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Topic Review
Neoplasia due to PPIs. A comment to Editorial in “Gastroenterology” .
The gastric hormone gastrin is released when the gastric content acidity is too low to efficiently kill swallowed microorganisms. Gastrin stimulates the ECL cell to produce histamine which in turn stimulates the acid producing parietal cell to secrete acid. Parallel to the stimulation of the ECL cell function, gastrin also stimulates the ECL cell proliferation. Prolonged elevation of gastrin results in ECL cell hyperplasia and  further to ECL cell neoplasia of varying malignancy known from about 1980. The proton pump inhibitors (PPIs) are the most efficient inhibitors of acid secretion and are very efficient in the treatment of acid related diseases or symptoms. Before their acceptance for clinical us, PPIs were known to induce neoplasia in rodents, but the medical community accepted that these tumors were not relevant for man. With time there have been accumulating evidence for PPI induced neoplasia also in man. However, very recently a large observation study  financed by a pharmaceutical company, patients were followed for an average of 3 years without any evidence of neoplasia. The study was published in "Gastroenterology" and resulted in an "Editorial" claiming that the truth was approached. Unfortunately, the "Editorial " did not consider animal studies and recent studies in man reporting increased risk of gastric cancer in patients on PPI after eradication of Helicobacter  pylori compared with those not taking PPI after eradication. Therefore the "Editorial" was flawed and I wrote a letter commenting on these errors. After 2 weeks I got a refusal claiming that my letter was without relevance and importance. I found that peculiar, and I also mean that a journal has an obligation to print letters showing faults with papers published and especially concerning a misleading "Editorial". I therefore publish my letter allowing others to evaluate the relevance and importance 
  • 1.1K
  • 25 Apr 2020
Topic Review
Advances in Histone Demethylase KDM3A
Lysine-specific histone demethylase 3 (KDM3) subfamily proteins are H3K9me2/me1 histone demethylases that promote gene expression. The KDM3 subfamily primarily consists of four proteins (KDM3A−D). All four proteins contain the catalytic Jumonji C domain (JmjC) at their C-termini, but whether KDM3C has demethylase activity is under debate. In addition, KDM3 proteins contain a zinc-finger domain for DNA binding and an LXXLL motif for interacting with nuclear receptors. Of the KDM3 proteins, KDM3A is especially deregulated or overexpressed in multiple cancers, making it a potential cancer therapeutic target. However, no KDM3A-selective inhibitors have been identified to date because of the lack of structural information. Uncovering the distinct physiological and pathological functions of KDM3A and their structure will give insight into the development of novel selective inhibitors.
  • 1.1K
  • 19 Oct 2020
Topic Review
Mental Breakdown
A mental breakdown (also known as a nervous breakdown) is an acute mental disorder. Symptoms include severe, stress-induced depression, anxiety, paranoia, and dissociation in a previously functioning individual. A nervous breakdown is often tied to psychological burnout, severe overwork, sleep deprivation, and similar problems. While temporary, a mental breakdown can last for years and a person cannot resume normal activites until the disorder is resolved.
  • 1.1K
  • 18 Oct 2022
Topic Review
Liquid Biopsy in Colorectal Cancer
There is a critical need for new diagnostic and prognostic biomarkers with high specificity and sensitivity in patients with colorectal cancer (CRC). Liquid biopsy could represent the new era for biomarkers detection: the term “liquid biopsy” refers to the isolation of cancer-derived components, such as circulating tumor cells (CTC), circulating tumor DNA (ctDNA), microRNAs (miRNAs), long non-coding RNAs (lncRNAs) and proteins, from peripheral blood or other body fluids (i.e., ascites, urine, pleural effusion, and cerebrospinal fluid), and their genomic or proteomic assessment. Furthermore, exosomes (EXOs) which are membrane-bound extracellular vesicles containing proteins and nucleic acids released in the bloodstream by cancer cells, could represent potential biomarkers. 
