Grupos de investigación

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12105/19605

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Technologies to Study Genetics and Molecular Pathways.
(SPRINGER INTERNATIONAL PUBLISHING AG, 2024) Grunert, Marcel; Dorn, Cornelia; Dopazo, Ana; Sánchez-Cabo, Fátima; Vázquez, Jésus; Rickert-Sperling, Silke; Lara-Pezzi, Enrique
Over the last few decades, the study of congenital heart disease (CHD) has benefited from various model systems and the development of molecular biological techniques enabling the analysis of single gene as well as global effects. In this chapter, we first describe different models including CHD patients and their families, animal models ranging from invertebrates to mammals, and various cell culture systems. Moreover, techniques to experimentally manipulate these models are discussed. Second, we introduce cardiac phenotyping technologies comprising the analysis of mouse and cell culture models, live imaging of cardiogenesis, and histological methods for fixed hearts. Finally, the most important and latest molecular biotechniques are described. These include genotyping technologies, different applications of next-generation sequencing, and the analysis of transcriptome, epigenome, proteome, and metabolome. In summary, the models and technologies presented in this chapter are essential to study the function and development of the heart and to understand the molecular pathways underlying CHD.
OMA1 protects from liver injury and tumorigenesis during aging by controlling hepatic immunogenicity.
(SPRINGERNATURE, 2026-06-23) Martí-Mateos, Yolanda; Muñoz-Hernández, María Del Mar; Gómez de Las Heras, Manuel M; Escrig-Larena, José Ignacio; Cabrera-Alarcón, José Luis; Acín-Pérez, Rebeca; Calvo, Enrique; Jaroszewicz, Sara Natalia; de Prado-Rivas, Lucía; Martínez-Jiménez, Eva Raquel; De Andrés-Laguillo, Macarena; García-Domínguez, Esther; Gómez-Cabrera, María Carmen; Viña, José; Benedito, Rui; Efeyan, Alejo; Vázquez, Jesús; Mittelbrunn, María; Jiménez-Gómez, María Concepción; Enríquez, José Antonio
Hepatic inflammation and immunosurveillance play major roles in the progression of liver cancer. A common trigger for hepatic inflammation is oxidative stress, which stems from mitochondrial dysfunction. Here, we demonstrate that deletion of the mitochondrial stress integrator OMA1 increases hepatic primary tumor incidence and impairs survival in mice. Persistent activation of the KEAP1-Nrf2 oxidative stress pathway in the absence of OMA1 promotes early liver injury, which progresses into chronic hepatic inflammation and fibrosis during aging. Exhausted CD8 and CD4 T cells gradually accumulate in Oma1 livers, facilitating hepatic tumor progression. Adoptive transfer and bone marrow-transplant experiments indicate that hepatic immunogenicity increases in the absence of parenchymal OMA1. Furthermore, hepatocyte-specific Oma1 deletion is sufficient to trigger NRF2 signaling, hepatocyte death, and immune exhaustion, suggesting that immunosurveillance during liver aging relies on the hepatic expression of OMA1. Given the therapeutic interest of OMA1 in several pathologies, these data are crucial to guide the generation of safe OMA1-targeted therapies.
Cardiac Macrophages and Fibroblasts Modulate Atrial Fibrillation Maintenance.
