Rigol (IDIBAPS/CibeRes) Doctoral Students: Sònia Borrell (UB) Mateu Espasa (FIS) Mariano Esperatti (FIS) Arnoldo Guerrero (Hospital Clínic) Arturo Huerta (FIS) Sònia Juarez (UB) Néstor Luque (FIS/La Marató) Griselda Tudó (MEC) Emma Rey (Fundació Clínic) Mantó Liapikou (ERS) Catia Cillóniz (FIS) Gema Tirado (SEPAR) Patrícia Gutiérrez (La Marató TV3) Laia Fernàndez (CibeRes) Anna Theessen (UB) Technicians: Marta Cardiel (Fundació Clínic) Nurses: Alicia Borràs (IDIBAPS/Hospital Clínic) Cristina Esquinas (IDIBAPS/Hospital Clínic) Raquel Piñer (IDIBAPS/CibeRes) Patrícia Fernández (FIS) Encarnación Moreno (Fundació Clínic) Secretary: Elisabet Sancho Strategic Objectives Principal Lines of Research 1. Study of community-acquired and nosocomial respiratory infections and respiratory infections in immunosuppressed patients. 2. Study of invasive and noninvasive mechanical ventilation in acute respiratory failure, with special interest in weaning from artificial ventilation. 3. Study of exacerbations of COPD and the implication of bacterial, viral and fungal infectious agents. 4. Pathophysiologic studies and treatment in an animal model of ventilator-associated pneumonia. 5. Study of the resistance of microorganisms to antibiotics and antituberculosis drugs. 6. Study of the transmission of tuberculosis. 7. Studies of human research in animal models of sleep apnea syndrome. 8. Multicenter studies in relation to sleep respiratory pathology and the cardiovascular apparatus. 9. Epidemiology and diagnosis of lung cancer. 1.Epidemiology, prevention, diagnosis and new treatments for ventilator-associated pneumonia. Microorganism resistance. Study of biofilm in endotracheal tubes. 2. Epidemiology and diagnosis of community-acquired pneumonia. Multicenter studies in communityacquired pneumonia. New treatments. Microorganism resistance. 3. Studies of the risk factors, microbiology and outcomes of health care associated pneumonia (HCAP). 4. Etiopathogenesis, bronchial infection and inflammation in patients with chronic obstructive pulmonary disease (COPD). Role of infection in exacerbations of the disease. Study of the bronchial and associated systemic response. Analysis of risk factors and outcomes in exacerbations. Smoking. Epidemiology and diagnosis of alpha-1-antitrypsin. 040-071 AREA2.indd 60 21/10/09 16:58:26 PublicaTions Original Articles 1 2 3 4 5 Dambrava PG, Torres A, Valles X, Mensa J, Marcos MA, Penarroja G, Camps M, Estruch R, Sanchez M, Menendez R, Niederman MS. Adherence to guidelines’ empirical antibiotic recommendations and community-acquired pneumonia outcome. EUR RESPIR J. 32:892-901. I.F.:5,35. Marco F, DeLaMaria CG, Armero Y, Amat E, Soy D, Moreno A, DelRio A, Almela M, Mestres CA, Gatell JM, JimenezDeAnta MT, Miro JM. Daptomycin is effective in treatment of experimental endocarditis due to methicillinresistant and glycopeptide-intermediate Staphylococcus aureus. ANTIMICROB AGENTS CH. 52:2538-2543. I.F.:4,39. AntiretroviralTherapyCohortCollaboration (ART-CC), Gatell JM, Miro JM, Agusti C. Does short-term virologic failure translate to clinical events in antiretroviral-naive patients initiating antiretroviral therapy in clinical practice? The Antiretroviral Therapy Cohort Collaboration (ART-CC)anti. AIDS. 22:2481-2492. I.F.:5,84. Menendez R, Cavalcanti M, Reyes S, Mensa J, Martinez R, Marcos MA, Filella X, Niederman M, Torres A. Markers of treatment failure in hospitalised community acquired pneumonia. THORAX. 63:447-452. I.F.:6,23. Serra MC, Cervera C, Pumarola T, Moreno A, Perello R, Torres A, JimenezDeAnta MT, Marcos MA. Virological diagnosis in community-acquired pneumonia in immunocompromised patients. EUR RESPIR J. 31:618-624. I.F.:5,35. 040-071 AREA2.indd 61 9.Tuberculosis and mycobacteriosis: epidemiology and molecular diagnosis, drug-resistance mechanisms. 10.Pig animal model of acute lung injury due to P aeruginosa and MR S aureus: study of new adjuvant drugs in the treatment of pneumonia, study if new antibiotics, prevention of VAP, new forms of mechanical ventilation. 11.Chronic models of sleep apnea. 12.Basic molecular biology, epidemiology and diagnosis of lung cancer. 13.European studies of respiratory infections. Participation in the GRACE, MOSAR and THERAEDGE projects that study respiratory infections in the community, in hospitals, and new diagnostic methodologies, respectively. For further information: www.idibapsrespiratoryresearch.org I.F.: 76,37 6 Egea CJ, Azpuru F, Pinto JA, Ayuela JM, Ballester E, Zamarron C, Sojo A, Montserrat JM, Barbe F, Angel M, Gomez A, Rubio R, Loobo JL, Duran-Cantolla J, Zorrila V, Nunez R, Cortes J, Jimenez A, Cifrian J, Ortega M, Carpizo R, Sanchez A, Teran J, Iglesias L, Fernandez C, Alonso ML, Cordero J, Roig E, Perez F, Muxi A, Gude F, Amaro A, Calvo U, Masa JF, Utrabo I, Porras Y, Lanchas I, Sanchez E. Cardiac function after CPAP therapy in patients with chronic heart failure and sleep apnea: A multicenter study. SLEEP MED. 9:660-666. I.F.:2,80. 7 Farre R, Montserrat JM, Navajas D. Assessment of upper airway mechanics during sleep. RESP PHYSIOL NEUROBI. 163:74-81. I.F.:2,20. 8 Almendros I, Acerbi I, Vilaseca I, Montserrat JM, Navajas D, Farre R. Continuous positive airway pressure (CPAP) induces early nasal inflammation. SLEEP. 31:127-131. I.F.:4,34. 9 Farre R, Montserrat JM, Navajas D. Morbidity due to obstructive sleep apnea: insights from animal models. CURR OPIN PULM MED. 14:530-536. I.F.:2,65. 10 Almendros I, Carreras A, Ramirez J, Montserrat JM, Navajas D, Farre R. Upper airway collapse and reopening induce inflammation in a sleep apnoea model. EUR RESPIR J. 32:399-404. I.F.:5,35. 11 Sibila O, Luna CM, Agusti C, Baquero S, Gando S, Patron JR, Morato JG, Absi R, Bassi N, Torres A. Effects of Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 5. Chronic pulmonary infections: bronchiectasis, immunodeficiencies and adult cystic fibrosis. Control of bronchial colonization. Study of the bronchial inflammatory and associated systemic response. New therapeutic forms (nebulizer antibiotic treatment). Replacement therapy with immunoglobulin. 6. Infectious pulmonary complications in immunocompromised patients. Evaluation of etiologic factors. Optimization of diagnostic techniques. Study of the bronchial inflammatory and associated systemic response. Analysis of outcome factors. 7. Invasive and noninvasive mechanical ventilation: Epidemiology, cost-effectiveness and pathophysiology. New techniques. Weaning from mechanical ventilation: role of the inflammatory response and post-extubation respiratory failure. 8. Study of the pharmacokinetics of antibiotics and other drugs in ventilated and nonventilated patients. Applied research on infectious respiratory diseases, critical patients and lung cancer Effects of the semi-recumbent position and ventilatory patterns on mucus clearance during mechanical ventilation. Tracheal mucus movement studies in a pig in the prone position and in a model of the semi-recumbent position, after 72 hours of mechanical ventilation. Red line indicates orientation of the surgical bed 30 degrees above horizontal. The pig was ventilated with an inspiratory-expiratory ratio of 1:3 that produced an inspiratory flow bias, directing mucus toward the lungs. Black upper and lower arrows indicate the dorsal (non-dependent) and ventral (dependent) tracheal surface, respectively. Mucus was tracked through tracheal insufflation of tantalum disks (weight of each tantalum disk was 1 mg and diameter and thickness were 0.6 and 0.1 mm, respectively), and movement was computed via timed serial lateral fluoroscopic images. Each red circle highlights a tracked tantalum disk. A total of 6 tantalum disks were deposited on the most dependent part of the trachea (A). Fluoroscopic image taken after 5 min (B) showed mucus moving towards the lungs. After only 7 min, 5 of the 6 tantalum disks were outside the fluoroscopic field, showing that mucus moved towards the lungs (C). 61 21/10/09 16:58:32 12 Applied research on infectious respiratory diseases, critical patients and lung cancer 13 14 15 16 Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering 17 18 19 Reviews 1 2 62 glucocorticoids in ventilated piglets with severe pneumonia. EUR RESPIR J. 32:1037-1046. I.F.:5,35. Iglesias M, Martinez E, Badia JR, Macchiarini P. Extrapulmonary ventilation for unresponsive severe acute respiratory distress syndrome after pulmonary resection. ANN THORAC SURG. 85:237-244. I.F.:2,02. Garcia-Esteve L, Navarro P, Ascaso C, Torres A, Aguado J, Gelabert E, Martin-Santos R. Family caregiver role and premenstrual syndrome as associated factors for postnatal depression. ARCH WOMEN MENT HLTH. 11:193-200. I.F.:1,91. Torres A, Garau J, Arvis P, Carlet J, Choudhri S, Kureishi A, LeBerre MA, Lode H, Winter J, Read RC. Moxifloxacin monotherapy is effective in hospitalized patients with community-acquired pneumonia: The MOTIV study - A randomized clinical trial. CLIN INFECT DIS. 46:1499-1509. I.F.:6,75. Molina R, Auge JM, Escudero JM, Marrades R, Vinolas N, Carcereny E, Ramirez J, Filella X. Mucins CA 125, CA 19.9, CA 15.3 and TAG-72.3 as Tumor Markers in Patients with Lung Cancer: Comparison with CYFRA 21-1, CEA, SCC and NSE. TUMOR BIOL. 29:371-380. I.F.:2,48. Almirall J, Bolibar I, Serra-Prat M, Roig J, Hospital I, Carandell E, Agusti M, Ayuso P, Estela A, Torres A. New evidence of risk factors for community-acquired pneumonia: a population-based study. EUR RESPIR J. 31:1274-1284. I.F.:5,35. Alvarez-Lerma F, Olaechea P, Grau S, Marin M, Dominguez A, Martinez-Lanao J, Soy D, Alos M, Calvo MV, Sadaba B, Mediavilla A, Fatelaj D. Recommendations for antibiotic monitoring in ICU patients. ENFERM INFEC MICR CL. 26:230-239. I.F.:1,10. Ramirez P, Garcia MA, Ferrer M, Aznar J, Valencia M, Sahuquillo JM, Menendez R, Asenjo MA, Torres A. Sequential measurements of procalcitonin levels in diagnosing ventilator-associated pneumonia. EUR RESPIR J. 31:356-362. I.F.:5,35. Molina-Molina M, Xaubet A, Marrades RM, Luburich P, Ramirez J, Torres A, Augusti C, Martínez-Olondris P. Transbronchial needle aspiration in the study of mediastinal lymph nodes: Yield and cost-effectiveness. ARCH BRONCONEUMOL. 44:290-294. I.F.:1,56. Sibila O, Agusti C, Torres A. Corticosteroids in severe pneumonia. EUR RESPIR J. 32:259-264. I.F.:5,35. Jimenez JFM, Penafiel JC, Ledesma EG, Montserrat JM. Sleep Apnea Year 2006: Review of Publications in Archivos de Bronconeumologia. ARCH BRONCONEUMOL. 44:611-620. I.F.:1,56. Editorials 1 2 3 040-071 AREA2.indd 62 Torres A, Menendez R. Hospital admission in community-acquired pneumonia. MED CLIN-BARCELONA. 131:216-217. I.F.:1,34. Ferrer M, Torres A. Maintenance of tracheal tube cuff pressure: where are the limits?. CRIT CARE. 12:-. I.F.:3,83. Soler N. Systemic Markers of Exacerbated Chronic Obstructive Pulmonary Disease: How They Can Help With 4 the Decision of Whether or Not to Prescribe Antibiotics. ARCH BRONCONEUMOL. 44:581-583. I.F.:1,56. Badia JR, Ferguson ND. Ventilator-induced lung injury: another sign of aging?. INTENS CARE MED. 34:796-799. I.F.:4,62. Multicentrics 1 Bordon J, Peyrani P, Brock GN, Blasi F, Rello J, File T, Ramirez J, Torres A. The presence of pneumococcal bacteremia does not influence clinical outcomes in patients with community-acquired pneumonia - Results from the Community-Acquired Pneumonia Organization (CAPO) International Cohort Study. CHEST. 133:618-624. I.F.:4,14. Grants for Research in Progress Agusti C. COPD: Effect of stop smoking on airway inflammation. Grant: Fundació Marató TV3, 40210. Duration: 02/02/2005-01/02/2008. Torres A. Risk and pronostic factors of community-acquired pneumonia in COPD patients. Impact of inflammatory response. Grant: Fundació Marató TV3, 40530. Duration: 21/01/2005-20/01/2008. Montserrat JM. CIBER Enfermedades respiratorias. Grant: Ministerio Sanidad y Consumo, CB06/06/0025. Duration: 28/07/2006-27/07/2010. Torres A. CIBER Enfermedades respiratorias. Grant: Ministerio Sanidad y Consumo, CB06/06/0028. Duration: 28/07/2006-27/07/2010. Torres A. Premio Fundacion Lilly de Investigación Biomédica Clínica 2007. Grant: Fundación Lilly, Lilly_501222. Duration: 09/05/2007-31/12/2009. Torres A. Factores de riesgo y pronóstico de la neumonía adquirida en la comunidad en pacientes con EPOC. Impacto de la respuesta inflamatoria. Grant: Ministerio Sanidad y Consumo, PI041136. Duration: 01/01/2005-31/03/2008. Badia JR. Evaluación diagnóstica invasiva frente a no invasiva en la neumonía asociada a la ventilación mecánica que no responde a tratamiento. Impacto sobre la evolución y pronóstico y desarrollo de un algoritmo de diagnóstico. Grant: Ministerio Sanidad y Consumo, PI050102. Duration: 01/01/2006-30/12/2008. Torres A. Modelo animal de neumonía asociada a la ventilación mecánica (NAVM). Estudio de la respuesta inflamatoria asociada y su modulación por glucocorticoides. Grant: Ministerio Sanidad y Consumo, PI050136. Duration: 01/01/2006-30/12/2008. Ballester E. Estudio validez, coste-efectividad y análisis de decisiones de un sistema monocal experto (MicroMesam) para el diagnóstico de pacientes con sospecha clínica de síndrome de apneas.Hipopneas del sueño (SAHS). Grant: Ministerio Sanidad y Consumo, PI050285. Duration: 01/01/2006-30/12/2008. 21/10/09 16:58:38 Montserrat JM. Estudio de validez diagnóstica y análisis de coste de la poligrafía respiratoria domiciliaria con transmisión telemática de los datos. Grant: Ministerio Sanidad y Consumo, PI050286. Duration: 01/01/2006-30/11/2008. Ferrer M. Traqueostomía precoz en ventilación mecánica. Eficacia en la prevención de la neumonía asociada al ventilador y en la formación de biofilm en los tubos endotraqueales. Grant: Ministerio Sanidad y Consumo, PI050620. Duration: 01/01/2006-30/12/2008. Torres A. Genomic to combat resistance against antibiotics in community-acquired LRTI in Europe. Grant: Universiteit Antwerpen, LSHM-CT-2005-518226. Duration: 01/03/200728/02/2011. Torres A. An integrated platform enabling Theranostic applications at the Point of Primary Care. Grant: NTE, S.A., 216027. Duration: 01/03/2008-29/02/2012. Applied research on infectious respiratory diseases, critical patients and lung cancer Soy D. Eficacia del tratamiento con Linezolid comparado con vancomicina en la neumonia asociada a la ventilación mecánica (NAVM) por Staphylococcus Aureus Meticilinresistente. Estudio en un modelo porcino. Grant: Ministerio Sanidad y Consumo, PI070419. Duration: 26/11/200730/12/2010. Soler N. Evalución prospectiva de la purulencia del esputo y la procalcitonina como marcadores de infección respiratoria discal en la agudización de la enfermedad pulmonar obstructiva crónica (EPOC). Grant: Ministerio Sanidad y Consumo, PI070472. Duration: 26/11/2007-30/12/2010. Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 63 040-071 AREA2.indd 63 21/10/09 16:58:43 Pathophysiologic Mechanisms of Respiratory Diseases Team Members Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Pathophysiologic mechanisms of respiratory diseases Team Leader: ■ Joan Albert Barberà (Hospital Clínic) Tel.: 93 227 57 47 Fax: 93 227 54 55 E-mail: [email protected] 64 IDIBAPS Members: ■ Ricard Bastos (Fundació Clínic) ■ Paolo Macchiarini (Hospital Clínic) ■ Josep Roca (Hospital Clínic) ■ Robert Rodríguez-Roisín (Hospital Clínic) ■ Elizabeth Zavala (Hospital Clínic) Collaborators: Albert Alonso (Fundació Clínic) Isabel Blanco (Hospital Clínic) Felip Burgos (Hospital Clínic) Federico Gómez (University of Barcelona) Carme Hernández (Hospital Clínic) Graciela Martínez-Pallí (Hospital Clínic) Mª Teresa Melgosa (Fundació Clínic) Melina Musri (IDIBAPS) Victor I. Peinado (CIBERES) Sandra Pizarro (Hospital Clínic) Karina Portillo (Fundació Clínic) Giovanni Ricci (IDIBAPS) Bárbara Vallespin (IDIBAPS) Jordi Vilaró (Fundació Clínic) Vitaly Selivanov (CIBERES) Cesar Valdés (Fundació Clínic) Lisbeth Hernández (Fundació Clínic) Gemma Alcarraz (Fundació Clínic) Lluís Solanell (Fundació Clínic) Doctoral Students: Denisse Carpio (SEPAR) Rose Carvalho (CAPES, Ministerio Educación Brasil) Marta Díez (FIS) Elisabeth Ferrer (FIS) Elena Gimeno (IDIBAPS) Hernán Manrique (ERS-SEPAR) Phillip Muñoz (IDIBAPS) Diego Rodríguez (ERS-SEPAR) Claudio Villaquirán (SEPAR-ALAT) Technicians: Carmen Argaña (Hospital Clínic) David Domínguez (IDIBAPS) Raquel Puig-Pey (IDIBAPS) Marta Vives (IDIBAPS) Philip Junglebuth (Fundació Clínic) Nurses: Conchi Gistau (Hospital Clínic) Yolanda Torralba (CIBERES) Maite Simó (Hospital Clínic) Maria Palomo (Fundació Clínic) Strategic Objectives Principal Lines of Research 1. Investigation of the molecular and cellular bases of chronic respiratory diseases, with special interest in pulmonary circulation disorders and systemic manifestations. 2. Study of the pathophysiologic and pathogenetic mechanisms related to acute and chronic respiratory failure, focusing on chronic obstructive disases, liver and lung disorders and obesity. 3. Evaluation of the potential of cell therapy and tissue engineering applied to respiratory diseases. 4. Development of artificial and bioartificial lung models for supporting patients with acute and chronic respiratory failure. 5. Study of the factors that determine the clinical course and use of health care resources in patients with chronic respiratory diseases. 1.Biopathology and physiopathology of lung circulation disorders. 2.Physical activity, cell bioenergetics and systemic effects of chronic obstructive pulmonary disease (COPD). 3. Pathophysiologic mechanisms of abnormal gas exchange in obstructive diseases of the airways. 4. Interaction between systemic and pulmonary inflammation in COPD and morbid obesity. 5.Tissue engineering and bioartificial lung models. 6.Factors that determine the clinical course and use of health care resources in patients with chronic respiratory diseases. 7.Analysis of inflammation and oxidative stress biomarkers in exhaled air for the study of respiratory diseases. 040-071 AREA2.indd 64 21/10/09 16:58:51 Objectives Achieved 1. To analyze the mechanisms that affect the differentiation of stem cells in smooth muscle cells of the vascular wall. Image of two vascular progenitor cells taken with interdifferential technique. One of the cells keeps the progenitor phenotype, and the other one acquires the smooth muscle cell phenotype. I.F.: 72,67 PublicaTions Original Articles 1 2 3 4 Gomez-Caro A, Martinez E, Rodriguez A, Sanchez D, Martorell J, Gimferrer JM, Haverich A, Harringer W, Pomar JL, Macchiarini P. Cryopreserved Arterial Allograft Reconstruction After Excision of Thoracic Malignancies. ANN THORAC SURG. 86:1753-1761. I.F.:2,02. Macchiarini P, Jungebluth P, Go T, Asnaghi MA, Rees LE, Cogan TA, Dodson A, Martorell J, Bellini S, Parnigotto PP, Dickinson SC, Hollander AP, Mantero S, Conconi MT, Birchall MA. Clinical transplantation of a tissue-engineered airway. LANCET. 372:2023-2030. I.F.:28,64. Iglesias M, Martinez E, Badia JR, Macchiarini P. Extrapulmonary ventilation for unresponsive severe acute respiratory distress syndrome after pulmonary resection. ANN THORAC SURG. 85:237-244. I.F.:2,02. Manrique HA, Gomez FP, Munoz PA, Pena AM, Barbera JA, Roca J, Rodriguez-Roisin R. Adenosine 5 ‘-monophosphate in asthma: gas exchange and sputum cellular responses. EUR RESPIR J. 31:1205-1212. I.F.:5,35. 040-071 AREA2.indd 65 5 6 7 8 Jungebluth P, Ostertag H, Macchiarini P. An experimental animal model of postobstructive pulmonary hypertension. J SURG RES. 147:75-78. I.F.:1,84. Peces-Barba G, Barbera JA, Agusti A, Casanova C, Casas A, Izquierdo JL, Jardim J, Varela VL, Monso E, Montemayor T, Viejo JL. Diagnosis and management of chronic obstructive pulmonary disease: Joint Guidelines of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) and the Latin American Thoracic Society (ALAT). ARCH BRONCONEUMOL. 44:271-281. I.F.:1,56. Peinado VI, Paris R, Ramirez J, Roca J, RodriguezRoisin R, Barbera JA. Expression of BKCa channels in human pulmonary arteries: Relationship with remodeling and hypoxic pulmonary vasoconstriction. VASC PHARMACOL. 49:178-184. I.F.:2,37. Iglesias M, Jungebluth P, Petit C, Matute MP, Rovira I, Martinez E, Catalan M, Ramirez J, Macchiarini P. Extracorporeal lung membrane provides better lung protection than conventional treatment for severe Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 Future Challenges Pathophysiologic mechanisms of respiratory diseases 1. An experimental guinea-pig model has shown that chronic exposure to tobacco smoke and hypoxia have similar effects on lung circulation and that these effects are potentiate when both are combined. 2. It has been shown that patients with COPD have a lower number of circulating endothelial stem cells derived from bone marrow and also endothelial disorder of the systemic arteries. 3. It has been shown that abnormal mitochondrial disorder in muscle cells occurs in a subgroup of patients with COPD and low weight. 4. Studies of genome profile in lung samples from patients with COPD have shown changes in the expression of genes related to vascular regulation. 5. It has been shown that people exposed to the spillage of the Prestige oil tanker present oxidative stress markers in exhaled air two years after exposure. 6. The effects of inhalation of mannitol have been evaluated in asthmatic subjects and compared to those produced by physical exercise. 7. The effect of inhaled adenosine monophosphate (AMP) on the airways and gas exchange in patients with asthma has been evaluated and compared with that produced by methacholine. 8. A study has been initiated to evaluate the efficacy and safety of a phosphodiesterase-5 inhibitor (sildenafil) in the treatment of pulmonary hypertension associated with COPD. 2.To evaluate the effect of endothelial function modulating drugs (endothelial receptor antagonists and phosphodiesterase inhibitors) on pulmonary vascular action caused by exposure to tobacco smoke and hypoxia. 3.To study the effect on lung hemodynamics of intratracheal instillation of mesenchymal stem cells derived from bone marrow in an experimental model of pulmonary hypertension. 4.To complete development of a software platform that makes it possible to integrate genomic, proteomic and metabolomic databases with clinical and functional data in prevalent chronic diseases. 5. To study the effects of muscle training and physical activity in COPD. 6.To study the pathophysiologic mechanisms of benign tracheal stenosis. 65 21/10/09 16:58:57 9 Pathophysiologic mechanisms of respiratory diseases 10 11 12 13 Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering 14 15 postpneumonectomy noncardiogenic acute respiratory distress syndrome. J THORAC CARDIOV SUR. 135:1362-U300. I.F.:3,35. Chappell S, Daly L, Morgan K, Guetta-Baranes T, Roca J, Rabinovich R, Lotya J, Millar AB, Donnelly SC, Keatings V, Macnee W, Stolk J, Hiemstra PS, Miniati M, Monti S, O’connor CM, Kalshelker N. Genetic variants of microsomal epoxide hydrolase and glutamatecysteine ligase in COPD. EUR RESPIR J. 32:931-937. I.F.:5,35. Jungebluth P, Iglesias M, Go T, Sibila O, Macchiarini P. Optimal Positive End-Expiratory Pressure During Pumpless Extracorporeal Lung Membrane Support. ARTIF ORGANS. 32:885-890. I.F.:1,84. Munoz PA, Gomez FP, Manrique HA, Roca J, Barbera JA, Young IH, Anderson SD, Rodriguez-Roisin R. Pulmonary gas exchange response to exercise- and mannitol-induced bronchoconstriction in mild asthma. J APPL PHYSIOL. 105:1477-1485. I.F.:3,63. Barbera JA, Escribano P, Morales P, Gomez MA, Oribe M, Martinez A, Roman A, Segovia J, Santos F, Subirana MT. Standards of care in pulmonary hypertension. REV ESP CARDIOL. 61:170-184. I.F.:2,21. Barbera JA, Escribano P, Morales P, Gomez MA, Oribe M, Martinez A, Roman A, Segovia J, Santos F, Subirana MT. Standards of care in pulmonary hypertension. ARCH BRONCONEUMOL. 44:87-99. I.F.:1,56. Selivanov VA, Zeak JA, Roca J, Cascante M, Trucco M, Votyakova TV. The Role of External and Matrix pH in Mitochondrial Reactive Oxygen Species Generation. J BIOL CHEM. 283:29292-29300. I.F.:5,58. Miniati M, Monti S, Stolk J, Mirarchi G, Falaschi F, Rabinovich R, Canapini C, Roca J, Rabe KF. Value of chest radiography in phenotyping chronic obstructive pulmonary disease. EUR RESPIR J. 31:509-514. I.F.:5,35. 3 4 5 6 sion A Randomized Trial. ANN INTERN MED. 149:521W102. I.F.:15,52. Mascia L, Sakr Y, Pasero D, Payen D, Reinhart K, Vincent JL. Extracranial complications in patients with acute brain injury: a post-hoc analysis of the SOAP study. INTENS CARE MED. 34:720-727. I.F.:4,62. Sakr Y, Madl C, Filipescu D, Moreno R, Groeneveld J, Artigas A, Reinhart K, Vincent JL. Obesity is associated with increased morbidity but not mortality in critically ill patients. INTENS CARE MED. 34:19992009. I.F.:4,62. Sakr Y, Vincent JL, Ruokonen E, Pizzamiglio M, Installe E, Reinhart K, Moreno R. Sepsis and organ system failure are major determinants of post-intensive care unit mortality. J CRIT CARE. 23(4):475-483. I.F.:1,69. Varela MVL, Muino A, Padille RP, Jardim JR, Talamo C, DeOca MM, Valdivia G, Pertuze J, Halbert R, Menezes AM, Marquez M, Hallal P, Moreno D, Rosa F, Carnelier A. Treatment of chronic obstructive pulmonary disease in 5 Latin American cities: The PLATINO study. ARCH BRONCONEUMOL. 44:58-64. I.F.:1,56. Grants for Research in Progress Barbera JA. IP - Pulmonary Hypertension: Functional Genomics and Therapy of Lung Vascular Remodelling. Grant: European Commision, LSHM-CT-2005-018725. Duration: 01/01/2006-31/12/2010. Roca J. Indicators for Monitoring COPD and Asthma in the Eu - IMCA 11. Grant: European Commision, 2005121. Duration: 01/01/2007-31/12/2009. Roca J. Remote Health Monitoring with Wearable Non-Invasive Mobile System. Grant: European Commision, C029402. Duration: 01/12/2006-29/05/2008. Reviews 1 2 3 4 Birchall M, Macchiarini P. Airway transplantation: A debate worth having?. TRANSPLANTATION. 85:10751080. I.F.:3,64. Rodriguez-Roisin R, Krowka MJ. Current concepts: Hepatopulmonary syndrome - A liver-induced lung vascular disorder. NEW ENGL J MED. 358:2378-2387. I.F.:52,59. Peinado VI, Pizarro S, Barbera JA. Pulmonary Vascular Involvement in COPD. CHEST. 134:808-814. I.F.:4,14. Rodrigo GJ, Nannini LJ, Rodriguez-Roisin R. Safety of long-acting beta-agonists in stable COPD - A systematic review. CHEST. 133:1079-1087. I.F.:4,14. Roca J. Better Breathing; A New Model For Continuous Care Of Chronic Patients Ecare, Erehabilitation, Epatient Community and Elearning For Patients With Breathing Handicaps. Grant: European Commision, C046225. Duration: 01/06/200731/10/2008. Roca J. STREP - Integrative Genomics and Chronic Disease Phenotypes: modelling and simulation tools for clinicians. Grant: European Commision, LSHG-CT-2006-037939. Duration: 01/12/2006-31/05/2009. Roca J. IP - Healthcare by Biosensor Measurements And Networking. Grant: European Commision, NMP4CT-2006-017333. Duration: 01/11/2005-31/10/2010. Multicentrics 66 1 2 040-071 AREA2.indd 66 Payen D, DePont AC, Sakr Y, Spies C, Reinhart K, Vincent JL. A positive fluid balance is associated with a worse outcome in patients with acute renal failure. CRIT CARE. 12:-. I.F.:3,83. Simonneau G, Rubin LJ, Galie N, Barst RJ, Fleming TR, Frost AE, Engel PJ, Kramer MR, Burgess G, Collings L, Cossons N, Sitbon O, Badesch DB. Addition of Sildenafil to Long-Term Intravenous Epoprostenol Therapy in Patients with Pulmonary Arterial Hyperten- Barbera JA. Estudi de la contribució de les cèl•lules progenitores vasculars en els mecanismes de lesió i reparació vascular a la circulació pulmonar en la malaltia pulmonar obstructiva crònica (MPOC). Grant: Fundació Marató TV3, 40310. Duration: 12/01/2005-11/01/2008. Roca J. Atenció integrada I biopatologia de la MPOC avançada. Grant: Fundació Marató TV3, 42010. Duration: 12/01/2005-11/01/2008. 21/10/09 16:59:03 Roca J. BIOBRIDGE. Grant: Ministerio Sanidad y Consumo, AI07/90027. Duration: 26/10/2007-30/12/2009. Barbera JA. Enfermedades respiratorias. Grant: Ministerio Sanidad y Consumo, CB06/06/0011. Duration: 28/07/200627/07/2010. Rodriguez R. Intercambio pulmonar gaseoso, ejercicio físico, manitol y anticolinérgicos en pacientes con asma y EPOC. Grant: Ministerio Sanidad y Consumo, PI050208. Duration: 01/01/2006-30/12/2008. Gomez F. Estudio de biomarcadores en el condensado del exhalado respiratorio en marineros expuestos al fuel del buque Prestige y en pacientes con asma y EPOC. Patrones de respuesta inflamatoria, estrés oxidativo y remodelado de las vías aéreas. Grant: Ministerio Sanidad y Consumo, PI050548. Duration: 01/01/2006-30/12/2008. Peinado V. Mecanismos fisiopatológicos implicados en la movilización, reclutamiento y diferenciación de células progenitoras vasculares en la circulación pulmonar en la EPOC. Grant: Ministerio Sanidad y Consumo, PI060360. Duration: 18/10/2006-30/12/2009. Roca J. Entrenamiento muscular y actividad física en la enfermedad pulmonar obstructiva crónica. Grant: Ministerio Sanidad y Consumo, PI061510. Duration: 18/10/200630/12/2009. Macchiarini P. Sistema de soporte respiratorio extracorpóreo sin bomba. Grant: Agència Avaluació de Tecnologia i Recerca Mèdiques (AATRM), 07/442. Duration: 09/01/200731/03/2009. Roca J. Nuevos modelos de prestación de servicios sanitarios utilizando telemedicina. Grant: FIS, PI050282. Duration: 23/12/2005-30/12/2008. Pathophysiologic mechanisms of respiratory diseases Barbera JA. Contribución de las células progenitoras vasculares en los mecanismos de reparación y remodelado de la circulación pulmonar en la enfermedad pulmonar obstructiva crónica. Grant: Ministerio Sanidad y Consumo, PI050244. Duration: 01/01/2006-30/12/2008. Macchiarini P. Generation of a tissue engineered trachea. Grant: Ministerio Sanidad y Consumo, PI050987. Duration: 01/01/2006-30/12/2009. Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 67 040-071 AREA2.indd 67 21/10/09 16:59:08 Clinical and Experimental Respiratory Immunoallergy (IRCE) Team Members Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering Clinical and experimental respiratory Immunoallergy (IRCE) Team Leader: ■ César Picado (Hospital Clínic, University of Barcelona) Tel.: 93 451 09 93 Fax: 93 451 52 72 E-mail: [email protected] IDIBAPS Members: ■ Joan Bartra (Hospital Clínic) ■ Joaquim Mullol (IDIBAPS) ■ Laura Pujols (FIS) ■ Antonio Valero (Hospital Clínic) ■ Antoni Xaubet (Hospital Clínic) Collaborators: Isam Alobid (Hospital Clínic) Ainhoa Fontana (CIBERes) Josep Maria Guilemany (FIS - SEORL) Assumpció Martínez-Antón (CIBERes) Rosa Maria Muñoz-Cano (Fundació Clínic) Jordi Roca-Ferrer (UB) Ivonne Torres (Ministerio de Educación, Gobierno de Panamá) Rosa Torres (FIS) María del Carmen Vennera (Fundació Clínic) Sílvia Centellas (Hospital Clínic) Technicians: Mireia Fuentes Prado (FIS) María Pérez Gonzalez(Fundació Clínic) Strategic Objectives 1. To investigate the mechanisms that regulate the inflammatory response and remodeling in bronchial asthma, rhinosinusitis and pulmonary interstitial diseases. 2. To investigate the mechanisms responsible for food allergies. 3. To investigate the mechanisms involved in anaphylaxis of complex etiopathogenesis. 4. To investigate the mechanisms involved in loss of sense of smell. Principal Lines of Research 68 Doctoral Students: Joaquim Garcia Garcia (FIS) Laura Fernández-Bertolin (IDIBAPS) Suha Jabr (Ministerio Asuntos Exteriores y Cooperación) Francisco de Borja Callejas (FIS) 1. Molecular and cellular bases of the inflammatory response in asthma, rhinosinusitis and pulmonary interstitial diseases. 2. Role of MUC genes in the regulation of mucus secretion in respiratory diseases and their regulation by glucocorticoids. 3. Role of arachidonic acid metabolites (prostaglandins and leukotrienes) in the pathogenesis of asthma, chronic rhinosinusitis and pulmonary interstitial diseases. 4. Role of the angiotensin system in pulmonary fibrosis. 040-071 AREA2.indd 68 Immunohistochemical study showing the presence of mucin 5C in goblet cells of the epithelium of a nasal polyp. 5. Study of the mechanisms that regulate the response to treatment with glucocorticoids in respiratory inflammatory diseases. 6. Study of the mechanisms involved in severe asthma and their link to abnormal functioning of the glucocorticoid receptor. 7. Study of the interrelation between diseases of the upper respiratory tract (nose and sinus) and the lower respiratory tract (asthma, bronchiectasis, chronic obstructive pulmonary disease). 21/10/09 16:59:16 8. Study of the mechanisms that regulate the response to food allergens and their link to nonsteroidal anti-inflammatory drugs and the metabolism of arachidonic acid. 9. New therapeutic modalities (endothelin inhibitors, proteasome and COX-2 inhibitors, and prostaglandin E2 receptor-3 agonists) in asthma, rhinosinusitis and pulmonary interstitial disease using in vitro models and animal models of asthma and pulmonary fibrosis. 10.Study of the mechanisms of anaphylactic reactions of multiple origins (indolent mastocytosis, predisposing genetic disorders). 11.Study of quality of life in nasal sinus pathology. 12.Loss of sense of smell: role of nasal sinus inflammation, Parkinson disease and congenital disorders. Associated Group Principal Investigator: ■ Mullol, Joaquim (IDIBAPS) In this group, we investigate different aspects of nasal sinus inflammatory diseases (allergic and nonallergic rhinitis, chronic rhinosinusitis, nasal polyposis):• We study the pathophysiologic mechanisms of nasal sinus mucus hypersecretion and regulation of mucins and MUC genes.• We analyze the pathophysiologic and clinical association of nasal sinus diseases with asthma, atopy and intolerance to NSAIDS and bronchiectasis, and their impact on patient quality of life.• We evaluate disorders of the sense of smell and their mechanism of action as a diagnostic marker and severity marker. We have validated an olfactometry test (BAST-24) of our own and carried out an epidemiologic study (OLFACAT) on smell in the population of Catalonia.• We use a model of eosinophil and epithelial cell cultures to test and compare the anti-inflammatory effect of different drugs used in respiratory inflammation, such as corticosteroids, antihistamines and antileukotrienes. I.F.: 59,83 PublicaTions 1 2 3 4 5 Molina-Molina M, Xaubet A, Marrades RM, Luburich P, Ramirez J, Torres A, Augusti C, Martínez-Olondris P. Transbronchial needle aspiration in the study of mediastinal lymph nodes: Yield and costeffectiveness. ARCH BRONCONEUMOL. 44:290-294. I.F.:1,56. Valero A, Herdman M, Bartra J, Ferrer M, Jauregui I, Davilla I, DelCuvillo A, Montoro J, Mullol J, Sastre J, Canonica GW, Baiardini I. Adaptation and Validation of the Spanish Version of the Chronic Urticaria Quality of Life Questionnaire (CU-Q(2)oL). J INVEST ALLERG CLIN. 18:426-432. I.F.:1,25. Torres R, Herrerias A, Serra-Pages M, Roca-Ferrer J, Pujols L, Marco A, Picado C, DeMora F. An intranasal selective antisense oligonucleotide impairs lung cyclooxygenase-2 production and improves inflammation, but worsens airway function, in house dust mite sensitive mice. RESP RES. 9:-. I.F.:3,62. Li XP, Molina-Molina M, Abdul-Hafez A, Uhal V, Xaubet A, Uhal BD. Angiotensin converting enzyme-2 is protective but downregulated in human and experimental lung fibrosis. AM J PHYSIOL-LUNG C. 295:L178-L185. I.F.:4,21. Molina-Molina M, Xaubet A, Li X, Abdul-Hafez A, Friderich K, Jernigan K, Fu W, Ding Q, Pereda J, Serrano-Mollar A, Casanova A, Rodriguez-Becerra E, Morell F, Ancochea J, Picado C, Uhal BD. Angiotensinogen gene G-6A polymorphism influences idiopathic pulmonary fibrosis disease progression. EUR RESPIR J. 32:1004-1008. I.F.:5,35. 040-071 AREA2.indd 69 6 Ferrer A, Huertas AJ, Larramendi CH, Pagan JA, Bartra J, Garcia-Abujeta JL, Andreu C, Lavin JR, Matas MAL, Fernandez-Caldas E, Carnes J. Antigenic and Allergenic Differences Between Green and Mature Tomatoes. J INVEST ALLERG CLIN. 18:411-412. I.F.:1,25. 7 Tordera MP, Viejo JL, Sanchis J, Badia X, Cobos N, Picado C, Sobradillo V, DelRio JMG, Duce F, Cabrera L. Assessment of patient satisfaction and preferences with inhalers in asthma with the FSI-10 questionnaire. ARCH BRONCONEUMOL. 44:346-352. I.F.:1,56. 8 Badiola C, Badia X, Sastre J, Olaguibel JM, Lopez-Vina A, Vega JM, Picado C. Assessment of the simplified versions of the Asthma Control Questionnaire. MED CLIN-BARCELONA. 131:326-332. I.F.:1,34. 9 Navarro A, Valero A, Julia B, Quirce S. Coexistence of asthma and allergic rhinitis in adult patients attending allergy clinics: ONEAIR study. J INVEST ALLERG CLIN. 18:233-238. I.F.:1,25. 10 Martinez-Anton A, DeBolos C, Alobid I, Benitez P, Roca-Ferrer J, Picado C, Mullol J. Corticosteroid therapy increases membrane-tethered while decreases secreted mucin expression in nasal polyps. ALLERGY. 63:1368-1376. I.F.:5,01. 11 Baloira A, Xaubet A, Becerra ER, Romero AD, Casanova A, Ancochea J. Desquamative interstitial pneumonia and respiratory bronchiolitis-associated interstitial lung disease: Data from the Spanish patient registry. ARCH BRONCONEUMOL. 44:499-503. I.F.:1,56. 12 Rodriguez-Trigo G, Plaza V, Picado C, Sanchis J. Management according to the global initiative for asthma guidelines of patients with near-fatal asthma reduces Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 Original Articles Clinical and experimental respiratory Immunoallergy (IRCE) Research Group on Nasal Sinus in Inflammation and Smell (INGENIO) 69 21/10/09 16:59:22 13 Clinical and experimental respiratory Immunoallergy (IRCE) 14 15 16 17 Biopathology and Respiratory, Cardiovascular Area 2 and Renal Bioengineering 18 19 20 21 morbidity and mortality. ARCH BRONCONEUMOL. 44:192-196. I.F.:1,56. Bartra J, Carnes J, Munoz-Cano R, Bissinger I, Picado C, Valero AL. Occupational asthma and rhinoconjunctivitis caused by cricket allergy. J INVEST ALLERG CLIN. 18:141-142. I.F.:1,25. Serrano C, Guilarte M, Tella R, Dalmau G, Bartra J, Gaig P, Cerda M, Cardona V, Valero A. Oestrogendependent hereditary angio-oedema with normal C1 inhibitor: description of six new cases and review of pathogenic mechanisms and treatment. ALLERGY. 63:735-741. I.F.:5,01. Pujols L, Alobid I, Bentiz P, Martinez-Anton A, RocaFerrer J, Fokkens WJ, Mullol J, Picado C. Regulation of glucocorticoid receptor in nasal polyps by systemic and intranasal glucocorticoids. ALLERGY. 63:13771386. I.F.:5,01. Saldana M, Pujols L, Mullol J, Roca-Ferrer J, Cardozo A, Aguilar E, Bonastre M, Marin C. Relevance of COX-2 gene expression in dementia with Lewy bodies associated with Alzheimer pathology. MOVEMENT DISORD. 23:804-810. I.F.:3,21. Vizuete JAC, Mullol J. Rhinitis and Asthma Comorbidity in Spain: the RINAIR Study. ARCH BRONCONEUMOL. 44:597-603. I.F.:1,56. Fraj J, Valero A, Vives R, Perez I, Borja J, Izquierdo I, Picado C. Safety of triflusal (antiplatelet drug) in patients with aspirin-exacerbated respiratory diseases. ALLERGY. 63:112-115. I.F.:5,01. Larramendi CH, Ferrer A, Huertas AJ, Garcia-Abujeta JL, Andreu C, Tella R, Cerda MT, Bartra J, Lavin JR, Pagan JA, Lopez-Matas MA, Fernandez-Caldas E, Carnes J. Sensitization to tomato peel and pulp extracts in the Mediterranean Coast of Spain: prevalence and co-sensitization with aeroallergens. CLIN EXP ALLERGY. 38:169-177. I.F.:3,73. Enrique E, Malek T, Pineda F, Palacios R, Bartra J, Tella R, Basagana M, Alonso R, Cistero-Bahima A. Sublingual immunotherapy for hazelnut food allergy: A follow-up study. ANN ALLERG ASTHMA IM. 100:283284. I.F.:2,22. Picado C, Badiola C, Perulero N, Sastre J, Olaguibel JM, Vina AL, Vega JM. Validation of the Spanish Version of the Asthma Control Questionnaire. CLIN THER. 30:1918-1931. I.F.:3,26. Reviews 1 70 2 3 040-071 AREA2.indd 70 Mullol J, Valero A, Alobid I, Bartra J, Navarro AM, Chivato T, Khaltaev N, Bousquet J. Allergic Rhinitis and its Impact on Asthma Update (ARIA 2008) The Perspective From Spain. J INVEST ALLERG CLIN. 18:327334. I.F.:1,25. Bousquet J, Reid J, VanWeel C, Cagnani CB, Canonica GW, Demoly P, Denburg J, Fokkens WJ, Grouse L, Mullol K, Ohta K, Schermer T, Valovirta E, Zhong N, Zuberbier T. Allergic rhinitis management pocket reference 2008. ALLERGY. 63:990-996. I.F.:5,01. Alobid I, Bernal-Sprekelsen M, Mullol J. Chronic rhinosinusitis and nasal polyps: the role of generic and specific questionnaires on assessing its impact on patient’s quality of life. ALLERGY. 63:1267-1279. I.F.:5,01. 4 5 6 7 Guilemany JM, Roca-Ferrer J, Mullol J. Cyclooxygenases and the pathogenesis of chronic rhinosinusitis and nasal polyposis. CURR ALLERGY ASTHM R. 8:219-226. I.F.:1,56. Bousquet J, Fokkens W, Burney P, Durham SR, Bachert C, Akdis CA, Canonica GW, Dahlen SE, Zuberbier T, Bieber T, Bonini S, Bousquet PJ, Brozek JL, Cardell LO, Crameri R, Custovic A, Demoly P, VanWijk RG, Gjomarkaj M, Holland C, Howarth P, Humbert M, Johnston SL, Kauffmann F, Kowalski ML, Lambrecht B, Lehmann S, Leynaert B, LodrupCarlsen K, Mullol J, Niggemann B, NizankowskaMogilnicka E, Papadopoulos N, Passalacqua G, Schunemann HJ, Simon HU, Todo-Bom A, Toskala E, Valenta R, Wickman M, Zock JP. Important research questions in allergy and related diseases: nonallergic rhinitis: a GA(2)LEN paper. ALLERGY. 63:842-853. I.F.:5,01. Mullol J, Maurer M, Bousquet J. Sleep and Allergic Rhinitis. J INVEST ALLERG CLIN. 18:415-419. I.F.:1,25. Picado C, Vennera MD. Triamcinolone acetonide in the treatment of corticosteroid-resistant asthma: Risks and benefits. ARCH BRONCONEUMOL. 44:324-327. I.F.:1,56. Grants for Research in Progress Pujols L. Effects of reversible proteasome inhibitors on the mechanisms involved in inflammatory and remodelling responses in asthma. Grant: Fundació Marató TV3, 40630. Duration: 12/01/2005-11/01/2008. Picado C. Grup d’inflamació i tractament de malalties respiratòries. Grant: Comissionat per a Universitats i Recerca, 2005SGR00773. Duration: 19/10/2005-31/12/2008. Picado C. CIBER de Enfermedades Respiratorias (CIBERes). Grant: Ministerio Sanidad y Consumo, CB06/06/0010. Duration: 28/07/2006-27/07/2010. Pujols L. Efecto de los inhibidores reversibles del proteasoma sobre la inflamación, la angiogénesis y la fibrosis en el asma. Grant: Ministerio Sanidad y Consumo, PI050057. Duration: 01/01/2006-30/12/2008. Mullol J. Estudio de los mecanismos de regulación in vivo e in vitro de la expresión de mucinas en la poliposis nasosinusal sin o con asma. Papel de las quinasas MAP y del NFkB y de su regulación por corticoides. Grant: Ministerio Sanidad y Consumo, PI050069. Duration: 01/01/200630/12/2008. Picado C. Estudio de la relación entre la intolerancia a los antiinflamatorios no esteroideos y la producción de Prostaglandina E2 con la gravedad del asma. Grant: Ministerio Sanidad y Consumo, PI050108. Duration: 01/01/200631/01/2008. Xaubet A. Papel del sistema angiotensina en la patogenia y predisposición genética de la fibrosis pulmonar idiopática. Grant: Ministerio Sanidad y Consumo, PI060064. Duration: 18/10/2006-30/12/2009. 21/10/09 16:59:27 Mullol J, Guilemany J. Bronquiestàsies i patologia nasosinusal. Grant: Fundació Catalana de Pneumologia (FUCAP), Ufesa07. Duration: 01/07/2007-30/06/2009. nistración de Rupatadina (NARUPAF). Grant: Beca Grupo Uriach Pharma , DC/03/RUP/I/08. Duration: 01/09/200831/03/2010. Mullol J. Global Allergy and Asthma European Network. Grant: Universiteit Gent Directie Financiën, FOODCT-2004-506378. Duration: 01/08/2008-31/01/2010. Valero AL. Estudio de evaluación de la respuesta nasal tras la aplicación intranasal de Rupatadina en sujetos con rinitis alérgica persistente (ATORUP). Grant: Beca Grupo Uriach Pharma, DC/05/RUP/I/08. Duration: 01/07/200831/05/2009. Valero AL. Inhibición del efecto de la administración nasal del Factor de Activación Plaquetaria (PAF) tras la admi- Clinical and experimental respiratory Immunoallergy (IRCE) Biopathology and Respiratory, Cardiovascular and Renal Bioengineering Area 2 71 040-071 AREA2.indd 71 21/10/09 16:59:33 072-113 AREA3.indd 72 21/10/09 16:16:40 Area 3 Liver, Digestive System and Metabolism Endocrinology, Gynecology and Human Reproduction . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Fetal and Perinatal Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Metabolic Regulation and Molecular Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Bone Metabolic Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Viral Hepatitis in Immunocompetent and Liver Transplant Patients . . . . . . . . . 85 Pathophysiology and Treatment of Ascites and Renal Function Disorder in Cirrhosis of the Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 Hepatic Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Hepatic Hemodynamics and Portal Hypertension. Digestive Tract Bleeding due to Rupture of Esophageal Varicose Veins . . . . . . . . . . . . . . . . . . 94 Inflammatory Bowel Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Liver Failure and Cholestasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Mitochondrial Regulation of Cell Death and Steatohepatitis . . . . . . . . . . . . . . . . . . . 103 Liver Transplant and Graft Viability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 Gastrointestinal and Pancreatic Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Diabetes: Metabolic and Molecular Networks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Image: Liver section magnified 072-113 AREA3.indd 73 21/10/09 16:16:42 Endocrinology, Gynecology and Human Reproduction Team Members Endocrinology, gynecology and human reproduction Team Leader: ■ Juan Balasch (Hospital Clínic) Tel.: 93 227 54 36 Fax: 93 227 93 25 E-mail: [email protected] IDIBAPS Members: ■ Francisco Carmona (Hospital Clínic) ■ Camil Castelo-Branco (Hospital Clínic) ■ Montserrat Creus (Hospital Clínic) ■ Francisco Fábregues ■ Dolors Manau Trullás (Fundació Clínic) ■ Jaume Ordi (Hospital Clínic) ■ Jaume Pahisa (Hospital Clínic) ■ Bienvenido Puerto (Hospital Clínic) ■ Aureli Torné (Hospital Clínic) Area 3 Liver, Digestive System and Metabolism Collaborators: Gemma Casals (Fundació Clínic) Roser Casamitjana (Hospital Clínic) 74 Strategic Objectives The global objective of this research group for the coming years is to increase our knowledge of a broad spectrum of the pathophysiology of human reproduction, ranging from endocrinologic aspects to the most important benign and malignant organic processes of the female reproductive apparatus, including investigation and treatment of human reproductive failure. More specifically, the principal objectives of our research group are to advance in the existing lines of research in order to achieve the following: 1. Determine the most relevant mechanisms in pathogenesis of reproductive failure (sterility, repeated abortion, repeated failure to implant following in vitro fertilization) and the principal pathologic processes of the female reproductive apparatus (endometriosis, uterine myoma, genital cancer). 2. Optimize and innovate as far as possible in terms of the preventive and/or therapeutic potential in the above situation. Salvadora Cívico (Hospital Clínic) Fernando Miró (Fundació Clinic) Joana Peñarrubia (Fundació Clínic) José Luís Ballescá (Hospital Clínic) Doctoral Students: Marta Guimerà (IDIBAPS) Elena Suárez Cisneros (IDIBAPS) syndrome. Study the value of immunohistochemical and quantitative and qualitative proteomic parameters in the human endometrium as markers of endometrial receptiveness. Study further the pathogenic mechanisms implicated in blockade of in vitro pre-implant embryo development. 2.Ovarian dysfunction and stimulation/hyperstimulation Investigate the potential of both ultrasound and hormonal, endocrine-metabolic and genetic markers in their ability to predict the ovarian response. Study the role of LH and androgens as factors that sensitize the ovaries to subsequent stimulation with FSH. Investigate the possible role of ovarian follicular cells (granulosa cells, macrophages) in the pathogenesis Principal Lines of Research 1.Markers of reproductive failure Analyze the possible role of new markers of abnormal hemostasis as a new form of pathogenic mechanism of thrombotic disease in early and advanced pregnancy in patients with or without antiphospholipid 072-113 AREA3.indd 74 Two-dimensional gel with silver stain belonging to the global proteome of the epithelial glands of the human endometrium during the receptive phase or window for embryo implantation. 21/10/09 16:16:46 of ovarian hyperstimulation syndrome and aim to establish new guidelines for ovarian stimulation and/or endometrial preparation that improve the results of assisted fertilization techniques. 3.Optimization of surgical treatment of diseases of the reproductive apparatus This line is aimed at analyzing the role of the surgical variables that make it possible to improve results and reduce morbidity in the surgical treatment of benign and malignant diseases of the female reproductive apparatus. It also involves establishing the prognostic value of detecting HPV (human papilloma virus) and viral typing as prognostic markers of the course of neoplasias in precancerous lesions of the neck of the uterus. Original Articles 1 2 3 5 6 7 8 9 072-113 AREA3.indd 75 Liver, Digestive System and Metabolism Area 3 4 Menendez C, Romagosa C, Ismail MR, Carrilho C, Saute F, Osman N, Machungo F, Bardaji A, Quinto L, Mayor A, Naniche D, Dobaño C, Alonso PL, Ordi J, Alonso P. An autopsy study of maternal mortality in mozambique: The contribution of infectious diseases. PLOS MED. 5:220-226. I.F.:12,60. Creus M, Fabregues F, Carmona F, DelPino M, Manau D, Balasch J. Combined laparoscopic surgery and pentoxifylline therapy for treatment of endometriosisassociated infertility: a preliminary trial. HUM REPROD. 23:1910-1916. I.F.:3,54. DelRio M, Martinez JM, Figueras F, Bennasar M, Olivella A, Palacio M, Coll O, Puerto B, Gratacos E. Doppler assessment of the aortic isthmus and perinatal outcome in preterm fetuses with severe intrauterine growth restriction. ULTRASOUND OBST GYN. 31:41-47. I.F.:2,67. Blumel JE, DelPino M, Aprikian D, Vallejo S, Sarra S, Castelo-Branco C. Effect of androgens combined with hormone therapy on quality of life in post-menopausal women with sexual dysfunction. GYNECOL ENDOCRINOL. 24:691-695. I.F.:1,17. Castelo-Branco C, Leon M, Duran M, Balasch J. Folliclestimulating hormone does not directly regulate bone mass in human beings: evidence from nature. FERTIL STERIL. 90:2211-2216. I.F.:3,17. Leon-Leon P, Chedraui P, Hidalgo L, Ortiz F, CasteloBranco C. Hormone therapy for the management of the menopause in Ecuador: Perception, use and knowledge among middle-aged women. GYNECOL ENDOCRINOL. 24:580-585. I.F.:1,17. Mezones-Holguin E, Blumel JE, Huezo M, Vargas R, Castro J, Cordova W, Valenzuela G, Castelo-Branco C. Impact of diabetes mellitus on the sexuality of Peruvian postmenopausal. GYNECOL ENDOCRINOL. 24:470-474. I.F.:1,17. Civico S, Agell N, Hernandez L, Campo E, Bachs O, Balasch J. Increased messenger ribonucleic acid expression of the cyclin-dependent kinase inhibitor p27(Kip1) in cleavage-stage human embryos exhibiting developmental arrest. FERTIL STERIL. 89:15571562. I.F.:3,17. Fernandez S, Figueras F, Gomez O, Martinez JM, Eixarch E, Comas M, Puerto B, Gratacos E. Intra- and interobserver reliability of umbilical vein blood flow. PRENATAL DIAG. 28:999-1003. I.F.:1,32. 10 Mandruzzato G, Antsaklis A, Botet F, Chervenak FA, Figueras F, Grunebaum A, Puerto B, Skupski D, Stanojevic M. Intrauterine restriction (IUGR). J PERINAT MED. 36:277-281. I.F.:1,10. 11 Naniche D, Lahuerta M, Bardaji A, Sigauque B, Romagosa C, Berenguera A, Mandomando I, David C, Sanz S, Aponte J, Ordi J, Alonso P, Menendez C. Mother-tochild transmission of HIV-1: association with malaria prevention, anaemia and placental malaria. HIV MED. 9:757-764. I.F.:3,35. 12 Casals G, Ordi J, Creus M, Fabregues F, Casamitjana R, Quinto L, Campo E, Balasch J. Osteopontin and alpha(v)beta(3) integrin expression in the endometrium of infertile and fertile women. REPROD BIOMED ONLINE. 16:808-816. I.F.:2,84. 13 Gomez O, Figueras F, Fernandez S, Bennasar M, Martinez JM, Puerto B, Gratacos E. Reference ranges for uterine artery mean pulsatility index at 11-41 weeks of gestation. ULTRASOUND OBST GYN. 32:128-132. I.F.:2,67. 14 Sanjuan A, Escaramis G, Ayuso JR, Roman SM, Torne A, Ordi J, Lejarcegui JA, Pahisa J. Role of magnetic resonance imaging and cause of pitfalls in detecting myometrial invasion and cervical involvement in endometrial cancer. ARCH GYNECOL OBSTET. 278:535-539. I.F.:0,67. 15 Arjona JE, Mino M, Cordon J, Povedano B, Pelegrin B, Castelo-Branco C. Satisfaction and tolerance with office hysteroscopic tubal sterilization. FERTIL STERIL. 90:1182-1186. I.F.:3,17. 16 Figueras F, Eixarch E, Meler E, Iraola A, Figueras J, Puerto B, Gratacos E. Small-for-gestational-age fetuses with normal umbilical artery Doppler have suboptimal perinatal and neurodevelopmental outcome. EUR J OBSTET GYN R B. 136:34-38. I.F.:1,43. 17 Castelo-Branco C, Palacios S, Ferrer-Barriendos J, Parrilla JJ, Manubens M, Alberich X, Marti A. Understanding how personality factors may influence quality of life: development and validation of the Cervantes Personality Scale. MENOPAUSE. 15:914-918. I.F.:3,67. 18 Palacios S, Rojo IA, Cancelo MJ, Neyro JL, CasteloBranco C. Women’s perception of the efficacy of a soy extract with probiotic: The M3 study. GYNECOL ENDOCRINOL. 24:178-183. I.F.:1,17. Endocrinology, gynecology and human reproduction I.F.: 50,05 PublicaTions 75 Reviews 1 Cervera R, Balasch J. Bidirectional effects on autoimmunity and reproduction. HUM REPROD UPDATE. 14:359-366. I.F.:7,26. 21/10/09 16:16:49 2 3 4 Endocrinology, gynecology and human reproduction 5 Castelo-Branco C, Cancelo MJ. Compounds for the treatment of atropic vaginitis. EXPERT OPIN THER PAT. 18:1385-1394. I.F.:1,59. Castelo-Branco C, Huezo ML, Lagarda JLB. Definition and diagnosis of sexuality in the XXI century. MATURITAS. 60:50-58. I.F.:2,02. Szekeres-Bartho J, Balasch J. Progestagen therapy for recurrent miscarriage. HUM REPROD UPDATE. 14:2735. I.F.:7,26. Requena A, Herrero J, Landeras J, Navarro E, Neyro JL, Salvador C, Tur R, Callejo J, Checa MA, Farre M, Espinos JJ, Fabregues F, Grana-Barcia M. Use of letrozole in assisted reproduction: a systematic review and metaanalysis. HUM REPROD UPDATE. 14:571-582. I.F.:7,26. Balasch J. Investigación del potencial fibrinolítico global del plasma y su regulación como mecanismo patogénico en la patología gestacional precoz y avanzada. Relación con los anticuerpos antifosfolipídicos. Grant: Ministerio Sanidad y Consumo, PI050026. Duration: 01/01/2006-30/12/2008. Ordi J. Mortalidad materna en el África Subsahariana: contribución de la infección por el virus de la inmunodeficiencia humana y la malaria. Grant: Ministerio Sanidad y Consumo, PI060207. Duration: 18/10/2006-30/12/2009. Editorials Balasch J. Investigación del potencial fibrinolítico global del plasma y su regulación como mecanismo patogénico en la patología gestacional precoz y avanzada. Relación con los anticuerpos antifosfolipídicos. Grant: FIS, PI050026. Duration: 23/12/2005-31/12/2008. 1 Thesis Barriga J, Castelo-Branco C, Chedraui P, Hidalgo L, Veas P. Educational and organizational interventions used to improve the knowledge of metabolic syndrome among postmenopausal women. FERTIL STERIL. 90:444-446. I.F.:3,17. Ordi J. Valor de p16 en el diagnóstico y clasificación etiopatogénica del carcinoma vulvar. Doctorand: Mónica Santos Santos. Grants for Research in Progress Area 3 Liver, Digestive System and Metabolism Balasch J. Grup d’Endocrinologia Ginecològica i Reproducció Humana. Grant: Comissionat per a Universitats i Recerca, 2005SGR00573. Duration: 19/10/2005-31/12/2008. 76 072-113 AREA3.indd 76 21/10/09 16:16:51 Fetal and Perinatal Medicine Team members Team Leader: ■ Eduard Gratacós (Hospital Clínic) Tel.: 93 227 99 46 Fax: 93 227 56 05 E-mail: [email protected] Strategic Objectives The principal strategic objective and the main part of the resources are dedicated to developing infrastructure and stable lines of multidisciplinary research for the prediction and prevention of prenatal neurologic damage of hypoxic and/or inflammatory origin, which incorporates as collaborators stable groups from fetal medicine, neonatology, pediatric neurology and molecular biology. Other objectives of the team include the development and consolidation of the existing lines in different fields, such as perinatal infections, with special emphasis on HIV and neonatal infection, fetal therapy and surgery, screening strategies and prediction of 072-113 AREA3.indd 77 Technicians: Imma Mercade (Fundació Clínic) Maite Aguilera (Fundació Clínic) David Verde (Fundació Clínic-CIBER-ER) Natalia Ruiz (CIBER-ER) Nurses: Amparo Martínez (Fundació Clínic) Angela Arranz (Fundació Clínic) Georgina Feixas (IDIBAPS) fetal and maternal disease in large populations, and premature birth. Liver, Digestive System and Metabolism Area 3 Collaborators: Emilia Ruthy Acosta-Rojas (Fundació Clínic-CIBER-ER) Ivan Amat-Roldan (Fundació Clínic) Joaquim Bartrons (Sant Joan de Déu) Jordi Bellart (Hospital Clínic) Bet Boatella (Fundació Clínic) Fátima Crispi (IDIBAPS-Rio Hortega) Olga Gómez (Hospital Clínic) Anna Gonce (Hospital Clínic) Edgar Hernandez-Andrade (Fundació Clínic-Juan de la Cierva) Xavier Miracle (Hospital Clínic) Mª Dolors Salvía (Hospital Clínic) Iratxe Torre (Fundació Clínic-Sara Borrell) Rebeca Menendez (Fundació Clínic) Marta Ros (Fundació Clínic) Violeta Tenorio (Fundació Clínic) Doctoral Students: Icaria Bianchi (Fundació Clínic) Montse Comas (Hospital Clínic) Rogelio Cruz (Fundació Clínic) Elisenda Eixarch (IDIBAPS-Rio Hortega) Nelly Fabiola Padilla (Fundació Clínic) Eva Meler (Hospital Clínic) Bartosz Wojtas (Fundació Clínic) Antonio Méndez (Hospital Clínic) Magdalena Sanz (Fundació Clínic) John Jairo Jaramillo (Hospital Clínic) Susan Bode Fetal and Perinatal Medicine IDIBAPS Members: ■ Antoni Borrell (Hospital Clínic) ■ Francesc Botet (Hospital Clínic) ■ Vicens Cararach (Hospital Clínic ■ Xavier Carbonell (Hospital Clínic) ■ Elena Casals (Hospital Clínic) ■ Oriol Coll (Hospital Clínic) ■ Francesc Figueras (Hospital Clínic) ■ Josep Figueras (Hospital Clínic) ■ Josep Maria Martinez-Crespo (Hospital Clínic) ■ Montserrat Palacio (Hospital Clínic) Principal Lines of Research 1. Fetal and perinatal neurologic damage. We evaluate changes in the fetal cerebral parenchyma via image analysis (ultrasound, blood fraction on movement and NMRI-DTI), correlation with new markers of fetal myocardial function and with biochemical and genomic markers of ischemia and immune/endothelial hyperactivation, and the correlation with the neurologic development evaluated by function and neurostructure up to 6 years of age. Animal model of fetal hypoxia for studying cerebral endothelial 77 21/10/09 16:16:54 Fetal and Perinatal Medicine activation in the genesis of neurologic damage and interference potential by blocking immune activation. The line also includes research relating to preeclampsia and fetal growth, perinatal asphyxia and neonatal hypoxic-ischemic encephalopathy. 2. Fetal diagnosis and therapy. As members of the European group Eurofoetus, we carry out studies on the fetal surgical treatment of monochorial pregnancy and congenital diaphragm hernia, and repair of fetal membranes by means of tissue engineering. Screening for markers of aneuploidy and maternal diseases. 3. Perinatal infection. The main line of research covers different projects in HIV and pregnancy, in national and international collaborations. Investigation of neonatal infection (perinatal and nosocomial infections, infections by respiratory syncytial virus, etc. 4.Perinatal disease. This is a mixed line that covers projects in premature birth (chorioamnionitis, aggressive nutrition), medical disease (diabetes, autoimmune diseases) and pregnancy, and neonatal respiratory disease (study of pulmonary inflammation and prevention of bronchial-pulmonary dysplasia). I.F.: 104,25 PublicaTions Original Articles 1 Area 3 Liver, Digestive System and Metabolism Three-dimensional reconstruction of foetal brain. 2 3 4 5 6 78 7 072-113 AREA3.indd 78 DelRio M, Martinez JM, Figueras F, Bennasar M, Olivella A, Palacio M, Coll O, Puerto B, Gratacos E. Doppler assessment of the aortic isthmus and perinatal outcome in preterm fetuses with severe intrauterine growth restriction. ULTRASOUND OBST GYN. 31:41-47. I.F.:2,67. Fernandez S, Figueras F, Gomez O, Martinez JM, Eixarch E, Comas M, Puerto B, Gratacos E. Intra- and interobserver reliability of umbilical vein blood flow. PRENATAL DIAG. 28:999-1003. I.F.:1,32. Mandruzzato G, Antsaklis A, Botet F, Chervenak FA, Figueras F, Grunebaum A, Puerto B, Skupski D, Stanojevic M. Intrauterine restriction (IUGR). J PERINAT MED. 36:277-281. I.F.:1,10. Gomez O, Figueras F, Fernandez S, Bennasar M, Martinez JM, Puerto B, Gratacos E. Reference ranges for uterine artery mean pulsatility index at 11-41 weeks of gestation. ULTRASOUND OBST GYN. 32:128-132. I.F.:2,67. Figueras F, Eixarch E, Meler E, Iraola A, Figueras J, Puerto B, Gratacos E. Small-for-gestational-age fetuses with normal umbilical artery Doppler have suboptimal perinatal and neurodevelopmental outcome. EUR J OBSTET GYN R B. 136:34-38. I.F.:1,43. Simoes EAF, Carbonell-Estrany X, Fullarton JR, Liese JG, Figueras-Aloy J, Doering G, Guzman J. A predictive model for respiratory syncytial virus (RSV) hospitalisation of premature infants born at 33-35 weeks of gestational age, based on data from the Spanish FLIP study. RESP RES. 9:-. I.F.:3,62. Soler A, Morales C, Badenas C, Rodriguez-Revenga L, Carrio A, Margarit E, Costa D, Borrell A, Gonce A, Mila M, Sanchez A. A retrospective and theoretical evaluation of rapid methods for detecting chromosome abnormalities and their implications on genetic counseling based on a series of 3868 CVS diagnoses. FETAL DIAGN THER. 23:126-131. I.F.:0,84. 8 9 10 11 12 13 14 Moreno-Alvarez O, Hernandez-Andrade E, Oros D, Jani J, Deprest J, Gratacos E. Association between intrapulmonary arterial Doppler parameters and degree of lung growth as measured by lung-to-head ratio in fetuses with congenital diaphragmatic hernia. ULTRASOUND OBST GYN. 31:164-170. I.F.:2,67. Figueras F, Meler E, Eixarch E, Francis A, Coll O, Gratacos E, Gardosi J. Association of smoking during pregnancy and fetal growth restriction: Subgroups of higher susceptibility. EUR J OBSTET GYN R B. 138:171-175. I.F.:1,43. Figueras-Aloy J, Berrueco R, Salvia-Roiges MD, Rodriguez-Miguelez JM, Miracle-Echegoyen X, BotetMussons F, Mur-Sierra A, Vall O, Carbonell-Estrany X. Attempt to Normalize Simulated Exhaled Nitric Oxide According to Ventilatory Settings. PEDIATR PULM. 43:1167-1174. I.F.:2,27. Crispi F, Hernandez-Andrade E, Pelsers MMAL, Plasencia W, Benavides-Serralde JA, Eixarch E, LeNoble F, Ahmed A, Glatz JFC, Nicolaides KH, Gratacos E. Cardiac dysfunction and cell damage across clinical stages of severity in growth-restricted fetuses. AM J OBSTET GYNECOL. 199:-. I.F.:2,92. Figueroa-Diesel H, Hernandez-Andrade E, BenavidesSerralde A, Crispi F, Acosta-Rojas R, Cabero L, Gratacos E. Cerebral venous blood flow in growth restricted fetuses with an abnormal blood flow in the umbilical artery before 32 weeks of gestation. EUR J OBSTET GYN R B. 140:201-205. I.F.:1,43. Hernandez-Andrade E, Figueroa-Diesel H, Jansson T, Rangel-Nava H, Gratacos E. Changes in regional fetal cerebral blood flow perfusion in relation to hemodynamic deterioration in severely growth-restricted fetuses. ULTRASOUND OBST GYN. 32:71-76. I.F.:2,67. Lewi L, Gucciardo L, Huber A, Jani J, VanMieghem T, Done E, Cannie M, Gratacos E, Diemert A, Hecher K, Lewi P, Deprest J. Clinical outcome and placental characteristics of monochorionic diamniotic twin pairs with early- and late-onset discordant growth. AM J OBSTET GYNECOL. 199:-. I.F.:2,92. 21/10/09 16:16:57 29 30 31 32 33 34 35 36 37 38 39 Liver, Digestive System and Metabolism Area 3 072-113 AREA3.indd 79 28 lopmental outcome in 2-year-old infants who were small-for-gestational age term fetuses with cerebral blood flow redistribution. ULTRASOUND OBST GYN. 32:894-899. I.F.:2,67. Eixarch E, Meler E, Iraola A, Illa M, Crispi F, Hernandez-Andrade E, Gratacos E, Figueras F. Neurodevelopmental outcome in 2-year-old infants who were small-for-gestational age term fetuses with cerebral blood flow redistribution. ULTRASOUND OBST GYN. 32:894-899. I.F.:2,67. Soria-Pastora S, Gimenez M, Narberhaus A, Falcon C, Botet F, Bargallo N, Mercader JM, Junque C. Patterns of cerebral white matter damage and cognitive impairment in adolescents born very preterm. INT J DEV NEUROSCI. 26:647-654. I.F.:3,61. Iraola A, Gonzalez I, Eixarch E, Meler E, Illa M, Gardosi J, Gratacos E, Figueras F. Prediction of adverse perinatal outcome at term in small-for-gestational age fetuses: comparison of growth velocity vs. customized assessment. J PERINAT MED. 36:531-535. I.F.:1,10. Gucciardo L, Deprest J, Done E, VanMieghem T, DeVelde MV, Gratacos E, Jani J, Peralta F, Nicolaides K. Prediction of outcome in isolated congenital diaphragmatic hernia and its consequences for fetal therapy. BEST PRACT RES CL OB. 22:123-138. I.F.:0,62. Crispi F, Llurba E, Dominguez C, Martin-Gallan P, Cabero L, Gratacos E. Predictive value of angiogenic factors and uterine artery Doppler for early- versus late-onset pre-eclampsia and intrauterine growth restriction. ULTRASOUND OBST GYN. 31:303-309. I.F.:2,67. Figueras F, Eixarch E, Gratacos E, Gardosi J. Predictiveness of antenatal umbilical artery Doppler for adverse pregnancy outcome in small-for-gestational-age babies according to customised birthweight centiles: population-based study. BJOG-INT J OBSTET GY. 115:590-594. I.F.:2,67. Palacio M, Cobo T, Figueras F, Gomez O, Coll O, Cararach V, Gratacos E. Previable rupture of membranes: Effect of amniotic fluid on pregnancy outcome. EUR J OBSTET GYN R B. 138:158-163. I.F.:1,43. Carbonell-Estrany X, Figueras-Aloy J, Salcedo-Abizanda S, DeLaRosa-Fraile M. Probable early-onset group B streptococcal neonatal sepsis: a serious clinical condition related to intrauterine infection.. ARCH DIS CHILDFETAL. 2:-. I.F.:2,34. Gimenez M, Soria-Pastor S, Junque C, Caldu X, Narberhaus A, Botet F, Bargallo N, Falcon C, Mercader JM. Proton Magnetic Resonance Spectroscopy Reveals Medial Temporal Metabolic Abnormalities in Adolescents With History of Preterm Birth. PEDIATR RES. 64:572577. I.F.:2,84. Fiore S, Heard I, Thorne C, Savasi V, Coll O, Malyuta R, Niemiec T, Martinelli P, Tibaldi C, Newell ML. Reproductive experience of HIV-infected women living in Europe. HUM REPROD. 23:2140-2144. I.F.:3,54. Moreno R, Rosal M, Martinez I, Vilardell F, Gonzalez JR, Petriz J, Hernandez-Andrade E, Gratacos E, Aran JM. Restricted transgene persistence after lentiviral vectormediated fetal gene transfer in the pregnant rabbit model. J GENE MED. 10:951-964. I.F.:3,54. Lewi L, Jani J, Blickstein I, Huber A, Gucciardo L, VanMieghem T, Done E, Boes AS, Hecher K, Gratacos Fetal and Perinatal Medicine 15 Narberhaus A, Segarra D, Caldiu X, Gimenez M, Pueyo R, Botet F, Junque C. Corpus callosum and prefrontal functions in adolescents with history of very preterm birth. NEUROPSYCHOLOGIA. 46:111-116. I.F.:3,63. 16 Suy A, Hernandez S, Thorne C, Lonca M, Lopez M, Coll O. Current guidelines on management of HIV-infected pregnant women: Impact on mode of delivery. EUR J OBSTET GYN R B. 139:127-132. I.F.:1,43. 17 Figueras F, Meler E, Iraola A, Eixarch E, Coll O, Figueras J, Francis A, Gratacos E, Gardosi J. Customized birthweight standards for a Spanish population. EUR J OBSTET GYN R B. 136:20-24. I.F.:1,43. 18 Morales C, Sanchez A, Bruguera J, Margarit E, Borrell A, Borobio V, Soler A. Cytogenetic study of spontaneous abortions using semi-direct analysis of chorionic villi samples detects the broadest spectrum of chromosome abnormalities. AM J MED GENET A. 146A:66-70. I.F.:2,44. 19 Sampalis JS, Langley J, Carbonell-Estrany X, Paes B, O’brien K, Allen U, Mitchell I, Figueras J, Pedraz C, Michaliszyn AF. Development and validation of a risk scoring tool to predict respiratory syncytial virus hospitalization in premature infants born at 33 through 35 completed weeks of gestation. MED DECIS MAKING. 28:471-480. I.F.:2,20. 20 Pedersen NG, Figueras F, Wojdemann KR, Tabor A, Gardosi J. Early fetal size and growth as predictors of adverse outcome. OBSTET GYNECOL. 112:765-771. I.F.:4,28. 21 Figueras-Aloy J, Carbonell-Estrany X, Quero-Jimenez J, Fernandez-Colomer B, Guzman-Cabanas J, EchanizUrcelay I, Domenech-Martinez E. FLIP-2 study - Risk factors linked to respiratory syncytial virus infection requiring hospitalization in premature infants born in Spain at a gestational age of 32 to 35 weeks. PEDIATR INFECT DIS J. 27:788-793. I.F.:3,09. 