Oxidative stress and inflammatory process in borderline personality disorder (BPD): a narrative review

Borderline personality disorder (BPD) is a severe psychiatric condition that affects up to 2.7% of the population and is highly linked to functional impairment and suicide. Despite its severity, there is a lack of knowledge about its pathophysiology. Studies show genetic influence and childhood violence as factors that may contribute to the development of BPD; however, the involvement of neuroinflammation in BPD remains poorly investigated. This article aimed to explore the pathophysiology of BPD according to the levels of brain-derived neurotrophic factor (BDNF), inflammatory cytokines, and oxidative stress substances that exacerbate neuronal damage. Few articles have been published on this theme. They show that patients with BPD have a lower level of BDNF and a higher level of tumor necrosis factor (TNF)-α and interleukin (IL)-6 in peripheral blood, associated with increased plasma levels of oxidative stress markers, such as malondialdehyde and 8-hydroxy-2-deoxyguanosine. Therefore, more research on the topic is needed, mainly with a pre-clinical and clinical focus.

Determination of CYP2D6 *3, *4, and *10 frequency in women with breast cancer in São Luís, Brazil, and its association with prognostic factors and disease-free survival

The CYP2D6 enzyme is crucial for the metabolism of tamoxifen. The CYP2D6 gene is highly polymorphic, and individuals can be extensive, intermediate, or poor tamoxifen metabolizers. The aim of this study was to determine the frequencies of the CYP2D6 *3, *4, and *10 alleles in women with breast cancer who were treated with tamoxifen and analyze the association of enzyme activity with prognostic factors and disease-free survival. We observed a high frequency of CYP2D6 *10, with an allelic frequency of 0.14 (14.4%). The *3 allele was not present in the studied population, and *4 had an allelic frequency of 0.13 (13.8%). We conclude that patients with reduced CYP2D6 activity did not present worse tumor characteristics or decreased disease-free survival than women with normal enzyme activity, as the difference was not statistically significant. We also observed a high frequency of CYP2D6 *10, which had not been previously described in this specific population. This study is the first in north-northeastern Brazil that aimed to contribute to the knowledge of the Brazilian regional profile for CYP2D6 polymorphisms and their phenotypes. These findings add to the knowledge of the distribution of different polymorphic CYP2D6 alleles and the potential role of CYP2D6 genotyping in clinical practice prior to choosing therapeutic protocols.

Prevalence and conditions associated with chronic pelvic pain in women from São Luís, Brazil

The objective of the present study was to estimate the prevalence of chronic pelvic pain in the community of São Luís, capital of the State of Maranhão, Northeastern Brazil, and to identify independent conditions associated with it. A cross-sectional study was conducted, including a sample of 1470 women older than 14 years predominantly served by the public health system. The interviews were held in the subject's home by trained interviewers not affiliated with the public health services of the municipality. The homes were visited at random according to the city map and the prevalence of the condition was estimated. To identify the associated conditions, the significant variables (P=0.10) were selected and entered in a multivariate analysis model. Data are reported as odds ratio and 95% confidence interval, with the level of significance set at 0.05. The prevalence of chronic pelvic pain was 19.0%. The independent conditions associated with this diagnosis were: dyspareunia (OR=3.94), premenopausal status (OR=2.95), depressive symptoms (OR=2.33), dysmenorrhea (OR=1.77), smoking (OR=1.72), irregular menstrual flow (OR=1.62), and irritative bladder symptoms (OR=1.90). The prevalence of chronic pelvic pain in Sao Luís is high and is associated with the conditions cited above. Guidelines based on prevention and/or early identification of risk factors may reduce the prevalence of chronic pelvic pain in São Luís, Brazil.

Influence of population and exercise protocol characteristics on hemodynamic determinants of post-aerobic exercise hypotension

Due to differences in study populations and protocols, the hemodynamic determinants of post-aerobic exercise hypotension (PAEH) are controversial. This review analyzed the factors that might influence PAEH hemodynamic determinants, through a search on PubMed using the following key words: “postexercise” or “post-exercise” combined with “hypotension”, “blood pressure”, “cardiac output”, and “peripheral vascular resistance”, and “aerobic exercise” combined only with “blood pressure”. Forty-seven studies were selected, and the following characteristics were analyzed: age, gender, training status, body mass index status, blood pressure status, exercise intensity, duration and mode (continuous or interval), time of day, and recovery position. Data analysis showed that 1) most postexercise hypotension cases are due to a reduction in systemic vascular resistance; 2) age, body mass index, and blood pressure status influence postexercise hemodynamics, favoring cardiac output decrease in elderly, overweight, and hypertensive subjects; 3) gender and training status do not have an isolated influence; 4) exercise duration, intensity, and mode also do not affect postexercise hemodynamics; 5) time of day might have an influence, but more data are needed; and 6) recovery in the supine position facilitates systemic vascular resistance decrease. In conclusion, many factors may influence postexercise hypotension hemodynamics, and future studies should directly address these specific influences because different combinations may explain the observed variability in postexercise hemodynamic studies.