(LIPPINCOTT WILLIAMS & WILKINS, 2026-03-13) Simon-Chica, Ana; Quintanilla, Jorge G; Torroja, Carlos; Couselo-Seijas, Marinela; Toda, Haruka; Lee, Peter; Benguria, Alberto; Revilla, Concepción; Redondo-Rodríguez, Andrés; Alfonso-Almazán, José Manuel; García-Escolano, Alba; Marina-Breysse, Manuel; Galán-Arriola, Carlos; Vera-Pedrosa, María Linarejos; La Rosa, Giulio; Dopazo, Ana; Sánchez-Cabo, Fátima; García-Torrent, María Jesús; Ortega-Hernández, Adriana; Ibáñez, Borja; Núñez, Estefanía; Gómez-Garre, Dulcenombre; Morillo, Carlos; Greiner, Joachim; Kohl, Peter; Pérez-Villacastín, Julián; Pérez-Castellano, Nicasio; Jalife, José; Domínguez, Javier; Vázquez, Jesús; Carnero-Alcázar, Manuel; Filgueiras-Rama, David
Nonmyocytes may contribute to regional adaptive changes during persistent atrial fibrillation (PsAF), favoring its perpetuation. We aimed to investigate the differential features of fibroblast and macrophage populations within individual-specific atrial regions associated with PsAF maintenance. The study was conducted in 2 pig models of PsAF with and without infarct-related substrate (N=27 and N=27, respectively) and further validated in humans with PsAF (N=20). Sham-operated pigs (N=9), healthy animals (N=4), and patients in sinus rhythm (N=7) were used as comparative controls. In pigs, in vivo high-density instantaneous frequency modulation maps were used to identify atrial regions associated with PsAF maintenance (drivers). Regional cellular composition and phenotypic states of fibroblast and myeloid lineages were determined using flow cytometry, single-cell RNA sequencing, immunohistochemistry, and proteomic analyses. The functional relevance of driver regions was further studied in patients with symptomatic PsAF undergoing ablation. Flow cytometry and single-cell RNA sequencing analyses were performed in tissue samples of the left atrial appendage in a complementary cohort of patients with PsAF undergoing thoracoscopic-guided ablation. PsAF terminated acutely in 12 of 14 pigs undergoing mapping and ablation of driver regions. In humans, driver ablation was associated with 90% AF-freedom (on/off antiarrhythmic drugs) after 2 years of follow-up. Samples from nonablated pigs revealed a phenotypic shift towards ACTA2 (actin alpha 2)-fibroblasts and PTX3 (pentraxin 3)-fibroblasts during PsAF. Although ACTA2-fibroblasts were highly preserved in human samples, paired comparisons in pig samples showed that PTX3-fibroblasts were enriched only in driver regions. PsAF also showed changes in myeloid cells towards inflammatory profiles. However, regional analysis revealed that, in both humans and pigs with PsAF, driver regions were enriched in cardiac resident macrophages with transcriptomic and proteomic profiles favoring cardiomyocyte homeostasis and cell survival. PsAF shows differential regional changes in fibroblast and myeloid populations with distinctive gene signatures in areas that drive the overall arrhythmia.
Mavacamten shows broad benefit in human and mouse models of MYBPC3-related hypertrophic cardiomyopathy.
(SPRINGERNATURE, 2026-07) Sen-Martín, Laura; Fernández-Trasancos, Ángel; López-Unzu, Miguel Á; Bak, Agata; Zafra-Castellano, Magdalena; Srikantharajah, Rajiven; Pathak, Divya; Klotz, Annika; Kuehn, Michel N; Ferrarini, Alessia; Labrador-Cantarero, Verónica; Sánchez-Ortiz, David; Pricolo, María Rosaria; Vicente, Natalia; Velázquez-Carreras, Diana; Sánchez-García, Lucía; Sicilia, Jon; Nicolás-Ávila, José Ángel; Sánchez-Díaz, María; Schlossarek, Saskia; Cussó, Lorena; Desco, Manuel; Villalba-Orero, María; Guzmán-Martínez, Gabriela; Calvo, Enrique; Barriales-Villa, Roberto; Vázquez, Jesús; Sánchez-Cabo, Fátima; Hidalgo, Andrés; de Tombe, Pieter P; Carrier, Lucie; Spudich, James A; Ruppel, Kathleen M; Weinberger, Florian; Cazorla, Olivier; Hessel, Anthony L; Alegre-Cebollada, Jorge
Mavacamten is a targeted treatment for hypertrophic cardiomyopathy, a disease caused by genetic variants affecting mainly sarcomeric myosin and its regulator cardiac myosin-binding protein C (cMyBP-C, encoded by MYBPC3). Here we generate knock-in mice including missense pathogenic variant cMyBP-C p.R502W, which unlike carriers of cMyBP-C truncations, develop pathogenic myocardial remodeling with preserved cMyBP-C levels and localization. Mechanistically, R502W reduces cMyBP-C-myosin affinity and generates sarcomere hypercontractility due to increased Ca sensitivity and a favored ON structural state of myosin. Even though these pathomechanisms do not overlap with those triggered by truncating MYBPC3 variants, mavacamten blunts myocardial remodeling both in R502W and cMyBP-C-deficient hearts, correlating with the drug's ability to restore OFF myosin in R502W sarcomeres. In R502W human engineered heart tissues, mavacamten also opposes hypercontractility. Hence, our results indicate that mavacamten is effective in treating hypertrophic cardiomyopathy caused by both truncating and missense MYBPC3 variants regardless of their primary pathomechanisms.
RNF126 and BRAP safeguard genome integrity after DNA damage in late mitosis.