22 Miracle X, DiRenzo GC, Stark A, Fanaroff A, CarbonellEstrany X, Saling E. Guideline for the use of antenatal corticosteroids for fetal maturation. J PERINAT MED. 36:191-196. I.F.:1,10. 23 Brossard P, Boulvain M, Coll O, Barlow P, Aebi-Popp K, Bischof P, DeTejada BM. Is screening for fetal anomalies reliable in HIV-infected pregnant women? A multicentre study. AIDS. 22:2013-2017. I.F.:5,84. 24 Narberhaus A, Segarra-Castells MD, Pueyo-Benito R, Botet-Mussons F, Junque C. Long-term cognitive dysfunctions in preterm subjects with intraventricular haemorrhage. REV NEUROLOGIA. 47:57-60. I.F.:0,74. 25 Lopez S, Coll O, Durban M, Hernandez S, Vidal R, Suy A, Moren C, Casademont J, Cardellach F, Mataro D, Miro O, Garrabou G. Mitochondrial DNA depletion in oocytes of HIV-infected antiretroviral-treated infertile women. ANTIVIR THER. 13:833-838. I.F.:4,55. 26 Gratacos E, Antolin E, Lewi L, Martinez JM, HernandezAndrade E, Acosta-Rojas R, Enriquez G, Cabero L, Deprest J. Monochorionic twins with selective intrauterine growth restriction and intermittent absent or reversed end-diastolic flow (Type III): feasibility and perinatal outcome of fetoscopic placental laser coagulation. ULTRASOUND OBST GYN. 31:669-675. I.F.:2,67. 27 Eixarch E, Meler E, Iraola A, Illa M, Crispi F, Hernandez-Andrade E, Gratacos E, Figueras F. Neurodeve- 79 21/10/09 16:16:59 Fetal and Perinatal Medicine E, Lewi P, Deprest J. The outcome of monochorionic diamniotic twin gestations in the era of invasive fetal therapy: a prospective cohort study. AM J OBSTET GYNECOL. 199:-. I.F.:2,92. 40 Lewi L, Lewi P, Diemert A, Jani J, Gucciardo L, VanMieghem T, Done E, Gratacos E, Huber A, Hecher K, Deprest J. The role of ultrasound examination in the first trimester and at 16 weeks’ gestation to predict fetal complications in monochorionic diamniotic twin pregnancies. AM J OBSTET GYNECOL. 199:-. I.F.:2,92. 41 Figueras F, Fernandez S, Hernandez-Andrade E, Gratacos E. Umbilical venous blood flow measurement: accuracy and reproducibility. ULTRASOUND OBST GYN. 32:587-591. I.F.:2,67. 42 Jani J, Cannie M, Sonigo P, Roberts Y, Moreno O, Benachi A, Vaast P, Gratacos E, Nicolaides KH, Deprest J. Value of prenatal magnetic resonance imaging in the prediction of postnatal outcome in fetuses with diaphragmatic hernia. ULTRASOUND OBST GYN. 32:793799. I.F.:2,67. Reviews 1 Area 3 Liver, Digestive System and Metabolism 2 3 4 Carbonell-Estrany X, Bont L, Doering G, Gouyon JB, Lanari M. Clinical relevance of prevention of respiratory syncytial virus lower respiratory tract infection in preterm infants born between 33 and 35 weeks gestational age. EUR J CLIN MICROBIOL. 27:891-899. I.F.:2,31. Burdio F, Mulier S, Navarro A, Figueras J, Berjano E, Poves I, Grande L. Influence of approach on outcome in radiofrequency ablation of liver tumors. SURG ONCOL. 17:295-299. I.F.:1,24. Done E, Gucciardo L, VanMieghem T, Jani J, Cannie M, VanSchoubroeck D, Devlieger R, DeCatte L, Klaritsch P, Mayer S, Beck V, Debeer A, Gratacos E, Nicolaides K, Deprest J. Prenatal diagnosis, prediction of outcome and in utero therapy of isolated congenital diaphragmatic hernia. PRENATAL DIAG. 28:581-591. I.F.:1,32. Coll O, Menendez C, Botet F, Daya R, Carbonell-Estrany X, Weisman LE, Anceschi MM, Greenough A, Gibss RS, Ville Y. Treatment and prevention of malaria in pregnancy and newborn. J PERINAT MED. 36:15-29. I.F.:1,10. Multicentrics 1 Murphy KE, Hannah ME, Willan AR, Hewson SA, Ohlsson A, Kelly EN, Matthews SG, Saigal S, Asztalos E, Ross S, Delisle MF, Amankwah K, Guselle P, Gafni A, Lee SK, Armson BA. Multiple courses of antenatal corticosteroids for preterm birth (MACS): a randomised controlled trial. LANCET. 372:2143-2151. I.F.:28,64. bifida, urogenital and abdominal wall defects (EuroSTEC). Grant: European Commision, LSHB-CT-2006-037409. Duration: 01/01/2007-31/12/2011. Gratacos E. MC - EST - Multidisciplinary Research Training Programme in Fetal Medicine and Health. Grant: European Commision, MEST-CT-2005-019707. Duration: 01/01/200631/12/2009. Gratacos E. Evaluation of the brain perfusion/circulation in growth restricted fetuses and its association with the neurodevelopment after birth. Grant: Thrasher Research Fund, Thrasher05/02822-0. Duration: 01/09/2005-31/08/2008. Gratacos E. CIBER-ER. CIBER Enfermedades raras. Grant: Ministerio Sanidad y Consumo, CB06/07/0027. Duration: 28/07/2006-27/07/2010. Figueras J. Oxido nítrico exhalado total y nitritos-nitratos e IL-8 endotraqueales en el recién nacido prematuro ventilado. Relación con la corioamnionitis y la displasia broncopulmonar. Grant: Ministerio Sanidad y Consumo, PI060052. Duration: 18/10/2006-30/12/2009. Borrell A. Cribado prenatal del Síndrome de Down mediante test de contingencia en el primer trimestre. Estudio multicéntrico de aplicación del test combinado seguido del estudio selectivo de marcadores ecográficos secundarios. Grant: Ministerio Sanidad y Consumo, PI060151. Duration: 18/10/2006-30/12/2009. Gratacos E. Perfusión cerebral fetal medida por fracción sanguínea en movimiento y asociación con desarrollo neurológico posnatal en fetos hipoxicos por retraso de crecimiento y gestación gemelar monocorial complicada. Grant: Ministerio Sanidad y Consumo, PI060347. Duration: 18/10/2006-30/12/2009. Cararach V. Valoración del impacto de un programa de intervención precoz basado en la autoidentificación de la vaginosis bacteriana por la propia gestante por medio de la medida semanal del pH vaginal. Grant: Ministerio Sanidad y Consumo, PI060559. Duration: 18/10/2006-30/12/2009. Gratacos E. Fundació Cerebra (UK). Evaluation of regional brain perfusion in growth ewstriction and neurological damage after birth. Grant: FUND. Duration: 01/12/200530/11/2008. Carbonell X. Evolución y estabilidad de ácidos grasos, vitaminas y factores inmunitarios en la leche materna. Grant: FIS, AGL 2005-06940. Duration: 01/01/2006-31/12/2008. 80 Grants for Research in Progress Coll JO. Paediatric European Network Treatment AIDS and European Collaborative Study on HIV-infected pregnant women and their children. Grant: European Commision, LSHPCT-2006-018865. Duration: 01/03/2006-28/02/2010. Gratacos E. IP- Soft tissue engineering for congenital birth defects in children: new treatment modalities for spina 072-113 AREA3.indd 80 Gratacos E. Ayudas de Incentivación a la participación en proyectos del espacio Europeo de Investigación. Grant: Ministerio de Educación y Ciencia, AI- 07/90026. Duration: 01/01/2007-31/12/2008. Gratacos E. Diseño de un sistema clínico-biológico para el pronóstico de los pacientes con leucemia linfática crónica. Grant: CLL Global Research Foundation,. Duration: 16/04/2008-31/05/2009. 21/10/09 16:17:01 Thesis Deprest J, Hoylaerts MF, Gratacos E. Monochorionic Diamniotic Twin Pregnancies: Pregnancy outcome, risk stratification on early ultrasound scan and lessons learnt from placental examination. Doctorand: Dr. Liesbeth Lewi. Katholieke Universiteit Leuven. Gratacos E. Evaluación de las alteraciones hemodinámicas asociadas a las complicaciones de la gestación monocorial, Palacio M. Marcadores inflamatorios predictores de infección intraamniótica subclínica en gestantes con amenaza de parto prematuro y bolsa íntegra. Doctorand: Mª Teresa Cobo Cobo, Universitat de Barcelona. Patents Eduard Gratacos, Ivan Amat. Equipo para visión mejorada por infrarrojo de estructuras vasculares, aplicable para asistir intervenciones fetoscópicas, laparoscópicas y endoscópicas y proceso de tratamiento de la señal para mejorar dicha visión. Fetal and Perinatal Medicine Gratacos E. Transferencia génica fetal en un modelo de coneja gestante. Optimización de vectores retrovirales para una mayor eficiencia, seguridad y persistencia de la expresión transgénica. Doctorand: Rafael Moreno Olié. asociación con lesión neurológica e impacto de la fetoscópia. Doctorand: Begoña Muñoz Avellana, Medicina. Universidad Autónoma de Barcelona. Liver, Digestive System and Metabolism Area 3 81 072-113 AREA3.indd 81 21/10/09 16:17:03 Metabolic Regulation and Molecular Disease Team Members Area 3 Liver, Digestive System and Metabolism Metabolic regulation and molecular disease Team Leader: ■ Josep Carreras (Facultat de Medicina) Tel.: 93 402 45 41 Fax: 93 403 58 82 E-mail: [email protected] IDIBAPS Members: ■ Joan Aureli Cadefau (Facultat de Medicina) ■ Ferran Climent (Facultat de Medicina) ■ Roser Cussó (Facultat de Medicina) Collaborators: Pablo Pérez de la Ossa (Facultat de Medicina) Guillem Revilla López (Facultat de Medicina) Christian Bayona (Facultat de Medicina) Technicians: Mario Guerrero (Facultat de Medicina) Rosario Ruiz (Facultat de Medicina) Anna Belem (Facultat de Medicina) Doctoral Students: Helena Raurell (FIS) Feliu Roset (Facultat de Medicina) Strategic Objectives 1. Study of rabbit muscle proteome and muscle lesions; metabolic analyses of muscle biopsies. 2. Reversal of metabolic blockade by means of proteins linked to protein transduction domain (PTD). 3. Study of apoptosis in transplanted hearts and their conservation. 2.Use of biochemical markers to determine muscle lesions. 3.Repair of metabolic disorders in leukocytes and in cells of transplanted hearts. 4. Study of transplanted hearts and their conservation. Principal Lines of Research 1. Study of rabbit muscle proteome in fast- and slowtwitch fibres and the modifications caused by work due to electrostimulation. Left: Control. Right: Myocytes treated with PTD-beta-galactosidase. I.F.: 5,34 PublicaTions Original Articles Grants for Research in Progress 1 Cusso R. Marcadores moleculares para el diagnóstico de la lesión muscular. Grant: Antibodybcn S.L., 07/248. Duration: 28/12/2007-28/12/2009. 82 2 3 072-113 AREA3.indd 82 Repiso A, Andres R, Climent F, Urena JM. Expression patterns in mouse embryos of neuroleukin/glucose6-phosphate isomerase and autocrine motility factor receptor. ANAT HISTOL EMBRYOL. 37:380-382. I.F.:0,55. Guerrero M, Guiu-Comadevall M, Cadefau JA, Parra J, Balius R, Estruch A, Rodas G, Bedini JL, Cusso R. Fast and slow myosins as markers of muscle injury. BRIT J SPORT MED. 42:581-584. I.F.:2,46. Selivanov VA, DeAtauri P, Centelles JJ, Cadefau J, Parra J, Cusso R, Carreras J, Cascante M. The changes in the energy metabolism of human muscle induced by training. J THEOR BIOL. 252:402-410. I.F.:2,32. Climent F. Corrección de enzimopatías mediante la introducción de proteïnas ligadas a PTD. Grant: Ministerio Sanidad y Consumo. Duration: 01/03/2006-28/02/2009. Cusso R. Optimización de entrenamientos aeróbicos y anaeróbicos. Análisis proteómico, transcripcional y del metabolismo energético en músculo esquelético. Grant: Ministerio Educación y Ciencia. Duration: 01/01/2005-31/12/2008. 21/10/09 16:17:09 Bone Metabolic Disease Team members Team Leader: ■ Dra. Núria Guañabens (Hospital Clínic) Tel.: 93 227 54 00 (Ext.: 2235) E-mail: [email protected] Bone metabolic disease IDIBAPS Members: ■ Lluïsa Álvarez (Hospital Clínic) ■ Mª Jesús Martínez de Osaba (Hospital Clínic) ■ José Muñoz Gómez (Hospital Clínic) ■ Pilar Peris (Hospital Clínic) Collaborators: Angels Martinez-Ferrer (Hospital Clínic) Ana Monegal (Hospital Clínic) Raquel Reyes (Hospital Clínic) Strategic Objectives Principal Lines of Research 1. Osteoporosis in premenopausal women. 2. Osteoporosis in men. 3. Osteoporosis associated with primary biliary cirrhosis. 4. Liver transplant osteoporosis. 5. Applicability of biochemical markers of bone replacement. Primary culture of human osteoblasts. I.F.: 14,55 PublicaTions Original Articles 3 1 Peris P, Martinez-Ferrer A, Monegal A, DeOsaba MJM, Alvarez L, Ros I, Muxi A, Reyes R, Guanabens N. Aetiology and clinical characteristics of male osteoporosis. Have they changed in the last few years? CLIN EXP RHEUMATOL. 26:582-588. I.F.:2,27. 2 Chung PYJ, Beyens G, Guanabens N, Boonen S, Papapoulos S, Karperien M, Eekhoff M, VanWesenbeeck L, Jennes K, Geusens P, Offeciers E, VanOffel J, Westhovens R, Zmierczak H, Devogelaer JP, VanHul W. Founder effect in different European countries for the recurrent P392L SQSTM1 mutation in Paget’s disease of bone. CALCIFIED TISSUE INT. 83:34-42. I.F.:2,44. 072-113 AREA3.indd 83 4 5 6 Peris P, Ruiz-Esquide V, Monegal A, Alvarez L, DeOsaba MJM, Martinez-Ferrer A, Reyes R, Guanabens N. Idiopathic osteoporosis in premenopausal women. Clinical characteristics and bone remodelling abnormalities. CLIN EXP RHEUMATOL. 26:986-991. I.F.:2,27. Martinez-Ferrer A, Peris P, Reyes R, Guanabens N. Intake of calcium, magnesium and sodium through water: health implications. MED CLIN-BARCELONA. 131:641-646. I.F.:1,34. DelRio L, Peris P, Jover L, Guanabens N, Monegal A, DiGregorio S. Men suffer vertebral fractures with similar spinal T-scores to women. CLIN EXP RHEUMATOL. 26:283-287. I.F.:2,27. Guanabens N, Garrido J, Gobbo M, Piga AM, DelPino J, Torrijos A, Descalzo MA, Garcia FJB, Cros JRR, Car- Liver, Digestive System and Metabolism Area 3 The priority of our group is to research pathogenic and therapeutic aspects of metabolic diseases of the bone. 6.Clinical analysis of vertebroplasty. 7.Culturing human osteoblasts, with an analysis of the effect of cholestasis on survival and cell function. 8.Analysis of skeletal retention of bisphosphonates in patients with osteoporosis. 83 21/10/09 16:17:14 bonell J, Perez MR, Tornero J, Carmona L. Prevalence of Paget’s disease of bone in Spain. BONE. 43:10061009. I.F.:3,97. Grants for Research in Progress Peris P. Efecte de la vertebroplàstia percutània en la qualitat de vida dels pacients amb dolor relacionat amb fractures vertebrals osteoporòtiques. Comparació amb el tractament conservador. Grant: Fundació La Marató de TV3. Duration: 01/01/2007-01/01/2010. Area 3 Liver, Digestive System and Metabolism Bone metabolic disease Guanyabens N. Estudio del efecto bifásico de la hormona paratiroidea (PTH) sobre osteoblastos humanos primarios en cultivo. Acción sobre el sistema OPG/RANKL y los mar- cadores de diferenciación osteoblástica RUNX2/CBFA1, osteocalcina y procolágeno tipo I. Grant: Ministerio Sanidad y Consumo, PI050044. Duration: 01/01/2006-30/12/2008. 84 072-113 AREA3.indd 84 21/10/09 16:17:16 Viral Hepatitis in Immunocompetent and Liver Transplant Patients Team members Team Leader: ■ Jose M Sánchez-Tapias (Hospital Clínic) Tel.: 93 227 54 99 E-mail: [email protected] Collaborators: Sofia Pérez del Pulgar (CIBERehd) Gonzalo Crespo (Hospital Clínic) Graciela Castro (Fundació Clínic) Doctoral Students: José A. Carrión (Fundació Clínic) Jakub Dragun (Marie Curie) Stella Martínez (Fundació Clínic) Santseharay Ramírez (IDIBAPS) Mairene Coto (MAEC-AECI) Technicians: Patricia González (CIBERehd) Laura Mensa (CIBERehd) Nurses: Concepció Bartrés (Fundació Clínic) Liver, Digestive System and Metabolism Area 3 Strategic Objectives Investigation of epidemiologic, pathogenic, diagnostic and therapeutic aspects of infections due to hepatitis virus in immunocompetent and liver transplant patients. Principal Lines of Research 1. Study of the role of neutralizing antibodies in the kinetics of infection by the hepatitis C virus (HVC) after liver transplant and implications in the course of recurrence of hepatitis C The group has prepared a technique that makes it possible to study the neutralizing potential (in vitro) of HVC antibodies. This means that we can determine whether these antibodies modulate the early kinetics of graft infection and whether this affects the severity of hepatitis C evaluated a year after transplant. 2.Occult hepatitis B and liver-cell carcinoma The presence of residual markers of infection by the hepatitis B virus (HVB), in the absence of the surface antigen (HBsAg), has been linked by some studies to a greater predisposition to develop liver diseases and even liver-cell carcinoma. With the collaboration of the hepatic oncology group, we will study this hypothesis in a well-characterized cohort of patients with liver-cell carcinoma (HBsAg-negative). 072-113 AREA3.indd 85 Viral hepatitis in immunocompetent and liver transplant patients IDIBAPS Members: ■ Josep Maria Barrera (Hospital Clínic) ■ Miquel Bruguera (Hospital Clínic) ■ Josep Costa (Hospital Clínic) ■ Xavier Forns (Hospital Clínic) ■ Miquel Navasa (Hospital Clínic) 3.Expression of HVC entry receptors in liver tissue. Influence on the kinetics of liver graft infection and on patient outcome This is a broad project with multiple objectives, which began last year. The aim is to characterize the expression of the different receptors that HVC uses to enter the liver cell (CD81, claudin-1, occludin, SRB-1) using different techniques (flux cytometry, immunofluorescence, western-blot). In the medium term, we are looking to increase knowledge on the role of these 85 21/10/09 16:17:20 Viral hepatitis in immunocompetent and liver transplant patients receptors in the kinetics of graft infection following liver transplant. We will also study the possible role of immunosuppressant drugs in the expression of CD81, claudin and SRB-1. 4. Treatment of chronic hepatitis C Naturally, our group continues to make great efforts to improve the efficacy and safety of antiviral treatment in patients with chronic HVC infection. This line of research includes the following different aspects: 1) participation in clinical trials of new antiviral molecules (both in initial phases and in pre-marketing phases). 2) study of the predictive factors of response to treatment, and design of models that provide a reliable prediction of treatment results, 3) further study of the 5.Noninvasive diagnosis of chronic hepatitis C The objective of this line of research is to validate different models of noninvasive diagnosis of liver damage (basically liver fibrosis) in cohorts of patients infected with HVC. The diagnosis models are based on the combination of routine laboratory variables, the combination of different markers of fibrogenesis and transitory elastometry (ET). Over the next year, the group will continue to apply new models based on serologic marker and will focus on the study of patients with hepatitis C after liver transplant. I.F.: 46,14 PublicaTions Original Articles 1 2 Area 3 Liver, Digestive System and Metabolism mechanisms that explain the lack of response and recurrence in antiviral treatment. 3 4 5 6 86 7 8 072-113 AREA3.indd 86 Crespo G, Cervera C, Michelena J, Marco F, Moreno A, Navasa M. Immune Reconstitution Syndrome After Voriconazole Treatment for Cryptococcal Meningitis in a Liver Transplant Recipient. LIVER TRANSPLANT. 14:1671-1674. I.F.:3,75. Laguno M, Larrousse M, Blanco JL, Leon A, Milinkovic A, Martinez-Rebozler M, Lonca M, Martinez E, SanchezTapias JM, DeLazzari E, Gatell JM, Costa J, Mallolas J. Prevalence and clinical relevance of occult hepatitis B in the fibrosis progression and antiviral response to INF therapy in HIV-HCV-Coinfected patients. AIDS RES HUM RETROV. 24:547-553. I.F.:2,02. Martinez-Bauer E, Forns X, Armelles M, Planas R, Sola R, Vergara M, Fabregas S, Vega R, Salmeron J, Diago M, Sanchez-Tapias JM, Bruguera M. Hospital admission is a relevant source of hepatitis C virus acquisition in Spain. J HEPATOL. 48:20-27. I.F.:6,64. Dominguez A, Oviedo M, Carmona G, Batalla J, Bruguera M, Salleras L, Plasencia A. Impact and effectiveness of a mass hepatitis A vaccination programme of preadolescents seven years after introduction. VACCINE. 26:1737-1741. I.F.:3,38. Dominguez A, Torner N, Barrabeig I, Rovira A, Rius C, Cayla J, Plasencia E, Minguell S, Sala MR, Martinez A, Costa J, Mosquera M, Cabezas C. Large outbreak of measles in a community with high vaccination coverage: Implications for the vaccination schedule. CLIN INFECT DIS. 47:1143-1149. I.F.:6,75. Garcia-Cortes M, Borraz Y, Lucena MI, Pelaez G, Salmeron J, Diago M, Martinez-Sierra MC, Navarro JM, Planas R, Soria MJ, Bruguera M, Andrade RJ. Liver injury induced by “natural remedies”: an analysis of cases submitted to the Spanish Liver Toxicity Registry. REV ESP ENFERM DIG. 100:688-695. I.F.:1,09. Muñoz J, Alonso D, Vilella A, Naniche D, Costa J, Gascon J. Measles in travelers: Are we aware enough?. J TRAVEL MED. 15:124-125. I.F.:1,05. Marti J, Charco R, Ferrer J, Calatayud D, Rimola A, Navasa M, Fondevila C, Fuster J, Garcia-Valdecasas JC. Optimization of liver grafts in liver retransplantation: A European single-center experience. SURGERY. 144:762769. I.F.:3,00. 9 Salleras L, Dominguez A, Plans P, Costa J, Cardenosa N, Torner N, Plasencia A. Seroprevalence of varicella zoster virus infection in child and adult population of Catalonia (Spain). MED MICROBIOL IMMUN. 197:329-333. I.F.:1,54. 10 Martinez-Llordella M, Lozano JJ, Puig-Pey I, Orlando G, Tisone G, Lerut J, Benitez C, Pons JA, Parrilla P, Ramirez P, Bruguera M, Rimola A, Sanchez-Fueyo A. Using transcriptional profiling to develop a diagnostic test of operational tolerance in liver transplant recipients. J CLIN INVEST. 118:2845-2857. I.F.:16,92. Reviews 1 Castera L, Forns X, Alberti A. Non-invasive evaluation of liver fibrosis using transient elastography. J HEPATOL. 48:835-847. I.F.:6,64. Editorials 1 2 Forns X. Diagnosis of liver fibrosis in 2008. GASTROEN CLIN BIOL. 32:1-3. I.F.:0,85. Navasa M, Forns X. How accurately and how early can we predict rapid fibrosis progression in hepatitis C virus-infected patients after liver transplantation?. LIVER TRANSPLANT. 14:1237-1239. I.F.:3,75. Grants for Research in Progress Forns X. NoE - European Vigilance Network for the Management of Antiviral Drug Resistance. Grant: European Commision, LSHM-CT-2004-503359. Duration: 01/05/200430/04/2008. Forns X. Entry Inhibitors for the treatment of HCV Infection. Grant: European Commision, MRTN-CT-2006-035599. Duration: 01/10/2006-30/09/2010. Forns X. CIBER de Enfermedades hepáticas y digestivas. Grant: Ministerio Sanidad y Consumo, CB06/04/0004. Duration: 28/07/2006-27/07/2010. 21/10/09 16:17:23 Navasa M. Evolución de la recidiva de la infección por el virus de la hepatitis C en el traspalnte hepático de donante vivo. Comparación con el trasplante convencional. Papel de las lipoproteínas en la cinética y en la infectividad del virus de la hepatits C. Grant: Ministerio Sanidad y Consumo, PI050230. Duration: 01/01/2006-30/12/2008. Thesis Forns X. Estudio de la compartimetalización del virus de la hepatitis C (VHC) y su relación con la recidiva de la infección tras el tratamiento antiviral y el trasplante hepático. Grant: Ministerio Sanidad y Consumo, PI050258. Duration: 01/01/2006-30/12/2008. Navasa M. Investigación del papel de las lipoproteínas de alta densidad (HDL) y de los neutrófilos sobre las infecciones bacterianas en la cirrosis hepática. Doctorand: María José Ramírez Lázaro. Facultat de Medicina, UB. Forns X. Infección por el virus de la hepatitis C: Papel actual de la transmisión nosocomial de la infección. Factores predictivos de respuesta al tratamiento antiviral. Doctorand: Eva Martínez Bauer. Facultat de Medicina, UB. Viral hepatitis in immunocompetent and liver transplant patients Liver, Digestive System and Metabolism Area 3 87 072-113 AREA3.indd 87 21/10/09 16:17:25 Pathophysiology and Treatment of Ascites and Renal Function Disorder in Cirrhosis of the Liver Team Members Area 3 Liver, Digestive System and Metabolism Pathophysiology and treatment of ascites and renal function disorder in cirrhosis of the liver Team Leader: ■ Vicente Arroyo (Hospital Clínic) Tel.: 93 227 57 39 E-mail: [email protected] 88 IDIBAPS Members: ■ Ramón Bataller (Hospital Clínic) ■ Joan Clària (Hospital Clínic) ■ Javier Fernández-Gómez (Hospital Clínic) ■ Pere Ginès (Hospital Clínic) ■ Mónica Guevara (IDIBAPS) ■ Wladimiro Jiménez (Hospital Clínic) ■ Manuel Morales-Ruiz (Hospital Clínic) Collaborators: Jordi Colmenero (Hospital Clínic) Josefa Ros (FIS-IDIBAPS) Montserrat Moreno (CIBERehd) Esther Titos (CIBERehd) Marco Pavesi (CIBERehd) Marta López-Parra (MCyT) Doctoral Students: Maria Eugenia Baccaro (Fundació Clínic) Ana González-Périz (MCyT) Raquell Horrillo (Generalitat de Catalunya) Marta López-Parra (MCyT) Marta Martín (Hospital Clínic) Pedro Melgar (FPI-MEC) Javier Muñoz (MEC) André Nazar (Fundació Clínic) Montserrat Pauta (FPI) Anna Planagumà (IDIBAPS) Alessandro Príncipe (Universitat de Bolonia) Jordi Ribera (CIBERehd) Sònia Tugués (IDIBAPS) Eva Urtasun (Fundació Clínic) Marcos Martínez-Clemente (MEC) Eva Morán (IDIBAPS) Juan Acevedo (Hospital Clínic) Marcella Marinelli (Fundació Clínic) Technicians: Montse Bernat (Fundació Clínic) Cristina Díez (Hospital Clínic) Carmen Escofet (Hospital Clínic) Guillermo Fernandez Varó (CIBERehd) Elena Juez (IDIBAPS) Vanessa López (Hospital Clínic) Cristina Millán (IDIBAPS) Melissa Visser (CIBERehd) Nurses: Miriam Castro (CIBERehd) Raquel Cela (Hospital Clínic) Strategic Objectives This is an interdisciplinary group that investigates the mechanisms and treatment of the inflammation and liver fibrosis that lead to cirrhosis, and the pathogenesis and treatment of multi-organ complications deriving from established cirrhosis of the liver. Principal Lines of Research 1. Molecular determinants of liver inflammation. Role of Kupffer cells. 2. Acute bacterial infections in cirrhosis. 3. Pathophysiology and treatment of hepatorenal syndrome and renal failure associated with bacterial infections. 4. Evaluation of cirrhotic myocardiopathy. 072-113 AREA3.indd 88 Electronic microscopy image of the liver of a patient with hepatic fibrosis caused by non-alcoholic steatohepatitis. A large fat vesicle is visible in the interior of a hepatocyte. 21/10/09 16:17:31 5. Relationship between hepatic encephalopathy and abnormal renal function in cirrhosis. 6. Pathogenesis, clinical implications and treatment of hyponatremia. 7. Evaluation of different cerebral magnetic resonance techniques in cirrhotic patients. Relationship with hepatic encephalopathy. 8. Role of endogenous cannabinoids in the pathophysiology of arterial vasodilation. 9. Application of genomics and gene therapy in liver dysfunction. 10.Angiogenesis, edema and vascular remodeling in cirrhosis of the liver. 11.Pathogenesis of liver fibrosis: cellular bases and identification of new therapeutic strategies. 12.Pathophysiology and treatment of arterial vasodilation. 13.Pathophysiology and treatment of ascites. 14.Artificial liver support systems. Original Articles 1 072-113 AREA3.indd 89 10 11 12 13 Reviews 1 2 3 4 Gines P, Guevara M. Hyponatremia in cirrhosis: Pathogenesis, clinical significance, and management. HEPATOLOGY. 48:1002-1010. I.F.:10,73. Arroyo V, Fernandez J, Gines P. Pathogenesis and treatment of hepatorenal syndrome. SEMIN LIVER DIS. 28:81-95. I.F.:5,81. Sanyal AJ, Bosch J, Blei A, Arroyo V. Portal hypertension and its complications. GASTROENTEROLOGY. 134:1715-1728. I.F.:11,67. Gines P, Cardenas A. The management of ascites and hyponatremia in cirrhosis. SEMIN LIVER DIS. 28:43-58. I.F.:5,81. Liver, Digestive System and Metabolism Area 3 Coll E, Larrousse M, DeLaSierra A, Collado S, Jimenez W, Cases A. Chronic hypotension in hemodialysis patients: role of functional vascular changes and vasodilator agents. CLIN NEPHROL. 69:114-120. I.F.:1,32. 2 Dominguez M, Rincon D, Abraldes JG, Miquel R, Colmenero J, Bellot P, Garcia-Pagan JC, Fernandez R, Moreno M, Banares R, Arroyo V, Caballeria J, Gines P, Bataller R. A New Scoring System for Prognostic Stratification of Patients With Alcoholic Hepatitis. AM J GASTROENTEROL. 103:2747-2756. I.F.:6,10. 3 Terg R, Fassio E, Guevara M, Cartier M, Longo C, Lucero R, Landeira C, Romero G, Dominguez N, Munoz A, Levi D, Miguez C, Abecasis R. Cipirofloxacin in primary prophylaxis of spontaneous bacterial peritonitis: A randomized, placebo-controlled study. J HEPATOL. 48:774779. I.F.:6,64. 4 Salerno F, Gerbes A, Gines P, Wong F, Arroyo V. Diagnosis, prevention and treatment of hepatorenal syndrome in cirrhosis. POSTGRAD MED J. 84:662-670. I.F.:1,22. 5 Gines P, Wong F, Watson H, Milutinovic S, DelArbol LR, Olteanu D. Effects of satavaptan, a selective vasopressin V-2 receptor antagonist, on ascites and serum sodium in cirrhosis with hyponatremia: A randomized trial. HEPATOLOGY. 48:204-213. I.F.:10,73. 6 Casillas-Ramirez A, Amine-Zaouali M, Massip-Salcedo M, Padrissa-Altes S, Bintanel-Morcillo M, Ramalho F, Serafin A, Rimola A, Arroyo V, Rodes J, Rosello-Catafau J, Peralta C. Inhibition of angiotensin II action protects rat steatotic livers against ischemia-reperfusion injury. CRIT CARE MED. 36:1256-1266. I.F.:6,28. 7 Rodriguez-Vilarrupla A, Graupera M, Matei V, Bataller R, Abraldes JG, Bosch J, Garcia-Pagan JC. Large-conductance calcium-activated potassium channels modulate vascular tone in experimental cirrhosis. LIVER INT. 28:566-573. I.F.:2,56. 8 Botella-Lopez A, DeMadaria E, Jover R, Bataller R, Sancho-Bru P, Candela A, Compan A, Perez-Mateo M, Martinez S, Saez-Valero J. Reelin is overexpressed in the liver and plasma of bile duct ligated rats and its levels and glycosylation are altered in plasma of humans with cirrhosis. INT J BIOCHEM CELL B. 40:766775. I.F.:4,01. 9 Munoz-Luque J, Ros J, Fernandez-Varo G, Tugues S, Morales-Ruiz M, Alvarez CE, Friedman SL, Arroyo V, Jimenez W. Regression of fibrosis after chronic stimu- lation of cannabinoid CB2 receptor in cirrhotic rats. J PHARMACOL EXP THER. 324:475-483. I.F.:4,00. Lopez-Parra M, Titos E, Horrillo R, Ferre N, GonzalezPeriz A, Martinez-Clemente M, Planaguma A, Masferrer J, Arroyo V, Claria J. Regulatory effects of arachidonate 5-lipoxygenase on hepatic microsomal TG transfer protein activity and VLDL-triglyceride and apoB secretion in obese mice. J LIPID RES. 49:25132523. I.F.:4,34. Martin-Llahi M, Pepin MN, Guevara M, Diaz F, Torre A, Monescillo A, Soriano G, Terra C, Fabrega E, Arroyo V, Rodes J, Gines P. Terlipressin and albumin vs albumin in patients with cirrhosis and hepatorenal syndrome: A randomized study. GASTROENTEROLOGY. 134:13521359. I.F.:11,67. Principe A, Melgar-Lesmes P, Fernandez-Varo G, DelArbol LR, Ros J, Morales-Ruiz M, Bernardi M, Arroyo V, Jimenez W. The hepatic apelin system: A new therapeutic target for liver disease. HEPATOLOGY. 48:11931201. I.F.:10,73. Lacy AM, Delgado S, Castells A, Prins HA, Arroyo V, Ibarzabal A, Pique JM. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. ANN SURG. 248:1-7. I.F.:7,45. Pathophysiology and treatment of ascites and renal function disorder in cirrhosis of the liver I.F.: 77,06 PublicaTions 89 Editorials 1 2 Gines P. Complications of cirrhosis - Foreword. SEMIN LIVER DIS. 28:1-1. I.F.:5,81. Cardenas A, Gines P. Predicting mortality in cirrhosis - Serum sodium helps. NEW ENGL J MED. 359:10601062. I.F.:52,59. 21/10/09 16:17:33 Grants for Research in Progress Bataller R. STREP - Development of Innovative Assays and Locally acting therapies aiming at critical Kinases in hepatic and renal fibrosis. Grant: European Commision, LSHBCT-2007-036644. Duration: 01/10/2006-30/09/2009. Area 3 Liver, Digestive System and Metabolism Pathophysiology and treatment of ascites and renal function disorder in cirrhosis of the liver Arroyo V. Grup de Recerca en Hepatologia Clínica. Grant: Comissionat per a Universitats i Recerca, 2005SGR00071. Duration: 19/10/2005-31/12/2008. Arroyo V. CIBER de Enfermedades hepáticas y digestivas. Grant: Ministerio Sanidad y Consumo, CB06/04/0020. Duration: 28/07/2006-27/07/2010. Gines P. Complicaciones de la cirrosis en pacientes en candidatos a trasplante hepático. Diseño de nuevas estrategias para la reducción de la mortalidad en lista de espera de trasplante hepático. Grant: Ministerio Sanidad y Consumo, PI050246. Duration: 01/01/2006-30/12/2008. Guevara M. Eficacia de la administración de albúmina endovenosa sobre la supervivencia y prevención del desarrollo de la insuficiencia renal en pacientes con cirrosis y sepsis. Estudio aleatorizado y controlado. Grant: Ministerio Sanidad y Consumo, PI050273. Duration: 01/01/2006-30/12/2008. Arroyo V. Fibrosis hepática secundaria a esteatohepatitis no alcohólica: diagnóstico no invasivo, bases patogénicas y nuevas estrategias terapéuticas. Grant: Ministerio Sanidad y Consumo, PI050567. Duration: 01/01/2006-30/12/2008. Guevara M. Estudio Aleatorizado y controlado sobre la eficacia de la albúmina en la prevención de las complicaciones de pacientes de cirrosis en la lista de espera de trasplante hepático. Grant: Ministerio Sanidad y Consumo, PI070443. Duration: 26/11/2007-30/12/2010. Gines P. Efecto de la hiponatremia sobre la función neuropsicológica en los pacientes con cirrosis. Mecanismos patogénicos e intervenciones terapéuticas. Grant: Ministerio Educación y Ciencia, SAF2005-01917. Duration: 31/12/200531/12/2008. Bataller R. Investigación de los mecanismos celulares y moleculares responsables de la fibrosis hepática inducida por el virus de la hepatitis C. Grant: Ministerio Educación y Ciencia, SAF2005-06245. Duration: 15/10/2005-14/10/2008. Claria J. Participación de los mediadores lipídicos derivados del ácido araquidónico en el desarrollo y progresión de la inflamación y esteatosis hepática. Efecto de los ácidos grasos poliinsaturados Omega-3. Grant: Ministerio Educación y Ciencia, SAF2006-03191. Duration: 01/10/2006-30/09/2009. Jimenez W. Fibrosis, disfunción homodinámica y renal y prevención del rechazo en la enfermedad hepática. Evaluación de nuevas estrategias terapéuticas en modelos experimentales de cirrosis y trasplante de hígado. Grant: Ministerio Educación y Ciencia, SAF2006-07053. Duration: 01/10/2006-30/09/2009. Morales M. Función fisiopatológica de la activación de las células endoteliales hepáticas en la cirrosis. Posibles implicaciones terapéuticas. Grant: Ministerio Educación y Ciencia, SAF2007-63069. Duration: 01/10/2007-04/10/2010. Thesis Morales-Ruiz M. Fisiopatologia de la cel·lula endotelial en la cirrosi hepàtica. Doctorand: Sonia Tugues Solsona. Gines P. Estudio de la insuficiencia renal inducida por infecciones bacterrianas distintas de la peritonitis bacteriana espontánea en pacientes con cirrosis. Doctorand: Carlos Antonio Rodrigues Terra Filho. 90 072-113 AREA3.indd 90 21/10/09 16:17:35 Hepatic Oncology Team members Team Leader: ■ Jordi Bruix (Hospital Clínic) Tel.: 93 227 98 03 Fax: 93 227 57 92 E-mail: [email protected] Strategic Objectives This multidisciplinary group, internationally known as he “Barcelona Clínic Liver Cancer (BCLC) Group” carries out clinical research in liver cell carcinoma and in translational research. The objective is to investigate both the efficacy of clinical and therapeutic interventions and the mechanisms that regulate the progression of this disease. Principal Lines of Research At clinical level, we are working on the definition of new diagnostic tools and, to evaluate the efficacy of the treatments, we are refining optimum criterial for indicating radical treatment (surgical resection, transplant, percutaneous approach with injection of alcohol or thermal ablation) to achieve the greatest efficacy in terms of both survival and associated morbidity. In the area of treatment, we evaluate options for improving the efficacy of noncurative treatments for which we have shown efficacy in increasing survival (arterial chemoembolization, sorafenib). In this regard, we are developing and leading phase 1, 2 and 3 studies at international level to determine the efficacy of new molecular agents. At the same time, we are evaluat- 072-113 AREA3.indd 91 Nurses: Adela Godoy (Fundació Clínic) Secretary: Núria Pérez (Fundació Clínic) Diana Segarra (CIBERehd) ing the efficacy of antiangiogenic treatment to prevent recurrence after surgery or ablation. In terms of translational research, we are researching the pathogenesis of liver cell carcinoma, analyzing new signalling pathways and genomic abnormalities implicated in the development of the tumor, and identifying new therapeutic targets. An international consortium for genome research on liver cell carcinoma has been constituted in collaboration with Mount Sinai Medical School, Harvard University and the Instituto di Tumori in Milan, Italy, which has consolidated a tissue bank of enormous importance. Liver, Digestive System and Metabolism Area 3 Collaborators: Loreto Boix (Fundació Clínic) Juan M. López (IDIBAPS) Judit Peix (CIBERehd) Manel Solé (Hospital Clínic) Victoria Tovar (IDIBAPS) Jordi Rimola (CDIC) Marta Burrel (CDIC) Maria Isabel Real (CDIC) Lluís Bianchi (CDIC) Augusto Villanueva (Ciberehd) Doctoral Students: Clara Alsinet (IDIBAPS) Alejandro Forner (MEC) María Reig (IDIBAPS) Carlos Rodriguez de Lope (Fundació Clínic) Helena Cornella (IDIBAPS) Hepatic oncology IDIBAPS Members: ■ M. Carmen Ayuso (Hospital Clínic) ■ Concepció Bru (Hospital Clínic) ■ Josep Fuster (Hospital Clínic) ■ Josep M. Llovet (IDIBAPS) ■ Ramon Vilana (Hospital Clínic) 91 Cell line BCLC-9 of hepatocellular carcinoma with nuclear stain with H-3342. 21/10/09 16:17:39 Associated Group Translational research on hepatic oncology Principal Investigator: ■ Llovet, Josep M. (ICMDM) Hepatic oncology The group was constituted in 2006 to carry out genomic studies on liver cell carcinoma and identify therapeutic targets and new molecular treatments. We have established two lines of research in the context of an international consortium (HCC Genome Project), organized by Dr. Llovet and with the participation of Hospital Clínic-IDIBAPS, Mount Sinai School of Medicine (New York), Dana-Farber/Broad Institute (Boston) and Instituto di Tumori (Milan): 1. Genomics. Identification of genome alterations in liver cell carcinoma (LCC) and determination of their implications in diagnosis and treatment. Comprehensive analysis of the study of the transcriptome (oligonucleotide microarrays) and abnormalities in the genome (SNP arrays). Identification of markers for early diagnosis del CHC.2. Signaling pathways and molecular therapies. Identification of the role of signal transduction pathways in the pathogenesis of LCC and identification of new therapeutic targets and new molecular treatments. We are currently studying the signalling pathways of Akt/mTOR, EGFR-Ras-MAPK, IGF and Wnt in human samples, cell lines and experimental animals. I.F.: 167,42 PublicaTions Original Articles 1 Area 3 Liver, Digestive System and Metabolism 2 3 4 5 92 6 072-113 AREA3.indd 92 Marti J, Charco R, Ferrer J, Calatayud D, Rimola A, Navasa M, Fondevila C, Fuster J, Garcia-Valdecasas JC. Optimization of liver grafts in liver retransplantation: A European single-center experience. SURGERY. 144:762769. I.F.:3,00. Rodriguez S, Pages M, Castells A, DeJuan C, Bordas JM, Rimola J, Ayuso JR, Ayuso C. Dark-lumen MR colonography with fecal tagging: a comparison of water enema and air methods of colonic distension for detecting colonic neoplasms. EUR RADIOL. 18:1396-1405. I.F.:3,41. Forner A, Vilana R, Ayuso C, Bianchi L, Sole M, Ayuso JR, Boix L, Sala M, Varela M, Llovet JM, Bru C, Bruix J. Diagnosis of hepatic nodules 20 mm or smaller in cirrhosis: Prospective validation of the noninvasive diagnostic criteria for hepatocellular carcinoma. HEPATOLOGY. 47:97-104. I.F.:10,73. Chiang DY, Villanueva A, Hoshida Y, Peix J, Newell P, Minguez B, Leblanc AC, Donovan DJ, Thung SN, Sole M, Tovar V, Alsinet C, Ramos AH, Barretina J, Roayaie S, Schwartz M, Waxman S, Bruix J, Mazzaferro V, Ligon AH, Najfeld V, Friedman SL, Sellers WR, Meyerson M, Llovet JM. Focal gains of VEGFA and molecular classification of hepatocellular carcinoma. CANCER RES. 68:6779-6788. I.F.:7,67. Hoshida Y, Villanueva A, Kobayashi M, Peix J, Chiang DY, Camargo A, Gupta S, Moore J, Wrobel MJ, Lerner J, Reich M, Chan JA, Glickman JN, Ikeda K, Hashimoto M, Watanabe G, Daidone MG, Roayaie S, Schwartz M, Thung S, Salvesen HB, Gabriel S, Mazzaferro V, Bruix J, Friedman SL, Kumada H, Llovet JM, Golub TR. Gene Expression in Fixed Tissues and Outcome in Hepatocellular Carcinoma. NEW ENGL J MED. 359:1995-2004. I.F.:52,59. Schwartz M, Dvorchik I, Roayaie S, Fiel MI, Finkelstein S, Marsh JW, Martignetti JA, Llovet JM. Liver transplantation for hepatocellular carcinoma: Extension of indications based on molecular markers. J HEPATOL. 49:581-588. I.F.:6,64. 7 Rimola J, Rodriguez S, Ayuso C. Magnetic resonance enterography in Crohn’s disease: a new diagnostic tool?. MED CLIN-BARCELONA. 130:580-584. I.F.:1,34. 8 Berzigotti A, Gilabert R, Abraldes JG, Nicolau C, Bru C, Bosch J, Garcia-Pagan JC. Noninvasive prediction of clinically significant portal hypertension and esophageal varices in patients with compensated liver cirrhosis. AM J GASTROENTEROL. 103:1159-1167. I.F.:6,10. 9 Villanueva A, Chiang DY, Newell P, Peix J, Thung S, Alsinet C, Tovar V, Roayaie S, Minguez B, Sole M, Battiston C, VanLaarhoven S, Fiel MI, DiFeo A, Hoshida Y, Yea S, Toffanin S, Ramos A, Martignetti JA, Mazzaferro V, Bruix J, Waxman S, Schwartz M, Meyerson M, Friedman SL, Llovet JM. Pivotal Role of mTOR Signaling in Hepatocellular Carcinoma. GASTROENTEROLOGY. 135:1972-1983. I.F.:11,67. 10 Yea S, Narla G, Zhao X, Garg R, Tal-Kremer S, Hod E, Villanueva A, Loke J, Tarocchi M, Akita K, Shirasawa S, Sasazuki T, Martignetti JA, Llovet JM, Friedman SL. Ras promotes growth by alternative splicing-mediated inactivation of the KLF6 tumor suppressor in hepatocellular carcinoma. GASTROENTEROLOGY. 134:1521-1531. I.F.:11,67. 11 Llovet JM, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc JF, DeOliveira AC, Santoro A, Raoul JL, Forner A, Schwartz M, Porta C, Zeuzem S, Bolondi L, Greten TF, Galle PR, Seitz JF, Borbath I, Haussinger D, Giannaris T, Shan M, Moscovici M, Voliotis D, Bruix J. Sorafenib in advanced hepatocellular carcinoma. NEW ENGL J MED. 359:378-390. I.F.:52,59. Reviews 1 2 Llovet JM, DiBisceglie AM, Bruix J, Kramer BS, Lencioni R, Zhu AX, Sherman M, Schwartz M, Lotze M, Talwalkar J, Gores GJ. Design and endpoints of clinical trials in hepatocellular carcinoma. J NATL CANCER I. 100:698-711. I.F.:15,68. Newell P, Villanueva A, Friedman SL, Koike K, Llovet JM. Experimental models of hepatocellular carcinoma. J HEPATOL. 48:858-879. I.F.:6,64. 21/10/09 16:17:42 3 4 5 EditoriaLS 1 2 3 4 Llovet JM, Lok A. Hepatitis B virus genotype and mutants: Risk factors for hepatocellular carcinoma. J NATL CANCER I. 100:1121-1123. I.F.:15,68. Bruix J. Liver cancer: An evolving challenge reaching research maturity. HEPATOLOGY. 47:1103-1104. I.F.:10,73. Forner A, Bruix J. Locoregional treatment for hepatocellular carcinoma: From clinical exploration to robust clinical data, changing standards of care. HEPATOLOGY. 47:5-7. I.F.:10,73. Newell P, Villanueva A, Llovet JM. Molecular targeted therapies in hepatocellular carcinoma: From pre-clinical models to clinical trials. J HEPATOL. 49:1-5. I.F.:6,64. Bruix J. CIBER Enfermedades hepáticas y digestivas. Grant: Ministerio Sanidad y Consumo, CB06/04/0005. Duration: 28/07/2006-27/07/2010. Bru C. Integración de las diferentes técnicas de imagen médica en una única imagen multimodal. Desarrollo de distintos modelos de aplicación. Angiologia cerebral y Bruix J. Perfil de expresión génica en lesiones preneoplásicas y en el carcinoma hepatocelular inicial, en la cirrosis por el virus de la hepatitis c. Aplicación en la detección precoz y en el diagnostico. Grant: Ministerio Sanidad y Consumo, PI050150. Duration: 01/01/2006-30/12/2008. Ayuso C. Utilidad de la resonancia magnética de 3T con espectroscopia en el diagnóstico y caracterización del carcinoma hepatocelular. Grant: Ministerio Sanidad y Consumo, PI060132. Duration: 18/10/2006-30/12/2009. Llovet JM. Papel de la vía de señalización del IGF en el carcinoma hepatocelular (CHC). Terapia molecular in vitro e in vivo. Grant: Ministerio Educación y Ciencia, SAF2007-61898. Duration: 01/10/2007-04/10/2010. Llovet JM. Integrative genomic analysis in hepatocellular carcinoma. Grant: National Institutes of Health, 1R01DK076986-01. Duration: 08/10/2007-31/07/2012. Thesis Llovet JM. Activación de la vía de señalizacion de PI3K/ Akt en el carcinoma hepatocelular: Evidencia de su bloqueo y efecto antineoplásico con un nuevo inhibidor dual de la tirosin kinasa (AEE788) y un inhibidor de mTOR (RAD001, everolimus). Doctorand: Augusto Villanueva Rodríguez. Universidad de Santiago de Compostela. Bruix J. Seguridad, eficacia y farmacocinética de la quimioembolización del carcinoma hepatocelular con esferas liberadoras de adriamicina. Doctorand: Maria Varela Calvo. Universitat de Barcelona. Liver, Digestive System and Metabolism Area 3 Grants for Research in Progress cardiológica (TC,RM,SPECT). Grant: Ministerio de Industria Turismo y Comercio, CDTEAM. Duration: 17/01/200618/01/2010. Hepatic oncology Villanueva A, Toffanin S, Llovet JM. Linking molecular classification of hepatocellular carcinoma and personalized medicine: preliminary steps. CURR OPIN ONCOL. 20:444-453. I.F.:3,69. Llovet JM, Bruix J. Molecular targeted therapies in hepatocellular carcinoma. HEPATOLOGY. 48:1312-1327. I.F.:10,73. Wilhelm SM, Adnane L, Newell P, Villanueva A, Llovet JM, Lynch M. Preclinical overview of sorafenib, a multikinase inhibitor that targets both Raf and VEGF and PDGF receptor tyrosine kinase signaling. MOL CANCER THER. 7:3129-3140. I.F.:4,80. 93 072-113 AREA3.indd 93 21/10/09 16:17:44 Hepatic Hemodynamics and Portal Hypertension. Digestive Tract Bleeding due to Rupture of Esophageal Varicose Veins Team Members Area 3 Liver, Digestive System and Metabolism Hepatic hemodynamics and portal hypertension. Digestive tract bleeding due to rupture of esophageal varicose veins Team Leader: ■ Jaume Bosch (Hospital Clínic) Tel.: 93 227 57 90 Fax: 93 227 93 48 E-mail: [email protected] IDIBAPS Members: ■ Ramon Deulofeu (Hospital Clínic) ■ Àngels Escorsell (Hospital Clínic) ■ Mercedes Fernández (IDIBAPS) ■ Joan C. García-Pagán (Hospital Clínic) ■ Mª Rosa Gilabert (Hospital Clínic) ■ Juan González-Abraldes (Hospital Clínic) ■ Carles Nicolau (Hospital Clínic) ■ Carles Piera (Hospital Clínic) ■ Juan Manuel Salmerón (Hospital Clínic Collaborators: Aina Rodríguez (Post-doc CIBERehd) Filippo Schepis (Universidad de Módena) Andrea de Gottardi (EASL) Annalisa Berzigotti (Hospital Clínic) Doctoral Students: Marta Divi (FIS) Jordi Gracia (MEC) Bárbara Laviña (SAF) Vasilica Matei (Becaria FIS) Marc Mejías (SAF) Marcos Pasarín (FIS) Sebastian Raffa (Fundació Clínic) Eugeni Rosado (CIBERehd) Strategic Objectives To gain further knowledge of the mechanisms responsible for portal hypertension, the main complication of liver diseases, and develop new treatments for this syndrome and new noninvasive evaluation methods. Principal Lines of Research 94 1. Factors that regulate liver microcirculation in normal conditions and in cirrhosis by means of perfusion studies in isolated liver and in hepatic sinusoidal endothelial cells. 2. Intrahepatic endothelial dysfunction in cirrhosis. 3. Post-transcription regulation of the activity of endothelial nitric oxide synthase (eNOS). Relevance in the treatment of portal hypertension. 4. Regulation of the transcription of hepatic sinusoidal endothelium protecting genes: relevance in the pa- 072-113 AREA3.indd 94 Carolina Tiani (CIBERehd) Elba Llop (Fundació Clínic) Eva Erice (CIBERehd) Chang Pik Eu Jason (HMDP) Alexandra Flores-Arroyo (Universidad de Guadalajara, México) Mª Gabriela Delgado (Fundació Clínic) Susana Seijó (CIBERehd) Mario d’Amico (IDIBAPS) Ranka Vukotic (Universidad de Módena) Vincenzo La Mura (Fundació Clínic) Lucía Russo (CIBERehd) Technicians: Esther García (CIBERehd) Héctor García (CIBERehd) Montse Monclús (Idibaps) Nurses: Rosa Sáez (CIBERehd) thophysiology of portal hypertension and in conservation of the liver ex vivo. 5. Regulation of the development of collateral circulation, hyperdynamic circulation and hepatic fibrogenesis by angiogenic factors. 6.New noninvasive methods for evaluating cirrhosis. 7. Clinical studies of random distribution of new treatments for portal hypertension. 8. Hepatic vascular diseases. Layout of a measure of the hepatic venous pressure gradient. 21/10/09 16:17:49 Associated Group Associated Group Regulation of hepatic microcirculation in cirrhosis and hepatic vascular diseases Angiogenesis in hepatic diseases Principal Investigator: ■ Garcia-Pagan, Juan Carlos (ICMDM) Original Articles 1 2 3 4 5 6 Garcia-Martinez A, Hernandez-Rodriguez J, Arguis P, Paredes P, Segarra M, Lozano E, Nicolau C, Ramirez J, Lomena F, Josa M, Pons F, Cid MC. Development of aortic aneurysm/dilatation during the followup of patients with giant cell arteritis: A cross-sectional screening of fifty-four prospectively followed patients. ARTH RHEUM/AR C RES. 59:422-430. I.F.:7,68. Sierra JM, Rodriguez-Puig D, Soriano A, Mensa J, Piera C, Vila J. Accumulation of Tc-99m-ciprofloxacin in Staphylococcus aureus and Pseudomonas aeruginosa. ANTIMICROB AGENTS CH. 52:2691-2692. I.F.:4,39. Junyent M, Zambon D, Gilabert R, Nunez I, Cofan M, Ros E. Carotid atherosclerosis and vascular age in the assessment of coronary heart disease risk beyond the Framingham Risk Score. ATHEROSCLEROSIS. 196:803809. I.F.:4,29. Junyent M, Zambon D, Gilabert R, Cofan M, Nunez I, Ros E. Carotid atherosclerosis in familial combined hyperlipidemia associated with the APOB/APOA-1 ratio. ATHEROSCLEROSIS. 197:740-746. I.F.:4,29. Junyent M, Gilabert R, Zambon D, Pocovi M, Mallen M, Cofan M, Nunez I, Civeira F, Tejedor D, Ros E. Femoral atherosclerosis in heterozygous familial hypercholesterolemia influence of the genetic defect. ARTERIOSCL THROM VAS. 28:580-586. I.F.:7,22. Junyent M, Gilabert R, Nunez I, Corbella E, Cofan M, Zambon D, Ros E. Femoral ultrasound in the as- 072-113 AREA3.indd 95 I.F.: 153,59 sessment of preclinical atherosclerosis. Distribution of intima-media thickness and frequency of atheroma plaques in a Spanish community cohort. MED CLINBARCELONA . 131:566-571. I.F.:1,34. 7 Dominguez M, Rincon D, Abraldes JG, Miquel R, Colmenero J, Bellot P, Garcia-Pagan JC, Fernandez R, Moreno M, Banares R, Arroyo V, Caballeria J, Gines P, Bataller R. A New Scoring System for Prognostic Stratification of Patients With Alcoholic Hepatitis. AM J GASTROENTEROL. 103:2747-2756. I.F.:6,10. 8 Rodriguez-Vilarrupla A, Graupera M, Matei V, Bataller R, Abraldes JG, Bosch J, Garcia-Pagan JC. Large-conductance calcium-activated potassium channels modulate vascular tone in experimental cirrhosis. LIVER INT. 28:566-573. I.F.:2,56. 9 Berzigotti A, Gilabert R, Abraldes JG, Nicolau C, Bru C, Bosch J, Garcia-Pagan JC. Noninvasive prediction of clinically significant portal hypertension and esophageal varices in patients with compensated liver cirrhosis. AM J GASTROENTEROL. 103:1159-1167. I.F.:6,10. 10 Coll M, Genesca J, Raurell I, Rodriguez-Vilarrupla A, Mejias M, Otero T, Oria M, Esteban R, Guardia J, Bosch J, Martell M. Down-regulation of genes related to the adrenergic system may contribute to splanchnic vasodilation in rat portal hypertension. J HEPATOL. 49:4351. I.F.:6,64. 11 Abraldes JG, Villanueva C, Banares R, Aracil C, Catalina MV, Garcia-Pagan JC, Bosch J. Hepatic venous pressure gradient and prognosis in patients with acute Liver, Digestive System and Metabolism Area 3 PublicaTions The objective of our research is to determine the implication and regulation of angiogenesis in the pathophysiology of portal hypertension. In recent experimental models of portal hypertension, we have shown that the processes of angiogenesis or formation of new blood vessels contribute significantly to two of the most important components of the pathophysiology of portal hypertension: formation of portal systemic collateral vessels and the development of hyperdynamic splenic circulation. The results of these studies may provide valuable information for improving our knowledge of the molecular mechanisms implicated in the pathophysiology of portal hypertension and chronic liver diseases - a leading cause of death and liver transplant in our country and around the world. We intend that the studies of this project should lead to the development of new therapeutic approaches to reducing the morbidity and mortality of patients suffering from these diseases. Hepatic hemodynamics and portal hypertension. Digestive tract bleeding due to rupture of esophageal varicose veins One of the mechanisms responsible for the development of portal hypertension and its severe consequences is the increased resistance to portal flow that occurs in a cirrhotic liver. Part of this increase is dynamic and susceptible to modification with drugs. Therefore, better knowledge from experimental animal models of the cellular, biochemical and molecular mechanisms that regulate this dynamic component will allow us to design new strategies for treating these patients. Hepatic vascular diseases, particularly BuddChiari syndrome and non-cirrhotic portal vein thrombosis, are rare causes of portal hypertension. This makes gaining increased knowledge of the disease, prognosis and optimization of treatments more difficult. This is of special relevance as these diseases mainly affect young people with a potentially long life-expectancy. For some years, our group has become a reference center for these diseases, which has allowed us to propose new alternative treatments and improve our knowledge. Principal Investigator: ■ Fernadez Lobato, Mercè 95 21/10/09 16:17:53 12 Area 3 Liver, Digestive System and Metabolism Hepatic hemodynamics and portal hypertension. Digestive tract bleeding due to rupture of esophageal varicose veins 13 14 15 16 17 18 19 20 96 21 072-113 AREA3.indd 96 variceal bleeding treated with pharmacologic and endoscopic therapy. J HEPATOL. 48:229-236. I.F.:6,64. Gracia-Sancho J, Lavina B, Rodriguez-Vilarrupla A, Garcia-Caldero H, Fernandez M, Bosch J, Garcia-Pagan JC. Increased oxidative stress in cirrhotic rat livers: A potential mechanism contributing to reduced nitric oxide bioavailability. HEPATOLOGY. 47:1248-1256. I.F.:10,73. Qamar AA, Grace ND, Groszmann RJ, Garcia-Tsao G, Bosch J, Burroughs AK, Maurer R, Planas R, Escorsell A, Garcia-Pagan JC, Patch D, Matloff DS, Makuch R. Platelet count is not a predictor of the presence or development of gastroesophageal varices in cirrhosis. HEPATOLOGY. 47:153-159. I.F.:10,73. Lafuente A, Bernardo M, Mas S, Crescenti A, Aparici M, Gasso P, Deulofeu R, Mane A, Catalan R, Carne X. Polymorphism of dopamine D2 receptor (TaqIA, TaqIB, and-141C Ins/Del) and dopamine degradation enzyme (COMT G158A, A-278G) genes and extrapyramidal symptoms in patients with schizophrenia and bipolar disorders. PSYCHIAT RES. 161:131-141. I.F.:2,30. Turnes J, Garcia-Pagan JC, Gonzalez M, Aracil C, Calleja JL, Ripoll C, Abraldes JG, Banares R, Villanueva C, Albillos A, Ayuso JR, Gilabert R, Bosch J. Portal Hypertension-Related Complications After Acute Portal Vein Thrombosis: Impact of Early Anticoagulation. CLIN GASTROENTEROL H. 6:1412-1417. I.F.:5,47. Gonzalez-Navajas JM, Bellot P, Frances R, Zapater P, Munoz C, Garcia-Pagan JC, Pascual S, Perez-Mateo M, Bosch J, Such J. Presence of bacterial-DNA in cirrhosis identifies a subgroup of patients with marked inflammatory response not related to endotoxin. J HEPATOL. 48:61-67. I.F.:6,64. Castro-Fornieles J, Deulofeu R, Baeza I, Casula V, Saura B, Lazaro L, Puig J, Toro J, Bernardo M. Psychopathological and nutritional correlates of plasma homovanillic acid in adolescents with anorexia nervosa. J PSYCHIATR RES. 42:213-220. I.F.:3,71. Bosch J, Thabut D, Albiuos A, Carbonell N, Spicak J, Massard J, D’amico G, Lebrec D, DeFranchis R, Fabricius S, Cai Y, Bendtsen F. Recombinant factor VIIa for variceal bleeding in patients with advanced cirrhosis: A randomized, controlled trial. HEPATOLOGY. 47:16041614. I.F.:10,73. Arena U, Vizzutti F, Abraldes JG, Corti G, Stasi C, Moscarella S, Milani S, Lorefice E, Petrarca A, Romanelli RG, Laffi G, Bosch J, Marra F, Pinzani M. Reliability of transient elastography for the diagnosis of advanced fibrosis in chronic hepatitis C. GUT. 57:1288-1293. I.F.:10,02. Kiladjian JJ, Cervantes F, Leebeek FWG, Marzac C, Cassinat B, Chevret S, Cazals-Hatem D, Plessier A, GarciaPagan JC, Murad SD, Raffa S, Janssen HLA, Gardin C, Cereja S, Tonetti C, Giraudier S, Condat B, Casadevall N, Fenaux P, Valla DC. The impact of JAK2 and MPL mutations on diagnosis and prognosis of splanchnic vein thrombosis: a report on 241 cases. BLOOD. 111:4922-4929. I.F.:10,90. Mejias M, Garcia-Pras E, Tiani C, Bosch J, Fernandez M. The somatostatin analogue octreotide inhibits angiogenesis in the earliest, but not in advanced, stages of portal hypertension in rats. J CELL MOL MED. 12:16901699. I.F.:6,81. 22 Matei V, Rodriguez-Vilarrupla A, Deulofeu R, GarciaCaldero H, Fernandez M, Bosch J, Garcia-Pagan JC. Three-day tetrahydrobiopterin therapy increases in vivo hepatic NOS activity and reduces portal pressure in CCl4 cirrhotic rats. J HEPATOL. 49:192-197. I.F.:6,64. 23 Garcia-Pagan JC, Heydtmann M, Raffa S, Plessier A, Murad S, Fabris F, Vizzini G, Abraldes JG, Olliff S, Nicolini A, Luca A, Primignani M, Janssen HLA, Valla D, Elias E, Bosch J. TIPS for Budd-Chiari syndrome: Longterm results and prognostics factors in 124 patients. GASTROENTEROLOGY. 135:808-815. I.F.:11,67. Reviews 1 2 3 4 5 6 7 8 Sanyal AJ, Bosch J, Blei A, Arroyo V. Portal hypertension and its complications. GASTROENTEROLOGY. 134:1715-1728. I.F.:11,67. Garcia-Pagan JC, Hernandez-Guerra M, Bosch J. Extrahepatic Portal Vein Thrombosis. SEMIN LIVER DIS. 28:282-292. I.F.:5,81. Bosch J, Abraldes JG, Berzigotti A, Garcia-Pagan JC. Portal hypertension and gastrointestinal bleeding. SEMIN LIVER DIS. 28:3-25. I.F.:5,81. Garcia-Tsao G, Bosch J, Groszmann RJ. Portal hypertension and variceal bleeding--unresolved issues. Summary of an American Association for the study of liver diseases and European Association for the study of the liver single-topic conference. HEPATOLOGY. 47(5):17641772. I.F.:10,73. Tiani C, Abraldes JG, Bosch J. Portal hypertension: Preprimary and primary prophylaxis of variceal bleeding. DIGEST LIVER DIS. 40:318-327. I.F.:1,98. Berzigotti A, Garcia-Pagan JC. Prevention of recurrent variceal bleeding. DIGEST LIVER DIS. 40:337-342. I.F.:1,98. Bellot P, Garcia-Pagan JC, Abraldes JG, Bosch J. Primary prophylaxis of esophageal variceal bleeding in cirrhosis. GASTROEN CLIN BIOL. 32:532-540. I.F.:0,85. Garcia-Pagan JC, DeGottardi A, Bosch J. Review article: the modern management of portal hypertension - primary and secondary prophylaxis of variceal bleeding in cirrhotic patients. ALIMENT PHARM THERAP. 28:178186. I.F.:3,20. Editorials 1 Salmeron JM, Benarroch G, Pique JM, Rodes J. Medical personnel’s careers. A useful incentive system as long as we adhere to its application principles. MED CLIN-BARCELONA. 130:393-398. I.F.:1,34. Grants for Research in Progress Bosch J. CIBER de Enfermedades hepáticas y digestivas. Grant: Ministerio de Ciencia e Innovación, CB06/04/0026. Duration: 28/07/2006-27/07/2010. Nicolau C. Evaluación de la Ecografía con contraste para la cuantificación de la angiogénesis en tumores hepáticos. Repercusiones clínicas y terapéuticas. Grant: Ministerio Sanidad y Consumo, PI050266. Duration: 01/01/200630/12/2008. 21/10/09 16:17:56 Gonzalez-Abraldes J. Enfermedad hepática por depósito de grasa y disfunción endotelial sinusoidal. Grant: Ministerio Sanidad y Consumo, PI050519. Duration: 01/01/200601/01/2009. Garcia-Pagan JC. Mecanismos moleculares de la disfunción endotelial intrahepática en la cirrosis. Nuevas dianas terapéuticas de la hipertensión portal. Grant: Ministerio Educación y Ciencia, SAF2007-61298. Duration: 01/10/2007-04/10/2010. Bosch J. Disfunción endotelial y actividad eNOs en la cirrosis. Mecanismo, significación y nuevas aplicaciones terapéuticas. Grant: Ministerio Sanidad y Consumo, PI060623. Duration: 18/10/2006-30/12/2009. Thesis Merce Fernadez Lobato. Regulación e implicación de la angiogénesis en la hipertensión portal y la cirrosis hepática. Grant: Ministerio Educación y Ciencia, SAF2005-05825. Duration: 15/10/2005-30/11/2008. Patents Jaume Bosch, Mercedes Fernandez. Treatment of portal hypertension and conditions related thereof. Jaume Bosch, Andrea de Gottardi. Catéter percutáneo y método para medir vasos de presión en vasos sanguíneos. Hepatic hemodynamics and portal hypertension. Digestive tract bleeding due to rupture of esophageal varicose veins Gilabert R. Caracterización de la placa de ateroma carotídea mediante ecografía con potenciador de señal ecográfica. Comparación con la resonancia magnética con gadolinio y el estudio histológico. Grant: Ministerio Sanidad y Consumo, PI061329. Duration: 18/10/2006-30/12/2009. Bosch J, Garcia-Pagan JC. Mecanismos fisiopatológicos que regulan el aumento de tono vascular en la cirrosis hepática: papel del cofactor de la Enos, la tetrahidrobiopterina. Premi Extraordinari de Doctorat. Doctorand: Vasilica Matei, Universitat de Barcelona. Liver, Digestive System and Metabolism Area 3 97 072-113 AREA3.indd 97 21/10/09 16:17:58 Inflammatory Bowel Disease Team Members Area 3 Liver, Digestive System and Metabolism Inflammatory bowel disease Team Leader: ■ Julián Panés (Hospital Clínic) Tel.: 93 227 54 00 (Ext.: 2779) Fax: 93 227 93 87 E-mail: [email protected] 98 IDIBAPS Members: ■ Josep Mª Bordas (Hospital Clínic) ■ Salvadora Delgado (Hospital Clínic) ■ Faust Feu (Hospital Clínic) ■ Glòria Lacima (Hospital Clínic) ■ Josep Llach (Hospital Clínic) ■ Josep M. Piqué (Hospital Clínic) ■ Elena Ricart (Hospital Clínic) ■ Azucena Salas (Hospital Clínic) ■ Miquel Sans (Hospital Clínic) Collaborators: Montserrat Aceituno (Hospital Clínic) Edgar Ayala (Hospital Clínic) Orlando García (Hospital Clínic) Salvadora Delgado (Hospital Clínic) Ingrid Ordás (Hospital Clínic) Daniel Benítez (CIBERehd) Doctoral Students: Marisol Veny (Fundació Clínic) Maria del Carme Masamunt (Fundació Clínic) Technicians: Míriam Esteller (Fundació Clínic) Jeroni Luna (Fundació Clínic) Carolina España (Ciberhed) Rut Mora (Fundació Clínic) Nurses: Anna Guerra (Hospital Clínic) Susana Pinó (Ciberhed) Marta Gallego (Hospital Clínic) Strategic Objectives The strategic objectives of the research group on inflammatory bowel disease include aspects of pathophysiology, diagnosis and treatment of thee processes, specifically, the following: • Development of new treatment strategies for Crohn disease and ulcerative colitis, focussing on cellular therapies and on identifying new therapeutic targets susceptible to modulation by drugs. • Increasing knowledge of the genetic and environmental factors responsible for susceptibility and implicated in the course of the disease in order to design personalized therapies. • Optimizing radiologic and biochemical diagnostic techniques with the aim of adapting treatment to the needs of each patient and avoiding invasive examinations. Principal Lines of Research 1. Autotransplant of hematopoietic stem cells in Crohn disease refractory to conventional treatment and biologic therapy. 072-113 AREA3.indd 98 Cultured intestinal fibroblasts. Vimentin positivity. 2. Evaluation of the efficacy and safety of therapy with autologous dendritic cells derived from peripheralblood monocytes in refractory Crohn disease. 3. Optimization of magnetic resonance imaging and ultrasound techniques with contrast medium to evaluating the extension and severity of the inflammatory lesions in Crohn disease and ulcerative colitis. 4. Evaluation of the prognostic value of radiologic findings in magnetic resonance imaging for predicting the outcome of the disease and therapeutic response. 21/10/09 16:18:02 5. Characterization of the genetic factors that determine susceptibility and phenotype of Crohn disease and ulcerative colitis. Construction of genetic diagnostic chips. 6. Study of the environmental factors that affect the susceptibility and outcome of inflammatory bowel disease. I.F.: 60,59 PublicaTions Original Articles 072-113 AREA3.indd 99 11 12 13 14 Reviews 1 Henckaerts L, Figueroa C, Vermeire S, Sans M. The role of genetics in inflammatory bowel disease. CURR DRUG TARGETS. 9:361-368. I.F.:4,04. Editorials 1 2 3 4 Salmeron JM, Benarroch G, Pique JM, Rodes J. Medical personnel’s careers. A useful incentive system as long as we adhere to its application principles. MED CLIN-BARCELONA. 130:393-398. I.F.:1,34. Reinisch W, Panes J, Lemann M, Schreiber S, Feagan B, Schmidt S, Sturniolo GC, Mikhailova T, Alexeeva O, Sanna L, Haas T, Korom S, Mayer H. A Multicenter, Randomized, Double-Blind Trial of Everolimus Versus Azathioprine and Placebo to Maintain Steroid-Induced Remission in Patients With Moderate-to-Severe Active Crohn’s Disease. AM J GASTROENTEROL. 103:22842292. I.F.:6,10. Font D, Pique JM, Guerra F, Rodes J. Establishment of clinical management in the hospital organization. MED CLIN-BARCELONA. 130:351-356. I.F.:1,34. Rodes J, Font D, Trilla A, Pique JM, Gomis R. Scientific and technical advances in biomedicine: reflection on clinical management. MED CLIN-BARCELONA. 130:553556. I.F.:1,34. Liver, Digestive System and Metabolism Area 3 Lacy AM, Delgado S, Castells A, Prins HA, Arroyo V, Ibarzabal A, Pique JM. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. ANN SURG. 248:1-7. I.F.:7,45. 2 Rodriguez S, Pages M, Castells A, DeJuan C, Bordas JM, Rimola J, Ayuso JR, Ayuso C. Dark-lumen MR colonography with fecal tagging: a comparison of water enema and air methods of colonic distension for detecting colonic neoplasms. EUR RADIOL. 18:1396-1405. I.F.:3,41. 3 Pena-Rossi C, Schreiber S, Golubovic G, Mertz-Nielsen A, Panes J, Rachmilewitz D, Shieh MJ, Simanenkov VI, Stanton D, Graffner H. Clinical trial: a multicentre, randomized, double-blind, placebo-controlled, dosefinding, phase II study of subcutaneous interferon-beta1a in moderately active ulcerative colitis. ALIMENT PHARM THERAP. 28:758-767. I.F.:3,20. 4 Fernandez-Esparrach G, Bordas JM, Llach J, Lacy A, Delgado S, Vidal J, Cardenas A, Pellise M, Gines A, Sendino O, Zabalza M, Castells A. Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients. OBES SURG. 18:155-161. I.F.:2,85. 5 Fernandez-Esparrach G, Bordas JM, Pellise M, GimenoGarcia AZ, Lacy A, Delgado S, Cardenas A, Ginies A, Sendino O, Momblan D, Zabalza M, Llach J. Endoscopic management of early GI hemorrhage after laparoscopic gastric bypass. GASTROINTEST ENDOSC. 67:552-555. I.F.:5,89. 6 Vidal A, Gomez-Gil E, Sans M, Portella MJ, Salamero M, Pique JM, Panes J. Health-related quality of life in inflammatory bowel disease patients: The role of psychopathology and personality. INFLAMM BOWEL DIS. 14:977-983. I.F.:4,71. 7 Pellise M, Fernandez-Esparrach G, Cardenas A, Sendino O, Ricart E, Vaquero E, Gimeno-Garcia AZ, DeMiguel C, Zabalza M, Gines A, Pique JM, Llach J, Castells A. Impact of wide-angle, high-definition endoscopy in the diagnosis of colorectal neoplasia: A randomized controlled trial. GASTROENTEROLOGY. 135:1062-1068. I.F.:11,67. 8 Lacy AM, Delgado S, Rojas OA, Almenara R, Blasi A, Llach J. MA-NOS radical sigmoidectomy: report of a transvaginal resection in the human. SURG ENDOSC. 22:1717-1723. I.F.:2,24. 9 Font D, Gomis R, Trilla A, Bigorra J, Pique JM, Rodes J. Organization and functioning model of biomedical research structures. Situation and future challenges. MED CLIN-BARCELONA. 130:510-516. I.F.:1,34. 10 Vidal O, Soriano-Izquierdo A, Pera M, Elizalde JI, Palacin A, Castells A, Pique JM, Volant A, Metges JP. Positi- Inflammatory bowel disease 1 ve VEGF immunostaining independently predicts poor prognosis in curatively resected gastric cancer patients: Results of a study assessing a panel of angiogenic markers. J GASTROINTEST SURG. 12:1005-1014. I.F.:2,27. Aceituno M, Garcia-Planella E, Heredia C, Zabona Y, Feu F, Domenech E, Gassull MA, Panes J. Steroid-refractory ulcerative colitis: Predictive factors of response to cyclosporine and validation in an independent cohort. INFLAMM BOWEL DIS. 14:347-352. I.F.:4,71. Herrera S, Bordas JM, Llach J, Gines A, Pellise M, Fernandez-Esparrach G, Mondelo F, Mata A, Cardenas A, Castells A. The beneficial effects of argon plasma coagulation in the management of different types of gastric vascular ectasia lesions in patients admitted for GI hemorrhage. GASTROINTEST ENDOSC. 68:440-446. I.F.:5,89. Arenas M, Gil F, Gironella M, Hernandez V, Biete A, Pique JM, Panes J. Time course of anti-inflammatory effect of low-dose radiotherapy: Correlation with TGFbeta(1) expression. RADIOTHER ONCOL. 86:399-406. I.F.:4,07. DelRio AS, Campo R, Llach J, Pons V, Mreish G, Panades A, Parra A. Variation among Endoscopy Units in the Achievement of the Standards of Colonoscopic Performance Indicators. HEPATO-GASTROENTEROL. 55:1594-1599. I.F.:0,90. 99 21/10/09 16:18:05 5 Sans M, Castells A. Ulcerative Colitis and Crohn’s Disease Genetics: More Similar Than We Thought?. GASTROENTEROLOGY. 