Produtos naturais ativadores de PPAR e marcadores associados ao processo inflamatório na Síndrome Metabólica / The inflammatory process in the metabolic syndrome: PPAR activators of natural products and markers associated with metabolic disorders

O processo inflamatório é o elo entre a síndrome metabólica e as doenças cardiovasculares. Para verificar a presença e o grau da inflamação, vários biomarcadores têm sido propostos e investigados. Este trabalho tem como objetivo revisar as recentes pesquisas que associam alguns marcadores expressos no tecido adiposo, enfatizando, dentre eles, a adiponectina, a resistina, a leptina e o transportador de glicose GLUT-4 na síndrome metabólica, a relação da inflamação decorrente desse conjunto de desordens metabólicas sob os receptores proliferadores peroxissomais (PPARs), bem como o efeito de diferentes extratos vegetais e produtos naturais bioativos na ativação desses receptores.

The inflammatory process is the link between metabolic syndrome and cardiovascular diseases. To verify the presence and degree of inflammation, several biomarkers have been proposed and different receptors have been investigated. This study aims to review recent researches involving some markers expressed in the adipose tissue, emphasizing, among them, adiponectin, resistin, leptin and glucose transporter GLUT-4 in the metabolic syndrome, the relationship of inflammation arising from this set of metabolic disorders on the peroxisome proliferator receptors (PPARs) and the effect of different bioactive compounds in the activation of these receptors.

Oocistos deCryptosporidium parvum em fezes de bezerro infectado experimentalmente / Cryptosporidium parvum oocysts in the feces of experimentally infected calf

A dose of 5.0x106 Cryptosporidium parvum oocysts was inoculated in a newborn calf. After the inoculation, the feces were daily collected and the presence of oocysts was examined on slides using 0.17% green malachite dye. The total yield reached 1.5x1010 oocysts, with a peak production on the 7th day, confirming the infectious process and the role of calf infection in the potential risk for environmental contamination.

Situação epidemiológica da brucelose bovina no Estado de Goiás / Epidemiological status of bovine brucellosis in the State of Goiás, Brazil

Realizou-se um estudo para caracterizar a situação epidemiológica da brucelose no Estado de Goiás. O Estado foi estratificado em três circuitos produtores. Em cada circuito foram amostradas aleatoriamente 300 propriedades e, dentro dessas, foi escolhido de forma aleatória um número pré-estabelecido de animais, dos quais foi obtida uma amostra de sangue. No total, foram amostrados 10.744 animais, provenientes de 900 propriedades. Em cada propriedade visitada aplicou-se um questionário epidemiológico para verificar o tipo de exploração e as práticas de criação e sanitárias que poderiam estar associadas ao risco de infecção pela doença. O protocolo de testes utilizado foi o da triagem com o teste do antígeno acidificado tamponado e a confirmação dos positivos com o teste do 2-mercaptoetanol. O rebanho foi considerado positivo quando pelo menos um animal foi reagente às duas provas sorológicas. No estrato 1, a prevalência foi de 7,7 por cento [4,7-10,7 por cento] para propriedades, e de 1,4 por cento [0,99-1,7 por cento] para animais. No estrato 2, foi de 19,5 por cento [15,0-24,0 por cento] para propriedades e de 2,6 por cento [2,0-3,1 por cento] para animais. No estrato 3, foi de 21,4 por cento [16,7-26,1] para propriedades e 4,3 por cento [3,7-5,0 por cento] para animais. A prevalência obtida para o Estado foi de 17,5 por cento [14,9-20,2 por cento] para propriedades e de 3,0 por cento [2,7-3,3 por cento] para animais. Os fatores de risco (odds ratio, OR) associados à condição de foco, segundo a análise multivariada, foram: compra de reprodutores a comerciantes de gado (OR = 2,06 [1,12-3,52]), ocorrência de abortos nos últimos 12 meses (OR = 5,83 [3,86-8,8]) e prática de vacinação contra brucelose (OR = 2,07 [1,38-3,09]). Tanto a ocorrência de aborto quanto a vacinação são, neste caso, consequência da presença de brucelose no rebanho.