(CELL PRESS, 2026-04-16) Ayra-Plasencia, Jessel; Jorge, Inmaculada; Vázquez, Jesús; Freire, Raimundo; Smits, Veronique A J
DNA double-strand breaks generated during mitosis are thought to be inefficiently repaired, yet cellular responses to damage incurred specifically in late mitosis remain poorly understood. Here, we report that irradiation of cells synchronized in anaphase/telophase triggers partial DNA damage signaling, marked by H2AX phosphorylation and MDC1 accumulation. Consequently, cells enter G1 and S phases with unrepaired lesions. Proteomic analysis identified the E3 ubiquitin ligases RNF126 and BRAP as key regulators of this response, based on their selective ATM-dependent accumulation in irradiated late mitotic cells. Functional assays reveal that both proteins are required for damage-induced 53BP1 and RPA2 focus formation, resolution of DNA lesions, and survival after damage in late mitosis. Supporting their clinical relevance, both E3 ligases are overexpressed in selected tumors and associated with chromosomal instability. These findings suggest that RNF126 and BRAP help cells tolerate late mitotic damage and may represent potential vulnerabilities for improving genotoxic therapies in cancer.
Polymeric immunoglobulin receptor deficiency attenuates experimental atherosclerosis.
(FRONTIERS MEDIA, 2026) Cerro-Pardo, Isabel; Picatoste, Belén; Raposo-Gutiérrez, Irene; Martos-Folgado, Inmaculada; Márquez-Gálvez, Cristina; García-García, Ana; Ortega-Villanueva, Lucía; Mur, Sonia M; Robles-Vera, Iñaki; Escolà-Gil, Joan Carles; Núñez, Estefanía; Sancho, David; Lindholt, Jes; Vázquez, Jesús; Blanco-Colio, Luis Miguel; Ramiro, Almudena R; Martín-Ventura, José Luis
Polymeric immunoglobulin receptor (PIGR) is a transmembrane protein widely expressed in mucosal epithelial cells that is involved in the transcytosis of the polymeric immunoglobulins IgA and IgM. Recent findings revealed increased plasma PIGR levels in subjects with subclinical atherosclerosis, although its function remains uncertain. To assess the role of PIGR in atherosclerosis. We analyzed PIGR levels in human atherosclerotic plaques compared to healthy aortic samples, as well as in the serum of subjects with peripheral arterial disease (PAD) and controls. Next, we studied the effect of germline deficiency in experimental atherosclerosis ( mice fed a western-diet for 10 weeks). Circulating IgA and IgM levels, as well as B and T cell numbers in spleen and Peyer's patches (PP), were analyzed by ELISA and flow cytometry, respectively. PIGR levels were increased in the intima of early human atherosclerotic lesions and in patients with PAD, compared to controls. mice showed elevated serum IgA and IgM levels, along with an increased number of germinal center B cells in both the spleen and PP. Moreover, mice displayed a significantly reduced plaque size in the aortic sinus and a strong decrease in foam cells (CD68), while no changes were observed in contractile smooth muscle cells (α-actin) and collagen content compared to control mice. Global deficiency decreases atherosclerosis, suggesting that PIGR blockade may have beneficial effects in vascular pathologies.
p38α kinase governs muscle strength through PGC1α in mice.
(WILEY, 2024-11) Herrera-Melle, Leticia; Cicuéndez, Beatriz; López, Juan Antonio; Dumesic, Phillip A; Wilensky, Sarah E; Rodríguez, Elena; Leiva-Vega, Luis; Caballero, Ainoa; León, Marta; Vázquez, Jesús; Spiegelman, Bruce M; Folgueira, Cintia; Mora, Alfonso; Sabio, Guadalupe
Skeletal muscle, with its remarkable plasticity and dynamic adaptation, serves as a cornerstone of locomotion and metabolic homeostasis in the human body. Muscle tissue, with its extraordinary capacity for force generation and energy expenditure, plays a fundamental role in the movement, metabolism, and overall health. In this context, we sought to determine the role of p38α in mitochondrial metabolism since mitochondrial dynamics play a crucial role in the development of muscle-related diseases that result in muscle weakness. We conducted our study using male mice (MCK-cre, p38α and PGC1α ) and mouse primary myoblasts. We analyzed mitochondrial metabolic, physiological parameters as well as proteomics, western blot, RNA-seq analysis from muscle samples. Our findings highlight the critical involvement of muscle p38α in the regulation of mitochondrial function, a key determinant of muscle strength. The absence of p38α triggers changes in mitochondrial dynamics through the activation of PGC1α, a central regulator of mitochondrial biogenesis. These results have substantial implications for understanding the complex interplay between p38α kinase, PGC1α activation, and mitochondrial content, thereby enhancing our knowledge in the control of muscle biology. This knowledge holds relevance for conditions associated with muscle weakness, where disruptions in these molecular pathways are frequently implicated in diminishing physical strength. Our research underscores the potential importance of targeting the p38α and PGC1α pathways within muscle, offering promising avenues for the advancement of innovative treatments. Such interventions hold the potential to improve the quality of life for individuals affected by muscle-related diseases.