  • 1.1K
  • 09 Nov 2020
Topic Review
Chronic Wounds
The chronicity of wounds is affected by several contributory factors, including hormonal imbalances, cytokines, invasive microbial infections, and growth factors. More importantly, bacterial infections have been implicated as the predominant feature in most chronic wound microenvironments, including Staphylococcus aureus and Pseudomonas aeruginosa. These bacteria exist in polymicrobial forms forming biofilms that afford them protection against the host’s immunity and conventional antibiotics. S. aureus biofilms are sometimes present close to the surface of chronic wounds, while P. aeruginosa biofilms appear deep within wound tissue. The recalcitrant disposition of these microbes has been implicated as one of the causalities of antimicrobial resistance.
  • 1.1K
  • 17 May 2022
Topic Review
Echocardiography in Autoimmune Rheumatic Diseases
Echocardiography, including transthoracic two and three-dimensional echocardiography, Doppler imaging, myocardial deformation and transesophageal echo, is an established and widely available imaging technique for the identification of cardiovascular manifestations that are crucial for prognosis in rheumatic diseases. Echocardiography is also important for monitoring the impact of drug treatment on cardiac function, coronary microcirculatory function, valvular function and pulmonary artery pressures. 
  • 1.1K
  • 17 Sep 2020
Topic Review
Zebrafish: Neurological Diseases
Most neurodegenerative diseases are currently incurable, with large social and economic impacts. Recently, there has been renewed interest in investigating natural products in the modern drug discovery paradigm as novel, bioactive small molecules. Moreover, the discovery of potential therapies for neurological disorders is challenging and involves developing optimized animal models for drug screening. In contemporary biomedicine, the growing need to develop experimental models to obtain a detailed understanding of malady conditions and to portray pioneering treatments has resulted in the application of zebrafish to close the gap between in vitro and in vivo assays. Zebrafish in pharmacogenetics and neuropharmacology are rapidly becoming a widely used organism. Brain function, dysfunction, genetic, and pharmacological modulation considerations are enhanced by both larval and adult zebrafish. Bioassay-guided identification of natural products using zebrafish presents as an attractive strategy for generating new lead compounds. Here, we see evidence that the zebrafish's central nervous system is suitable for modeling human neurological disease and we review and evaluate natural product research using zebrafish as a vertebrate model platform to systematically identify bioactive natural products. Finally, we review recently developed zebrafish models of neurological disorders that have the potential to be applied in this field of research.
  • 1.1K
  • 29 Oct 2020
Topic Review
Pediatric Vulvar Lichen Sclerosus
Vulvar lichen sclerosus (VLS) is a chronic inflammatory condition affecting the anogenital region, which may present in a prepubertal or adolescent patient. The most popular theories are its autoimmune and genetic conditioning, although theories concerning hormonal and infectious etiology have also been raised. The most common presenting symptoms of VLS is vulva pruritus, discomfort, dysuria and constipation. The lesions initially are white, flat-topped papules, thin plaques, or commonly atrophic patches. Purpura is a hallmark feature of VLS. The treatment includes topical anti-inflammatory agents and long-term follow-up, as there is a high risk of recurrence and an increased risk of vulvar cancer in adult women with a history of lichen sclerosus.
  • 1.1K
  • 15 Jul 2021
Topic Review
Life Quality in Smart Destinations
The objective of this research is to propose a theoretical model based on studies on residents’ quality of life in smart tourism destinations. Smart tourism destinations are territories based on information and communication technologies (ICT), which improve travelers’ tourist experiences as well as affect the quality of life of residents. To know the context of the relationships between tourism and quality of life, main studies and theories regarding these two phenomena are analyzed. Likewise, the relationship between smart places and quality of life is also studied.
  • 1.1K
  • 22 Oct 2020
Topic Review
Drug Delivery to Posterior Segment of Eye
The posterior segment of the eye comprises the back two-thirds of the eye, including the vitreous humor, the retina, the choroid and the optic nerve. Posterior Segment Eye Diseases (PSEDs) are then defined as the disorders that affect these tissues with the common main outcome of varying degrees of visual impartment and blindness. The most prevalent diseases are glaucoma, age-related macular degeneration (AMD) and diabetic retinopathy (DR). This specialized organ is composed of various static and dynamic barriers that restrict drug delivery into the target site of action. Despite numerous efforts, effective intraocular drug delivery remains unresolved and, therefore, it is highly desirable to improve the current treatments of diseases affecting the posterior cavity. 
  • 1.1K
  • 06 Apr 2022
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