Pub Date : 2024-01-10DOI: 10.22201/fm.24484865e.2024.67.1.02
Marcela Rojas Lemus, Nelly López Valdez, Adriana González Villalva, Patricia Bizarro Nevares, María Eugenia Cervantes Valencia, Brenda Casarrubias Tabarez, T. Fortoul
It is estimated that the human body is made of trillions of cells, which suffer hundreds of thousands of DNA lesions every day. Although DNA is not the only biomolecule that suffers damage, its importance lies in the fact that it is the only biomolecule that cannot be replaced by the cell, so when it suffers damage, the cell must repair it, tolerate or, in a extreme case, activate pathways that will lead to death, since the objective is to maintain cell integrity and the homeostasis of the organism.There are thousands of agents that can damage DNA, some are produced by the cell and are called 'endogenous, while others are external agents and are known as 'exogenous. The cell cannot avoid the damage caused by endogenous agents, since they are products of its metabolic activity, for example, so when they occur, cellular mechanisms are immediately activated to mitigate them. The same happens with the damage caused by exogenous agents, since the cell will do everything possible to diminish the adverse effects they can cause. The problem becomes apparent when the cell is unable to repair the damage or poorly repairs it, or repairs so much that the mechanisms are overwhelmed, when the damage remains in the DNA and a state of chromosomal instability is generated that can lead the cell to dysfunction and malignization. This state of chromosomal instability can be reflected in increased DNA breaks or micronuclei in exposed cells, which can be quantified by special methods such as the 'Comet Assay' and the 'Micronucleus Assay'. Since identifying DNA damage is a way of evaluating the toxic potential of the agents to which populations are exposed, it allows us to know their mechanisms of action and helps to understand the factors that influence the detriment in population's health. Key words: DNA damage; genotoxic evaluation; repair; Comet Assay; micronuclei.
据估计,人体由数万亿个细胞组成,这些细胞每天都会遭受数十万次 DNA 损伤。虽然 DNA 不是唯一会受到损伤的生物大分子,但它的重要性在于它是唯一不能被细胞替代的生物大分子,因此当它受到损伤时,细胞必须修复它、容忍它,或者在极端情况下激活导致死亡的途径,因为目的是保持细胞的完整性和机体的平衡。细胞无法避免内源性物质造成的损伤,因为它们是细胞新陈代谢活动的产物。外源物质造成的损害也是如此,因为细胞会尽一切可能减少它们可能造成的不利影响。当细胞无法修复损伤,或修复效果不佳,或修复量过大以至于修复机制不堪重负时,问题就显现出来了,这时损伤会残留在 DNA 中,并产生染色体不稳定状态,从而导致细胞功能紊乱和恶变。这种染色体不稳定状态可反映为暴露细胞中 DNA 断裂或微核的增加,可通过 "彗星试验 "和 "微核试验 "等特殊方法进行量化。由于确定 DNA 损伤是评估人口所接触的制剂的毒性潜力的一种方法,因此它使我们能够了解这些制剂的作用机制,并有助于了解影响人口健康的有害因素。关键词DNA 损伤;基因毒性评估;修复;彗星试验;微核。
{"title":"La importancia de evaluar el daño al DNA","authors":"Marcela Rojas Lemus, Nelly López Valdez, Adriana González Villalva, Patricia Bizarro Nevares, María Eugenia Cervantes Valencia, Brenda Casarrubias Tabarez, T. Fortoul","doi":"10.22201/fm.24484865e.2024.67.1.02","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2024.67.1.02","url":null,"abstract":"It is estimated that the human body is made of trillions of cells, which suffer hundreds of thousands of DNA lesions every day. Although DNA is not the only biomolecule that suffers damage, its importance lies in the fact that it is the only biomolecule that cannot be replaced by the cell, so when it suffers damage, the cell must repair it, tolerate or, in a extreme case, activate pathways that will lead to death, since the objective is to maintain cell integrity and the homeostasis of the organism.There are thousands of agents that can damage DNA, some are produced by the cell and are called 'endogenous, while others are external agents and are known as 'exogenous. The cell cannot