Cardiovascular Risk Stratification Based on Oxidative Stress for Early Detection of Pathology.
(SAGE PUBLICATIONS INC, 2021-09) Corbacho-Alonso, Nerea; Baldán-Martín, Montserrat; López, Juan Antonio; Rodríguez-Sánchez, Elena; Martínez, Paula J; Mourino-Alvarez, Laura; Sastre-Oliva, Tamara; Cabrera, Martha; Calvo, Eva; Padial, Luis R; Vázquez, Jesús; Vivanco, Fernando; Alvarez-Llamas, Gloria; Ruiz-Hurtado, Gema; Ruilope, Luis M; Barderas, Maria G
Current cardiovascular (CV) risk prediction algorithms are able to quantify the individual risk of CV disease. However, CV risk in young adults is underestimated due to the high dependency of age in biomarker-based algorithms. Because oxidative stress is associated with CV disease, we sought to examine CV risk stratification in young adults based on oxidative stress to approach the discovery of new markers for early detection of pathology. Young adults were stratified into (i) healthy controls, (ii) subjects with CV risk factors, and (iii) patients with a reported CV event. Plasma samples were analyzed using FASILOX, a novel approach to interrogate the dynamic thiol redox proteome. We also analyzed irreversible oxidation by targeted searches using the Uniprot database. Irreversible oxidation of cysteine (Cys) residues was greater in patients with reported CV events than in healthy subjects. These results also indicate that oxidation is progressive. Moreover, we found that glutathione reductase and glutaredoxin 1 proteins are differentially expressed between groups and are proteins involved in antioxidant response, which is in line with the impaired redox homeostasis in CV disease. This study, for the first time, describes the oxidative stress (reversible and irreversible Cys oxidation) implication in human plasma according to CV risk stratification. The identification of redox targets and the quantification of protein and oxidative changes might help to better understand the role of oxidative stress in CV disease, and aid stratification for CV events beyond traditional prognostic and diagnostic markers. . 35, 602-617.
Characterization of HIV-1 virus-like particles and determination of Gag stoichiometry for different production platforms.
(WILEY, 2021-07) Lavado-García, Jesús; Jorge, Inmaculada; Boix-Besora, Arnau; Vázquez, Jesús; Gòdia, Francesc; Cervera, Laura
The importance of developing new vaccine technologies towards versatile platforms that can cope with global virus outbreaks has been evidenced with the most recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. Virus-like particles (VLPs) are a highly immunogenic, safe, and robust approach that can be used to base several vaccine candidates on. Particularly, HIV-1 Gag VLPs is a flexible system comprising a Gag core surrounded by a lipid bilayer that can be modified to present diverse types of membrane proteins or antigens against several diseases, like influenza, dengue, West Nile virus, or human papillomavirus, where it has been proven successful. The size distribution and structural characteristics of produced VLPs vary depending on the cell line used to produce them. In this study, we established an analytical method of characterization for the Gag protein core and clarified the current variability of Gag stoichiometry in HIV-1 VLPs depending on the cell-based production platform, directly determining the number of Gag molecules per VLP in each case. Three Gag peptides have been validated to quantify the number of monomers using parallel reaction monitoring, an accurate and fast, mass-spectrometry-based method that can be used to assess the quality of the produced Gag VLPs regardless of the cell line used. An average of 3617 ± 17 monomers per VLP was obtained for HEK293, substantially varying between platforms, including mammalian and insect cells. This offers a key advantage in quantification and quality control methods to characterize VLP production at a large scale to accelerate new recombinant vaccine production technologies.
Local Pressure Drives Low-Density Lipoprotein Accumulation and Coronary Atherosclerosis in Hypertensive Minipigs.
