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Biomedical subjects

Yolanda Madrid

Publications and source records attributed to Yolanda Madrid.

9 recordsLinked to original sources

Longitudinal Clinical, Physiological, and Molecular Profiling of Female Patients With Metastatic Cancer: Protocol and Feasibility of a Multicenter High-Definition Oncology Study.

PURPOSE: A substantial proportion of patients receiving genomically matched therapies do not achieve clinical benefit, underscoring the influence of nongenetic factors on cancer outcomes. High-Definition Oncology (HDO) proposes integrating longitudinal, multimodal patient data-spanning clinical, molecular, physiological, and behavioral domains-to enable truly individualized cancer care. This manuscript describes the HDO study design, framework, and feasibility results in women with metastatic cancer. METHODS: We initiated a prospective, multicenter observational study (HDO study; ClinicalTrials.gov identifier: NCT06590506) enrolling 300 female patients with newly diagnosed metastatic breast, lung, or colorectal cancer. Here, we report the study design, standardized workflows, prespecified feasibility criteria, and early internal pilot results. Eleven data modalities are collected longitudinally, including tumor and germline genomics, germline epigenomics, gut microbiome, blood and stool metabolomics and proteomics, exposome characterization, wearable-derived physiological monitoring, digital footprint assessment, medical imaging, and patient-reported outcomes. Standardized workflows govern clinical procedures, data acquisition, biospecimen processing, and quality control across all participating sites. RESULTS: Feasibility was evaluated in the first 30 participants (10% of planned accrual). Patients completed 100% of scheduled clinical visits, 97.4% of planned plasma collections, 80.7% of stool samples, and all tumor biopsies. Wearable devices captured activity, heart rate, sleep, and blood oxygen saturation data during 95.0%, 84.2%, 90.6%, and 70.7% of total patient-days, respectively. Biospecimens met predefined quality control metrics across all molecular modalities. Engagement with mobile applications for pain and emotion reporting exceeded 80%. CONCLUSION: The HDO study demonstrates the feasibility of comprehensive, longitudinal, multimodal data collection in women with metastatic cancer. This internal pilot establishes an integrated framework for future analyses aimed at characterizing disease trajectories, defining molecular and physiological determinants of outcomes, and developing patient-specific computational models.

Humans↗

Identification of selenium species in selenium-enriched Lens esculenta plants by using two-dimensional liquid chromatography-inductively coupled plasma mass spectrometry and [77Se]selenomethionine selenium oxide spikes.

Selenium speciation in Se-enriched Lens esculenta grown in hydroponic culture containing inorganic selenium as Na(2)SeO(3) and Na(2)SeO(4) was performed. After 16 days of growth, the plants were collected and divided in two parts, roots and stems and then analysed to identify and quantify selenium species. Speciation studies of the enzymatic extracts were carried out by using anion-exchange (PRP-X100) and size-exclusion/ion-exchange (Shodex Asahipak) columns coupled to inductively coupled plasma mass spectrometry (ICP-MS). The need of using two independent chromatographic mechanisms for unambiguous species identification is demonstrated. Moreover, the use of a [(77)Se]selenomethionine selenium oxide spike turned out to be critical to discriminate between selenium selenomethioine selenium oxide and selenocysteine.

Chromatography, Liquid↗

Selenium long-term administration and its effect on mercury toxicity.

An in vivo experiment was conducted to assess selenium bioaccumulation and bioaccessibility through the food chain and its effect on Hg toxicity. For this purpose 72 chickens were fed under different controlled conditions. Chickens were exposed to a common basal diet or a diet supplemented with Hg(II), MeHg, and Se(IV). Enzymatic digestion (feed, chicken muscle, liver, and kidney) as well as simulated human gastric and intestinal digestion (chicken muscle) led to the identification of selenomethionine (SeMet) in all the samples analyzed. Therefore, although chickens have no efficient mechanism for SeMet synthesis they can be considered as a source of SeMet due to its diet and the plant-animal food chain. The kidneys were the target organ for both total Se and SeMet in chickens (1604 +/- 136 and 128 +/- 6 microg kg(-1), respectively), but the greatest body store, among the tissues studied, was the muscle in both cases (84-96% of total Se). Long-term administration of inorganic and organic mercury did not alter SeMet distribution significantly. The antagonistic effect of Se on Hg toxicity by favoring MeHg demethylation is discussed.

