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Effect of Aspergillus niger prolyl endopeptidase in patients with celiac disease on a long-term gluten-free diet

World Journal of Gastroenterology 2024年第11期30卷 1545-1555页

作者： Juan pablo Stefanolo Verónica Segura Martina Grizzuti Abel Heredia Isabel Comino Ana Florencia costa Roberto Puebla María Paz Temprano Sonia Isabel Niveloni Gabriel de Diego María E Oregui Edgardo Gustavo Smecuol Mauricio C de Marzi Elena F Verdú Carolina Sousa Julio César Bai Small Bowel Section Department of MedicineGastroenterology Hospital of Buenos Aires“Dr.C.Bonorino Udaondo”Buenos Aires 1264Argentina Department of Microbiology and Parasitology Faculty of PharmacyUniversity of SevilleSeville 41080Spain Department of Medicine Dr.C.Bonorino Udaondo Gastroenterology HospitalBuenos Aires 1264Argentina Basic and Applied Research Group in Immunology and Bioactives(GIBAIB) Institute of Ecology and Sustainable Development(INEDES)National University of LujanLuján 6700Buenos AiresArgentina Department of Medicine Farncombe Family Digestive Health Research InstituteMcMaster UniversityHamilton L8S 4L8OntarioCanada Facultad de Medicina Universidad del SalvadorBuenos Aires C1051ABBArgentina

BACKGROUND The gluten-free diet(GFD)has limitations,and there is intense research in the development of adjuvant *** To examine the effects of orally administered Aspergillus niger prolyl endopeptidase protease(AN-PEP)on inadvertent gluten exposure and symptom prevention in adult celiac disease(CeD)patients following their usual *** This was an exploratory,double-blind,randomized,placebo-controlled trial that enrolled CeD patients on a long-term *** a 4-wk run-in period,patients were randomized to 4 wk of two AN-PEP capsules(GliadinX;AVI Research,LLC,United States)at each of three meals per day or *** endpoints were:(1)Average weekly stool gluten immunogenic peptides(GIP)between the run-in and end of treatments and between AN-PEP and placebo;(2)celiac symptom index(CSI);(3)CeD-specific serology;and(4)quality of *** samples were collected for GIP testing by ELISA every Tuesday and Friday during run-ins and *** Forty patients were randomized for the intention-to-treat analysis,and three were excluded from the per-protocol ***,628/640(98.1%)stool samples were *** was undetectable(0.32μg/g)to potentially cause mucosal *** GIP concentration in the AN-PEP arm was 44.7%lower than in the run-in ***-third of patients exhibiting GIP>0.08μg/g during run-in had lower or undetectable GIP after AN-PEP *** with the run-in period,the proportion of symptomatic patients(CSI>38)in the AN-PEP arm was significantly lower(P<0.03).AN-PEP did not result in changes in specific *** This exploratory study conducted in a real-life setting revealed high adherence to the *** AN-PEP treatment did not significantly reduce the overall GIP stool ***,given the observation of a significantly lower prevale

关键词： Celiac disease Aspergillus niger prolyl endoprotease Gluten immunogenic peptides Trial Symptoms Real-life trial

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Respiratory Muscle Strength Evaluation in Healthy Adult and Elderly Women—Respiratory Muscle Strength Assessment in Adult and Elderly

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Health 2018年第8期10卷 1031-1036页

作者： Maria Clara de Souza Pereira Gama Maciel Cássio Daniel Araújo da Silva Fernanda Figueiroa Sanchez Jamilly Reboucas Demosthenes Marques pablo costa cortez Camila Miriam Suemi Sato Barros do Amaral Naylla Morais de Souza Roberta Lins Goncalves Federal University of Amazonas-UFAM ManausBrazil