(ELSEVIER, 2021-02-09) Al-Mashhadi, Rozh H; Al-Mashhadi, Ahmed L; Nasr, Zahra P; Mortensen, Martin Bødtker; Lewis, Esmeralda A; Camafeita, Emilio; Ravlo, Kristian; Al-Mashhadi, Zheer; Kjær, Daniel W; Palmfeldt, Johan; Bie, Peter; Jensen, Jesper M; Nørgaard, Bjarne L; Falk, Erling; Vázquez, Jesús; Bentzon, Jacob F
The mechanisms by which hypertension accelerates coronary artery disease are poorly understood. Patients with hypertension often have confounding humoral changes, and to date, no experimental models have allowed analysis of the isolated effect of pressure on atherosclerosis in a setting that recapitulates the dimensions and biomechanics of human coronary arteries. This study sought to analyze the effect of pressure on coronary atherosclerosis and explore the underlying mechanisms. Using inflatable suprarenal aortic cuffs, we increased mean arterial pressure by >30 mm Hg in the cephalad body part of wild-type and hypercholesterolemic proprotein convertase subtilisin kexin type 9 (PCSK9) Yucatan minipigs for >1 year. Caudal pressures remained normal. Under hypercholesterolemic conditions in PCSK9 transgenic minipigs, cephalad hypertension accelerated coronary atherosclerosis to almost 5-fold with consistent development of fibroatheromas that were sufficiently large to cause stenosis on computed tomography angiography. This was caused by local pressure forces, because vascular beds shielded from hypertension, but exposed to the same humoral factors, showed no changes in lesion formation. The same experiment was conducted under normocholesterolemic conditions in wild-type minipigs to examine the underlying mechanisms. Hypertension produced clear changes in the arterial proteome with increased abundance of mechanical strength proteins and reduced levels of infiltrating plasma macromolecules. This was paralleled by increased smooth muscle cells and increased intimal accumulation of low-density lipoproteins in the coronary arteries. Increased pressure per se facilitates coronary atherosclerosis. Our data indicate that restructuring of the artery to match increased tensile forces in hypertension alters the passage of macromolecules and leads to increased intimal accumulation of low-density lipoproteins.
Colchicine for secondary prevention of vascular events: a meta-analysis of trials.
(OXFORD UNIV PRESS, 2025-07-07) d'Entremont, Marc-André; Poorthuis, Michiel H F; Fiolet, Aernoud T L; Amarenco, Pierre; Boczar, Kevin Emery; Buysschaert, Ian; Chan, Noel C; Cornel, Jan H; Jannink, Jalina; Jansen, Shirley; Kedev, Sasko; Keech, Anthony C; Layland, Jamie; Mewton, Nathan; Montalescot, Gilles; Pascual-Figal, Domingo A; Rodriguez, Alfredo E; Shah, Binita; Teraa, Martin; van Zelm, Aimee; Wang, Yongjun; Mosterd, Arend; Kelly, Peter; Eikelboom, John; Jolly, Sanjit S
Randomized trials of colchicine in secondary prevention of atherosclerotic cardiovascular disease have shown mixed results. A systematic review and study-level meta-analysis of randomized controlled trials was performed comparing colchicine vs no colchicine in a secondary-prevention atherosclerotic cardiovascular disease population. A fixed-effect inverse variance model was applied using the intention-to-treat population from the included trials. The primary outcome was the composite of cardiovascular death, myocardial infarction, or stroke. Nine trials, including 30 659 patients (colchicine 15 255, no colchicine 15 404) with known coronary artery disease or stroke, were included. Compared with no colchicine, patients randomized to colchicine had a relative risk (RR) of 0.88 [95% confidence interval (CI) 0.81-0.95, P = .002] for the primary composite outcome, including a RR of 0.94 for cardiovascular death (95% CI 0.78-1.13, P = .5), a RR of 0.84 for myocardial infarction (95% CI 0.73-0.97, P = .016), and a RR of 0.90 for stroke (95% CI 0.80-1.02, P = .09). Colchicine was associated with a RR of 1.35 for hospitalization for gastrointestinal events (95% CI 1.10-1.66, P = .004) with no increase in hospitalization for pneumonia, newly diagnosed cancers, or non-cardiovascular death. In patients with prior coronary disease or stroke, colchicine reduced the composite of cardiovascular death, myocardial infarction, or stroke by 12%.
Everything flows, nothing stays... or does it?
(DOYMA, 2025-01) Pérez-García, Carlos Nicolás; García-Lunar, Inés
Remote ischemic conditioning protects against anthracycline cardiotoxicity without impairing its antitumor activity.