135:1796-1798. I.F.:11,67. Grants for Research in Progress Inflammatory bowel disease Panes J. NoE - European Molecular Imaging Laboratories. Grant: European Commision, LSHC-CT-2004-503569. Duration: 01/07/2004-30/06/2009. Sans M. Development of a new DNA array-based diagnostic system (IBDchip) to predict clinical course, development of complications, and response to therapy in patients with inflammatory bowel disease (IBD). Grant: European Commision, LSHB-CT-2006-037319. Duration: 01/12/200630/11/2009. Pique JM. Grup de recerca clínica i experimental de les lesions inflamatòries i neoplàsiques gastrointestinals. Grant: Comissionat per a Universitats i Recerca, 2005SGR00423. Duration: 19/10/2005-31/12/2008. Area 3 Liver, Digestive System and Metabolism Sans M. Development of a new DNA array-based diagnostic system (“IBDCHIP”) to predict clinical course, development of complications, and response to therapy in patients with Inflammatory Bowel Disease (IBD). Grant: Ministerio Sanidad y Consumo, AI07/90033. Duration: 26/10/2007-30/12/2009. Panes J. CIBER de Enfermedades hepáticas y digestivas. Grant: Ministerio Sanidad y Consumo, CB06/04/0018. Duration: 28/07/2006-27/07/2010. Sans M. Estudio de los principales determinantes moleculares implicados en la fibrosis intestinal en la enfermedad de Crohn. Evaluación de estrategias de tratamiento anti-fibrogénico. Grant: Ministerio Educación y Ciencia, SAF200500280. Duration: 31/12/2005-31/12/2008. Panes J. Análisis de expresión génica en la enfermedad inflamatoria intestinal: relación con el fenotipo, progresión de la enfermedad y espuesta al tratamiento. Grant: Ministerio Educación y Ciencia, SAF2006-03074. Duration: 01/10/2006-30/09/2009. Salas A. Papel de las integrinas alfa4 en la génesis de la enfermedad inflamatoria intestinal y valor terapéutico de su bloqueo mediante pequeñas moléculas. Grant: Ministerio Educación y Ciencia, SAF2005-3755. Duration: 01/01/2006-31/12/2008. Panes J. Desarrollo de un Kit diagnóstico para las enfermedades inflamatorias mediadas por mecanismos inmunes (IMID-kit). Grant: Ministerio Educación y Ciencia, PSE-010000-2006-6. Duration: 01/01/2006-31/12/2009. Panes J, Cañete J. Desarrollo de un kit diagnóstico para las enfermedades inflamatorias mediadas por mecanismos inmunes (IMID-Kit). Subproyecto 1: Estudio de asociación de genoma completo en las enfermedades inflamatorias mediadas por mecanismos inmunes. Grant: Ministerio Educación y Ciencia, PSE-010000-2008-9. Duration: 01/01/2008-31/12/2009. Thesis Panes J. Mecanismos moleculares responsables del efecto anti-inflamatorio de los probióticos en la enfermedad inflamatoria Intestinal. Doctorand: Sandra Milena Angulo Preciador. Panes J. Efectes antiinflamatoris de la radioteràpia a dosis baixes en un model experimental d’inflamació sistèmica. Doctorand: Meritxell Arenas Prat. 100 072-113 AREA3.indd 100 21/10/09 16:18:07 Liver Failure and Cholestasis Team members Team Leader: ■ Albert Parés (Hospital Clínic) Tel.: 93 227 57 53 Fax: 93 451 55 22 E-mail: [email protected] Doctoral Students: Marina Gorga (Fundació Clínic) Pau Bosch (Fundació Clínic) Strategic Objectives Principal Lines of Research 1.Epidemiology, natural history and therapeutic response of chronic cholestatic diseases in adults Determine the prevalence and incidence of cholestatic diseases in adults in Spain and define the factors associated with the form of presentation of primary biliary cirrhosis, basically the asymptomatic forms. Evaluate the therapeutic response factors and propose new therapeutic regimens in patients with suboptimal response to ursodeoxycholic acid. Relevance of the AE2 anion exchanger. acid fractions and their conjugate pairs eliminated by the MARS system and their relationship with reduced pruritus. 4. Pathogenesis of osteoporosis and development of fractures in primary biliary cirrhosis and other chronic cholestatic diseases In collaboration with the Bone Metabolic Disease group, evaluate the factors involved in the development of fractures in primary biliary cirrhosis and propose new therapeutic regimens to increase bone mass. Investigate the repercussion of biliary acids and bilirubin retained in cholestasis on the development of bone disease. 5.Artificial liver support Evaluate the safety and efficacy of different bioartificial liver procedures and liver support for the treatment of acute liver failure and acute-phase chronic liver failure. Randomized, open-ended, prospective study (versus conventional treatment) with cryopreserved human liver cells from organs not suitable for transplant. Liver, Digestive System and Metabolism Area 3 1. Study of the epidemiology, pathogenesis, diagnosis and treatment of chronic cholestatic diseases in adults and of autoimmune hepatitis. 2. Discovery of the pathogenetic mechanisms of pruritus and osteoporosis of primary biliary cirrhosis. 3. Definition of the therapeutic potential of different artificial liver support procedures in liver failure. Technicians: Rebeca Quesada (Fundació Clínic) Liver failure and cholestasis IDIBAPS Members: ■ Antoni Mas (Hospital Clínic) 2. Diagnosis of autoimmune hepatitis Design of a new diagnostic procedure for autoimmune hepatitis by means of peptide mapping - a project that is being carried out in collaboration with six European centers and one Israeli center. 101 3. Pruritus in chronic cholestasis and therapeutic response to albumin dialysis: proteomic analysis Evaluation of the therapeutic response using albumin dialysis in patients with chronic cholestasis and refractory pruritus and identification of peptides and proteins eliminated by the MARS system. Study of the skin of these patients to identify potential molecules associated with the pruritus. Evaluation of the biliary 072-113 AREA3.indd 101 Bidimensional gel of plasma from a patient with primary biliary cirrhosis and refractory pruritus before MARS treatment. 21/10/09 16:18:13 PublicaTions Original Articles Hennes EM, Zeniya M, Czaja AJ, Pares A, Dalekos GN, Krawitt EL, Bittencourt PL, Porta G, Boberg KM, Hofer H, Bianchi FB, Shibata M, Schramm C, DeTorres BE, Galle PR, Mcfarlane I, Dienes HP, Lohse AW. Simplified criteria for the diagnosis of autoimmune hepatitis. HEPATOLOGY. 48:169-176. I.F.:10,73. Pares A. Tratamiento del prurito refractario de la colestasis mediante diálisis con albumina. Estudios moleculares. Grant: Ministerio Educación y Ciencia, SAF2005-03649. Duration: 31/12/2005-31/12/2008. Pares A. Enfermedades hepáticas autoinmunes. Nuevos procedimientos diagnósticos mediante mapeo peptídico. Grant: Instituto de Salud Carlos III, PI07/1318E (E-RARE). Duration: 01/01/2008-31/12/2010. Grants for Research in Progress Pares A. Enfermedades hepáticas y digestivas. Grant: Instituto de Salud Carlos III, CB06/04/0015. Duration: 28/07/200627/07/2010. Area 3 Liver, Digestive System and Metabolism Liver failure and cholestasis 1 I.F.: 10,73 102 072-113 AREA3.indd 102 21/10/09 16:18:15 Mitochondrial Regulation of Cell Death and Steatohepatitis Team members Team Leader: ■ José Carlos Fernández-Checa (IIBB-CSIC) Tel.: 93 227 57 09 E-mail: [email protected] Collaborators: Laura Conde de la Rosa (CSIC) Claudia Von Montfort (CSIC) Laura Llacuna (IDIBAPS) Anna Moles (FIS) Joan Montero (McyT) Raquel Fucho (CIBERehd) Nuria Matias (MCyT) Nuria Tarrats (FIS) Doctoral Students: Francisco Caballero (FIS) Anna Fernández (McyT) Technicians: Alberto Garcia Martinez (Ciberehd) Susana Núñez Pozuelo (Ciberehd) 1. Determine intracellular signalling and the role of mitochondria in cellular susceptibility in inflammation processes, hypoxia and chemotherapy and their relevance in (hepato) carcinogenesis. 2. Determine the cholesterol-regulating role of sphingolipids in cell death and in liver-cell damage due to ischemia/reperfusion. 3. Analysis and role of free cholesterol in patients with nonalcoholic steatohepatitis. 4. Contribution of the physicochemical properties of the mitochondrial membrane in cell death. Principal Lines of Research 1.Mechanisms of liver-cell damage due to ischemia/ reperfusion and its regulation by means of antioxidant and anti-inflammatory strategies. 2. Regulation of cell death due to mitochondrial oxidative stress and sphingolipids. 3.Regulation of cholesterol homeostasis in patients and experimental models of nonalcoholic steatohepatitis. 4.Mechanisms responsible for mitochondrial transit of cholesterol. 5. Role of cholesterol in the response of liver cell carcinoma to chemotherapy. 6.Role of cholesterol and mitochondrial GSH in Alzheimer disease. 7.Contribution of acid sphingomyelinase in hepatic fibrosis. Liver, Digestive System and Metabolism Area 3 Strategic Objectives Mitochondrial regulation of cell death and steatohepatitis IDIBAPS Members: ■ Joan Caballeria (Hospital Clínic) ■ Anna Colell (IIBB-CSIC) ■ Carmen García Ruíz (IIBB-CSIC) ■ Montserrat Marí (IDIBAPS) ■ Albert Morales (IDIBAPS) Two lines in which we have obtained important results are: 103 1.Identification of mitochondrial cholesterol as a mechanism of resistance to chemotherapy in liver cell carcinoma Mitochondrial dysfunction is one of the characteristics of tumor cells that results in greater dependence on aerobic glycolysis, known as the Warburg effect. One of the mechanisms involved in this process is the accumulation of cholesterol in the mitochondrion, which reduces the function of electronic transport to phos- 072-113 AREA3.indd 103 21/10/09 16:18:20 Mitochondrial regulation of cell death and steatohepatitis phorylative oxidation. Our studies in cells and mouse models of liver cell carcinoma have shown that cholesterol accumulates in the external and internal mitochondrial membrane due to the overexpression of a specific transporter, StAR, contributing to greater resistance to chemotherapy. Reduction of the level of mitochondrial cholesterol by genetic silencing of StAR generates sensitivity to the therapeutic action of doxorubicin. These data show that mitochondrial cholesterol may be a new therapeutic target in the treatment of liver cell carcinoma. 2. Role of the peroxidated cardiolipin in permeabilization of the mitochondrial membrane by TNF and Bax Permeabilization of the mitochondrial membrane is an essential mechanism in apoptosis as it allows the release of cytochrome c into the cytosol and the assembly of the apoptosome. However, this mechanism of death induced by TNF is not fully understood. Comparing intracellular signalling of TNF in conditions of simula- PublicaTions ted mitochondrial GSH (GSHm), we have observed a greater susceptibility to TNF that is not associated with important changes in the premitochondrial pathway or in the translocation and oligomerization of Bax in the mitochondrial membrane, or oxidative changes in the proteomic profile of the mitochondrion. Only after the reduction of GSHm do we observe permeabilization of the mitochondrial membrane despite the incorporation and oligomerization of Bax. The analysis of the lipid composition reveals peroxidation of cardiolipin (CLOOH) after treatment with TNF and reduction of GSHm. The incorporation of CLOOH into the liposome bilayer shows that its presence increases the permeabilizing action of oligomerized Bax due to the restructuring of the lipid bilayer and induction of the transition of the lamellar structure to an inverted hexagonal structure. Our studies therefore show that CLOOH is a critical determinant in regulating the permeabilization of the mitochondrial membrane and, therefore, regulation of the death of liver cells, with the implications that this involves in important liver diseases. I.F.: 25,45 Original Articles Area 3 Liver, Digestive System and Metabolism 1 2 3 Dominguez M, Rincon D, Abraldes JG, Miquel R, Colmenero J, Bellot P, Garcia-Pagan JC, Fernandez R, Moreno M, Banares R, Arroyo V, Caballeria J, Gines P, Bataller R. A New Scoring System for Prognostic Stratification of Patients With Alcoholic Hepatitis. AM J GASTROENTEROL. 103:2747-2756. I.F.:6,10. Mari M, Colell A, Morales A, Caballero F, Moles A, Fernandez A, Terrones O, Basanez G, Antonsson B, Garcia-Ruiz C, Fernandez-Checa JC. Mechanism of mitochondrial glutathione-dependent hepatocellular susceptibility to TNF despite NF-kappa B activation. GASTROENTEROLOGY. 134:1507-1520. I.F.:11,67. Montero J, Morales A, Llacuna L, Lluis JM, Terrones O, Basanez G, Antonsson B, Prieto J, Garcia-Ruiz C, Colell A, Fernandez-Checa JC. Mitochondrial cholesterol contributes to chemotherapy resistance in hepatocellular carcinoma. CANCER RES. 68:5246-5256. I.F.:7,67. Grants for Research in Progress Fernández-Checa JC. H36071. USC-UCLA Research Center for Alcoholic Liver and Pancreatic Injury Research Project#1. Grant: National Institutes of Health - EU, 5P50AA011999-09. Duration: 01/01/2004-31/12/2008. 104 Caballeria J. Homeostasis del colesterol libre hepático en la esteatohepatitis no alcohólica. Implicaciones fisiopatológicas y terapéuticas de su regulación. Grant: Ministerio Sanidad y Consumo, PI060085. Duration: 18/10/2006-30/12/2009. 072-113 AREA3.indd 104 Morales A. Esfingolípidos en cáncer hepático y colorectal: regulación e implicaciones terapéuticas. Grant: Ministerio Sanidad y Consumo, PI060395. Duration: 18/10/200630/12/2009. Mari M. Catepsinas en la Fibrosis Hepática: Regulación por TNF. Grant: Ministerio Sanidad y Consumo, PI070193. Duration: 26/11/2007-30/12/2010. Colell A. Mitocondria, colesterol y beta-amiloide: implicación en la enfermedad de Alzheimer. Grant: Ministerio Educación y Ciencia, SAF2005-03923. Duration: 07/10/200507/10/2008. García C. Papel del SREBP2 en la susceptibilidad hepatocelular al fator de necrosis tumoral: relvancia en la esteatohepatitis. Grant: Ministerio Educación y Ciencia, SAF2005-03943. Duration: 01/10/2006-30/10/2008. Fernández-Checa JC. Papel de la caveolina 1, STAR y PBR en el tráfico de colesterol a la mitocondria: relevancia en la esteatohepatitis y la neurodegeneración en la enfermedad de Niemann-Pick. Grant: Ministerio Educación y Ciencia, SAF2006-06780. Duration: 01/01/2007-31/12/2009. Fernández-Checa JC. Mitochondria, signaling lipids and alcoholic liver disease. Research Subproject 1. UCLA-USC Research Center for alcoholic liver and pancreatic diseases. Grant: National Institute Alcohol Abuse and Alcoholism. Duration: 01/01/2004-31/12/2008. 21/10/09 16:18:22 Liver Transplant and Graft Viability Team members Team Leader: ■ Antoni Rimola (Hospital Clínic) Tel.: 93 227 57 53 Fax: 93 451 55 22 E-mail: [email protected] Technicians: Anna Rodríguez (IDIBAPS) Xavier Muñoz (CIBERehd) María Dintel (IDIBAPS) Nurses: Pilar Sesé (IDIBAPS) Strategic Objectives Investigate clinical aspects pathogenic mechanisms and therapeutic aspects of liver transplant. Principal Lines of Research 1.Conservation liver damage, with special interest in lesions due to ischemia/reperfusion in different models: warm ischemia and experimental transplant in rats with normal grafts, reduced grafts or steatotic grafts; experimental transplant in pigs with whole or partial grafts or grafts obtained from asystolic donors; and liver transplant in humans. 2.Immunosuppression with special interest in three fields: immunologic tolerance to allografts, determination of biomarkers of the effect of immunosuppressants and identification of populations with different risks of rejection. 072-113 AREA3.indd 105 Liver, Digestive System and Metabolism Area 3 Collaborators: Felix Bohne (CIBERehd) David Calatayud (Hospital Clínic) Jose Fuster (Hospital Clínic) Olga Sánchez García (CIBERehd) Marta Massip (CIBERehd) Carme Xaus (IDB-CSIC) Ismael Ibn Ben Mosbah (IDB-CSIC) Marta López (IDIBAPS) Doctoral Students: Marc Martínez Llordella (MEyC) Isabel Puig-Pey (IDIBAPS) Lourdes Rafael-Valdivia (Fundació Clínic) Belinda Martínez (Fundació Clínic) Araní Casillas (Soc. Catalana de Trasplantament) Amine Zauali (IDIBAPS) Susana Padrissa (MCyT) Isabel Fernández-Monteiro (IDIBAPS) Mariangeles Bintanel (IDIBAPS) Liver transplant and graft viability IDIBAPS Members: ■ Constantino Fondevila (Hospital Clínic) ■ Juan C. García-Valdecasas (Hospital Clínic) ■ Xavier González Argente (Hospital Clínic) ■ Martí Manyalich (Hospital Clínic) ■ Carmen Peralta (IIBB-CSIC) ■ Joan Rosselló-Catafau (IIBB-CSIC) ■ Albert Sánchez Fueyo (Hospital Clínic) 105 American ex vivo perfusion machine with oxygenation for the liver. The essential elements are a receptacle with the organ, a perfusion pump, and oxygenator and a heater. Bile from the perfused liver can be seen coming out of the graft. 21/10/09 16:18:25 I.F.: 42,78 PublicaTions Original Articles 1 Liver transplant and graft viability 2 3 4 Area 3 Liver, Digestive System and Metabolism 5 6 Marti J, Charco R, Ferrer J, Calatayud D, Rimola A, Navasa M, Fondevila C, Fuster J, Garcia-Valdecasas JC. Optimization of liver grafts in liver retransplantation: A European single-center experience. SURGERY. 144:762769. I.F.:3,00. Martinez-Llordella M, Lozano JJ, Puig-Pey I, Orlando G, Tisone G, Lerut J, Benitez C, Pons JA, Parrilla P, Ramirez P, Bruguera M, Rimola A, Sanchez-Fueyo A. Using transcriptional profiling to develop a diagnostic test of operational tolerance in liver transplant recipients. J CLIN INVEST. 118:2845-2857. I.F.:16,92. Casillas-Ramirez A, Amine-Zaouali M, Massip-Salcedo M, Padrissa-Altes S, Bintanel-Morcillo M, Ramalho F, Serafin A, Rimola A, Arroyo V, Rodes J, Rosello-Catafau J, Peralta C. Inhibition of angiotensin II action protects rat steatotic livers against ischemia-reperfusion injury. CRIT CARE MED. 36:1256-1266. I.F.:6,28. Massip-Salcedo M, Zaouah MA, Padrissa-Altes S, Casiflas-Ramirez A, Rodes J, Rosello-Catafau J, Peralta C. Activation of peroxisome proliferator-activated receptor-alpha inhibits the injurious effects of adiponectin in rat steatotic liver undergoing ischemia-reperfusion. HEPATOLOGY. 47:461-472. I.F.:10,73. Fondevila C, Shen XD, Tsuchihashi S, Uchida Y, Freitas MC, Ke B, Busuttil RW, Kupiec-Weglinski JW. The membrane attack complex (C5b-9) in liver cold ischemia and reperfusion injury. LIVER TRANSPLANT. 14:1133-1141. I.F.:3,75. Orlando G, Manzia T, Baiocchi L, Sanchez-Fueyo A, Angelico M, Tisone G. The Tor Vergata weaning off immunosuppression protocol in stable HCV liver transplant patients: The updated follow up at 78 months. TRANSPL IMMUNOL . 20:43-47. I.F.:2,09. Bruguera M. Búsqueda de marcadores inmunológicos de tolerancia en el transplante hepático. Grant: Ministerio Sanidad y Consumo, PI050367. Duration: 01/01/200630/12/2008. Fondevila C. Estudio de la perfusión normotérmica como método de preservación en el trasplante hepático de donante a corazón parado e el cerdo. Grant: Ministerio Sanidad y Consumo, PI050610. Duration: 01/01/2006-30/12/2008. Roselló J. Papel del sistema renina-angiotensina en el trasplante hepático experimental con injerto de tamaño reducido. Grant: Ministerio Educación y Ciencia, SAF2005-00385. Duration: 07/10/2005-07/10/2008. Sanchez A. Affording Recovery in StrokeCentre coordinador: Charité - Universitaetsmedizin Berlin. Grant: Charité - Universitaetsmedizin Berlin, 201024. Duration: 01/03/200828/02/2013. Garcia-Valdecasas JC. Curso Dr. Valdecasas. Grant: Fundació Clínic per a la Recerca Biomèdica. Duration: 01/01/200831/12/2100. Carmen Peralta. Mecanismos de protección del precondicionamiento isquémico en el injerto esteatosico. Grant: Instituto de Salud Carlos III, PI060021. Duration: 18/10/200630/12/2009. Carmen Peralta. Preservación del injerto hepático. Grant: Agencia de Gestión de Ayudas Universitarias, SGR200500781. Duration: 01/01/2006-31/12/2008. Roselló J. Mejora de las soluciones de preservación para trasplante hepático. Grant: Ministerio de Asuntos Exteriores. Duration: 01/01/2007-31/12/2009. Grants for Research in Progress Patents Manyalich M. European Living Donation and Public Health. Grant: European Commision, 2006211. Duration: 01/05/2007-31/10/2009. Carmen Peralta, Joan Roselló-Catafau, Ismail Ben . Solución aquosa para la preservación de tejidos y órganos. Sanchez A. IP: Reprogramming the Immune System for the Establishment of Tolerance. Grant: European Commision, 512090. Duration: 01/09/2007-28/02/2010. Constantino Fondevila, Angel Ruiz, Juan Carlos GarcíaValdecasas. Dispositivo para la preservación de un injerto hepático en condiciones de normotermia. 106 072-113 AREA3.indd 106 21/10/09 16:18:28 Gastrointestinal and Pancreatic Oncology Team members Team Leader: ■ Antoni Castells (Hospital Clínic) Tel.: 93 227 54 18 Fax: 93 227 93 87 E-mail: [email protected] Mª Dolores Giráldez (Hospital Clínic) María López-Cerón Pinilla (Fundació Clínic) Josep Maria Roig Camacho (CIBERehd, Hospital Clínic) Doctoral Students: Victòria Gonzalo (Hospital Clínic) Oriol Sendino (Hospital Clínic) Mariana Rickmann (Hospital Clínic) Nurses: Teresa Ocaña (Hospital Clínic) Cristina Rodríguez de Miguel (Fundació Clínic) Anna Serradesanferm Fabregas (IDIBAPS) Technicians: Jennifer Muñoz (CIBERehd, Hospital Clínic) Georgina Ramirez Ramal (Fundació Clínic) Strategic Objectives Principal Lines of Research Increase knowledge regarding the mechanisms involved in the development and progression of premalignant and malignant gastrointestinal and pancreatic lesions in order to establish new diagnostic, therapeutic and/or preventive strategies. The activity of the Research Group on Gastrointestinal and Pancreatic Oncology is divided into four areas and these areas are divided into different lines of research: 1. Pathophysiology of colorectal cancer • Hereditary forms of colorectal cancer, screening and surveillance •Genetic susceptibility to colorectal cancer •Epigenetics of colorectal cancer 2. Pathophysiology of pancreatic cancer • Implication of microRNA in pancreatic cancer • Epithelial-mesenchymal transition in local and metastatic spread of pancreatic cancer Liver, Digestive System and Metabolism Area 3 Collaborators: Francesc Balaguer (Hospital Clínic) Glòria Fernández (Hospital Clínic) Pere Gambús(Hospital Clínic) Eva Vaquero (Hospital Clínic) Virginia Alonso Espinaco (CIBERehd, Hospital Clínic) Meritxell Gironella Cos (CIBERehd. Hospital Clínic) Gastrointestinal and pancreatic oncology IDIBAPS Members: ■ Juan Ramon Ayuso (Hospital Clínic) ■ Sergi Castellví (Fundació Clínic) ■ José Ignacio Elizalde (Hospital Clínic) ■ Laureano Fernández-Cruz (Hospital Clínic) ■ Àngels Ginès(Hospital Clínic) ■ Isabel González (IDIBAPS) ■ Antonio Lacy (Hospital Clínic) ■ Salvador Navarro (Hospital Clínic) ■ Maria Pellisé (Hospital Clínic) 107 3. Research and innovation in endoscopy • Endoscopic ultrasound • Advanced diagnostic techniques • Endoscopic therapies Microsatellite instability analysis. 072-113 AREA3.indd 107 4. Research and innovation in surgery • Surgery of colorectal cancer • Surgery of pancreatic cancer 21/10/09 16:18:33 PublicaTions Original Articles Area 3 Liver, Digestive System and Metabolism Gastrointestinal and pancreatic oncology 1 108 Sanjuan A, Escaramis G, Ayuso JR, Roman SM, Torne A, Ordi J, Lejarcegui JA, Pahisa J. Role of magnetic resonance imaging and cause of pitfalls in detecting myometrial invasion and cervical involvement in endometrial cancer. ARCH GYNECOL OBSTET. 278:535-539. I.F.:0,67. 2 Lacy AM, Delgado S, Castells A, Prins HA, Arroyo V, Ibarzabal A, Pique JM. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. ANN SURG. 248:1-7. I.F.:7,45. 3 Rodriguez S, Pages M, Castells A, DeJuan C, Bordas JM, Rimola J, Ayuso JR, Ayuso C. Dark-lumen MR colonography with fecal tagging: a comparison of water enema and air methods of colonic distension for detecting colonic neoplasms. EUR RADIOL. 18:1396-1405. I.F.:3,41. 4 Forner A, Vilana R, Ayuso C, Bianchi L, Sole M, Ayuso JR, Boix L, Sala M, Varela M, Llovet JM, Bru C, Bruix J. Diagnosis of hepatic nodules 20 mm or smaller in cirrhosis: Prospective validation of the noninvasive diagnostic criteria for hepatocellular carcinoma. HEPATOLOGY. 47:97-104. I.F.:10,73. 5 Turnes J, Garcia-Pagan JC, Gonzalez M, Aracil C, Calleja JL, Ripoll C, Abraldes JG, Banares R, Villanueva C, Albillos A, Ayuso JR, Gilabert R, Bosch J. Portal Hypertension-Related Complications After Acute Portal Vein Thrombosis: Impact of Early Anticoagulation. CLIN GASTROENTEROL H. 6:1412-1417. I.F.:5,47. 6 Fernandez-Esparrach G, Bordas JM, Llach J, Lacy A, Delgado S, Vidal J, Cardenas A, Pellise M, Gines A, Sendino O, Zabalza M, Castells A. Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients. OBES SURG. 18:155-161. I.F.:2,85. 7 Fernandez-Esparrach G, Bordas JM, Pellise M, GimenoGarcia AZ, Lacy A, Delgado S, Cardenas A, Ginies A, Sendino O, Momblan D, Zabalza M, Llach J. Endoscopic management of early GI hemorrhage after laparoscopic gastric bypass. GASTROINTEST ENDOSC. 67:552-555. I.F.:5,89. 8 Pellise M, Fernandez-Esparrach G, Cardenas A, Sendino O, Ricart E, Vaquero E, Gimeno-Garcia AZ, DeMiguel C, Zabalza M, Gines A, Pique JM, Llach J, Castells A. Impact of wide-angle, high-definition endoscopy in the diagnosis of colorectal neoplasia: A randomized controlled trial. GASTROENTEROLOGY. 135:1062-1068. I.F.:11,67. 9 Lacy AM, Delgado S, Rojas OA, Almenara R, Blasi A, Llach J. MA-NOS radical sigmoidectomy: report of a transvaginal resection in the human. SURG ENDOSC. 22:1717-1723. I.F.:2,24. 10 Vidal O, Soriano-Izquierdo A, Pera M, Elizalde JI, Palacin A, Castells A, Pique JM, Volant A, Metges JP. Positive VEGF immunostaining independently predicts poor prognosis in curatively resected gastric cancer patients: Results of a study assessing a panel of angiogenic markers. J GASTROINTEST SURG. 12:1005-1014. I.F.:2,27. 072-113 AREA3.indd 108 I.F.: 144,61 11 Herrera S, Bordas JM, Llach J, Gines A, Pellise M, Fernandez-Esparrach G, Mondelo F, Mata A, Cardenas A, Castells A. The beneficial effects of argon plasma coagulation in the management of different types of gastric vascular ectasia lesions in patients admitted for GI hemorrhage. GASTROINTEST ENDOSC. 68:440-446. I.F.:5,89. 12 Tomlinson IPM, Webb E, Carvajal-Carmona L, Broderick P, Howarth K, Pittman AM, Spain S, Lubbe S, Walther A, Sullivan K, Jaeger E, Fielding S, Rowan A, Vijayakrishnan J, Domingo E, Chandler I, Kemp Z, Qureshi M, Farrington SM, Tenesa A, Prendergast JGD, Barnetson RA, Penegar S, Barclay E, Wood W, Martin L, Gorman M, Thomas H, Peto J, Bishop DT, Gray R, Maher ER, Lucassen A, Kerr D, Evans DGR, Schafmayer C, Buch S, Volzke H, Hampe J, Schreiber S, John U, Koessler T, Pharoah P, VanWezel T, Morreau H, Wijnen JT, Hopper JL, Southey MC, Giles GG, Severi G, Castellvi-Bel S, Ruiz-Ponte C, Carracedo A, Castells A, Forsti A, Hemminki K, Vodicka P, Naccarati A, Lipton L, Ho JWC, Cheng KK, Sham PC, Luk J, Agundez JAG, Ladero JM, DeLaHoya M, Caldes T, Niittymaeki I, Tuupanen S, Karhu A, Aaltonen L, Cazier JB, Campbell H, Dunlop MG, Houlston RS. A genome-wide association study identifies colorectal cancer susceptibility loci on chromosomes 10p14 and 8q23.3. NAT GENET. 40:623630. I.F.:25,56. 13 Bessa X, Balleste B, Andreu M, Castells A, Belosillo B, Balaguer F, Castellvi-Bel S, Paya A, Jover R, Alenda C, Tito L, Martinez-Villacampa M, Vilella A, Xicola RM, Pons E, Llor X. A prospective, multicenter, populationbased study of BRAF mutational analysis for lynch syndrome screeningand. CLIN GASTROENTEROL H. 6:206-214. I.F.:5,47. 14 Sendino O, Pellise M, Ghita G, Sole M, Rimola J, Gines A. Aspergillus mediastinitis diagnosed by EUS-guided FNA. GASTROINTEST ENDOSC. 67:153-153. I.F.:5,89. 15 Morinigo R, Vidal J, Lacy AM, Delgado S, Casamitjana R, Gomis R. Circulating peptide YY, weight loss, and glucose homeostasis after gastric bypass surgery in morbidly obese subjects. ANN SURG. 247:270-275. I.F.:7,45. 16 Balmana J, Balaguer F, Castellvi-Bel S, Steyerberg EW, Andreu M, Llor X, Jover R, Castells A, Syngal S. Comparison of predictive models, clinical criteria and molecular tumour screening for the identification of patients with Lynch syndrome in a population-based cohort of colorectal cancer patients. J MED GENET. 45:557-563. I.F.:5,54. 17 Dar AA, Zaika A, Piazuelo MB, Correa P, Koyama T, Belkhiri A, Washington K, Castells A, Pera M, El-Rifai W. Frequent overexpression of Aurora Kinase A in upper gastrointestinal adenocarcinornas correlates with potent antiapoptotic functions. CANCER. 112:1688-1698. I.F.:4,63. 18 Fernandez-Cruz L, Blanco L, Cosa R, Rendon H. Is laparoscopic resection adequate in patients with neuroendocrine pancreatic tumors?. WORLD J SURG. 32:904-917. I.F.:1,78. 21/10/09 16:18:35 1 Giradez MD, Castellvi-Bel S, Balaguer F, Gonzalo V, Ocana T, Castells A. Lynch syndrome in colorectal cancer patients. EXPERT REV ANTICANC. 8:573-583. I.F.:1,99. Castells A. Cribado del cáncer colorrectal en población de riesgo intermedio: estudio multicéntrico, aleatorizado y controlado en el que se compara la prueba de detección de sangre oculta en heces mediante método inmunológico y la colonoscopia. Grant: Fundación de la Asociación Española Contra el Cáncer (AECC), AECC_07/185. Duration: 07/05/2007-06/05/2010. Castells A. CIBER de Enfermedades Hepáticas y Digestivas. Grant: Ministerio Sanidad y Consumo, CB06/04/0016. Duration: 28/07/2006-27/07/2010. Castellvi S. Polimorfismos en genes candidatos involucrados en cáncer colorrectal familiar: caracterización de componentes genéticos comunes y de baja penetrancia de susceptibilidad para el desarrollo y predicción de la respuesta al tratamiento del cáncer colorrectal. Grant: Ministerio Sanidad y Consumo, PI050071. Duration: 01/01/2006-30/12/2008. Gines A. Ultrasonografía endoscópica con o sin punción aspirativa, tomografía computarizada multidetector y resonancia magnética en el estudio de extensión locorregional del cáncer de recto. Estudio prospectivo y comparativo. Grant: Instituto de Salud Carlos III, PI06/90464. Duration: 01/01/2007-30/12/2008. Castells A. Hipermetilación de la región promotora de los genes MLH1, MGMT, CDKN2A, RASSF1A, CDX1 y SFRP1 en mucosa colorrectal no tumoral como factor favorecedor del desarrollo del cáncer colorrectal. Grant: Ministerio Educación y Ciencia, SAF2007-64873. Duration: 01/10/200704/10/2010. Castellvi S. Canvi de senyalització del receptor CD95 durant l’adquisició de quimioresistència en càncer de cólon. Grant: Fundación de la Asociación Española Contra el Cáncer (AECC), AECC_07_009. Duration: 16/02/2008-15/02/2010. Editorials 1 2 Sans M, Castells A. Ulcerative Colitis and Crohn’s Disease Genetics: More Similar Than We Thought?. GASTROENTEROLOGY. 135:1796-1798. I.F.:11,67. Castells A. MYH-Associated Polyposis: Adenomas and Hyperplastic Polyps, Partners in Crime?. GASTROENTEROLOGY. 135:1857-1859. I.F.:11,67. Castellvi S. Caracterización clínica, histológica y molecular del cáncer colorrectal diagnosticado antes de los 50 años. Grant: Fundación de Investigación Médica Mutua Madrileña, 08/246. Duration: 21/07/2008-20/07/2010. Multicentrics Pellise M. Técnicas de endoscopia avanzada para la optimización del manejo de los pacientes con enfermedades colorrectales. Grant: Instituto de Salud Carlos III, PI07/90174. Duration: 31/01/2008-30/12/2009. 1 Thesis Phitayakorn R, Delaney CP, Reynolds HL, Champagne BJ, Heriot AG, Neary P, Senagore AJ. Standardized algorithms for management of anastomotic leaks and related abdominal and pelvic abscesses after colorectal surgery. WORLD J SURG. 32:1147-1156. I.F.:1,78. 072-113 AREA3.indd 109 Liver, Digestive System and Metabolism Area 3 Reviews Grants for Research in Progress Gastrointestinal and pancreatic oncology 19 Fernandez-Cruz L, Cosa R, Blanco L, Lopez-Boado MA, Astudillo E. Pancreatogastrostomy With Gastric Partition After Pylorus-Preserving Pancreatoduodenectomy Versus Conventional Pancreatojejunostomy A Prospective Randomized Study. ANN SURG. 248:930-938. I.F.:7,45. 20 Pittman AM, Webb E, Carvajal-Carmona L, Howarth K, DiBernardo MC, Broderick P, Spain S, Walther A, Price A, Sullivan K, Twiss P, Fielding S, Rowan A, Jaeger E, Vijayakrishnan J, Chandler I, Penegar S, Qureshi M, Lubbe S, Domingo E, Kemp Z, Barclay E, Wood W, Martin L, Gorman M, Thomas H, Peto J, Bishop T, Gray R, Maher ER, Lucassen A, Kerr D, Evans GR, VanWezel T, Morreau H, Wijnen JT, Hopper JL, Southey MC, Giles GG, Severi G, Castellvi-Bel S, Ruiz-Ponte C, Carracedo A, Castells A, Forsti A, Hemminki K, Vodicka P, Naccarati A, Lipton L, Ho JWC, Cheng KK, Sham PC, Luk J, Agundez JAG, Ladero JM, DeLaHoya M, Caldes T, Niitymaki I, Tuupanen S, Karhu A, Aaltonen LA, Cazier JB, Tomlinson IPM, Houlston RS. Refinement of the basis and impact of common 11q23.1 variation to the risk of developing colorectal cancer. HUM MOL GENET. 17:3720-3727. I.F.:7,81. 21 Vidal J, Ibarzabal A, Romero F, Delgado S, Momblan D, Flores L, Lacy A. Type 2 diabetes mellitus and the metabolic syndrome following sleeve gastrectomy in severely obese subjects. OBES SURG. 18:1077-1082. I.F.:2,85. 22 Balaguer F, Balmana J, Castellvi-Bel S, Steyerberg EW, Andreu M, Llor X, Jover R, Syngal S, Castells A. Validation and extension of the PREMM1,2 model in a population- based cohort of colorectal cancer patients. GASTROENTEROLOGY. 134:39-46. I.F.:11,67. 109 Castells A, Castellvi S. Caracterització i identificació de les formes hereditàries de càncer colorectal. Doctorand: Francesc Balaguer Prunés. Universitat de Barcelona. 21/10/09 16:18:37 Diabetes: Metabolic and Molecular Networks Team Members Area 3 Liver, Digestive System and Metabolism Diabetes: Metabolic and molecular networks Team Leader: ■ Ramon Gomis (IDIBAPS) Tel.: 93 227 98 84 Fax: 93 451 66 38 E-mail: [email protected] IDIBAPS Members: ■ M. Carmen Carmona (IDIBAPS) ■ Roser Casamitjana (Hospital Clínic) ■ Ignacio Conget (Hospital Clínic) ■ Enric Esmatjes (Hospital Clínic) ■ Jorge Ferrer (Hospital Clínic) ■ Rosa Gasa (IDIBAPS) ■ Perla Kaliman (IDIBAPS) ■ Anna Novials (IDIBAPS) ■ Marcelina Parrizas (IDIBAPS) ■ Joan Marc Servitja (IDIBAPS) ■ Josep Vidal (Hospital Clínic) Collaborators: Sílvia Barceló (CIBERDEM) Sílvia Casas (IDIBAPS) María José Coves (Fundació Clínic) Marga Gimenez (Hospital Clínic) Miguel Angel Maestro (CIBERDEM) Mercè Martí (Fundació Clínic) Belén Nadal (Universitat de Barcelona) Takao Nammo(IDIBAPS) Alexandra Felicia Hanzu (IDIBAPS) Rebeca Fernández (CIBERDEM) Sandra Rebuffat (CIBERDEM) Maud Soty (Fundació Clínic) Laura Brugnara (CIBERDEM) Doctoral Students: Jordi Altirriba (Fundació Clínic) Marta Amigó (Fundació Clínic) Laura Haba (Fundació Clínic) Maria Lucas (Fundació Clínic) Strategic Objectives 110 1. Investigate the molecular determinants of the pancreatic beta cell that may play a role in the etiopathogenesis of diabetes, with special emphasis on those involved in the processes of apoptosis and cell regeneration. 2. Investigate the determinants of cell plasticity in diabetes and obesity: effect of different treatments in humans and experimental animals. 3. Investigate the molecular and metabolic mechanisms in increased cardiovascular risk in diabetes and obesity. 072-113 AREA3.indd 110 Esther Llagostera (Universitat de Barcelona) Núria Palau (Fundació Clínic) Dimitri Petrov (IDIBAPS) Myriam Solar (Fundació Clínic) Joris Van Arensbergen(IDIBAPS) Lisa Cadavez (Fundació Clínic) Joana Duarte (Fundació Clínic) Miriam Ejarque (IDIBAPS) Fabian Pardo (Fundació Clínic) Gemma Pujadas (Fundació Clínic) Montse Visa (Fundació Clínic) Technicians: Carlos Castaño (IDIBAPS) Yaiza Esteban (CIBERDEM) Ainhoa García (CIBERDEM) Vanessa Grau (CIBERDEM) Marta Julià (CIBERDEM) Sandra Piquer (CIBERDEM) Lidia Sanchez (IDIBAPS) Javier García (CIBERDEM) Nurses: Judith Viaplana (IDIBAPS) Mercè Lara (Fundació Clínic) Dieticians: Serafín Murillo (CIBERDEM) Principal Lines of Research 1. Analysis of the transcription circuits that regulate the beta cell population and their function. 2. Description of the modulating effects of the transcription factors neuroD1 and neurogenin3 in embryonic pancreas development. 3.Description of the molecular pathways involved in the antiobesity and antidiabetic effects of tungstate in experimental animals. 4. Determine the role of kinases and phosphatases in diabetes and obesity. 21/10/09 16:18:42 2D-DIGE analysis of brown adipose tissue. 2-D gel of adipose tissue, followed by bioinformatics analyses (Ingenuity), revealing the role of PGC-1 alpha in the action of the tungstate, validate using real-time PCR. 7. Impact of normoglycemia in endothelial dysfunction: use of therapies involving insulin pumps. Associated Group Pancreatic islets: biomarkers and function Principal Investigator: ■ Gomis, Ramon (IDIBAPS) The group of Dr. Ramon Gomis carries out research on the physiology of the pancreatic islet and adipose tissue, and on the causes that lead to dysfunction in these tissues. A central aspect of these studies is the determination of the molecular mechanisms implicated in the balance of the cell mass, both in embryo development and in adult age, with special emphasis on the processes of cell regeneration and apoptosis. Emerging Group Genomic programming of beta cells and diabetes Molecular and metabolic abnormalities in diabetes Principal Investigator: ■ Ferrer, Jorge (ICMDM) This team focuses on the study of genomic programming of beta cells and diabetes. Principal Investigator: ■ Novials, Anna (IDIBAPS) The main line of research of the group of Dr. Novials focuses on determining the molecular, genetic and critical environmental factors in the dysfunction and destruction of pancreatic beta cells in type-2 diabetes. I.F.: 103,68 PublicaTions Original Articles 1 2 Benito B, Conget I, Bosch X, Heras M, Ordonez J, Sionis A, Diaz G, Esmatjes E. Intensive insulin therapy in non-diabetic patients with myocardial infarction and hyperglycemia. INSUCOR study. MED CLIN-BARCELONA. 130:601-605. I.F.:1,34. DeLaSierra A, Gorostidi M, Marin R, Redon J, Banegas JR, Armario P, Puig JG, Zarco J, Llisterri JL, Sanchis C, Abarca B, Palomo V, Gomis R, Otero A, Villar F, Honorato J, Tamargo J, Lobos JM, Macias-Nunez J, Sarria A, Aranda P, Ruilope LM. Evaluation and management of hypertension in Spain. A consensus guide. MED CLINBARCELONA. 131:104-116. I.F.:1,34. 072-113 AREA3.indd 111 Liver, Digestive System and Metabolism Area 3 Emerging Group Diabetes: Metabolic and molecular networks 5. Investigate the genetic and cellular determinants involved in the formation of amylin deposits and the associated beta cell dysfunction. 6.Determine the role of DMPK in the development of resistance to insulin and in other metabolic disorders. 3 Casals G, Ordi J, Creus M, Fabregues F, Casamitjana R, Quinto L, Campo E, Balasch J. Osteopontin and alpha (v) beta (3) integrin expression in the endometrium of infertile and fertile women. REPROD BIOMED ONLINE. 16:808-816. I.F.:2,84. 4 Fernandez-Esparrach G, Bordas JM, Llach J, Lacy A, Delgado S, Vidal J, Cardenas A, Pellise M, Gines A, Sendino O, Zabalza M, Castells A. Endoscopic dilation with Savary-Gilliard bougies of stomal strictures after laparosocopic gastric bypass in morbidly obese patients. OBES SURG. 18:155-161. I.F.:2,85. 5 Font D, Gomis R, Trilla A, Bigorra J, Pique JM, Rodes J. Organization and functioning model of biomedical re- 111 21/10/09 16:18:47 6 Area 3 Liver, Digestive System and Metabolism Diabetes: Metabolic and molecular networks 7 8 9 10 11 12 13 14 15 16 112 17 072-113 AREA3.indd 112 search structures. Situation and future challenges. MED CLIN-BARCELONA. 130:510-516. I.F.:1,34. Morinigo R, Vidal J, Lacy AM, Delgado S, Casamitjana R, Gomis R. Circulating peptide YY, weight loss, and glucose homeostasis after gastric bypass surgery in morbidly obese subjects. ANN SURG. 247:270-275. I.F.:7,45. Vidal J, Ibarzabal A, Romero F, Delgado S, Momblan D, Flores L, Lacy A. Type 2 diabetes mellitus and the metabolic syndrome following sleeve gastrectomy in severely obese subjects. OBES SURG. 18:1077-1082. I.F.:2,85. Halperin I, Nicolau J, Casamitjana R, Sesmilo G, SerraPrat M, Palomera E, Puig-Domingo M. A short acute octreotide test for response prediction of long-term treatment with somatostatin analogues in acromegalic patients. HORM METAB RES. 40:422-426. I.F.:2,25. Casas S, Novials A, Reimann F, Gomis R, Gribble FM. Calcium elevation in mouse pancreatic beta cells evoked by extracellular human islet amyloid polypeptide involves activation of the mechanosensitive ion channel TRPV4. DIABETOLOGIA. 51:2252-2262. I.F.:5,82. Reviriego J, Gomis R, Maranes JP, Ricart W, Hudson P, Sacristan JA. Cost of severe hypoglycaemia in patients with type 1 diabetes in Spain and the cost-effectiveness of insulin lispro compared with regular human insulin in preventing severe hypoglycaemia. INT J CLIN PRACT. 62:1026-1032. I.F.:1,59. Marzo N, Ortega S, Stratmann T, Garcia A, Rios M, Gimenez A, Gomis R, Mora C. Cyclin-dependent kinase 4 hyperactivity promotes autoreactivity in the immune system but protects pancreatic beta cell mass from autoimmune destruction in the nonobese diabetic mouse model. J IMMUNOL. 180:1189-1198. I.F.:6,07. Fernandez-Egea E, Bernardo M, Parellada E, Justicia A, Garcia-Rizo C, Esmatjes E, Conget I, Kirkpatrick B. Glucose abnormalities in the siblings of people with schizophrenia. SCHIZOPHR RES. 103:110-113. I.F.:4,24. Lugo-Garcia L, Nadal B, Gomis R, Petit P, Gross R, Lajoix AD. Human Pancreatic Islets Express the Purinergic P2Y(11) and P2Y(12) receptors. HORM METAB RES. 40:827-830. I.F.:2,25. Gasa R, Mrejen C, Lynn FC, Skewes-Cox P, Sanchez L, Yang KY, Lin CH, Gomis R, German MS. Induction of pancreatic islet cell differentiation by the neurogeninneuroD cascade. DIFFERENTIATION. 76:381-391. I.F.:2,90. Davies M, Lavalle-Gonzalez F, Storms F, Gomis R. Initiation of insulin glargine therapy in type 2 diabetes subjects suboptimally controlled on oral antidiabetic agents: results from the AT.LANTUS trial. DIABETES OBES METAB. 10:387-399. I.F.:3,44. Davies M, Sinnassamy P, Storms F, Gomis R. Insulin glargine-based therapy improves glycemic control in patients with type 2 diabetes sub-optimally controlled on premixed insulin therapies. DIABETES RES CLIN PR. 79:368-375. I.F.:1,82. Barcelo-Batllori S, Kalko SG, Esteban Y, Moreno S, Carmona MC, Gomis R. Integration of DIGE and bioinformatics analyses reveals a role of the antiobesity agent tungstate in redox and energy homeostasis pathways in brown adipose tissue. MOL CELL PROTEOMICS. 7:378-393. I.F.:9,43. 18 Vila L, Legaz G, Barrionuevo C, Espinel ML, Casamitjana R, Muñoz J, Serra-Prat M, Puig-Domingo M. Iodine status and thyroid volume changes during pregnancy: Results of a survey in Aran Valley (Catalan Pyrenees). J ENDOCRINOL INVEST. 31:851-855. I.F.:2,02. 19 Esmatjes E, Jimenez A, Diaz G, Mora M, Casamitjana R, DeNanclares GP, Castano L, Ricart MJ. Neonatal Diabetes With End-Stage Nephropathy Pancreas transplantation decision. DIABETES CARE. 31:2116-2117. I.F.:7,85. 20 Gimenez M, Nicolau J, Vidal J, Casamitjana R, Conget I. Phenotype changes at the onset of type 1 diabetes in young adults from a Mediterranean area throughout the last decade. ACTA DIABETOL. 45:87-90. I.F.:1,62. 21 Brotons C, DeLaFiguera M, Franch J, Aristegui I, Azeredo RR, Garcia M, Gomis R. Prediction of glucose and insulin resistance disorders by using anthropometric parameters of central adiposity: PRED-IR study. MED CLIN-BARCELONA. 131:366-370. I.F.:1,34. 22 Gigoux V, Clerc P, Sanchez D, Coll MG, Corominola H, Leung-Theung-Long S, Penicaud L, Gomis R, Seva C, Fourmy D, Dufresne M. Reg genes are CCK2 receptor targets in ElasCCK2 mice pancreas. REGUL PEPTIDES. 146:88-98. I.F.:2,42. 23 Fernandez-Real JM, Lopez-Bermejo A, Ropero AB, Piquer S, Nadal A, Bassols J, Casamitjana R, Gomis R, Arnaiz E, Perez I, Ricart W. Salicylates increase insulin secretion in healthy obese subjects. J CLIN ENDOCR METAB. 93:2523-2530. I.F.:5,49. 24 Saiz A, Blanco Y, Sabater L, Gonzalez F, Bataller L, Casamitjana R, Ramio-Torrenta L, Graus F. Spectrum of neurological syndromes associated with glutamic acid decarboxylase antibodies: diagnostic clues for this association. BRAIN. 131:2553-2563. I.F.:8,57. 25 Luco RF, Maestro MA, Sadoni N, Zink D, Ferrer J. Targeted deficiency of the transcriptional activator Hnf1 alpha alters subnuclear positioning of its genomic targets. PLOS GENET. 4:-. I.F.:8,72. 26 DelPrato S, Blonde L, Martinez L, Goke B, Woo V, Millward A, Gomis R, Canovatchel B, Strack T, Lawrence D, Freemantle N. The effect of the availability of inhaled insulin on glycaemic control in patients with Type 2 diabetes failing on oral therapy: Exubera as a therapeutic option on insulin initiation and improvement in glycaemic control in clinical practice trial. DIABETIC MED. 25:662-670. I.F.:2,97. 27 Rueda S, Fernandez-Fernandez C, Romero F, DeOsaba MJM, Vidal J. Vitamin D, PTH, and the metabolic syndrome in severely obese subjects. OBES SURG. 18:151154. I.F.:2,85. Reviews 1 Kaliman P, Llagostera E. Myotonic dystrophy protein kinase (DMPK) and its role in the pathogenesis of myotonic dystrophy 1. CELL SIGNAL. 20:1935-1941. I.F.:4,15. Editorials 1 Rodes J, Font D, Trilla A, Pique JM, Gomis R. Scientific and technical advances in biomedicine: reflection on clinical management. MED CLIN-BARCELONA. 130:553556. I.F.:1,34. 21/10/09 16:18:49 Grants for Research in Progress Ferrer J. Collaborative European Effort to Develop Diabetes Diagnosis. Grant: Desconocida, 07/338. Duration: 01/08/2007-31/07/2012. Ferrer J. IP - Beta Cell Programming for Treatment of Diabetes. Grant: European Commision, LSHB-CT-2005-512145. Duration: 01/04/2005-30/03/2010. Esmatjes E. Efectos del by-pass gástrico sobre la presión arterial y la disfunción endotelial en personas con obesidad grave. Grant: Ministerio Sanidad y Consumo, PI070124. Duration: 26/11/2007-30/12/2010. Gomis R. REDIMET - Red de Diabetes y Enfermedades Metabólicas Asociadas. Grant: Ministerio Sanidad y Consumo, RD06/0015/0000. Duration: 01/01/2007-30/06/2008. Ferrer J. REDIMET - Red de Diabetes y Enfermedades Metabólicas Asociadas. Grant: Ministerio Sanidad y Consumo, RD06/0015/0026. Duration: 01/01/2007-30/06/2008. Ferrer J. Control epigenético de la diferenciación de las células beta. Grant: Ministerio Educación y Ciencia, SAF200500850. Duration: 31/12/2005-31/12/2008. Gomis R. Banco Nacional de ADN - Nodo de Metabólicas. Grant: Genoma-España, 06/409. Duration: 01/10/200630/09/2009. Gomis R. Dianes moleculares inducidas por tungstato en la obesidad. Grant: Ministerio Educación y Ciencia, SAF200607382. Duration: 01/10/2006-30/09/2011. Gomis R. Diabetis i alteracions metabòliques. Investigació cel·lular i molecular en diabetis i obesitat. Grant: Comissionat per a Universitats i Recerca, 2005SGR00019. Duration: 19/10/2005-31/12/2008. Kaliman P. Identificación de vias de señalización molecular reguladas por DMPK (Myotonic Dystrophy Protein Kinase) y su papel en el desarrollo de las alteraciones metabólicas asociadas a la Distrofia Miotónica. Grant: Ministerio Educación y Ciencia, SAF2007-63353. Duration: 01/10/200704/10/2010. Ferrer J. Programació genòmica de les cèl·lules beta i diabetis. Grant: Comissionat per a Universitats i Recerca, 2005SGR00532. Duration: 19/10/2005-31/12/2008. Gasa R. Funció del factor de transcripció math6 en la diferenciació de les cèl·lules endocrines del pàncrees. Grant: Desconocida, ACD_07_001. Duration: 01/06/2007-30/11/2008. Gomis R. Coordination action on the aetiology, pathology and prediction of type 1 diabetes in Europe. Grant: Ministerio Sanidad y Consumo, AI07/90016. Duration: 26/10/200730/12/2008. Gasa R. Estudio del papel del factor de transcripción MATH6, diana potencial de neurogenina3, en la diferenciación endocrina del páncreas. Grant: Ministerio Educación y Ciencia, BFU2005-06080. Duration: 31/12/2005-31/12/2008. Ferrer J. Analysis of the plasticity of pancreatic duct cells. Grant: Juvenile Diabetes Res. Foundation, 26-2008-633. Duration: 01/08/2008-31/07/2010. Gomis R. Diabetes y enfermedades metabólicas. Grant: Instituto de Salud Carlos III, CB07/08/0009. Duration: 01/01/2008-31/12/2011. Novials A. Estudio de los factores implicados en la amiloidogenesis pancreática de la Diabetes Mellitus tipo 2: Análisis del efecto molecular de la mutación -132 G/A del promotor del gen de la amilina en la célula B-pancreática. Grant: Instituto de Salud Carlos III, PI051215. Duration: 12/04/2008-30/12/2008. Liver, Digestive System and Metabolism Area 3 Gomis R. Coordination Action on the Aetiology, pathology and prediction of type 1 diabetes in Europe. Grant: European Commision, LSHM-CT-2004-503245. Duration: 01/06/2004-31/05/2008. Diabetes: Metabolic and molecular networks Ferrer J. IP - Functional genomics of pancreatic beta cells and of tissues involved in control of the endocrine pancreas for prevention and treatment of type 2 diabetes. Grant: European Commision, LSHM-CT-2006-518153. Duration: 01/03/2006-28/02/2010. hipoglucemias recurrentes y severas. Grant: Ministerio Sanidad y Consumo, PI060250. Duration: 18/10/200630/12/2009. Thesis Servitja JM. Estudio de la respuesta del islote pancreático a la hipoxia: papel de HIF-1. Grant: Ministerio Educación y Ciencia, BFU2006-09072. Duration: 01/10/2006-30/09/2009. Vidal J. Mecanismos de resolución de la diabetes tipo 2 tras bypass gástrico en pacientes con obesidad grave. Grant: Ministerio Sanidad y Consumo, PI060157. Duration: 18/10/2006-30/12/2009. Vidal J. Señales gastrointestinales y del tejido adiposo en la obesidad grave en un modelo quirúrgico de pérdida de peso. Doctorand: Rosa Morínigo Moizé. Universitat de Barcelona. 113 Gomis R. Cèl•lules estrellades pancreàtiques: implicació en el procés de transdiferenciació cel•lular endocrina i caracterització del seu secretoma. Doctorand: Maria Lucas Gil. Universitat de Barcelona. Conget I. Sistemas de infusión subcutánea continua de insulina y de monitorización continua de la glucosa en la diabetes de tipo 1. Efecto sobre el perfil de riesgo cardiovascular de los pacientes con control lábil por 072-113 AREA3.indd 113 21/10/09 16:18:51 114-153 AREA4.indd 114 21/10/09 16:00:57 Area 4 Clinical and Experimental Neurosciences Neuropharmacology and Experimental Neuropathology . . . . . . . . . . . . . . . . . . . . . . . 116 Degenerative and Autoimmune Diseases of the Nervous System . . . . . . . . . . . 120 Neurophysiology and Functional Studies of the Nervous System . . . . . . . . . . . 124 Secondary Lesions due to Chronic Alcohol Consumption: Muscular Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Cell Biology of Pathologic Processes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Biological Bases of Psychiatric Disorders and Nuclear Psychiatry . . . . . . . . . . . 134 Neuropsychology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 Systems Neuroscience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 Neurobiology unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 Cerebral Ischemia: Clinical and Experimental Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150 Molecular neurobiology (IDIBAPS virtual team at the UB faculty of biology) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152 Image: Microscope view of neuron cells 114-153 AREA4.indd 115 21/10/09 16:00:59 Neuropharmacology and Experimental Neuropathology Team Members Area 4 Clinical and Experimental Neurosciences Neuropharmacology and experimental neuropathology Team Leader: ■ Guadalupe Mengod (IIBB-CSIC) Tel.: 93 363 83 23 Fax: 93 636 83 01 E-mail: [email protected] 116 IDIBAPS Members: ■ Albert Adell (IIBB-CSIC) ■ Francesc Artigas (IIBB-CSIC) ■ Analia Bortolozzi (IDIBAPS) ■ Anna Castañé (IIBB-CSIC) ■ Pau Celada (IDIBAPS) ■ Roser Cortés (IIBB-CSIC) ■ Rosa Cristòfol (IIBB-CSIC) ■ Sebastià Pons (IIBB-CSIC) ■ Eduard Rodriguez Farré (IIBB-CSIC) ■ Coral Sanfeliu (IIBB-CSIC) ■ Josep Saura (Facultat de Medicina UB) ■ Joan Serratosa (IIBB-CSIC) ■ Carme Solà (IIBB-CSIC) ■ Cristina Suñol (IIBB-CSIC) ■ Josep Maria Tusell (IIBB-CSIC) ■ Mª Teresa Vilaró (IIBB-CSIC) Collaborators: Francisco Campos (CIBERESP) Marcelo Farina (IIBB-CSIC) Elisabet Reyes (CIBERNED) Elisenda Rodríguez Vargas (IIBB-CSIC) Noemí Santana (CIBERSAM) Valentina Ghisi (CSIC) Tamara Romón (IDIBAPS) Tony Valente (IDIBAPS) Doctoral Students: Julián de Almeida (FPI-MCyT) Rubén Álvarez (FPI-MCyT) Mercedes Barzi (FPI-IDIBAPS) Jordi Berenger (CSIC) Raúl Borne (CSIC) Victor Briz (FPI-IDIBAPS) Aroa Ejarque (FPI-IDIBAPS) Mireia Galofré (IIBB-CSIC) Yoelvis García (Marató TV3-IDIBAPS) Silvia García (FPI-GenCat) Núria Gresa (I3P-CSIC) Emily Johansson (FPI-CSIC) Lucila Kargieman (FPI-CSIC) Xavier López Gil (I3P-CSIC) Laia Lladó (JAE-CSIC) Pilar Mancera (Marató TV3-IDIBAPS) Mercè Masana (I3P-CSIC) Joan Salvador Ardid (IDIBAPS) Cristina Sanabra (FPI-IDIBAPS) Marco Straccia (JAE-CSIC) Pablo Vázquez (FPU-CSIC) Anna García (FPI-IDIBAPS) Giuseppe Mocci (JAE-CSIC) Rocío Rodríguez-Minguela (CIBERNED) Susana Revilla (FPU-MICINN) Eva Troyano (FPI-CSIC) Aina Palou (IDIBAPS) Technicians: Francisca V. Calderón (IIBB-CSIC) Leticia Campa (IIBB-CSIC) Jésica López (RETICS) Rocío Martín-Álvarez (IIBB – CSIC) Anghara Menéndez (IDIBAPS) Albert Parull (IIBB-CSIC) Sara Sánchez-Redondo (CIBERESP) Verónica Paz (CIBERSAM) Silvia Serrano (CIBERNED) Noemí Jurado (CSIC) Strategic Objectives Principal Lines of Research To learn more about the pathophysiologic mechanisms of neurologic and psychiatric diseases and processes of neurotoxicity and ageing in the CNS in order to identify new cell and functional targets and propose new therapies. 1. Neurochemistry and pharmacology group Francesc Artigas (IIBB-CSIC) 2.Group on mechanisms of neurotoxicity and neurodegeneration Cristina Suñol (IIBB-CSIC) 3.Group on control of neuron proliferation Sebastià Pons (IIBB-CSIC) 4.Cell neurobiology group Dr. Joan Serratosa (IIBB-CSIC) 5. Molecular neuropharmacology group Dra. Guadalupe Mengod(IIBB-CSIC) 114-153 AREA4.indd 116 21/10/09 16:01:04 Associated Group Neurochemistry and neuropharmacology group Neuropharmacology and experimental neuropathology Principal Investigator: ■ Artigas, Francesc (CSIC) The group studies the neuronal circuits responsible for the pathophysiology and treatment of depression and schizophrenia, with special emphasis on the prefrontal cortex. We also study neurotransmission and its atomic, cellular and molecular bases implicated in neurodegenerative and psychiatric diseases, in order to identify and characterize new sites of therapeutic action. Associated Group Group on mechanisms of neurotoxicity and neurodegeneration The group performs studies of cytotoxicity, oxidative stress, synaptic functions and proteomics to determine abnormal targets in processes of toxicity and ageing in the CNS. It also focuses on neuroprotection strategies and the development of in vitro methods to predict neurotoxicity. Senile plaques, neurons, astrocytes and microglia in the hippocampus of a patient with Alzheimer disease. Associated Group Molecular neuropharmacology group Associated Group Cell neurobiology group Principal Investigator: ■ Serratosa, Joan (CSIC) The principal objective of our research group is to obtain information that can help us to develop new strategies for preventing neurodegenerative lesions that occur in the presence of chronic glial activation. To achieve this, we use different animal and cell models. Our hypothesis is that different factors (cell receptors, transcription factors and other proteins) that, in normal conditions, control the response of glial cells but are altered in neurodegenerative diseases and that, if they can be manipulated, may make it possible to inhibit glial activation/neuroinflammation and the neurotoxicity that this causes. In summary, our objectives are aimed at studying the role of glial cells (specifically astrocytes and microglia) in neuroinflammation. 114-153 AREA4.indd 117 Principal Investigator: ■ Mengod, Guadalupe (CSIC) The group studies neurotransmission and its anatomic, cellular and molecular aspects implicated in neurodegenerative diseases with an inflammatory component. The aim is to identify and characterize new sites of therapeutic action. Associated Group Group on control of neuron proliferation Clinical and Experimental Neurosciences Area 4 Principal Investigator: ■ Suñol, Cristina (CSIC) 117 Principal Investigator: ■ Pons, Sebastián (CSIC) This group focuses on describing the mechanisms involved in the regulation of neuron proliferation; more specifically, it studies the molecules that oppose proliferation induced by the Sonic Hedgehog oncogene in granular brain cells. 21/10/09 16:01:07 I.F.: 72,86 PublicaTions Original Articles Area 4 Clinical and Experimental Neurosciences Neuropharmacology and experimental neuropathology 1 118 Bal-Price AK, Sunol C, Weiss DG, VanVliet E, Westerink RHS, Costa LG. Application of in vitro neurotoxicity testing for regulatory purposes: Symposium III summary and research needs. NEUROTOXICOLOGY. 29:520-531. I.F.:3,01. 2 Reyes-Irisarri E, Perez-Torres S, Miro X, Martinez E, Puigdomenech P, Palacios JM, Mengod G. Differential distribution of PDE4B splice variant mRNAs in rat brain and the effects of systemic administration of LPS in their expression. SYNAPSE. 62:74-79. I.F.:2,52. 3 SaenzDelBurgo L, Cortes R, Mengod G, Zarate J, Echevarria E, Salles J. Distribution and neurochemical characterization of neurons expressing GIRK channels in the rat brain. J COMP NEUROL. 510:581-606. I.F.:3,92. 4 DeAlmeida J, Palacios JM, Mengod G. Distribution of 5-HT and DA receptors in primate prefrontal cortex: implications for pathophysiology and treatment.. PROG BRAIN RES. 172:101-115. I.F.:2,01. 5 Garcia-Matas S, Gutierrez-Cuesta J, Coto-Montes A, Rubio-Acero R, Diez-Vives C, Camins A, Pallas M, Sanfeliu C, Cristofol R. Dysfunction of astrocytes in senescenceaccelerated mice SAMP8 reduces their neuroprotective capacity. AGING CELL. 7:630-640. I.F.:5,85. 6 Marin C, Aguilar E, Mengod G, Cortes R, RodriguezOroz MC, Obeso JA. Entacapone potentiates the long-duration response but does not normalize levodopa-induced molecular changes. NEUROBIOL DIS. 32:340-348. I.F.:4,38. 7 Pertusa A, Garcia-Matas S, Marnmeri H, Adell A, Rodrigo T, Mallet J, Cristfol R, Sarkis C, Sanfeliu C. Expression of GDNF transgene in astrocytes improves cognitive deficits in aged rats. NEUROBIOL AGING. 29:1366-1379. I.F.:5,61. 8 Garcia DA, Vendrell I, Galofre M, Sunol C. GABA released from cultured cortical neurons influences the modulation of t-[S-35]butylbicyclophosphorothionate binding at the GABA(A) receptor Effects of thymol. EUR J PHARMACOL . 600:26-31. I.F.:2,38. 9 Slevin M, Krupinski J, Mitsios N, Perikleous C, Cuadrado E, Montaner J, Sanfeliu C, Luque A, Kumar S, Kumar P, Gaffney J. Leukaemia inhibitory factor is overexpressed by ischaemic brain tissue concomitant with reduced plasma expression following acute stroke. EUR J NEUROL. 15:25-33. I.F.:2,58. 10 Moreno M, Canadas F, Cardona D, Sunol C, Campa L, Sanchez-Amate MC, Flores P, Sanchez-Santed F. Longterm monoamine changes in the striatum and nucleus accumbens after acute chlorpyrifos exposure. TOXICOL LETT. 176:162-167. I.F.:2,83. 11 Lopez-Gimenez JF, Vilaro MT, Milligan G. Morphine Desensitization, Internalization, and Down-Regulation of the mu Opioid Receptor Is Facilitated by Serotonin 5-Hydroxytryptamine(2A) Receptor Coactivation. MOL PHARMACOL. 74:1278-1291. I.F.:3,62. 12 Kargieman L, Santana N, Mengod G, Celada P, Artigas F. NMDA Antagonist and Antipsychotic Actions in Cortico-subcortical Circuits. NEUROTOX RES. 14:129-140. I.F.:5,23. 114-153 AREA4.indd 118 13 Scorza MC, Meikle MN, Hill XL, Richeri A, Lorenzo D, Artigas F. Prefrontal cortex lesions cause only minor effects on the hyperlocomotion induced by MK-801 and its reversal by clozapine. INT J NEUROPSYCHOPH. 11(4):519-532. I.F.:4,90. 14 DeAlmeida J, Mengod G. Serotonin 1A receptors in human and monkey prefrontal cortex are mainly expressed in pyramidal neurons and in a GABAergic interneuron subpopulation: implications for schizophrenia and its treatment. J NEUROCHEM. 107:488-496. I.F.:4,45. 15 DeVera N, Martinez E, Sanfeliu C. Spermine induces cell death in cultured human embryonic cerebral cortical neurons through N-methyl-D-aspartate receptor activation. J NEUROSCI RES. 86:861-872. I.F.:3,27. 16 Carreno M, Gil-Nagel A, Sanchez JC, Elices E, Serratosa JM, Salas-Puig J, Villanueva V, Porcel J. Strategies to detect adverse effects of antiepileptic drugs in clinical practice. EPILEPSY BEHAV. 13:178-183. I.F.:2,10. 17 Sunol C, Babot Z, Fonfria E, Galofre M, Garcia D, Herrera N, Iraola S, Vendrell I. Studies with neuronal cells: From basic studies of mechanisms of neurotoxicity to the prediction of chemical toxicity. TOXICOL IN VITRO. 22:1350-1355. I.F.:2,19. 18 Castane A, Artigas F, Bortolozzi A. The absence of 5-HT1A receptors has minor effects on dopamine but not serotonin release evoked by MK-801 in mice prefrontal cortex. PSYCHOPHARMACOLOGY. 200:281-290. I.F.:3,56. 19 Celada P, Puig MV, Diaz-Mataix L, Artigas F. The hallucinogen DOI reduces low-frequency oscillations in rat prefrontal cortex: Reversal by antipsychotic drugs. BIOL PSYCHIAT. 64:392-400. I.F.:8,46. Grants for Research in Progress Sanfeliu C. Counteracting Alzheimer’s disease progession: effects of early-environmental treatments on the tripletransgenic 3xTgAD mic. Grant: Fundació Marató TV3, 62931. Duration: 14/03/2007-13/03/2010. Serratosa J. Excitotoxic mechanisms, neuroinflammatory response and seric factors in experimental and human amyotrophyc lateral esclerosis. Grant: Fundació Marató TV3, 63031. Duration: 02/03/2007-01/03/2010. Celada MP. Modulación de los circuitos cortico-mesencefálicos por receptores 5-HT1A. Relevancia en la acción terapéutica de los fármacos antipsicóticos. Grant: Ministerio Sanidad y Consumo, PI060264. Duration: 18/10/2006-30/12/2009. Adell A. Alteraciones de las conexiones de la corteza prefrontal en el modelo de esquizofrenia de antagonismo NMDA. Sitio de acción y mecanismo de los fármacos antipsicóticos. Grant: Ministerio Sanidad y Consumo, PI070111. Duration: 26/11/2007-30/12/2010. Artigas F. REM-TAP - Red de Enfermedades Mentales y Trastornos Afectivos y Psicóticos. Grant: Ministerio Sanidad y Consumo, RD06/0011/0009. Duration: 01/01/2007-30/06/2008. 21/10/09 16:01:10 Artigas F. Monoaminergic neurotransmission in prefrontal cortex: Target for augmentation strategies in schizophrenia. Grant: SENYFundació - Schizophrenia Research Foundation, SenyFund_07_002. Duration: 22/05/2007-21/05/2010. Suñol C. Optimization and pre-validation of an in vitro test strategy for predicting human acute toxicity (A-Cute-Tox). Grant: European Commission, LSHB-CT-2004-512051. Duration: 01/01/2005-31/12/2009. Rodríguez E. Grup de Recerca Consolidat. Farmacologia i Toxicologia. Grant: Comissionat per a Universitats i Recerca, 2005SGR00826. Duration: 17/10/2005-17/10/2008. Mengod G. CIBERNED Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas. Grant: Ministerio de Sanidad y Consumo, CB06/05/0012. Duration: 01/01/2007-31/12/2009. Artigas F. Grup de Recerca Consolidat. Neuroquímica i Neurofarmacología. Grant: Comissionat per a Universitats i Recerca, 2005SGR00758. Duration: 18/10/2005-18/10/2008. Mengod G. AMPC y neuroinflamación: identificación de moléculas implicadas en la regulación de los niveles de AMPC en la esclerosis múltiple y en la encefalomielitis alérgica experimental. Grant: Ministerio Educación y Ciencia, SAF200610243. Duration: 01/10/2006-30/09/2009. Rodríguez E. Neurotoxicidad de agentes ambientales, exposición de la población y salud pública. CIBER Epidemiología y Salud Pública (CIBERESP). Grant: Instituto de Salud Carlos III, CB06/02/0024. Duration: 01/12/2006-01/12/2009. Sanfeliu C. Red temática de investigación cooperativa en envejecimiento y fragilidad (RETICEF). Grant: Ministerio Sanidad y Consumo, RD06/0013/1004. Duration: 01/01/200831/12/2010. Artigas F. Centros de Investigación Biomédica en Red, Salud Mental. Grant: Instituto de Salud Carlos III, CB07/09/0034. Duration: 01/01/2008-31/12/2009. Saura J. ¿Es C/EBPbeta una diana para atenuar la respuesta neuroinflamatoria asociada a enfermedades neurodegenerativas? Grant: Ministerio Sanidad y Consumo, PI070455. Duration: 01/01/2008-31/12/2010. Sanfeliu C. Molecular Imaging of atherosclerosis. Grant: European Commission. Duration: 08/01/2007-31/12/2009. Thesis Sanfeliu C. Mecanismos de envejecimiento cerebral: papel de GSK3beta/CDK5 y de las sirtuinas en cultivos de neuronas y astrocitos. Grant: Ministerio Educación y Ciencia, SAF2006-13092-C02-02. Duration: 01/10/2006-30/09/2009. Serratosa J. Papel de la proteina P21CIP1 en la respuesta inflamatoria glial. Implicación en los procesos neurodegenerativos relacionados con la enfemedad de Alzheimer. Grant: Ministerio Sanidad y Consumo, PIO50658. Duration: 23/12/2005-30/12/2008. Suñol C. Identificación de dianas celulares y funcionales alteradas en procesos de neurotoxicidad inducida por contaminanres amnbientales y biocidas en cultivos neuronales. Grant: Ministerio Sanidad y Consumo, PIO61212. Duration: 30/10/2006-30/10/2009. Saura J, Serratosa J. C/EBPs en la activación glial. Doctorand: Aroa Ejarque Ortiz. Pons S. Bases moleculares del antagonismo entre Shh y BMP2 en celulas granulares de cerebelo. Doctorand: Ruben Alvarez Rodriguez. Universitat de Barcelona. Salles J, Cortes R. Canales regulados por proteínas G heterotriméricas (GIRK): Localización y regulación farmacológica de su expresión en sistema nervioso central de rata. Doctorand: Laura Sáenz del Burgo Martínez. Universitat del País Basc. Artigas F, Cortes R. Proyecciones de la corteza prefrontal a los núcleos monoaminérgicos del mesencéfalo: vías y receptores implicados. Doctorand: Pablo Vázquez Borsetti. Universitat de Barcelona. Clinical and Experimental Neurosciences Area 4 Pons S. Bases moleculares de la interacción entre “sonic hedgehog” y las “bone morphogenetic proteins. Grant: Ministerio Educación y Ciencia, BFU2005 01599. Duration: 01/01/2006-31/12/2008. Neuropharmacology and experimental neuropathology Artigas F. Modulación serotoninérgica de la corteza prefrontal: relevancia en el tratamiento de la depresión y la esquizofrenia. Grant: Ministerio Educación y Ciencia, SAF2007-62378. Duration: 01/10/2007-04/10/2010. 119 114-153 AREA4.indd 119 21/10/09 16:01:13 Degenerative and Autoimmune Diseases of the Nervous System Team Members Degenerative and autoimmune diseases of the nervous system Team Leader: ■ Francesc Graus (Hospital Clínic) Tel.: 93 227 57 85 Fax: 93 227 57 83 E-mail: [email protected] IDIBAPS Members: ■ Mario Ezquerra (ISC3, Hospital Clínic) ■ Conxita Marín (IDIBAPS) ■ Maria Josep Martí (Hospital Clínic) ■ José Luís Molinuevo (Hospital Clínic) ■ Esteban Muñoz (Hospital Clínic) ■ Albert Saiz (Hospital Clínic) ■ Eduardo Tolosa (Hospital Clínic) ■ Francesc Valldeoriola (Hospital Clínic) Area 4 Clinical and Experimental Neurosciences Collaborators: Yolanda Blanco (Hospital Clínic) Albert LLadó (Hospital Clínic) Raquel Sánchez-Valle (Hospital Clínic) Lorena Rami (Juan de La Cierva) Lidia Sabater (PNSEURONET) Doctoral Students: Beatriz Bosch (Hospital Clínic) Claudia Caprile (Fundació Clinic) Yaroslau Compta (Hospital Clínic) Carles Gaig (ISC3, Hospital Clínic) Amparo Villar (Hospital Clínic) Claudia Moreno (Fundació Carolina) Technicians: Esther Aguilar (Fundació Clínic) Mercè Bonastre (CIBERNED) Eva Caballero (Grup Suport Generalitat) Manuel Fernández (Fundació Clínic) Guadalupe Fernandez (Fundació Clinic) Maria Teresa Buongiorno (Fundació Clínic) Ana Camara (Fundació Clínic) Lucia Moreno (Fundació Clínic) Strategic Objectives To develop research projects with results that can be applied in the short term to improve diagnosis and treatment of degenerative and autoimmune neurologic diseases. A large part of the lines of research are linked to clinical research protocols of the Hospital Clínic neurology department. Principal Lines of Research 120 1. Genetic analysis, biologic markers and experimental therapies in Parkinson and other movement disorders. Studies of genetics and expression in parkinsonism. 2. Study of the pathophysiologic mechanisms involved in Parkinson disease and other movement disorders in in vivo and in vitro experimental models. 3. Study of autoimmune mechanisms of multiple sclerosis and neurologic diseases related to cancer. 4. Genetic studies and studies of diagnostic and predictive markers of Alzheimer disease, other dementias and multiple sclerosis. Experimental neuroimaging studies in normal and pathologic ageing. 114-153 AREA4.indd 120 Characterization of a lesion of the substantia nigra in an experimental Parkinson model after administration of the neurotoxin 6-hydroxydopamine (6-OHDA) to the rat. C. Marin, G. Soria, E. Aguilar. 21/10/09 16:01:17 Associated Group Parkinson disease and movement disorders Principal Investigator: ■ Tolosa, Eduardo (ICN) We have consolidated the genetic line in degenerative diseases, particularly Parkinson disease. This year, we have carried out or published several studies on expression in the brain of genes potentially implicated in progressive supranuclear paralysis (isoforms of tau, CRHR1, IMP5, cdk5, GSK3, and saitohin). We have also determined the frequency of the most common mutations of the gene LRRK2 in patients with Parkinson who visited our department, and in parkinsonisms of the Neurologic Tissue Bank. Original Articles 1 2 3 5 6 7 8 114-153 AREA4.indd 121 10 11 12 13 14 15 16 17 18 Ramirez-Ruiz B, Marti MJ, Tolosa E, Falcon C, Bargallo N, Valldeoriola F, Junque C. Brain Response to Complex Visual Stimuli in Parkinson’s Patients with Hallucinations: A Functional Magnetic Resonance Imaging Study. MOVEMENT DISORD. 