Measurement of respiratory muscle strength is performed through static measurements of maximal respiratory pressures and is an important tool for determining the existence and prognosis of neuromuscular and pulmonary disorders, such as weakness or fatigue of this musculature. Objectives: To evaluate and compare respiratory muscle strength among healthy adult and elderly women. Methods: A total of 163 healthy women were recruited through convenience sampling at the family centers of the city of Manaus (AM, Brazil), divided into two groups: adult women (age 20 - 59 years) and elderly women (over 60 years of age). The evaluation was performed by Manovacuometry, in order to measure the maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP). For statistical analysis we used the Student’s T test, considering significant p value ≤ 0.05. Results: The final sample consisted of 116 adult women and 47 elderly women. The mean age in the group of women between 20 - 59 years was 44.5 ± 12 and the elderly group was 65 ± 6.6. MIP values in adult women were significantly higher when compared to the elderly (−108 ± 5.3 cmH2O × −79.5 ± 4 cmH2O, p = 0.0014, respectively). The same behavior was observed in the evaluation of MEP (87.1 ± 2.9 cmH2O in adults and 69.8 ± 3.5 cmH2O in the elderly;p = 0.0008). Conclusion: The results indicate that inspiratory and expiratory muscle strength is lower in older women, suggesting that the aging process tends to interfere with those muscles, resulting in altered respiratory system function.

关键词： Muscular Strength Evaluation Respiratory Muscles Aging

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Dose-response effect of pre-exercise carbohydrates under muscle glycogen unavailability:Insights from McArdle disease

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Journal of Sport and Health Science 2024年第3期13卷 398-408页

作者： Pedro L.Valenzuela Alfredo Santalla Lidia B.Alejo Andrea Merlo Asuncion Bustos Laura Castellote-Belles Roser Ferrer-costa Nicola A.Maffiuletti David Barranco-Gil Tomas Pinos Alejandro Lucia Physical Activity and Health Research Group(“PaHerg”) Research Institute of Hospital“12 de Octubre”(“imas12”)Madrid 28041Spain Department of Systems Biology University of AlcalaMadrid 28871Spain Department of Sport and Computer Science Section of Physical Education and SportsFaculty of SportUniversidad Pablo de OlavideSevilla 41013Spain EVOPRED Research Group Universidad Europea de CanariasTenerife 38300Spain Faculty of Sport Sciences Universidad Europea de MadridMadrid 28670Spain Gait&Motion Analysis Laboratory Sol et Salus HospitalTorre Pedrera di Rimini(RN)47922Italy Department of Clinical Biochemistry Laboratoris ClınicsHospital Universitari Vall d’HebronBarcelona 08035Spain Human Performance Lab Schulthess ClinicZurich 8008Switzerland Biomedical Research Networking Center on Rare Disorders(CIBERER) Barcelona 08035Spain Mitochondrial and Neuromuscular Disorders Unit Vall d’Hebron Institut de RecercaUniversitat Autonoma de BarcelonaBarcelona 08035Spain

Background:This study aimed to determine the effect of different carbohydrate(CHO)doses on exercise capacity in patients with McArdle disease—the paradigm of“exercise intolerance”,characterized by complete muscle glycogen unavailability—and to determine whether higher exogenous glucose levels affect metabolic responses at the McArdle muscle cell(in vitro)***:Patients with McArdle disease(n=8)and healthy controls(n=9)underwent a 12-min submaximal cycling constant-load bout followed by a maximal ramp test 15 min after ingesting a non-caloric *** a randomized,double-blinded,cross-over design,patients repeated the tests after consuming either 75 g or 150 g of CHO(glucose:fructose=2:1).Cardiorespiratory,biochemical,perceptual,and electromyographic(EMG)variables were ***,glucose uptake and lactate appearance were studied in vitro in wild-type and McArdle mouse myotubes cultured with increasing glucose concentrations(0.35,1.00,4.50,and 10.00 g/L).Results:Compared with controls,patients showed the“classical”second-wind phenomenon(after prior disproportionate tachycardia,myalgia,and excess electromyographic activity during submaximal exercise,all p<0.05)and an impaired endurance exercise capacity(-51%ventilatory threshold and55%peak power output,both p<0.001).Regardless of the CHO dose(p<0.05 for both doses compared with the placebo),CHO intake increased blood glucose and lactate levels,decreased fat oxidation rates,and attenuated the second wind in the ***,only the higher dose increased ventilatory threshold(+27%,p=0.010)and peak power output(+18%,p=0.007).In vitro analyses revealed no differences in lactate levels across glucose concentrations in wild-type myotubes,whereas a doseresponse effect was observed in McArdle ***:CHO intake exerts beneficial effects on exercise capacity in McArdle disease,a condition associated with total muscle glycogen *** of these benefits are dose dependent.