A study to characterize the epidemiological status of brucellosis in the State of Goiás was carried out. The State was divided in three regions. Three hundred herds were randomly sampled in each region and a pre-established number of animals was sampled in each of these herds. A total of 10,744 serum samples from 900 herds were collected. In each herd, it was applied an epidemiological questionnaire focused on herd traits as well as husbandry and sanitary practices that could be associated with the risk of infection. The serum samples were screened for antibodies against Brucella spp. by the Rose-Bengal Test (RBT), and all positive sera were re-tested by the 2-Mercaptoethanol test (2-ME). The herd was considered positive if at least one animal was positive on both RBT and 2-ME tests. For region 1, the herd prevalence was 7.7 percent [4.7-10.7 percent] and the animal prevalence was 1.4 percent [0.99-1.7 percent]. For region 2, the herd prevalence was 19.5 percent [15.0-24.0 percent] and the animal prevalence was 2.6 percent [2.0-3.1 percent]. For region 3, the herd prevalence was 21.4 percent [16.8-26.1 percent] and the animal prevalence was 4.3 percent [3.7-5.0 percent]. For the whole state, the herd prevalence was 17.5 percent [14.9-20.2 percent] and the animal prevalence was 3.0 percent [2.7-3.3 percent]. The multivariate analysis identified the following risk factors (odds ratio, OR) associated with positive herds: purchase of breeding stock from cattle traders (OR = 2.06 [1.12-3.52]), occurrence of abortions over the last 12 months (OR = 5.83 [3.86-8.8]), and vaccination against brucellosis (OR = 2.07 [1.38-3.09]). Both the abortions and the vaccination are, in this case, a consequence of the herd being infected with brucellosis.

Fenología y ciclo de vida del alga Gracilariopsis tenuifrons (Gracilariaceae)en Sucre, Venezuela / Fenology and life cylce of Gracilariopsis tenuifrons (Gracilariaceae)at Sucre, Venezuela

The aim of this work was to determine the frequency of different reproductive phases and to induce the germination of spores from tetrasporic and cystocarpic Gracilariopsis tenuifrons from Chacopata and La Peña,Venezuela, under controlled laboratory conditions (temperature 22 ±1 ºC,12L:12D photoperiod,salinity of 36 ±1 PSU and irradiance of 269 µE m-2 s-1).Tetrasporic individuals dominated numerically over gametophitic individuals. The proportion of vegetative algae was very low.Only cystocarpic algae were collected and the spermatangia were absent.Sporulation,germination and formation of algae suggest that they present a Polysiphonia-type life cycle.Algae with reproductive structures were not obtained in the laboratory

Citotoxic effects of stannous salts and the action of Mytenus ilicifolia, Bacchris genistelloides and Cymbopogon citratus aqueous extracts

In nuclear medicine, stannous, as stannous chloride (SnCl2) and stannous fluoride (SnF2), are used as reducing agents to obtain radiopharmaceuticals labeled with technetium-99m. In the literature, the SnCl2 action was studied and it seems to be mediated through free radicals (FR) production in a Fenton-like reaction. In this work it was evaluated: (i) the in vitro SnF2 effects in different concentrations using pBCKS plasmid deoxyribonucleid acid (DNA); (ii) the SnF, effects in different Escherichia coli (E.coli) cultures, proficient or deficient in DNA repair genes, treated simultaneously with FR scavengers; and (iii) the biological effects of Maytenus ilicifolia, Baccharis genistelloides and Cymbopogon citratus aqueous extracts on the SnCL2 action in E.coli culture. The SnF2 treatment induced plasmidd DNA damages (single and double DNA strand breaks), in a dose-dependent manner. Citotoxicity mediated by SNf2 was observed and the simultaneous tratment with FR scavengers has increased the cell survival, suggesting the participation of FR on the SnF2-deleterious effects. The vegetal extrracts prottected the E.coli cells agains the SnCl2 effects. The components of the extracts could be interacting with SnCl2 blocking its participation in the FR formation.

