Avaliação da Podofilotoxina 0, 15 por cento na terapia de lesões de HPV / Evaluation of podofilitoxina 0, 15 per cent for treatment of HPV lesions

Introdução: o condiloma acuminado é provocado pelo Papilomavírus humano (HPV), do qual existem mais de 100 tipos distintos. Acredita-se que seja um dos facilitadores da transmissão sexual do HIV, sendo por isso importante o seu diagnóstico precoce e tratamento. Comumente utilizados em saúde pública, o ácido tricloroacético (TCA 90 por cento) e a eletrocauterização são métodos dolorosos e que necessitam de formação médica especializada. A solução de podofilina 25 por cento é bastante utilizada, porém a preparação é extremamente instável com curto período de durabilidade. Objetivo: os autores estudaram o uso domiciliar da podofilotoxina creme a 0,15 por cento, principal substância ativa da resina de podofilina, que inibe a metáfase celular, sendo uma medicação antiviral, que pode ser auto-aplicada. É considerada como forma de tratamento praticamente indolor quando comparada aos demais métodos. Métodos: os pacientes foram orientados a aplicarem o medicamento duas vezes ao dia, três vezes por semana por um máximo de quatro semanas (ciclos), com avaliação do número de lesões por consulta após cada ciclo. Resultados: a análise estatística provou ser significativa a diminuição do número de lesões ao longo do tratamento. O número de lesões da primeira consulta comparado respectivamente com o número após o primeiro ciclo e após o quarto ciclo mostraram p-valor=0,001134 e p-valor=0,000699. Ao final do quarto ciclo, observou-se cura em 72 por cento, melhora em 15 por cento e inalterado em 13 por cento dos pacientes. Conclusão: a auto-aplicação de podofilotoxina creme a 0,15 por cento para o tratamento de condiloma acuminado mostrou-se como um dos métodos mais eficazes para tratamento do HPV.

Bioinformatics of the Paracoccidioides brasiliensis EST Project

Paracoccidioides brasiliensis is the etiological agent of paracoccidioidomycosis, an endemic mycosis of Latin America. This fungus presents a dimorphic character; it grows as a mycelium at room temperature, but it is isolated as yeast from infected individuals. It is believed that the transition from mycelium to yeast is important for the infective process. The Functional and Differential Genome of Paracoccidioides brasiliensis Project--PbGenome Project was developed to study the infection process by analyzing expressed sequence tags--ESTs, isolated from both mycelial and yeast forms. The PbGenome Project was executed by a consortium that included 70 researchers (professors and students) from two sequencing laboratories of the midwest region of Brazil; this project produced 25,741 ESTs, 19,718 of which with sufficient quality to be analyzed. We describe the computational procedures used to receive process, analyze these ESTs, and help with their functional annotations; we also detail the services that were used for sequence data exploration. Various programs were compared for filtering and grouping the sequences, and they were adapted to a user-friendly interface. This system made the analysis of the differential transcriptome of P. brasiliensis possible.

Therapeutic targets in Paracoccidioides brasiliensis: post-transcriptome perspectives

The rise in antifungal resistance, observed as a result of the increasing numbers of immunocompromised patients, has made the discovery of new targets for drug therapy imperative. The description of the Paracoccidioides brasiliensis transcriptome has allowed us to find alternatives to refine current therapy against paracoccidioidomycosis. We used comparative analysis of expressed sequence tags to find promising drug targets that have been addressed in other pathogens. We divided the analysis into six different categories, based on the involvement of the targeted mechanisms in the cell: i) cell wall construction, ii) plasma membrane composition, iii) cellular machinery, iv) cellular metabolism, v) signaling pathways, and vi) other essential processes. Through this approach, it has been possible to infer strategies to develop alternative drugs against this pathogen.

Oxidative stress response in Paracoccidioides brasiliensis

Survival of pathogenic fungi inside human hosts depends on evasion from the host immune system and adaptation to the host environment. Among different insults that Paracoccidioides brasiliensis has to handle are reactive oxygen and nitrogen species produced by the human host cells, and by its own metabolism. Knowing how the parasite deals with reactive species is important to understand how it establishes infection and survives within humans. The initiative to describe the P. brasiliensis transcriptome fostered new approaches to study oxidative stress response in this organism. By examining genes related to oxidative stress response, one can evaluate the parasite's ability to face this condition and infer about possible ways to overcome this ability. We report the results of a search of the P. brasiliensis assembled expressed sequence tag database for homologous sequences involved in oxidative stress response. We described several genes coding proteins involved in antioxidant defense, for example, catalase and superoxide dismutase isoenzymes, peroxiredoxin, cytochrome c peroxidase, glutathione synthesis enzymes, thioredoxin, and the transcription factors Yap1 and Skn7. The transcriptome analysis of P. brasiliensis reveals a pathogen that has many resources to combat reactive species. Besides characterizing the antioxidant defense system in P. brasiliensis, we also compared the ways in which different fungi respond to oxidative damage, and we identified the basic features of this response.

Cell signaling pathways in Paracoccidioides brasiliensis: inferred from comparisons with other fungi

The human fungal pathogen Paracoccidioides brasiliensis is an ascomycete that displays a temperature-dependent dimorphic transition, appearing as a mycelium at 22 degrees C and as a yeast at 37 degrees C, this latter being the virulent form. We report on the in silico search made of the P. brasiliensis transcriptome-expressed sequence tag database for components of signaling pathways previously known to be involved in morphogenesis and virulence in other species of fungi, including Saccharomyces cerevisiae, Cryptococcus neoformans, Candida albicans, and Aspergillus fumigatus. Using this approach, it was possible to identify several protein cascades in P. brasiliensis, such as i) mitogen-activated protein kinase signaling for cell integrity, cell wall construction, pheromone/mating, and osmo-regulation, ii) the cAMP/PKA system, which regulates fungal development and virulence, iii) the Ras protein, which allows cross-talking between cascades, iv) calcium-calmodulin-calcineurin, which controls cell survival under oxidative stress, high temperature, and membrane/cell wall perturbation, and v) the target of rapamycin pathway, controlling cell growth and proliferation. The ways in which P. brasiliensis responds to the environment and modulates the expression of genes required for its survival and virulence can be inferred through comparison with other fungi for which this type of data is already available.

General metabolism of the dimorphic and pathogenic fungus Paracoccidioides brasiliensis

Annotation of the transcriptome of the dimorphic fungus Paracoccidioides brasiliensis has set the grounds for a global understanding of its metabolism in both mycelium and yeast forms. This fungus is able to use the main carbohydrate sources, including starch, and it can store reduced carbons in the form of glycogen and trehalose; these provide energy reserves that are relevant for metabolic adaptation, protection against stress and infectivity mechanisms. The glyoxylate cycle, which is also involved in pathogenicity, is present in this fungus. Classical pathways of lipid biosynthesis and degradation, including those of ketone body and sterol production, are well represented in the database of P. brasiliensis. It is able to synthesize de novo all nucleotides and amino acids, with the sole exception of asparagine, which was confirmed by the fungus growth in minimal medium. Sulfur metabolism, as well as the accessory synthetic pathways of vitamins and co-factors, are likely to exist in this fungus.