关键词： Endurance Glycogen storage disease Glycogenosis Nutrition Supplement

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Hydrogeochemical Studies in Drought Scenarios: Canelones, Uruguay Case Study

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Journal of Geoscience and Environment Protection 2024年第5期12卷 188-217页

作者： Karina Pamoukaghlian Elena Alvareda Mariano Cáceres Rebeca Panzl Marcelo Aboy Sofìa Da Rocha pablo Gamazo María Paula Collazo Instituto de Ciencias Geoló gicas Facultad de Ciencias Universidad de la Rep&#250blica Montevideo Uruguay Departamento del Agua Centro Universitario Regional Litoral Norte Universidad de la Rep&#250blica Salto Uruguay Á rea Toxicolog&#237a Departamento Estrella Campos Facultad de Qu&#237mica Universidad de la Rep&#250blica Montevideo Uruguay

The water scarcity in quality and quantity is becoming more noticeable and an urgent concern around the world. In Uruguay, these issues become exacerbated by the need to obtain drinking water in coastal areas, influenced by the climate change. Basic and structural geologies are strong conditioners in heterogeneous coastal aquifers. The objective of this study is to characterize the hydrochemistry of the fractured aquifers after having identified the main bearing fractures and the causes of aleatoreous water scarcity and quality problems, for hydric resources sustainable management. Identification of water bearing fracture, hydrogeochemical analysis and water quality evaluation are specific objectives. Some strategies were performed: 1) a base map in QGIS Software;2) fracture photointerpretation;3) geological correlation;4) statistical analysis of the background geochemistry data;5) ions analysis of strategically located wells. There were found water bearing fractures corresponding to 28 m3/h maximum flow rate for the NW-SE and 12 m3/h maximum flow rate for the NE-SW fracture direction, respectively. Besides, there could be a problem related to the high Sodium (Na) and Chloride (Cl) levels. In this respect, having previous data from 25 well samples, ions geochemical analysis has been carried out for 14 wells from costa Azul and surrounding to have a first approach about the possible cause for the high values of Na (max. 385 mg/L) and Cl (max. 381 mg/L). The selected area for this study has a particular characteristic, because it corresponds to a heterogeneous fractured aquifer, which makes it difficult to catch water with enough flow rates and water quality to meet the population demand.

关键词： Water Bearing Fractures Hydrogeochemistry Water Quality Sustainable Management

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Failure rate,return-to-sports and magnetic resonance imaging after meniscal repair:119 patients with 7 years mean follow up

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世界骨科杂志:英文版 2023年第8期14卷 612-620页

作者： Juan pablo Zicaro Nicolas Garrido Ignacio Garcia-Mansilla Carlos Yacuzzi Matias costa-Paz Department of Knee Hospital Italiano de Buenos AiresBuenos Aires 1109Argentina

BACKGROUND One of the most important factors to consider in relation to meniscal repair is the high failure rate reported in the existing *** To evaluate failure rates,return to sports(RTS)rate,clinical outcomes and magnetic resonance image(MRI)evaluation after meniscus suture repair for longitudinal tears at a minimum *** We conducted a retrospective review of meniscal repairs between January 2004 and December *** patients treated for longitudinal tears associated or not with an anterior cruciate ligament reconstruction(ACL-R)were *** ramp lesions,radial and root tears,associated with multiligament injuries,tibial fracture and meniscal allograft transplants were *** details and failure rate,defined as symptomatic patients who underwent a revision surgery,were *** isolated bucket handle tears(BHTs)were usually associated with higher failure rates,we compared BHTs and not BHTs associated or not with an *** 2014,the inside-out technique using cannulas and suture needles with 2-0 Tycron began to *** addition,the number of stitches per repair was *** view of differences in surgical technique,we compared two different cohorts:before and after *** recorded the RTS according to the level achieved and the time to *** and IKDC scores were *** were studied with x-rays and MRI as standard postoperative *** One hundred and nineteen patients were included with a mean follow up of 7 years(SD:4.08).Overall failure rate was 20.3%at a mean 20.1 *** statistically significant differences were found when comparing failure for medial and lateral meniscal repair(22.7%and 15.3%,P=0.36),BHTs and not BHTs(26%and 17.6%,P=0.27),isolated or associated with an ACL-R(22.9%and 18%,P=0.47),or when comparing only BHTs associated with an ACL-R(23%and 27.7%,P=0.9)or *** comparing cohorts before and after 2014,we found a significant decrease in the overall f