23:2335-2343. I.F.:3,21. Martinez-Rodriguez JE, Munteis E, Carreno M, Blanco Y, Roquer J, Abanades S, Graus F, Saiz A. Cannabis use in Spanish patients with multiple sclerosis: Fulfilment of patients’ expectations?. J NEUROL SCI. 273:103-107. I.F.:2,32. Ferrer A, Bosch F, Villamor N, Rozman M, Graus F, Gutierrez G, Mercadal S, Campo E, Rozman C, LopezGuillermo A, Montserrat E. Central nervous system involvement in mantle cell lymphoma. ANN ONCOL. 19:135-141. I.F.:4,88. Molina-Porcel L, Llado A, Rey MJ, Molinuevo JL, Martinez-Lage M, Esteve FX, Ferrer I, Tolosa E, Blesa R. Clinical and pathological heterogeneity of neuronal intermediate filament inclusion disease. ARCH NEUROLCHICAGO. 65:272-275. I.F.:5,78. Saiz A, Blanco Y, Berenguer J, Gomez-Choco M, Carreras E, Arbizu T, Graus F. Clinical outcome 6 years after autologous hematopoietic stem cell transplantation in multiple sclerosis. NEUROLOGIA. 23:405-407. I.F.:0,83. Llado A, Sanchez-Valle R, Rey MJ, Ezquerra M, Tolosa E, Ferrer I, Molinuevo JL. Clinicopathological and genetic correlates of frontotemporal lobar degeneration and corticobasal degeneration. J NEUROL. 255:488-494. I.F.:2,48. Gerstner ER, Abrey LE, Schiff D, Ferreri AJM, Lister A, Montoto S, Tsang R, Thiel E, Graus F, Behringer D, Illerhaus G, Weaver S, Wen P, Voloschin A, Harris NL, Batchelor TT. CNS Hodgkin lymphoma. BLOOD. 112:1658-1661. I.F.:10,90. Marin C, Aguilar E, Bonastre M. Effect of locus coeruleus denervation on levodopa-induced motor fluctuations in hemiparkinsonian rats. J NEURAL TRANSM. 115:1133-1139. I.F.:2,67. Bartres-Faz D, Serra-Grabulosa JM, Sun FT, Sole-Padulles C, Rami L, Molinuevo JL, Bosch B, Mercader JM, Bargallo N, Falcon C, Vendrell P, Junque C, D’esposito M. Functional connectivity of the hippocampus in elderly with mild memory dysfunction carrying the APOE epsilon 4 allele. NEUROBIOL AGING. 29:1644-1653. I.F.:5,61. Ibarretxe-Bilbao N, Ramirez-Ruiz B, Tolosa E, Marti MJ, Valldeoriola F, Bargallo N, Junque C. Hippocampal Clinical and Experimental Neurosciences Area 4 4 Marcos M, Inurrieta A, Soriano A, Martinez JA, Almela M, Marco F, Mensa J. Effect of antimicrobial therapy on mortality in 377 episodes of Enterobacter spp. bacteraemia. J ANTIMICROB CHEMOTH. 62:397-403. I.F.:4,04. Saldana M, Pujols L, Mullol J, Roca-Ferrer J, Cardozo A, Aguilar E, Bonastre M, Marin C. Relevance of COX-2 gene expression in dementia with Lewy bodies associated with Alzheimer pathology. MOVEMENT DISORD. 23:804-810. I.F.:3,21. Saiz A, Blanco Y, Sabater L, Gonzalez F, Bataller L, Casamitjana R, Ramio-Torrenta L, Graus F. Spectrum of neurological syndromes associated with glutamic acid decarboxylase antibodies: diagnostic clues for this association. BRAIN. 131:2553-2563. I.F.:8,57. Marin C, Aguilar E, Mengod G, Cortes R, RodriguezOroz MC, Obeso JA. Entacapone potentiates the long-duration response but does not normalize levodopa-induced molecular changes. NEUROBIOL DIS. 32:340-348. I.F.:4,38. Olanow CW, Hauser RA, Jankovic J, Langston W, Lang A, Poewe W, Tolosa E, Stocchi F, Melamed E, Eyal E, Rascol O. A Randomized, Double-Blind, Placebo-Controlled, Delayed Start Study to Assess Rasagiline as a Disease Modifying Therapy in Parkinson’s Disease (The ADAGIO Study): Rationale, Design, and Baseline Characteristics. MOVEMENT DISORD. 23:2194-2201. I.F.:3,21. Sabater L, Xifro X, Saiz A, Alberch J, Graus F. Analysis of antibodies to neuronal surface antigens in adult opsoclonus-myoclonus. J NEUROIMMUNOL. 196:188-191. I.F.:2,92. Morer A, Lazaro L, Sabater L, Massana J, Castro J, Graus F. Antineuronal antibodies in a group of children with obsessive-compulsive disorder and Tourette syndrome. J PSYCHIATR RES. 42:64-68. I.F.:3,71. Cabrera-Gomez J, Saiz-Hinarejos A, Graus F, GonzalezQuevedo A, Rodriguez-Rojas R, Quevedo-Sotolongo L, Real-Gonzalez Y, Grass-Fernandez D, Cristofol-Corominas M, Rodriguez-Cordero M, Robinson-Agramonte M, Infante-Velazquez E, Cabrera-Nunez A, Ugarte-Sanchez C, Jordan-Gonzalez J, DeLaNuez JG, Garcia-Lahera J, Tellez R, Baez-Martin M, Romero-Garcia K. Brain magnetic resonance imaging findings in acute relapses of neuromyelitis optica spectrum disorders. MULT SCLER. 14:248-251. I.F.:3,26. 9 Degenerative and autoimmune diseases of the nervous system I.F.: 147,03 PublicaTions 121 21/10/09 16:01:21 19 Degenerative and autoimmune diseases of the nervous system 20 21 22 Area 4 Clinical and Experimental Neurosciences 23 24 25 26 27 28 122 29 114-153 AREA4.indd 122 head atrophy predominance in Parkinson’s disease with hallucinations and with dementia. J NEUROL. 255:1324-1331. I.F.:2,48. Ezquerra M, Campdelacreu J, Gaig C, Compta Y, Munoz E, Marti MJ, Valldeoriola F, Tolosa E. Lack of association of APOE and tau polymorphisms with dementia in Parkinson’s disease. NEUROSCI LETT. 448:20-23. I.F.:2,09. Kumru H, Iranzo A, Carrasco E, Valldeoriola F, Marti MJ, Santamaria J, Tolosa E. Lack of effects of pramipexole on REM sleep behavior disorder in Parkinson disease. SLEEP. 31:1418-1421. I.F.:4,34. Haugarvoll K, Rademakers R, Kachergus JM, Nuytemans K, Ross OA, Gibson JM, Tan EK, Gaig C, Tolosa E, Goldwurm S, Guidi M, Riboldazzi G, Brown L, Walter U, Benecke R, Berg D, Gasser T, Theuns J, Pals P, Cras P, DeDeyn PP, Engelborghs S, Pickut B, Uitti RJ, Foroud T, Nichols WC, Hagenah J, Klein C, Samii A, Zabetian CP, Bonifati V, VanBroeckhoven C, Farrer MJ, Wszolek ZK. Lrrk2 R1441C parkinsonism is clinically similar to sporadic Parkinson disease. NEUROLOGY. 70:1456-1460. I.F.:6,01. Blanco Y, Compta Y, Graus F, Saiz A. Midbrain lesions and paroxysmal dysarthria in multiple sclerosis. MULT SCLER. 14:694-697. I.F.:3,26. Rami L, Caprile C, Gomez-Anson B, Sanchez-Valle R, Monte GC, Bosch B, Molinuevo JL. Naming is associated with left temporal pole metabolite levels in neurodegenerative diseases. DEMENT GERIATR COGN. 25:212-217. I.F.:2,64. Graus F, Saiz A, Lai M, Bruna J, Lopez F, Sabater L, Blanco Y, Rey MJ, Ribalta T, Dalmau J. Neuronal surface antigen antibodies in limbic encephalitis - Clinicalimmunologic associations. NEUROLOGY. 71:930-936. I.F.:6,01. Rami L, Serradell M, Bosch B, Caprile C, Sekler A, Villar A, Canal R, Molinuevo JL. Normative data for the Boston Naming Test and the Pyramids and Palm Trees Test in the elderly Spanish population. J CLIN EXP NEUROPSYC. 30:1-6. I.F.:1,69. Gaig C, Iranzo A, Tolosa E, Vilaseca I, Rey MJ, Santamaria J. Pathological description of a non-motor variant of multiple system atrophy. J NEUROL NEUROSUR PS. 79:1399-1400. I.F.:3,86. Healy DG, Falchi M, O’sullivan SS, Bonifati V, Durr A, Bressman S, Brice A, Aasly J, Zabetian CP, Goldwurm S, Ferreira JJ, Tolosa E, Kay DM, Klein C, Williams DR, Marras C, Lang AE, Kwszolek Z, Berciano J, Schapira AHV, Lynch T, Bhatia KP, Gasser T, Lees AJ, Wood NW. Phenotype, genotype, and worldwide genetic penetrance of LRRK2-associated Parkinson’s disease: a casecontrol study. LANCET NEUROL. 7:583-590. I.F.:10,17. Grimm SA, Mccannel CA, Omuro AMP, Ferreri AJM, Blay JY, Neuwelt EA, Siegal T, Batchelor T, Jahnke K, Shenkier TN, Hall AJ, Graus F, Herrlinger U, Schiff D, Raizer J, Rubenstein J, Laperriere N, Thiel E, Doolittle N, Iwamoto FM, Abrey LE. Primary CNS lymphoma with intraocular involvement International PCNSL Collaborative Group Report. NEUROLOGY. 71:1355-1360. I.F.:6,01. Llado A, Anton-Aguirre S, Villar A, Rami L, Molinuevo JL. Psychological impact of the diagnosis of Alzheimer’s disease. NEUROLOGIA. 23:294-298. I.F.:0,83. 30 Frauscher B, Iranzo A, Hogi B, Casanova-Molla J, Salamero M, Gschliesser V, Tolosa E, Poewe W, Santamaria J. Quantification of electromyographic activity during REM sleep in multiple muscles in REM sleep behavior disorder. SLEEP. 31:724-731. I.F.:4,34. 31 Kollensperger M, Geser F, Seppi K, Stampfer-Kountchev M, Sawires M, Scherfler C, Boesch S, Mueller J, Koukouni V, Quinn N, Pellecchia MT, Barone P, Schimke N, Dodel R, Oertel W, Dupont E, Ostergaard K, Daniels C, Deuschl G, Gurevich T, Giladi N, Coelho M, Sampaio C, Nilsson C, Widner H, DelSorbo F, Albanese A, Cardozo A, Tolosa E, Abele M, Klockgether T, Kamm C, Gasser T, Djaldetti R, Colosimo C, Meco G, Schrag A, Poewe W, Wenning GK. Red flags for multiple system atrophy. MOVEMENT DISORD. 23:1093-1099. I.F.:3,21. 32 Gaig C, Ezquerra M, Marti MJ, Valldeoriola F, Munoz E, Llado A, Rey MJ, Cardozo A, Molinuevo JL, Tolosa E. Screening for the LRRK2 G2019S and codon-1441 mutations in a pathological series of parkinsonian syndromes and frontotemporal lobar degeneration. J NEUROL SCI. 270:94-98. I.F.:2,32. 33 Sabater L, Titulaer M, Saiz A, Verschuuren J, Gure AO, Graus F. SOX1 antibodies are markers of paraneoplastic Lambert-Eaton myasthenic syndrome. NEUROLOGY. 70:924-928. I.F.:6,01. 34 Costa J, Valls-Sole J, Valldeoriola F, Rumia J. Subcortical interactions between somatosensory stimuli of different modalities and their temporal profile. J NEUROPHYSIOL. 100:1610-1621. I.F.:3,68. 35 Martinez-Martin P, Tolosa E, Hernandez B, Badia X. Validation of the “QUICK” questionnaire - A tool for diagnosis of “Wearing-Off’ in patients with Parkinson’s disease. MOVEMENT DISORD. 23:830-836. I.F.:3,21. 36 Sabater L, Bataller L, Suarez-Calvet M, Saiz A, Dalmau J, Graus F. ZIC antibodies in paraneoplastic cerebellar degeneration and small cell lung cancer. J NEUROIMMUNOL. 201:163-165. I.F.:2,92. Reviews 1 2 Poewe W, Gauthier S, Aarsland D, Leverenz JB, Barone P, Weintraub D, Tolosa E, Dubois B. Diagnosis and management of Parkinson’s disease dementia. INT J CLIN PRACT. 62:1581-1587. I.F.:1,59. Valls-Sole J, Compta Y, Costa J, Valldeoriola F, Rumia J. Human central nervous system circuits examined through the electrodes implanted for deep brain stimulation. CLIN NEUROPHYSIOL. 119:1219-1231. I.F.:2,47. Editorials 1 Graus F, Saiz A. Limbic encephalitis. NEUROLOGY. 70:500-501. I.F.:6,01. Multicentrics 1 Polman CH, Kappos L, Freedman MS, Edan G, Hartung HP, Miller DH, Montalban X, Barkhof F, Selmaj K, Uitdehaag BMJ, Dahms S, Bauer L, Pohl C, Sandbrink R. Subgroups of the BENEFIT study: Risk of developing MS and treatment effect of interferon beta-1b. J NEUROL. 255:480-487. I.F.:2,48. 21/10/09 16:01:24 2 3 Hallett M, Evinger C, Jankovic J, Stacy M, Valls J, Tolosa E. Update on blepharospasm - Report from the BEBRF International Workshop. NEUROLOGY. 71:12751282. I.F.:6,01. Aziz NA, VanDerBurg JMM, Landwehrmeyer GB, Brundin P, Stijnen T, Roos RAC, Tolosa E. Weight loss in Huntington disease increases with higher CAG repeat number. NEUROLOGY. 71:1506-1513. I.F.:6,01. Grants for Research in Progress Tolosa E. Genetic and environment factors influencing disease expression in Parkinson’s disease caused by LRRK2 mutations. Clinical and imaging studies in LRRK2 mutation carriers without parkinsonism. Grant: Fundació Marató TV3, 061130/31. Duration: 02/03/2007-01/03/2010. Tolosa E. Grup de recerca de malalties neurològiques. Grant: Comissionat per a Universitats i Recerca, 2005SGR00856. Duration: 19/10/2005-31/12/2008. Marin C. Papel de las proyecciones dopaminérgicas extraestriatales y de los mecanismos compensatorios talámicos en el desarrollo de las complicaciones motoras inducidas por levodopa en el parkinsonismo experimental. Grant: Ministerio Sanidad y Consumo, PI050094. Duration: 01/01/200630/12/2008. Saiz A. Análisis de anticuerpos contra antígenos de membrana, y su efecto patogénico, en enfermedades desmielinizantes: esclerosis múltiple y neuromielitis óptica. Grant: Ministerio Sanidad y Consumo, PI060070. Duration: 18/10/2006-30/12/2009. Valldeoriola F. Estudio de la enervación simpática cardíaca a través de gammagrafía con 123I-MIBG en la enfermedad de parkinson, parkinsonismo vascular y en pacientes con mutaciones del gen LRRK2. Grant: Ministerio Sanidad y Consumo, PI070426. Duration: 26/11/2007-30/12/2010. Degenerative and autoimmune diseases of the nervous system Martí MJ. Combined use of neuropsychological, biochemical, and neuroimaging biomarkers for assessment of risk of dementia in Parkinson disease. Grant: Fundació Marató TV3, 60510. Duration: 06/02/2007-05/02/2010. Tolosa E. Enfermedades neurodegenerativas. Grant: Ministerio Sanidad y Consumo, CB06/05/0018. Duration: 28/07/2007-27/07/2011. Clinical and Experimental Neurosciences Area 4 123 114-153 AREA4.indd 123 21/10/09 16:01:26 Neurophysiology and Functional Studies of the Nervous System Team Members Area 4 Clinical and Experimental Neurosciences Neurophysiology and functional studies of the nervous system Team Leader: ■ Josep Valls Solé (Hospital Clínic) Tel.: 93 227 54 13 Fax: 93 227 57 83 E-mail: [email protected] IDIBAPS Members: ■ Mar Carreño (Hospital Clínic) ■ Xavier Gasull (Facultat de Medicina) ■ Arcadi Gual (Facultat de Medicina) ■ Alejandro Iranzo (Hospital Clínic) ■ Miguel Morales (IDIBAPS) ■ Joan Santamaria (Hospital Clínic) Collaborators: Antonio Donaire (Hospital Clínic) Jordi Palés (Facultat de Medicina) Xavier Sala Blanch (Hospital Clínic) Lilian Enríquez-Barreto (Facultat de Medicina UB) Doctoral Students: Elena Abad (Facultat de Medicina) Germán Cuesto Gil (IDIBAPS) Strategic Objectives We want to increase scientific knowledge on functional aspects of the nervous system, integrating as much as possible the basic and clinical aspects and using mainly neurophysiologic techniques. In the clinical aspect, the principal objectives are the characterization of the neurophysiologic aspects of motor control and pain, and the pathophysiologic aspects of disease that produce sleep disorders, episodes of epilepsy and others, including all entities with neuropathic pain. In the basic aspect, the principal aspects are the characterization of the cellular physiologic mechanisms both in ocular physiology, and in mechanisms that play a role in neuron hyperexcitability in neuropathic pain and exploration of the modulation of synaptic transmission. Principal Lines of Research 124 1. Role of subcortical motor systems in the execution of movements, maintaining posture and reflex control. Study of the circuits of the startle reaction to auditory or somatosensory stimuli. Prepulse phenomena. 2. Physiology and pathophysiology of neuropathic pain. Study of nociceptive evoked potentials. Autonomic reflex actions to nociceptive stimulation. Perception and awareness of sensations. 114-153 AREA4.indd 124 Enrique Emilio Syriani (Facultat de Medicina) Hatice Kumru (Hospital Clínic) Gisela Lorente (Facultat de Medicina) Iratxe Maestro (Hospital Clínic) Monica Serradell (Hospital Clínic) Astrid Tulleuda (Facultat de Medicina) Joao Costa (Hospital Clínic) Maaike Begeman (Hospital Clinic) Jordi Casanova (Hospital Clinic) Technicians: Olga Sierra Bernat (IDIBAPS) Jéssica Marquez (IDIBAPS) Merche Morales (Marató de TV3) Associated Group Neurophysiology Principal Investigator: ■ Gasull, Xavier (FM_UB) In the field of neurophysiology, the group is interested in understanding the functions of different ion channels and of the cytoskeleton in the regulation of different cellular processes. In particular, at the neuron level, we study potassium channels implicated in the generation of hyperexcitability in nociceptive neurons and their relationship with neuropathic pain. In hippocampal neurons, we study the mechanisms that play a role in synaptogenesis and spinogenesis. In trabecular cells that regulate the flow of aqueous humor in the eye, we study the role of the cytoskeleton and of different ion channels in the function of these cells and their relationship with the pathophysiology of glaucoma. 3.Study sound and its disorders in different diseases. Numbness. Multiple sound latency tests. Restless leg syndrome. Periodic movements of the legs during sleep. 4.Epileptic phenomena and their treatment. Status epilepticus. Monitoring epileptic episodes. Video- 21/10/09 16:01:32 EEG and epidural register. Recording episodes using functional magnetic resonance imaging. 5. Neurone synaptogenesis and spinogenesis. 6. Characterization of ion channels implicated in neuron hyperexcitability in sensory neurons. Implications in neuropathic pain. 7. Physiology of the evaluation of the aqueous humor and pathophysiology of glaucoma. Ocular disease of ageing. Physiology of the cells of the trabecular meshwork of the eye. PublicaTions Original Articles 1 2 4 5 6 7 8 9 114-153 AREA4.indd 125 10 Abad E, Lorente G, Gavara N, Morales M, Gual A, Gasull X. Activation of store-operated Ca2+ channels in trabecular meshwork cells. INVEST OPHTH VIS SCI. 49:677-686. I.F.:3,53. 11 Kofler M, Muller J, Rinnerthaler-Weichbold M, Valls-Sole J. Laterality of auditory startle responses in humans. CLIN NEUROPHYSIOL. 119:309-314. I.F.:2,47. 12 Pales J, Gual A. Medical education in Spain: current status and new challenges. MED TEACH. 30:365-369. I.F.:1,23. 13 Kumru H, Soto O, Casanova J, Valls-Sole J. Motor cortex excitability changes during imagery of simple reaction time. EXP BRAIN RES. 189:373-378. I.F.:2,03. 14 Fernandez S, Carreno M, Casanova J, Donaire A. Nonconvulsive status with hemianopsia and ictal headaches: an uncommon manifestation of parieto-occipital epilepsy. NEUROLOGIA. 23:184-187. I.F.:0,83. 15 Maestro L, Carreno M, Donaire A, Rumia J, Conesa G, Bargallo N, Falcon C, Setoain X, Pintor L, Boget T. Oroalimentary automatisms induced by electrical stimulation of the fronto-opercular cortex in a patient without automotor seizures. EPILEPSY BEHAV. 13:410412. I.F.:2,10. 16 Syriani E, Gomez-Cabrero A, Bosch M, Moya A, Abad E, Gual A, Gasull X, Morales M. Profilin induces lamellipodia by growth factor-independent mechanism. FASEB J. 22:1581-1596. I.F.:6,79. 17 Carreno M. Recognition of nonepileptic events. SEMIN NEUROL. 28:297-304. I.F.:1,74. 18 Kofler M, Valls-Sole J, Fuhr P, Schindler C, Zaccaria BR, Saltuari L. Sensory modulation of voluntary and TMSinduced activation in hand muscles. EXP BRAIN RES. 188:399-409. I.F.:2,03. 19 Schestatsky P, Llado-Carbo E, Casanova-Molla J, Alvarez-Blanco S, Valls-Sole J. Small fibre function in patients with meralgia paresthetica. PAIN. 139:342-348. I.F.:5,25. 20 Queralt A, Valls-Sole J, Castellote JM. The effects of a startle on the sit-to-stand manoeuvre. EXP BRAIN RES. 185:603-609. I.F.:2,03. Clinical and Experimental Neurosciences Area 4 3 Kumru H, Vidal J, Kofler M, Benito J, Garcia A, VallsSole J. Exaggerated auditory startle responses in patients with spinal cord injury. J NEUROL. 255:703-709. I.F.:2,48. Carreno M, Gil-Nagel A, Sanchez JC, Elices E, Serratosa JM, Salas-Puig J, Villanueva V, Porcel J. Strategies to detect adverse effects of antiepileptic drugs in clinical practice. EPILEPSY BEHAV. 13:178-183. I.F.:2,10. Martinez-Rodriguez JE, Munteis E, Carreno M, Blanco Y, Roquer J, Abanades S, Graus F, Saiz A. Cannabis use in Spanish patients with multiple sclerosis: Fulfilment of patients’ expectations?. J NEUROL SCI. 273:103-107. I.F.:2,32. Kumru H, Iranzo A, Carrasco E, Valldeoriola F, Marti MJ, Santamaria J, Tolosa E. Lack of effects of pramipexole on REM sleep behavior disorder in Parkinson disease. SLEEP. 31:1418-1421. I.F.:4,34. Gaig C, Iranzo A, Tolosa E, Vilaseca I, Rey MJ, Santamaria J. Pathological description of a non-motor variant of multiple system atrophy. J NEUROL NEUROSUR PS. 79:1399-1400. I.F.:3,86. Frauscher B, Iranzo A, Hogi B, Casanova-Molla J, Salamero M, Gschliesser V, Tolosa E, Poewe W, Santamaria J. Quantification of electromyographic activity during REM sleep in multiple muscles in REM sleep behavior disorder. SLEEP. 31:724-731. I.F.:4,34. Costa J, Valls-Sole J, Valldeoriola F, Rumia J. Subcortical interactions between somatosensory stimuli of different modalities and their temporal profile. J NEUROPHYSIOL. 100:1610-1621. I.F.:3,68. Serranova T, Valls-Sole J, Munoz E, Genis D, Jech R, Seeman P. Abnormal corticospinal tract modulation of the soleus H reflex in patients with pure spastic paraparesis. NEUROSCI LETT. 437:15-19. I.F.:2,09. Pales J, Gual A, Gomar C, Estrach MT. Acquisition of learning outcomes by students from the Medical School of the University of Barcelona (Catalonia, Spain): A student survey. MED TEACH. 30:693-698. I.F.:1,23. I.F.: 61,01 Neurophysiology and functional studies of the nervous system Graphic representation of the analysis of signals (Fourier rapid transform) obtained in a polysomnography study of a patient with sleep apnea. Top channel: EEG frequency bands recorded using occipital electrodes with auricular reference (O1-A1). Waking alpha activity (initial yellow band at around 10 Hz), which gives rise to slowed activity when the patient falls asleep, with occasional interruptions. Middle channel: Electro-oculogram (EOG), with periods of higher signal power, corresponding to REM or wakefulness. Bottom channel: Finger oxyhemoglobin saturation with drops below the normal baseline values during a period of sleep apnea in the REM phase at the end of the graph. 125 21/10/09 16:01:35 21 Queralt A, Weerdesteyn V, VanDuijnhoven HJR, Castellote JM, Valls-Sole J, Duysens J. The effects of an auditory startle on obstacle avoidance during walking. J PHYSIOL-LONDON. 586:4453-4463. I.F.:4,58. Gual A. Grup de Recerca Consolidat. Laboratori de Neurofisiologia i Biomembranes. Grant: Comissionat per a Universitats i Recerca, 2005SGR00980. Duration: 22/12/200522/12/2008. Reviews Valls J. Intervencions sobre els components sensorial i emocional de les respostes a estímuls de dolor en pacients amb dolor neuropàtic crònic. Grant: Fundació La Marató de TV3. Duration: 01/01/2007-31/12/2009. Neurophysiology and functional studies of the nervous system 1 2 Valls-Sole J, Compta Y, Costa J, Valldeoriola F, Rumia J. Human central nervous system circuits examined through the electrodes implanted for deep brain stimulation. CLIN NEUROPHYSIOL. 119:1219-1231. I.F.:2,47. Valls-Sole J, Kumru H, Kofler M. Interaction between startle and voluntary reactions in humans. EXP BRAIN RES. 187:497-507. I.F.:2,03. Multicentrics 1 Hallett M, Evinger C, Jankovic J, Stacy M, Valls J, Tolosa E. Update on blepharospasm - Report from the BEBRF International Workshop. NEUROLOGY. 71:12751282. I.F.:6,01. Grants for Research in Progress Area 4 Clinical and Experimental Neurosciences Valls J. Neurofisiologia del dolor, epilèpsia, son i control motor (NEDESC). Grant: Comissionat per a Universitats i Recerca, 2005SGR00394. Duration: 19/10/2005-31/12/2008. Iranzo A. Marcadores pronósticos del desarrollo de una enfermedad neurodegenerativa en pacientes afectos del trastorno de conducta durante el sueño REM idiopático. Grant: Ministerio Sanidad y Consumo, PI050193. Duration: 01/01/2006-30/12/2008. Valls J. Intervencions sobre els components sensorial i emocional de les respostes a estímuls de dolor en pacients amb dolor neuropàtic crònic (Interventions on emotional responses to pain stimuli in patients with chronic neuropathic pain). Grant: Fundació La Marató de TV3, 71930. Duration: 25/02/2008-24/02/2011. Morales M. Synaptic recovery. A new therapy in Alzheimer Disease. Grant: Fundación CIEN. Proyecto Alzheimer Reina Sofia. Duration: 01/01/2008-31/12/2011. Valls J. Mecanismos fisiopatológicos en la cronificación del dolor neuropático y en el origen del síndrome regional complejo. Grant: INstituto de Salud Carlos III, PI080266. Duration: 31/12/2008-30/12/2011. Thesis Gasull X, Gual A. Caracterización de la entrada de calcio capacitativa en las células trabeculares. Doctorand: Elena Abad Adan, Universitat de Barcelona. Gasull X. Canales de leakage en enuronas DRG implicados en la generación de hiperexitabilidad y dolor neuropático: caracterización electrofisiológica. Grant: Ministerio Educación y Ciencia, BFU2005-01572/BFI. Duration: 22/12/2005-22/12/2008. 126 114-153 AREA4.indd 126 21/10/09 16:01:38 Secondary Lesions due to Chronic Alcohol Consumption: Muscular Pathology Team members Team Leader: ■ Álvaro Urbano Márquez (Hospital Clínic) Tel.: 93 227 55 39 Fax: 93 227 55 39 E-mail: [email protected] Collaborators: Emilia Antunez (Facultat de Medicina) Xavier Bosch (Hospital Clínic) Jordi Casademont (Hospital de St. Pau) Strategic Objectives 1. Study of the pathologic mechanisms of alcohol on organic cells and the disease it causes at the neurologic and cardiocirculatory level. 2. Importance of alcohol in intracytosolic calcium transport. 3. Effect of alcohol on the development of arteriosclerosis. 4. Prognosis of alcoholic myocardiopathy and its most suitable treatment. 5. Study of muscular and myocardial apoptosis with chronic alcohol consumption. 6. Study of the pathophysiology of muscular diseases, particularly in muscular immunohistochemical, immunogenetic and angiogenic changes (prognostic factors) of inflammatory myopathies. 7. Study of metabolic myopathies, particularly glucogenesis and myoadenylate-deaminase deficit. 8. Study of myocardial regeneration in alcoholic myocardiopathy. 9. Clinical and functional repercussion of chronic fatigue syndrome. 114-153 AREA4.indd 127 Technicians: Esther Tobias (Facultat de Medicina) Mireia Nicolàs (CIBERER) Mercedes Morales (Marató TV3) Núria Vila (CIBEROBN) 10.Study of the effects of moderate wine consumption and the Mediterranean diet in the prevention of cardiovascular diseases. 11.Study of mitochondrial myopathies in adults and secondary mitochondrial involvement in different pathologic and toxic situations. 12.Study of the pathophysiologic mechanisms implicated in the development of systemic vasculitis. Clinical and Experimental Neurosciences Area 4 Doctoral Students: Rosas Casas (PREDIMED) Ana García Martínez (SAF08) Glòria Garrabou (CIBERER) Esther Lozano (SAF08) Mari Pau Mena (PREDIMED) Marta Segarra (Marató TV3) Mònica Vázquez (PREDIMED) Constanza Morén (FIPSE) Georgina Espígol (PostMIR ISCIII) Marc Corbera (Marató TV3) Sergio Prieto (SAF08) Ester Planas (SAF08) Anna Sandra Hernàndez (Hospital Clínic) Jordi Casanova (PostMIR ISCIII) Gemma Chiva (PREDIMED) Nasiruddin Khan (FPU) Montserrat Butjosa (Hospital Clínic) Secondary lesions due to chronic alcohol consumption: muscular pathology IDIBAPS Members: ■ Francesc Cardellach (Hospital Clínic) ■ Ramón Estruch (Hospital Clínic) ■ Joaquin Fernández (Hospital Clínic) ■ Josep M. Grau (Hospital Clínic) ■ Ferran Masanes (Hospital Clínic) ■ Oscar Miró (Hospital Clínic) ■ José Maria Nicolás (Hospital Clínic) ■ Emilio Sacanella (Hospital Clínic) Our future challenges are: 1. To learn more about the action of alcohol on signal translation and apoptosis at muscular and myocardial level and the influence of possible alterations to mitochondrial DNA and the mitochondrial respiratory chain on degenerative diseases such as Alzheimer, inflammatory myopathies and due to inclusion bodies. 2. To learn more about the prognostic factors of dermatomyositis for early detection of cases that require more vigorous treatments (anti-TNF, gammaglobulins). 3. To characterize the clinical and morphologic aspect of metabolic myopathies (glucogenesis and MDA deficiency). 127 21/10/09 16:01:42 Area 4 Clinical and Experimental Neurosciences Secondary lesions due to chronic alcohol consumption: muscular pathology 4. To study sarcopenia in the geriatric population. 5. To learn more about mitochondrial toxicity of antiretroviral drugs and of CO. 6. Proteomic studies on the mechanisms of skeletal and cardiac muscle tissue damage due to exposure to alcohol. 7. Study of the regeneration of myocardial cells using stem cells in the myocardium of chronic alcoholic patients. Principal Lines of Research I Research Group on Muscle/Mitochondrial Function: 1. Histologic, histochemical and immunohistochemical study of myopathies 2. Study of mitochondrial functionalism 3. Study of mitochondrial diseases with special emphasis on biochemical and genetic studies in different cellular substrates. 4. Analysis of respiration and mitochondrial DNA in muscle, fatty tissue and lymphocytes in HIV patients and patients being treated with antiretroviral drugs. 5. Effect of smoking, carbon monoxide and neuroleptic agents on mitochondrial function. 6. Mitochondrial function in sepsis. 3.Creation of a questionnaire to evaluate the quality of life in patients with giant cell arteritis (international study). 4. Expression of angiogenic and antiangiogenic factors as prognostic indicators of dermatomyositis. IIIAlcohol-induced disease: 1.We are investigating the relationship between alcohol and arterial hypertension; the course of alcoholic myocardiopathy, the role of phenol derivatives of wine and alcohol as factors that influence the appearance of atherosclerosis; the effect of nicotine and ageing on mitochondrial respiration; and the presence of growth factors and adhesion molecules in angiogenesis, apoptosis, myocardiopathy and alcoholic myopathy. 2.Study of the effects of moderate wine consumption, the Mediterranean diet and other products rich in polyphenols in the primary prevention of cardiovascular disease. 3.Proteomic studies in skeletal and cardiac muscle in the context of the pathogenesis of tissue damage due to exposure to alcohol. II Vascular inflammation: 1. Expression of cytokines and growth factors in inflammatory lesions of blood vessels and their relationship with phenotype expression, complications and outcome of systemic vasculitis. 2. Study of the interactions between lymphocytes, the endothelium and the extracellular matrix in the development and perpetuation of vascular inflammation and in the mechanisms that play a role in vascular occlusion and regeneration. Intense myocardial focal capture of myostatin in the microcardiocyte interconnection area. Cardiac biopsy of a 56-year-old patient with alcoholic dilated myocardiopathy. Immune staining with human myosin. MO x 200 magnification. I.F.: 66,47 PublicaTions Original Articles 1 2 128 3 114-153 AREA4.indd 128 Cibeira MT, Rozman M, Segarra M, Lozano E, Rosinol L, Cid MC, Filella X, Blade J. Bone marrow angiogenesis and angiogenic factors in multiple myeloma treated with novel agents. CYTOKINE. 41:244-253. I.F.:2,17. Garcia-Martinez A, Hernandez-Rodriguez J, Arguis P, Paredes P, Segarra M, Lozano E, Nicolau C, Ramirez J, Lomena F, Josa M, Pons F, Cid MC. Development of aortic aneurysm/dilatation during the followup of patients with giant cell arteritis: A cross-sectional screening of fifty-four prospectively followed patients. ARTH RHEUM/AR C RES. 59:422-430. I.F.:7,68. Lozano E, Segarra M, Garcia-Martinez A, HernandezRodriguez J, Cid MC. Imatinib mesylate inhibits in vitro and ex vivo biological responses related to vascular occlusion in giant cell arteritis. ANN RHEUM DIS. 67:15811588. I.F.:6,41. 4 5 6 Dambrava PG, Torres A, Valles X, Mensa J, Marcos MA, Penarroja G, Camps M, Estruch R, Sanchez M, Menendez R, Niederman MS. Adherence to guidelines’ empirical antibiotic recommendations and communityacquired pneumonia outcome. EUR RESPIR J. 32:892901. I.F.:5,35. Zazpe I, Sanchez-Tainta A, Estruch R, Lamuela-Raventos RM, Schroder H, Salas-Salvado J, Corella D, Fiol M, Gomez-Gracia E, Aros F, Ros E, Ruiz-Gutierrez V, Iglesias P, Conde-Herrera M, Martinez-Gonzalez MA. A large randomized individual and group intervention conducted by registered dietitians increased adherence to Mediterranean-type diets: The PREDIMED study. J AM DIET ASSOC. 108:1134-1144. I.F.:3,01. Sanchez-Tainta A, Estruch R, Bullo M, Corella D, Gomez-Gracia E, Fiol M, Algorta J, Covas MI, Lapetra J, Zazpe I, Ruiz-Gutierrez V, Ros E, Martinez-Gonzalez MA. Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a 21/10/09 16:01:46 7 8 10 11 13 14 15 16 114-153 AREA4.indd 129 Grants for Research in Progress Urbano A. Identification and Validation of Alcohol Biomarker Signatures by Proteomics (Subaward nº 08004000-R82301). Grant: Thomas Jefferson University, 1R01AA016210-01. Duration: 15/05/2006-30/04/2009. Grau J. Grup de Recerca Muscular. Grant: Comissionat per a Universitats i Recerca, 2005SGR00300. Duration: 19/10/2005-31/12/2008. Miro O. enzima Q como profilaxis y tratamiento de la disfunción mitocondrial asociada.. Grant: Fundación para la Investigación y la Prevención del Sida en España, 36572/06. Duration: 21/11/2006-30/12/2008. Estruch R. Balance beneficio / riesgo del contenido en polifenoles y alcohol del vino: bases científicas de los efectos del consumo moderado de vino sobre el sistema cardiovascular. Grant: Ministerio Educación y Ciencia, AGL200614228-C03-01. Duration: 01/10/2006-30/09/2009. Estruch R. Efectos de tomate procesado casero sobre los biomarcadores inflamatorios relacionados con la arteriosclerosis. Grant: Ministerio Educación y Ciencia, AGL200766638-C02-02. Duration: 01/12/2007-30/11/2010. Estruch R. Fisiotatología de la obesidad y nutrición. Grant: Ministerio Sanidad y Consumo, CB06/03/0019. Duration: 28/07/2006-27/07/2010. Masanes F. Sarcopenia y discapacidad en el anciano. Factores predictivos y evolutivos. Grant: Ministerio Sanidad y Consumo, PI050098. Duration: 01/01/2006-01/12/2008. Nicolas JM. Marcadores biológicos del fracaso multiorgánico en el shock séptico. Grant: Ministerio Sanidad y Consumo, PI050164. Duration: 01/01/2006-30/12/2008. Miro O. Comparación de dos metodologías diferentes para la difusión de la enseñanza de la reanimación cardiopulmonar básica durante la escolarización obligatoria. Grant: Ministerio Sanidad y Consumo, PI070073. Duration: 26/11/2007-30/12/2010. Estruch R. Bases biológicas de los Efectos Protectores de la Dieta Mediterránea en la Enfermedad Cardiovascular: Efectos sobre la adiposidad, hormonas relacionadas y marcadores de inflamación. Grant: Ministerio Sanidad y Consumo, PI070473. Duration: 26/11/2007-30/12/2010. Clinical and Experimental Neurosciences Area 4 12 17 Muñoz J, Vilella A, Domingo C, Nicolas JM, DeOry F, Corachan M, Tenorio A, Gascon J. Yellow fever-associated viscerotropic disease in Barcelona, Spain. J TRAVEL MED. 15:202-205. I.F.:1,05. Secondary lesions due to chronic alcohol consumption: muscular pathology 9 cohort of 3204 high-risk patients. EUR J CARDIOV PREV R. 15:589-593. I.F.:2,22. Salas-Salvado J, Garcia-Arellano A, Estruch R, Marquez-Sandoval F, Corella D, Fiol M, Gomez-Gracia E, Vinoles E, Aros F, Herrera C, Lahoz C, Lapetra J, Perona JS, Munoz-Aguado D, Martinez-Gonzalez M, Ros E. Components of the mediterranean-type food pattern and serum inflammatory markers among patients at high risk for cardiovascular disease. EUR J CLIN NUTR. 62:651-659. I.F.:2,33. Salas-Salvado J, Fernandez-Ballart J, Ros E, MartinezGonzalez MA, Fito M, Estruch R, Corella D, Fiol M, Gomez-Gracia E, Aros F, Flores G, Lapetra J, LamuelaRaventos R, Ruiz-Gutierrez V, Bullo M, Basora J, Covas MI. Effect of a Mediterranean Diet Supplemented With Nuts on Metabolic Syndrome Status One-Year Results of the PREDIMED Randomized Trial. ARCH INTERN MED . 168:2449-2458. I.F.:8,39. Lopez S, Coll O, Durban M, Hernandez S, Vidal R, Suy A, Moren C, Casademont J, Cardellach F, Mataro D, Miro O, Garrabou G. Mitochondrial DNA depletion in oocytes of HIV-infected antiretroviral-treated infertile women. ANTIVIR THER. 13:833-838. I.F.:4,55. Salgado E, Antolin A, Rodriguez D, Bragulat E, Sanchez M, Miro O. Failure of a special winter programme aimed to alleviate negative effects of winter overload on an emergency department. MED CLIN-BARCELONA. 130:286-291. I.F.:1,34. Paiva B, Vidriales MB, Cervero J, Mateo G, Perez JJ, Montalban MA, Sureda A, Montejano L, Gutierrez NC, DeCoca AG, Heras ND, Mateos MV, Lopez-Berges MC, Garcia-Boyero R, Galende J, Hernandez J, Palomera L, Carrera D, Martinez R, DeLaRubia J, Martin A, Blade J, Lahuerta JJ, Orfao A, Miguel JFS. Multiparameter flow cytometric remission is the most relevant prognostic factor for multiple myeloma patients who undergo autologous stem cell transplantation. BLOOD. 112:40174023. I.F.:10,90. Negredo E, Garrabou G, Puig J, Lopez S, Moren C, Bellido R, Ayen R, Cardellach F, Miro O, Clotet B. Partial immunological and mitochondrial recovery after reducing didanosine doses in patients on didanosine and tenofovir-based regimens. ANTIVIR THER. 13:231-240. I.F.:4,55. Galicia M, Nogue S, To-Figueras J, Echarte JL, Iglesias ML, Miro O. Poisoning by liquid ecstasy (GHB) in hospital emergency departments of Barcelona: a 2-years study. MED CLIN-BARCELONA. 130:254-258. I.F.:1,34. Lluis M, Nogue S, Miro O. Severe acute poisoning due to a glufosinate containing preparation without mitochondrial involvement. HUM EXP TOXICOL. 27:519524. I.F.:1,34. Alentorn-Geli E, Padilla J, Moras G, Haro CL, FernandezSola J. Six Weeks of Whole-Body Vibration Exercise Improves Pain and Fatigue in Women with Fibromyalgia. J ALTERN COMPLEM MED. 14:975-981. I.F.:1,53. Roura E, Andres-Lacueva C, Estruch R, Bilbao MLM, Izquierdo-Pulido M, Lamuela-Raventos RM. The effects of milk as a food matrix for polyphenols on the excretion profile of cocoa (-)-epicatechin metabolites in healthy human subjects. BRIT J NUTR. 100:846-851. I.F.:2,34. 129 Miro O. Estudio experimental y clínico de la implicación del metabolismo de las pirimidinas en la patogénesis de la redistribución de la grasa corporal asociada a la infección por el VIH-1 y al tratamiento antirretroviral. Grant: FUND, FIPSE36572/06. Duration: 21/11/2006-30/12/2008. 21/10/09 16:01:48 Thesis Estruch R, Sacanella E. Efecte dels polifenols de la dieta en els marcadors inflamatoris predictors d’arteriosclerosi. Doctorand: Vàzquez Agell, Mònica. Fernandez-Sola J, Moras G. Tratamiento sintomático del dolor musculoesquelético crónico (fibromialgia) a través de vibraciones mecánicas. Doctorand: Eduard Alentorn Geli. Universitat de Barcelona. Area 4 Clinical and Experimental Neurosciences Secondary lesions due to chronic alcohol consumption: muscular pathology Estruch R. Efecto de la dieta mediterránea en la respuesta inflamatoria de la pared arterial que interviene en la formación/estabilidad de la placa de ateroma. Doctorand: Mari Pau Mena Jaramillo. Cardellach F, Miro O. Mecanismes fisiopatològics de lesió mitocondrial secundària: antiretrovirals, antibiòtics, antipsicòtics i monòxid de carboni. Doctorand: Glòria Garrabou Tornos. 130 114-153 AREA4.indd 130 21/10/09 16:01:51 Cell Biology of Pathologic Processes Team members Team Leader: ■ Jordi Alberch (Facultat de Medicina) Tel.: 93 403 52 85 E-mail: [email protected] Doctoral Students: Empar Crespo (FIS) Inés Fernández-Ulibarri (UB) Albert Giralt (FPI, MEC) Francisco Lázaro-Diéguez (UB) Paola Paoletti (High Q Foundation) Daniel del Toro (FPU, MEC) Noelia Urbán (CIRIT) Olga Carretón (UB) Laura Rué (UB) Enric Gutiérrez (CIRIT) Laia Salcedo (FPI, Fundació Clínic) Javier Selva (UB) Technicians: Cristina Herranz (CIBER) Ana López (CIBER) Maite Muñoz (Facultat de Medicina) Ingrid Vila (CIBERNED) Strategic Objectives Principal Lines of Research 1. Study of the cellular and molecular bases of mechanisms that regulate neuron death in neurodegenerative diseases, identifying intracellular pathways that protect the specific populations of neurons affected in these diseases. Our final objective is to identify new targets for the treatment of neurodegenerative diseases of the basal ganglia. 2. Determination of the molecular mechanisms implicated in the interaction of the cytoskeleton with the system of cellular endomembranes (in particular, the Golgi apparatus), and structural and functional support in membrane traffic and cell motility. We also want to see how this interaction is altered, and by which mechanism(s), by toxic agents such as alcohol. 3. Characterization of the mechanisms of neuron differentiation of stem cells of different origins. Our objective is to identify different extrinsic and intrinsic factors that contribute to neural differentiation with the aim of using stem cells for cell replacement therapies. 1. Molecular bases of the interaction of the actin dynamic with the Golgi apparatus and secretor traffic. 2.Role of diacylglycerol and phosphatidic acid in the formation of transport vesicles and in the structural organization of the Golgi apparatus. 3. Study of transport to the blood brain barrier (BBB) of functionalized nanoparticles that carry bound antibodies or therapeutic peptides. 4.Study of the implication of neurotrophic factors and pathophysiology and treatment of neurodegenerative diseases of the basal ganglia. 5. Study of the role of mutated huntingtin in dopaminergic and glutamatergic signalling in models of Huntingdon disease. 6.Study of intracellular signal cascades implicated in the degeneration of striatal neurons in Huntingdon disease. 7. Study of the mechanisms of differentiation of embryo or adult stem cells into neurons for cell therapy in neurodegenerative diseases such as Huntingdon. 114-153 AREA4.indd 131 Clinical and Experimental Neurosciences Area 4 Collaborators: Begoña Caneda (RETICS, IDIBAPS) Silvia Gines (Facultat de Medicina) Raquel Martín (CIBER) Susana Eva Martínez (Facultat de Medicina) Bet Sarri (Fundació Clínic) Xavier Xifro (IDIBAPS) Verónica Brito (High Q Foundation) Miriam Esgleas (CIBERNED) Ana Saavedra (UB) Susana Granell (IDIBAPS) Cell biology of pathologic processes IDIBAPS Members: ■ Josep M. Canals (Facultat de Medicina) ■ Gustavo Egea (Facultat de Medicina) ■ Esther Perez (Facultat de Medicina) 131 23/10/09 10:38:34 Associated Group Membrane traffic Cell biology of pathologic processes Principal Investigator: ■ Egea, Gustavo (FM_UB) The objective of this group is to understand the principles that control and regulate the transport of membrane components (lipids and proteins) within the cells. In particular, we investigate the interaction of the transport intermediaries (vesicles and tubules) with the actin cytoskeleton and its associated proteins and regulators, such as myosins and Rho GTPase. We also analyze how lipid homeostasis participates in the organization of membrane traffic and in the formation of transport intermediaries. Finally, we want to know the pathophysiologic bases by which ethanol alters the functioning of nerve cells. I.F.: 48,29 PublicaTions Original Articles 1 Area 4 Clinical and Experimental Neurosciences Colocalization of optineurin (red) and Golgi (green) in neuronal precursors. The nucleus is stained with Topro-3 (blue). 2 3 4 5 6 132 7 8 114-153 AREA4.indd 132 Sabater L, Xifro X, Saiz A, Alberch J, Graus F. Analysis of antibodies to neuronal surface antigens in adult opsoclonus-myoclonus. J NEUROIMMUNOL. 196:188-191. I.F.:2,92. Gavalda N, Perez-Navarro E, Garcia-Martinez JM, Marco S, Benito A, Alberch J. Bax deficiency promotes an up-regulation of Bim(EL) and Bak during striatal and cortical postnatal development, and after excitotoxic injury. MOL CELL NEUROSCI. 37:663-672. I.F.:3,99. Xifro X, Garcia-Martinez JM, DelToro D, Alberch J, Perez-Navarro E. Calcineurin is involved in the early activation of NMDA-mediated cell death in mutant huntingtin knock-in striatal cells. J NEUROCHEM. 105:15961612. I.F.:4,45. Marin MP, Tomas M, Esteban-Pretel G, Megias L, LopezIglesias C, Egea G, Renau-Piqueras J. Chronic ethanol exposure induces alterations in the nucleocytoplasmic transport in growing astrocytes. J NEUROCHEM. 106:1914-1928. I.F.:4,45. Lazaro-Dieguez F, Knecht E, Egea G. Clearance of a Hirano body-like F-actin aggresome generated by jasplakinolide. AUTOPHAGY. 4:717-720. I.F.:4,66. Torres-Peraza JF, Giralt A, Garcia-Martinez JM, Pedrosa E, Canals JM, Alberch J. Disruption of striatal glutamatergic transmission induced by mutant huntingtin involves remodeling of both postsynaptic density and NMDA receptor signaling. NEUROBIOL DIS. 29:409-421. I.F.:4,38. Paoletti P, Vila I, Rife M, Lizcano JM, Alberch J, Gines S. Dopaminergic and glutamatergic signaling crosstalk in Huntington’s disease neurodegeneration: The role of p25/cyclin-dependent kinase 5. J NEUROSCI. 28:1009010101. I.F.:7,49. Lazaro-Dieguez F, Aguado C, Mato E, Sanchez-Ruiz Y, Esteban I, Alberch J, Knecht E, Egea G. Dynamics of an F-actin aggresome generated by the actin-stabilizing toxin jasplakinolide. J CELL SCI. 121:1415-1425. I.F.:6,38. 9 Martin-Ibanez R, Unger C, Stromberg A, Baker D, Canals JM, Hovatta O. Novel cryopreservation method for dissociated human embryonic stem cells in the presence of a ROCK inhibitor. HUM REPROD. 23:2744-2754. I.F.:3,54. 10 Calvo-Garrido J, Carilla-Latorre S, Lazaro-Dieguez F, Egea G, Escalante R. Vacuole membrane protein 1 is an endoplasmic reticulum protein required for organelle biogenesis, protein secretion, and development. MOL BIOL CELL. 19:3442-3453. I.F.:6,03. Grants for Research in Progress Alberch J. Development of neuroprotectve strategies with BDNF in Huntington’s Disease. Grant: Fundació Marató TV3, 62010. Duration: 15/02/2007-14/02/2010. Egea G. Interacción estructural y funcional entre el citoesqueleto de actina y el aparato de golgi. Grant: Ministerio Educación y Ciencia, BFU2006-00867/BMC. Duration: 01/10/2006-30/09/2009. Canals JM. Red de Terapia Celular. Grant: Ministerio Sanidad y Consumo, RD06/0010/0006. Duration: 01/01/200731/12/2010. Canals JM. Diferenciación de células madre (troncales) hacia neuronas GABAérgicas: utilización en terapia substitutiva en enfermedades neurodegenerativas de los ganglios basales. Grant: Ministerio Educación y Ciencia, SAF200604202. Duration: 01/10/2006-30/09/2009. Alberch J. Grup de Recerca Consolidat. Fisiopatologia de les malalties neurodegeneratives. Grant: Comissionat 21/10/09 16:02:00 per a Universitats i Recerca, 00981. Duration: 01/01/200401/01/2008. Alberch J. Estudio de los mecanismos de acción del BDNF como agente neuroprotector en la enfermedad de Huntington. Grant: Ministerio Educación y Ciencia, SAF2005-1335. Duration: 01/01/2005-01/01/2008. Perez E. Estudio de mecanismos moleculares implicados en la vulnerabilidad. Grant: Instituto de Salud, PI071183. Duration: 15/10/2007-14/09/2010. Egea G. Nanotecnologías en Biomedicina. Grant: Ministerio de Ciencia e Innovación (MICINN), CONSOLIDER-INGENIO 2010-0012. Duration: 01/01/2006-31/12/2010. Thesis Alberch J. Programa CIBER. Enfermedades Neurodegenerativas. Grant: Ministerio de Sanidad y Consumo, CB06/05/0054. Duration: 01/01/2007-31/12/2010. Egea G. El papel del diacilglicerol en el tráfico de membranas en la zona entre el retículo endoplasmático y el complejo de Golgi. Doctorand: Ines Fernández-Ulibarri. Egea G. Implicación de los filamentos de actina en la arquitectura, homeostasis y tráfico de salida del aparato de Golgi. Doctorand: Francisco Lázaro-Diéguez. Cell biology of pathologic processes Canals JM. Convenio entre la Universidad Autonoma de Barcelona y Institución/Empresa; Obtención de ratones transgénicos. Construcción de DNA o transgén DN-Helios y la cepa de ratón C57BI6-SJL. Grant: Fundació Clínic per a la Recerca Biomèdica, 08/178. Duration: 28/05/2008-15/12/2008. Clinical and Experimental Neurosciences Area 4 133 114-153 AREA4.indd 133 21/10/09 16:02:03 Biological Bases of Psychiatric Disorders and Nuclear Psychiatry Team Members Area 4 Clinical and Experimental Neurosciences Biological bases of psychiatric disorders and nuclear psychiatry Team Leader: ■ Miguel Bernardo (Hospital Clínic) Tel.: 93 227 55 47 Fax: 93 227 55 48 E-mail: [email protected] IDIBAPS Members: ■ Antonio Benabarre (Hospital Clínic) ■ Josefina Castro (Hospital Clínic) ■ Rosa Catalán (Hospital Clínic) ■ Cristobal Gastó (Hospital Clínic) ■ Antoni Gual (Hospital Clínic) ■ Fernando Gutierrez (Hospital Clínic) ■ Amalia Lafuente (TU) ■ Luisa Lázaro (Hospital Clínic) ■ Francisco J. Lomeña (Hospital Clínic) ■ Rocío Martín-Santos (Hospital Clínic) ■ Anabel Martínez-Arán (Hospital Clínic) ■ Guillem Masana (Hospital Clínic) ■ Eduard Parellada (Hospital Clínic) ■ Luis Pintor (Hospital Clínic) ■ Mercè Torra (Hospital Clínic) ■ Manuel Valdés (Hospital Clínic) ■ Eduard Vieta (Hospital Clínic) Collaborators: Inmaculada Baeza (Hospital Clínic) Jordi Blanch (Hospital Clínic) Francesc Colom (Fundació Clínic) Mercè Comes (Hospital Clínic) Nuria Cruz (IDIBAPS) Emili Fernandez-Egea (Hospital Clínic) Jose Manuel Goikolea (Hospital Clínic) Ester Gómez (Hospital Clínic) Joana Guarch (Hospital Clínic) Teodoro Marcos (Hospital Clínic) Sergi Mas Herrero (Associat) Victor Navarro (Hospital Clínic) Joan de Pablo (Hospital Clínic) Rafael Penadés (Hospital Clínic) Maria Reinares(CIBERSAM) Nuria Segarra (IDIBAPS) Jose Toro (Hospital Clínic) Carla Torrent (CIBERSAM) Elena de la Serna (CIBERSAM) Patricia Gasso (Fundació Clínic) Eva Baillés (Fundació Clínic) Montse Batllé (IDIBAPS) Fabian Bravo (IDIBAPS) Piero Castro Loli (Fund. Clinic) Anna Crescenti (FI, Generalitat) Joan Jou (IDIBAPS) Caterina Mar Bonning (IDIBAPS) Anna Sanahuja (IDIBAPS) José Sánchez-Moreno (CIBERSAM) Marc Walther (IDIBAPS) Carolina Franco (Hospital Clinic) Isabella Pachiarotti (CIBERSAM) Adriane R. Rosa (Fundació Clínic) Marc Valentí (IDIBAPS) Clemente Garcia-Rizo (Hospital Clínic) Andrea Murru (Fundació Clinic) Brisa Sole (IDIBAPS) Technicians: M Alicia Durán (Fundació Clínic) Rosa Maria Palaus (Fundació Clínic) Nurses: Azucena Justicia (CIBERSAM) Statistician: Josep Maria Bari (Fundació Clínic) 134 Strategic Objectives Principal Lines of Research Our group studies severe psychiatric disorders in its neurobiologic and therapeutic aspects, with six lines of research: bipolar disorders, schizophrenia and depression-anxiety, child psychiatry and psychology, psychiatric intervention in medical disease and alcoholism. • The 114-153 AREA4.indd 134 bipolar disorders program principally investigates the neurobiologic and anatomical-functional mechanisms implicated in the development of the disease (genetics, neuromodulators, hormonal factors and neuroimaging) and its relapses, the clinical course and its neuropsychological consequences, 21/10/09 16:02:07 114-153 AREA4.indd 135 cipal lines are the following: Prospective transversal study of alcoholism; follow-up of a cohort of 850 patients who began treatment in 1987 in the Catalan Network of Drug Addictions; screening instruments and early-detection techniques and short counselling in risk drinkers in hospitals and in primary health care; evaluation and prognosis of alcoholic patients who are candidates for liver transplant; treatment of smoking in alcoholic patients; and evaluation of European alcohol policies and their impact on public health. •The objectives of the depression line include implementing new psychopathologic and biologic endophenotype methods in major depression. Development of methods for analyzing the mechanism of action of antidepressants by means of the platelet model of depression (developed together with the hemostasis group led by Prof. Ginés Escolar), research of neurotrophic factors (BDNF) in depressive patients and research into factors that condition the residual symptoms of major depression. The main lines of research of the Clínic research group on Child Psychiatry and Psychology are the following: •Schizophrenia and bipolar disorder: Study and follow-up of early psychotic episodes, cognitive rehabilitation in adolescent patients with schizophrenia, study of children and adolescents with a high genetic risk of schizophrenia and bipolar disorder due to being children of patients with these disorders, study of prodromal symptoms of psychotic disorders in children and adolescents and study of the safety and tolerance of antipsychotic drugs in adolescents. •Anorexia and bulimia nervosa and obsessive-compulsive disorder: Study of the common and differential abnormalities (genetic, neuropsychologic and neuroimaging) of anorexia nervosa and of obsessive-compulsive disorder, study of new therapeutic approaches (psychologic and pharmacologic) for bulimia and anorexia nervosa, study of autoimmune abnormalities in obsessive-compulsive disorder and in anorexia. •Addictive behavior: Analysis of the percentage of patients seen by a child psychiatry department for different diseases, who also present toxic substance use, abuse or dependence, study of the efficacy of Clinical and Experimental Neurosciences Area 4 the efficacy of drug treatments and new therapies, and psychological interventions for early detection and prevention of relapses, increased adherence to treatment and improved efficacy of the therapeutic strategies for bipolar disorder. The strategic objectives are to investigate the causes and the mechanisms implicated in the etiopathogenesis of bipolar disorder and to investigate new treatments to improve the outcome of this disease. •The schizophrenia program focuses on the study of early schizophrenic episodes and resistant and comorbid schizophrenia by means of functional neuroimaging (SPECT of cerebral perfusion and receptors, PET and fMRI). We have performed studies on sensory and cognitive neuroactivation with neuropsychologic tests of frontal activation and studies on the occupation of dopaminergic receptors, and studies on the presynaptic dopaminergic function. We have also studied plasma metabolites of dopamine as biologic indicators of relapse in a prospective, transversal follow-up study and a study of response to treatment. We have studied the role of schizophrenia in the development of cardiovascular and metabolic diseases and, secondarily, the role of antipsychotic drugs. We have studied the pharmacogenetics of antipsychotic drugs to evaluate the efficacy and safety of these drugs depending on individual genetic characteristics. Specifically, we analyzed the pharmacogenetics of the extrapyramidal effects caused by treatment with antipsychotics, polymorphisms associated with the risk of schizophrenia and new pharmacogenetic methods for their implantation in clinical and hospital care. We have initiated a psychoeducation project that will roll out new ways of exchanging and transmitting knowledge, with the support of new technologies, rigorous content and appropriate communication. The new Forumclinic website is an interactive program with the objective of increasing patient autonomy in terms of their health. •The Alcoholism Unit is a reference standard in Catalonia in the area of the treatment of alcohol dependency. We are one of the main research groups in Spain and are currently trying to consolidate a leading position in Europe in the area of short interventions to reduce drinking in at-risk drinkers. Several lines of research are being carried out y the Alcoholism Unit. The prin- Biological bases of psychiatric disorders and nuclear psychiatry Voxel-based morphometry analysis in the group of patients with schizophrenia. 135 21/10/09 16:02:10 Area 4 Clinical and Experimental Neurosciences Biological bases of psychiatric disorders and nuclear psychiatry new multimodal treatment approaches to addictive behavior in adolescents. • Autistic disorders: Study of the efficacy of new psychologic and drug therapies in these disorders and study of the neuropsychologic profile in children with autistic disorders with high functioning and the relationship with clinical variables. The line of psychiatric intervention in medical disease has focused on researching knowledge of psychiatric disorders that occur in the main neurologic diseases: dementia, multiple sclerosis, epilepsy, Parkinson disease and Huntingdon disease. Study of psychiatric pathology and psychological aspects associated with medical and surgical hospital processes: transplants, delirium, psychiatric problems in medical patients admitted to a general hospital, evaluation of predictive variables and factors associated with suicide in the general hospital. We also study the biologic markers and therapeutic aspects of major depression. We have also studied personality disorders: the structure of diagnostic systems, relationship with adaptation to the environment and validation of new models and instruments. Websites relating to the team: ForumClinic www.forumclinic.org Network of Centers for Biomedical Research on Mental Health (CiberSAM) www.cibersam.es Associated Group Schizophrenia Principal Investigator: ■ Bernardo, Miquel (ICN) Our group, the Clínic Schizophrenia Group (GEC), was recognized as a consolidated research group (2005SGR00223) by DURSI in 2005. It has an interdisciplinary team formed by psychiatrists, psychologists and neuropsychologists, nurses, nuclear medicine specialists, pharmacologists, toxicologists and biochemists linked to Hospital Clínic and the University of Barcelona. This is a group of researchers that form part of the Clínic Schizophrenia Program (PEC) and disorders relating to schizophrenia. IT is a program of clinical care, research and teaching both at hospital and outpatient level, which includes different care and research protocols aimed at responding to problems posed by schizophrenia and it brings together the different departments of Hospital Clínic, Barcelona. In 2007, it was a group of the network on Mental Diseases: emotional and psychotic disorders (REMTAP) and in 2008, it also formed part of the groups that made up the Network of Centers for Biomedical Research on Mental Health (CiberSAM) (www.cibersam.es). The Clínic Schizophrenia Group investigates early episodes of schizophrenia, early schizophrenia in childhood/adolescence and resistant and comorbid schizophrenia. The principal lines of research are physical health, neurobiology and neuropsychopharmacology in schizophrenia, with a professional from each of these areas under the coordination of Dr. M Bernardo. Another line of research is early schizophrenia in children and adolescents, a population with a high risk of schizophrenia, this line is carried out in close collaboration with the child psychiatry department of Hospital Clínic, directed by Dr. Castro, together with Dr. Baeza, Lázaro and Dr. Sánchez-Gistau (Study on high genetic risk of schizophrenia). Emerging Group Depression Group Principal Investigator: ■ Gasto, Cristobal (ICN) 136 Our group has specialized in researching the neurobiologic bases and clinical indicators of depression associated with the therapeutic response and course of this disease. It is estimated that depression afflicts 10% of people during their lives. This disease is currently one of the biggest health problems, particularly due to its slow, and often incomplete, resolution. The disease interferes significantly with the normal functioning of the person and their families and has an associated risk of suicide of greater than 10%. The project of the World Health Organization (WHO) for 2020 considers that depression will be the second cause of disability after cardiovascular diseases. In Europe, it is calculated that some thirty million people suffer some form of depression, with an annual cost of 100 billion euro. Our group works actively on the early detection, treatment and comorbidity (medical and psychiatric) of this disease. The genetic and neuroendocrine markers that we are investigating have led to an improved understanding of the pathophysiologic mechanisms of depression. Also, several researchers of the group are actively working on the design of new drug and psychotherapeutic strategies, individually and with the group. 114-153 AREA4.indd 136 21/10/09 16:02:13 Associated Group Research group on Child Psychiatry and Psychology Principal Investigator: ■ Castro, Josefina (ICN) Associated Group Biological bases of psychiatric disorders and nuclear psychiatry The Clínic research group on child psychiatry and psychology works within the child psychiatry and psychology department, which has patient care, research and teaching aspects. All of these aspects are clearly interrelated in order to provide better care with standardized protocols and evaluation, undergraduate and postgraduate teaching and to allow both clinical research and research with genetics, neuroimaging and neurobiology groups. The group is mostly made up of members of the child psychiatry and psychology department but is part of the Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) in the group on biological bases of psychic disorder (coordinator, M. Bernardo), in the CiberSAM (Network of Centers for Biomedical Research on Mental Health) of the Carlos III Health Institute, in the Hospital Clínic group coordinated by Dr. M. Bernardo. It was also part of the Network of Early Episodes in Children and Adolescents in the Mental Disease Network (REMTAP) of the same institute. It also carries out important collaborations with the Adult Psychiatric Department of Hospital Clínic (particularly for schizophrenia, bipolar disorder and addictive behavior). The objectives of the research are to study the manifestations, causes and treatment of the most severe and/or prevalent disorders that appear at these ages: Schizophrenia and Bipolar Disorder, Anorexia and Bulimia Nervosa, Obsessive-Compulsive Disorder, Autistic Disorders and Addictive Behavior. At the same time, it is carrying out another line in relation the efficacy and safety of psychiatric drugs in children and adolescents, and area that is underdeveloped in relation to knowledge in adult patients. Bipolar disorders Principal Investigator: ■ Vieta, Eduard (ICN) I.F.: 193,78 PublicaTions Original Articles 1 2 3 Pareto D, Aguiar P, Pavia J, Gispert JD, Cot A, Falcon C, Benabarre A, Lomena F, Vieta E, Ros D. Assessment of SPM in perfusion brain SPECT studies. A numerical simulation study using bootstrap resampling methods. IEEE T BIO-MED ENG. 55:1849-1853. I.F.:1,62. Parellada E, Lomena F, Font M, Pareto D, Gutierrez F, Simo M, Fernandez-Egea E, Pavia J, Ros D, Bernardo M. Fluordeoxyglucose-PET study in first-episode schizophrenic patients during the hallucinatory state, after remission and during linguistic-auditory activation. NUCL MED COMMUN. 29:894-900. I.F.:1,30. Garcia-Esteve L, Navarro P, Ascaso C, Torres A, Aguado J, Gelabert E, Martin-Santos R. Family caregiver role and premenstrual syndrome as associated factors for postnatal depression. ARCH WOMEN MENT HLTH. 11:193-200. I.F.:1,91. 114-153 AREA4.indd 137 4 5 6 7 Mezones-Holguin E, Blumel JE, Huezo M, Vargas R, Castro J, Cordova W, Valenzuela G, Castelo-Branco C. Impact of diabetes mellitus on the sexuality of Peruvian postmenopausal. GYNECOL ENDOCRINOL. 24:470-474. I.F.:1,17. Lafuente A, Bernardo M, Mas S, Crescenti A, Aparici M, Gasso P, Deulofeu R, Mane A, Catalan R, Carne X. Polymorphism of dopamine D2 receptor (TaqIA, TaqIB, and-141C Ins/Del) and dopamine degradation enzyme (COMT G158A, A-278G) genes and extrapyramidal symptoms in patients with schizophrenia and bipolar disorders. PSYCHIAT RES. 161:131-141. I.F.:2,30. Castro-Fornieles J, Deulofeu R, Baeza I, Casula V, Saura B, Lazaro L, Puig J, Toro J, Bernardo M. Psychopathological and nutritional correlates of plasma homovanillic acid in adolescents with anorexia nervosa. J PSYCHIATR RES. 42:213-220. I.F.:3,71. Fernandez-Egea E, Bernardo M, Parellada E, Justicia A, Garcia-Rizo C, Esmatjes E, Conget I, Kirkpatrick B. Clinical and Experimental Neurosciences Area 4 The bipolar disorders program essentially investigates the neurobiologic and anatomical-functional mechanisms implicated in the development of the disease, its clinical course, comorbidity with other diseases, the neurocognitive mechanisms involved, and the search for new drug, biophysical and psychosocial treatments to improve outcome and quality of life of the patients. Our group has been a pioneer in characterizing the associated neurocognitive dysfunction, developing new drug treatments and in the implementation of psychoeducational techniques aimed at both patients and their families. The result of this research and innovation, is that the main international diagnostic and therapeutic guidelines take these contributions and recommend their application to clinical practice. Our program collaborates actively with other IDIBAPS groups, with CiberSAM groups and with European and international research centers to obtain multicenter projects with a particular translational and innovative bent. 137 21/10/09 16:02:16 8 Biological bases of psychiatric disorders and nuclear psychiatry 9 10 11 12 Area 4 Clinical and Experimental Neurosciences 13 14 15 16 17 138 18 19 114-153 AREA4.indd 138 Glucose abnormalities in the siblings of people with schizophrenia. SCHIZOPHR RES. 103:110-113. I.F.:4,24. Morer A, Lazaro L, Sabater L, Massana J, Castro J, Graus F. Antineuronal antibodies in a group of children with obsessive-compulsive disorder and Tourette syndrome. J PSYCHIATR RES. 42:64-68. I.F.:3,71. Maestro L, Carreno M, Donaire A, Rumia J, Conesa G, Bargallo N, Falcon C, Setoain X, Pintor L, Boget T. Oroalimentary automatisms induced by electrical stimulation of the fronto-opercular cortex in a patient without automotor seizures. EPILEPSY BEHAV. 13:410-412. I.F.:2,10. Lafuente A, Bernardo M, Mas S, Crescenti A, Aparici M, Gasso P, Goti J, Sanchez V, Catalan R, Carne X. -141C Ins/Del polymorphism of the dopamine D2 receptor gene is associated with schizophrenia in a Spanish population. PSYCHIAT GENET. 18:122-127. I.F.:2,26. Bowden C, Gogus A, Grunze H, Haggstrom L, Rybakowski J, Vieta E. A 12-week, open, randomized trial comparing sodium valproate to lithium in patients with bipolar I disorder suffering from a manic episode. INT CLIN PSYCHOPHARM. 23:254-262. I.F.:3,26. Castro-Fornieles J, Bargallo N, Lazaro L, Andres S, Falcon C, Plana MT, Junque C. A cross-sectional and follow-up voxel-based morphometric MRI study in adolescent anorexia nervosa. J PSYCHIATR RES. 43:331340. I.F.:3,71. Vieta E, Cruz N, Garcia-Campayo J, DeArce R, Crespo JM, Valles V, Perez-Blanco J, Roca E, Olivares JM, Morinigo A, Fernandez-Villamor R, Comes M. A doubleblind, randomized, placebo-controlled prophylaxis trial of oxcarbazepine as adjunctive treatment to lithium in the long-term treatment of bipolar I and II disorder. INT J NEUROPSYCHOPH . 11:445-452. I.F.:4,90. Vieta E, Nieto E, Autet A, Rosa AR, Goikolea JM, Cruz N, Bonet P. A long-term prospective study on the outcome of bipolar patients treated with long-acting injectable risperidone. WORLD J BIOL PSYCHIA. 9:219-224. I.F.:1,69. Sanchez-Moreno J, Villagran JM, Gutierrez JR, Camacho M, Ocio S, Palao D, Querejeta I, Gascon J, Sanchez G, Vieta E. Adaptation and validation of the Spanish version of the Mood Disorder Questionnaire for the detection of bipolar disorder. BIPOLAR DISORD. 10:400412. I.F.:4,44. Castro-Fornieles J, Parellada M, Soutullo CA, Baeza I, Gonzalez-Pinto A, Graell M, Paya B, Moreno D, DeLaSerna E, Arango C. Antipsychotic treatment in child and adolescent first-episode psychosis: A longitudinal naturalistic approach. J CHILD ADOL PSYCHOP. 18:327336. I.F.:3,14. Gasso P, Bernardo M, Mas S, Crescenti A, Garcia C, Parellada E, Lafuente A. Association of A/G Polymorphism in Intron 13 of the Monoamine Oxidase B Gene with Schizophrenia in a Spanish Population. NEUROPSYCHOBIOLOGY. 58:65-70. I.F.:1,99. DeCid R, Fonseca F, Gratacos M, Gutierrez F, MartinSantos R, Estivill X, Torrens M. BDNF variability in opioid addicts and response to methadone treatment: preliminary findings. GENES BRAIN BEHAV. 7:515-522. I.F.:3,53. Segarra N, Bernardo M, Valdes M, Caldu X, Falcon C, Rami L, Bargallo N, Parramon G, Junque C. Cerebellar 20 21 22 23 24 25 26 27 28 29 30 31 32 deficits in schizophrenia are associated with executive dysfuntion. NEUROREPORT. 19:1513-1517. I.F.:2,16. Lazaro L, Caldu X, Junque C, Bargallo N, Andres S, Morer A, Castro-Fornieles J. Cerebral activation in children and adolescents with obsessive-compulsive disorder before and after treatment: A functional MRI study. J PSYCHIATR RES. 42:1051-1059. I.F.:3,71. Andres S, Lazaro L, Salamero M, Boget T, Penades R, Castro-Fornieles J. Changes in cognitive dysfunction in children and adolescents with obsessive-compulsive disorder after treatment. J PSYCHIATR RES. 42:507-514. I.F.:3,71. VanRiel WG, Vieta E, Martinez-Aran A, Haro JM, Bertsch J, Reed C, VanOs J. Chronic mania revisited: factors associated with treatment non-response during prospective follow-up of a large European cohort (EMBLEM). WORLD J BIOL PSYCHIA. 9(4):313-320. I.F.:1,69. Diaz R, Castro-Fornieles J, Serrano L, Gonzalez L, Calvo R, Goti J, Kaminer Y, Gual A. Clinical and research utility of Spanish Teen-Addiction Severity Index (T-ASI). ADDICT BEHAV. 33:188-195. I.F.:1,75. Rami L, Goti J, Ferrer J, Marcos T, Salamero M, Bernardo M. Cognitive functions after only one ECT session: A controlled study. PSYCHIAT RES. 158:389-394. I.F.:2,30. Navarro V, Gasto C, Torres X, Masana G, Penades R, Guarch J, Vazquez M, Serra M, Pujol N, Pintor L, Catalan R. Continuation/maintenance treatment with nortriptyline versus combined nortriptyline and ECT in late-life psychotic depression: A two-year randomized study. AM J GERIAT PSYCHIAT. 