Animals↗

Selenium species bioaccessibility in enriched radish (Raphanus sativus): a potential dietary source of selenium.

An in vitro gastrointestinal method was employed to predict the potential bioavailability of selenium and its species from radish, belonging to the Brassicaceae family, grown in hydroponics media in the presence of inorganic selenium, such as Na2SeO3 and Na2SeO4. A low transformation of Se into organic forms was observed in radish plants grown in Se(VI)-enriched culture media. On the contrary, in those plants exposed to selenite, >95% of the total selenium was found as selenocystine (SeCys2), selenomethionine (SeMet), and Se-methylselenocysteine (SeMetSeCys). The concentrations of these species in fresh samples remained almost unaltered after a simulated gastrointestinal digestion. Therefore, a high selenium content of Se-methylselenocysteine (65%), previously reported as a cancer chemopreventive species, remained in the potentially bioabsorbable fraction. As these plants usually undergo a short development cycle, these results suggest that radish enriched in selenite could be a good choice as an organoselenium supplement for the human diet and animal feed.

Biological Availability↗

Effect of animal feed enriched with Se and clays on Hg bioaccumulation in chickens: in vivo experimental study.

An in vivo experiment was conducted to evaluate the effects of sodium selenite, sepiolite, and bentonite on inorganic mercury (Hg) and methylmercury (MeHg) bioaccumulation. For this purpose 160 chickens were fed under different controlled conditions. Chickens were exposed to Hg(II) and MeHg added to feed with or without selenium or clays supplementation. No significant differences were observed in the voluntary intake and feed/gain conversion rates. The target organs of Hg(II) and MeHg in chickens were the liver and kidney, respectively, but the greatest body store was the muscle in both cases. A higher bioaccumulation for MeHg than for Hg(II) was observed. The results showed that addition of sodium selenite, sepiolite, or bentonite induced a decrease of up to 60-100% in the inorganic mercury bioabsorption. Bentonite addition to a MeHg-containing diet also caused a decrease in organic mercury bioaccumulation (29-67%). On the other hand, inorganic selenium and sepiolite did not decrease MeHg accumulation.

Aluminum Silicates↗

Quantification and speciation of mercury and selenium in fish samples of high consumption in Spain and Portugal.

Mercury (Hg) and selenium (Se) determinations were carried out to evaluate human exposure to those elements through fish consumption in Spain and Portugal. Atomic fluorescence spectroscopy (AFS) was applied in a cold vapor mode for total mercury quantification and was also hyphenated to gas chromatography (GC) to achieve the speciation of organomercurial species in fish samples. The results obtained show the highest concentration of Hg in swordfish and tuna (0.47+/-0.02 and 0.31+/-0.01 microg g-1, respectively), and a much lower concentration in sardine, mackerel shad, and octopus (0.048+/-0.002, 0.033+/-0.001, and 0.024+/-0.001 microg g-1, respectively). The determination of alkyl mercury compounds revealed that 93-98% of mercury in the fish samples was in the organic form. Methylmercury (MeHg) was the only species found in the three fish species with higher mercury content. Total selenium concentration was high in sardine, swordfish, and tuna (0.43+/-0.02, 0.47+/-0.02, and 0.92+/-0.01 microg g-1, respectively), but low in mackerel shad and octopus (0.26+/-0.01 and 0.13+/-0.01 microg g-1, respectively). Speciation of selenium compounds was done by high-performance liquid chromatography in conjunction with inductively coupled plasma mass spectrometry (LC-ICP-MS). Selenomethionine (SeMet) was the only selenium compound identified in the fish samples with higher selenium content. Among the fish species studied, sardine had the most favourable Se:Hg and SeMet:MeHg molar ratios; therefore, its consumption seems to be preferable.