关键词： Meniscus repair Bucket handle tears Meniscal suture Failure rate Longitudinal meniscus tears

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Revision anterior cruciate ligament reconstruction:Return to sports at a minimum 5-year follow-up

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World Journal of Orthopedics 2022年第9期13卷 812-824页

作者： Ezequiel Ortiz Juan pablo Zicaro Ignacio Garcia Mansilla Carlos Yacuzzi Matias costa-Paz Knee Division Hospital Italiano de Buenos AiresCiudad Autónoma 1181Buenos AiresArgentina

BACKGROUND Between 43%and 75%of patients who undergo primary anterior cruciate ligament(ACL)surgery return to sport ***,after a revision ACL reconstruction(ACLR)the rate of return to sports is variable.A few publications have reported returns to sports incidence between 56%to 100%after revision *** To determine return to sports and functional outcomes after a single-stage revision ACLR with a 5-year minimum follow-up at a single *** All patients operated between 2010 and 2016 with a minimum 5 years of followup were *** of sport,intensity,frequency,expectation,time to return to sport and failure rate were ***,Tegner and International Knee Documentation Committee forms were evaluated prior to the first ACLR surgery,at 6 mo after primary surgery and after revision ACLR at 5 years minimum of *** stability was tested with the knee arthrometer test(KT-1000 knee arthrometer,Medmetric Corp).RESULTS A total of 41 patients who underwent revision ACLR during that period of time were contacted and available for *** patient age at time of revision was 29 years old[interquartile range(IQR):24.0-36.0],and 39(95.0%)were *** median time from revision procedure to follow-up was 70 mo(IQR:58.0-81.0).Regarding return to sports,16(39.0%)were at the same level compared to preinjury period,and 25 patients(61.0%)returned at a lower ***-three percent categorized the sport as very important and 37.0%as *** patient(2.4%)failed with a recurrent ACL *** preoperative Lysholm and(SD)16]and 50(SD 11),*** follow-up,mean Lysholm and subjective International Knee Documentation Committee scores were 89(SD 8)and 82(SD 9)(P=0.0001).Mean Tegner score prior to primary ACLR was 6.7(SD 1.3),5.1(1.5 SD)prior to revision ACLR and 5.6(1.6 SD)at follow-up(P=0.0002).Overall,knee arthrometer test measurement showed an average of 6 mm(IQR:4.0-6.0)side-to-side difference of displacement pri

关键词： Return to sport Revision anterior cruciate ligament Arthroscopy Knee Functional outcome

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The Effects of Short-Term Resistance Training and Subsequent Detraining on Neuromuscular Function,Muscle Cross-Sectional Area,and Lean Mass

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Journal of Science in Sport and Exercise 2022年第3期4卷 237-254页

作者： pablo B.costa Trent J.Herda Ashley A.Herda Joel T.Cramer Exercise Physiology Laboratory Department of KinesiologyCalifornia State UniversityFullerton800 N.State College Blvd.FullertonCA 92831USA Department of Health Sportand Exercise SciencesUniversity of KansasLawrenceKSUSA College of Health Sciences University of Texas at El PasoEl PasoTXUSA