16:498-505. I.F.:3,50. Crescenti A, Mas S, Gasso P, Parellada E, Bernardo M, Lafuente A. CYP2D6*3, *4, *5 and *6 polymorphisms and antipsychotic-induced extrapyramidal side-effects in patients receiving antipsychotic therapy. CLIN EXP PHARMACOL P. 35:807-811. I.F.:2,04. Brugue E, Colom F, Sanchez-Moreno J, Cruz N, Vieta E. Depression subtypes in bipolar I and II disorders. PSYCHOPATHOLOGY. 41:111-114. I.F.:1,44. Bombin I, Arango C, Mayoral M, Castro-Fornieles J, Gonzalez-Pinto A, Gonzalez-Gomez C, Moreno D, Parellada M, Baeza I, Graell M, Otero S, Saiz PA, PatinoGarcia A. DRD3, but not COMT or DRD2, genotype affects executive functions in healthy and first-episode psychosis adolescents. AM J MED GENET B. 147B:873879. I.F.:4,22. Goodwin GM, Anderson I, Arango C, Bowden CL, Henry C, Mitchell PB, Nolen WA, Vieta E, Wittchen HU. ECNP consensus meeting. Bipolar depression. Nice, March 2007. EUR NEUROPSYCHOPHARM. 18:535-549. I.F.:4,43. Mas S, Gasso P, Crescenti A, Parellada E, Bernardo M, Lafuente A. Effect of polymorphisms of the cathecol-Omethyltransferase on schizophrenia risk in a Spanish population. MED CLIN-BARCELONA . 131:761-764. I.F.:1,34. Vieta E, Suppes T, Eggens I, Persson I, Paulsson B, Brecher M. Efficacy and safety of quetiapine in combination with lithium or divalproex for maintenance of patients with bipolar I disorder (international trial 126). J AFFECT DISORDERS. 109:251-263. I.F.:3,14. Vieta E, T’joen C, Mcquade RD, Carson WH, Marcus RN, Sanchez R, Owen R, Nameche L. Efficacy of adjunctive 21/10/09 16:02:19 33 34 36 37 39 40 41 42 43 114-153 AREA4.indd 139 Clinical and Experimental Neurosciences Area 4 38 44 Tabares-Seisdedos R, Balanza-Martinez V, SanchezMoreno J, Martinez-Aran A, Salazar-Fraile J, Selva-Vera G, Rubio C, Mata I, Gomez-Beneyto M, Vieta E. Neurocognitive and clinical predictors of functional outcome in patients with schizophrenia and bipolar I disorder at one-year follow-up. J AFFECT DISORDERS. 109:286299. I.F.:3,14. 45 Martinez-Aran A, Torrent C, Tabares-Seisdedos R, Salamero M, Daban C, Balanza-Martinez V, Sanchez-Moreno J, Goikolea JM, Benabarre A, Colom F, Vieta E. Neurocognitive impairment in bipolar patients with and without history of psychosis. J CLIN PSYCHIAT. 69:233-239. I.F.:5,06. 46 Mur M, Portella MJ, Martinez-Aran A, Pifarre J, Vieta E. Neuropsychological profile in bipolar disorder: a preliminary study of monotherapy lithium-treated euthymic bipolar patients evaluated at a 2-year interval. ACTA PSYCHIAT SCAND. 118:373-381. I.F.:3,78. 47 Vieta E, Panicali F, Goetz I, Reed C, Comes M, Tohen M. Olanzapine monotherapy and olanzapine combination therapy in the treatment of mania: 12-week results from the European Mania in Bipolar Longitudinal Evaluation of Medication (EMBLEM) observational study. J AFFECT DISORDERS. 106:63-72. I.F.:3,14. 48 Tohen M, Vieta E, Goodwin GM, Sun B, Amsterdam JD, Banov M, Shekhar A, Aaronson ST, Bardenstein L, Grecu-Gabos I, Tochilov V, Prelipceanu D, Oliff HS, Kryzhanovskaya L, Bowden C. Olanzapine Versus Divalproex Versus Placebo in the Treatment of Mild to Moderate Mania: A Randomized, 12-Week, Double-Blind Study. J CLIN PSYCHIAT. 69:1776-1789. I.F.:5,06. 49 Femandez-Egea E, Miller B, Bernardo M, Donner T, Kirkpatrick B. Parental history of Type 2 diabetes in patients with nonaffective psychosis. SCHIZOPHR RES. 98:302-306. I.F.:4,24. 50 Herrero MJ, Domingo-Salvany A, Torrens M, Brugal MT, Gutierrez F. Personality profile in young current regular users of cocaine. SUBST USE MISUSE. 43:13781394. I.F.:1,23. 51 Catafau AM, Penengo MM, Nucci G, Bullich S, Corripio I, Parellada E, Garcia-Ribera C, Gomeni R, Merlo-Pich E. Pharmacokinetics and time-course of D-2 receptor occupancy induced by atypical antipsychotics in stabilized schizophrenic patients. J PSYCHOPHARMACOL . 22:882-894. I.F.:3,78. 52 Rosa AR, Andreazza AC, Kunz M, Gomes F, Santin A, Sanchez-Moreno J, Reinares M, Colom F, Vieta E, Kapczinski F. Predominant polarity in bipolar disorder: Diagnostic implications. J AFFECT DISORDERS. 107:4551. I.F.:3,14. 53 Brissos S, Dias VV, Carita AI, Martinez-Aran A. Quality of life in bipolar type I disorder and schizophrenia in remission: Clinical and neurocognitive correlates. PSYCHIAT RES. 160:55-62. I.F.:2,30. 54 Suppes T, Hirschfeld RM, Vieta E, Raines S, Paulsson B. Quetiapine for the treatment of bipolar II depression: Analysis of data from two randomized, double-blind, placebo-controlled studies. WORLD J BIOL PSYCHIA. 9:198-211. I.F.:1,69. 55 Cruz N, Vieta E, Comes M, Haro JM, Reed C, Bertsch J. Rapid-cycling bipolar I disorder: Course and treatment outcome of a large sample across Europe. J PSYCHIATR RES. 42:1068-1075. I.F.:3,71. Biological bases of psychiatric disorders and nuclear psychiatry 35 aripiprazole to either valproate or lithium in bipolar mania patients partially nonresponsive to valproate/ lithium monotherapy: A placebo-controlled study. AM J PSYCHIAT. 165:1316-1325. I.F.:9,13. Valenti M, Benabarre A, Garcia-Amador M, Molina O, Bernardo M, Vieta E. Electroconvulsive therapy in the treatment of mixed states in bipolar disorder. EUR PSYCHIAT. 23:53-56. I.F.:1,88. Kotzalidis GD, Pacchiarotti I, Manfredi G, Savoja V, Torrent C, Mazzarini L, Tatarelli C, Amann B, DiMarzo S, Sanchez-Moreno J, Sani G, Girardi P, Colom F, Vieta E. Ethical questions in human clinical psychopharmacology: should the focus be on placebo administration?. J PSYCHOPHARMACOL. 22:590-597. I.F.:3,78. Tabares-Seisdedos R, Mata I, Escamez T, Vieta E, LopezIlundain JM, Salazar J, Selva G, Balanza V, Rubio C, Martinez-Aran A, Valdes-Sanchez L, Geijo-Barrientos E, Martinez S. Evidence for association between structural variants in lissencephaly-related genes and executive deficits in schizophrenia or bipolar patients from a Spanish isolate population. PSYCHIAT GENET. 18:313-317. I.F.:2,26. Rosa AR, Franco C, Martinez-Aran A, Sanchez-Moreno J, Salamero M, Valenti M, Tabares-Seisdedos R, Gonzalez-Pinto A, Kapczinski F, Vieta E. Functional impairment and previous suicide attempts in bipolar disorder. ACTA NEUROPSYCHIATR. 20:300-306. I.F.:1,21. Berk M, Ng F, Wang WV, Tohen M, Lubman DI, Vieta E, Dodd S. Going up in smoke: Tobacco smoking is associated with worse treatment outcomes in mania. J AFFECT DISORDERS. 110:126-134. I.F.:3,14. Gonzalez-Pinto A, Vega P, Ibanez B, Mosquera F, Barbeito S, Gutierrez M, DeAzua SR, Ruiz I, Vieta E. Impact of cannabis and other drugs on age at onset of psychosis. J CLIN PSYCHIAT. 69:1210-1216. I.F.:5,06. Reinares M, Colom F, Sanchez-Moreno J, Torrent C, Martinez-Aran A, Comes M, Goikolea JM, Benabarre A, Salamero M, Vieta E. Impact of caregiver group psychoeducation on the course and outcome of bipolar patients in remission: a randomized controlled trial. BIPOLAR DISORD. 10:511-519. I.F.:4,44. Navines R, Martin-Santos R, Gomez-Gil E, DeOsaba MJM, Gasto C. Interaction between serotonin 5-HT1A receptors and beta-endorphins modulates antidepressant response. PROG NEURO-PSYCHOPH . 32:18041809. I.F.:2,80. Mur M, Portella MJ, Martinez-Aran A, Pifarre J, Vieta E. Long-term stability of cognitive impairment in bipolar disorder: A 2-year follow-up study of lithium-treated euthymic bipolar patients. J CLIN PSYCHIAT. 69:712719. I.F.:5,06. Guarch J, Marcos T, Salamero M, Gasto C, Blesa R. Mild cognitive impairment: a risk indicator of later dementia, or a preclinical phase of the disease?. INT J GERIATR PSYCH. 23:257-265. I.F.:2,20. Sanjuan J, Martin-Santos R, Garcia-Esteve L, Carot JM, Guillamat R, Gutierrez-Zotes A, Gornemann I, Canellas F, Baca-Garcia E, Jover M, Navines R, Valles V, Vilella E, DeDiego Y, Castro JA, Ivorra JL, Gelabert E, Guitart M, Labad A, Mayoral F, Roca M, Gratacos M, Costas J, VanOs J, DeFrutos R. Mood changes after delivery: role of the serotonin transporter gene. BRIT J PSYCHIAT. 193:383-388. I.F.:5,45. 139 21/10/09 16:02:21 Biological bases of psychiatric disorders and nuclear psychiatry Area 4 Clinical and Experimental Neurosciences 56 Pino O, Guilera G, Rojo JE, Gomez-Benito J, Bernardo M, Crespo-Facorro B, Cuesta MJ, Franco M, MartinezAran A, Segarra N, Tabares-Seisdedos R, Vieta E, Purdon SE, Diez T, Rejas J. Spanish version of the Screen for Cognitive Impairment in Psychiatry (SCIP-S): Psychometric properties of a brief scale for cognitive evaluation in schizophrenia. SCHIZOPHR RES. 99:139-148. I.F.:4,24. 57 VanRossum I, Haro JM, Tenback D, Boomsma M, Goetz I, Vieta E, VanOs J. Stability and treatment outcome of distinct classes of mania. EUR PSYCHIAT. 23:360-367. I.F.:1,88. 58 Vieta E, Sanchez-Moreno J, Lahuerta J, Zaragoza S. Subsyndromal depressive symptoms in patients with bipolar and unipolar disorder during clinical remission. J AFFECT DISORDERS. 107:169-174. I.F.:3,14. 59 Walther M, Montse B, Silvia M, Gemma N, Antoni G. Teaching hospital staff about hazardous drinking: The effect of a single intervention. ALCOHOL ALCOHOLISM. 43:51-52. I.F.:2,09. 60 Patino-Garcia A, Santos JL, Paya B, Parellada M, Bombin I, Sierrasesumaga L, Castro-Fornieles J, Baeza I, Gonzalez-Pinto A, Graell M, Moreno DM, RapadoCastro M, Arango C. The genetic contribution to first psychotic episodes in children and adolescents of the child and adolescent first-episode psychosis study. PSYCHIAT GENET. 18:151-152. I.F.:2,26. 61 Torrent C, Vieta E, Garcia-Garcia M. Validation of the Barcelona Bipolar Eating Disorder Scale for Bipolar Patients with Eating Disturbances. PSYCHOPATHOLOGY. 41:379-387. I.F.:1,44. 62 Vieta E, Bobes J, Ballesteros J, Gonzalez-Pinto A, Luque A, Ibarra N. Validity and reliability of the Spanish versions of the Bech-Rafaelsen’s mania and melancholia scales for bipolar disorders. ACTA PSYCHIAT SCAND. 117:207-215. I.F.:3,78. 63 Gutierrez F, Navines R, Navarro P, Garcia-Esteve L, Subira S, Torrens M, Martin-Santos R. What do all personality disorders have in common? Ineffectiveness and uncooperativeness. COMPR PSYCHIAT. 49:570-578. I.F.:1,86. Reviews 1 2 140 3 4 5 114-153 AREA4.indd 140 Lopez-Munoz F, Garcia-Garcia P, Saiz-Ruiz J, Mezzich JE, Rubio G, Vieta E, Alamo C. A bibliometric study of the use of the classification and diagnostic systems in psychiatry over the last 25 years. PSYCHOPATHOLOGY. 41:214-225. I.F.:1,44. Fountoulakis KN, Vieta E, Bouras C, Notaridis G, Giannakopoulos P, Kaprinis G, Akiskal H. A systematic review of existing data on long-term lithium therapy: neuroprotective or neurotoxic?. INT J NEUROPSYCHOPH. 11:269-287. I.F.:4,90. Kapczinski F, Vieta E, Andreazza AC, Frey BN, Gomes FA, Traniontina J, Kauer-Sant’anna M, Grassi-Oliveira R, Post RM. Allostatic load in bipolar disorder: Implications for pathophysiology and treatment. NEUROSCI BIOBEHAV R. 32:675-692. I.F.:8,15. Vieta E, Suppes T. Bipolar II disorder: arguments for and against a distinct diagnostic entity. BIPOLAR DISORD. 10:163-178. I.F.:4,44. Goodwin GM, Martinez-Aran A, Glahn DC, Vieta E. Cog- nitive impairment in bipolar disorder: Neurodevelopment or neurodegeneration? An ECNP expert meeting report. EUR NEUROPSYCHOPHARM. 18:787-793. I.F.:4,43. 6 Ghaemi SN, Bauer M, Cassidy F, Malhi GS, Mitchell P, Phelps J, Vieta E, Youngstrom E. Diagnostic guidelines for bipolar disorder: a summary of the International society for bipolar disorders diagnostic guidelines task force report. BIPOLAR DISORD. 10:117-128. I.F.:4,44. 7 Balanza-Martinez V, Rubio C, Selva-Vera G, MartinezAran A, Sanchez-Moreno J, Salazar-Fraile J, Vieta E, Tabares-Seisdedos R. Neurocognitive endophenotypes (Endophenocognitypes) from studies of relatives of bipolar disorder subjects: A systematic review. NEUROSCI BIOBEHAV R. 32:1426-1438. I.F.:8,15. 8 Martinez-Aran A, Vieta E, Chengappa KNR, Gershon S, Mullen J, Paulsson B. Reporting outcomes in clinical trials for bipolar disorder: a commentary and suggestions for change. BIPOLAR DISORD. 10:566-579. I.F.:4,44. 9 Daban C, Martinez-Aran A, Cruz N, Vieta E. Safety and efficacy of Vagus Nerve Stimulation in treatmentresistant depression. A systematic review. J AFFECT DISORDERS. 110:1-15. I.F.:3,14. 10 Fountoulakis KN, Vieta E. Treatment of bipolar disorder: a systematic review of available data and clinical perspectives. INT J NEUROPSYCHOPH. 11:999-1029. I.F.:4,90. 11 Torrent C, Amann B, Sanchez-Moreno JS, Colom F, Reinares M, Comes M, Rosa AR, Scott J, Vieta E. Weight gain in bipolar disorder: pharmacological treatment as a contributing factor. ACTA PSYCHIAT SCAND. 118:418. I.F.:3,78. 12 Tandon R, Belmaker RH, Gattaz WF, Lopez-Bor JJ, Okasha A, Singh B, Stein DJ, Olie JP, Fleischhacker WW, Moeller HJ, Vieta E. World Psychiatric Association Pharmacopsychiatry section statement on comparative effectiveness of antipsychotics in the treatment of schizophrenia. SCHIZOPHR RES. 100:20-38. I.F.:4,24. Editorials 1 2 3 Vieta E. Antidepressants in bipolar depression. ACTA PSYCHIAT SCAND. 118:335-336. I.F.:3,78. Vieta E. Overcoming the current approach in bipolar disorder research: towards DSM-V and beyond. J PSYCHOPHARMACOL. 22:406-407. I.F.:3,78. Gual A. Translational research: A necessary and difficult step forward in the addictions field. ADDICTION. 103:1065-1066. I.F.:4,01. Multicentrics 1 Moller HJ, Baldwin DS, Goodwin G, Kasper S, Okasha A, Stein DJ, Tandon R, Versiani M, Vieta E. Do SSRIs or antidepressants in general increase suicidality? WPA section on pharmacopsychiatry: consensus statement. EUR ARCH PSY CLIN N. 258:3-23. I.F.:2,81. Grants for Research in Progress Bernardo M. Diabetes in Neuropsychiatric Disorders. (subaward nº 07-20846A1. Grant: National Institutes of Health - EU, 1R01DK069265-01A1 S02078-. Duration: 01/04/2005-31/03/2010. 21/10/09 16:02:24 Bernardo M. Grup Esquizofrenia Clínic (GEC). Grant: Comissionat per a Universitats i Recerca, 2005SGR00223. Duration: 19/10/2005-31/12/2008. Vieta E. Funcionamiento y discapacidad en los trastornos afectivos. Grant: Ministerio Sanidad y Consumo, PI050206. Duration: 01/01/2006-30/12/2008. Gutierrez F. Una taxonomía con base empírica para los transtornos de la personalidad: reorganización factorial del Eje II (DSM-IV). Grant: Ministerio Sanidad y Consumo, PI070033. Duration: 26/11/2007-30/12/2010. Castro J. Características psicopatológicas, neuropsicológicas y de neuroimagen comunes y diferenciales en niños y adolescentes hijos de pacientes con esquizofrenia o con transtorno bipolar. Grant: Ministerio Sanidad y Consumo, PI070066. Duration: 26/11/2007-30/12/2010. Penades R. Análisis de los efectos del tratamiento de rehabilitación cognitiva en la esquizofrenia mediante técnicas de neuroimagen funcional. Grant: Ministerio Sanidad y Consumo, PI070258. Duration: 26/11/2007-30/12/2010. Vieta E. REM-TAP - Red de Enfermedades Mentales y Trastornos Afectivos y Psicóticos. Grant: Ministerio Sanidad y Consumo, RD06/0011/0005. Duration: 01/01/200730/06/2008. Bernardo M. REM-TAP - Red de Enfermedades Mentales y Trastornos Afectivos y Psicóticos. Grant: Ministerio Sa- Gual T. Public health interventions to reduce the harm done by alcohol. Grant: Ministerio Educación y Ciencia, SAF200729421-E. Duration: 10/04/2007-10/04/2008. Bernardo M. Contrato para la formacion y perfeccionamiento del Personal Investigador postdoctorales. Grant: Ministerio de Sanidad y Comsumo, FIS CD07/00117. Duration: 01/01/2007-31/12/2009. Penades R. Eficacia de un tratamiento de rehabilitación cognitiva en adolescentes con trastornos del espectro de la esquizofrenia. Grant: Ministerio de Sanidad y Consumo. Duration: 01/01/2008-31/12/2009. Bernardo M. Centro de investigacion biomedica en red en salud mental (CIBERSAM). Grant: Instituto de Salud Carlos III, CB07/09/0005. Duration: 01/01/2008-31/12/2011. Gual T. Standardizing Measurement of Alcohol Related Troubles. Grant: Instytut Psychiatrii i Neurologii (IPIN), 2007308. Duration: 01/09/2008-31/08/2010. Vieta E. Salud Mental. Grant: Instituto de Salud Carlos III, CB07/09/0004. Duration: 01/01/2008-31/12/2011. Thesis Lafuente A. Estudio de asociación de polimorfismos en los genes COMT, MAO-A, MAO-B y DAT con el riesgo de esquizofrenia y de aparición de efectos extrapiramidales en pacientes tratados con antipsicóticos. Doctorand: Patricia Gasso Astorga. Clinical and Experimental Neurosciences Area 4 Lazaro L. Estudio de la relación clínica y genética entre un subgrupo de pacientes con anorexia nerviosa y pacientes con trastorno obsesivo compulsivo en niños y adolescentes. Grant: Ministerio Sanidad y Consumo, PI070350. Duration: 26/11/2007-30/12/2010. Gasto C. Análisis de los niveles plasmáticos de BDNF y de interleukin 1beta en depresión y estudio de su relación con el funcionamiento del eje HHA como modelo de rasgo predictor de respuesta al tratamiento. Grant: Ministerio Educación y Ciencia, SAF2005-07852-C02-02. Duration: 31/12/2005-31/12/2008. Biological bases of psychiatric disorders and nuclear psychiatry Bernardo M. Polimorfismos MAO A(T941G), MAO B (intron 13 A/G), COMT (-A278G), ACE (I/D), CYP2D6(*3,*4,*5,*6) y CYP1A2 (*1C, *1F). Grant: Ministerio Sanidad y Consumo, PI060182. Duration: 18/10/2006-30/12/2009. nidad y Consumo, RD06/0011/0006. Duration: 01/01/200730/06/2008. 141 114-153 AREA4.indd 141 21/10/09 16:02:27 Neuropsychology Team Members Neuropsychology Team Leader: ■ Carme Junqué (Facultat de Medicina) Tel.: 93 403 44 46 Fax: 93 403 92 98 E-mail: [email protected] IDIBAPS Members: ■ Núria Bargalló (Hospital Clínic) ■ David Bartrés-Faz (Facultat de Medicina) ■ Teresa Boget (Hospital Clínic) ■ Teodor Marcos (Hospital Clínic) ■ José M. Mercader (Hospital Clínic) ■ Manuel Salamero (Hospital Clínic) ■ Josep M. Serra (Universitat de Barcelona) ■ Pere Vendrell (Facultat de Medicina) Area 4 Clinical and Experimental Neurosciences Collaborators: Ana Narberhaus (Facultat de Psicología) Dolors Segarra (Facultat de Psicología) Beatriz Carrillo (Juan de la Cierva. MICINN) 142 Doctoral Students: Davinia Fernández (MEC) Naroa Ibarretxe (MEC) Giusi Rametti (MEC) Sara Soria (MEC) Joana B. Pereira (MICINN) Leire Zubiaurre (MICINN) Eider Martinez de Arenaza (MICINN) Cleofé Peña (APIF) Eva Palacios (IDIBAPS) Nuria Segarra (UB) Roser Sala (Becari projecte) Technicians: Silvia Juanes (CIBERNED) Strategic Objectives Study of the consequences of cerebral lesions and dysfunctions in behavior and cognition. The preferred technique for carrying out our research is magnetic resonance imaging in its structural and functional applications. We have a neuroimaging analysis laboratory with different high-performance workstations equipped with software for processing medical images: ANALYZE, BRAIN-VOYAGER, BRAIN VISA, DTISTUDIO, SPM. Principal Lines of Research 1.Neuropsychology and neuroimaging in ageing in degenerative diseases Changes caused by transcranial electrical stimulation to cerebral activation and memory. Cognitive deterioration patterns in relation to abnormalities of the grey matter and cerebral connectivity in Parkinson disease, Alzheimer disease and mild cognitive deterioration. Contribution of the cognitive and cerebral reserve to the level of deterioration. In Parkinson disease, we have found that patients without dementia have reduced grey matter that selectively affects the top of the hippocampus; in patients with dementia, this reduction is also observed in the posterior 114-153 AREA4.indd 142 MRI coronal slices showing a regional reduction in the grey matter (yellow and red images) in patients with Parkinson disease. There is a clear predominance of atrophy in the anterior part of the hippocampus, with conservation of the medial part. 21/10/09 16:02:31 PublicaTions Original Articles 1 2 3 4 Narberhaus A, Segarra D, Caldiu X, Gimenez M, Pueyo R, Botet F, Junque C. Corpus callosum and prefrontal functions in adolescents with history of very preterm birth. NEUROPSYCHOLOGIA. 46:111-116. I.F.:3,63. Narberhaus A, Segarra-Castells MD, Pueyo-Benito R, Botet-Mussons F, Junque C. Long-term cognitive dysfunctions in preterm subjects with intraventricular haemorrhage. REV NEUROLOGIA. 47:57-60. I.F.:0,74. Soria-Pastora S, Gimenez M, Narberhaus A, Falcon C, Botet F, Bargallo N, Mercader JM, Junque C. Patterns of cerebral white matter damage and cognitive impairment in adolescents born very preterm. INT J DEV NEUROSCI. 26:647-654. I.F.:3,61. Gimenez M, Soria-Pastor S, Junque C, Caldu X, Narberhaus A, Botet F, Bargallo N, Falcon C, Mercader JM. Proton Magnetic Resonance Spectroscopy Reveals Medial Temporal Metabolic Abnormalities in Adolescents 114-153 AREA4.indd 143 3.Dysfunctions of the frontobasal system and memory disorders Dysfunctions of the frontoparietal systems associated with dyscalculia. Potential use of fMRI in identifying memory dysfunctions associated with the hippocampus. In this line, we have shown that deficits of episodic memory and visual memory are preclinical manifestations of dementia in subjects who subjectively complain of memory loss. On the other hand, working memory, which reflects frontal dysfunctions, does not seem to have any prognostic value. Within the different measurements of verbal fluency, which is a task traditionally considered to be prefrontal, we have found that the ability to classify (cluster formation) is more predictive of conversion to Alzheimer in subjects with mild cognitive deterioration than the ability to change and the total number of words mentioned. This finding is of considerable clinical interest in the application of batteries of neuropsychological tests. I.F.: 80,12 With History of Preterm Birth. PEDIATR RES. 64:572577. I.F.:2,84. 5 Vidal A, Gomez-Gil E, Sans M, Portella MJ, Salamero M, Pique JM, Panes J. Health-related quality of life in inflammatory bowel disease patients: The role of psychopathology and personality. INFLAMM BOWEL DIS. 14:977-983. I.F.:4,71. 6 Ramirez-Ruiz B, Marti MJ, Tolosa E, Falcon C, Bargallo N, Valldeoriola F, Junque C. Brain Response to Complex Visual Stimuli in Parkinson’s Patients with Hallucinations: A Functional Magnetic Resonance Imaging Study. MOVEMENT DISORD. 23:2335-2343. I.F.:3,21. 7 Bartres-Faz D, Serra-Grabulosa JM, Sun FT, Sole-Padulles C, Rami L, Molinuevo JL, Bosch B, Mercader JM, Bargallo N, Falcon C, Vendrell P, Junque C, D’esposito M. Functional connectivity of the hippocampus in elderly with mild memory dysfunction carrying the APOE epsilon 4 allele. NEUROBIOL AGING. 29:1644-1653. I.F.:5,61. Clinical and Experimental Neurosciences Area 4 2.Cerebral plasticity Long-term consequences of brain damage. Study of the cerebral response to language in patients in a vegetative or minimum-response state. Structural and functional connectivity associated with diffuse axon damage. Abnormal gyrification, cerebral connectivity and cerebral thickness in premature children with periventricular leukomalacia. In this line, we have found that functional MRI makes it possible to detect language perception skills preserved in some trauma patients in a chronic vegetative state and patients with minimal response. Furthermore, we have identified patterns of cerebral hypoactivation during working-memory tasks, caused by diffuse axon damage, as well as its partial reversibility with clinical improvement and cognitive treatment. In studies of prematurely-born adolescents, we have identified regions of the white matter that partly explain the alterations in the speed of mental processing. We have also found that magnetic resonance spectroscopy is a complementary technique to cerebral volumetry for observing long-term sequelae of the hippocampus linked to learning deficiencies. We have also shown that the genu of the corpus callosum is fundamentally linked to prefrontal abnormalities whereas the splenium reflects vocabulary-acquisition deficiencies. Neuropsychology region. We have also found that abnormal declarative memory correlates to the loss of grey matter in the top of the hippocampus. Functional magnetic resonance imaging studies have shown a reduction in the activity of the prefrontal cortex in patients with visual hallucinations during face-perception tasks, suggesting an alteration of the attention mechanisms in these patients. The most significant finding in ageing and cognitive deterioration in early-stage Alzheimer disease (AD) was from a study with functional magnetic resonance imaging, showing that people with cognitive disorder, an advanced age and who are carriers of the e4 allele of the E apolipoprotein, present increased functional connectivity of the hippocampus with other cortical and subcortical regions during a visual learning task. Because this variant represents a risk factor for AD, these results indicate that in preclinical stages of the disease, carriers of this allele over-activate neuronal networks in an attempt to compensate for the degenerative processes. In the area of cognitive deterioration and small-vessel cerebrovascular disease, we were able to show from an analysis of structural MRI that cases with more than one lacunar stroke had more widespread damage to the white matter in comparison with patients who had only suffered one lacunar stroke. 143 21/10/09 16:02:34 8 9 Neuropsychology 10 11 12 Area 4 Clinical and Experimental Neurosciences 13 14 15 16 17 18 144 19 20 114-153 AREA4.indd 144 Ibarretxe-Bilbao N, Ramirez-Ruiz B, Tolosa E, Marti MJ, Valldeoriola F, Bargallo N, Junque C. Hippocampal head atrophy predominance in Parkinson’s disease with hallucinations and with dementia. J NEUROL. 255:1324-1331. I.F.:2,48. Frauscher B, Iranzo A, Hogi B, Casanova-Molla J, Salamero M, Gschliesser V, Tolosa E, Poewe W, Santamaria J. Quantification of electromyographic activity during REM sleep in multiple muscles in REM sleep behavior disorder. SLEEP. 31:724-731. I.F.:4,34. Maestro L, Carreno M, Donaire A, Rumia J, Conesa G, Bargallo N, Falcon C, Setoain X, Pintor L, Boget T. Oroalimentary automatisms induced by electrical stimulation of the fronto-opercular cortex in a patient without automotor seizures. EPILEPSY BEHAV. 13:410412. I.F.:2,10. Castro-Fornieles J, Bargallo N, Lazaro L, Andres S, Falcon C, Plana MT, Junque C. A cross-sectional and follow-up voxel-based morphometric MRI study in adolescent anorexia nervosa. J PSYCHIATR RES. 43:331340. I.F.:3,71. Segarra N, Bernardo M, Valdes M, Caldu X, Falcon C, Rami L, Bargallo N, Parramon G, Junque C. Cerebellar deficits in schizophrenia are associated with executive dysfuntion. NEUROREPORT. 19:1513-1517. I.F.:2,16. Lazaro L, Caldu X, Junque C, Bargallo N, Andres S, Morer A, Castro-Fornieles J. Cerebral activation in children and adolescents with obsessive-compulsive disorder before and after treatment: A functional MRI study. J PSYCHIATR RES. 42:1051-1059. I.F.:3,71. Andres S, Lazaro L, Salamero M, Boget T, Penades R, Castro-Fornieles J. Changes in cognitive dysfunction in children and adolescents with obsessive-compulsive disorder after treatment. J PSYCHIATR RES. 42:507-514. I.F.:3,71. Rami L, Goti J, Ferrer J, Marcos T, Salamero M, Bernardo M. Cognitive functions after only one ECT session: A controlled study. PSYCHIAT RES. 158:389-394. I.F.:2,30. Rosa AR, Franco C, Martinez-Aran A, Sanchez-Moreno J, Salamero M, Valenti M, Tabares-Seisdedos R, Gonzalez-Pinto A, Kapczinski F, Vieta E. Functional impairment and previous suicide attempts in bipolar disorder. ACTA NEUROPSYCHIATR. 20:300-306. I.F.:1,21. Reinares M, Colom F, Sanchez-Moreno J, Torrent C, Martinez-Aran A, Comes M, Goikolea JM, Benabarre A, Salamero M, Vieta E. Impact of caregiver group psychoeducation on the course and outcome of bipolar patients in remission: a randomized controlled trial. BIPOLAR DISORD. 10:511-519. I.F.:4,44. Guarch J, Marcos T, Salamero M, Gasto C, Blesa R. Mild cognitive impairment: a risk indicator of later dementia, or a preclinical phase of the disease?. INT J GERIATR PSYCH. 23:257-265. I.F.:2,20. Martinez-Aran A, Torrent C, Tabares-Seisdedos R, Salamero M, Daban C, Balanza-Martinez V, SanchezMoreno J, Goikolea JM, Benabarre A, Colom F, Vieta E. Neurocognitive impairment in bipolar patients with and without history of psychosis. J CLIN PSYCHIAT. 69:233239. I.F.:5,06. Sanchez-Carrion R, Fernandez-Espejo D, Junque C, Falcon C, Bargallo N, Roig T, Bernabeu M, Tormos JM, 21 22 23 24 25 26 Vendrell P. A longitudinal fMRI study of working memory in severe TBI patients with diffuse axonal injury. NEUROIMAGE. 43:421-429. I.F.:5,46. Fernandez-Espejo D, Junque C, Vendrell P, Bernabeu M, Roig T, Bargallo N, Mercader JM. Cerebral response to speech in vegetative and minimally conscious states after traumatic brain injury. BRAIN INJURY. 22:882-890. I.F.:1,25. Fagundo AB, Lopez S, Romero M, Guarch J, Marcos T, Salamero M. Clustering and switching in semantic fluency: predictors of the development of Alzheimer’s disease. INT J GERIATR PSYCH. 23:1007-1013. I.F.:2,20. Sanchez-Carrion R, Gomez PV, Junque C, FernandezEspejo D, Falcon C, Bargallo N, Roig-Rovira T, Ensenat-Cantallops A, Bernabeu M. Frontal hypoactivation on functional magnetic resonance imaging in working memory after severe diffuse traumatic brain injury. J NEUROTRAUM. 25:479-494. I.F.:3,64. Bargallo N. Functional magnetic resonance: New applications in epilepsy. EUR J RADIOL. 67:401-408. I.F.:1,92. Grau-Olivares M, Arboix A, Bartres-Faz D, Junque C. Higher severity of frontal periventricular white matter and basal ganglia hyperintensities in first-ever lacunar stroke with multiple silent lacunes. EUR J NEUROL. 15:1002-1005. I.F.:2,58. Moncayo FLG, Requena GC, Perez FJ, Salamero M, Sanchez N, Sirgo A. Psychological adjustment and prevalence of psychiatric disorders in cancer patients. MED CLIN-BARCELONA. 130:90-92. I.F.:1,34. Grants for Research in Progress Bargallo N. Usefulness of ictal functional MRI in localization of epileptogenic area in patients with refractory focal epilepsy. Grant: Fundació Marató TV3, 60910. Duration: 15/02/2007-14/02/2010. Bargallo N. Papel de la resonancia magnética funcional ictal en la localización del area epileptogena en pacientes con epilepsia focal farmacoresistente. Grant: Ministerio Sanidad y Consumo, PI050052. Duration: 01/01/200630/12/2008. Salamero M. Desarrollo y validación en una nueva escala de somnolencia de aplicación clínica. Grant: Ministerio Sanidad y Consumo, PI070318. Duration: 26/11/200730/12/2010. Junqué C. Bases cerebrales estructurales y funcionales de los deficit neuropsicologicos asociados a la prematuridad. Grant: Ministerio Educación y Ciencia, SAF2005-07340. Duration: 31/10/2005-30/10/2008. Junqué C. Grup de Neuropsicologia. Grant: Comissionat per a Universitats i Recerca, 2005SGR00855. Duration: 22/12/2005-22/12/2008. Serra JM. Bases neuroanatómicas y neurofuncionales de la discalculia del desarrollo. Grant: Ministerio Educación y Ciencia, SEJ2005-08704/PSIC. Duration: 31/10/200530/10/2008. 21/10/09 16:02:37 Junqué C. Distinció de la Generalitat de Catalunya per a la Promoció de la Recerca Universitària. Grant: Generalitat de Catalunya, UNI/2001/2004. Duration: 31/12/2004-31/12/2010. Bargallo N. Red española de investigación en patología infecciosa (REIPI). Grant: Instituto de Salud Carlos III, RD06/0008/1013. Duration: 29/02/2008-31/12/2010. Bartres D. Patrones de activación y conectividad funcional en resonancia magnética funcional en el deterioro cognitivo leve de tipo amnésico. Relación con la evolución clínica y otras variables pronóstico. Grant: Ministerio de Educación y Ciencia, SAF2007-66270. Duration: 31/12/2007-31/12/2009. Junque C, Vendrell P. Alteración y recuperación de la activación cerebral durante tareas de memoria de trabajo en pacientes con traumatismo craneoencefálico grave y difuso. Doctorand: Rocio Sánchez-Carrón Abascal. Junque C. Anomalías de la estructura y función del hipocampo en la esquizofrenia en relación a los déficits de memoria declarativa. Doctorand: Giuseppina Rametti. Bartres D, Arboix A. Neuropsychological and structural b rain correlates of lacunar infarcts. Doctorand: Marta Grau Olivares. Neuropsychology Junqué C. Aplicación de la resonancia magnética estructural y funcional al estudio del estado vegetativo y el estado de mínima conciencia en los traumatismos craneo encefálicos. Grant: Ministerio Educación y Ciencia, SAF 2007-66077. Duration: 01/01/2008-31/12/2010. Thesis Clinical and Experimental Neurosciences Area 4 145 114-153 AREA4.indd 145 21/10/09 16:02:39 Systems Neuroscience Team Members Area 4 Clinical and Experimental Neurosciences Systems neuroscience Team Leader: ■ Maria Victoria Sánchez Vives (ICREA-IDIBAPS) Tel.: 93 227 5400 (ext 4302) E-mail: [email protected] IDIBAPS Members: ■ Albert Compte (IDIBAPS) ■ David Robbe (Ramón y Cajal IDIBAPS) Collaborators: Rita de Almeida (IDIBAPS) Francesca Barbieri (IDIBAPS) Jorge Brotons Mas (IDIBAPS) Daniel Perez Marcos (IDIBAPS) Ramón Reig (IDIBAPS) Vanessa Fernandez Descalzo (IDIBAPS) Xavier Palomer Maria Cano Colino Thomas Gener Daniel Jercog Diego López Maria Pérez Zabalza David Gómez Cabrero (MICINN) Marcel Ruíz Salvador de la Torre Doctoral Students: Juan Abolafia Technicians: Lorena Perez Strategic Objectives •Effect of cannabinoids on high-voltage axes. •Use of virtual reality in neurosciences in the context The increasing amount of knowledge on synaptic physiology and physiology of cerebral circuits, together with the development of new instruments for recording, analyzing and modeling the activity of a large number of neurons has provided access to one of the major challenges pending in neuroscience: understanding the relationship between the activity of the neuron population and behavioral performance. The objective of the systems neuroscience group is to approach this challenge by combining experimental studies of networks of basal, hippocampal and cortical ganglia with a theoretical focus. of the EVENT lab (Virtual Environments in Neurosciences and Technology) in collaboration with Mel Slater (University of Barcelona). In summary, we have three major lines of action: Principal Lines of Research • Mechanisms of generation and control of electrical 146 activity in neuronal networks, specifically in the cerebral cortex. • Hippocampal and subicular mechanisms of spatial processing. • Mechanisms of synchronization of neuron activity in cortical networks. • Mechanisms of distributed cortical networks implicated in selective attention, working memory and executive control. • Simple motor coding (head movement, pulling levers) by means of striatal groups. • Mechanism of information transfer between networks. 114-153 AREA4.indd 146 1.Cortical networks and EVENT lab (Virtual Environments in Neurosciences and Technology). Led by Dr. Maria Victòria Sánchez (IDIBAPS) Neuronal activity and the cellular and synaptic properties that determine and give form to the activity of the emerging population (spontaneous or invoked) generated by neuronal networks. At the same time, this activity has effects on the network, as it regulates relevant mechanisms such as synaptic plasticity. We are interested in different aspects of the activity generated: the mechanisms that regulate it, the information coded and the consequences of the presence of this activity for the network. The impact of different cellular processes (for example, activation of the ion channel) on the resulting activity in the network tends to be nonintuitive and unpredictable, which requires using a theoretic and experimental approach. With regard to the information coded by the activity of the network, we have worked on different sensory modes (visual, tactile, auditory) and are currently especially interested in the spacial processing that occurs in the hippocampal complex. 21/10/09 16:02:44 Finally, the integration of the cortical information that gives rise to body representation and the combination of brain-computer interfaces and virtual reality to understand these processes is another line of research by our group as part of the EVENT lab (http://www. event-lab.org). For more information: http://www.sanchez-vives.org For more information: http://complab.fcrb.es PublicaTions Original Articles 1 2 3 Winograd M, Destexhe A, Sanchez-Vives MV. Hyperpolarization-activated graded persistent activity in the prefrontal cortex. P NATL ACAD SCI USA. 105:7298-7303. I.F.:9,60. Sanchez-Vives MV, Descalzo VF, Reig R, Figueroa N, Compte A. Rhythmic Spontaneous Activity in the Piriform Cortex. CEREB CORTEX. 18(5):1179-1192. I.F.:6,52. Compte A, Reig R, Descalzo VF, Harvey MA, Puccini GD, Sanchez-Vives MV. Spontaneous High-Frequency (10-80 Hz) Oscillations during Up States in the Cerebral Cortex In Vitro. J NEUROSCI. 28:13828-13844. I.F.:7,49. Grants for Research in Progress Compte A. Mecanismos y función de la actividad oscilatoria rápida en redes neuronales de la corteza cerebral. Grant: Ministerio Educación y Ciencia, BFU2006-11999. Duration: 01/10/2006-30/09/2009. Robbe D. Dynamic of Neuronal Network Interactions in the basal Ganglia. Grant: European Comission, 230976. Duration: 01/09/2008-31/08/2012. 114-153 AREA4.indd 147 Surprisingly, the excellent description of the anatomical characteristics of the basal ganglia (BG) has led to two opposing models of the type of processing that takes place in the BG. In the first model, the BG have been modeled as independent information-processing channels, whereas in the second model, they are thought to act as integrators of cortical input. To approach this controversy, we use electrophysiologic recording techniques, (silica probes, tetrodes) during specific motor tasks, in combination with advanced analytical tools and drug perturbation (cannabinoids). For more information: http://neuro.fcrb.es/BasalGangLab/RobbeLab/Welcome.html I.F.: 23,61 Sanchez-Vives MV. Funcionalidad de la corteza cerebral a través del análisis de la actividad rítmica espontánea en distintas áreas corticales. Grant: Ministerio de Educación y Ciencia, BFU2007-31070-E. Duration: 02/09/200801/09/2009. Sanchez-Vives MV. IP: Presence: Research Encompassing Sensory Enhancement, Neuroscience, CerebralComputer Interfaces and ApplicationsCentre coordinador: Universitat Politecnica de Catalunya. Grant: Universitat Politècnica de Catalunya-Docència, 27731. Duration: 01/01/2008-31/12/2010. Sanchez-Vives MV. Synthetic Forager. Grant: Universitat Pompeu Fabra, 217148. Duration: 15/01/2008-14/01/2011. Clinical and Experimental Neurosciences Area 4 3. Physiology of networks of basal ganglia and regulation by means of cannabinoids. Led by Dr. David Robbe (IDIBAPS) The principal objective of the laboratory is to understand how cognitive and motor-sensitive (cortical) information is processed in the basal ganglia, a group of subcortical nuclei essential to motor coordination and habit forming, and implicated in Parkinson disease and addiction. Systems neuroscience 2. Theoretical neurobiology of cortical networks. Led by Dr. Albert Compte (IDIBAPS) Our research is aimed at determining the mechanisms that operate in the cortical microcircuit to carry out computations relevant to behavior. The tools we use are models of cortical networks run on computers, which seek biologic plausibility, and technically sophisticated data-analysis tools. We work on two levels in parallel: we model the activity observed in in vitro preparations to understand and quantify the mechanisms in the neurons and in the microcircuit, and we study the physiological bases of cognitive skills such as working memory and selective attention. 147 Sanchez-Vives MV, Compte A. Estudi de tècniques avançades de modelització i estimulació neuronalModalitat Projectes en Recerca Industrial i Desenvolupament Experimental - Projectes Comuns. Grant: STARLAB BARCELONA, S.L., RD08-2-0013. Duration: 15/07/200815/07/2010. 21/10/09 16:02:47 Neurobiology unit Team Members Neurobiology unit Team Leader: ■ Ramon Trullàs (IIBB-CSIC) Tel.: 93 363 83 03 Fax: 93 363 83 24 E-mail: [email protected] IDIBAPS Members: ■ Nicole Mahy (Facultat de Medicina) Area 4 Clinical and Experimental Neurosciences Collaborators: Marta Enguita (IIBB-CSIC) Kevin Clayton (IIBB-CSIC) Manuel Rodríguez (Facultat de Medicina) Marco Pugliese (Facultat de Medicina) M. Alba Abad (IIBB-CSIC) Petar Podlesniy (IIBB-CSIC) Joan Espinosa (Facultad de Medicina) 148 Doctoral Students: Montse Batlle (Facultat de Medicina) Lluís Benítez (IIBB-CSIC) Javier Ortega (Facultat de Medicina) Technicians: Carmen Andrade (Facultat de Medicina) Nuria Serra (IIBB-CSIC) Strategic Objectives To investigate molecular mechanisms of excitotoxic neuron death and apoptotic death with the aim of identifying new therapeutic-intervention targets for the treatment of neurodegenerative diseases. Another objective is to understand the mechanisms that regulate neurogenesis in the adult brain in experimental models and in human neurodegenerative diseases. Principal Lines of Research 1. Investigation of the biochemical mechanisms that produce excitotoxic neuron death. This project posits that inhibition of phospholipid synthesis is a key mechanism in neuron death caused by overactivation of glutamatergic receptors. 2. Investigation of the function of neuronal pentraxin 1 during programmed neuronal death with the hypothesis that inhibiting the expression of this gene may provide a new treatment for chronic neurodegenerative disorders. 3. Study of the mechanism by which the KATP channel modifies microglial activation and thereby characterize in vitro and in vivo the neuroprotector and neurotoxic effect of microglia in situations of brain damage by activation and blocking of this channel. 4. Investigation of the role of the glia in mechanisms of neurogenesis associated with chronic neurodegeneration in the adult brain hippocampus. 114-153 AREA4.indd 148 Double immune staining of BrdU with GFAP and IB4 showing, respectively, astrocytes and microglia that have proliferated as a result of the excitotoxic lesion in the hippocampus of an adult rat. Bar: 10 micrometers. 5. Investigation of the efficacy and safety of anti-Abeta immune therapy as a treatment for Alzheimer disease. We have shown that excitotoxic hippocampal damage induces the migration of neuroblasts from the subventricular region to the injured hippocampus, thereby generating neurogenesis independent of that of the hippocampus itself. Also, in certain conditions of excitotoxicity, we have shown that the microglia may present neuroprotective activity and that this activity can be controlled by means of the activity of the KATP channels. In studies carried out in primary cultures of cortical neurons, we have also shown that the reduction of the expression of neuronal pentraxin 1 by interference with its RNA causes a very marked increase in the number of excitor synapses. Furthermore, in studies 21/10/09 16:02:54 carried out in models of Alzheimer disease, we have confirmed that neuronal pentraxin 1 causes loss of synapses, damage to neurites and apoptotic neurotox- icity. These results indicate that reducing the quantity of neuronal pentraxin 1 may impede the reduction in synaptic contacts that occurs in Alzheimer disease. I.F.: 4,22 PublicaTions Original Articles 1 Grants for Research in Progress Mahy N. Grup de neuroquímica FM. Grant: Comissionat per a Universitats i Recerca, 2005SGR00609. Duration: 19/10/2005-31/12/2008. Trullas R. Influencia de la pentraxina neuronal 1 y de su regulación por la quinasa GSK3 sobre la degeneración neurítica y la muerte neuronal apoptótica en modelos de Alzheimer. Grant: Ministerio Educación y Ciencia, SAF200501167. Duration: 31/12/2005-31/12/2008. Neurobiology unit Gozzelino R, Sole C, Llecha N, Segura MF, Moubarak RS, Iglesias-Guimarais V, Perez-Garcia MJ, Reix S, Zhang J, Badiola N, Sanchis D, Rodriguez-Alvarez J, Trullas R, Yuste VJ, Comella JX. BCL-X-L regulates TNF-alpha-mediated cell death independently of NF-kappa B, FLIP and IAPs. CELL RES. 18:1020-1036. I.F.:4,22. Mahy N. Dinámica de las células progenitoras del SNC relacionada con el proceso neurodegenerativo hipocampal en la rata adulta. Correlación con la neurodegenración hipocampal humana. Grant: Ministerio Educación y Ciencia, SAF2005-04314. Duration: 01/10/2005-01/10/2008. Mahy N. Validación del efecto neuroprotector de la glibenclamida en la isquemia cerebral. Grant: Ministerio de Educación y Ciencia Y CIENCIA, PET2007-0450. Duration: 12/09/2008-11/09/2010. Thesis Mahy N. Validación del efecto neuroprotector de la glibenclamida en la isquemia cerebral. Grant: Neurotec Pharma S.L., 07/247. Duration: 05/07/2007-25/06/2008. Trullas R. La pentraxina neuronal 1 i la toxicitat sinàptica en la malaltia d’Alzheimer. Doctorand: Maria Alba Abad Fernández. Clinical and Experimental Neurosciences Area 4 Trullas R. Enfermedades neurodegenerativas. Grant: Ministerio Sanidad y Consumo, CB06/05/0050. Duration: 28/07/2006-27/07/2010. 149 114-153 AREA4.indd 149 21/10/09 16:02:57 Cerebral Ischemia: Clinical and Experimental Studies Team Members Area 4 Clinical and Experimental Neurosciences Cerebral ischemia: clinical and experimental studies Team Leader: ■ Anna M. Planas (IIBB-CSIC) Tel.: 93 363 83 27 E-mail: [email protected] 150 IDIBAPS Members: ■ Luisa Camon (IIBB-CSIC) ■ Nuria de Vera (IIBB-CSIC) ■ Ángel Chamorro (Hospital Clínic) ■ Carles Justicia (Beatriu de Pinós, IDIBAPS) ■ Emili Martínez (IIBB-CSIC) ■ Valérie Petegnief (IIBB-CSIC) ■ Esther Pozas (Ramón y Cajal, IDIBAPS) ■ Tomàs Santalucia (IDIBAPS) Collaborators: Víctor Obach (Hospital Clínic) Marta Vargas (Hospital Clínic) Roser Gorina (IDIBAPS) Fernando Pérez Asensio (Juan de la Cierva, CSIC) Ester Verdaguer (Juan de la Cierva, IDIBAPS) Álvaro Cervera (FIS, Hospital Clínic) Guadalupe Soria (contracte I3P, CSIC) Leonardo J. Márquez (IIBB-CSIC) Luca Maggioni (IDIBAPS) Strategic Objectives Study of cerebrovascular disease from the clinical and basic research perspective, with special emphasis on inflammation and the immune response and on the application of neuroimaging techniques. The end objective is to develop therapeutic strategies for treating stroke. Doctoral Students: Sergi Amaro (FIS) Miriam Font Nieves de la Vega (MEC) Manuel Gómez-Choco (Fundació Clínic) Anna Serra (IDIBAPS) Xabier Urra (FIS) Álvaro Cervera (Hospital Clínic) Isabel Pérez de Puig (IDIBAPS) Rebeca Medina (IIBB-CSIC) Technicians: Noelia Montoya (IDIBAPS) Francisca Ruiz (IDIBAPS) in experimental animals, anatomic and functional parameters of the brain lesion, including the immune response. 5.Signals implicated in neuronal death and survival in ischemia: Role of endoplasmic reticulum stress and molecular regulation of hypoxia-inducible factor (HIF-1a). 6.Neuron repair and neurogenesis in cerebral ischemia: Effect of inflammation on neurogenesis. Principal Lines of Research 1. Immunologic mechanisms implicated in the course of ischemic stroke and in the appearance of infectious complications. Study of inflammatory responses and innate immunity to stroke. Genetic aspects of the immune response. 2. Identification of new antioxidant treatments in stroke. Preclinical studies of the protective effects of these treatments and of the mechanisms involved. Design and execution of a phase IIb study of the administration of uric acid in stroke treated with rtPA. 3.Use of intra-arterial rescue treatments with rt-PA in patients previously treated with intravenous rt-PA and selected using multimodal imaging techniques. 4. Neuroimaging in cerebral ischemia: Application of imaging techniques using magnetic resonance (MR) for noninvasive in vivo monitoring in patients and, 114-153 AREA4.indd 150 Study of a rat brain using MRI. A) Map of fractional anisotropy ultrasound providing information on the magnitude of anisotropy in the fibers of the white matter and showing the brain anatomy of the control rat in coronal slices in three different levels of the brain. B) Color maps of the same sections of brain, providing information on the 3-dimensional orientation of the white-matter fibers, using diffusion tensor imaging (DTI). C) Coronal slices of the fractional anisotropy map of an animal 7 days after occlusion of the middle cerebral artery for 90 minutes. D) Color map in the same sections of the ischemic brain. 21/10/09 16:03:02 I.F.: 39,47 PublicaTions Original Articles Grants for Research in Progress 1 Petegnief V. Muerte celular programada en la isquemia cerebral: implicación del estres del retículo endoplásmico. Grant: Ministerio Sanidad y Consumo, PIO50271. Duration: 23/12/2005-30/12/2008. 2 4 5 7 8 9 Reviews 1 Hacke W, Chamorro A, Cervera A, Obach V. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008 - The European Stroke Organisation (ESO) Executive Committee and the ESO Writing Committee. CEREBROVASC DIS . 25:457507. I.F.:2,53. 2 Endres M, Engelhardt B, Koistinaho J, Lindvall O, Meairs S, Mohr JP, Planas A, Rothwell N, Schwaninger M, Schwab ME, Vivien D, Wieloch T, Dirnagl U. Improving outcome after stroke: Overcoming the translational roadblock. CEREBROVASC DIS. 25:268-278. I.F.:2,53. 114-153 AREA4.indd 151 Santalucía T. La muerte neuronal retardada en la isquemia cerebral: mecanismos moleculares y celulares. Grant: M inisterio Educación y Ciencia, SAF2005-05793-CO2-02. Duration: 30/10/2005-30/10/2008. Planas A. Neuroreparació i neurogènesis desprès de l’ictus. Grant: Generalitat de Catalunya, CIDEM. Duration: 01/04/200731/12/2009. Planas A. Diagnostic for Molecular Imaging. European Network of Excellence. Grant: European Community. Sixth Framework Programme (Life Sciences, genomics and biotechnology for health), LSHB-CT-2005-512146. Duration: 01/04/2005-30/03/2010. Planas A. La muerte neuronal retardada en la isquemia cerebral: mecanismos moleculares y celulares. Grant: Ministerio Educación y Ciencia, SAF2005-05793-CO2-01. Duration: 01/10/2006-31/12/2008. Planas A. Grup de Qualitat de la CIRIT: Equip d’isquèmia cerebral del IDIBAPS. Grant: Generalitat de Catalunya (Agaur-Grup Consolidat). Duration: 01/01/2006-31/12/2009. Chamorro A. Estudios clínicos y experimentales de la respuesta inmune en el infarto cerebral isquémico. Grant: Ministerio Sanidad y Consumo (FIS). Duration: 01/01/2007-31/12/2009. Planas A. Affording recovery in Stroke (ARISE). Grant: European Community. Seventh Framework Programme (Life Sciences). Duration: 01/04/2008-01/03/2013. Clinical and Experimental Neurosciences Area 4 6 Planas A. La muerte neuronal retardada en la isquemia cerebral focal transitoria: implicación de la respuesta de estres y de la muerte programada. Perspectivas de tratamiento. Grant: Ministerio Educación y Ciencia, SAF2005-05793-CO2-01. Duration: 10/10/2005-30/10/2008. Cerebral ischemia: clinical and experimental studies 3 DeVera N, Martinez E, Sanfeliu C. Spermine induces cell death in cultured human embryonic cerebral cortical neurons through N-methyl-D-aspartate receptor activation. J NEUROSCI RES. 86:861-872. I.F.:3,27. Weber R, Ramos-Cabrer P, Justicia C, Wiedermann D, Strecker C, Sprenger C, Hoehn M. Early prediction of functional recovery after experimental stroke: Functional magnetic resonance imaging, electrophysiology, and behavioral testing in rats. J NEUROSCI. 28:1022-1029. I.F.:7,49. Martinez-Revelles S, Jimenez-Altayo F, Caracuel L, Perez-Asensio FJ, Planas AM, Vila E. Endothelial dysfunction in rat mesenteric resistance artery after transient middle cerebral artery occlusion. J PHARMACOL EXP THER. 325:363-369. I.F.:4,00. Serra-Perez A, Verdaguer E, Planas AM, Santalucia T. Glucose promotes caspase-dependent delayed cell death after a transient episode of oxygen and glucose deprivation in SH-SY5Y cells. J NEUROCHEM. 106:12371247. I.F.:4,45. Carolei A, Chamorro A, Laloux P, Leys D, Rother J, Sander D, Stansby G, Weimar C. Identification and management of polyvascular disease in patients with noncardioembolic ischaemic stroke. INT J STROKE. 3:237-248. I.F.:1,92. Justicia C, Ramos-Cabrer P, Hoehn M. MRI detection of secondary damage after stroke - Chronic iron accumulation in the thalamus of the rat brain. STROKE. 39:15411547. I.F.:6,30. Petegnief V, Font-Nieves M, Martin ME, Salinas M, Planas AM. Nitric oxide mediates NMDA-induced persistent inhibition of protein synthesis through dephosphorylation of eukaryotic initiation factor 4E-binding protein 1 and eukaryotic initiation factor 4G proteolysis. BIOCHEM J. 411:667-677. I.F.:4,01. Soria G, Wiedermann D, Justicia C, Ramos-Cabrer P, Hoehn M. Reproducible imaging of rat corticothalamic pathway by longitudinal manganese-enhanced MRI (LMEMRI). NEUROIMAGE. 41:668-674. I.F.:5,46. Gomez-Choco M, Obach V, Urra X, Amaro S, Cervera A, Vargas M, Chamorro A. The response to IV rt-PA in very old stroke patients. EUR J NEUROL. 15:253-256. I.F.:2,58. Pozas E. Neurogenesis endógena e inflamación en la isquemia cerebral en modelos experimentales murinos y en pacientes con ictus. Grant: Ministerio de Sanidad y Consumo (FIS), PI070917. Duration: 01/01/2008-31/12/2010. Thesis 151 Planas A. La via JAK/STAT como a mediadora de respostes a l’estrès oxidatiu, la inflamació i la inmunitat innata en astròcits. Premi extraordinari. Doctorand: Roser Gorina Méndiz (Universitat de Barcelona) Planas A. Les tècniques d’imatge en l’estudi de la isquèmia cerebral experimental. Doctorand: Santi Rojas Codina. Universitat de Barcelona. 21/10/09 16:03:04 Molecular neurobiology (IDIBAPS virtual team at the UB faculty of biology) Team Members Area 4 Clinical and Experimental Neurosciences Molecular neurobiology (IDIBAPS virtual team at the UB faculty of biology) Team Leader: ■ Dr. Rafael Franco Fernández (Facultat de Biologia, UB) Tel.: 93 402 12 08 E-mail: [email protected] 152 Collaborators: Enric I. Canela (Facultat de Biologia, UB) Antoni Cortés (Facultat de Biologia, UB) M. Carme Lluís (Facultat de Biologia, UB) Josepa Mallol (Facultat de Biologia, UB) Vicent Casadó (Facultat de Biologia, UB) Francisco Ciruela (Facultat de Biologia, UB) Doctoral Students: Daniel Marcelino (Facultat de Biologia, UB) Paulina Carriba (Facultat de Biologia, UB) Laia Canela (Facultat de Biologia, UB) José María Martínez (Facultat de Biologia, UB) Carla Ferrada (Facultat de Biologia, UB) Aroa Soriano (Facultat de Biologia, UB) Gemma Navarro (Facultat de Biologia, UB) Jorge Gandía (Facultat de Biologia, UB) Strategic Objectives We promote multidisciplinary basic research involving biochemistry, molecular and cellular biology and immunology. One of the global objectives is the study of the molecular mechanisms implicated in communication between neurons and between neurons and glia, in pathologic and nonpathologic conditions of the CNS. The other objective is to discover the existence and function of neuromodulator and neurotransmitter receptors in the cardiac system and in the immune synapse. These research activities are carried out in close collaboration with different international working groups. Following are some of the more solid collaborations of the team: In the US, the groups of Dr. Sergi Ferré and Amina Woods of the National Institutes of Drug Abuse (NIDA/NIH, EUA) and Dr. Dave Roberts, of North Carolina University, with whom we study the heteromerization of neurotransmitter and neuromodulator receptors and the role of heteromers in neurologic diseases and drug addiction. We have also recently established a collaboration with the Curing Huntingdon Disease Initiatives (CHDI) Foundation. In Europe, we have a very active collaboration with Dr Bob Leurs of the Vrije University of Belgium, with whom we collaborate on the study of histamine receptors as modulators of dopaminergic and adenosinergic transmission, and with the groups of Dr. Kjell Fuxe of the Karolinska Institute in Stockholm and Dr. Luigi Agnati of the University of Modena, with whom we study the consequences 114-153 AREA4.indd 152 Jordi Bonaventura (Facultat de Biologia, UB) Eduard Gracia (Facultat de Biologia, UB) Estefanía Moreno (Facultat de Biologia, UB) Laia Barceló (Facultat de Biologia, UB) Technicians: Jasmina Jiménez Cano (Facultat de Biologia, UB) of heteromerization of receptors in neurodegenerative diseases, in plasticity and memory. In Spain, we collaborate with many groups, both inside and outside of IDIBAPS, on the study of receptors implicated in the CNS, on the study of adenosine receptors in the cardiovascular system, and on the study of new mechanisms that play a role in the immune synapse. Principal Lines of Research 1.Physiologic functions of the heteromers of the neuron membrane 2.Identification of new heteromers in the central nervous system. 3.Research on receptor heteromers as therapeutic targets in Parkinson, schizophrenia, Alzheimer and drug addiction. 4.Identification of new receptor-protein interactions of special relevance in neuron function. 5. Synthesis and evaluation of new drug molecules that interact with heteromers of membrane receptors. 6.Genomic techniques for studying neurologic and neuropsychiatric diseases. 7.Molecular bases of neuronal plasticity. Learning and memory. 8. Neuroimmunology. Identification and characterization of neurotransmissor receptors in lymphocytes. 9.Identification of new receptor-protein interactions in the cardiovascular system. 21/10/09 16:03:08 I.F.: 35,90 PublicaTions Original Articles Grants for Research in Progress 1 Franco R. Receptors estriatals d’histamina H3 en el control de l’activitat motora i com a diana de la malaltia de Parkinson. Grant: Fundació La Marató de TV3, 060110. Duration: 01/01/2007-01/01/2009. 2 3 5 6 7 Reviews 1 Franco R, Casado V, Cortes A, Perez-Capote K, Mallol J, Canela E, Ferre S, Lluis C. Novel pharmacological targets based on receptor heteromers. BRAIN RES REV. 58:475-482. I.F.:6,48. 114-153 AREA4.indd 153 Franco R. Interrelaciones moleculares y funcionales entre receptores CB1, D2, y A2A en el estriado. Grant: Ministerio Educación y Ciencia, SAF2005-00170. Duration: 31/10/200531/12/2008. Franco R. Grup de Recerca Consolidat. Neurobiologia Molecular. Grant: Comissionat per a Universitats i Recerca, 2005SGR00711. Duration: 30/11/2005-31/12/2009. Franco R. Heteromerización de los receptores acoplados a proteína G, excitotoxicidad neuronal y enfermedades neurodegenerativas. Grant: Ministerio Educación y Ciencia, SAF2005-00903. Duration: 31/10/2005-31/12/2008. Franco R. Receptores Estriatales de Histamina H3 en el control de la actividad motora y como diana terapeútica en la enfermedad de Parkinson. Grant: Ministerio Educación y Ciencia, SAF2006-05481. Duration: 01/01/200631/12/2009. Franco R. Enfermedades Neurodegenerativas. CIBERNED. Area 2: Fisiopatología de los circuitos neuronales y formas clínicas de la enfermedad de Parkinson. Implicaciones diagnósticas y terapéuticas. Grant: Ministerio de Sanidad y Consumo, CIBERNED. Duration: 01/01/200731/12/2009. Franco R. Evaluación de la adenosina desaminasa como molécula coestimuladora de la actividad linfocitaria en una vacuna terapéutica del VIH. Grant: Fundación para la investigación y la prevención del SIDA en España (FIPSE), 36750/08. Duration: 01/01/2008-31/12/2010. Clinical and Experimental Neurosciences Area 4 4 Gandia J, Galino J, Amaral OB, Soriano A, Lluis C, Franco R, Ciruela F. Detection of higher-order G proteincoupled receptor oligomers by a combined BRET-BiFC technique. FEBS LETT. 582:2979-2984. I.F.:3,26. Marcellino D, Carriba P, Filip M, Borgkvist A, Frankowska M, Bellido I, Tanganelli S, Muller CE, Fisone G, Lluis C, Agnati LF, Franco R, Fuxe K. Antagonistic cannabinoid CB1/ dopamine D-2 receptor interactions in striatal CB1/D-2 heteromers. A combined neurochemical and behavioral analysis. NEUROPHARMACOLOGY. 54:815-823. I.F.:3,22. Carriba P, Navarro G, Ciruela F, Ferre S, Casado V, Agnati L, Cortes A, Mallol J, Fuxe K, Canela EI, Lluis C, Franco R. Detection of heteromerization of more than two proteins by sequential BRET-FRET. NAT METHODS. 5:727-733. I.F.:15,48. Navarro G, Carriba P, Gandia J, Ciruela F, Casado V, Cortes A, Mallol J, Canela EI, Lluis C, Franco R. Detection of Heteromers Formed by Cannabinoid CB1, Dopamine D-2, and Adenosine A(2A) G-Protein-Coupled Receptors by Combining Bimolecular Fluorescence Complementation and Bioluminescence Energy Transfer. THESCIENTIFICWORLDJO. 8:1088-1097. I.F.:0,88. Gracia E, Cortes A, Meana JJ, Garcia-Sevilla J, Herhsfield MS, Canela EI, Mallol J, Lluis C, Franco R, Casado V. Human adenosine deaminase as an allosteric modulator of human A(1) adenosine receptor: abolishment of negative cooperativity for [H-3](R)-pia binding to the caudate nucleus. J NEUROCHEM. 107:161-170. I.F.:4,45. Ferrada C, Ferre S, Casado V, Cortes A, Justinova Z, Barnes C, Canela EI, Goldberg SR, Leurs R, Lluis C, Franco R. Interactions between histamine H-3 and dopamine D-2 receptors and the implications for striatal function. NEUROPHARMACOLOGY. 55:190-197. I.F.:3,22. Gandia J, Lluis C, Ferre S, Franco R, Ciruela F. Light resonance energy transfer-based methods in the study of G protein-coupled receptor oligomerization. BIOESSAYS. 30:82-89. I.F.:5,40. Molecular neurobiology (IDIBAPS virtual team at the UB faculty of biology) Heteromerization of A2A adenosine and CB1 cannabinoid receptors in living cells. The HEK293 cells are cotransfected with the human A2A receptor fused to renilla luciferase (A2A-Rluc) and/or with human CB1 receptor fused to yellow fluorescent protein (CB1-YFP). A. Confocal microscopy image of cells overexpressing A2A-Rluc (left panel), identified using a mouse anti-A2A antibody and a secondary antibody conjugated to cyanine-3, and cells overexpressing CB1-YFP (right panel), detected due to their own fluorescence. B. Saturation curve of BRET in cells that co-express constant and physiologic quantities of A2A-Rluc and increasing quantities in the physiologic interval of CB1-YFP (squares) or of the negative control CD4-YFP (circles) or a mixture of cells transfected only with A2A-Rluc or CB1-YFP (triangles). C. Diagram showing the bases of the BRET technique, showing that the emission energy on adding the R-luc substrate can only be transmitted to the protein fused to YPF if the 2 proteins are interacting at molecular level. 153 Franco R. Generation of Stable Cell lines containing adenosine A2A receptors in heterodimer conformations. Screening for A2A/ A1 heterodimer-selective antagonists and Implications for the treatment of Huntington Disease. Grant: Curing Huntington Disease Iniciative Fundation (CHDI). Duration: 01/01/2008-31/12/2009. 21/10/09 16:03:11 154-193 AREA5.indd 154 21/10/09 15:43:49 Area 5 Oncology and Hematology Biologic Markers in Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 Human and Experimental Functional Oncomorphology . . . . . . . . . . . . . . . . . . . . . . . . 158 Diagnosis and Therapy in Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Molecular Genetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 Genetics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168 Melanoma: Imaging, Genetics and Immunology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 Transplant of Hemopoietic Precursors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 Hemato-Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 Pathophysiology and Molecular Bases in Hematology . . . . . . . . . . . . . . . . . . . . . . . . . . 182 Hemotherapy-Hemostasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 Image: 3d concept of bloodcell 154-193 AREA5.indd 155 21/10/09 15:43:50 Biologic Markers in Oncology Team Members Area 5 Oncology and Hematology Biologic markers in oncology Team Leader: ■ Antonio M. Ballesta (Hospital Clínic - Faculty of Medicine) Tel.: 93 227 55 18 E-mail: [email protected] 156 IDIBAPS Members: ■ Xavier Filella (Hospital Clínic) ■ Rafael Molina (Hospital Clínic - Faculty of Medicine) Collaborators: C. Aparicio (Hospital Clínic) F. Coca (Hospital Clínic) Amàlia Lafuente (Faculty of Medicine) M. Portas (Hospital Clínic) S. Román (Hospital Clínic) M. Sasot (Hospital Clínic) Strategic Objectives The task of this group lies mainly in the area of applied clinical research and is carried out in collaboration with different clinical groups within and outside Hospital Clínic, Barcelona. Principal Lines of Research 1. Circulating tumor markers. Fine tuning of new techniques for studying biologic markers that are the peripheral expression of malignant tumors. Study of the utility of proPSA in diagnosing prostate cancer. Evaluation of new tumor markers such as the following: Mesomark, of use in mesothelioma; Mammoglobulin for breast cancer and Thymidine kinase for lung tumors. Comparison of the clinical application of isoforms of the antigen associated with non-small cell carcinoma and evaluation of isoforms of S-100 and their implication in the study of malignant melanoma. 2. Consolidation of diagnostic guides on tumor markers for clinical use Collaboration with European and American groups to agree and publish clinical guidelines. Diffusion of these guidelines at national level, via the Commission of Cancer Biologic Markers, created by members of the group, within the Scientific Committee of the Spanish Society of Biochemistry and Molecular Disease. 3. Incorporation of a quantitative technique for detecting circulating cells of epithelial tumors (CEC) and improvement of the methods for obtaining them, 154-193 AREA5.indd 156 Doctoral Students: S. Mas (Post-doctoral, Fundació Bosch i Gimpera)) A. Crescenti (Pre-doctoral, Generalitat de Catalunya) P. Gasso (Pre-doctoral, Generalitat de Catalunya) Technicians: M. Sánchez (Fundació Bosch i Gimpera) separating them and quantifying them by means of mNMRI of cytokine 19. Evaluation of the clinical interest of this methodology in breast and prostate cancer. Study of oncogenes and suppressor genes by means of PCP-SSCP (ras and p53) techniques and methylation studies in p16 and p14. 4. Chemosensitivity of human tumors. Investigation of biologic factors linked to chemosensitivity. In this area, we are working on enzyme factors associated with the metabolism of glutathione (GST), oncogenes in tissue and serum and different circulating tumor markers with polymorphism in TS or XRCC1. We incorporate the CEC technique in the study of the response to systemic treatments (hormone therapy and chemotherapy) in advanced breast tumors. 5.Apoptosis. We are consolidating the line of research centered on the study of genes linked to the mechanisms of apoptosis (p53, BAX and BCL-2). In this section, we have initiated a new line of experimental in vitro work, testing possible indicators of apoptosis in the HT-29 cell line. 6.Investigation of implementation of cytokines in the development and progression of cancer. We have consolidated our research on the clinical utility of cytokines in patients with cancer. The line is developed with a preference for hematologic and urologic cancers. 7. Markers used in pharmacogenetics. Study of genetic polymorphism implicated in drug metabolism and targets. This line focuses particularly on predicting the safety and efficacy of antineoplastic drugs. In the past year, we have prepared high-performance genotyping techniques such as minisequencing-SBE. 21/10/09 15:43:55 I.F.: 24,70 PublicaTions Original Articles 1 2 4 5 8 9 Grants for Research in Progress Molina R. STREP - Multiparametric Quantum Dot Bioassay for Point of Care Diagnosis. Grant: European Commision, LSHB-CT-2007-037933. Duration: 01/01/2007-31/12/2009. Oncology and Hematology Area 5 6 7 Biologic markers in oncology 3 Cibeira MT, Rozman M, Segarra M, Lozano E, Rosinol L, Cid MC, Filella X, Blade J. Bone marrow angiogenesis and angiogenic factors in multiple myeloma treated with novel agents. CYTOKINE. 41:244-253. I.F.:2,17. Marti J, Cervera C, Filella X, Marin JL, Almela M, Gatell JM, Moreno A. Inflammatory response in elderly patients with bacteremia. ENFERM INFEC MICR CL. 26:146-149. I.F.:1,10. Menendez R, Cavalcanti M, Reyes S, Mensa J, Martinez R, Marcos MA, Filella X, Niederman M, Torres A. Markers of treatment failure in hospitalised community acquired pneumonia. THORAX. 63:447-452. I.F.:6,23. Domingo-Domenech J, Fernandez PL, Filella X, Martinez-Fernandez A, Molina R, Fernandez E, Alcaraz A, Codony J, Gascon P, Mellado B. Serum HER2 extracellular domain predicts an aggressive clinical outcome and biological PSA response in hormone-independent prostate cancer patients treated with docetaxel. ANN ONCOL. 19:269-275. I.F.:4,88. Molina R, Auge JM, Escudero JM, Marrades R, Vinolas N, Carcereny E, Ramirez J, Filella X. Mucins CA 125, CA 19.9, CA 15.3 and TAG-72.3 as Tumor Markers in Patients with Lung Cancer: Comparison with CYFRA 21-1, CEA, SCC and NSE. TUMOR BIOL . 