Propiedades físicas del agar de Gracilariopsis tenuifrons (Gracilariaceae) en Sucre, Venezuela / Physical properties of the agar of Gracilariopsis tenuifrons (Gracilariacea) in Sucre, Venezuela

The yield, gel strength, gelling and melting temperatures of Gracilariopsis tenuifrons agar from Guayacán, Araya Peninsula, Sucre State, Venezuela were determined. Yield values with and without alkali treatment ranged from 23.22 to 39.57% and from 16.29 to 22.42% respectively, while gel strength with alkali treatment fluctuated betwen 699.31 and 1231.69 g/cm2 and without treatment varied from 278.0 to 691.06 g/cm2. Gelling and melting temperatures were in the range reported for other agarophytes. Considering gel strength, the agar quality of G. tenuifrons was higher than in other species and its exploitation in economically feasible.

Aderências em microcirurgia tubária / Adhesions in tubal microsurgery

No Setor de Reproduçäo Humana da Disciplina de Ginecologia da Escola Paulista de Medicina os AA. avaliam os resultados de microcirurgia tubária em 202 pacientes, com e sem uso de Dextran 70%. Nos 202 casos referem permeabilizaçäo tubária em 90% dos casos. As taxas de gravidez pós-cirúrgicas foram de 27% no grupo sem o uso de Dextran e de 33,9% naqueles em que essa soluçäo glicosada foi utilizada. Concluem afirmando ser o uso do Dextran 70 útil para reduzir as aderências tubárias pós-operatórias

Locomotor activity and one-way active avoidance after intrahyppocampal injection of neurotransmitter antagonists

Sixty-three rats with previous training in a T-maze, bilaterally implanted with cannulae directed toward the dorsal hippocampus, were used in this study. All rats received bilateral 1-microngl injections 20 min before testing for locomotor activity (day 1) and one-way active avoidance (day 3). The following drugs were injected into groups of 4 to 8 animals: scopolamine (9 or 18 microng/micronl), propranolol (5 or 10 microng/micronl), cimetidine (0.75 or 1.5 microng/micronl), sulpiride (5 or 10 microng/micronl), or vehicle (Krebs-ringer). Locomotor activity was not changed by injection of any drug. However, intrahippocampal injections of scolpolamine (9 microng/micronl) and sulpiride (10 microng/micronl) impoaired avoidance bahavior, particularly during the last five trials of the task. We conclude that muscarinic-cholinergic and D2-dopaminergic, but not beta-adrenergic or H2-histaminergic, mechanisms in the hippocampus are involved in the performance of one-way active avoidance behavior

Microcirurgia tubária na clínica ginecológica da Escola Paulista de Medicina / Tubal microsurgery at the gynecologic clinic of the Escola Paulista de Medicina

Os AA avaliaram o resultado da microcirurgia tubária em 196 casos operados na Clínica Ginecológica da Escola Paulista de Medicina, no período de 10 anos; de 1978 a 1987. Separam os casos de acordo com o tipo de cirurgia em Salpingostomia: 52 vezes; lise de aderências (salpingolise): 48; anastomose ístmico ístmica: 62 e reimplante tubo-uterino: 34. Descrevem as técnicas e concluem expondo seus resultados em termos de permeabilizaçäo e de gravidez. Afirmam que cerca de 25% dos casos resultam em gestaçäo, na média de todos os casos e especificam as porcentagens de cada tipo de cirurgia realizada

The cholinergic and dopaminergic systems of the prelimbic sector of frontal cortex and memory in the rat

Rats were trained to perform delayed non-matching to sample (a working/representational memory task) and visual discrimination(a reference/dispositional memory task) in a T-maze, and implanted bilaterally with cannulae in the prelimbic cortex. The rats were tested postoperatively after bilateral 1 - micronl injections of vehicle (Krebs-Ringer), sulpiride (10 microng/micronl) or scopolamine (18 microng/micronl). Sulpiride had no effect on the performance of either task, whereas scopolamine interfered only with the performance of delayed non-matching to sample. We conclude that dopaminergic mechanisms in the prelimbic cortex are not involved in either type of memory and that cholinergic, but not dopaminergic, mechanisms are important for working/representational memory process

Disgerminoma do ovario. / Dysgerminoma of the ovary

Os autores apresentam um caso de disgerminoma do ovario, de uma menina de 12 anos, interna na Clinica Infantil "Dr. Juvencio Mattos". A queixa principal foi o aumento do volume abdominal e, ao contrario da maioria dos casos nao houve referencia de dor. No achado cirurgico foi constatada a presenca de ascite e massa tumoral movel, encapsulada, de consistencia solida. Foi realizada a salpingo-ooforectomia direita.Apos um ano e seis meses de operada a paciente foi revisada, estando em condicoes satisfatorias de saude