Purpose To examine and compare the effects of three days of dynamic constant external resistance(DCER)and isokinetic(ISOK)training and subsequent detraining on thigh muscle cross-sectional area(TMCSA)and thigh lean mass(TLM),ISOK peak torque(PT),DCER strength,isometric force,muscle activation,and percent voluntary activation(%VA).Methods Thirty-one apparently-healthy untrained men(mean±SD age=22.2±4.2 years;body mass=77.9±12.9 kg;height=173.9±5.4 cm)were randomly assigned to a DCER training group(n=11),ISOK training group(n=10)or control(CONT)group(n=10).Subjects visited the laboratory eight *** first visit was a familiarization session,the second visit was a pre-training assessment,the subsequent three visits were for unilateral training of the quadriceps(if assigned to a training group),and the last three visits were the post-training assessments conducted at three days,one week,and two weeks after training *** DCER strength increased from pre-to post-training assessment 1 in both limbs for the DCER group only,and remained elevated during post-training assessments 2 and 3(P<0.05).In addition,surface EMG for the biceps femoris was higher at post-training assessment 3 than at the pre-training assessment,and post-training assessments 1 and 2(P<0.05).No other training-related changes were *** The primary finding of this study was that DCER strength of the trained and untrained limbs can be increased with three days of *** has important implications for injury rehabilitation,where in the initial period post-injury strength gains on an injured limb can possibly be obtained with short-term contralateral resistance training.

关键词： Twitch interpolation Electromyography Muscle activation Strength training Injury rehabilitation

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Has platelet-rich plasma any role in partial tears of the anterior cruciate ligament?Prospective comparative study

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World Journal of Orthopedics 2021年第6期12卷 423-432页

作者： Juan pablo Zicaro Ignacio Garcia-Mansilla Andres Zuain Carlos Yacuzzi Matias costa-Paz Knee Division Hospital Italiano de Buenos AiresBuenos Aires 1181Argentina

BACKGROUND Partial tears of the anterior cruciate ligament(ACL)are frequent,and there is still considerable controversy surrounding their diagnosis,natural history and *** To examine patient-reported outcomes,physical examination and magnetic resonance imaging(MRI)findings of partial ACL tears treated with an intraarticular injection of platelet-rich plasma(PRP)compared to a control *** From January 2015 to November 2017,consecutive patients from a single institution with partial ACL tears treated nonoperatively were prospectively *** tears were defined as a positive Lachman test with a clear endpoint,a negative pivot-shift and less than 3 mm of side-to-side difference using the KT1000 *** in group 1 were treated with one intraarticular injection of PRP and specific physical therapy *** group consisted of patients treated only with physical *** analyzed data included physical examination,Tegner activity level and Lysholm and International Knee Documentation Committee *** MRI findings and at 6 mo follow-up were *** was defined as those patients with clinical instability at follow-up that required a subsequent ACL *** A total of 40 patients where included,21 treated with PRP injection with a mean follow-up of 25 mo[standard deviation(SD):3.6]and 19 in the control group with a mean follow-up of 25 mo(SD:5.68).Overall failure rate was 32.0%(n=13).No significant differences were observed between groups regarding subjective outcomes,return to sport and failure *** findings revealed an improvement in the ACL signal in half of the patients of both ***,we did not find a significant relationship between MRI findings and clinical *** Overall,95.0%of patients returned to sports at a mean follow-up of 25 *** time to return to sports was 4 *** of these patients,almost 30.0%in each group had a new episode of instability

关键词： Anterior cruciate ligament Partial tears Platelet-rich plasma Non-operative treatment

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Exploring the synthesis conditions to control the morphology of gold-iron oxide heterostructures

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Nano Research 2019年第8期12卷 1781-1788页

作者： pablo Tancredi Luelc Souza da costa Sebastian Calderon Oscar Moscoso-Londono Leandro M. Socolovsky Paulo J. Ferreira Diego Muraca Daniela Zanchet Marcelo Knobel Laboratory of Amorphous Solids INTECINFaculty of EngineeringUniversity of Buenos Aires - CONICETBuenos AiresCP C1063ACVArgentina Department of Inorganic Chemistry Institute of ChemistryUniversity of Campinas (UNICAMP)CP615413083-970CampinasSPBrazil Brazilian Nanotechnology National Laboratory (LNNano) Rua Giuseppe Maximo Scolfaro 10000CampinasSPBrazil International Iberian Nanotechnology Laboratory (INL) Av. Mestre Jose Veiga s/n4715-330 BragaPortugal “Gleb Wataghin” Institute of Physics University of Campinas (UNICAMP)CEP 13083-859CampinasSPBrazil Autonomous University of Manizales Antigua Estacion del FerrocarrilManizalesCP 170001Colombia Facultad Regional Santa Cruz Universidad Tecnoldgica Nacional - CIT Santa Cruz (CONICET)- Av delos Inmigrantes 555Rio GallegosSanta CruzArgentina Materials Science and Engineering Program The University of Texas at AustinAustinTexas 78712USA