avoid the damage caused by endogenous agents, since they are products of its metabolic activity, for example, so when they occur, cellular mechanisms are immediately activated to mitigate them. The same happens with the damage caused by exogenous agents, since the cell will do everything possible to diminish the adverse effects they can cause. The problem becomes apparent when the cell is unable to repair the damage or poorly repairs it, or repairs so much that the mechanisms are overwhelmed, when the damage remains in the DNA and a state of chromosomal instability is generated that can lead the cell to dysfunction and malignization. This state of chromosomal instability can be reflected in increased DNA breaks or micronuclei in exposed cells, which can be quantified by special methods such as the 'Comet Assay' and the 'Micronucleus Assay'. Since identifying DNA damage is a way of evaluating the toxic potential of the agents to which populations are exposed, it allows us to know their mechanisms of action and helps to understand the factors that influence the detriment in population's health. Key words: DNA damage; genotoxic evaluation; repair; Comet Assay; micronuclei.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"29 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140510769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-10DOI: 10.22201/fm.24484865e.2024.67.1.01
Teresa I. Fortoul van der Goes
even before the discovery of the existence of genes, science fiction writers were already curious about the ability to modify the genetic code of living beings and its ethical implications. Dragon Island already raised the ethical dilemma posed by genetic modification today known as genetic engineering. The continuous interest in expanding knowledge about the human genome and the different genes encoded has driven progress in DNA sequencing and from research, interests have been directed towards a greater understanding of the function of genes and progress in the most precise genetic editing possible.
甚至在发现基因的存在之前,科幻小说家们就已经对修改生物遗传密码的能力及其伦理影响充满了好奇。龙岛》已经提出了今天被称为基因工程的基因改造所带来的伦理困境。人们对扩大人类基因组和不同基因编码知识的持续兴趣,推动了 DNA 测序的进展,并从研究中获得了对基因功能更深入的了解,以及在尽可能精确的基因编辑方面取得的进展。
{"title":"Las tijeras de… ¿Dios?","authors":"Teresa I. Fortoul van der Goes","doi":"10.22201/fm.24484865e.2024.67.1.01","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2024.67.1.01","url":null,"abstract":"even before the discovery of the existence of genes, science fiction writers were\u0000already curious about the ability to modify the genetic code of living beings and its ethical\u0000implications. Dragon Island already raised the ethical dilemma posed by genetic\u0000modification today known as genetic engineering. The continuous interest in expanding\u0000knowledge about the human genome and the different genes encoded has driven\u0000progress in DNA sequencing and from research, interests have been directed towards a\u0000greater understanding of the function of genes and progress in the most precise genetic\u0000editing possible.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"50 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140511116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-10DOI: 10.22201/fm.24484865e.2024.67.1.07
Alejandra Valdés Gómez, Abel Manuel Lanzarín Minero, J. Ramírez-Arias
On this occasion we invite you to do the present exercise on the case of a 40 years old male patient, who has developed a progressive volume increase of the right testicle for the last 6 months, even did not report pain, but feeling of heaviness in the last week is present, ligth sign negative.