Animals↗

Enzymatic probe sonication extraction of Se in animal-based food samples: a new perspective on sample preparation for total and Se speciation analysis.

This paper describes a fast, simple and novel extraction method for total selenium and selenium species determination in food samples. Parameters influencing extraction, such as sonication time, extracting media, temperature, sample mass, ultrasound amplitude and sample/enzyme mass ratio were investigated. The enzymatic hydrolysis proposed, enhanced by probe sonication, allowed the quantitative extraction of selenium in chicken muscle, liver, kidney and feed (97, 93, 95 and 102%, respectively) in 2 min, maintaining the original Se-species integrity. Total Se content of the samples was determined using inductively coupled plasma mass spectrometry. Se-species were identified and quantified using high-performance liquid chromatography in conjunction with inductively coupled plasma mass spectrometry. Chromatographic analyses were carried out under two chromatographic conditions and led to the identification of SeMet in all samples. The accuracy of the proposed method was assessed using certified reference materials as well as microwave digestion. Potential advantages of the proposed method over traditional hydrolysis are speed, simplicity and safety of the procedure.

Animal Feed↗

Stability study of As(III), As(V), MMA and DMA by anion exchange chromatography and HG-AFS in wastewater samples.

The stability of arsenic species (arsenate [As(V)], monomethylarsonate [MMA], dimethylarsinate [DMA] and arsenite [As(III)]) in two types of urban wastewater samples (raw and treated) was evaluated. Water samples containing a mixture of the different arsenic species were stored in the absence of light at three different temperatures: +4 degrees C, +20 degrees C and +40 degrees C. At regular time intervals, arsenic species were determined by high performance liquid chromatography (HPLC)-hydride generation (HG)-atomic fluorescence spectrometry (AFS). The experimental conditions for the separation of arsenic species by HPLC and their determination by AFS were directly optimised from wastewater samples. As(III), As(V), MMA and DMA were separated on an anion exchange column using phosphate buffer (pH 6.0) as the mobile phase. Under these conditions the four arsenic species were separated in less than 10 min. The detection limits were 0.6, 0.9, 0.9 and 1.8 micro g L(-1) for As(III), DMA, MMA and As(V), respectively. As(V), MMA and DMA were found stable in the two types of urban wastewater samples over the 4-month period at the three different temperatures tested, while the concentration of As(III) in raw wastewater sample decreased after 2 weeks of storage. A greater stability of As(III) was found in the treated urban wastewater sample. As(III) remained unaltered in this matrix at pH 7.27 over the period studied, while at lower pH (1.6) losses of As(III) were detected after 1 month of storage. The results show that the decrease in As(III) concentration with time was accompanied by an increase in As(V) concentration.

Arsenic↗

Capability of diatomaceous earth to preconcentrate and store Pb and Cr: on-line determination by FI-FAAS.

The diatomaceous earth (DE) has an important ability to retain metals such as Cd, Cr, Mn and Pb, which can be used for their stabilization in the environment and for analytical purposes. In this paper a fast on-line preconcentration method for the determination of Cr and Pb in waters by flow injection flame atomic absorption spectrometry is described. Preconcentration was based on the retention of Cr and Pb on a DE immobilized in silica gel at pH 3.0 and subsequent elution with 200 microL of 3 mol L(-1) HCl. The preconcentration factors were 100 and 150 for Pb and Cr respectively, for 16 mL water sample volume. The detection limits under these conditions were 3 ng mL(-1) and 1 ng mL(-1) for Pb and Cr, respectively. The stability of Cr and Pb retained on silica gel-DE columns was established. Silica gel-DE microcolumns with the retained analytes were stored for 2 months at two different temperatures: 4 degrees C and room temperature. At regular time intervals, both metals were eluted and quantified. The results showed the potential of the procedure for sampling and storing water samples for subsequent metal determination, avoiding the problems associated with maintaining species integrity in aqueous solution, and the possibility to of decontaminating polluted spaces.

Calibration↗