(SPRINGER, 2026-04) Díaz-Guerra, Anabel; Clemente-Moragón, Agustín; Pollán, Ángela; López-Palomar, Lucía; Cádiz, Laura; Ibáñez, Borja
Anthracyclines remain a cornerstone of treatment for many cancer types; however, their cardiotoxic potential leads to cardiac dysfunction in a substantial proportion of patients, ultimately compromising long-term quality of life. Few strategies have proven effective in preventing anthracycline-induced cardiotoxicity (AIC). Among them, remote ischemic conditioning (RIC) has emerged as one of the most promising, having shown robust cardioprotective potential in preclinical studies and currently being evaluated in clinical trials. However, it remains unclear whether this intervention, while protecting the heart, could also inadvertently protect tumors from the cytotoxic effects of anthracyclines, thereby reducing their antitumor efficacy. In this study, we investigated whether RIC protects against AIC in a tumor-bearing mouse model, allowing simultaneous assessment of both cardiac and tumoral responses. Cutaneous tumors were induced in CD1 mice using a DMBA/TPA protocol, followed by five weekly intraperitoneal injections of doxorubicin (5 mg/kg). Mice bearing tumors were randomized to receive doxorubicin alone or in combination with weekly RIC (three cycles of 5 min hindlimb ischemia/reperfusion). Longitudinal echocardiography was used to assess cardiac function, while tumor growth, survival, and body weight were monitored throughout the protocol. Doxorubicin treatment reduced overall survival, inhibited tumor growth, and induced left ventricular systolic dysfunction and cardiac atrophy compared with untreated controls. RIC preserved left ventricular ejection fraction, partially attenuated early left ventricular atrophy, and showed a trend towards improved survival, without attenuating the antitumor efficacy of doxorubicin, as tumor suppression remained comparable between treatment groups. These findings demonstrate that RIC preserves cardiac systolic function during anthracycline chemotherapy in tumor-bearing mice without impairing the antitumor efficacy of the drug. The results support RIC as a simple, safe, and low-cost non-pharmacological strategy to mitigate AIC with potential translational relevance for oncology patients.
Beta-blockers after invasively managed STEMI vs NSTEMI without reduced ejection fraction: a prespecified analysis from the REBOOT trial.
(EDICIONES DOYMA, 2026-04-23) Raposeiras-Roubín, Sergio; Anguita, Manuel; Latini, Roberto; Domínguez-Rodríguez, Alberto; Barrabés, José A; Sánchez, Pedro L; Ottani, Filippo; Pocock, Stuart; Owen, Ruth; Cristobo, Pablo; Gómez-Talavera, Sandra; Staszewsky, Lidia; Escalera, Noemí; Fernández-Vázquez, Felipe; Bianco, Matteo; Prada-Delgado, Óscar; Pérez-García, Carlos Nicolás; Pelizzoni, Valentina; Navarro, Felipe; Pérez-Rivera, José-Ángel; Martín-Gorria, Gonzalo; Vetrano, Alfredo; Fuster, Valentín; Rosselló, Xavier; Ibáñez, Borja
Recent trials have questioned the clinical benefit of beta-blockers in post-myocardial infarction (MI) patients with preserved left ventricular ejection fraction (LVEF). However, differences in pathophysiology and risk profile between MI with and without ST-segment elevation (STEMI and NSTEMI) may influence the effect of beta-blockers. In this prespecified subgroup analysis of the REBOOT trial, which randomized invasively managed MI patients with LVEF > 40% to beta-blockers or control, we evaluated differences in long-term effects of the intervention between STEMI (n = 4296) and NSTEMI (n = 4142). The primary endpoint was a composite of all-cause death, reinfarction, or heart failure hospitalization over a median follow-up of 3.7 years.
Progression of Established Atherosclerotic Lesions Is Not Inhibited by Endothelial Knockout of Caveolin-1-Brief Report.