Gold-iron oxide nano-heterostructures with a clear and well-defined morphology were prepared via a seed-assisted method. The synthesis process and the events of heterogeneous nucleation during the decomposition of the iron precursor were carefully studied in order to understand the mechanism of the reaction and to tailor the architecture of the fabricated heterostructures. When employing Au seeds of 3 and 5 nm, nanoparticles with a dimer-like morphology were produced due to the occurrence of a single iron oxide nucleation event. Otherwise, multi-nucleation events could be favored by two mechanisms:(i) by the incorporation of a reducing agent and the slowing down of the heating protocol, leading to a core-shell system;(ii) by the increase of the Au seed size to 8 nm, leading to a flower-like system. Further increase of the Au seed size to 12 nm using similar synthesis conditions promotes the homogeneous nucleation and growth of the iron oxide phase, without formation of heterostructures. An in-depth study was performed on the gold-iron oxide heterostructures to confirm the epitaxial growth of the oxide domain over the Au seed and to analyze the elemental distribution of the components within the heterostructures. Finally, it was found that the modification of the plasmonic properties of the Au nanoparticles are strongly influenced by the architecture of the heterostructure, with a more pronounced damping effect for the systems produced after multi-nucleation events.

关键词： nanoparticles gold-iron oxide heterostructures heterogeneous nucleation epitaxial growth HR-microscopy

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The differential genetic signatures related to climatic landscapes for jaguars and pumas on a continental scale

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Integrative Zoology 2021年第1期16卷 2-18页

作者： Marina ZANIN Noa GONZALEZ-BORRAJO Cuauhtémoc CHÁVEZ Yamel RUBIO Bart HARMSEN Claudia KELLER pablo VILLALVA Ana Carolina SRBEK-ARAUJO Leonora Pires costa Francisco PALOMARES Biology Department Federal University of MaranhãoSão LuísBrazil Departamento de Biologia de la Conservación Estación Biológica de DoñanaSevillaSpain Departamento de Ciencias Ambientales Universidad Autónoma MetropolitanaMexico CityMexico Escuela de Biologia Universidad Autónoma de SinaloaCuliacánMexico Panthera New YorkUSA Biodiversity Coordination Amazon Research InstituteManausBrazil Biology Department Vila Velha UniversityVila VelhaBrazil Biological Sciences Department Federal University of Espírito SantoVitóriaBrazil

Modern and paleoclimate changes may have altered species dynamics by shifting species’niche suitability over space and *** analyze whether the current genetic structure and isolation of the two large American felids,jaguar(Panthera onca)and puma(Puma concolor),are mediated by changes in climatic suitability and connection routes over modern and paleoclimatic *** estimate species distribution under 5 climatic landscapes(modern,Holocene,last maximum glaciations[LMG],average suitability,and climatic instability)and correlate them with individuals’genetic isolation through causal modeling on a resemblance *** species exhibit genetic isolation patterns correlated with LMG climatic suitability,suggesting that these areas may have worked as“allele refuges.”However,the jaguar showed higher vulnerability to climate changes,responding to modern climatic suitability and connection routes,whereas the puma showed a continuous and gradual transition of genetic *** differential responsiveness to climate change,both species are subjected to the climatic effects on genetic configuration,which may make them susceptible to future climatic changes,since these are progressing faster and with higher intensity than changes in the ***,the effects of climatic changes should be considered in the design of conservation strategies to ensure evolutionary and demographic processes mediated by gene flow for both species.

关键词： causal modeling climatic landscape ecological niche modeling gene flow linear mixed model

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