29:371-380. I.F.:2,48. Holdenrieder S, Molina R, Gion M, Gressner A, Troalen F, Auge JM, Zancan M, Wycislo M, Stieber P. Alternative antibody for the detection of CA125 antigen: a European multicenter study for the evaluation of the analytical and clinical performance of the Access (R) OV Monitor assay on the UniCel (R) Dxl 800 Immunoassay System. CLIN CHEM LAB MED. 46:588-599. I.F.:1,74. Molina R, Gion M, Gressner A, Troalen F, Auge JM, Holdenrieder S, Zancan M, Wycislo M, Stieber P. Alternative antibody for the detection of CA15-3 antigen: a European multicenter study for the evaluation of the analytical and clinical performance of the Access (R) BR Monitor assay on the UniCel (R) Dxl 800 Immunoassay System. CLIN CHEM LAB MED. 46:612-622. I.F.:1,74. Stieber P, Molina R, Gion M, Gressner A, Troalen F, Holdenrieder S, Auge JM, Zancan M, Wycislo M, Jarrige V. Alternative antibody for the detection of CA19-9 antigen: a European multicenter study for the evaluation of the analytical and clinical performance of the Access (R) GI Monitor assay on the UniCel (R) Dxl 800 Immunoassay System. CLIN CHEM LAB MED. 46:600-611. I.F.:1,74. Casals G, Filella X, Auge JM, Bedini JL. Impact of Ultrasensitive Cardiac Troponin I Dynamic Changes in the New Universal Definition of Myocardial Infarction. AM J CLIN PATHOL. 130:964-968. I.F.:2,63. 157 154-193 AREA5.indd 157 21/10/09 15:44:02 Human and Experimental Functional Oncomorphology Team Members Area 5 Oncology and Hematology Human and experimental functional oncomorphology Team Leader: ■ Elías Campo Güerri (Hospital Clínic) Tel.: 93 227 54 50 Fax: 93 227 57 17 E-mail: [email protected] IDIBAPS Members: ■ Llúcia Alós (Hospital Clínic) ■ Virginia Amador (IDIBAPS) ■ Silvia M. Beà (Fundació Clínic) ■ Josep Antoni Bombí (Hospital Clínic) ■ Antoni Cardesa (Hospital Clínic) ■ Pedro Luis Fernández (Hospital Clínic) ■ Lluis Hernández Pous (Fundació Clínic) ■ Pedro Jares (IDIBAPS) ■ Carme Mallofré (Hospital Clínic) ■ Antonio Martínez Pozo (Hospital Clínic) ■ Alfons Nadal (Hospital Clinic) ■ Antonio Palacín (Hospital Clínic) ■ Antonio Postigo (ICREA - IDIBAPS) ■ José Francisco Ramírez (Hospital Clínic) ■ Teresa María Ribalta (Hospital Clínic) ■ Manel Solé (Hospital Clínic) Collaborators: Rosa Miquel Morera (Hospital Clínic) Ester Sánchez Tilló (IDIBAPS) Doctoral Students: Olga Balaguer Ponz (IDIBAPS) Julia Calvo Castillo (Fundació Clínic) Laura Conde del Campo (Fundació Clínic) Ana Enjuanes Guardiola (IDIBAPS) Verònica Fernández Pascual (Fundació Clínic) Alba Navarro López (MCyT) Anna Petit Montserrat (Hospital Clinic) Itziar Salaverria Frigola (Universitat de Barcelona) Cristina Royo Moreno (MCyT) Raquel Bermudo Gascón (IDIBAPS) Technicians: Laura Gelabert Blesa (Fundació Clínic) Iracema Nayach Monte (Fundació Clínic) Laura Pla Rodríguez (Fundació Clínic) Miriam Prieto Beato (Fundació Clínic) Montse Sánchez Reina (Fundació Clínic) Strategic Objectives 1. Identification of genetic and molecular mechanisms implicated in the development and progression of human cancers. 2. Development of strategies to transfer to clinical practice the knowledge generated by the basic research on human tumors. Identification of parameters that allow a better diagnosis and prognosis of cancer and the identification of possible therapeutic targets. Principal Lines of Research 158 1.Lymphoid tumors a)Study of the abnormal molecular mechanisms linked to the cell cycle, genome instability and profiles of transcriptional expression implicated in the development and progression of these tumors, and biomarkers with clinical relevance. b)Functional study of the molecular factors that may contribute to tumor pathogenesis and that, therefore, may be candidates for developing new therapeutic targets. 154-193 AREA5.indd 158 Image of M-FISH of a metaphase representing of a MINO cell line derived from a mantle cell lymphoma. The image shows a triploid karyotype altered with the cryptic translocation t(11;14)(q13;q32) (yellow arrow) and 2 Y chromosomes (green arrow) (from the article Genes Chromosomes and Cancer 47(12):1086-1097, 2008). 2.Solid tumors a)Study of the molecular mechanisms of invasion and metastasis, profiles of transcriptional expression implicated in the development and progres- 21/10/09 15:44:05 sion of different human tumors in relation to the development, biologic aggressiveness (adhesion molecules) and therapeutic options. Principally prostate and breast tumors as tumors with hor- monal influence, and neoplasias of the airways, including tumors of the head and neck. b)Study of the possible criteria of therapeutic response and prognosis of neurologic tumors. Associated Group Molecular pathology of solid tumors Principal Investigator: ■ Fernandez, Pedro Luis (CDB) Human and experimental functional oncomorphology The group dedicated to the study of the progression of solid tumors has focused on different types of tumor, including urologic, breast, nerve-line and head and neck tumors. In urologic tumors, we have finished a microarray analysis of transcriptome profiles of prostate cancer, obtaining a signature for 7 highly discriminating genes for the disease. This has been validated using PT-PCR and immunohistochemistry and has also been patented. Also in urology, we have used FISH to study the diagnostic utility of genome abnormalities in urine samples of seminal vesicle carcinoma, the expression of mTOR, PDGF A and B in kidney tumors and, finally, c-kit mutations in these latter tumors. In terms of neural tumors, we have carried out a study in glial tumors on the correlations of the phenotype and the therapeutic response with loss of alleles in chromosomes 1p and 19q, analyzed by microsatellite PCR and FISH. In head and neck tumors, we have studied the role of the mutating phenotype in laryngeal cancer in young patients. Emerging Group Transcriptional regulation of gene expression Principal Investigator: ■ Postigo, Antonio (IDIBAPS) I.F.: 299,08 PublicaTions Original Articles 1 2 3 Garcia-Martinez A, Hernandez-Rodriguez J, Arguis P, Paredes P, Segarra M, Lozano E, Nicolau C, Ramirez J, Lomena F, Josa M, Pons F, Cid MC. Development of aortic aneurysm/dilatation during the followup of patients with giant cell arteritis: A cross-sectional screening of fifty-four prospectively followed patients. ARTH RHEUM/AR C RES. 59:422-430. I.F.:7,68. Grau JJ, Caballero M, Monzo M, Munoz-Garcia C, DomingoDomenech J, Navarro A, Conill C, Campayo M, Bombi JA. Dihydropyrimidine dehydrogenases and cytidine-deaminase gene polymorphisms as outcome predictors in resected gastric cancer patients treated with fluoropyrimidine adjuvant chemotherapy. J SURG ONCOL. 98:130-134. I.F.:2,38. Conill C, Setoain X, Colomo L, Palacin A, CombaliaAleu A, Pomes J, Marruecos J, Vargas M, Maurel J. Diagnostic efficacy of bone scintigraphy, magnetic resonance imaging, and positron emission tomography in bone metastases of myxoid liposarcoma. J MAGN RESON IMAGING. 27:625-628. I.F.:2,21. 154-193 AREA5.indd 159 4 5 6 7 8 Aleu AC, Popescu D, Pomes J, Palacin A. Long-standing pain in a 25-year-old patient with a non-diagnosed cervical osteoblastoma: a case report. ARCH ORTHOP TRAUM SU. 128:567-571. I.F.:0,91. Rigol M, Solanes N, Sionis A, Galvez C, Martorell J, Rojo I, Brunet M, Ramirez J, Roque M, Roig E, PerezVilla F, Barquin L, Pomar JL, Sanz G, Heras M. Effects of cyclosporine, tacrolimus and sirolimus on vascular changes relate to immune response. J HEART LUNG TRANSPL. 27:416-422. I.F.:3,09. Rigol M, Solanes N, Roque M, Farre J, Batle M, Roura S, Bellera N, Prat-Vidal C, Sionis A, Ramirez J, Sitges M, Sanz G, Bayes-Genis A, Heras M. Hemosiderin Deposits Confounds Tracking of Iron-Oxide-Labeled Stem Cells: An Experimental Study. TRANSPL P . 40:36193622. I.F.:1,03. Arrizabalaga P, Sole M, Abellana R, Ascaso C. Renal expression of adhesion molecules in Anca-associated disease. J CLIN IMMUNOL. 28:411-419. I.F.:2,89. Domingo-Domenech J, Fernandez PL, Filella X, Martinez-Fernandez A, Molina R, Fernandez E, Alcaraz A, Oncology and Hematology Area 5 The group investigates transcriptional mechanisms of gene expression during cell differentiation and cancer. In these studies, we use two members of the ZEB family, ZEB1/deltaEF1 and ZEB2/SIP1, as a molecular model; these play a role in regulating genes implicated in different cellular signalling pathways and pathophysiologic processes. The projects currently in progress aim to clarify the role of these proteins in cell differentiation in different tissues. The group currently has one postdoctoral member (Dr. Ester Sánchez Tilló). 159 21/10/09 15:44:07 9 Human and experimental functional oncomorphology 10 11 12 Area 5 Oncology and Hematology 13 14 15 16 17 160 18 154-193 AREA5.indd 160 Codony J, Gascon P, Mellado B. Serum HER2 extracellular domain predicts an aggressive clinical outcome and biological PSA response in hormone-independent prostate cancer patients treated with docetaxel. ANN ONCOL. 19:269-275. I.F.:4,88. Almendros I, Carreras A, Ramirez J, Montserrat JM, Navajas D, Farre R. Upper airway collapse and reopening induce inflammation in a sleep apnoea model. EUR RESPIR J. 32:399-404. I.F.:5,35. Molina R, Auge JM, Escudero JM, Marrades R, Vinolas N, Carcereny E, Ramirez J, Filella X. Mucins CA 125, CA 19.9, CA 15.3 and TAG-72.3 as Tumor Markers in Patients with Lung Cancer: Comparison with CYFRA 21-1, CEA, SCC and NSE. TUMOR BIOL . 29:371-380. I.F.:2,48. Molina-Molina M, Xaubet A, Marrades RM, Luburich P, Ramirez J, Torres A, Augusti C, Martínez-Olondris P. Transbronchial needle aspiration in the study of mediastinal lymph nodes: Yield and cost-effectiveness. ARCH BRONCONEUMOL. 44:290-294. I.F.:1,56. Peinado VI, Paris R, Ramirez J, Roca J, RodriguezRoisin R, Barbera JA. Expression of BKCa channels in human pulmonary arteries: Relationship with remodeling and hypoxic pulmonary vasoconstriction. VASC PHARMACOL . 49:178-184. I.F.:2,37. Iglesias M, Jungebluth P, Petit C, Matute MP, Rovira I, Martinez E, Catalan M, Ramirez J, Macchiarini P. Extracorporeal lung membrane provides better lung protection than conventional treatment for severe postpneumonectomy noncardiogenic acute respiratory distress syndrome. J THORAC CARDIOV SUR. 135:1362-U300. I.F.:3,35. Civico S, Agell N, Hernandez L, Campo E, Bachs O, Balasch J. Increased messenger ribonucleic acid expression of the cyclin-dependent kinase inhibitor p27(Kip1) in cleavage-stage human embryos exhibiting developmental arrest. FERTIL STERIL. 89:1557-1562. I.F.:3,17. Casals G, Ordi J, Creus M, Fabregues F, Casamitjana R, Quinto L, Campo E, Balasch J. Osteopontin and alpha(v)beta(3) integrin expression in the endometrium of infertile and fertile women. REPROD BIOMED ONLINE. 16:808-816. I.F.:2,84. Forner A, Vilana R, Ayuso C, Bianchi L, Sole M, Ayuso JR, Boix L, Sala M, Varela M, Llovet JM, Bru C, Bruix J. Diagnosis of hepatic nodules 20 mm or smaller in cirrhosis: Prospective validation of the noninvasive diagnostic criteria for hepatocellular carcinoma. HEPATOLOGY. 47:97-104. I.F.:10,73. Chiang DY, Villanueva A, Hoshida Y, Peix J, Newell P, Minguez B, Leblanc AC, Donovan DJ, Thung SN, Sole M, Tovar V, Alsinet C, Ramos AH, Barretina J, Roayaie S, Schwartz M, Waxman S, Bruix J, Mazzaferro V, Ligon AH, Najfeld V, Friedman SL, Sellers WR, Meyerson M, Llovet JM. Focal gains of VEGFA and molecular classification of hepatocellular carcinoma. CANCER RES. 68:6779-6788. I.F.:7,67. Villanueva A, Chiang DY, Newell P, Peix J, Thung S, Alsinet C, Tovar V, Roayaie S, Minguez B, Sole M, Battiston C, VanLaarhoven S, Fiel MI, DiFeo A, Hoshida Y, Yea S, Toffanin S, Ramos A, Martignetti JA, Mazzaferro V, Bruix J, Waxman S, Schwartz M, Meyerson M, Friedman SL, Llovet JM. Pivotal Role of mTOR Signaling in Hepatocellular Carcinoma. GASTROENTEROLOGY. 135:1972-1983. I.F.:11,67. 19 Vidal O, Soriano-Izquierdo A, Pera M, Elizalde JI, Palacin A, Castells A, Pique JM, Volant A, Metges JP. Positive VEGF immunostaining independently predicts poor prognosis in curatively resected gastric cancer patients: Results of a study assessing a panel of angiogenic markers. J GASTROINTEST SURG. 12:1005-1014. I.F.:2,27. 20 Sendino O, Pellise M, Ghita G, Sole M, Rimola J, Gines A. Aspergillus mediastinitis diagnosed by EUS-guided FNA. GASTROINTEST ENDOSC. 67:153-153. I.F.:5,89. 21 Fernandez-Real JM, Lopez-Bermejo A, Ropero AB, Piquer S, Nadal A, Bassols J, Casamitjana R, Gomis R, Arnaiz E, Perez I, Ricart W. Salicylates increase insulin secretion in healthy obese subjects. J CLIN ENDOCR METAB. 93:2523-2530. I.F.:5,49. 22 Ferrer A, Bosch F, Villamor N, Rozman M, Graus F, Gutierrez G, Mercadal S, Campo E, Rozman C, LopezGuillermo A, Montserrat E. Central nervous system involvement in mantle cell lymphoma. ANN ONCOL. 19:135-141. I.F.:4,88. 23 Graus F, Saiz A, Lai M, Bruna J, Lopez F, Sabater L, Blanco Y, Rey MJ, Ribalta T, Dalmau J. Neuronal surface antigen antibodies in limbic encephalitis - Clinicalimmunologic associations. NEUROLOGY. 71:930-936. I.F.:6,01. 24 Castella M, Garcia-Valentin A, Pereda D, Colli A, Martinez A, Martinez D, Ramirez J, Mulet J. Anatomic aspects of the atrioventricular junction influencing radiofrequency Cox maze IV procedures. J THORAC CARDIOV SUR. 136:419-423. I.F.:3,35. 25 Perez-Galan P, Roue G, Lopez-Guerra M, Nguyen M, Villamor N, Montserrat E, Shore GC, Campo E, Colomer D. BCL-2 phosphorylation modulates sensitivity to the BH3 mimetic GX15-070 (Obatoclax) and reduces its synergistic interaction with bortezomib in chronic lymphocytic leukemia cells. LEUKEMIA. 22:1712-1720. I.F.:6,92. 26 Roue G, Lopez-Guerra M, Milpied P, Perez-Galan P, Villamor N, Montserrat E, Campo E, Colomer D. Bendamustine Is Effective in p53-Deficient B-Cell Neoplasms and Requires Oxidative Stress and Caspase-Independent Signaling. CLIN CANCER RES . 14:6907-6915. I.F.:6,25. 27 Morente MM, Fernandez PL, DeAtava E. Biobanking: old activity or young discipline?. SEMIN DIAGN PATHOL. 25:317-322. I.F.:1,67. 28 Zidar N, Gale N, Kojc N, Volavsek M, Cardesa A, Alos L, Hofler H, Blechschmidt K, Becker KF. Cadherin-catenin complex and transcription factor Snail-1 in spindle cell carcinoma of the head and neck. VIRCHOWS ARCH. 453:267-274. I.F.:2,03. 29 Salaverria I, Zettl A, Bea S, Hartmann EM, Dave SS, Wright GW, Boerma EJ, Kluin PM, Ott G, Chan WC, Weisenburger DD, Lopez-Guillermo A, Gascoyne RD, Delabie J, Rimsza LM, Braziel RM, Jaffe ES, Staudt LM, Mueller-Hermelink HK, Campo E, Rosenwald A. Chromosomal alterations detected by comparative genomic hybridization in subgroups of gene expression-defined Burkitt’s lymphoma. HAEMATOL-HEMATOL J. 93:13271334. I.F.:5,52. 30 Bermudo R, Abia D, Ferrer B, Nayach I, Benguria A, Zaballos A, DelRey J, Miro R, Campo E, Martinez-A C, Ortiz AR, Fernandez PL, Thomson TM. Co-regulation 21/10/09 15:44:09 31 32 34 35 37 38 39 154-193 AREA5.indd 161 Oncology and Hematology Area 5 36 40 Baro C, Salido M, Espinet B, Astier L, Domingo A, Granada I, Milla F, Carrio A, Costa D, Luno E, Hernandez JM, Campo E, Florensa L, Ferrer A, Salar A, Bellosillo B, Besses C, Serrano S, Sole F. New chromosomal alterations in a series of 23 splenic marginal zone lymphoma patients revealed by Spectral Karyotyping (SKY). LEUKEMIA RES. 32:727-736. I.F.:2,56. 41 Lenz G, Davis RE, Ngo VN, Lam L, George TC, Wright GW, Dave SS, Zhao H, Xu WH, Rosenwald A, Ott G, Muller-Hermelink HK, Gascoyne RD, Connors JM, Rimsza LM, Campo E, Jaffe ES, Delabie J, Smeland EB, Fisher RI, Chan WC, Staudt LM. Oncogenic CARD11 mutations in human diffuse large B cell lymphoma. SCIENCE. 319:1676-1679. I.F.:26,37. 42 Garcia-Herrera A, Colomo L, Camos M, Carreras J, Balague O, Martinez A, Lopez-Guillermo A, Estrach T, Campo E. Primary cutaneous small/medium CD4(+) T-cell lymphomas: A heterogeneous group of tumors with different clinicopathologic features and outcome. J CLIN ONCOL. 26:3364-3371. I.F.:15,48. 43 Lenz G, Wright G, Dave SS, Xiao W, Powell J, Zhao H, Xu W, Tan B, Goldschmidt N, Iqbal J, Vose J, Bast M, Fu K, Weisenburger DD, Greiner TC, Armitage JO, Kyle A, May L, Gascoyne RD, Connors JM, Troen G, Holte H, Kvaloy S, Dierickx D, Verhoef G, Delabie J, Smeland EB, Jares P, Martinez A, Lopez-Guillermo A, Montserrat E, Campo E, Braziel RM, Miller TP, Rimsza LM, Cook JR, Pohlman B, Sweetenham J, Tubbs RR, Fisher RI, Hartmann E, Rosenwald A, Ott G, Muller-Hermelink HK, Wrench D, Lister TA, Jaffe ES, Wilson WH, Chan WC, Staudt LM. Stromal Gene Signatures in Large-BCell Lymphomas. NEW ENGL J MED . 359:2313-2323. I.F.:52,59. 44 O’shea D, O’riain C, Taylor C, Waters R, Carlotti E, Macdougall F, Gribben J, Rosenwald A, Ott G, Rimsza LM, Smeland EB, Johnson N, Campo E, Greiner TC, Chan WC, Gascoyne RD, Wright G, Staudt LM, Lister TA, Fitzgibbon J. The presence of TP53 mutation at diagnosis of follicular lymphoma identifies a high-risk group of patients with shortened time to disease progression and poorer overall survival. BLOOD. 112:3126-3129. I.F.:10,90. Human and experimental functional oncomorphology 33 analysis of closely linked genes identifies a highly recurrent gain on chromosome 17q25.3 in prostate cancer. BMC CANCER . 8:-. I.F.:2,71. Hartmann E, Fernandez V, Moreno V, Valls J, Hernandez L, Bosch F, Abrisqueta P, Klapper W, Dreyling M, Hoster E, Muller-Hermelink HK, Ott G, Rosenwald A, Campo E. Five-Gene Model to Predict Survival in Mantle-Cell Lymphoma Using Frozen or Formalin-Fixed, Paraffin-Embedded Tissue. J CLIN ONCOL. 26:4966-4972. I.F.:15,48. Fernandez V, Jares P, Salaverria I, Gine E, Bea S, Aymerich M, Colomer D, Villamor N, Bosch F, Montserrat E, Campo E. Gene expression profile and genomic changes in disease progression of early-stage chronic lymphocytic leukemia. HAEMATOL-HEMATOL J. 93:132-136. I.F.:5,52. Enjuanes A, Benavente Y, Bosch F, Martin-Guerrero I, Colomer D, Perez-Alvarez S, Reina O, Ardanaz MT, Jares P, Garcia-Orad A, Pujana MA, Montserrat E, DeSanjose S, Campo E. Genetic Variants in Apoptosis and Immunoregulation-Related Genes Are Associated with Risk of Chronic Lymphocytic Leukemia. CANCER RES . 68:10178-10186. I.F.:7,67. Salaverria I, Bea S, Lopez-Guillermo A, Lespinet V, Pinyol M, Burkhardt B, Lamant L, Zettl A, Horsman D, Gascoyne R, Ott G, Siebert R, Delsol G, Campo E. Genomic profiling reveals different genetic aberrations in systemic ALK-positive and ALK-negative anaplastic large cell lymphomas. BRIT J HAEMATOL. 140:516-526. I.F.:4,49. Montoto S, Moreno C, Domingo-Domenech E, Estany C, Oriol A, Altes A, Besalduch J, Pedro C, Gardelia S, Escoda L, Asensio A, Vivancos P, Galan P, DeSevilla AF, Ribera JM, Briones J, Colomer D, Campo E, Montserrat E, Lopez-Guillermo A. High clinical and molecular response rates with fludarabine, cyclophosphamide and mitoxantrone in previously untreated patients with advanced stage follicular lymphoma. HAEMATOLHEMATOL J. 93:207-214. I.F.:5,52. Ruano Y, Mollejo M, Camacho FI, DeLope AR, Fiano C, Ribalta T, Martinez P, Hernandez-Moneo JL, Melendez B. Identification of survival-related genes of the phosphatidylinositol 3 ‘-kinase signaling pathway in glioblastoma multiforme. CANCER . 112:1575-1584. I.F.:4,63. Schraders M, Jares P, Bea S, Schoenmakers EFPM, VanKrieken JHJM, Campo E, Groenen PJTA. Integrated genomic and expression profiling in mantle cell lymphoma: identification of gene-dosage regulated candidate genes. BRIT J HAEMATOL. 143:210-221. I.F.:4,49. Lenz G, Wright GW, Emre NCT, Kohlhammer H, Dave SS, Davis RE, Carty S, Lam LT, Shaffer AL, Xiao WM, Powell J, Rosenwald A, Ott G, Muller-Hermelink HK, Gascoyne RD, Connors JM, Campo E, Jaffe ES, Delabie J, Smeland EB, Rimsza LM, Fisher RI, Weisenburger DD, Chan WC, Staudt LM. Molecular subtypes of diffuse large B-cell lymphoma arise by distinct genetic pathways. P NATL ACAD SCI USA. 105:13520-13525. I.F.:9,60. Salaverria I, Espinet B, Carrio A, Costa D, Astier L, Slotta-Huspenina J, Quintanilla-Martinez L, Fend F, Sole F, Colomer D, Serrano S, Miro R, Bea S, Campo E. Multiple Recurrent Chromosomal Breakpoints in Mantle Cell Lymphoma Revealed by a Combination of Molecular Cytogenetic Techniques. GENE CHROMOSOME CANC. 47:1086-1097. I.F.:4,53. Reviews 1 2 Jares P, Campo E. Advances in the understanding of mantle cell lymphoma. BRIT J HAEMATOL. 142:149165. I.F.:4,49. VanKrieken JHJM, Jung A, Kirchner T, Carneiro F, Seruca R, Bosman FT, Quirke P, Flejou JF, Hansen TP, DeHertogh G, Jares P, Langner C, Hoefler G, Ligtenberg M, Tiniakos D, Tejpar S, Bevilacqua G, Ensari A. KRAS mutation testing for predicting response to anti-EGFR therapy for colorectal carcinoma: proposal for an European quality assurance program. VIRCHOWS ARCH. 453:417-431. I.F.:2,03. 161 Editorials 1 Trullas JC, Sanchez M, Sole M, Mirapeix E. Wife of 50 years with infiltrates. MED CLIN-BARCELONA. 131:699709. I.F.:1,34. 21/10/09 15:44:12 2 Bea S, Campo E. Secondary genomic alterations in non-Hodgkin’s lymphomas: tumor-specific profiles with impact on clinical behavior. HAEMATOL-HEMATOL J. 93:641-645. I.F.:5,52. Grants for Research in Progress Human and experimental functional oncomorphology Postigo A. Transcriptional Regulation of Gene Expression during Cell Differentiation and Oncogenic Transformation. Grant: European Commision, MIRG-CT-2006-040985. Duration: 01/10/2006-30/09/2008. Campo E. Molecular mechanisms associated with clinical progression and drug resistance in MCL. Grant: Lymphoma Research Foundation, 2005 LRF MCL. Duration: 15/08/200514/08/2008. Campo E. Molecular Signatures to Improve Diagonosis and Outcome Prediction in NHL. Grant: National Institutes of Health - EU, 5U01CA114778-03. Duration: 31/07/2007-31/05/2008. Area 5 Oncology and Hematology Campo E. CA - Archive’s Tissues: Improving Molecular Medicine Research and Clinical Practice. Grant: European Commision, LSHG-CT-2007-037211. Duration: 01/03/2007-28/02/2009. Jares P. Identification of Tumor Supressor Genes, Epigenetic Portrait, and Genotyping of Mantle Cell Lymphomas. Grant: Lymphoma Research Foundation, 07/168. Duration: 01/05/2007-30/04/2010. Fernandez PL. New molecules for diagnosis and therapy in prostate and breast cancers. Modulation of tumor growth by the chemokine CX3CL1 (fractalkine). Grant: Fundació Marató TV3, 53131. Duration: 15/12/2005-14/12/2008. Campo E. Oncomorfologia funcional humana i experimental. Grant: Comissionat per a Universitats i Recerca, 2005SGR00870. Duration: 19/10/2005-31/12/2008. Postigo A. Regulación de la Cadherina e y de la capacidad invasiva/metastica de tumores epieliales por la familia ZEB de represores transcripcionales. Grant: Ministerio Educación y Ciencia, BFU2007-60302/BMC. Duration: 01/10/200704/10/2010. Postigo A. Regulación transcripcional de la expresión génica durante la diferenciación celular y la transformación oncogénica. Grant: Fundació La Caixa, BM06-057. Duration: 13/11/2006-12/11/2009. 162 Cardesa A. Mecanismos moleculares de inactivación del enzima metiltioadenosina fosforilasa (MTAP) en el carcinoma escamoso de laringe. Grant: Fundacion Mutua Madrileña, FundMM_501016. Duration: 04/10/2005-03/10/2008. Hernandez L. Análisis por microarrays de los genes dianas de los microrna alterados en su dosis génica en linfomas de células del manto. Grant: Ministerio Sanidad y Consumo, PI050224. Duration: 01/01/2006-30/12/2008. Cardesa A. Análisis de la firma metastática en el carcinoma escamoso de la laringe. Grant: Ministerio Sanidad y Consumo, PI060189. Duration: 18/10/2006-30/12/2009. Campo E. Red temática de investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0039. Duration: 01/01/2007-31/12/2010. Fernandez PL. Análisis de perfiles transcripcionales y alteraciones genómicas estructurales en la progresión de carcinomas de próstata y explantes tumorales. Evaluación de potenciales marcadores con aplicabilidad. Grant: Ministerio Educación y Ciencia, SAF2005-05109-C02-02. Duration: 31/12/2005-31/12/2008. Campo E. Alteraciones genómicas en el desarrollo y progresión de neoplasias linfoides. Identificación de posibles genes implicados y evaluación de su relevancia clínica. Grant: Ministerio Educación y Ciencia, SAF2005-05855. Duration: 31/12/2005-31/12/2008. Campo E. Ayuda complementaria al proyecto europeo: European Mantle Cell Lymphoma Network: Translational determination of molecular prognostic factors and pharmacogenomics in a European interdisciplinary collaboration. Grant: Ministerio Educación y Ciencia, SAF2006-28392-E. Duration: 02/02/2007-01/02/2008. Campo E. Linfoma difuso de células grandes: búsqueda de nuevos marcadores pronósticos en la era rituximabchop. Grant: Asociación Española Contra el Cáncer (AECC), AECC_07_011. Duration: 16/02/2008-15/08/2009. Thesis Mallofre C. Expressió de KIT i PDGFR en tumors de cèl•lules renals: discussió del seu paper com a possibles dianes terapèutiques. Doctorand: A. Petit. Campo E. Diferenciación plasmocelular en linfomas agresivos: Señalización, factores de transcripción y alteraciones citogenéticas. Doctorand: O. Balagué Ponz. Campo E. Caracterización Citogenética y molecular de los linfomas No-Hodgkin Humanos (Estudio de la inestabilidad genómica en linfoma de células del manto. Doctorand: I. Salaverria. Campo E. Análisis de los mecanismos moleculares implicados en el desarrollo y progresión de los linfomas de célula B pequeña. Doctorand: V. Fernández. Fernandez PL. Análisis integrado de perfiles transcriptómicos y protéicos en la progresión de las neoplasias de la próstata. Aplicaciones en el diagnóstico. Grant: Ministerio Educación y Ciencia, PET2005_0660_01. Duration: 19/12/2006-18/12/2008. 154-193 AREA5.indd 162 21/10/09 15:44:14 Diagnosis and Therapy in Oncology Team members Team Leader: ■ Francesca Pons (Hospital Clínic) Tel.: 93 227 54 82 Fax: 93 451 81 37 E-mail: [email protected] Collaborators: Sebastián Capurro (Hospital Clínic) Francesc Casas (Hospital Clínic) Carmen De Juan (Hospital Clínic) Lluís Donoso Bach (Hospital Clínic) Blanca Farrús (Hospital Clínic) Mario Pagés (Hospital Clínic) Teresa Pujol (Hospital Clínic) Sonia Rodríguez (Hospital Clínic) Angels Rovirosa (Hospital Clínic) Marcelo Sánchez (Hospital Clínic) Gorane Santamaría (Hospital Clínic) Eugènia Verger (Hospital Clínic) Àfrica Muxí (Hospital Clínic) Pilar Paredes (Hospital Clínic) Francisco Lomeña (Hospital Clínic) Javier Pavía (Hospital Clínic) Diagnosis and therapy in oncology IDIBAPS Members: ■ Albert Biete (Hospital Clínic) ■ Carles Conill (Hospital Clínic) ■ David Fuster (Hospital Clínic) ■ Marià Monzó (University of Barcelona) ■ Xavier Setoain (Hospital Clínic) ■ Martín Velasco (Hospital Clínic) ■ Sergi Vidal-Sicart (Hospital Clínic) Oncology and Hematology Area 5 Strategic Objectives 1. To develop techniques to improve diagnosis and evaluation of outcome and response to therapy in cancer patients. 2. To develop and apply new therapies in oncology. Principal Lines of Research 1. Molecular studies of embryo and tumor cells: applications in pharmacogenetics We carry out two types of study: one analyzes and compares patterns of microRNAs in embryo tissues and the other, using allele discrimination, analyzes the polymorphic profiles (SNPs) in cancer patients with the aim of selecting more specific treatments. 2. Effects of synchrotron radiation on cancer cells In this study, which is carried out in conjunction with the UAB, we compare the biologic action of synchrotron radiation (currently, the Grenoble synchrotron until the Alba unit is started at the UAB) with conventional x-rays used in radiotherapy. We also study effectiveness by sensitizing the cell with nanoparticles of gold and cisplatin. 154-193 AREA5.indd 163 Axial slices of 2 PET-CT studies in a patient with locally advanced breast cancer, obtained before (top images) and after (bottom images) receiving treatment with neoadjuvant chemotherapy. 3.Irradiation of ganglial metastasis of melanoma We study the role of postoperative irradiation of ganglial metastases of melanoma in locoregional control of the disease. 163 4.Diagnostic imaging of breast cancer We carry out two types of study. One type uses 10G thick-needle aspiration biopsies to improve presurgical diagnosis of breast lesions, especially in those that 21/10/09 15:44:18 present microcalcifications; the aim is to reduce the number of surgical biopsies for diagnosis to a minimum. The other study evaluates the response to neoadjuvant chemotherapy in breast cancer by means of breast MRI. Area 5 Oncology and Hematology Diagnosis and therapy in oncology 5. Gammagraphy detection of the sentinel ganglion Lymphogammagraphy and subsequent use of an external detection probe during surgery to locate and remove the sentinel ganglion. This technique is relevant 164 in 75% of unnecessary lymphadenectomies. The use of a portable gamma camera during surgery provides additional advantages. 6.Application of positron-emission tomography (PET-CT) in oncology We carry out PET studies for staging and monitoring the response to treatment in different types of tumor, including lymphomas, breast cancer and digestive tract tumors. We aim to use an intraoperative PET probe to improve detection of tumors. I.F.: 86,77 PublicaTions Original Articles 8 1 Garcia-Martinez A, Hernandez-Rodriguez J, Arguis P, Paredes P, Segarra M, Lozano E, Nicolau C, Ramirez J, Lomena F, Josa M, Pons F, Cid MC. Development of aortic aneurysm/dilatation during the followup of patients with giant cell arteritis: A cross-sectional screening of fifty-four prospectively followed patients. ARTH RHEUM/AR C RES. 59:422-430. I.F.:7,68. 2 Grau JJ, Caballero M, Monzo M, Munoz-Garcia C, Domingo-Domenech J, Navarro A, Conill C, Campayo M, Bombi JA. Dihydropyrimidine dehydrogenases and cytidine-deaminase gene polymorphisms as outcome predictors in resected gastric cancer patients treated with fluoropyrimidine adjuvant chemotherapy. J SURG ONCOL. 98:130-134. I.F.:2,38. 3 Conill C, Setoain X, Colomo L, Palacin A, CombaliaAleu A, Pomes J, Marruecos J, Vargas M, Maurel J. Diagnostic efficacy of bone scintigraphy, magnetic resonance imaging, and positron emission tomography in bone metastases of myxoid liposarcoma. J MAGN RESON IMAGING. 27:625-628. I.F.:2,21. 4 Granell M, Urbano-Ispizua A, Pons A, Arostegui JI, Gel B, Navarro A, Jansa S, Artells R, Gaya A, Talarn C, Fernandez-Avilles F, Martinez C, Rovira M, Carreras E, Rozman C, Juan M, Yague J, Montserrat E, Monzo M. Common variants in NLRP2 and NLRP3 genes are strong prognostic factors for the outcome of HLAidentical sibling allogeneic stem cell transplantation. BLOOD. 112:4337-4342. I.F.:10,90. 5 Muxi A, Paredes P, Mont L, Setoain FJ, Duch J, Fuertes S, Ortin J, Diaz-Infante E, Pons F. Left ventricular function and visual phase analysis with equilibrium radionuclide angiography in patients with biventricular device. EUR J NUCL MED MOL I. 35:912-921. I.F.:4,10. 6 Bergua C, Torregrosa JV, Fuster D, Gutierrez-Dalmau A, Oppenheimer F, Campistol JM. Effect of Cinacalcet on hypercalcemia and bone mineral density in renal transplanted patients with secondary hyperparathyroidism. TRANSPLANTATION. 86:413-417. I.F.:3,64. 7 Paredes P, Vidal-Sicart S, Zanon G, Roe N, Rubi S, Lafuente S, Pavia J, Pons F. Radioguided occult lesion localisation in breast cancer using an intraoperative portable gamma camera: first results. EUR J NUCL MED MOL I. 35:230-235. I.F.:4,10. 154-193 AREA5.indd 164 9 10 11 12 13 14 15 Arenas M, Gil F, Gironella M, Hernandez V, Biete A, Pique JM, Panes J. Time course of anti-inflammatory effect of low-dose radiotherapy: Correlation with TGFbeta(1) expression. RADIOTHER ONCOL. 86:399-406. I.F.:4,07. Maestro L, Carreno M, Donaire A, Rumia J, Conesa G, Bargallo N, Falcon C, Setoain X, Pintor L, Boget T. Oroalimentary automatisms induced by electrical stimulation of the fronto-opercular cortex in a patient without automotor seizures. EPILEPSY BEHAV. 13:410412. I.F.:2,10. Colomer R, Monzo M, Tusquets I, Rifa J, Baena JM, Barnadas A, Calvo L, Carabantes F, Crespo C, Munoz M, Llombart A, Plazaola A, Artells R, Gilabert M, Lloveras B, Alba E. A single-nucleotide polymorphism in the aromatase gene is associated with the efficacy of the aromatase inhibitor letrozole in advanced breast carcinoma. CLIN CANCER RES. 14:811-816. I.F.:6,25. Giralt J, Regadera JP, Verges R, Romero J, DeLaFuente I, Biete A, Villoria J, Cobo JM, Guarner F. Effects of probiotic Lactobacillus casei DN-114 001 in prevention of radiation-induced diarrhea: Results from multicenter, randomized, placebo-controlled nutritional trial. INT J RADIAT ONCOL. 71:1213-1219. I.F.:4,29. Ramirez N, Bandres E, Navarro A, Pons A, Jansa S, Moreno I, Martinez-Rodenas F, Zarate R, Bitarte N, Monzo M, Garcia-Foncillas J. Epigenetic events in normal colonic mucosa surrounding colorectal cancer lesions. EUR J CANCER . 44:2689-2695. I.F.:4,45. Navarro A, Gaya A, Martinez A, Urbano-Ispizua A, Pons A, Balague O, Gel B, Abrisqueta P, Lopez-Guillermo A, Artells R, Montserrat E, Monzo M. MicroRNA expression profiling in classic Hodgkin lymphoma. BLOOD. 111:2825-2832. I.F.:10,90. Monzo M, Navarro A, Bandres E, Artells R, Moreno I, Gel B, Ibeas R, Moreno J, Martinez F, Diaz T, Martinez A, Balague O, Garcia-Foncillas J. Overlapping expression of microRNAs in human embryonic colon and colorectal cancer. CELL RES. 18:823-833. I.F.:4,22. Fuster D, Duch J, Paredes P, Velasco M, Munoz M, Santamaria G, Fontanillas M, Pons F. Preoperative staging of large primary breast cancer with [F-18] fluorodeoxyglucose positron emission tomography/ computed tomography compared with conventional imaging procedures. J CLIN ONCOL. 26:4746-4751. I.F.:15,48. 21/10/09 15:44:20 Grants for Research in Progress Setoain FJ. Development and validation of an automatic dose injection system for ictal spect in epiilepsy. Grant: Fundació Marató TV3, 60610. Duration: 06/02/2007-05/02/2010. Setoain FJ, Carreño M, Donaire A. Validación de un sistema de inyección automática de una dosis radiactiva para realizar el SPECT ictal de epilepsia. Grant: Ministerio Sanidad y Consumo, PI060077. Duration: 18/10/2006-30/12/2009. Fuster D. Utilidad de la tomografía por Emisión de Positrones con Tomografía Computerizada Integrada (PET/TC) en la estadificación inicial y en la monitorización de la respuesta a la quimioradioterapia neoadyuvante del adenocarcinoma gástrico. Grant: Ministerio Sanidad y Consumo, PI070270. Duration: 26/11/2007-30/12/2010. Thesis Monzo M. Análisis comparativo de la expresión de miRNAs en el desarrollo embrionario del colon, el cáncer colorectal y el linfoma de Hodgkin. Doctorand: Alfons Naverro Ponz. Monzo M. Estudi del gen Sonic Hedgehog (Shh) i del gens de la familia CEACAM durant l’embriogènesis del còlon humà i la seva implicació en el desenvolupament del cáncer colorectal. Doctorand: Rosa Artells Prats. Biete A. Efectos antiinflamatorios de la radioterapia a dosis bajas en un modelo de enfermedad crónica intestinal. Doctorand: Meritxell Arenas Prats. Oncology and Hematology Area 5 Pons F. Valoración de la PET-TC (Tomografía de Emisión de Positrones-Tomografía Computarizada) de baja dosis sin utilización de contraste radiológico como única exploración de imagen para la estadificación y re-estadificación de los linfomas. Grant: Ministerio Sanidad y Consumo, PI070277. Duration: 26/11/2007-30/12/2010. Santamaria G. Resonancia magnética dinámica del carcinoma in situ de mama: utilidad en la planificación del tratamiento quirúrgico y relación de la captación neoplásica con la microvascularización tumoral y la expresión del factor de permeabilidad vascular. Grant: Sociedad Española de Radiología Médica S, SERAM_08_001. Duration: 01/04/200831/10/2010. Diagnosis and therapy in oncology Monzó M. Detección y cuantificación de marcadores Stem mediante análisis de Micro-RNA (MIRNA) en pacientes con cáncer de pulmón y en tejido embrionario pulmonar humano. Grant: Ministerio Sanidad y Consumo, PI060087. Duration: 18/10/2006-30/12/2009. Pons F. Red temática de investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0038. Duration: 01/01/2007-31/12/2010. 165 154-193 AREA5.indd 165 21/10/09 15:44:23 Molecular Genetics Team Members Molecular genetics Team Leader: ■ Cristóbal Mezquita (UB-Faculty of Medicine) Tel.: 93 402 45 18 Fax: 93 403 52 79 E-mail: [email protected] IDIBAPS Members: ■ Jovita Mezquita (UB-Faculty of Medicine) ■ Rafael Oliva (Hospital Clínic and UB-Faculty of Medicine) ■ Josep Oriola (Hospital Clínic and UB-Faculty of Medicine) Collaborators: Betlem Mezquita (UB-Faculty of Medicine) José Manuel Vidal (UB-Faculty of Medicine) Juan Martínez (Fundació Clínic) Josep Lluís Ballescà (Hospital Clínic) Rubén Azpiazu (Fundació Clinic) Judit Castillo (Fundació Clinic) Technicians: Montserrat Pau (UB-Faculty of Medicine) Area 5 Oncology and Hematology Doctoral Students: Sara de Mateo (Fundació Clínic) Meritxell Jodar (Fundació Clinic) Strategic Objectives The research group is made up of the Gene Expression and Cancer laboratory (www.physiolgenet.com) and the Human Genetics laboratory (www.ub.edu/humangen). Our research works within the current physiologic paradigm: the study of mechanisms of gene expression as a new approach to the study of the body’s functions. At present, our work is aimed at proteomic and molecular characterization of spermatozoa from infertile patients and controls, and the study of the mechanisms involved in angiogenesis and in the invasive mechanisms of tumor cells. Principal Lines of Research The group has traditionally worked on mechanisms of gene expression and differentiation of the spermatogenic germinal line and, more recently, on the mechanisms involved in angiogenesis and the invasion of tumor cells. 166 In 2008, we identified several proteins present in increased or reduced levels in asthenozoospermic patients in comparison to controls (Martinez-Heredia et al., 2008; Oliva et al., 2008). These results provide important clues that lead to the identification of the causes of male infertility, currently unknown in most patients. Worthy of mention is the contribution of our group in launching the proteomic information portal Human Proteinpedia (Mathivanan et al., 2008). Also relevant is the fact that we have managed to identify a polymor- 154-193 AREA5.indd 166 Principal changes in the structure of chromatin during spermatogenesis and in the initial phases of development. The spermatozoon has the potential to transmit epigenetic information through the methylation protein to the different genes, by means of the differential distribution of genes to the regions associated with nucleohistone and nucleoprotamine, and through the proteome transmitted to the oocyte (Oliva et al., Proteomics 2009; 9:1004-17). 21/10/09 15:44:31 phism in the promotor region of the protamine 1 gene that behaves as a risk factor of abnormal morphology in spermatozoa (Gázquez et al., 2008). In the coming years, we aim to achieve detailed characterization of the functions of new proteins identified in line with the development of the current project (BFU2006-03479). One of the important challenges is to determine the basic mechanisms in the nucleic histone nucleic protamine transition during sperm creation and how abnormalities in this transition can lead to abnormal epigenetic information in the spermatozoon. Another challenge will be the translation of important observations from basic research to clinical practice. In relation to the mechanisms of tumor invasion, the principal challenge will be to determine the mechanisms involved in regulating gene expression of the new family of truncated intracellular forms of the molecule VEGFR-1, which we have characterized in our laboratory. Original Articles Grants for Research in Progress 1 Mezquita C. Effects of reversible proteasome inhibitors on the mechanisms involved in inflammatory and remodelling responses in asthma. Grant: Fundació Marató TV3, 40631. Duration: 21/01/2005-20/01/2008. 2 Reviews 1 Oliva R, Martinez-Heredia J, Estanyol JM. Proteomics in the study of the sperm cell composition, differentiation and function. SYST BIOL REPROD MED. 54:23-36. I.F.:0,81. Oliva R. Grup de Genètica Humana. Grant: Comissionat per a Universitats i Recerca, 2005SGR00014. Duration: 19/10/2005-31/12/2008. Oliva R. Proteómica del espermatozoide en pacientes infértiles, en modelos knock-out y mecanismo de la transición nucleohistona nucleoprotamina. Grant: Ministerio Educación y Ciencia, BFU2006-03479. Duration: 01/10/200630/09/2009. Thesis Oliva R. Caracterització proteòmica de l’espermatozoide humà. Proteïnes diferencials trobades en pacients astenozoospèrmics. Doctorand: Juan Martínez Heredia. Facultat de Medicina, Universitat de Barcelona. Patents Cristina Gazquez, Rafael Oliva, Josep Oriola. Method for the diagnosis of male infertility. Oncology and Hematology Area 5 3 Gazquez C, Oriola J, DeMateo S, Vidal-Taboada JM, Ballesca JL, Oliva R. A common protamine 1 promoter polymorphism (-190 c -> A) correlates with abnormal sperm morphology and increased protamine P1/P2 ratio in infertile patients. J ANDROL. 29:540-548. I.F.:2,33. Queralt R, Madrigal I, Vallecillos MA, Morales C, Ballesca JL, Oliva R, Soler A, Sanchez A, Margarit E. Atypical XX male with the SRY gene located at the long arm of chromosome 1 and a 1qter microdeletion. AM J MED GENET A. 146A:13351340. I.F.:2,44. Martinez-Heredia J, DeMateo S, Vidal-Taboada JM, Ballesca JL, Oliva R. Identification of proteomic differences in asthenozoospermic sperm samples. HUM REPROD. 23:783-791. I.F.:3,54. Molecular genetics I.F.: 8,31 PublicaTions 167 154-193 AREA5.indd 167 21/10/09 15:44:33 Genetics Team Members Genetics Team Leader: ■ Montserrat Milà (Hospital Clínic) Tel.: 93 2275400 ext.2784 Fax: 932275697 E-mail: [email protected] IDIBAPS Members: ■ Anna Carrió (Hospital Clínic) ■ Carmen Herrero (Hospital Clínic) ■ Mario Lecha (Hospital Clínic) ■ Ester Margarit (Hospital Clínic) ■ Aurora Sánchez (Hospital Clínic) ■ Anna Soler (Hospital Clínic) ■ Jordi To-Figueras (Hospital Clínic) Area 5 Oncology and Hematology Collaborators: Cèlia Badenas (Hospital Clínic) Jordi Bruguera (Fundació Clínic) Strategic Objectives Research in this area is aimed at characterizing genetic diseases in their clinical, cytogenetic and molecular aspects. Each line has the strategic objectives set out by the research projects that support it, hence the MR study and identification of cryptic chromosome imbalance is currently based on the application of high-performance array technology. The FXTAS study is aimed at identifying a biologic marker that allows us to carry out presymptomatic diagnosis of FXTAS in patients carrying the permutation in the FMR1 gene. In porphyria, the strategic objective is to gain better knowledge of the genotype-phenotype correlation: biochemical and clinical expression. Irene Mademont Irene Madrigal (CIBERER) Carmen Morales (Hospital Clínic) Laia Rodriguez Revenga (CIBERER) Mar Xunclà (Fundació Clínic) cription of affected patients, men and women) and molecular aspects (DNA, RNA, miRNA and FMRP) and the characterization of the expression of the recently described ASFMR1 gene (antisense FMR1). 3.Detection of cryptic chromosome imbalance and identification of new phenotypes using cytogenetic-molecular techniques. One is in the area if prenatal diagnosis and the other in postnatal diagnosis. We aim to characterize chromosome imbalances in fetuses with congenital abnormalities and normal karyotype by using CGH arrays. Principal Lines of Research 168 1.Identification of the genetic bases of mental retardation (MR) of genetic origin, both syndromal and nonsyndromal, using new MLPA, CGH and array technologies. Application of new technologies to different MR groups will allow us to establish new molecular bases of MR. We also aim to define the involvement of CNV with uncertain clinical significance in MR. 2. FXTAS (Fragile X Tremor Ataxia Syndrome), a new type of cerebellar ataxy associated with some carriers of the permutation of the fragile x chromosome syndrome (SFX). This line aims to improve knowledge of FXTAS in its clinical aspects (des- 154-193 AREA5.indd 168 New missense mutations in the UROD protein detected in patients with late-onset cutaneous porphyria . (Badenas, To-Figueras, Phillips et al, Clinical Genetics, in press 2009). 21/10/09 15:44:38 4. Study of the genotype-phenotype correlation in porphyria. This line aims to advance in the study of iron status markers (hepcidin) in patients with different types of porphyria, particularly PCT. To further stu- dy acute-phase proteins (pre-albumin, transferrin, insulin growth factor 1 [IGF-1]) as possible markers of the severity of acute intermittent porphyria and to continue participating in the EPNET network. I.F.: 33,89 PublicaTions Original Articles 2 3 5 6 7 8 154-193 AREA5.indd 169 10 11 12 13 Grants for Research in Progress To-Figueras J. European Porphyria Network: providing better healthcare for patients and their families. Grant: European Commision, PHEA 2006107. Duration: 01/04/200731/03/2010. Mila M. Clinical and molecular study of fxtas syndrome (fragile X tremor Ataxia Syndrome). Grant: Fundació Marató TV3, 60810. Duration: 30/01/2007-29/01/2010. Oncology and Hematology Area 5 4 Soler A, Morales C, Badenas C, Rodriguez-Revenga L, Carrio A, Margarit E, Costa D, Borrell A, Gonce A, Mila M, Sanchez A. A retrospective and theoretical evaluation of rapid methods for detecting chromosome abnormalities and their implications on genetic counseling based on a series of 3868 CVS diagnoses. FETAL DIAGN THER. 23:126-131. I.F.:0,84. Morales C, Sanchez A, Bruguera J, Margarit E, Borrell A, Borobio V, Soler A. Cytogenetic study of spontaneous abortions using semi-direct analysis of chorionic villi samples detects the broadest spectrum of chromosome abnormalities. AM J MED GENET A. 146A:66-70. I.F.:2,44. Salaverria I, Espinet B, Carrio A, Costa D, Astier L, Slotta-Huspenina J, Quintanilla-Martinez L, Fend F, Sole F, Colomer D, Serrano S, Miro R, Bea S, Campo E. Multiple Recurrent Chromosomal Breakpoints in Mantle Cell Lymphoma Revealed by a Combination of Molecular Cytogenetic Techniques. GENE CHROMOSOME CANC. 47:1086-1097. I.F.:4,53. Baro C, Salido M, Espinet B, Astier L, Domingo A, Granada I, Milla F, Carrio A, Costa D, Luno E, Hernandez JM, Campo E, Florensa L, Ferrer A, Salar A, Bellosillo B, Besses C, Serrano S, Sole F. New chromosomal alterations in a series of 23 splenic marginal zone lymphoma patients revealed by Spectral Karyotyping (SKY). LEUKEMIA RES. 32:727-736. I.F.:2,56. Queralt R, Madrigal I, Vallecillos MA, Morales C, Ballesca JL, Oliva R, Soler A, Sanchez A, Margarit E. Atypical XX male with the SRY gene located at the long arm of chromosome 1 and a 1qter microdeletion. AM J MED GENET A. 146A:1335-1340. I.F.:2,44. Torrioli MG, Vernacotola S, Peruzzi L, Tabolacci E, Mila M, Militerni R, Musumeci S, Ramos FJ, Frontera M, Sorge G, Marzullo E, Romeo G, Vallee L, Veneselli E, Cocchi E, Garbarino E, Moscato U, Chiurazzi P, D’iddio S, Calvani M, Neri G. A double-blind, parallel, multicenter comparison of L-acetylcarnitine with placebo on the attention deficit hyperactivity disorder in fragile X syndrome boys. AM J MED GENET A. 146A:803-812. I.F.:2,44. Remenyik E, Lecha M, Badenas C, Koszo F, Vass V, Herrero C, Varga V, Emri G, Balogh A, Horkay I. Childhood-onset mild cutaneous porphyria with compound heterozygotic mutations in the uroporphyrinogen decarboxylase gene. CLIN EXP DERMATOL. 33:602-605. I.F.:1,52. Gamez J, Corbera-Bellalta M, Mila M, Lopez-Lisbona R, Boluda S, Ferrer I. Chorea-ballism associated with familial amyotrophic lateral sclerosis. A clinical, genetic, and neuropathological study. MOVEMENT DISORD. 23:434-438. I.F.:3,21. Carrera C, Puig S, Llambrich A, Palou J, Lecha M, Massi D, Malvehy J. Development of a human in vivo method to study the effect of ultraviolet radiation and Sunscreens in melanocytic nevi. DERMATOLOGY. 217:124136. I.F.:1,89. Rodriguez-Revenga L, Madrigal I, Alegret M, Santos M, Mila M. Evidence of depressive symptoms in fragileX syndrome premutated females. PSYCHIAT GENET. 18:153-155. I.F.:2,26. Julia M, Mascaro JM, Guilabert A, Navarra E, Ferrando J, Herrero C. Sclerodermiform linear lupus erythematosus: A distinct entity or coexistence of two autoinimune diseases?. J AM ACAD DERMATOL. 58:665-667. I.F.:2,90. Rodriguez-Revenga L, Santos MM, Sanchez A, Pujol M, Gomez-Anson B, Badenas C, Jimenez D, Madrigal I, Mila M. Screening for FXTAS in 95 Spanish patients negative for Huntington disease. GENET TEST. 12:135138. I.F.:1,22. Sunyer J, Aivarez-Pedrerol M, To-Figueras J, Ribas-Fito N, Grimalt JO, Herrero C. Urinary porphyrin excretion in children is associated with exposure to organochlorine compounds. ENVIRON HEALTH PERSP. 116:14071410. I.F.:5,64. Genetics 1 9 Mila M. Caracterización y estudio de la implicación de las variaciones en número de copia en pacientes con retraso mental ligado a cromosoma X. Grant: Fundación Ramón Areces, Areces_06_001. Duration: 25/06/200724/06/2010. Soler A. Detección de desequilibrios cromosómicos submicroscópicos y su correlación con el fenotipo fetal mediante la aplicación de técnicas de citogenética molecular en el diagnóstico prenatal de malformaciones fetales. Grant: Ministerio Sanidad y Consumo, PI050096. Duration: 01/01/2006-30/12/2008. 169 To-Figueras J. Estudio bioquímico y genético de familias con porfiria cutánea tarda tipo II en Catalunya. Grant: Ministerio Sanidad y Consumo, PI060150. Duration: 18/10/200630/12/2009. 21/10/09 15:44:40 Herrero C. Biochemical and molecular genetics studies on porphyria cutanea tarda and erythropoietic protoporphyria. Grant: Ministerio de Educación y Ciencia, HH2006-0012. Duration: 01/01/2007-30/06/2009. Area 5 Oncology and Hematology Genetics Sanchez A. Caracterización de desequilibrios cromosómicos, análisis de los puntos de rotura en reordenamientos aparentes equilibrados e identificación de cromosomas marcadores mediante microdisección cromosómica y posterior análisis con técnicas de array-CGH y/o. Grant: Ministerio Sanidad y Consumo, PI070385. Duration: 26/11/2007-30/12/2010. 170 154-193 AREA5.indd 170 21/10/09 15:44:42 Melanoma: Imaging, Genetics and Immunology Team members Team Leader: ■ Susana Puig (Hospital Clínic) Tel.: 93 2275400 ext 2891 Fax: 93 227 54 38 E-mail: [email protected] Antoni Vilalta (Hospital Clínic) José Palou (Hospital Clínic) Doctoral Students: Francisco Cuellar (CONACYD) Zighe Ogbah (Fundació Clínic) Joan Anton Puig (Fundació Clínic) Gabriel Salerni (Fundació Clínic) Technicians: Remedios Cervera (Fundació Clínic) Dani Gabriel (Fundació Clínic) Pablo Iglesias (Fundació Clínic) Jordi Milà (Hospital Clínic) Luchi Millan (Hospital Clínic) Strategic Objectives 1. Development of noninvasive imaging techniques for diagnosing melanoma. 2.Study of the genetic bases of susceptibility to melanoma and in photocarcinogenesis of melanoma. 3. Development of strategies for studying melanoma and skin cancer treatments: target-specific molecular therapies, immunologic therapies and photoprotection therapies. 4. Application of AI systems for evaluating complex data in melanoma, combining image data and epidemiologic, clinical and molecular data. 5. Development of humanized skin models in mice for photoprotection and photocarcinogenesis studies. Principal Lines of Research The principal lines of research that we carry out and some of the most relevant results obtained recently are the following: 1.Dermatoscopy and digital dermatoscopy In dermatoscopy, we are studying the diagnostic criteria of different entities that are not yet well characterized, the correlations with other imaging techniques, the impact on care of at-risk patients and the relation- 154-193 AREA5.indd 171 ship between dermatoscopy and the patient’s genetic profile. In digital dermatology, we are analyzing the use of total body maps and digital dermatoscopy in monitoring at-risk patients. Oncology and Hematology Area 5 Collaborators: Paula Aguilera (Hospital Clínic) Pedro Arguís (Hospital Clínic) Celia Badenas (Hospital Clínic) Cristina Carrera (Hospital Clínic) Antonio Campo (Hospital Clínic) Carlos Conill (Hospital Clínic) Melinda González (Fundació Clínic) Ramon Rull (Hospital Clínic) Marcelo Sánchez (Hospital Clínic) Sergi Vidal (Hospital Clínic) Ramón Vilana (Hospital Clínic) Pedro Zaballos (Hospital Sant Pau i Santa Tecla, Tarragona) Teresa Castel (Hospital Clínic) Melanoma: Imaging, genetics and immunology IDIBAPS Members: ■ Josep Malvehy (Hospital Clínic) ■ Ramón Vilella (Hospital Clínic) 171 1.1.Definition of new dermatoscopic criteria for different dermatologic processes (dermatofibroma, angiokeratoma, botryomycoma and blue nevus). 1.2. Development of dermatoscopy for implementation in primary care, anatomical pathology and dermatology (development of combined dermato- 21/10/09 15:44:48 scopic clinical algorithms for identifying difficultto-diagnose melanomas). 1.3.Combined dermatoscopy and ECO of the primary tumor for preoperative estimation of Breslow. Area 5 Oncology and Hematology Melanoma: Imaging, genetics and immunology 2. In vivo confocal microscopy Description of new algorithms, study of the course of the lesions, new classifications and use in telemedicine. 2.1. Definition of criteria in nodular melanoma. 2.2. Creation of an algorithm for differential diagnosis of melanocytic and nonmelanocytic lesions. 2.3.Characterization of pigmented basal cell carcinoma. 2.4.Study of the use of confocal microscopes for the correct treatment of achromatic or poorly defined lesions (definition of surgical margins or control of recurrences). 3.Genetic epidemiology Study of genes conferring susceptibility to melanoma in family melanoma and sporadic melanoma. Study of nevus genes and risk of melanoma. Study of pigmentation genes and risk of melanoma. Identification of new genes and new mechanisms of susceptibility in melanoma using a genome-wide scan. 3.1.Studies of penetration and phenotype expression in patients and families carrying known mutations in CDKN2A and p14arf. 3.2.Study of the effect of polymorphisms un the MC1R gene as a modifier gene and low-penetration gene for melanoma risk and in clinical and dermatoscopic aspects of melanomas. 3.3.Study of polymorphisms in c9orf14 in patients and controls (>100 nevus vs <20 nevus) as a susceptibility gene for nevus. 4.Study of the mechanisms involved in carcinogenesis and photocarcinogenesis in melanoma Analysis of oral photoprotection. Study of genetic interaction (CDKN2A, MC1R)/environment (RUV) in risk of melanoma. 4.1.Study of the influence of ultraviolet radiation (UVA, UVB, UVA/UVB) on the dermatoscopic, histologic and immunohistochemical characteristics of melanocytic nevus. 4.2.Dermatoscopic and genetic characterization of the different Clark nevus in dysplastic nevus syndrome in relation to polymorphisms in c9orf14. 4.3.Research on somatic mutations of NRAS, BRAF, genome amplifications of several oncogenes and genome loss of 9p21 (MLPA) in melanoma. 4.4.Studies of expression of metastatic microdisease (Tyr, MAGE, MART) in sentinel ganglia. 5.Development of therapeutic vaccines and other new therapeutic strategies for melanoma 5.1.Incorporation of TNF in hyperthermal perfusion treatment of limbs. 5.2.Establishment of the bases for optimizing the generation, antigen loading and maturation of dendritic cells for therapeutic use. 5.3.Start of adaptation to good manufacturing practice (GMP) conditions in the “white laboratory” of the group’s current lines. 6.Evaluation of the immune response to melanoma 6.1.Study of IL10 and other cytokines in the response to immune treatment. I.F.: 64,71 PublicaTions Original Articles 1 2 172 3 154-193 AREA5.indd 172 Teixe T, Nieto-Blanco P, Vilella R, Engel P, Reina M, Espel E. Syndecan-2 and-4 expressed on activated primary human CD4(+) lymphocytes can regulate T cell activation. MOL IMMUNOL. 45:2905-2919. I.F.:3,74. Carrera C, Puig S, Llambrich A, Palou J, Lecha M, Massi D, Malvehy J. Development of a human in vivo method to study the effect of ultraviolet radiation and Sunscreens in melanocytic nevi. DERMATOLOGY. 217:124-136. I.F.:1,89. Harland M, Goldstein AM, Kukalizch K, Taylor C, Hogg D, Puig S, Badenas C, Gruis N, TerHuurne J, Bergman W, Hayward NK, Stark M, Tsao H, Tucker MA, Landi MT, Scarra GB, Ghiorzo P, Kanetsky PA, Elder D, Mann GJ, Holland EA, Bishop DT, Bishop JN. A comparison of CDKN2A mutation detection within the Melanoma Genetics Consortium (GenoMEL). EUR J CANCER. 44:1269-1274. I.F.:4,45. 4 5 Brown KM, Macgregor S, Montgomery GW, Craig DW, Zhao ZZ, Iyadurai K, Henders AK, Homer N, Campbell MJ, Stark M, Thomas S, Schmid H, Holland EA, Gillanders EM, Duffy DL, Maskiell JA, Jetann J, Ferguson M, Stephan DA, Cust AE, Whiteman D, Green A, Olsson H, Puig S, Ghiorzo P, Hansson J, Demenais F, Goldstein AM, Gruis NA, Elder DE, Bishop JN, Kefford RF, Giles GG, Armstrong BK, Aitken JF, Hopper JL, Martin NG, Trent JM, Mann GJ, Hayward NK. Common sequence variants on 20q11.22 confer melanoma susceptibility. NAT GENET. 40:838-840. I.F.:25,56. Menzies SW, Kreusch J, Byth K, Pizzichetta MA, Marghoob A, Braun R, Malvehy J, Puig S, Argenziano G, Zalaudek I, Rabinovitz HS, Oliviero M, Cabo H, Ahlgrimm-Siess V, Avramidis M, Guitera P, Soyer HP, Ghigliotti G, Tanaka M, Perusquia AM, Pagnanelli G, Bono R, Thomas L, Pellacani G, Langford D, Piccolo D, Terstappen K, Stanganelli I, Llambrich A, Johr R. Der- 21/10/09 15:44:51 6 7 8 10 11 12 Grants for Research in Progress Puig S. NoE - Genetic and environmental risk factors for melanoma: translation into behavioural change. Grant: European Commision, LSHM-CT-2006-018702. Duration: 01/12/2005-30/11/2010. Badenas C. Polimorfismos en genes candidatos involucrados en melanoma maligno: caracterización de componentes genéticos comunes y de baja penetrancia de susceptibilidad para el desarrollo y predicción de la respuesta al tratamiento. Grant: Ministerio Sanidad y Consumo, PI050302. Duration: 01/01/2006-30/12/2008. Puig S. Identificación de genes de nevogenicidad y riesgo a melanoma. Implicaciones en la prevención y en el pronóstico del melanoma. Grant: Ministerio Sanidad y Consumo, PI060265. Duration: 18/10/2006-30/12/2009. Oncology and Hematology Area 5 13 moscopic Features in 202 Melanocytic Lesions. ARCH DERMATOL. 144:1597-1608. I.F.:2,85. 14 Segura S, Pellacani G, Puig S, Longo C, Bassoli S, Guitera P, Palou J, Menzies S, Seidenari S, Malvehy J. In Vivo Microscopic Features of Nodular Melanomas Dermoscopy, Confocal Microscopy, and Histopathologic Correlates. ARCH DERMATOL. 144:1311-1320. I.F.:2,85. 15 Zalaudek I, Kittler H, Marghoob AA, Balato A, Blum A, Dalle S, Ferrara G, Fink-Puches R, Giorgio CM, Hofmann-Wellenhof R, Malvehy J, Moscarella E, Puig S, Scalvenzi M, Thomas L, Argenziano G. Time required for a complete skin examination with and without dermoscopy. ARCH DERMATOL. 144:509-513. I.F.:2,85. Melanoma: Imaging, genetics and immunology 9 moscopic evaluation of amelanotic and hypomelanotic melanoma. ARCH DERMATOL. 144:1120-1127. I.F.:2,85. Zaballos P, Llambrich A, Puig S, Malvehy J. Dermoscopic findings of pilomatricomas. DERMATOLOGY. 217:225-230. I.F.:1,89. Zaballos P, Puig S, Llambrich A, Malvehy J. Dermoscopy of dermatofibromas. ARCH DERMATOL. 144:75-83. I.F.:2,85. Cuellar F, Vilalta A, Puig S, Palou J, Zaballos P, Malvehy J. Dermoscopy of early recurrent basal cell carcinoma. ARCH DERMATOL. 144:1254-E1. I.F.:2,85. Zaballos P, Rodero J, Pastor L, Vives JM, Puig S, Malvehy J. Dermoscopy of lichenoid regressing solar lentigines. ARCH DERMATOL. 144:284-284. I.F.:2,85. Sorolla A, Yeramian A, Dolcet X, PerezDeSantos AM, Llobet D, Schoenenberger JA, Casanova JM, Soria X, Egido R, Llombart A, Vilella R, Matias-Guiu X, Marti RM. Effect of proteasome inhibitors on proliferation and apoptosis of human cutaneous melanoma-derived cell lines. BRIT J DERMATOL. 158:496-504. I.F.:3,50. Zalaudek I, Giacomel J, Cabo H, DiStefani A, Ferrara G, Hofmann-Wellenhof R, Malvehy J, Puig S, Stolz W, Argenziano G. Entodermoscopy: A new tool for diagnosing skin infections and infestations. DERMATOLOGY. 216:14-23. I.F.:1,89. Garrido-Rios AA, Carrera C, Puig S, Aguilera P, Salerni G, Malvehy J. Homogeneous Blue Pattern in an Acral Congenital Melanocytic Nevus. DERMATOLOGY. 217:315-317. I.F.:1,89. Pellacani G, Longo C, Malvehy J, Puig S, Carrera C, Segura S, Bassoli S, Seidenari S. In Vivo Confocal Microscopic and Histopathologic Correlations of Der- 173 154-193 AREA5.indd 173 21/10/09 15:44:53 Transplant of Hemopoietic Precursors Team Members Area 5 Oncology and Hematology Transplant of Hemopoietic Precursors Team Leader: ■ Enric Carreras (Hospital Clínic) Tel.: 93 227 54 28 Fax: 93 227 54 84 E-mail: [email protected] 174 IDIBAPS Members: ■ Francesc Fernández-Avilés (Hospital Clínic) ■ Pedro Marín (Hospital Clínic) ■ Carmen Martínez Muñoz (Hospital Clínic) ■ Montserrat Rovira (Hospital Clínic) Collaborators: Anna Gaya (Hospital Clínic) Josep Mensa (Hospital Clínic) Alfons Navarro (Faculty of Medicine) Laura Rosiñol (Hospital Clínic) Marià Monzó (Faculty of Medicine UB) Dr. Maribel Díaz Ricart (Hospital Clínic) Strategic Objectives After two decades successfully developing lines of clinical research, in recent years our group has begun to develop basic and translational research lines. As we do not have our own research facilities, all the projects to date have been carried out thanks to the collaboration with other research groups at the hospital (immunology department, hemostasis department) and the faculty of medicine (human anatomy department). Our objective for the coming years is to obtain our own research space in one of the new research centers being developed, expand our collaboration to other research groups, particularly all those that allow us to develop the line that we consider most relevant looking to the future - cellular therapy. We therefore aim to begin lines of research on antitumor, anti-infectious and cell immune modulation cellular therapy. Finally, we intend to develop an important line of research in pharmacokinetics, pharmacodynamics and pharmacogenomics of immune modulators, and the development of in vitro predictive models of graftversus-host disease. Technicians: M. Teresa Lahosa (Fundació Clínic) Anna Mantecon (Fundació Clínic) Nuria Montfort (Hospital Clínic) Marta Palomo de Udaeta (Fundació Clínic) Ariadna Domènech (Fundació Clínic) tosus), primary myelofibrosis or nocturnal paroxystic hemoglobinuria, which have never been treated with HPT but may benefit from this therapeutic modality. b)Evaluation of new sources of precursors (high-complexity HPT) The lack of compatible siblings for all patients receiving HPT is encouraging the development of transplants from unrelated donors or umbilical cord blood. We are the most active group in the country in carrying out these highly complex procedures, which make up 30% of our activity. Principal Lines of Research Lines of clinical research a)Evaluations of new HPT indications. Treatment of diseases such as amyloidosis, POEMS syndrome, scleromyxedema, autoimmune diseases (multiple sclerosis, Crohn disease, lupus erythema- 154-193 AREA5.indd 174 Expression of VCAM-1, ICAM-1, and E-selectin on the surface of endothelial cells. The micrographs (x320) show the single layer of endothelial cells in the presence of control serum (A, D) of de patients 14 days after autogenic HPT (B, E) and 21 days after allogenic HPT (C, F). The bar diagrams show the gold density (pixels/µm2) corresponding to the expression of VCAM-1, ICAM-1, and E-selectin in autogenic HPT (panel i) and allogenic HPTA (panel ii). BB&MT (in press). 21/10/09 15:44:59 Lines of basic and translational research a)Study of post-HPT complications due to endothelial dysfunction Different complications appear shortly after HPT, such as veno-occlusive disease, capillary rupture syndrome, thrombotic microangiopathy, graft-versus-host syndrome and idiopathic pneumonia, appear to have their origin in endothelial dysfunction. The project aims to characterize this dysfunction to subsequently try to find effective forms of prevention/treatment. This line of research has two FIS grants and a grant from the German José Carreras Foundation. b)Study of post-HPT immune reconstitution Once immune reconstitution has been characterized in bone-marrow, peripheral-blood and low-density HPT, we intend to evaluate immune reconstitution in umbilical-cord blood, which is currently unknown. c)Study of the impact of gene polymorphism in HPT complications and results Once the we have shown the impact of variants of mannan-binding-lectin on the incidence of fungal infections, variants of the NOD2/CARD15 genes on survival and the incidence of obliterating bronchiolitis and, more recently, the variants of the genes NLRP2 and NLRP3 on survival of HPT, we intend to continue with this line of research by evaluating new polymorphisms that may affect the course of HPT. d)Study of new techniques aimed at early diagnosis of HPT infections. Following advances in early diagnosis of fungal diseases (galactomannan antigen, TACAR) and viral diseases (PCR and CMV antigenemia in all herpes virus and other pathogens) that have made it possible to improve patient care, we intend to continue evaluating new diagnostic techniques (quantitative PCR by means of VEB, application of PCR to tissue samples, biologic markers in bronchoalveolar lavage, evaluation of infections by means of PET scan). Original Articles 1 Sintes J, Romero X, Marin P, Terhorst C, Engel P. Differential expression of CD150 (SLAM) family receptors by human hematopoietic stem and progenitor cells. EXP HEMATOL. 36:1199-1204. I.F.:3,15. 2 Granell M, Urbano-Ispizua A, Pons A, Arostegui JI, Gel B, Navarro A, Jansa S, Artells R, Gaya A, Talarn C, Fernandez-Avilles F, Martinez C, Rovira M, Carreras E, Rozman C, Juan M, Yague J, Montserrat E, Monzo M. Common variants in NLRP2 and NLRP3 genes are strong prognostic factors for the outcome of HLAidentical sibling allogeneic stem cell transplantation. BLOOD. 112:4337-4342. I.F.:10,90. 3 Saiz A, Blanco Y, Berenguer J, Gomez-Choco M, Carreras E, Arbizu T, Graus F. Clinical outcome 6 years after autologous hematopoietic stem cell transplantation in multiple sclerosis. NEUROLOGIA. 23:405407. I.F.:0,83. 4 Navarro A, Gaya A, Martinez A, Urbano-Ispizua A, Pons A, Balague O, Gel B, Abrisqueta P, Lopez-Guillermo A, Artells R, Montserrat E, Monzo M. MicroRNA expression profiling in classic Hodgkin lymphoma. BLOOD. 111:2825-2832. I.F.:10,90. 5 Monzo M, Navarro A, Bandres E, Artells R, Moreno I, Gel B, Ibeas R, Moreno J, Martinez F, Diaz T, Martinez A, Balague O, Garcia-Foncillas J. Overlapping 154-193 AREA5.indd 175 6 7 8 9 expression of microRNAs in human embryonic colon and colorectal cancer. CELL RES. 18:823-833. I.F.:4,22. Rosinol L, Perez-Simon JA, Sureda A, DeLaRubia J, DeArriba F, Lahuerta JJ, Gonzalez JD, Diaz-Mediavilla J, Hernandez B, Garcia-Frade J, Carrera D, Leon A, Hernandez M, Abellan PF, Bergua JM, Miguel JS, Blade J. A prospective PETHEMA study of tandem autologous transplantation versus autograft followed by reducedintensity conditioning allogeneic transplantation in newly diagnosed multiple myeloma. BLOOD. 112:35913593. I.F.:10,90. Gaya A, Urbano-Ispizua A, Fernandez-Aviles F, Salamero O, Roncero JM, Rovira M, Martinez C, Talarn C, Granell M, Carreras E, Montserrat E. Anemia associated with impaired erythropoietin secretion after allogeneic stem cell transplantation: Incidence, risk factors, and response to treatment. BIOL BLOOD MARROW TR. 14:880-887. I.F.:3,80. Moreno-Romero JA, Fernandez-Aviles F, Carreras E, Rovira M, Martinez C, Mascaro JM. Imatinib as a potential treatment for sclerodermatous chronic graft-vs-host disease. ARCH DERMATOL. 144:1106-1109. I.F.:2,85. Avendano A, Sales-Pardo I, Marin L, Marin P, Petriz J. Oxidative burst assessment and neutrophil-platelet complexes in unlysed whole blood. J IMMUNOL METHODS . 339:124-131. I.F.:1,95. Oncology and Hematology Area 5 I.F.: 61,54 PublicaTions Transplant of Hemopoietic Precursors c)Evaluation of new transplant modalities • Autogenic HPT in domiciliary regimen (only program in Europe, awarded on several occasions by the scientific and health-care institutions), a modality we intend to extend to domiciliary allogenic HPT. • Intraosseous umbilical-cord blood transplant, an innovative modality being analyzed by two European centers. d)Studies aimed at the prevention and treatment if the principal complications of HPT • Prevention and treatment of graft-versus-host disease with new agents (anti-IL-2 receptor antibodies, new globulins, antimyocytics, alemtuzumab and cell therapy using mesenchymal cells). Participation in several multicenter studies. • Evaluation of the efficacy of new antibacterial, antiviral and antifungal agents. Participation in several international studies. 