(LIPPINCOTT WILLIAMS & WILKINS, 2026-02) Muñiz-Anquela, Rocío; Redondo-Angulo, Ibon; Lewis, Esmeralda A; Lolo, Fidel-Nicolás; González-Cintado, Leticia; Toledano-Donado, Mónica; Pulgarín-Alfaro, Marta; Del Pozo, Miguel A; Bentzon, Jacob Fog
Eradicating endothelial caveolae by deleting the (caveolin-1) gene reduces LDL (low-density lipoprotein) uptake in arteries and efficiently prevents early atherogenesis, but the role in established atherosclerosis is unknown. Here, to examine CAV1 as a potential therapeutic target, we deleted endothelial in mice after lesion development and analyzed the effect on LDL uptake and lesion progression. To allow timed endothelium-specific deletion, we generated male and female mice with floxed alleles and endothelium-specific inducible Cre recombinase. Atherosclerosis was induced by virus-mediated PCSK9 (proprotein convertase subtilisin/kexin type 9) gene transfer and a high-cholesterol diet. After 16 weeks of lesion development, endothelial deletion was induced by a series of tamoxifen injections, repeated after 4 weeks, and the mice were followed for another 4 weeks. Mice were injected with fluorescently labeled LDL at 1 and 18 hours before euthanasia to study uptake and retention in lesions. Sections of the aortic root were analyzed for lesion size, composition, and LDL accumulation. Efficient conditional knockout of endothelial was confirmed by CAV1 immunostaining and by the loss of caveolae by electron microscopy. Loss of endothelial for 8 weeks reduced LDL entry into lesions but did not significantly decrease LDL retention, lesion lipid accumulation, fibrous tissue, or lesion size. In males, a reduction in macrophages was seen. Targeting CAV1 does not efficiently block LDL entry or reduce lesion progression in established atherosclerosis. These findings open several questions for further research, including alternative LDL entry mechanisms that could circumvent caveolar transport in established atherosclerosis.
A comprehensive genetic catalog of human double-strand break repair.
(American Association for the Advancement of Science, 2025-10-02) de Alba, Ernesto López; Salguero, Israel; Giménez-Llorente, Daniel; Montes-Torres, Javier; Fernández-Sanromán, Ángel; Casajús-Pelegay, Ester; Terrón-Bautista, José; Barroso-González, Jonathan; Bernal, Juan A; Macintyre, Geoff; Fernández-Leiro, Rafael; Losada, Ana; Cortés-Ledesma, Felipe
The analysis of DNA sequence outcomes provides molecular insights into double-strand break (DSB) repair mechanisms. Using parallel in-pool profiling of Cas9-induced insertions and deletions (indels) within a genome-wide knockout library, we present a comprehensive catalog that assesses the influence of nearly every human gene on DSB repair outcomes. This REPAIRome resource uncovers uncharacterized mechanisms, pathways, and factors involved in DSB repair, including opposing roles for XLF and PAXX, a molecular explanation for Cas9-induced multinucleotide insertions, HLTF functions in Cas9-induced DSB repair, the involvement of the SAGA complex in microhomology-mediated end joining, and an indel mutational signature linked to VHL loss, renal carcinoma, and hypoxia. These results exemplify the potential of REPAIRome to drive future discoveries in DSB repair, CRISPR-Cas gene editing and the etiology of cancer mutational signatures.
Evolution in the Peri-Implant Oral Microbiome and Their Relationship to Long-Term Marginal Bone Loss: A Randomized Clinical Study.
(WILEY, 2025-07) Galindo-Moreno, Pablo; Gutierrez-Garrido, Lourdes; Duarte, Juan; Robles-Vera, Iñaki; Martin-Morales, Natividad; O'Valle, Francisco; Olaechea, Allinson; Carrillo-Galvez, Ana Belén; Padial-Molina, Miguel
To analyze the clinical, radiographic, and microbiological changes around implants with a multiphosphonate-treated surface, prosthetically loaded with two different protocols after 5 years of functional loading. A randomized clinical trial was designed to initiate prosthetic loading over single dental implants after 8 (control) or 4 weeks (test). Several variables were analyzed, including patients' level variables, intrasulcular biofilm, and marginal bone level at several time points, from 1 to 60 months after loading. A total of 23 patients attended the 5-year follow-up visit. No clinical variable changed over time, except mucosal thickness from dental impressions to prosthesis delivery. No significant radiographic differences were observed either over time or between groups. Microbiologically, there was a change in the microbiome from the constitution of the biological width to the final follow-up. Seven species changed significantly, with a significant increase in Porphyromonas gingivalis and Tannerella forsythia from 12 to 60 months and a decrease in the other species. However, changes in the relative abundance of species over time, whether increasing or decreasing, did not show a correlation with marginal bone loss. Implants with a multiphosphonate-treated surface showed no differences in clinical and radiographic variables after 5 years of function, regardless of the prosthetic loading protocol used. From a microbiological point of view, although there was an evolution of the microbiome in the peri-implant sulcus towards Socransky's red circle pathogenic bacteria, no microorganism showed a significant correlation with the radiographic changes produced in the peri-implant bone over time.