{"title":"Haga su diagnóstico","authors":"Alejandra Valdés Gómez, Abel Manuel Lanzarín Minero, J. Ramírez-Arias","doi":"10.22201/fm.24484865e.2024.67.1.07","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2024.67.1.07","url":null,"abstract":"On this occasion we invite you to do the present exercise on the case of a 40 years old male patient, who has developed a progressive volume increase of the right testicle for the last 6 months, even did not report pain, but feeling of heaviness in the last week is present, ligth sign negative.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"31 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140510759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-10DOI: 10.22201/fm.24484865e.2024.67.1.08
T. Fortoul
Surprisingly, Rodin never studied at the School of Fine Arts and trained mainly self- taught. This surely contributed to the development of a vision outside the canons of the Academy that changed reality to present it as pleasant, although false, far from reality. With his works he directed attention towards what was true, although imperfect, and in this he highlighted the beauty
{"title":"Las obras inacabadas de Rodin","authors":"T. Fortoul","doi":"10.22201/fm.24484865e.2024.67.1.08","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2024.67.1.08","url":null,"abstract":"Surprisingly, Rodin never studied at the School of Fine Arts and trained mainly self-\u0000taught. This surely contributed to the development of a vision outside the canons of the Academy that changed reality to present it as pleasant, although false, far from reality. With his works he directed attention towards what was true, although imperfect, and in this he highlighted the beauty","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"23 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140510731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-10DOI: 10.22201/fm.24484865e.2024.67.1.06
Marco Antonio Flores-Maya, José Roberto Vázquez-Nieves, Octavio Jesús Arroyo-Zavala, Jenner Laredo-Gómez
The new severe acute respiratory syndrome due to coronavirus type 2 (SARS-CoV-2), which causes COVID-19 disease, was detected for the first time in December 2019. Where it has been seen that there is a prothrombotic state with involvement of the Central Nervous, with involvement of large vessels such as the middle cerebral artery, is due to mechanisms induced by the infection itself, hypercoagulable state and endothelial damage. Neurological manifestations in COVID-19 are found in 36% of patients. Case description: This is a 36-year-old male patient with fever, cough and general malaise. A COVID test was performed, which came out positive. His condition was getting worse adding photophobia, right hemiparesis and deviation of the corner of the mouth to the left, which is why he went to the doctor, arriving 8 hours after the onset of the clinical picture, where a simple skull tomography was performed, showing extensive infarction of the left middle cerebral artery with malignant cerebral edema. He was transferred to emergency surgical management where a left decompressive craniectomy was performed. After this, mechanical respiratory assistance with intubation and anti-cerebral edema measures were maintained, achieving ventilatory progression; however, a tracheostomy and gastrostomy were performed due to poor predictors of extubation. He was kept under post-surgical observation, leaving him with 3/5 right hemiparesis, without any other deficit, therefore, he was discharged home. Discussion: The case presented was managed with decompressive craniectomy, resulting in an improvement in survival, as reported in the literature where it is recommended that such management should be performed early. Conclusions: This report reveals that patients with COVID-19 present in young men in the fourth and fifth decade of life, without comorbidities, that recieved early treatment with decompressive hemicraniectomy, improved their life prognosis, consistent with the cases presented in the literature. Keywords: COVID-19; brain infarction; decompressive craniectomy; hypercoagulability.
{"title":"Craniectomía descompresiva en infarto de arteria cerebral media bilateral asociado a\u0000COVID-19. Reporte de caso","authors":"Marco Antonio Flores-Maya, José Roberto Vázquez-Nieves, Octavio Jesús Arroyo-Zavala, Jenner Laredo-Gómez","doi":"10.22201/fm.24484865e.2024.67.1.06","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2024.67.1.06","url":null,"abstract":"The new severe acute respiratory syndrome due to coronavirus type 2 (SARS-CoV-2), which causes COVID-19 disease, was detected for the first time in December 2019. Where it has been seen that there is a prothrombotic state with involvement of the Central Nervous, with involvement of large vessels such as the middle cerebral artery, is due to mechanisms induced by the infection itself, hypercoagulable state and endothelial damage. Neurological manifestations in COVID-19 are found in 36% of patients. Case description: This is a 36-year-old male patient with fever, cough and general malaise. A COVID test was performed, which came out positive. His condition was getting worse adding photophobia, right hemiparesis and deviation of the corner of the mouth to the left, which is why he went to the doctor, arriving 8 hours after the onset of the clinical picture, where a simple skull tomography was performed, showing extensive infarction of the left middle cerebral artery with malignant cerebral edema. He was transferred to emergency surgical management where a left decompressive craniectomy was performed. After this, mechanical respiratory assistance with intubation and anti-cerebral edema measures were maintained, achieving ventilatory progression; however, a tracheostomy and gastrostomy were performed due to poor predictors of extubation. He was kept under post-surgical observation, leaving him with 3/5 right hemiparesis, without any other deficit, therefore, he was discharged home. Discussion: The case presented was managed with decompressive craniectomy, resulting in an improvement in survival, as reported in the literature where it is recommended that such management should be performed early. Conclusions: This report reveals that patients with COVID-19 present in young men in the fourth and fifth decade of life, without comorbidities, that recieved early treatment with decompressive hemicraniectomy, improved their life prognosis, consistent with the cases presented in the literature. Keywords: COVID-19; brain infarction; decompressive craniectomy; hypercoagulability.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140510886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}