175 21/10/09 15:45:01 Transplant of Hemopoietic Precursors Grants for Research in Progress Carreras E. Transplantament de progenitores hemopoètics (TPH). Grant: Comissionat per a Universitats i Recerca, 2005SGR00675. Duration: 19/10/2005-31/12/2008. Urbano A. Estudio farmacogenómico en 326 pacientes afectos de leucemia mieloblástica aguda tratados con quimioterapai y trasplante de médula ósea. Diseño de un tratamiento adaptado a los polimorfismos génicos del paciente. Grant: Fundació La Caixa, BM05-219-0. Duration: 15/09/2005-31/12/2008. Carreras E. Disfunción endotelial en el trasplante de progenitores hematopoyéticos: caracterización biológica y papel en las principales complicaciones precoces post-trasplante. Grant: Ministerio Sanidad y Consumo, PI050153. Duration: 01/01/2006-30/12/2008. Urbano A. Efecto de la influencia de la variabilidad genética individual en la respuesta al tratamiento y pronóstico en 700 pacientes afectos de leucemia aguda y linfoma de Hodgkin. Grant: Ministerio Sanidad y Consumo, PI050209. Duration: 01/01/2006-30/12/2008. Area 5 Oncology and Hematology 10 Fouillard L, Labopin M, Gratwohl A, Gluckman E, Frassoni F, Beelen DW, Willemze R, Montserrat E, Blaise D, Atienza AI, Sierra J, Santos M, Gorin NC, Rocha V. Results of syngeneic hematopoietic stem cell transplantation for acute leukemia: risk factors of outcomes for adults transplanted in first complete remission. HAEMATOL-HEMATOL J. 93:834-841. I.F.:5,52. 11 DeLarrea CF, Cibeira MT, Rovira M, Rosinol L, Esteve J, Blade J. Spontaneous rupture of the spleen as immediate complication in autologous transplantation for primary systemic amyloidosis. EUR J HAEMATOL. 80:182-184. I.F.:2,16. 12 Troke P, Aguirrebengoa K, Arteaga C, Ellis D, Heath CH, Lutsar I, Rovira M, Nguyen Q, Slavin M, Chen SCA. Treatment of scedosporiosis with voriconazole: Clinical experience with 107 patients. ANTIMICROB AGENTS CH. 52:1743-1750. I.F.:4,39. 176 154-193 AREA5.indd 176 21/10/09 15:45:03 Hemato-Oncology Team members Team Leader: ■ Prof. Emili Montserrat (Hospital Clínic) Tel.: 93 227 54 75 Fax: 93 227 98 11 E-mail: [email protected] Hemato-Oncology IDIBAPS Members: ■ Joan Bladé (Hospital Clínic) ■ Francesc Bosch (Hospital Clínic) ■ Francisco Cervantes (Hospital Clínic) ■ Jordi Esteve (Hospital Clínic) ■ Armando López-Guillermo (Hospital Clínic) Gonzalo Gutierrez (Hospital Clínic) Carol Moreno (Fundació Clínic) Collaborators: Mª Teresa Cibeira (Hospital Clínic) Anna Gaya (Hospital Clínic) Eva Giné (Hospital Clínic) Benet Nomdedeu (Hospital Clínic) Laura Rosiñol Dachs (Hospital Clínic) Montserrat Torrebadell (Hospital Clínic) Pau Abrisqueta (Hospital Clínic) The fundamental strategic objectives of our team include clinical, applied and basic research in hematooncology. Principal Lines of Research 1. Lymphoproliferative syndromes (lymphomas and chronic lymphatic leukemia) 1.1. Lymphomas: • Investigation of the mechanisms of progression of the disease. • Study of the minimal residual disease and its clinical significance. • Genome profiles of the different types of lymphoma and their clinical significance (in collaboration with the National Cancer Institute (USA) and the Leukemia Lymphoma Molecular Profiling Project, LLMPP). • New prognostic models in T-cell lymphomas (collaboration in international studies, particularly the International T-cell Lymphomas Project. University of Nebraska) and follicular lymphoma. • Value of PET in evaluating the response of lymphomas and CLL. • Gene profile of Hodgkin lymphoma. • Clinical trials in phase I-II with new drugs (bevacizumab, bortezomib, anti-CD40, Aplidine, GA101, etc) and 154-193 AREA5.indd 177 international phase-III clinical trials to establish new indications in lymphomas (PRIMA and ZAR studies). 1.2. Chronic lymphoid leukemias: •Mechanisms of progression of the disease. •Biology of ZAP-70 in relation to BCR. •Analysis of CLL in transformation. •Influence of cell microenvironment on the disease. •Study of immune abnormalities and immune reconstitution in chronic lymphatic leukemia (CLL Global Foundation Project). •Evaluation of cell proliferation in CLL. •Study of autoimmune phenomena. •Imaging studies in CLL. •Multiparameter analysis of outcome factors in CLL. •Clinical trials in phase I/II and III. 2.Multiple myeloma and other monoclonal gammopathies •Studies of the role of angiogenesis inhibitors in the treatment of multiple myeloma - Clinical-biologic studies of the mechanisms of progression of monoclonal gammopathy of uncertain significance and quiescent myeloma - Phase I, II and III clinical trials with new drugs (thalidomide, bortezomib, lenalidomide, histone deacetylase inhibitors, Aplidine, anti-IL-6 antibodies and anti-CD40 antibodies, heat shock protein 90 inhibitors). •Clinical trials on treatment of primary amyloidosis (transplant, treatment with lenalidomide). Oncology and Hematology Area 5 Strategic Objectives Doctoral Students: Maria Joao Batista (Fundació Clínic) Eva Calpe (Fundació Clínic) Gerardo Ferrer (Fundació Clínic) Susana García (Fundació Clínic) Marta Pratcorona (Fundació Clínic) Carles Codony (Fundació Clínic) 177 21/10/09 15:45:08 Hemato-Oncology 3. Myeloproliferative syndromes: • Analysis and final evaluation of the Spanish protocol for the treatment of chronic myeloid leukemia with imatinib at scaled doses versus imatinib in combination with interferon (LMC/PETHEMA). • Treatment of CML using new tyrosine kinase inhibitors. • Role of polymorphisms of the genes of imatinib transporter proteins in resistance to treatment of CML with imatinib. • Mechanisms of thrombosis in chronic myeloproliferative syndromes. • Study of the prognostic value of evolutionary variables in primary myelofibrosis. 1 2 Area 5 Oncology and Hematology ate cytogenic risk: genetic mutations, gene expression profile, microRNA expression pattern. •Biologic characterization of acute leukemia with multiline dysplasia. •Analysis of the prognostic value of molecular markers of AML in the results of hemopoietic precursor transplant. •Clinical trials of drugs for treating AML in phase II and III (decitabine, tamibarotene). •Implementation of a sequential treatment strategy (intense cytoreduction-allotransplant). I.F.: 377,48 PublicaTions Original Articles 3 4 5 178 4.Acute leukemia: •Biologic prognostic factors of AML with intermedi- 6 154-193 AREA5.indd 178 Cibeira MT, Rozman M, Segarra M, Lozano E, Rosinol L, Cid MC, Filella X, Blade J. Bone marrow angiogenesis and angiogenic factors in multiple myeloma treated with novel agents. CYTOKINE. 41:244-253. I.F.:2,17. Mestre G, Garcia F, Martinez E, Milinkovic A, Leon A, Mora B, Argelich R, Lozano JM, Pena J, Gatell JM, Plana M. Short Communication Natural Killer Cells and Expression of KIR Receptors in Chronic HIV Type 1-Infected Patients after Different Strategies of Structured Therapy Interruption. AIDS RES HUM RETROV . 24:1485-1495. I.F.:2,02. Granell M, Urbano-Ispizua A, Pons A, Arostegui JI, Gel B, Navarro A, Jansa S, Artells R, Gaya A, Talarn C, Fernandez-Avilles F, Martinez C, Rovira M, Carreras E, Rozman C, Juan M, Yague J, Montserrat E, Monzo M. Common variants in NLRP2 and NLRP3 genes are strong prognostic factors for the outcome of HLAidentical sibling allogeneic stem cell transplantation. BLOOD. 112:4337-4342. I.F.:10,90. Kiladjian JJ, Cervantes F, Leebeek FWG, Marzac C, Cassinat B, Chevret S, Cazals-Hatem D, Plessier A, GarciaPagan JC, Murad SD, Raffa S, Janssen HLA, Gardin C, Cereja S, Tonetti C, Giraudier S, Condat B, Casadevall N, Fenaux P, Valla DC. The impact of JAK2 and MPL mutations on diagnosis and prognosis of splanchnic vein thrombosis: a report on 241 cases. BLOOD. 111:4922-4929. I.F.:10,90. Ferrer A, Bosch F, Villamor N, Rozman M, Graus F, Gutierrez G, Mercadal S, Campo E, Rozman C, LopezGuillermo A, Montserrat E. Central nervous system involvement in mantle cell lymphoma. ANN ONCOL. 19:135-141. I.F.:4,88. Paiva B, Vidriales MB, Cervero J, Mateo G, Perez JJ, Montalban MA, Sureda A, Montejano L, Gutierrez NC, DeCoca AG, Heras ND, Mateos MV, Lopez-Berges MC, Garcia-Boyero R, Galende J, Hernandez J, Palomera L, Carrera D, Martinez R, DeLaRubia J, Martin A, Blade J, Lahuerta JJ, Orfao A, Miguel JFS. Multiparameter flow cytometric remission is the most relevant prognostic factor for multiple myeloma patients who undergo autologous stem cell transplantation. BLOOD. 112:40174023. I.F.:10,90. 7 8 9 10 11 12 13 Perez-Galan P, Roue G, Lopez-Guerra M, Nguyen M, Villamor N, Montserrat E, Shore GC, Campo E, Colomer D. BCL-2 phosphorylation modulates sensitivity to the BH3 mimetic GX15-070 (Obatoclax) and reduces its synergistic interaction with bortezomib in chronic lymphocytic leukemia cells. LEUKEMIA. 22:1712-1720. I.F.:6,92. Roue G, Lopez-Guerra M, Milpied P, Perez-Galan P, Villamor N, Montserrat E, Campo E, Colomer D. Bendamustine Is Effective in p53-Deficient B-Cell Neoplasms and Requires Oxidative Stress and Caspase-Independent Signaling. CLIN CANCER RES . 14:6907-6915. I.F.:6,25. Salaverria I, Zettl A, Bea S, Hartmann EM, Dave SS, Wright GW, Boerma EJ, Kluin PM, Ott G, Chan WC, Weisenburger DD, Lopez-Guillermo A, Gascoyne RD, Delabie J, Rimsza LM, Braziel RM, Jaffe ES, Staudt LM, Mueller-Hermelink HK, Campo E, Rosenwald A. Chromosomal alterations detected by comparative genomic hybridization in subgroups of gene expression-defined Burkitt’s lymphoma. HAEMATOL-HEMATOL J. 93:13271334. I.F.:5,52. Hartmann E, Fernandez V, Moreno V, Valls J, Hernandez L, Bosch F, Abrisqueta P, Klapper W, Dreyling M, Hoster E, Muller-Hermelink HK, Ott G, Rosenwald A, Campo E. Five-Gene Model to Predict Survival in Mantle-Cell Lymphoma Using Frozen or Formalin-Fixed, ParaffinEmbedded Tissue. J CLIN ONCOL. 26:4966-4972. I.F.:15,48. Fernandez V, Jares P, Salaverria I, Gine E, Bea S, Aymerich M, Colomer D, Villamor N, Bosch F, Montserrat E, Campo E. Gene expression profile and genomic changes in disease progression of early-stage chronic lymphocytic leukemia. HAEMATOL-HEMATOL J. 93:132-136. I.F.:5,52. Enjuanes A, Benavente Y, Bosch F, Martin-Guerrero I, Colomer D, Perez-Alvarez S, Reina O, Ardanaz MT, Jares P, Garcia-Orad A, Pujana MA, Montserrat E, DeSanjose S, Campo E. Genetic Variants in Apoptosis and Immunoregulation-Related Genes Are Associated with Risk of Chronic Lymphocytic Leukemia. CANCER RES . 68:10178-10186. I.F.:7,67. Salaverria I, Bea S, Lopez-Guillermo A, Lespinet V, Pinyol M, Burkhardt B, Lamant L, Zettl A, Horsman D, Gas- 21/10/09 15:45:11 14 16 18 19 20 21 154-193 AREA5.indd 179 23 24 25 26 27 28 29 Oncology and Hematology Area 5 17 22 mediate complication in autologous transplantation for primary systemic amyloidosis. EUR J HAEMATOL. 80:182-184. I.F.:2,16. Mateos MV, Hernandez JM, Hernandez MT, Gutierrez NC, Palomera L, Fuertes M, Garcia-Sanchez P, Lahuerta JJ, DeLaRubia J, Terol MJ, Sureda A, Bargay J, Ribas P, Alegre A, DeArriba F, Oriol A, Carrera D, Garcia-Larana J, Garcia-Sanz R, Blade J, Prosper F, Mateo G, Esseltine DL, DeVelde HV, Miguel JFS. Bortezomib plus melphalan and prednisone in elderly untreated patients with multiple myeloma: updated time-to-events results and prognostic factors for time to progression. HAEMATOLHEMATOL J. 93:560-565. I.F.:5,52. DeLaSerna J, Montesinos P, Vellenga E, Rayon C, Parody R, Leon A, Esteve J, Bergua JM, Milone G, Deben G, Rivas C, Gonzalez M, Tormo M, Diaz-Mediavilla J, Gonzalez JD, Negri S, Amutio E, Brunet S, Lowenberg B, Sanz MA. Causes and prognostic factors of remission induction failure in patients with acute promyelocytic leukemia treated with all-trans retinoic acid and idarubicin. BLOOD. 111:3395-3402. I.F.:10,90. Lonial S, Richardson PG, Miguel JS, Sonneveld P, Schuster MW, Blade J, Cavenagh J, Rajkumar SV, Jakubowiak AJ, Esseltine DL, Anderson KC, Harousseau JL. Characterisation of haematological profiles and low risk of thromboembolic events with bortezomib in patients with relapsed multiple myeloma. BRIT J HAEMATOL. 143:222-229. I.F.:4,49. Sonneveld P, Hajek R, Nagler A, Spencer A, Blade J, Robak T, Zhuang SH, Harousseau JL, Orlowski RZ. Combined pegylated liposomal doxorubicin and bortezomib is highly effective in patients with recurrent or refractory multiple myeloma who received prior thalidomide/ lenalidomide therapy. CANCER. 112:1529-1537. I.F.:4,63. Hochhaus A, Baccarani M, Deininger M, Apperley JF, Lipton JH, Goldberg SL, Corm S, Shah NP, Cervantes F, Silver RT, Niederwieser D, Stone RM, Dombret H, Larson RA, Roy L, Hughes T, Muller MC, Ezzeddine R, Countouriotis AM, Kantarjian HM. Dasatinib induces durable cytogenetic responses in patients with chronic myelogenous leukemia in chronic phase with resistance or intolerance to imatinib. LEUKEMIA. 22:1200-1206. I.F.:6,92. San-Miguel JF, Richardson PG, Sonneveld P, Schuster MW, Irwin D, Stadtmauer EA, Facon T, Harousseau JL, Ben-Yehuda D, Lonial S, Goldschmidt H, Reece D, Blade J, Boccadoro M, Cavenagh JD, Neuwirth R, Boral AL, Esseltine DL, Anderson KC. Efficacy and safety of bortezomib in patients with renal impairment: results from the APEX phase 3 study. LEUKEMIA. 22:842-849. I.F.:6,92. Bosch F, Ferrer A, Villamor N, Gonzalez M, Briones J, Gonzalez-Barca E, Abella E, Gardella S, Escoda L, PerezCeballos E, Asensi A, Sayas MJ, Font L, Altes A, Muntanola A, Bertazzoni P, Rozman M, Aymerich M, Gine E, Montserrat E. Fludarabine, cyclophosphamide, and mitoxantrone as initial therapy of chronic lymphocytic leukemia: High response rate and disease eradication. CLIN CANCER RES. 14:155-161. I.F.:6,25. Oriol A, Ribera JM, Bergua J, Mesa EG, Grande C, Esteve J, Brunet S, Moreno MJ, Escoda L, HernandezRivas JM, Hoelzer D. High-dose chemotherapy and im- Hemato-Oncology 15 coyne R, Ott G, Siebert R, Delsol G, Campo E. Genomic profiling reveals different genetic aberrations in systemic ALK-positive and ALK-negative anaplastic large cell lymphomas. BRIT J HAEMATOL. 140:516-526. I.F.:4,49. Montoto S, Moreno C, Domingo-Domenech E, Estany C, Oriol A, Altes A, Besalduch J, Pedro C, Gardelia S, Escoda L, Asensio A, Vivancos P, Galan P, DeSevilla AF, Ribera JM, Briones J, Colomer D, Campo E, Montserrat E, Lopez-Guillermo A. High clinical and molecular response rates with fludarabine, cyclophosphamide and mitoxantrone in previously untreated patients with advanced stage follicular lymphoma. HAEMATOLHEMATOL J. 93:207-214. I.F.:5,52. Garcia-Herrera A, Colomo L, Camos M, Carreras J, Balague O, Martinez A, Lopez-Guillermo A, Estrach T, Campo E. Primary cutaneous small/medium CD4(+) T-cell lymphomas: A heterogeneous group of tumors with different clinicopathologic features and outcome. J CLIN ONCOL. 26:3364-3371. I.F.:15,48. Lenz G, Wright G, Dave SS, Xiao W, Powell J, Zhao H, Xu W, Tan B, Goldschmidt N, Iqbal J, Vose J, Bast M, Fu K, Weisenburger DD, Greiner TC, Armitage JO, Kyle A, May L, Gascoyne RD, Connors JM, Troen G, Holte H, Kvaloy S, Dierickx D, Verhoef G, Delabie J, Smeland EB, Jares P, Martinez A, Lopez-Guillermo A, Montserrat E, Campo E, Braziel RM, Miller TP, Rimsza LM, Cook JR, Pohlman B, Sweetenham J, Tubbs RR, Fisher RI, Hartmann E, Rosenwald A, Ott G, Muller-Hermelink HK, Wrench D, Lister TA, Jaffe ES, Wilson WH, Chan WC, Staudt LM. Stromal Gene Signatures in Large-BCell Lymphomas. NEW ENGL J MED . 359:2313-2323. I.F.:52,59. Navarro A, Gaya A, Martinez A, Urbano-Ispizua A, Pons A, Balague O, Gel B, Abrisqueta P, Lopez-Guillermo A, Artells R, Montserrat E, Monzo M. MicroRNA expression profiling in classic Hodgkin lymphoma. BLOOD. 111:2825-2832. I.F.:10,90. Rosinol L, Perez-Simon JA, Sureda A, DeLaRubia J, DeArriba F, Lahuerta JJ, Gonzalez JD, Diaz-Mediavilla J, Hernandez B, Garcia-Frade J, Carrera D, Leon A, Hernandez M, Abellan PF, Bergua JM, Miguel JS, Blade J. A prospective PETHEMA study of tandem autologous transplantation versus autograft followed by reducedintensity conditioning allogeneic transplantation in newly diagnosed multiple myeloma. BLOOD. 112:35913593. I.F.:10,90. Gaya A, Urbano-Ispizua A, Fernandez-Aviles F, Salamero O, Roncero JM, Rovira M, Martinez C, Talarn C, Granell M, Carreras E, Montserrat E. Anemia associated with impaired erythropoietin secretion after allogeneic stem cell transplantation: Incidence, risk factors, and response to treatment. BIOL BLOOD MARROW TR. 14:880-887. I.F.:3,80. Fouillard L, Labopin M, Gratwohl A, Gluckman E, Frassoni F, Beelen DW, Willemze R, Montserrat E, Blaise D, Atienza AI, Sierra J, Santos M, Gorin NC, Rocha V. Results of syngeneic hematopoietic stem cell transplantation for acute leukemia: risk factors of outcomes for adults transplanted in first complete remission. HAEMATOL-HEMATOL J. 93:834-841. I.F.:5,52. DeLarrea CF, Cibeira MT, Rovira M, Rosinol L, Esteve J, Blade J. Spontaneous rupture of the spleen as im- 179 21/10/09 15:45:13 30 Hemato-Oncology 31 32 Area 5 Oncology and Hematology 33 34 35 36 180 37 154-193 AREA5.indd 180 munotherapy in adult Burkitt lymphoma - Comparison of results in human immunodeficiency virus-infected and noninfected patients. CANCER. 113:117-125. I.F.:4,63. Lopez-Guerra M, Trigueros-Motos L, Molina-Arcas M, Villamor N, Casado FJ, Montserrat E, Campo E, Colomer D, Pastor-Anglada M. Identification of TIGAR in the equilibrative nucleoside transporter 2-mediated response to fludarabine in chronic lymphocytic leukemia cells. HAEMATOL-HEMATOL J. 93:1843-1851. I.F.:5,52. Lee SJ, Kukreja M, Wang T, Giralt SA, Szer J, Arora M, Woolfrey AE, Cervantes F, Champlin RE, Gale RP, Halter J, Keating A, Marks DI, Mccarthy PL, Olavarria E, Stadtmauer EA, Abecasis M, Gupta V, Khoury HJ, George B, Hale GA, Liesveld JL, Rizzieri DA, Antin JH, Bolwell BJ, Carabasi MH, Copelan E, Ilhan O, Litzow MR, Schouten HC, Zander AR, Horowitz MM, Maziarz RT. Impact of prior imatinib mesylate on the outcome of hematopoietic cell transplantation for chronic myeloid leukemia. BLOOD. 112:3500-3507. I.F.:10,90. Alvarez-Larran A, Arellano-Rodrigo E, Reverter JC, Domingo A, Villamor N, Colomer D, Cervantes F. Increased platelet, leukocyte, and coagulation activation in primary myelofibrosis. ANN HEMATOL. 87:269-276. I.F.:2,34. Gine E, Crespo M, Muntanola A, Calpe E, Baptista MJ, Villamor N, Montserrat E, Bosch F. Induction of histone H1.2 cytosolic release in chronic lymphocytic leukemia cells after genotoxic and non-genotoxic treatment. HAEMATOL-HEMATOL J. 93:75-82. I.F.:5,52. Lahuerta JJ, Mateos MV, Martinez-Lopez J, Rosinol L, Sureda A, DeLaRubia J, Garcia-Larana J, MartinezMartinez R, Hernandez-Garcia MT, Carrera D, Besalduch J, DeArriba F, Ribera JM, Escoda L, Hernandez-Ruiz B, Garcia-Frade J, Rivas-Gonzalez C, Alegre A, Blade J, SanMiguel JF. Influence of Pre- and Post-Transplantation Responses on Outcome of Patients With Multiple Myeloma: Sequential Improvement of Response and Achievement of Complete Response Are Associated With Longer Survival. J CLIN ONCOL . 26:5775-5782. I.F.:15,48. Mercadal S, Briones J, Xicoy B, Pedro C, Escoda L, Estany C, Camos M, Colomo L, Espinosa I, Martinez S, Ribera JM, Martino R, Gutierrez-Garcia G, Montserrat E, Lopez-Guillermo A. Intensive chemotherapy (high-dose CHOP/ESHAP regimen) followed by autologous stemcell transplantation in previously untreated patients with peripheral T-cell lymphoma. ANN ONCOL. 19:958963. I.F.:4,88. Hasan SK, Mays AN, Ottone T, Ledda A, LaNasa G, Cattaneo C, Borlenghi E, Melillo L, Montefusco E, Cervera J, Stephen C, Satchi G, Lennard A, Libura M, Byl JAW, Osheroff N, Amadori S, Felix CA, Voso MT, Sperr WR, Esteve J, Sanz MA, Grimwade D, Lo-Coco F. Molecular analysis of t(15;17) genomic breakpoints in secondary acute promyelocytic leukemia arising after treatment of multiple sclerosis. BLOOD. 112:3383-3390. I.F.:10,90. Rajkumar SV, Rosinol L, Hussein M, Catalano J, Jedrzejczak W, Lucy L, Olesnyckyj M, Yu Z, Knight R, Zeldis JB, Blade J. Multicenter, randomized, double-blind, placebo-controlled study of thalidomide plus dexa- 38 39 40 41 42 43 44 methasone compared with dexamethasone as initial therapy for newly diagnosed multiple myeloma. J CLIN ONCOL. 26:2171-2177. I.F.:15,48. Ludwig H, Durie BGM, Bolejack V, Turesson I, Kyle RA, Blade J, Fonseca R, Dimopouios M, Shimizu K, Miguel JS, Westin J, Harousseau JL, Beksac M, Boccadoro M, Palumbo A, Barlogie B, Shustik C, Cavo M, Greipp PR, Joshua D, Attal M, Sonneveld P, Crowley J. Myeloma in patients younger than age 50 years presents with more favorable features and shows better survival: an analysis of 10 549 patients from the International Myeloma Working Group. BLOOD. 111:4039-4047. I.F.:10,90. Palumbo A, Rajkumar SV, Dimopoulos MA, Richardson PG, Miguel JS, Barlogie B, Harousseau J, Zonder JA, Cavo M, Zangari M, Attal M, Belch A, Knop S, Joshua D, Sezer O, Ludwig H, Vesole D, Blade J, Kyle R, Westin J, Weber D, Bringhen S, Niesvizky R, Waage A, VonLilienfeld-Toal M, Lonial S, Morgan GJ, Orlowski RZ, Shimizu K, Anderson KC, Boccadoro M, Durie BG, Sonneveld P, Hussein MA. Prevention of thalidomideand lenalidomide-associated thrombosis in myeloma. LEUKEMIA. 22:414-423. I.F.:6,92. Mateo G, Montalban MA, Vidriales MB, Lahuerta JJ, Mateos MV, Gutierrez N, Rosinol L, Montejano L, Blade J, Martinez R, DeLaRubia J, Diaz-Mediavilla J, Sureda A, Ribera JM, Ojanguren JM, DeArriba F, Palomera L, Terol MJ, Orfao A, Miguel JSFS. Prognostic value of immunophenotyping in multiple myeloma: A study by the PETHEMA/GEM cooperative study groups on patients uniformly treated with high-dose therapy. J CLIN ONCOL . 26:2737-2744. I.F.:15,48. Roman-Gomez J, Jimenez-Velasco A, Agirre X, Castillejo JA, Navarro G, Jose-Eneriz ES, Garate L, Cordeu L, Cervantes F, Prosper F, Heiniger A, Torres A. Repetitive DNA hypomethylation in the advanced phase of chronic myeloid leukemia. LEUKEMIA RES. 32:487-490. I.F.:2,56. Sanz MA, Montesinos P, Vellenga E, Rayon C, DeLaSerna J, Parody R, Bergua JM, Leon A, Negri S, Gonzalez M, Rivas C, Esteve J, Milone G, Gonzalez JD, Amutio E, Brunet S, Garcia-Larana J, Colomer D, Calasanz MJ, Chillon C, Barragan E, Bolufer P, Lowenberg B. Risk-adapted treatment of acute promyelocytic leukemia with all-trans retinoic acid and anthracycline monochemotherapy: long-term outcome of the LPA 99 multicenter study by the PETHEMA Group. BLOOD. 112:3130-3134. I.F.:10,90. Ribera JM, Oriol A, Morgades M, Gonzalez-Barca E, Miralles P, Lopez-Guillermo A, Gardella S, Abella E, Garci M. Safety and efficacy of cyclophosphamide, adriamycin, vincristine, prednisone and rituximab in patients with human immunodeficiency virus-associated diffuse large B-cell lymphoma: results of a phase II trial. BRIT J HAEMATOL. 140:411-419. I.F.:4,49. Niesvizky R, Richardson PG, Rajkumar SV, Coleman M, Rosinol L, Sonneveld P, Schuster MW, Irwin D, Stadtmauer EA, Facon T, Harousseau JL, Boral AL, Esseltine DL, Anderson KC, Blade J. The relationship between quality of response and clinical benefit for patients treated on the bortezomib arm of the international, randomized, phase 3 APEX trial in relapsed multiple myeloma. BRIT J HAEMATOL. 143:46-53. I.F.:4,49. 21/10/09 15:45:15 Reviews 1 2 4 5 6 7 1 2 3 Cervantes F. Chronic myeloid leukemia 2008. MED CLIN-BARCELONA. 131:658-659. I.F.:1,34. Montserrat E. Further progress in CLL therapy. BLOOD . 112:924-925. I.F.:10,90. Blade J, Rosinol L. SMM: toward better predictors of progression. BLOOD. 111:479-480. I.F.:10,90. Bosch F. ZAP-70, proliferación celular y apoptosis en la leucemia linfática crónica. Grant: Ministerio Sanidad y Consumo, PI050213. Duration: 01/01/2006-30/12/2008. Cervantes F. Estudio de la relación entre la presencia de los polimorfismos genéticos en los genes MDR1, HOCT1 y AGP1 y la respuesta al tratamiento con imatinib en los pacientes con leucemia mieloide crónica en fase crónica de diagnóstico reciente. Grant: Ministerio Sanidad y Consumo, PI060038. Duration: 18/10/2006-30/12/2009. Cervantes F. Red temática de investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0004. Duration: 01/01/2007-31/12/2010. Blade J. Red temática de investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0005. Duration: 01/01/2007-31/12/2010. Montserrat E. Red temática de investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0051. Duration: 01/01/2007-31/12/2010. Montserrat E. Nuevos estudios inmunogenotípicos en la clasificación y tratamiento de la leucemia mieloide aguda (LMA) y síndromes mielodisplásicos. Grant: FIS, PI050195. Duration: 23/12/2005-31/12/2008. Grants for Research in Progress Thesis Montserrat E. NoE - Strengthen and develop scientific and technological excellence in research and therapy of leukemia (CML, AML, ALL, CLL, MDS, CMPD) by integration of the leading national leukemia networks and their interdisciplinary partner groups in Europe. Grant: European Commision, LSHC-CT-2004-503216. Duration: 01/01/200431/12/2008. Bosch F. Factores pronósticos, biológicos y clínicos en el linfoma de células del manto. Doctorand: Anna Ferrer del Álamo. Facultat de Medicina, Universitat de Barcelona. Oncology and Hematology Area 5 Editorials Esteve J. Valor pronóstico del perfil de expresión génica en el resultado del tratamiento post-remisión en los enfermos con leucemia mieloide aguda. Grant: Ministerio Sanidad y Consumo, PI041085. Duration: 01/01/2005-30/06/2008. Hemato-Oncology 3 Blade J, Rosinol L. Advances in therapy of multiple myeloma. CURR OPIN ONCOL . 20:697-704. I.F.:3,69. Hallek M, Cheson BD, Catovsky D, Caligaris-Cappio F, Dighiero G, Dohner H, Hillmen P, Keating MJ, Montserrat E, Rai KR, Kipps TJ. Guidelines for the diagnosis and treatment of chronic lymphocytic leukemia: a report from the International Workshop on Chronic Lymphocytic Leukemia updating the National Cancer Institute-Working Group 1996 guidelines. BLOOD. 111:5446-5456. I.F.:10,90. Cervantes F, Passamonti F, Barosi G. Life expectancy and prognostic factors in the classic BCR/ABL-negative myeloproliferative disorders. LEUKEMIA. 22:905-914. I.F.:6,92. Moreno C, Montserrat E. New prognostic markers in chronic lymphocytic leukemia. BLOOD REV. 22:211-219. I.F.:5,92. Blade J, Rosinol L, Cibeira MT, DeLarrea CF. Pathogenesis and progression of monoclonal gammopathy of undetermined significance. LEUKEMIA. 22:1651-1657. I.F.:6,92. Dimopoulos MA, Kastritis E, Rosinol L, Blade J, Ludwig H. Pathogenesis and treatment of renal failure in multiple myeloma. LEUKEMIA. 22:1485-1493. I.F.:6,92. Palumbo A, Facon T, Sonneveld P, Blade J, Offidani M, Gay F, Moreau P, Waage A, Spencer A, Ludwig H, Boccadoro M, Harousseau JL. Thalidomide for treatment of multiple myeloma: 10 years later. BLOOD. 111:39683977. I.F.:10,90. Montserrat E. Unitat clínico-biològica per l’estudi de linfomes i síndromes limfoproliferatius. Grant: Comissionat per a Universitats i Recerca, 2005SGR00825. Duration: 19/10/2005-31/12/2008. Cervantes F. Papel de la activación leucocitariia y plaquetaria en la trombosis de los síndromes mieloprolife-rativos crónicos. Doctorand: Alberto Álvarez Larrán. Facultat de Medicina, Universitat de Barcelona. Cervantes F. European Treatment and Outcome Study for CML. Grant: Desconocida, 07/350. Duration: 01/07/200730/06/2010. 181 Bosch F. Effect of the abnormal ZAP-70 expression in chronic lymphoproliferative disorders. Grant: Fundació Marató TV3, 51810. Duration: 05/12/2005-04/12/2008. 154-193 AREA5.indd 181 21/10/09 15:45:18 Pathophysiology and Molecular Bases in Hematology Team Members Area 5 Oncology and Hematology Pathophysiology and molecular bases in hematology Team Leader: ■ Dolors Colomer (Hospital Clínic) Tel.: 93 227 54 00 ext 3368 Fax: 93 227 55 72 E-mail: [email protected] 182 IDIBAPS Members: ■ Josep Lluís Aguilar (Hospital Clínic) ■ Marta Aymerich (Hospital Clínic) ■ Teresa Estrach (Hospital Clínic) ■ Gael Roue (Fundació Clínic) ■ Maria Rozman (Hospital Clínic) ■ Neus Villamor (Hospital Clínic) ■ Joan Lluís Vives Corrons (Hospital Clínic) Collaborators: Mónica Lopez (Generalitat Catalunya) Roberto Alonso (ISCIII) Sandra Cabezas (IDIBAPS, RTICC) Mireia Camós (IDIBAPS, RTICC) Laia Rosich (IDIBAPS) Silvia Xargay (Ministry of Science and Innovation) Strategic Objectives Epidemiologic, genetic, molecular and pathophysiologic study of malignant hemopathies and of erythrocyte pathology. Principal Lines of Research 1. Molecular bases of regulation of apoptosis induced by drugs in lymphoid cancers. Search for new strategies to treat these diseases. 2. Cytologic, immunophenotypic and molecular studies of malignant hemopathies. Development of new technologies for both diagnosing and monitoring minimal residual disease. 3. Promotion of cooperative strategies in the area of molecular diagnosis of leukemia and lymphomas. 4. Design and implementation of internal and external quality-control programs. 5. Cutaneous T and B-cell lymphomas. Clinical, histopathologic and immunophenotypic study. Prognostic factors and epidemiology. 6.Molecular study of congenital abnormalities of erythrocytes and the pathophysiologic mechanisms that play a role in the production and destruction of erythrocytes as a cause of anemia or erythrocytosis. 7. Genetic and epidemiologic study of hemoglobinopathies and thalassemias. 154-193 AREA5.indd 182 Synergism between GX15-070, a BCL-2 protein inhibitor, and bortezomib, a proteasome inhibitor, in mantle cell lymphoma (MCL). A) Primary cells of patients with MCL were incubated with 5 or 10 nM of bortezomib and different doses of GX15-070 (0.1-1 µM) for 18 hours. Cytotoxicity was evaluated using flow cytometry by means of marking with annexin V-APC. The linked arrows indicated similar cytotoxicity levels (cases 4 and 7). The arrows in cases 2 and 9 indicate that incubation with GX15-070 sensitizes the cells to bortezomib. B) Analysis of expression of Mcl-1, Bak and Noxa using western blot after incubation for 18 hours with GX15-070 1 µM and/ or bortezomib 5 nM. C) Immunoprecipitation with Mcl-1 and subsequent development with Bak and Noxa in cells treated with GX15-070 1 µM and/ or bortezomib 5 nM for 5 hours. 21/10/09 15:45:22 I.F.: 103,59 PublicaTions Original Articles 1 12 13 14 15 16 17 18 Oncology and Hematology Area 5 154-193 AREA5.indd 183 11 Pathophysiology and molecular bases in hematology Cibeira MT, Rozman M, Segarra M, Lozano E, Rosinol L, Cid MC, Filella X, Blade J. Bone marrow angiogenesis and angiogenic factors in multiple myeloma treated with novel agents. CYTOKINE. 41:244-253. I.F.:2,17. 2 Marin-Aguilera M, Mengual L, Burset M, Oliver A, Ars E, Ribal MJ, Colomer D, Mellado B, Villavicencio H, Algaba F, Alcaraz A. Molecular Lymph Node Staging in Bladder Urothelial Carcinoma: Impact on Survival. EUR UROL. 54:1363-1372. I.F.:5,63. 3 Ferrer A, Bosch F, Villamor N, Rozman M, Graus F, Gutierrez G, Mercadal S, Campo E, Rozman C, LopezGuillermo A, Montserrat E. Central nervous system involvement in mantle cell lymphoma. ANN ONCOL. 19:135-141. I.F.:4,88. 4 Perez-Galan P, Roue G, Lopez-Guerra M, Nguyen M, Villamor N, Montserrat E, Shore GC, Campo E, Colomer D. BCL-2 phosphorylation modulates sensitivity to the BH3 mimetic GX15-070 (Obatoclax) and reduces its synergistic interaction with bortezomib in chronic lymphocytic leukemia cells. LEUKEMIA. 22:1712-1720. I.F.:6,92. 5 Roue G, Lopez-Guerra M, Milpied P, Perez-Galan P, Villamor N, Montserrat E, Campo E, Colomer D. Bendamustine Is Effective in p53-Deficient B-Cell Neoplasms and Requires Oxidative Stress and Caspase-Independent Signaling. CLIN CANCER RES. 14:6907-6915. I.F.:6,25. 6 Fernandez V, Jares P, Salaverria I, Gine E, Bea S, Aymerich M, Colomer D, Villamor N, Bosch F, Montserrat E, Campo E. Gene expression profile and genomic changes in disease progression of early-stage chronic lymphocytic leukemia. HAEMATOL-HEMATOL J. 93:132-136. I.F.:5,52. 7 Enjuanes A, Benavente Y, Bosch F, Martin-Guerrero I, Colomer D, Perez-Alvarez S, Reina O, Ardanaz MT, Jares P, Garcia-Orad A, Pujana MA, Montserrat E, DeSanjose S, Campo E. Genetic Variants in Apoptosis and Immunoregulation-Related Genes Are Associated with Risk of Chronic Lymphocytic Leukemia. CANCER RES . 68:10178-10186. I.F.:7,67. 8 Montoto S, Moreno C, Domingo-Domenech E, Estany C, Oriol A, Altes A, Besalduch J, Pedro C, Gardelia S, Escoda L, Asensio A, Vivancos P, Galan P, DeSevilla AF, Ribera JM, Briones J, Colomer D, Campo E, Montserrat E, Lopez-Guillermo A. High clinical and molecular response rates with fludarabine, cyclophosphamide and mitoxantrone in previously untreated patients with advanced stage follicular lymphoma. HAEMATOLHEMATOL J. 93:207-214. I.F.:5,52. 9 Salaverria I, Espinet B, Carrio A, Costa D, Astier L, Slotta-Huspenina J, Quintanilla-Martinez L, Fend F, Sole F, Colomer D, Serrano S, Miro R, Bea S, Campo E. Multiple Recurrent Chromosomal Breakpoints in Mantle Cell Lymphoma Revealed by a Combination of Molecular Cytogenetic Techniques. GENE CHROMOSOME CANC. 47:1086-1097. I.F.:4,53. 10 Garcia-Herrera A, Colomo L, Camos M, Carreras J, Balague O, Martinez A, Lopez-Guillermo A, Estrach T, Campo E. Primary cutaneous small/medium CD4(+) T-cell lymphomas: A heterogeneous group of tumors with different clinicopathologic features and outcome. J CLIN ONCOL. 26:3364-3371. I.F.:15,48. Bosch F, Ferrer A, Villamor N, Gonzalez M, Briones J, Gonzalez-Barca E, Abella E, Gardella S, Escoda L, Perez-Ceballos E, Asensi A, Sayas MJ, Font L, Altes A, Muntanola A, Bertazzoni P, Rozman M, Aymerich M, Gine E, Montserrat E. Fludarabine, cyclophosphamide, and mitoxantrone as initial therapy of chronic lymphocytic leukemia: High response rate and disease eradication. CLIN CANCER RES. 14:155-161. I.F.:6,25. Lopez-Guerra M, Trigueros-Motos L, Molina-Arcas M, Villamor N, Casado FJ, Montserrat E, Campo E, Colomer D, Pastor-Anglada M. Identification of TIGAR in the equilibrative nucleoside transporter 2-mediated response to fludarabine in chronic lymphocytic leukemia cells. HAEMATOL-HEMATOL J. 93:1843-1851. I.F.:5,52. Alvarez-Larran A, Arellano-Rodrigo E, Reverter JC, Domingo A, Villamor N, Colomer D, Cervantes F. Increased platelet, leukocyte, and coagulation activation in primary myelofibrosis. ANN HEMATOL. 87:269-276. I.F.:2,34. Gine E, Crespo M, Muntanola A, Calpe E, Baptista MJ, Villamor N, Montserrat E, Bosch F. Induction of histone H1.2 cytosolic release in chronic lymphocytic leukemia cells after genotoxic and non-genotoxic treatment. HAEMATOL-HEMATOL J. 93:75-82. I.F.:5,52. Sanz MA, Montesinos P, Vellenga E, Rayon C, DeLaSerna J, Parody R, Bergua JM, Leon A, Negri S, Gonzalez M, Rivas C, Esteve J, Milone G, Gonzalez JD, Amutio E, Brunet S, Garcia-Larana J, Colomer D, Calasanz MJ, Chillon C, Barragan E, Bolufer P, Lowenberg B. Risk-adapted treatment of acute promyelocytic leukemia with all-trans retinoic acid and anthracycline monochemotherapy: long-term outcome of the LPA 99 multicenter study by the PETHEMA Group. BLOOD. 112:3130-3134. I.F.:10,90. VanBlerk M, Albarede S, Deom A, Gutierrez G, Heller S, Nazor A, Pakkanen A, Rej R, Curran KM, Sarkany E, Skitek M, Vives-Corrons JL, Zaikin E, Libeer JC. Comparison of evaluation procedures used by European external quality assessment scheme organizers for haemoglobin concentration and leukocyte concentration. ACCREDIT QUAL ASSUR. 13:145-148. I.F.:0,72. Roue G, Pichereau V, Lincet H, Colomer D, Sola B. Cyclin D1 mediates resistance to apoptosis through upregulation of molecular chaperones and consequent redistribution of cell death regulators. ONCOGENE. 27:4909-4920. I.F.:6,44. Pereira MDM, Sibina MTC, Mateos EG, Corrons JLV. Hemoglobinopathy Newcastle: use of chromatography and first case reported in Spain. MED CLIN-BARCELONA. 130:455-458. I.F.:1,34. 183 Editorials 1 Grau JJ, Estrach T. Old masters as clinical photographers: multifocal breast cancer diagnosed 400 years ago. BREAST CANCER RES TR . 111:11-13. I.F.:4,45. 21/10/09 15:45:25 Grants for Research in Progress Aymerich M. Proyecto de puesta a disposición de muestras de ADN de pacientes diagnosticados de varios tipos de tumores sólidos y hematológicos en la población residente en España - Nodo de Enfermedades Oncológicas del Banco Nacional de ADN. Grant: GenomaEspaña, GenEsp2006_07/010. Duration: 16/10/200615/10/2009. Villamor N. Bases celulares de la respuesta al tratamiento en pacientes con síndromes linfoproliferativos crónicos de línea B. Grant: Ministerio Sanidad y Consumo, PI041051. Duration: 01/01/2005-30/06/2008. Estrach. Epidemiología y factores pronósticos de los pacientes afectos de linfoma cutáneo de células T (LCCT). Grant: Ministerio Sanidad y Consumo, PI050458. Duration: 01/01/2006-30/12/2008. Aymerich M. Desarrollo de un biobanco para muestras biológicas prospectivas de pacientes oncológicos como soporte a la investigación biomédica. Grant: Ministerio Sanidad y Consumo, PI070301. Duration: 26/11/2007-30/12/2010. Colomer D. Red temática de investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0014. Duration: 01/01/2007-31/12/2010. Colomer D. Identificación de nuevas dianas con potencial terapéutico en neoplasias linformes. Grant: Ministerio Educación y Ciencia, SAF2006-08850. Duration: 01/10/2006-30/09/2009. Vives JL. CURSO ENERCA. Grant: Fundació Clínic per a la Recerca Biomèdica. Duration: 01/01/2008-31/12/2999. Area 5 Oncology and Hematology Pathophysiology and molecular bases in hematology Vives JL. European Network for Rare and Congenital Anaemias. Grant: European Commision, 2004110. Duration: 01/09/2005-31/08/2008. Vives JL. Estudio de la variabilidad clínica y molecular asociada a drepanocitosis, talasemia y déficit de G6PD. Correlación genotipo/fenotipo y aplicación de la reversión del déficit de G6PD en la prevención de la anemia hemolítica. Grant: Ministerio Sanidad y Consumo, PI051443. Duration: 01/01/2006-30/12/2008. 184 154-193 AREA5.indd 184 21/10/09 15:45:28 Hemotherapy-Hemostasis Team members Team Leader: ■ Antonio Ordinas (Hospital Clínic) Tel.: 93 227 54 48 Fax: 93 227 93 69 E-mail: [email protected] Strategic Objectives 1. To study the basic mechanisms that regulate the function of blood cells and the interactions between them, with the vascular wall and with other cells. 2. To evaluate the congenital and acquired defects of hemostasis and their correction by means of drugs and/or transfusions. Technicians: Marc Pino (Hospital Clínic) Ful Navalón (Fundació Clínic) Anghara Menéndez Montes (IDIBAPS) Nurses: Antonio Alonso (Hospital Clínic) 3. To characterize in the laboratory hemorrhagic and thrombotic phenotypes and genotypes. 4. To analyze the efficacy and safety of new saving strategies in transfusions of blood components. 5. To develop and evaluate the efficacy of synthetic platelet substitutes. 6. Characterization of animal models of hemostasis, preferably in mice. Oncology and Hematology Area 5 Collaborators: Rosa Brugués (Hospital Clínic) Gabriela Gutiérrez (Hospital Clínic) M. Rosa Hernández (Fundació Clínic) Josep M. Jou (Hospital Clínic) Santiago Maragall (Hospital Clínic) Doctoral Students: Jeroni Luna Cornadó (IDIBAPS) Lola Bellido Martín (CSIC Formació personal Investigador,MEC) Laura Fernández Fernández (CSIC Form Personal Investig, MEC) Irene López-Vilchez (Fundació Clínic) Marta Palomo de Udaeta (Fundació Clínic) Hemotherapy-Hemostasis IDIBAPS Members: ■ Maribel Díaz-Ricart (Hospital Clínic) ■ Ginés Escolar (Hospital Clínic) ■ Ana M. Galán (Fundació Clínic) ■ Pablo García de Frutos (CSIC) ■ Miquel Lozano (Hospital Clínic) ■ Roberto Mazzara (Hospital Clínic) ■ Anna M. Merino (Hospital Clínic) ■ Joan Monteagudo (Hospital Clínic) ■ Arturo Pereira (Hospital Clínic) ■ Juan Carles Reverter (Hospital Clínic) ■ Cristina Ch. Sanz (Hospital Clínic) ■ M. Dolors Tàssies (Hospital Clínic) 185 Ultrastructural analyses of washed platelets exposed to microvesicles rich in FT (MV-FT). A) Platelets at rest. B) After the first minute of activation with MVFT, we found MV-FT of different sizes in the platelet open canalicular system (arrow) and we observed platelet activation with loss of shape and signs of partial degranulation. C) After 5 minutes, the platelets return to a rest state by conserve the MV-FT in their interior. 154-193 AREA5.indd 185 21/10/09 15:45:32 Hemotherapy-Hemostasis Principal Lines of Research 1. Study of the mechanisms involved in the development of hemorrhagic and thrombotic diseases. Proteomic study of the determination of changes in the vascular tree and the different blood cells in thrombotic and hemorrhagic diseases. 2. Evaluation of the physiologic and pathologic implication of circulating and/or intraplatelet tissue factor in atherothrombosis. 3. Search for alternatives to platelet transfusion and development of potential synthetic platelet substitutes with the ability to potentiate the physiologic mechanisms of hemostasis. I.F.: 58,86 PublicaTions Original Articles 1 2 Area 5 Oncology and Hematology 4. New therapeutic measures in autoimmune diseases of an essentially humoral nature. ABO-incompatible kidney transplant as a model. 5.Evaluation of the participation of serotoninergic purinergic mechanisms in platelet functionalism. Study of the antithrombotic potential of pharmacologic inhibitors. 6. Role of the phenotype/genotype of fibrinolysis inhibitors and repercussion on global or specific functional tests in hemorrhagic and thrombotic disease. 7. Study of the vitamin-K dependent protein GAS6 in hemostasis and the vascular wall, using KO mice for this gene. 3 4 5 6 186 7 8 154-193 AREA5.indd 186 Jimenez S, Tassies D, Espinosa G, Garcia-Criado A, Plaza J, Monteagudo J, Cervera R, Reverter JC. Double heterozygosity polymorphisms for platelet glycoproteins Ia/IIa and IIb/IIIa increases arterial thrombosis and arteriosclerosis in patients with the antiphospholipid syndrome or with systemic lupus erythematosus. ANN RHEUM DIS. 67:835-840. I.F.:6,41. Lozano M, Peidro L, Merino I, Segur JM, Pereira A, Cid J, Lozano L, Mazzara R, Macule F, Basora M, Salazar F. Effectiveness and safety of tranexamic acid administration during total knee arthroplasty. VOX SANG. 95:3944. I.F.:2,59. Carbo C, Arderiu G, Escolar G, Fuste B, Cases A, Carrascal M, Abian J, Diaz-Ricart M. Differential expression of proteins from cultured endothelial cells exposed to uremic versus normal serum. AM J KIDNEY DIS. 51:603612. I.F.:3,98. Alvarez-Larran A, Arellano-Rodrigo E, Reverter JC, Domingo A, Villamor N, Colomer D, Cervantes F. Increased platelet, leukocyte, and coagulation activation in primary myelofibrosis. ANN HEMATOL. 87:269-276. I.F.:2,34. DelRio-Garma J, Pereira A, Arroyo JL, Mateo J, Alvarez-Larran A, Martinez C, Muncunill J, Barbolla L. ADAMTS-13 activity and von Willebrand factor levels in methylene blue photo-inactivated plasma processed by either the Springe method or an ‘in house’ system. VOX SANG. 95:101-105. I.F.:2,59. Navarro-Nunez L, Lozano ML, Palomo M, Martinez C, Vicente V, Castillo T, Benavente-Garcia O, Diaz-Ricart M, Escolar G, Riverat J. Apigenin inhibits platelet adhesion and thrombus formation and synergizes with aspirin in the suppression of the arachidonic acid pathway. J AGR FOOD CHEM. 56:2970-2976. I.F.:2,53. Hurtado B, Abasolo N, Domenech-Santasusana P, Fuentes-Prior P, DeFrutos PG, Sala N. Confirmation of inherited protein S deficiency by PROS I mutational screening: Identification of three novel PROS/mutations and haplotype analysis of p.Q279X recurrence. THROMB HAEMOSTASIS. 100:721-724. I.F.:3,50. Diaz M, Sevilla P, Galan AM, Escolar G, Engel E, Gil FJ. Evaluation of Ion Release, Cytotoxicity, and Platelet 9 10 11 12 13 14 15 Adhesion of Electrochemical Anodized 316 L Stainless Steel Cardiovascular Stents. J BIOMED MATER RES B. 87B:555-561. I.F.:1,93. Arderiu G, Perez-Pujol S, Escolar G, White JG, Diaz-Ricart M. External calcium facilitates signalling, contractile and secretory mechanisms induced after activation of platelets by collagen. PLATELETS. 19:172-181. I.F.:1,92. Hurtado B, Munoz X, Mulero MC, Navarro G, Domenech P, DeFrutos PG, Perez-Riba M, Sala N. Functional characterization of twelve natural PROS1 mutations associated with anticoagulant protein S deficiency. HAEMATOL-HEMATOL J. 93:574-580. I.F.:5,52. Tjwa M, Ido-Martin LB, Lin Y, Lutgens E, Plaisance S, Bono F, Delesque-Touchard N, Herve C, Moura R, Billiau AD, Aparicio C, Levi M, Daemen M, Dewerchin M, Lupu F, Arnout J, Herbert JM, Waer M, DeFrutos PG, Dahlback B, Carmeliet P, Hoylaerts MF, Moons L. Gas6 promotes inflammation by enhancing interactions between endothelial cells, platelets, and leukocytes. BLOOD. 111:4096-4105. I.F.:10,90. Lutgens E, Tjwa M, DeFrutos PG, Wijnands E, Beckers L, Dahlback B, Daemen MJAP, Carmeliet P, Moons L. Genetic loss of Gas6 induces plaque stability in expeximental atherosclerosis. J PATHOL. 216:55-63. I.F.:5,42. Diaz-Ricart M, Palomo M, Fuste B, Lopez-Vilchez I, Carbo C, Perez-Pujol S, White JG, Escolar G. Inhibition of tyrosine kinase activity prevents the adhesive and cohesive properties of platelets and the expression of procoagulant activity in response to collagen. THROMB RES. 121:873-883. I.F.:2,04. DelRio-Garma J, Alvarez-Larran A, Martinez C, Muncunill J, Castella D, DeLaRubia J, Zamora C, Corral M, Viejo A, Pena F, Rodriguez-Vicente P, Contreras E, Arbona C, Ramirez C, Garcia-Erce JA, Alegre A, Mateo J, Pereira A. Methylene blue-photoinactivated plasma versus quarantine fresh frozen plasma in thrombotic thrombocytopenic purpura: a multicentric, prospective cohort study. BRIT J HAEMATOL. 143:39-45. I.F.:4,49. Tonda R, Lopez-Vilchez I, Navalon F, Pino M, Hernandez MR, Escolar G, Galan AM. Platelets interact with tissue factor immobilized on surfaces: effects of shear rate. EUR J CLIN INVEST. 38:34-42. I.F.:2,70. 21/10/09 15:45:35 Reviews 1 2 Fernandez-Fernandez L, Bellido-Martin L, DeFrutos PG. Growth arrest-specific gene 6 (GAS6). THROMB HAEMOSTASIS. 100:604-610. I.F.:3,50. Bellido-Martin L, DeFrutos PG. Vitamin K-dependent actions of Gas6. VITAM HORM. 78:185-209. I.F.:3,89. Editorials 1 Multicentrics 1 Gomez-Lopez A, Alastruey-Izquierdo A, Rodriguez D, Almirante B, Pahissa A, Rodriguez-Tudela JL, CuencaEstrella A, Mensa J, Almela M, Reverter J, Soler C. Prevalence and susceptibility profile of Candida metapsilosis and Candida orthopsilosis: Results from population-based surveillance of candidemia in Spain. ANTIMICROB AGENTS CH . 52:1506-1509. I.F.:4,39. Escolar G. Factor Tisular circulante y asociado a las plaquetas: Papel en la formación de trombos oclusivos sobre lesiones arteriales, implicaciones fisopatológicas, clínicas y terapéuticas. Grant: Ministerio Educación y Ciencia, SAF2006-08003. Duration: 01/10/2006-30/09/2009. Pablo Garcia. Papel de GAS6 en patología humana: estudios usando modelos animales y celulares. Grant: Ministerio Educación y Ciencia, SAF2004-07539-CO2-01. Duration: 13/12/2004-12/03/2008. García P. Mecanismos de activación plaquetar en la interacción leucocito-endotelio. Grant: Ministerio Educación y Ciencia, BFU-2007- 61699. Duration: 01/12/2007-30/11/2010. Hemotherapy-Hemostasis 2 Carballeiraa MR, DeJuanb C, Reverter JC. Bilateral suprarenal hematoma in a 46-year-old male. MED CLINBARCELONA. 130:71-77. I.F.:1,34. Lozano M. Platelets come back in from the cold. BLOOD. 111:2951-2951. I.F.:10,90. Reverter JC. Cancer y Tromboembolismo: Importancia de la generación de trombina relacionada con las micropartículas procoagulantes circulantes y los polimorfirmos de las mismas en el desarrollo de trombosis en los pacientes de cancer. Grant: Ministerio Sanidad y Consumo, PI070387. Duration: 26/11/2007-30/12/2010. Reverter C. Eficacia de un tratamiento de rehabilitación cognitiva en adolescentes con trastornos del espectro de la esquizofrenia. Grant: Instituto de Salud Carlos III, PI07/90054. Duration: 31/01/2008-30/12/2009. Grants for Research in Progress Escolar G. Red HERACLES: Determinantes genéticos y ambientales de la disfunción vascular. Grant: Instituto de Salud Carlos III, RD06/0009/1003. Duration: 29/02/2008-31/12/2010. Thesis Tassies D. Importancia de los polimorfismos genéticos relacionados con la adhesión y función procoagulante de las micropartículas durante la formación del trombo en el síndrome antifosfolipídico: relación con las trombosis. Grant: Ministerio Sanidad y Consumo, PI050204. Duration: 01/01/2006-30/12/2008. Diaz M. Protección del endotelio vascular en la enfermedad renal crónica: inhibidores del factor de transcripción NF Kappa B y terapia antioxidante. Grant: Ministerio Sanidad y Consumo, PI060260. Duration: 18/10/2006-30/12/2009. Escolar G, Galan A. Factor tisular, inflamación y sistema serotoninérgico: contribución a las complicaciones isquémicas mediadas por plaquetas. Doctorand: Irene López Vilchez. Oncology and Hematology Area 5 Ordinas A. Grup de fisiopatologia, d’hemostasi i trombosi. Grant: Comissionat per a Universitats i Recerca, 2005SGR00952. Duration: 19/10/2005-31/12/2008. 187 154-193 AREA5.indd 187 21/10/09 15:45:37 Molecular and Translational Oncology Team Members Area 5 Oncology and Hematology Molecular and translational oncology Team Leader: ■ Dr. Pere Gascón Vilaplana (Hospital Clínic) Tel.: 93 227 54 02 Fax: 93 454 65 20 E-mail: [email protected] 188 IDIBAPS Members: ■ Juan José Grau (Hospital Clínic) ■ Joan Maurel (Hospital Clínic) ■ Begoña Mellado (Hospital Clínic) ■ Cristina Nadal (Hospital Clínic) ■ Núria Viñolas (Hospital Clínic) Collaborators: Vanessa Almendro (Fundació Clínic) Elisabet Ametller (Fundació Clínic) Jordi Codony (Fundació Clínic) Susana Garcia Recio (Fundació Clínic) Cristina Mayordomo (Fundació Bosch i Gimpera) Strategic Objectives The principal strategic objectives of the laboratory consist of 3 aspects: 1.A purely scientific aspect: to consolidate the lines of research and the groups that work on each one. 2. The second objective is to obtain grants and funding for research in order to ensure proper functioning of the laboratory. 3. The third objective involves the expansion of the laboratory to a larger laboratory that can meed the scientific needs of the coming years. The first (scientific) objective should be achieved by increasing qualitative and quantitative scientific production. In particular, the gastrointestinal stem cell lines and breast cancer lines that are in an initial stage. We can attract researchers due to both the topic and the quality of the research, either for a limited stay, to prepare a doctoral thesis or to join the laboratory. In this way, this year we have incorporated three new people in the group, a new doctoral intern, a postdoctoral researcher and a research support technician. With regard to the second objective (funding research), we need to continue in the same vein established some years ago in order to ensure continued funding of the lines of research and favor the attracting/contracting of new personnel. The laboratory currently has two FISS (2007 and 2008), a grant from the Carlos III networks, 154-193 AREA5.indd 188 Patricia Fernández (Fundació Clínic) Rafael Villanueva (Hospital Clínic) Montserrat Muñoz (Hospital Clínic) Technicians: Raquel Longarón (Fundació Clínic) Eva Maria Pastor (Fundació Clínic) a grant from the Spanish Cancer Association and several research grants from the CELLEX Foundation. The third point (expansion of the current space) is essential to prevent asphyxiation due to growth. To achieve this objective, the laboratory must show a level of excellence in its research, improve the global annual impact factor and, obviously, ensure the necessary funding required by a laboratory from the point of view of personnel, equipment and fungible material. Principal Lines of Research ITumor chemoresistance mechanisms: 1.Mechanisms of resistance in colorectal cancer linked to the extrinsic apoptosis pathway in vitro and in vivo (Dr. Joan Maurel / Dr. Vanessa Almendro). 2.Change in signalling of the Fas receptor during the acquisition of chemoresistance in colon cancer (Dr. Vanessa Almendro). 3.Epithelial-mesenchymal transition and resistance to chemotherapy (Dr. Elisabet Ametller / Dr. Vanessa Almendro). IIStem Cell, microenvironment and metastasis mechanisms: 1. Implication of P substance in the regulation of avb3 and a5b1 in breast cancer cell lines (Dr. Pere Gascón / Dr. Vanessa Almendro). 2. Interaction between GPCRs and RTKs (Dr. Vanessa Almendro). 21/10/09 15:45:44 3. Role of the PPT-I gene in the metastatic process (Dr. Pere Gascón). 4. Stem cell mesenchymal transition mechanisms (Dr. Cristina Nadal). 5. Pre-angiogenic micrometastasis of circulating cells (Dr. Cristina Nadal). IVStudy of the determination and characterization of circulating tumor cells: 1. In prostate cancer (Dr. Begoña Mellado) 2.In breast cancer. (Dr. Montse Muñoz, Dr. Rafael Villanueva) PublicaTions Original Articles 1 3 4 5 6 154-193 AREA5.indd 189 cokinetics of the combination of pertuzumab (rhuMab 2C4) and capecitabine in patients with advanced solid tumors. CLIN CANCER RES. 14:2726-2731. I.F.:6,25. 7 Gonzalez BO, Martin AG, Barcelo IB, FabregatIMayol X, Mellado B, Perez MJR, Carrion LA, Herraez AC, Garcia EC, Galaz CC, Lanza AA, Ibanez AH, Cebrian EA, Velasco AP. A Phase II Trial of Fixed-Dosed Rate Gemcitabine in Platinum-Resistant Ovarian Cancer. AM J CLIN ONCOL-CANC. 31:481-487. I.F.:1,55. 8 VanCutsem E, Siena S, Humblet Y, Canon JL, Maurel J, Bajetta E, Neyns B, Kotasek D, Santoro A, Scheithauer W, Spadafora S, Amado RG, Hogan N, Peeters M. An open-label, single-arm study assessing safety and efficacy of panitumumab in patients with metastatic colorectal cancer refractory to standard chemotherapy. ANN ONCOL. 19:92-98. I.F.:4,88. 9 Awada A, Albanell J, Canney PA, Dirix LY, Gil T, Cardoso F, Gascon P, Piccart MJ, Baselga J. Bortezomib/ docetaxel combination therapy in patients with anthracycline-pretreated advanced/metastatic breast cancer: a phase I/II dose-escalation study. BRIT J CANCER. 98:1500-1507. I.F.:4,64. 10 Font A, Salazar R, Maurel J, Taron M, Ramirez JL, Tabernero J, Gallego R, Casado E, Manzano JL, Carcereny E, Guix M, Fernandez-Llamazares J, Rosell R. Cisplatin plus weekly CPT-11/docetaxel in advanced esophagogastric cancer: a phase I study with pharmacogenetic assessment of XPD, XRCC3 and UGT1A1 polymorphisms. CANCER CHEMOTH PHARM. 62:1075-1083. I.F.:2,57. 11 Spano JP, Chodkiewicz C, Maurel J, Wong R, Wasan H, Barone C, Letourneau R, Bajetta E, Pithavala Y, Bycott P, Trask P, Liau K, Ricart AD, Kim S, Rixe O. Efficacy of gemcitabine plus axitinib compared with gemcitabine alone in patients with advanced pancreatic cancer: an open-label randomised phase II study. LANCET. 371:2101-2108. I.F.:28,64. Oncology and Hematology Area 5 2 Grau JJ, Caballero M, Monzo M, Munoz-Garcia C, Domingo-Domenech J, Navarro A, Conill C, Campayo M, Bombi JA. Dihydropyrimidine dehydrogenases and cytidine-deaminase gene polymorphisms as outcome predictors in resected gastric cancer patients treated with fluoropyrimidine adjuvant chemotherapy. J SURG ONCOL. 98:130-134. I.F.:2,38. Conill C, Setoain X, Colomo L, Palacin A, CombaliaAleu A, Pomes J, Marruecos J, Vargas M, Maurel J. Diagnostic efficacy of bone scintigraphy, magnetic resonance imaging, and positron emission tomography in bone metastases of myxoid liposarcoma. J MAGN RESON IMAGING. 27:625-628. I.F.:2,21. Marin-Aguilera M, Mengual L, Burset M, Oliver A, Ars E, Ribal MJ, Colomer D, Mellado B, Villavicencio H, Algaba F, Alcaraz A. Molecular Lymph Node Staging in Bladder Urothelial Carcinoma: Impact on Survival. EUR UROL. 54:1363-1372. I.F.:5,63. Domingo-Domenech J, Fernandez PL, Filella X, Martinez-Fernandez A, Molina R, Fernandez E, Alcaraz A, Codony J, Gascon P, Mellado B. Serum HER2 extracellular domain predicts an aggressive clinical outcome and biological PSA response in hormone-independent prostate cancer patients treated with docetaxel. ANN ONCOL. 19:269-275. I.F.:4,88. Molina R, Auge JM, Escudero JM, Marrades R, Vinolas N, Carcereny E, Ramirez J, Filella X. Mucins CA 125, CA 19.9, CA 15.3 and TAG-72.3 as Tumor Markers in Patients with Lung Cancer: Comparison with CYFRA 21-1, CEA, SCC and NSE. TUMOR BIOL . 29:371-380. I.F.:2,48. Albanell J, Montagut C, Jones ET, Pronk L, Mellado B, Beech J, Gascon P, Zugmaier G, Brewster M, Saunders MP, Valle JW. A phase I study of the safety and pharma- I.F.: 58,86 Molecular and translational oncology IIIPharmacodynamic studies and predictive studies in the therapeutic response: 1. Predictive and pharmacodynamic study of the response to neoadjuvant chemotherapy in prostate cancer. (Dr. B. Mellado). 2. NFKB and chemo resistance in prostate cancer (Dr. B. Mellado). 189 21/10/09 15:45:49 Molecular and translational oncology Area 5 Oncology and Hematology 12 Sobrero AF, Maurel J, Fehrenbacher L, Scheithauer W, Abubakr YA, Lutz MP, Vega-Villegas ME, Eng C, Steinhauer EU, Prausova J, Lenz HJ, Borg C, Middleton G, Kroning H, Luppi G, Kisker O, Zubel A, Langer C, Kopit J, Burris HA. EPIC: Phase III trial of cetuximab plus irinotecan after fluoropyrimidine and oxaliplatin failure in patients with metastatic colorectal cancer. J CLIN ONCOL. 26:2311-2319. I.F.:15,48. 13 Lipton A, Steger GG, Figueroa J, Alvarado C, Solal-Celigny P, Body JJ, DeBoer R, Berardi R, Gascon P, Tonkin KS, Coleman RE, Paterson AHG, Gao GZM, Kinsey AC, Peterson MC, Jun S. Extended Efficacy and Safety of Denosumab in Breast Cancer Patients with Bone Metastases Not Receiving Prior Bisphosphonate Therapy. CLIN CANCER RES. 14:6690-6696. I.F.:6,25. 14 Domingo-Domenech J, Pippa R, Tapia M, Gascon P, Bachs O, Bosch M. Inactivation of NF-kappa B by proteasome inhibition contributes to increased apoptosis induced by histone deacetylase inhibitors in human breast cancer cells. BREAST CANCER RES TR. 112:53-62. I.F.:4,45. 15 Padua D, Zhang XHF, Wang QQ, Nadal C, Gerald WL, Gomis RR, Massague J. TGF beta primes breast tumors for lung metastasis seeding through angiopoietin-like 4. CELL. 133:66-77. I.F.:29,89. Multicentrics 1 2 Casali PG, Jost L, Reichardt P, Schlemmer M, Blay JY. Gastrointestinal stromal tumors: ESMO Clinical Recommendations for diagnosis, treatment and follow-up. ANN ONCOL. 19:35-38. I.F.:4,88. Casali PG, Jost L, Sleijfer S, Verweij J, Blay JY. Soft tissue sarcomas: ESMO Clinical Recommendations for diagnosis, treatment and follow-up. ANN ONCOL. 19:89-93. I.F.:4,88. Grants for Research in Progress Mellado B. Estudio de biomarcadores séricos y tumorales de activación de la via NF-KB en cáncer de próstata. Grant: Ministerio Sanidad y Consumo, PI070388. Duration: 26/11/2007-30/12/2010. Thesis Gascon P. Estudi dels mecanismes de tall proteolític i rutes de transducció de senyals de receptors de membrana de la família “Epidermal Growth Factor” i factors de transcripció (NOR-90) relacionats amb l’acció de drogues antitumorals. Doctorand: Jordi Codony Servat. Editorials Patents 1 Pere Gascón, Vanessa Almendro. Anticuerpos para el tratamiento del cáncer. 2 Grau JJ, Estrach T. Old masters as clinical photographers: multifocal breast cancer diagnosed 400 years ago. BREAST CANCER RES TR . 111:11-13. I.F.:4,45. Aapro MS, Birgegard G, Bokemeyer C, Cornes P, Foubert J, Gascon P, Glaspy J, Hellstrom-Lindberg E, Link H, Ludwig H, Osterborg A, Repetto L, Soubeyran P. Erythropoietins should be used according to guidelines. LANCET ONCOL. 9:412-413. I.F.:12,25. 190 154-193 AREA5.indd 190 21/10/09 15:45:51 Cell Proliferation and Signalling Team members Team Leader: ■ Oriol Bachs (UB-Faculty of Medicine) Tel.: 93 403 52 86 Fax: 93 402 19 07 E-mail: [email protected] Collaborators: Marta Bosch (IDIBAPS) Sandra Guaita (Facultat Medicina) Montserrat Jaumot (UB-Faculty of Medicine) Maria Jesús Pujol (UB-Faculty of Medicine) Eulalia Rius (UB-Faculty of Medicine) Teresa Royo (IDIBAPS) Strategic Objectives The general objective of the group is to analyze the mechanisms that regulate cell proliferation and signalling in different experimental conditions and cell models. To achieve this goal, the group is developing 4 major lines of research: 1. Cell proliferation and cancer. 2. Cell signalling. 3. Signalling and regulation of the cell cycle. 4. Cell cycle: transduction of signals and checkpoints. Principal Lines of Research 1. Cell proliferation and cancer The objective of this line of research is to analyze the mechanisms that control progression of the cell cycle and its alterations in oncogenesis. Specifically, we are studying the following: • The role of protein p27 in oncogenesis. There is evidence that reduced levels of p27 in tumors is linked 154-193 AREA5.indd 191 Technicians: Sonia Brun (UB-Faculty of Medicine) Ana Dominguez (UB-Faculty of Medicine) Alba Fajardo (UB-Faculty of Medicine) María Molinos (UB-Faculty of Medicine) Jaume Planas (UB-Faculty of Medicine) to a poor outcome. The aim is to identify the role of p27 in tumor development. •The role of acetylation of proteins that regulate the cell cycle in the control of proliferation. The specific aim is to study the functional relevance of acetylation of p27, cyclin A and cdk2. •The role of the SET protein in oncogenesis. We are studying whether the role of this protein in the development of tumors is mediated by the phosphatase PP2A or by its phosphorylation by CK2. 2.Cell signalling In this line of research, we study the molecular mechanisms of endocytosis, intracellular protein and cholesterol transport and the signalling processes in the endocytic compartment and the plasma membrane that may be involved in different diseases, such as those that cause accumulation of lipids and cholesterol or in cancer. Specifically, we are working on the aspects described below: •Role of annexin A6 in cell signalling. Analysis of the role of annexin A6 (a) in the formation of H-Ras- Oncology and Hematology Area 5 Doctoral Students: Alba Gómez (UB-Faculty of Medicine) Blanca Alvarez (UB-Faculty of Medicine) Elena Gonzalez (UB-Faculty of Medicine) Eva Lambea (UB-Faculty of Medicine) Albert Lu (UB-Faculty of Medicine) Francesca Mateo (UB-Faculty of Medicine) María Pérez (UB-Faculty of Medicine) Raffaella Pippa (Facultat Medicina) Ignasi Salaet (UB-Faculty of Medicine) Patricia Sanz (UB-Faculty of Medicine) Maria Teresa Vidal (UB-Faculty of Medicine) Miriam Vidal (UB-Faculty of Medicine) Sandra Vila (UB-Faculty of Medicine) Marta Sanchez (UB-Faculty of Medicine) Serena Orlando (IDIBAPS) Albert Herms (IDIBAPS) Meritxell Reverter (Facultat Medicina) Adam Kassan (IDIBAPS) Alba Llopis (Facultat Medicina) Carles Barceló (Facultat Medicina) Noelia Marcos (UB-Faculty of Medicine) Natalia de Olano (UB-Faculty of Medicine) Cell proliferation and signalling IDIBAPS Members: ■ Neus Agell (UB-Faculty of Medicine) ■ Rosa Aligué (UB-Faculty of Medicine) ■ Carles Enrich (UB-Faculty of Medicine) ■ Albert Pol (IDIBAPS) ■ Francesc Tebar (UB-Faculty of Medicine) 191 21/10/09 15:45:54 Cell proliferation and signalling Area 5 Oncology and Hematology p120GAP complexes and in the inactivation of Ras and (b) in the transport of caveolin and in the formation of caveolae. • Biogenesis of lipid bodies. Study of the biogenesis of lipid bodies and their role in the transport of caveolin, intracellular accumulation of lipids and proliferative activation. • Role of calmodulin in the regulation of intracellular traffic of EGFR. Analysis of the role of calmodulin and of PKCd in the regulation of traffic and signalling and degradation of EGFR and transport of LDL through the early and late compartments of the endocytic compartment. 3. Signalling and regulation of the cell cycle This line of research focuses on identification of the molecular mechanisms that regulate control of the cell cycle via the pathway of MAP kinases activated by stress in yeast cells and cultures of human normal and tumor cells. This research is divided into two lines of work: • Regulation of mitosis via the pathway of MAP kinases activated by stress in yeast cells. We aim to identify a) the mechanisms by which Srk1 regulates the restart of mitosis after blocking in phase G2 in response to stress, b) the specific components regulated by Srk1 in blocking the exit from mitosis produced by Srk1 and c) the molecular mechanisms by which Srk1 negatively regulates the activity of the p38/Sty1 kinase. • Regulation of mitosis via the pathway of MAP kinases activated by stress in cultures of normal and tumor cells. We aim to identify a) the mechanisms by which MK2 regulates the induction of apoptosis via the E2F1 transcription factor and b) new substrates of the MAPKAP-K2 kinase via the TAP purification system and proteomic analysis. •Regulation of the functionality of K-Ras by phosphorylation and binding to calmodulin. We aim to analyze the functional relevance of KRas and pre PKC and of the interaction with calmodulin. •Regulation of the functionality and intracellular location of p21Cip1 by phosphorylation and binding to calmodulin. We are currently analyzing the intracellular location of p21 in response to DNA damage and how its functionality may be regulated by phosphorylation or binding to calmodulin. •DNA replication checkpoint. We have shown that while colon cancer cells are fully dependent on ATR/ATM for inhibiting entry into mitosis in response to DNA synthesis inhibitors, the untransformed cells have parallel mechanisms, which allows them to better maintain the integrity of the genome when DNA replication problems occur. Localization of Cdc25 when mitosis-inhibiting kinases Srk1 and Wee1 are overexpressed. 4. Cell cycle: transduction of signals and checkpoints The objective of this line of work is to analyze the intracellular mechanisms of transduction of the signals that regulate the progression of the cell cycle and their control mechanisms or checkpoints. In relation to this general objective, in recent years, we have developed the following lines of research: Colocalization of the cdk4/6 inhibitor p16 and of PCNA in the nucleus of NP18 cells (pancreatic cancer). I.F.: 64,27 PublicaTions Original Articles 192 1 2 154-193 AREA5.indd 192 Civico S, Agell N, Hernandez L, Campo E, Bachs O, Balasch J. Increased messenger ribonucleic acid expression of the cyclin-dependent kinase inhibitor p27(Kip1) in cleavage-stage human embryos exhibiting developmental arrest. FERTIL STERIL. 89:15571562. I.F.:3,17. Domingo-Domenech J, Pippa R, Tapia M, Gascon P, Bachs O, Bosch M. Inactivation of NF-kappa B by proteasome inhibition contributes to increased apoptosis induced by histone deacetylase inhibitors in human 3 4 breast cancer cells. BREAST CANCER RES TR. 112:5362. I.F.:4,45. Lopez-Aviles S, Lambea E, Moldon A, Grande M, Fajardo A, Rodriguez-Gabriel MA, Hidalgo E, Aligue R. Activation of Srk1 by the mitogen-activated protein kinase Sty1/Spc1 precedes its dissociation from the kinase and signals its degradation. MOL BIOL CELL. 19:1670-1679. I.F.:6,03. Cubells L, DeMuga SV, Tebar F, Bonventre JV, Balsinde J, Pol A, Grewal T, Enrich C. Annexin A6-induced inhibition of cytoplasmic phospholipase A(2) is linked to caveolin-1 export from the Golgi. J BIOL CHEM. 283:10174-10183. I.F.:5,58. 21/10/09 15:45:59 5 Pol A. Papel de la caveolina y de los cuerpos lipídicos en el control de la regeneración hepática. Grant: Ministerio Educación y Ciencia, BFU2005-01716. Duration: 31/12/200531/12/2008. Enrich C. Red temática investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0008. Duration: 01/01/2007-31/12/2010. Tebar F. Regulación por calmodulina de la activación, localización, tráfico y señalización celular del EGFR. Grant: Ministerio de Educación y Ciencia, BFU2007-67652. Duration: 01/12/2007-30/11/2009. Enrich C. Ras/Mapk signalling regulates colesterol efflux. Grant: Marato TV3, 0. Duration: 01/01/2008-31/12/2010. Bachs O. Proteored. Grant: Genoma España. Duration: 01/06/2005-01/06/2010. Enrich C. Estudio espacio-temporal de los complejos proteínicos de la annexina A6: Implicaciones en la regulación del tráfico y la señalización. Grant: Ministerio de Educación y Ciencia, BFU2006-01151. Duration: 01/10/2006-30/09/2009. Agell N. Regulación de la función de K-Ras y su localización en microdominios de membrana plasmática por unión a calmodulina y fosforilación en Ser181. Grant: Ministerio de Educación y Ciencia, SAF2007-60491. Duration: 01/10/200730/09/2010. Aligué R. Mecanismos de regulación en la señalización de las MAPK activadas por estrés y la división celular: Estudio de la MAPKAP SRK1, nuevo componente del checkpoint de entrada en mitosis en levadura. Grant: Ministerio de Educación y Ciencia, BFU2006-00375. Duration: 01/10/200630/09/2009. Bachs O. Identificación de nuevas funciones celulares del regulador de ciclo celular p27(Kip1). Grant: Ministerio de Educación y Ciencia, SAF2006-05212. Duration: 01/10/200630/09/2009. Enrich C. Diana Caveola. Grant: Ministerio de Educación y Ciencia. Proyetco Cenit (Consorcio Nanofarma), IP004543. Duration: 01/01/2006-31/12/2009. Oncology and Hematology Area 5 Grants for Research in Progress Agell N. IP: Presence: Research Encompassing Sensory Enhancement, Neuroscience, Cerebral-Computer Interfaces and ApplicationsCentre coordinador: Universitat Politecnica de Catalunya. Grant: Universitat Politècnica de CatalunyaDocència, 27731. Duration: 01/01/2008-31/12/2009. Cell proliferation and signalling Moreto J, Llado A, Vidal-Quadras M, Calvo M, Pol A, Enrich C, Tebar F. Calmodulin modulates H-Ras mediated Raf-1 activation. CELL SIGNAL. 20:1092-1103. I.F.:4,15. 