Chemical pollutant mixtures associated with metabolic health: Results from the European Health Examination Survey in Luxembourg.
(ELSEVIER, 2025-11-10) Martínez-Gómez, Jesús; Ciprián, Giovana M; Le Coroller, Gwenaëlle; Pexaras, Achilleas; Fernández-Jiménez, Rodrigo; Appenzeller, Brice M R; Ruiz-Castell, Maria
Metabolic syndrome (MetS) and its components -central obesity, hypertriglyceridemia, reduced levels of serum high-density cholesterol (HDL-c), high blood pressure (BP), and hyperglycemia- are highly prevalent worldwide. Classical modifiable risk factors and environmental ones, such as exposure to pollutants can contribute to these high prevalence rates. We assessed whether exposure to pollutant mixtures was associated with MetS and its components, identifying key contributing pollutants. We analyzed data from 606 adults aged 25-64 from the European Health Examination Survey (2013-2015). Among 152 analyzed chemicals, 40 were present in over 50 % of the samples and classified as flame retardants, industrial wastes, and plastics (4), insecticides (17), herbicides (12), and fungicides (7). Using weighted quantile sum regressions, we estimated associations of groups of pollutants and the total mixture with metabolic outcomes. Exposure to insecticides was associated with high BP, hyperglycemia, and hypertriglyceridemia; herbicides with abdominal obesity; and fungicides with MetS, hyperglycemia, and hypertriglyceridemia. The total mixture increased the odds of all outcomes, except low HDL-c [average OR = 2.06 (5th PCT = 1.23); average OR = 1.83 (5th PCT = 1.03); average OR = 2.42 (5th PCT = 1.42); average OR = 1.19 (5th PCT = 0.77); average OR = 2.15 (5th PCT = 1.37); average OR = 1.89 (5th PCT = 1.10)]. Prosulfocarb was a probable contributor to the mixture effect on MetS and abdominal obesity, ClCFCA on hypertriglyceridemia, and PNP on high BP. In conclusion, chemical pollutants are more present in individuals with metabolic derangements, with potentially stronger effects when combined. Reducing pesticide use, promoting safer alternatives, and creating protocols/regulatory standards for multiple-exposure scenarios are crucial for public health.
Insights into histone deacetylase inhibitors-induced cell death in cancer cell lines.
(Elsevier, 2025-10) Fuentes-Baile, María; García-Morales, Pilar; Pérez-Valenciano, Elizabeth; Mata-Balaguer, Trinidad; Menéndez-Gutiérrez, María P; de Juan Romero, Camino; Rodríguez-Lescure, Álvaro; Martín-Orozco, Elena; Mallavia, Ricardo; Barberá, Víctor M; Saceda, Miguel
Histone deacetylase inhibitors (HDACis) induce cell death in many chemoresistant cancer models, suggesting their potential as alternative treatments for these malignancies. However, their efficacy in solid tumors remains limited. Therefore, understanding the molecular mechanisms underlying HDACi-induced cell death is essential for developing targeted activators of these pathways, enabling the selective elimination of chemoresistant cancer cells while minimizing the widespread transcriptional effects of HDACis. In this study, we investigated HDACi-induced cell death across models of different cellular origins to determine whether a universal molecular mechanism triggers this process. Our findings demonstrate that HDACi-induced cell death is TP53-independent, resistant to caspase inhibitors, and sensitive to serine protease inhibitors. This form of cell death requires intracellular calcium mobilization to induce mitochondrial depolarization. Using DNA arrays, apoptosis protein arrays, and ELISA assays, combined with siRNA-mediated gene silencing, we identified genes with a causal relationship to TSA-induced cell death. These include dual-specificity phosphatases such as DUSP3 and DUSP10; endoplasmic reticulum stress-related genes such as XBP1, MBTPS1, MBTPS2, and RPS6KA5; and other genes like BAX, AIF, EAF2, NANOS1, and CCNYL1. Our findings reveal novel potential targets for developing antineoplastic agents designed to exploit HDACi-induced cell death pathways, providing a strategy to overcome chemoresistance in cancer therapy.
Fundamental Anatomy and Its Impact on Clinical Practice: Myocardial Bridging.
(Elsevier, 2025-10-15) Ortega-Pérez, Rodrigo; Ibañez, Borja; Sánchez-Quintana, Damián; Cabrera, José-Ángel

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