6 Grande M, Lambea E, Fajardo A, Lopez-Aviles S, Kellogg D, Aligue R. Crosstalk between Nap1 protein and Cds1 checkpoint kinase to maintain chromatin integrity. BBA-MOL CELL RES. 1783:1595-1604. I.F.:4,37. 7 Menendez M, Gonzalez S, Obrador-Hevia A, Dominguez A, Pujol MJ, Valls J, Canela N, Blanco I, Torres A, Pineda-Lucena A, Moreno V, Bachs O, Capella G. Functional characterization of the novel APC N1026S variant associated with attenuated familial adenomatous polyposis. GASTROENTEROLOGY. 134:56-64. I.F.:11,67. 8 Lopez-Alcala C, Alvarez-Moya B, Villalonga P, Calvo M, Bachs O, Agell N. Identification of essential interacting elements in K-Ras/calmodulin binding and its role in K-Ras localization. J BIOL CHEM. 283:10621-10631. I.F.:5,58. 9 DeMattos SF, Alemany V, Aligue R, Tauler A. Increase in Fru-2,6-P-2 levels results in altered cell division in Schizosaccharomyces pombe. BBA-MOL CELL RES. 1783:144-152. I.F.:4,37. 10 Llado A, Timpson P, DeMuga SV, Moreto J, Pol A, Grewal T, Daly RJ, Enrich C, Tebar F. Protein kinase C delta and calmodulin regulate epidermal growth factor receptor recycling from early endosomes through Arp2/3 complex and cortactin. MOL BIOL CELL. 19:17-29. I.F.:6,03. 11 Hernandez D, Altuna M, Cuevas C, Aligue R, Albericio F, Alvarez M. Synthesis and antitumor activity of mechercharmycin a analogues. J MED CHEM. 51:5722-5730. I.F.:4,90. 12 Niemeier A, Niedzielska D, Secer R, Schilling A, Merkel M, Enrich C, Rensen PCN, Heeren J. Uptake of postprandial lipoproteins into bone in vivo: Impact on osteoblast function. BONE. 43:230-237. I.F.:3,97. Tebar F. Regulación por calmodulina de la activación, localización, tráfico y señalización celular del EGRF. Grant: Ministerio de Educación y Ciencia, BFU2007-67652. Duration: 01/12/2007-30/11/2009. Bachs O. Red temática de investigación cooperativa de cáncer. Grant: Ministerio Sanidad y Consumo, RD06/0020/0010. Duration: 01/01/2007-31/12/2010. 193 154-193 AREA5.indd 193 21/10/09 15:46:02 194-203 AREA6.indd 194 21/10/09 15:36:45 Area 6 International Health Research Group on Epidemiology and International Health (GRESI) . . . . . . . 196 Hospital Epidemiology, Public Health and Pharmacology . . . . . . . . . . . . . . . . . . . . . . 201 Image: Bacteria Cell Cluster Abstract in Green Tones 194-203 AREA6.indd 195 21/10/09 15:36:48 Research Group on Epidemiology and International Health (GRESI) Team Members Area 6 International Health Research group on epidemiology and international health (GRESI) Team Leader: ■ Pedro Alonso (Hospital Clínic) Tel.: 93 227 54 00 (Ext.: 5706/ Fax: 93 227 98 53 E-mail: [email protected] IDIBAPS Members: ■ Carlos Ascaso (Facultat de Medicina) ■ Joaquim Gascón (Hospital Clínic) ■ Alfredo Mayor (Fundació Clínic) ■ Clara Menéndez (Hospital Clínic) ■ Denise Naniche (IDIBAPS) ■ Anna Roca (IDIBAPS) ■ Joaquín Ruiz (IDIBAPS) Collaborators: John J. Aponte (Fundació Clínic) Azucena Bardají (Fundació Clínic) Quique Bassat (Fundació Clinic) Carlota Dobaño (Fundació Clínic) Caterina Guinovart (Fundació Clínic) Emili Letang (Fundació Clínic) José Muñoz (Hospital Clínic) Robert Pool (Fundació Clínic) Jahit Sacarlal (Fundació Clínic) Ruth Aguilar Tamara Katherine Berthoud Joseph John Campo Hernando del Portillo Raquel González María Jesús Pinazo Elizabeth Posada Elisa Sicuri Ned Hayes Strategic Objectives 196 One of the greatest imbalances between developed and developing countries is the few resources that are dedicated, overall, to research on the health problems that affect the poorest countries. These diseases, known as poverty-related diseases, are not just the result of the poverty of these populations but also hinder their development, generating a vicious circle of disease and poverty. The objective of the Research Group on Epidemiology and International Health is to research the diseases that are the principal cause of morbidity and mortality in developing countries. The group has a multidisciplinary focus that covers aspects from basic research to epidemiology and the development of monitoring 194-203 AREA6.indd 196 Montse Renom Nayra Gutiérrez Ana Belen Ibarz Bethuel Sigauque Doctoral Students: Cristina O’Callaghan (Beca FIS) Eduard Rovira (Beca MEC) Elisa Serra (Beca FIS) Celia Serna Maria Jesus Pons Núria Diez Rachid Ben Messaoud Imane Jroundi Nélia Manaca Inácio Mandomando Augusto Nhabomba Diana Quelhas Technicians: Pau Cisteró (Fundació Clínic) Alfons Jiménez (Fundació Clínic) Diana Barrios tools. The aim is to translate the results obtained to the clinical practice and health care policies of the developing countries. A large part of the research is carried out in collaboration with the Centro de Investigação em Saúde da Manhiça (CISM) in Mozambique, and with other institutions in Africa, India, Papua New Guinea and Latin America. Principal Lines of Research 1.Malaria 1.1. P athophysiology of severe malaria and malaria in pregnancy. 1.2.Epidemiologic studies to determine the disease load due to P. vivax 21/10/09 15:36:51 1.3. Immunology: study of acquired immunity due to natural exposure and immunity induced by vaccines 1.4. Development of treatment and monitoring tools • Vaccines: program to develop a clinical candidate for vaccine RTS,S/AS01E • Clinical development of antimalarial drugs • New drugs for preventive treatment of malaria in children and pregnant women (IPTi and IPTp) 1.5. Evaluation of the effectiveness of malaria control programs 5.Enteropathogens 5.1. E pidemiological surveillance (disease load, etiology, molecular epidemiology, susceptibility to antibiotics, etc.) of diarrhea 5.2. S tudy of the mechanism of antibiotic resistance and virulence profile of enteroaggregative E. coli. I.F.: 98,20 PublicaTions Original Articles 1 2 3 4 Ruiz J, Mensa L, Pons MJ, Vila J, Gascon J. Development of Escherichia coli rifaximin-resistant mutants: frequency of selection and stability. J ANTIMICROB CHEMOTH. 61:1016-1019. I.F.:4,04. Camps M, Vilella A, Marcos MA, Letang E, Muñoz J, Salvado E, Gonzalez A, Gascon J, JimenezDeAnta MT, Pumarola T. Incidence of respiratory viruses among travelers with a febrile syndrome returning from tropical and subtropical areas. J MED VIROL. 80:711-715. I.F.:2,83. Mendez-Arancibia E, Vargas M, Soto S, Ruiz J, Kahigwa E, Schellenberg D, Urassa H, Gascon J, Vila J. Prevalence of different virulence factors and biofihn production in enteroaggregative Escherichia coli isolates causing diarrhea in children in Ifakara (Tanzania). AM J TROP MED HYG. 78:985-989. I.F.:2,18. Mensa L, Marco F, Vila J, Gascon J, Ruiz J. Quinolone resistance among Shigella spp. isolated from travellers 194-203 AREA6.indd 197 5 6 7 8 returning from India. CLIN MICROBIOL INFEC. 14:279281. I.F.:2,98. Arrizabalaga P, Sole M, Abellana R, Ascaso C. Renal expression of adhesion molecules in Anca-associated disease. J CLIN IMMUNOL. 28:411-419. I.F.:2,89. Garcia-Esteve L, Navarro P, Ascaso C, Torres A, Aguado J, Gelabert E, Martin-Santos R. Family caregiver role and premenstrual syndrome as associated factors for postnatal depression. ARCH WOMEN MENT HLTH. 11:193-200. I.F.:1,91. Menendez C, Romagosa C, Ismail MR, Carrilho C, Saute F, Osman N, Machungo F, Bardaji A, Quinto L, Mayor A, Naniche D, Dobaño C, Alonso PL, Ordi J, Alonso P. An autopsy study of maternal mortality in mozambique: The contribution of infectious diseases. PLOS MED. 5:220- 226. I.F.:12,60. Naniche D, Lahuerta M, Bardaji A, Sigauque B, Romagosa C, Berenguera A, Mandomando I, David C, Sanz S, Aponte J, Ordi J, Alonso P, Menendez C. Mother-tochild transmission of HIV-1: association with malaria International Health Area 6 3.HIV/AIDS 3.1. Prevention of vertical transmission of HIV/AIDS 3.2. Prevention of sexual transmission: acceptability and viability of the use of microbicides and preparation of clinical trials of HIV vaccines 3.3. Infection and Epidemiology: incidence, prevalence and study of recent infections and acute infections 3.4. Clinical Practice and Treatment: immune reconstitution after initiating antiretroviral treatment, acceptability and adherence to treatment Research group on epidemiology and international health (GRESI) 2. Chagas Disease 2.1. Epidemiology of Chagas disease in the immigrant population and impact on the health care system in Catalonia 2.2. Clinical studies of cardiac and digestive system involvement 2.3. Research into biological markers of progression and curing of the disease 2.4. Study of demographic, social and cultural differences and level of knowledge about the disease among immigrants 2.5. Study of access to specialist care by the immigrant population in Catalonia 4.Acute Respiratory Infections 4.1. E pidemiological surveillance (disease load, etiology, molecular epidemiology, susceptibility to antibiotics, etc.) of pneumonia and of meningitis and bacteremia 4.2. E valuation of the impact of introducing the Hib vaccine in Mozambique 4.3. S tudy of biomarkers for developing diagnostic tools adapted to environments with limited resources and infrastructure 197 23/10/09 10:39:46 9 10 Research group on epidemiology and international health (GRESI) 11 12 13 14 Area 6 International Health 15 16 17 18 19 198 20 21 194-203 AREA6.indd 198 prevention, anaemia and placental malaria. HIV MED. 9:757-764. I.F.:3,35. Muñoz J, Alonso D, Vilella A, Naniche D, Costa J, Gascon J. Measles in travelers: Are we aware enough?. J TRAVEL MED. 15:124-125. I.F.:1,05. Muñoz J, Vilella A, Domingo C, Nicolas JM, DeOry F, Corachan M, Tenorio A, Gascon J. Yellow fever-associated viscerotropic disease in Barcelona, Spain. J TRAVEL MED. 15:202-205. I.F.:1,05. Mabunda S, Casimiro S, Quinto L, Alonso P. A countrywide malaria survey in Mozambique. I. Plasmodium falciparum infection in children in different epidemiological settings. MALARIA J. 7:-. I.F.:2,47. Sigauque B, Roca A, Oliveiras I, Martinez M, Mandomando I, Valles X, Espasa M, Abacassamo F, Sacarlal J, Macete E, Nhacolo A, Aponte J, Levine MM, Sanz S, Alonso P. Acute bacterial meningitis among children, in Manhica, a rural area in Southern Mozambique. ACTA TROP. 105:21-27. I.F.:2,00. Muñoz J, Puente S, Lopez-Velez R, Domingo C, Ruiz J, Ramirez G, Navarro M, DeOry F, Sanz S, Rivas P, Turrientes MC, Tenorio A, Gascon J. Clinical and epidemiological features of imported dengue in Spain. MED CLIN-BARCELONA. 131:18-21. I.F.:1,34. Bardaji A, Sigauque B, Bruni L, Romagosa C, Sanz S, Mabunda S, Mandomando I, Aponte J, Sevene E, Alonso PL, Menendez C. Clinical malaria in African pregnant women. MALARIA J. 7:-. I.F.:2,47. Salvado E, Pinazo MJ, Muñoz J, Alonso D, Naniche D, Mayor A, Quinto L, Gascon J. Clinical presentation and complications of Plasmodium falciparum malaria in two populations: travelers and immigrants. ENFERM INFEC MICR CL. 26:282-284. I.F.:1,10. Ruiz J, Herrera-Leon S, Mandomando I, Macete E, Puyol L, Echeita A, Alonso PL. Detection of Salmonella enterica serotype typhimurium DT104 in Mozambique. AM J TROP MED HYG . 79(6):918-920. I.F.:2,18. Mushi AK, Schellenberg J, Mrisho M, Manzi F, Mbuya C, Mponda H, Mshinda H, Tanner M, Alonso P, Pool R, Schellenberg D. Development of behaviour change communication strategy for a vaccination-linked malaria control tool in Southern Tanzania. MALARIA J. 7:-. I.F.:2,47. Gascon J, Albajar P, Canas E, Flores M, GomezIPrat J, Herrera RN, Lafuente CA, Luciardi HL, Moncayo A, Molina L, Muñoz J, Puente S, Sanz G, Trevino B, Sergio-Salles X. Diagnosis, management and treatment of chronic Chagas’ heart disease in areas where Trypanosoma cruzi infection is not endemic. ENFERM INFEC MICR CL. 26:99-106. I.F.:1,10. Sikora M, Ferrer-Admetlla A, Mayor A, Bertranpetit J, Casals F. Evolutionary analysis of genes of two pathways involved in placental malaria infection. HUM GENET. 123:343-357. I.F.:3,97. Manzi F, Hutton G, Schellenberg J, Tanner M, Alonso P, Mshinda H, Schellenberg D. From strategy development to routine implementation: the cost of Intermittent Preventive Treatment in Infants for malaria control. BMC HEALTH SERV RES. 8:-. I.F.:1,36. Schellenberg JRA, Mrisho M, Manzi F, Shirima K, Mbuya C, Mushi AK, Ketende SC, Alonso PL, Mshinda H, Tanner M, Schellenberg D. Health and survival of 22 23 24 25 26 27 28 29 30 31 32 young children in southern Tanzania. BMC PUBLIC HEALTH. 8:-. I.F.:1,63. Quelhas D, Puyol L, Quinto L, Serra-Casas E, Nhampossa T, Macete E, Aide P, Mayor A, Mandomando I, Sanz S, Aponte JJ, Chauhan VS, Chitnis CE, Alonso PL, Menendez C, Dobaño C. Impact of intermittent preventive treatment with sulfadoxine-pyrimethamine on antibody responses to erythrocytic-stage Plasmodium falciparum antigens in infants in Mozambique. CLIN VACCINE IMMUNOL. 15:1282-1291. I.F.:2,00. Millet JP, DeOlalla PG, Carrillo-Santisteve P, Gascon J, Trevino B, Muñoz J, Prat JGI, Cabezos J, Cordon AG, Cayla JA. Imported malaria in a cosmopolitan European city: A mirror image of the world epidemiological situation. MALARIA J. 7:-. I.F.:2,47. Roca A, Quinto L, Abacassamo F, Morais L, Valles X, Espasa M, Sigauque B, Sacarlal J, Macete E, Nhacolo A, Mandomando I, Levine MM, Alonso P. Invasive Haemophilus influenzae disease in children less than 5 years of age in Manhica, a rural area of southern Mozambique. TROP MED INT HEALTH. 13:818-826. I.F.:2,47. Guinovart C, Bassat Q, Sigauque B, Aide P, Sacarlal J, Nhampossa T, Bardaji A, Nhacolo A, Macete E, Mandomando I, Aponte JJ, Menendez C, Alonso PL. Malaria in rural Mozambique. Part I: Children attending the outpatient clinic. MALARIA J. 7:-. I.F.:2,47. Bassat Q, Guinovart C, Sigauque B, Aide P, Sacarlal J, Nhampossa T, Bardaji A, Nhacolo A, Macete E, Mandomando I, Aponte JJ, Menendez C, Alonso PL. Malaria in rural Mozambique. Part II: Children admitted to hospital. MALARIA J. 7:-. I.F.:2,47. Mandomando IM, Naniche D, Pasetti MF, Valles X, Cuberos L, Nbacolo A, Kotloff KL, Martins H, Levine MM, Alonso P. Measles-specific Neutralizing Antibodies in Rural Mozambique: Seroprevalence and Presence in Breast Milk. AM J TROP MED HYG . 79:787-792. I.F.:2,18. Mayor A, Serra-Casas E, Sanz S, Aponte JJ, Macete E, Mandomando I, Puyol L, Berzosa P, Dobaño C, Aide P, Sacarlal J, Benito A, Alonso P, Menendez C. Molecular markers of resistance to sulfadoxine-pyrimethamine during intermittent preventive treatment for malaria in Mozambican infants. J INFECT DIS. 197:1737-1742. I.F.:6,04. Navarro P, Garcia-Esteve L, Ascaso C, Aguado J, Gelabert E, Martin-Santos R. Non-psychotic psychiatric disorders after childbirth: Prevalence and comorbidity in a community sample. J AFFECT DISORDERS. 109:171176. I.F.:3,14. Gene-Badia J, Ascaso C, Escaramis-Babiano G, Catalan-Ramos A, Pujol-Ribera E, Sampietro-Colom L. Population and primary health-care team characteristics explain the quality of the service. HEALTH POLICY. 86:335-344. I.F.:1,14. Lahuerta M, Aparicio E, Bardaji A, Marco S, Sacarlal J, Mandomando I, Alonso P, Martinez MA, Menendez C, Naniche D. Rapid spread and genetic diversification of HIV type 1 subtype C in a rural area of Southern Mozambique. AIDS RES HUM RETROV. 24:327-335. I.F.:2,02. Sacarlal J, Aponte JJ, Aide P, Mandomando I, Bassat Q, Guinovart C, Leach A, Milman J, Macete E, Espasa 21/10/09 15:36:57 33 34 36 Reviews 1 Mayor A. Caracterización del ligando de P. falciparum implicado en adhesión a la placenta y de su papel en el desarrollo de la inmunidad frente a la malaria durante el embarazo. Grant: Ministerio Sanidad y Consumo, PI060016. Duration: 18/10/2006-30/12/2009. Ruiz J. Relevancia y caracterización epidemiológico molecular de Escherichia coli enteroagregativo como causa de diarrea en niños menores de 5 años. Grant: Ministerio Sanidad y Consumo, PI060204. Duration: 18/10/2006-30/12/2009. Naniche D. Evaluación de parámetros inmunológicos durante el primer año de vida de los niños negativos para el Virus de la Inmunodeficiencia Humana (VIH), nacidos de madres VIH positivas en Mozambique. Grant: Ministerio Sanidad y Consumo, PI070233. Duration: 26/11/200730/12/2010. Menendez C. Evaluación de 4 combinaciones de artemisina para el tratamiento de la malaria no complicada en niños en Africa. Grant: Ministerio Sanidad y Consumo, PI070450 (EDCTP). Duration: 26/11/2007-30/12/2010. Alonso P. Ayuda complementaria al proyecto europeo: Malaria Age Exposure. Grant: Ministerio Educación y Ciencia, SAF2005-25642-E. Duration: 07/05/2006-07/05/2010. Naniche D. Creación de una red europea-africana para la preparación de centros africanos en ensayos de vacunas con el VIH. Grant: Ministerio Sanidad y Consumo, PI071312. Duration: 01/01/2008-30/12/2010. Editorials 1 Gascon J, Pinazo MJ. Controlling vertical transmission of Trypanosoma cruzi: the biggest challenge for imported disease in Spain. ENFERM INFEC MICR CL. 26:607608. I.F.:1,10. Grants for Research in Progress Gascon J. Estudio de la infecció per Trypanosoma cruzi en la població immigrant d’Amèrica Central i del Sud. Grant: Agència d’Avaluació de Tecnologia Mèdica, 024/13/2004. Duration: 01/04/2005-31/03/2008. Alonso P. Grup de Recerca en Epidemiologia i Salut Internacional, GRESI. Grant: Generalitat de Catalunya, 2005SGR00253. Duration: 19/10/2005-31/12/2008. Alonso P. Age of exposure and immunity to malaria in infants. Grant: Ministerio Sanidad y Consumo, AI07/90024. Duration: 26/10/2007-30/12/2009. Alonso P. Epidemiología y Salud Pública. Grant: Ministerio Sanidad y Consumo, CB06/02/0010. Duration: 28/07/200627/07/2010. 194-203 AREA6.indd 199 Naniche D. Beca Ramón y Cajal. Grant: Ministerio Educación y Ciencia. Duration: 01/01/2004-01/04/2009. International Health Area 6 2 Coll O, Menendez C, Botet F, Daya R, Carbonell-Estrany X, Weisman LE, Anceschi MM, Greenough A, Gibss RS, Ville Y. Treatment and prevention of malaria in pregnancy and newborn. J PERINAT MED. 36:15-29. I.F.:1,10. Greenwood BM, Fidock DA, Kyle DE, Kappe SHI, Alonso PL, Collins FH, Duffy PE. Malaria: progress, perils, and prospects for eradication. J CLIN INVEST . 118:1266-1276. I.F.:16,92. Naniche D. Projecte d’activitats relacionades amb el tractament antiretroviral del VIH/SIDA al centre de salut de Manhiça, per col·laborar amb el programa de lluita contra la sida de Moçambic. Grant: Fundació La Caixa, CO05215. Duration: 01/11/2005-31/10/2008. Research group on epidemiology and international health (GRESI) 35 M, Ofori-Anyinam O, Thonnard J, Corachan S, Dubois MC, Lievens M, Dubovsky F, Ballou WR, Cohen J, Alonso PL. Safety of the RTS,S/AS02A malaria vaccine in Mozambican children during a Phase IIb trial. VACCINE. 26:174-184. I.F.:3,38. Piron M, Verges M, Muñoz J, Casamitjana N, Sanz S, Maymo RM, Hernandez JM, Puig L, Portus M, Gascon J, Sauleda S. Seroprevalence of Trypanosoma cruzi infection in at-risk blood donors in Catalonia (Spain). TRANSFUSION. 48:1862-1868. I.F.:3,37. Abellana R, Ascaso C, Aponte J, Saute F, Nhalungo D, Nhacolo A, Alonso P. Spatio-seasonal modeling of the incidence rate of malaria in Mozambique. MALARIA J. 7:-. I.F.:2,47. Castellsague X, Klaustermeier J, Carrilho C, Albero G, Sacarlal J, Quint W, Kleter B, Lloveras B, Ismail MR, DeSanjose S, Bosch FX, Alonso P, Menedez C. Vaccinerelated HPV genotypes in women with and without cervical cancer in Mozambique: Burden and potential for prevention. INT J CANCER. 122:1901-1904. I.F.:4,56. Calleri G, Behrens RH, Bisoffi Z, Bjorkman A, Castelli F, Gascon J, Gobbi F, Grobusch MP, Jelinek T, Schmid ML, Niero M, Caramello P. Variability in malaria prophylaxis prescribing across Europe: A Delphi method analysis. J TRAVEL MED. 15:294-301. I.F.:1,05. Roca A. Etiología, epidemiología y clínica de las infecciones respiratorias virales en niños mozambicanos <5 años. Grant: Ministerio Sanidad y Consumo, PI 050172. Duration: 01/01/2006-31/12/2008. Alonso P. New Legal structures and sustain research centers in Africa: The Manhiça Foundation. Grant: Bill and Melinda Gates Foundation. Duration: 02/10/2006-01/10/2011. Menendez C. Cost-effectiveness of Intermittent Preventive Treatment in Infants (IPTi) for the control of Malaria and Anaemia. Grant: Bill and Melinda Gates Foundation. Duration: 01/05/2006-30/01/2009. 199 Ascaso C. Análisis de la Variabilidad espacial y temporal del producto de la atención primaria en Cataluña. Grant: Ministerio de Educación y Ciencia, IP061581. Duration: 01/07/2007-01/07/2009. Gascon J. Plataforma de atención integral a los pacientes con enfermedad de Chagas en CCHB, Bolivia y BCN. Grant: 21/10/09 15:36:59 Agència Catalana de Cooperación al Desenvolupament. Duration: 01/10/2008-30/09/2009. Gascon J. Projecte d’activitats relacionades amb el VIH/Sida en el centre de salut de Manhiça i suport tècnic al programa decontrol del VIH/Sida de Moçambic en el districte de Manhiça. Grant: Agència Catalana de Cooperación al Desenvolupament. Duration: 01/01/2008-31/12/2008. Naniche D. African-European HIV vaccine development network. Grant: Imperial Science Technology - MRC. Duration: 24/02/2008-25/02/2011. Menendez C. Acción complementaria para el proyecto de investigación de infección por Plasmodium Vivax en embarazo. Grant: Ministerio de Educación y Ciencia, SAF200801389-E. Duration: 01/10/2008-01/10/2009. Alonso P. Centro de investigación en salud para la mejora del acceso de la población vulnerable a los servicios de salud y el conocimiento, manejo y gestión de las enfermedades prevalentes. Mozambique any 2. Grant: AECI - Agencia Española de Cooperación Internacional, 07-CO1-005. Duration: 20/12/2008-19/12/2009. Area 6 International Health Research group on epidemiology and international health (GRESI) Menendez C. Plataforma de diagnóstico, manejo y prevención de la malnutrición en Manhiça, Mozambique. Grant: Àfrica Viva Fundació-Oficial. Duration: 01/01/200801/01/2009. Alonso P. The development of a global malaria eradication R&D Agenda. Grant: The Bill + MEelinda Gates Foundation, 50961. Duration: 25/07/2008-25/01/2010. 200 194-203 AREA6.indd 200 21/10/09 15:37:01 Hospital Epidemiology, Public Health and Pharmacology Team members Team Leader: ■ Antoni Trilla (Hospital Clínic) Tel.: 93 227 57 54 Fax: 93 227 98 77 E-mail: [email protected] Collaborators: Maria Jesús Bertran (Hospital Clínic) Begoña Gómez (Hospital Clínic) Jaume Grau (Hospital Clínic) Amalia Lafuente (Hospital Clínic) Yolanda López (Hospital Clínic) Neus Riba (Hospital Clínic) Josep Ribas (Hospital Clínic) José Rios (IDIBAPS) Montserrat Sallés (Hospital Clínic) Ferran Torrés (IDIBAPS) Principal Lines of Research The team carries out clinical research and epidemiology studies, with a small component of basic research in pharmacology, aimed at objectives relating to better prevention and control of transmissible diseases, notably hospital infections and health-care emergencies, with safety and quality in clinical practice and in the use of vaccines. Its objective also includes clinical pharmacology, especially in the context of clinical trials (design, execution and analysis). •Prevention and control of nosocomial infections •Clinical Quality and Safety •Management of health care emergencies •Clinical trials •Drug surveillance •Health Care Management At the same time, the team carries out research support services via different units. The Clinical Trials Agency, which provides support for all procedures relating to clinical trials carried out in Hospital Clínic-IDIBAPS, while the Clinical Trials Unit provides support to researchers in designing clinical trials (commercial and noncommercial). It also includes the Statistical and Methodologic Support Unit (USEM), which basically provides assessment in planning and data analysis. Part of the UASP also provides support in reviewing and evaluating research projects (not clinical trials). All these units also work for the Clinical Research Ethics Committee. 194-203 AREA6.indd 201 International Health Area 6 Strategic Objectives Hospital epidemiology, public health and pharmacology IDIBAPS Members: ■ Joan Albert Arnaiz (Hospital Clínic) ■ José M. Bayas (Hospital Clínic) ■ Gonzalo Calvo (Hospital Clínic) ■ Xavier Carné (Hospital Clínic) ■ Carles Codina (Hospital Clínic) ■ Lluís Salleras (Hospital Clínic) ■ Anna Vilella (Hospital Clínic) ■ Miguel A. Asenjo (Hospital Clínic) ■ Andreu Prat (Hospital Clínic) 201 21/10/09 15:37:06 I.F.: 66,09 PublicaTions Original Articles Area 6 International Health Hospital epidemiology, public health and pharmacology 1 202 DeLazzari E, Leon A, Arnaiz JA, Martinez E, Knobel H, Negredo E, Clotet B, Montaner J, Storfer S, Asenjo MA, Mallolas J, Miro JM, Gatell JM. Hepatotoxicity of nevirapine in virologically suppressed patients according to gender and CD4 cell counts. HIV MED. 9:221-226. I.F.:3,35. 2 Mallolas J, Pich J, Penaranda M, Domingo P, Knobel H, Pedrol E, Gutierrez F, Barrufet P, Peraire J, Asenjo MA, Vidal F, Gatell JA. Induction therapy with trizivir plus efavirenz or lopinavir/ritonavir followed by trizivir alone in naive HIV-1-infected adults. AIDS. 22:377-384. I.F.:5,84. 3 Emery S, Neuhaus JA, Phillips AN, Babiker A, Cohen CJ, Gatell JM, Girard PM, Grund B, Law M, Losso MH, Palfreeman A, Wood R, Arnaiz JA. Major clinical outcomes in antiretroviral therapy (ART)-naive participants and in those not receiving ART at baseline in the SMART study. J INFECT DIS . 197:1133-1144. I.F.:6,04. 4 Martin M, DelCacho E, Codina C, Tuset M, DeLazzari E, Mallolas J, Miro JM, Gatell JM, Ribas J. Relationship between Adherence Level, Type of the Antiretroviral Regimen, and Plasma HIV Type 1 RNA Viral Load: A Prospective Cohort Study. AIDS RES HUM RETROV. 24:1263-1268. I.F.:2,02. 5 Soriano A, Bori G, Garcia-Ramiro S, Martinez-Pastor JC, Miana T, Codina C, Macule F, Basora M, Martinez JA, Riba J, Suso S, Mensa J. Timing of antibiotic prophylaxis for primary total knee arthroplasty performed during ischemia. CLIN INFECT DIS. 46:1009-1014. I.F.:6,75. 6 Camps M, Vilella A, Marcos MA, Letang E, Muñoz J, Salvado E, Gonzalez A, Gascon J, JimenezDeAnta MT, Pumarola T. Incidence of respiratory viruses among travelers with a febrile syndrome returning from tropical and subtropical areas. J MED VIROL. 80:711-715. I.F.:2,83. 7 Lafuente S, Trilla A, Bruni L, Gonzalez R, Bertran MJ, Pomar JL, Asenjo MA. Validation of the EuroSCORE Probabilistic model in patients undergoing coronary bypass grafting. REV ESP CARDIOL. 61:589-594. I.F.:2,21. 8 Ramirez P, Garcia MA, Ferrer M, Aznar J, Valencia M, Sahuquillo JM, Menendez R, Asenjo MA, Torres A. Sequential measurements of procalcitonin levels in diagnosing ventilator-associated pneumonia. EUR RESPIR J. 31:356-362. I.F.:5,35. 9 Dominguez A, Oviedo M, Carmona G, Batalla J, Bruguera M, Salleras L, Plasencia A. Impact and effectiveness of a mass hepatitis A vaccination programme of preadolescents seven years after introduction. VACCINE. 26:1737-1741. I.F.:3,38. 10 Muñoz J, Alonso D, Vilella A, Naniche D, Costa J, Gascon J. Measles in travelers: Are we aware enough?. J TRAVEL MED. 15:124-125. I.F.:1,05. 11 Salleras L, Dominguez A, Plans P, Costa J, Cardenosa N, Torner N, Plasencia A. Seroprevalence of varicella zoster virus infection in child and adult population of 194-203 AREA6.indd 202 12 13 14 15 16 17 18 19 Catalonia (Spain). MED MICROBIOL IMMUN. 197:329333. I.F.:1,54. Lafuente A, Bernardo M, Mas S, Crescenti A, Aparici M, Gasso P, Deulofeu R, Mane A, Catalan R, Carne X. Polymorphism of dopamine D2 receptor (TaqIA, TaqIB, and-141C Ins/Del) and dopamine degradation enzyme (COMT G158A, A-278G) genes and extrapyramidal symptoms in patients with schizophrenia and bipolar disorders. PSYCHIAT RES. 161:131-141. I.F.:2,30. Font D, Gomis R, Trilla A, Bigorra J, Pique JM, Rodes J. Organization and functioning model of biomedical research structures. Situation and future challenges. MED CLIN-BARCELONA. 130:510-516. I.F.:1,34. Bessa X, Balleste B, Andreu M, Castells A, Belosillo B, Balaguer F, Castellvi-Bel S, Paya A, Jover R, Alenda C, Tito L, Martinez-Villacampa M, Vilella A, Xicola RM, Pons E, Llor X. A prospective, multicenter, populationbased study of BRAF mutational analysis for lynch syndrome screeningand. CLIN GASTROENTEROL H. 6:206-214. I.F.:5,47. Lafuente A, Bernardo M, Mas S, Crescenti A, Aparici M, Gasso P, Goti J, Sanchez V, Catalan R, Carne X. -141C Ins/Del polymorphism of the dopamine D2 receptor gene is associated with schizophrenia in a Spanish population. PSYCHIAT GENET. 18:122-127. I.F.:2,26. Kong NCT, Beran J, Kee SA, Miguel JL, Sanchez C, Bayas JM, Vilella A, Calbo-Torrecillas F, DeNovales EL, Srinivasa K, Stoffel M, Hoet B. A new adjuvant improves the immune response to hepatitis B vaccine in hemodialysis patients. KIDNEY INT. 73:856-862. I.F.:4,92. Alecrim-Andrade J, Maciel-Junior JA, Carne X, Vasconcelos GMS, Correa HR. Acupuncture in migraine prevention - A randomized sham controlled study with 6-months posttreatment follow-up. CLIN J PAIN. 24:98105. I.F.:2,55. Rumke HC, Bayas JM, DeJuanes JR, Caso C, Richardus JH, Campins M, Rombo L, Duval X, Romanenko V, Schwarz TF, Fassakhov R, Abad-Santos F, VonSonnenburg F, Drame M, Sanger R, Balloun WR. Safety and reactogenicity profile of an adjuvanted H5N1 pandemic candidate vaccine in adults within a phase III safety trial. VACCINE. 26:2378-2388. I.F.:3,38. Sevene E, Mariano A, Mehta U, Machai M, Dodoo A, Vilardell D, Patel S, Barnes K, Carne X. Spontaneous Adverse Drug Reaction Reporting in Rural Districts of Mozambique. DRUG SAFETY. 31:867-876. I.F.:3,54. Reviews 1 Trilla A, Trilla G, Daer C. The 1918 “Spanish Flu” in Spain. CLIN INFECT DIS. 47:668-673. I.F.:6,75. Editorials 1 Rodes J, Font D, Trilla A, Pique JM, Gomis R. Scientific and technical advances in biomedicine: reflection on clinical management. MED CLIN-BARCELONA. 130:553556. I.F.:1,34. 21/10/09 15:37:08 Multicentrics Grants for Research in Progress 1 Lundgren JD, Babiker A, El-Sadr W, Emery S, Grund B, Neaton JD, Neuhaus J, Phillips AN, Gatell JM, Arnaiz JA. Inferior clinical outcome of the CD4(+) cell count guided antiretroviral treatment interruption strategy in the SMART study: Role of CD4(+) cell counts and HIV RNA levels during follow-up. J INFECT DIS . 197:1145-1155. I.F.:6,04. 2 El-Sadr WM, Grund B, Neuhaus J, Babiker A, Cohen CJ, Darbyshire J, Emery S, Lundgren JD, Phillips A, Neaton JD, Gatell JM, Arnaiz JA. Risk for opportunistic disease and death after reinitiating continuous antiretroviral therapy in patients with HIV previously receiving episodic therapy - a randomized trial. ANN INTERN MED . 149:289-W62. I.F.:15,52. 3 Soriano V, Mocroft A, Rockstroh J, Ledergerber B, Knysz B, Chaplinskas S, Peters L, Karlsson A, Katlama C, Toro C, Kupfer B, Vogel M, Lundgren J, Gatell JM, Arnaiz JA. Spontaneous viral clearance, viral load, and genotype distribution of hepatitis C virus (HCV) in HIV-infected patients with anti-HCV antibodies in Europe. J INFECT DIS . 198:1337-1344. I.F.:6,04. 4 Fox Z, Phillips A, Cohen C, Neuhaus J, Baxter J, Emery S, Hirschel B, Hullsiek KH, Stephan C, Lundgren J, Arnaiz JA, Gatell JM. Viral resuppression and detection of drug resistance following interruption of a suppressive non-nucleoside reverse transcriptase inhibitor-based regimen. AIDS . 22:2279-2289. I.F.:5,84. Trilla A. European Network for Highly Infectious Diseases. Grant: European Commision, 2006205. Duration: 01/07/2007-30/06/2010. Carne X. Farmacologia Clínic i Farmacogenètica. Grant: Comissionat per a Universitats i Recerca, 2005SGR00039. Duration: 19/10/2005-31/12/2008. Vilella A. Planes de actuación frente a una pandemia de gripe: Análisis sistemático de los actualmente vigentes en España y desarrollo de un ejercicio de simulación para evaluar localmente su factibilidad. Grant: Ministerio Sanidad y Consumo, PI070184. Duration: 26/11/2007-30/12/2010. Carne X. European Clinical Research Infrastructures Network and biotherapy facilities: Preparation Phase for the InfrastructureCentre coordinador: INSERM. Grant: INSERM DRCT Institut Thématique Santé Publique, 211738. Duration: 01/03/2008-28/02/2011. International Health Area 6 Carne X. Impact on Clinical Research of European LegislationCentre coordinador: European Forum For Good Clinical Practice. Grant: European Forum for Good Clinical Practice, 201002. Duration: 01/01/2008-31/12/2008. Hospital epidemiology, public health and pharmacology Carne X. Consolidación del proyecto European Clinical Research Infrastructures Network and biotherapies facilities en España. Grant: Ministerio Educación y Ciencia, CAC-200719. Duration: 19/11/2007-31/12/2008. 203 194-203 AREA6.indd 203 21/10/09 15:37:10 204-207 AREA7.indd 204 21/10/09 12:23:22 Groups Associated with the Instituto de Investigaciones Sanitarias Hospital Clínic-IDIBAPS Transversal research group on Primary Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 Image: Stethoscope 204-207 AREA7.indd 205 21/10/09 12:23:24 Transversal research group on Primary Care Team Members Groups Associated with the Hospital Clínic-IDIBAPS Health Care Research Institute Transversal research group on Primary Care Team Leader: ■ Antoni Sisó Almirall (GESCLÍNIC) Tel.: 93 227 99 24 Fax: 93 227 55 97 E-mail: [email protected] 206 IDIBAPS Members: ■ Lluisa Benito Serrano (GESCLINIC) ■ Marta Catalán Adell (CAPSE) ■ Zoe Herreras Pérez (CAPSE) ■ Imma Garrell Lluís (CAPSE) ■ Joan Gené Badia (CAPSE) ■ Imma Grau Corral (Hospital Clínic) ■ Pilar Navarrete Duran (CAPSE) ■ Marta Navarro González (CAPSE) ■ Jacinto Ortiz Molina (GESCLINIC) ■ Anna Pereira Rosalen (CAPSE) ■ Alfonso Pérez Jiménez (CAPSE) ■ Montserrat Pinyol Martínez (GESCLINIC) ■ Marina Rovira (CAPSE) ■ Antoni Salvà Riquer (CAPSE) ■ Núria Sánchez Ruano (CAPSE) Strategic Objectives Primary care is the point of entry of the public to the health care system and the primary care centers are where most of the population’s health problems are resolved. In this environment, the relationship between the patient and the family doctor and nurse becomes key to preventing and curing disease and promoting healthy habits. In the area of research, the multidisciplinary and transversal nature of primarycare professionals leads to a biologic, psychologic and social approach to patients and their illnesses, both in the consulting room and in their homes. The comprehensive approach to the person and the longitudinal care throughout life makes it possible to carry out studies alone or in collaboration that are aimed at gaining knowledge of the characteristics of the population, individuals and diseases. Primary care aims to develop its own research, join the existing research networks and groups, and work in coordination with other consolidated research teams from different aspects: • Population-based descriptive studies and studies evaluating interventions and monitoring, in an accessible, well-defined population, making use of the experience of computerized clinical records. • Research into results in health care. • Description of the natural history of the patient and the disease from a biologic, psychologic and social perspective. 204-207 AREA7.indd 206 ■ Laura Sebastián Montal (GESCLINIC) ■ Ethel Sequeira Aymar (CAPSE) ■ Salvador Sitjar Martínez de Sas (GESCLINIC) ■ Josep Miquel Sotoca (Hospital Clínic) ■ Josep M. Vilaseca (public health technician) Collaborators: Narly Benachi Belén de Pedro Noemí García Lluís González de Paz Concha Juan Elena Mañes •Studies of risk factors and preventive medicine. •Analysis of morbidity and mortality of the most prevalent diseases. in collaboration with the government, research organizations or groups that allow for implementation of translational research. •Studies Principal Lines of Research • Continuity of patient care and management of chronic diseases •Use of Health Care Services • The Fragility – Geriatrics – Dependency – Domiciliary Care Axis •Use of drugs. •Primary care and autoimmunity •Atherogenesis, risk factors and cardiovascular disease. • Chronic pain •Mental health, smoking and other addictions •Respiratory diseases •Digestive and liver diseases •HIV-AIDS and other infectious diseases 21/10/09 12:23:27 I.F.: 9,78 PublicaTions Original Articles 1 2 Editorials 1 Balaguer F, Ocana T, Garrell I, Ferrandez A. High risk clinics: a new concept in colon and rectum cancer prevention. MED CLIN-BARCELONA. 131:382-386. I.F.:1,34. Thesis Gene-Badia J. Les dimensions del resultat assistencial de l’Atenció Primària de la Salut. Doctorand: Mireia Sans Corrales. Universitat de Barcelona. Transversal research group on Primary Care 3 Siso A, Ramos-Casals M, Bove A, Brito-Zeron P, Soria N, Munoz S, Testi A, Plaza J, Sentis J, Coca A. Previous antimalarial therapy in patients diagnosed with lupus nephiritis: Influence on outcomes and survival. LUPUS. 17:281-288. I.F.:2,25. Iglesias M, Jungebluth P, Petit C, Matute MP, Rovira I, Martinez E, Catalan M, Ramirez J, Macchiarini P. Extracorporeal lung membrane provides better lung protection than conventional treatment for severe postpneumonectomy noncardiogenic acute respiratory distress syndrome. J THORAC CARDIOV SUR. 135:1362-U300. I.F.:3,35. Cerda J, Mercade J, Lozano JJ, Manchado M, TingaudSequeira A, Astola A, Infante C, Halm S, Vinas J, Castellana B, Asensio E, Canavate P, Martinez-Rodriguez G, Piferrer F, Planas JV, Prat F, Yufera M, Durany O, Subirada F, Rosell E, Maes T. Genomic resources for a commercial flatfish, the Senegalese sole (Solea senegalensis): EST sequencing, oligo microarray design, and development of the Soleamold bioinformatic platform. BMC GENOMICS. 9:-. I.F.:4,18. Groups Associated with the Hospital Clínic-IDIBAPS Health Care Research Institute 207 204-207 AREA7.indd 207 21/10/09 12:23:29 Team Leader Index Team Leader Index A L Alberch, Jordi. .. .. .. .. .. .. .. .. .. .. .. 131 Lozano, Francisco . .. .. .. .. .. .. .. .. .. . 27 Alonso, Pedro . .. .. .. .. .. .. .. .. .. .. .. 196 Arroyo, Vicente . .. .. .. .. .. .. .. .. .. .. .. 88 B M Mengod, Guadalupe. .. .. .. .. .. .. .. .. 116 Mezquita, Cristóbal. .. .. .. .. .. .. .. .. 166 Bachs, Oriol . .. .. .. .. .. .. .. .. .. .. .. .. 191 Milà, Montserrat. .. .. .. .. .. .. .. .. .. .. 168 Balasch, Juan. .. .. .. .. .. .. .. .. .. .. .. .. 74 Montserrat, Emili . .. .. .. .. .. .. .. .. .. 177 Ballesta, Antonio M. Barberà, Joan Albert. .. .. .. .. .. .. .. .. . 64 Bernardo, Miguel . .. .. .. .. .. .. .. .. .. 134 O Ordinas, Antonio. .. .. .. .. .. .. .. .. .. .. 185 Bosch, Jaume. .. .. .. .. .. .. .. .. .. .. .. . 94 Brugada, Josep. .. .. .. .. .. .. .. .. .. .. .. 46 Bruix, Jordi. .. .. .. .. .. .. .. .. .. .. .. .. .. . 91 C Campistol, Josep Mª . .. .. .. .. .. .. .. .. 50 Campo Güerri, Elías . .. .. .. .. .. .. .. .. 158 Carreras, Enric. .. .. .. .. .. .. .. .. .. .. .. 174 Carreras, Josep. .. .. .. .. .. .. .. .. .. .. .. 82 Castells, Antoni. .. .. .. .. .. .. .. .. .. .. 107 Cervera Segura, Ricard . .. .. .. .. .. .. .. 14 Closa, Daniel. .. .. .. .. .. .. .. .. .. .. .. .. . 38 Colomer, Dolors. .. .. .. .. .. .. .. .. .. .. 182 F Farré, Ramon . .. .. .. .. .. .. .. .. .. .. .. .. 57 Fernández-Checa, José . .. .. .. .. .. .. 103 Forés I Viñeta, Joaquim . .. .. .. .. .. .. . 30 Franco Fernández, Rafael . .. .. .. .. .. 152 G 208 Panés, Julián. .. .. .. .. .. .. .. .. .. .. .. .. . 98 Parés, Albert. .. .. .. .. .. .. .. .. .. .. .. .. 101 Picado, César. .. .. .. .. .. .. .. .. .. .. .. .. 68 Planas, Anna M.. .. .. .. .. .. .. .. .. .. .. 150 Pons, Francesca. .. .. .. .. .. .. .. .. .. .. 163 Puig, Susana. .. .. .. .. .. .. .. .. .. .. .. .. 171 R Rimola, Antoni. .. .. .. .. .. .. .. .. .. .. .. 105 Ros, Emili. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 54 S Sánchez Vives, Maria Victoria . .. .. .. 146 Sánchez-Tapias, Jose. .. .. .. .. .. .. .. .. 85 Sanmartí, Raimon . .. .. .. .. .. .. .. .. .. . 12 Sisó Almirall, Antoni. .. .. .. .. .. .. .. .. 206 T Gascón Vilaplana, Pere . .. .. .. .. .. .. 188 Torres, Antoni . .. .. .. .. .. .. .. .. .. .. .. . 60 Gatell Josep M. . .. .. .. .. .. .. .. .. .. .. . 19 Trilla, Antoni . .. .. .. .. .. .. .. .. .. .. .. .. 201 Gomis, Ramon. .. .. .. .. .. .. .. .. .. .. .. 110 Gratacós, Eduard . .. .. .. .. .. .. .. .. .. .. 77 U Graus, Francesc. .. .. .. .. .. .. .. .. .. .. 120 Urbano Márquez, Álvaro. .. .. .. .. .. .. 127 Guañabens, Núria . .. .. .. .. .. .. .. .. .. . 83 208 Ind LIDERS.indd 208 P V H Valls Solé, Josep. .. .. .. .. .. .. .. .. .. .. 124 Heras Fortuny, Magda. .. .. .. .. .. .. .. . 42 Vila Estapé, Jordi . .. .. .. .. .. .. .. .. .. .. 35 J Y Junqué, Carme . .. .. .. .. .. .. .. .. .. .. 142 Yagüe, Jordi . .. .. .. .. .. .. .. .. .. .. .. .. . 33 20/10/09 10:47:09 Journal index JOURNAL PAGE 209-211 Ind PUBLICACIONS.indd 209 PAGE CELL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 188 CELL RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..147, 162, 173 CELL SIGNAL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 110, 191 CEREB CORTEX. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 145 CHEMBIOCHEM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 35 CIRCULATION . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 46 CLIN CANCER RES. .. .. .. .. .. .. .. .. .. .. 158, 162, 176, 177, 181, 187, 187, 188 CLIN CHEM LAB MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 155 CLIN EXP ALLERGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 68 CLIN EXP DERMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 167 CLIN EXP PHARMACOL P. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 CLIN EXP RHEUMATOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 81 CLIN INFECT DIS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20, 21, 22, 29, 34, 60, 84, 200 CLIN J AM SOC NEPHRO . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50 CLIN J PAIN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 200 CLIN MICROBIOL INFEC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 34, 35, 195 CLIN NEPHROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..49, 53, 87 CLIN NEUROPHYSIOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..120, 123, 124 CLIN RHEUMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15 CLIN THER . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 68 CLIN VACCINE IMMUNOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 196 COMPR PSYCHIAT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 138 CONT SHELF RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 37 CORNEA . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 26, 31 CRIT CARE MED . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87, 104 CURR OPIN PULM MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 56, 59 CYTOKINE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14, 126, 155, 176, 181 DEMENT GERIATR COGN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 120 DERMATOLOGY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..167, 170, 171 DIABETES CARE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 DIABETES OBES METAB . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 110 DIABETES RES CLIN PR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 DIABETIC MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 DIABETOLOGIA . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 110 DIAGN MICR INFEC DIS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..20, 34, 35 DIFFERENTIATION. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 DRUG SAFETY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 200 ENFERM INFEC MICR CL . .. .. .. 14, 20, 21, 23, 26, 29, 34, 60, 155, 196, 197 ENVIRON HEALTH PERSP. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 167 EPILEPSY BEHAV. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116, 123, 136, 142, 162 EUR HEART J . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 41, 42 EUR HEART J SUPPL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 41 EUR J ANAESTH . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 42 EUR J CANCER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 162, 170 EUR J CARDIOV PREV R. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 53, 127 EUR J CLIN INVEST . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 184 EUR J CLIN MICROBIOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..19, 22, 29, 34, 78 EUR J CLIN NUTR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .53, 127 EUR J HAEMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 174, 177 EUR J NEUROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116,142, 149 EUR J NUCL MED MOL I. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .46, 56, 162 EUR J OBSTET GYN R B. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..73, 76, 77 EUR J OPHTHALMOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15 EUR J PHARMACOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116 EUR J RADIOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 142 EUR NEUROPSYCHOPHARM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 136, 138 EUR PSYCHIAT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 137, 138 EUR RADIOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 90, 97, 106 EUR RESPIR J . .. .. .. .. .. .. .. . 19, 21, 33, 34, 56, 59, 60, 63, 64, 67, 126, 158, 200 EUR UROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50, 181, 187 EUROPACE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 45, 46 EXP BRAIN RES . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 123, 124 EXP HEMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 26, 173 EYE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 FASEB J. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 123 FEBS LETT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .29, 151 FERTIL STERIL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 73, 74, 158, 190 FETAL DIAGN THER . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 76, 167 GASTROENTEROLOGY. .. .. .. .. .. .. .. 87, 90, 94, 97, 98, 102, 106, 107, 158, 191 GASTROINTEST ENDOSC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 97, 106, 158 GENE CHROMOSOME CANC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..159, 167, 181 GENES BRAIN BEHAV. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 GENES IMMUN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 32 GENET TEST. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 167 GUT . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 37, 94 GYNECOL ENDOCRINOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .73, 135 HAEMATOL-HEMATOL J . .. .. .. . 158, 159, 160, 174, 176, 177, 178, 181, 184 HEAD NECK-J SCI SPEC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19 HEALTH POLICY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 196 HEART. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 41 HEART RHYTHM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 45 HEPATO-GASTROENTEROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 97 HEPATOLOGY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87, 90, 91, 94, 100104, 106, 158 HIV CLIN TRIALS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19, 22 HIV MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 20, 22, 73, 196, 200 HORM METAB RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 110 HUM EXP TOXICOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 127 HUM GENET . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 196 HUM MOL GENET. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 107 HUM REPROD . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15, 73, 74, 77, 130, 165 Journal index ACCREDIT QUAL ASSUR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 181 ACTA BIOMATER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 29 ACTA DIABETOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 ACTA NEUROPSYCHIATR . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..137,142 ACTA OPHTHALMOL SCAN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 ACTA PSYCHIAT SCAND. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..137,138 ACTA TROP. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 196 ADDICT BEHAV. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 AESTHET PLAST SURG. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 30 AGING CELL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 116 AIDS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 22, 23, 24, 59, 77, 200, 201 AIDS PATIENT CARE ST . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20 AIDS RES HUM RETROV . .. .. .. .. .. .. .. .. .. .. .. .. 21, 26, 49, 84, 176, 196, 200 ALCOHOL ALCOHOLISM . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 138 ALIMENT PHARM THERAP . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 94, 97 ALLERGY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 67, 68 AM HEART J. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 42, 46 AM J CARDIOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 41, 42, 45, 46, 53 AM J CLIN ONCOL-CANC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 187 AM J CLIN PATHOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 155 AM J GASTROENTEROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87, 90, 93, 97, 102 AM J GERIAT PSYCHIAT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 AM J KIDNEY DIS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .37, 49, 50, 184 AM J MED . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 54 AM J MED GENET A. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77, 165, 16 AM J MED GENET B. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 AM J OBSTET GYNECOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 76, 78 AM J OPHTHALMOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 AM J PHYSIOL-LUNG C . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 67 AM J PHYSIOL-RENAL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50 AM J PSYCHIAT . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 137 AM J RESP CRIT CARE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20 AM J TRANSPLANT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19, 21, 34, 42, 49 AM J TROP MED HYG . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 35, 1975, 196, ANAL CHEM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 37 ANAT HISTOL EMBRYOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 80 ANN ALLERG ASTHMA IM . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 68 ANN HEMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..178, 181, 184 ANN ONCOL . .. .. .. .. .. .. .. .. .. .. .. 50, 119, 155, 158, 176, 178, 181, 187, 188 ANN RHEUM DIS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 14, 15, 126, 184 ANN SURG . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 87, 97, 106, 107, 110 ANN THORAC SURG. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..41, 49, 60, 63 ANTIMICROB AGENTS CH . .. .. .. .. .. .. .. .19, 22, 29, 33, 34, 59, 93, 174, 185 ANTIVIR THER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .19, 22, 77, 127 ARCH BRONCONEUMOL. .. .. .. .. .. .. .. .. .. .. .. .. .. 19, 60, 63, 64, 67, 68, 158 ARCH DERMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 171, 173 ARCH DERMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 171, 173 ARCH INTERN MED . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19, 54, 127 ARCH NEUROLCHICAGO . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 119 ARCH ORTHOP TRAUM SU. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 29, 157 ARTERIOSCL THROM VAS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 54, 93 ARTH RHEUM/AR C RES . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14, 93, 126, 157, 162 ARTIF ORGANS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 64 ATHEROSCLEROSIS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 53, 93 AUTOIMMUN REV. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14, 15 AUTOPHAGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 130 BBA-MOL CELL RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 191 BEST PRACT RES CL OB . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77 BEST PRACT RES CL RH. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 BIOCHEM J. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 149 BIOESSAYS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 151 BIOL BLOOD MARROW TR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 173, 177 BIOL PSYCHIAT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116 BIOPHYS J. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 56 BIPOLAR DISORD. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136, 137, 138, 142 BJOG-INT J OBSTET GY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77 BJU INT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 49 BLOOD . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..31, 94, 119, 127, 159, 162, 173, . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .176, 177, 178, 179, 181, 184, 185 BLOOD PRESSURE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 54 BMC CANCER . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 159 BMC GENOMICS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 205 BMC HEALTH SERV RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 196 BMC PUBLIC HEALTH. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 196 BONE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 82, 191 BRAIN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 110, 119 BRAIN INJURY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 142 BREAST CANCER RES TR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..181, 188, 190 BRIT J CANCER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 187 BRIT J DERMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 171 BRIT J HAEMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 159, 177, 178, 184 BRIT J NUTR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 127 BRIT J PSYCHIAT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 137 BRIT J SPORT MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 80 CALCIFIED TISSUE INT . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 81 CANCER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 106, 159, 177, 178 CANCER CHEMOTH PHARM . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 187 CANCER RES . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 90, 102, 158, 159, 176 CARDIOL CLIN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 45 CARDIOLOGY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 43, 45 JOURNAL 209 20/10/09 10:47:46 Journal index JOURNAL 210 PAGE IEEE T BIO-MED ENG. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .56, 135 IMMUNOL INVEST. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 INFLAMM BOWEL DIS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .97, 141 INT CLIN PSYCHOPHARM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 INT J BIOCHEM CELL B. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87 INT J CANCER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 197 INT J CLIN PRACT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110, 120 INT J COLORECTAL DIS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 49 INT J DEV NEUROSCI. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .77, 141 INT J GERIATR PSYCH. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 137, 142 INT J NEUROPSYCHOPH. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116, 136, 138 INT J RADIAT ONCOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136, 137, 138, 196 INVEST OPHTH VIS SCI. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 123 J AFFECT DISORDERS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136, 137, 138, 196 J AGR FOOD CHEM . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 184 J ALTERN COMPLEM MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 127 J AM ACAD DERMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 167 J AM COLL CARDIOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 45, 54 J AM DIET ASSOC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 53, 126 J AM SOC ECHOCARDIOG. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 42 J ANDROL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 165 J ANTIMICROB CHEMOTH. .. .. .. .. .. .. .. .. .. .. .. . 19, 26, 29, 34, 35, 119, 195 J APPL PHYSIOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 64 J BIOL CHEM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 64, 190, 191 J BIOMED MATER RES B . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 184 J CARDIOVASC ELECTR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 45, 46 J CELL MOL MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 94 J CELL SCI. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 130 J CHILD ADOL PSYCHOP . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 J CLIN ENDOCR METAB. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 110, 158 J CLIN EXP NEUROPSYC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 120 J CLIN IMMUNOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50, 157, 195 J CLIN INVEST . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..84, 104, 184, 197 J CLIN MICROBIOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19, 20, 22, 29, 34, 78 J CLIN ONCOL . .. .. .. .. .. .. .. .. .. .. .. .. 159, 162, 176, 177, 178, 181, 187, 188 J CLIN PSYCHIAT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 137, 142 J COMP NEUROL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 116 J ENDOCRINOL INVEST. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 J GASTROINTEST SURG. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 37, 97, 106, 158 J GENE MED . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77 J HAND SURG-AM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 29 J HEART LUNG TRANSPL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 41, 42, 49, 157 J HEPATOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 84, 87, 90, 91, 93, 94, J HYPERTENS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..35, 41, 53 J IMMUNOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .11, 37, 110 J IMMUNOL METHODS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 173 J INFECT DIS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 20, 22, 23, 196, 200, 201 J INFECTION . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20 J INVEST ALLERG CLIN . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 67, 68 J LIPID RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87 J MAGN RESON IMAGING . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 29, 157, 162, 187 J MASS SPECTROM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 37 J MED CHEM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 191 J MED GENET. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 106 J MED VIROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 20, 35, 195, 200 J MOL CELL CARDIOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 54 J NEURAL TRANSM . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 119 J NEUROCHEM . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116, 130, 149, 151 J NEUROIMMUNOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..119, 120, 130 J NEUROL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 29, 116, 119, 120, 123, 142, 149 J NEUROL NEUROSUR PS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 120, 123 J NEUROL SCI. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 119, 120, 123 J NEUROPHYSIOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 120, 123 J NEUROSCI. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116, 130, 145, 149 J NEUROSCI RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 116, 149 J NEUROTRAUM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 142 J NEUROVIROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19, 33 J PATHOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 50, 184 J PERINAT MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .73, 76, 77, 78, 197 J PHARMACOL EXP THER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87, 149 J PHYSIOL-LONDON. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 124 J PROTEOME RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 37 J PSYCHIATR RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 94, 119, 135, 136, 137, 142 J PSYCHOPHARMACOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 137, 138 J RHEUMATOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 15, 29 J SURG ONCOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 19, 157, 162, 187 J SURG RES . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 63 J THEOR BIOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 80 J THORAC CARDIOV SUR. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 64, 158, 205 J TRAVEL MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 84, 127, 196, 197, 200 J VIROL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 26 JAIDS-J ACQ IMM DEF . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..19, 23, 26 KIDNEY INT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 200 LANCET. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 22, 23, 42, 49, 63, 78, 187 LANCET NEUROL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 120 LEUKEMIA. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 158, 176, 177, 178, 179, 181 LEUKEMIA RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..159, 167, 178 LIVER INT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87, 93 LIVER TRANSPLANT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20, 34, 84, 104 LUPUS . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .15, 53, 205 MALARIA J. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 196, 197 MED CLIN-BARCELONA. .. .. .. .. .. .. .. .. . 15, 32, 42, 50, 54, 60, 67, 81, 90, 94, . .. .. .. .. .. .. .. .. .. .. .. 97, 109, 110, 127, 136, 142, 159, 179, 181, 196, 200, 205 209-211 Ind PUBLICACIONS.indd 210 JOURNAL PAGE MED DECIS MAKING . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77 MED MICROBIOL IMMUN . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .26, 84, 200 MED TEACH. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 123 MEDICINE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 13, 14, 15, 19 MENOPAUSE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 73 MOL BIOL CELL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..130, 190, 191 MOL CELL NEUROSCI. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 130 MOL CELL PROTEOMICS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 MOL IMMUNOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 26, 170 MOL PHARMACOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 116 MOVEMENT DISORD. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 68, 119, 120, 141, 167 MULT SCLER. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 119, 120 NAT GENET. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 106, 170 NAT METHODS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 151 NEFROLOGIA. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 49, 50 NEUROBIOL AGING . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..116, 119, 141 NEUROBIOL DIS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..116, 119, 130 NEUROIMAGE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 56, 142, 149 NEUROLOGIA . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 119, 120, 123, 173 NEUROLOGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 120, 121, 124, 158 NEUROPHARMACOLOGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 151 NEUROPSYCHOBIOLOGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136 NEUROPSYCHOLOGIA . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .77, 141 NEUROREPORT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136, 142 NEUROSCI LETT . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 120, 123 NEUROTOX RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116 NEUROTOXICOLOGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 116 NEW ENGL J MED . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 21, 41, 64, 87, 90, 159, 177 NUCL MED COMMUN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 56, 135 OBES SURG . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 29, 97, 106, 107, 109, 110 OBSTET GYNECOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77 ONCOGENE . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 181 ORTHOPEDICS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 29 P NATL ACAD SCI USA. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 145, 159 PAIN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 123 PEDIATR INFECT DIS J. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77 PEDIATR PULM . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 76 PEDIATR RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77, 141 PEDIATRICS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 PHARMACOGENOMICS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 54 PLATELETS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 184 PLOS GENET. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110 PLOS MED . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 73, 195 POSTGRAD MED J . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 87 PRENATAL DIAG . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..73, 76, 78 PROG BRAIN RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 116 PROG NEURO-PSYCHOPH . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 137 PSYCHIAT GENET . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 136, 137, 138, 167, 200 PSYCHIAT RES . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 94, 135, 136, 137, 142, 200 PSYCHOPATHOLOGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136, 138 PSYCHOPHARMACOLOGY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116 RADIOTHER ONCOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 97, 162 REGUL PEPTIDES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 110 REPROD BIOMED ONLINE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 73, 109, 158 RESP PHYSIOL NEUROBI . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..37, 56, 59 RESP RES . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 67, 76 RETROVIROLOGY . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 31 REV ESP CARDIOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 41, 42, 43, 45, 46, 64, 200 REV ESP ENFERM DIG. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 84 REV NEUROLOGIA. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 77, 141 RHEUM DIS CLIN N AM. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 RHEUMATOL INT. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 31 SCHIZOPHR RES. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 110, 136, 137, 138 SCIENCE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .32, 159 SEMIN ARTHRITIS RHEU. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 11, 14, 15, 30 SEMIN DIAGN PATHOL. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 158 SEMIN NEUROL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 123 SEMIN THROMB HEMOST . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 14 SLEEP. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 41, 56, 59, 120, 123, 142 SLEEP MED. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 41, 59 STROKE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 54, 149 SUBST USE MISUSE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 137 SURG ENDOSC. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 97, 106 SURGERY. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 84, 90, 104 SYNAPSE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 56, 116 THORAX. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..20, 34, 59, 155 THROMB HAEMOSTASIS. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 184, 185 THROMB RES . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 184 TOXICOL IN VITRO. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116 TOXICOL LETT . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 116 TRANSFUSION. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 197 TRANSPL IMMUNOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 104 TRANSPL P . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 42, 45, 157 TRANSPLANTATION . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 20, 34, 49, 50, 64, 162 TROP MED INT HEALTH. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 196 TUMOR BIOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 60, 155, 158, 187 ULTRASOUND OBST GYN. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..73, 76, 77, 78 VACCINE. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .22, 200 VASC PHARMACOL . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 63, 158 VIRCHOWS ARCH . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . 158, 159 VOX SANG. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .26, 29, 184 WORLD J BIOL PSYCHIA. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 136, 137 WORLD J SURG . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 107 20/10/09 10:47:50 209-211 Ind PUBLICACIONS.indd 211 20/10/09 10:47:51