The influence of hemodialysis on intracranial pressure waveform in patients with chronic kidney disease: an observational study

ABSTRACT BACKGROUND: Among the complications related to chronic kidney disease (CKD), those of a neurological nature stand out, and for a better quality of life for patients, the diagnosis and treatment of these complications is fundamental. OBJECTIVES: This study aimed to assess the effect of hemodialysis on intracranial pressure waveform (ICPw) in patients with chronic kidney disease undergoing hemodialysis and those who are not yet undergoing substitutive therapy. DESIGN AND SETTING: An observational study was conducted in two stages at a kidney replacement therapy center in Brazil. The first was a longitudinal study and the second was a cross-sectional study. METHODS: Forty-two patients on hemodialysis were included in the first stage of the study. In the second stage, 226 participants were included. Of these, 186 were individuals with chronic kidney disease (who were not undergoing substitutive therapy), and 40 did not have the disease (control group). The participants' intracranial compliance was assessed using the non-invasive Brain4care method, and the results were compared between the groups. RESULTS: There was a significant difference between the hemodialysis and non-hemodialysis groups, with the former having better ICPw conditions. CONCLUSIONS: Hemodialysis influenced the improvement in ICPw, probably due to the decrease in the patients' extra-and intracellular volumes. Furthermore, ICPw monitoring can be a new parameter to consider when defining the moment to start substitutive therapy.

Razões derivadas do hemograma durante a pandemia da sars-cov-2: um estudo observacional retrospectivo em pacientes em hemodiálise / Complete blood count derived ratios during the sars-cov-2 pandemic: a retrospective observational study in hemodialysis patients / Ratios derivados del hemograma durante la pandemia de sars-cov-2: un estudio observacional retrospectivo en pacientes en hemodiálisis

Biomarcadores de inflamação derivados do hemograma como a razão neutrófilos/linfócitos (NLR), a razão plaquetas/linfócitos (PLR), a razão neutrófilos/plaquetas (NPR) e o índice de inflamação imune sistêmico (SII) já foram investigados como preditores de prognóstico de doenças inflamatórias sistêmicas, cardiovasculares, malignas, etc., e com a ocorrência da pandemia de SARS-CoV-2, também passaram a ser estudadas como biomarcadores de interesse nessa doença. Objetivo: Comparar retrospectivamente o valor dessas 4 razões hematimétricas durante os dois anos da pandemia (2020-2021), com o período anterior (os anos de 2018-2019), em uma população de pacientes doentes renais em hemodiálise. Métodos: Esta pesquisa foi submetida ao Comitê de Ética e Pesquisa da Universidade Estadual de Ponta Grossa (CEP-UEPG) e foi aprovada sob o número do parecer 5.024.864. Foram incluídos pacientes tratados no setor de Terapia Renal Substitutiva do Hospital Santa Casa de Ponta Grossa durante os anos 2018 ­ 2021, com n amostral de 155 pacientes. A coleta dos dados se baseou na consulta de prontuários eletrônicos. O valor das razões NLR, NPR, PLR e SII foram calculados a partir da contagem dos neutrófilos, linfócitos e plaquetas dos hemogramas, considerou-se um hemograma a cada trimestre nesse intervalo de 4 anos. Como a normalidade dos dados não foi atestada, seguiu-se a metodologia não-paramétrica, o valor de α foi fixado em 0,05. Resultados: O teste de Skillings-Mack apresentou um valor de p-simulado significativo (< 2.2e-16) na comparação de cada uma das quatro razões. Na análise post-hoc, as comparações trimestrais das medianas do SII, não apresentaram diferença significativa, as razões PLR, NPR e NLR apresentaram respectivamente, duas, três e seis, comparações com diferenças significativas. Conclusão: Houve comparações com diferenças significativas pontuais, não houve um aumento geral no valor das razões SII, PLR, NPR e NLR durante o período de pandemia (2020 - 2021) entre os pacientes em hemodiálise.

Complete blood count derived inflammation biomarkers such as neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), neutrophil/platelet ratio (NPR) and systemic immune inflammation index (SII) have already been investigated as predictors of prognosis of systemic inflammatory, cardiovascular, malignant diseases, etc., and with the imminent SARS-CoV-2 pandemic, they also began to be studied as biomarkers of interest in this disease. Objective: To retrospectively compare the value of these 4 hematimetric ratios during the two years of the pandemic (2020-2021), with the previous period (2018-2019), in a population of kidney disease patients undergoing hemodialysis. Methods: This research was submitted to the Ethics and Research Committee of the State University of Ponta Grossa (CEP-UEPG) and was approved under protocol number 5.024.864. Patients treated in the Renal Replacement Therapy sector of Hospital Santa Casa de Ponta Grossa during the years 2018 ­ 2021 were included, with a sample size of 155 patients. Data collection was based on consultation of electronic medical records. The value of the NLR, NPR, PLR and SII ratios were calculated from the count of neutrophils, lymphocytes and platelets in the blood counts, considering one blood count every quarter in this 4-year interval. As the normality of the data was not attested, the non-parametric methodology was followed, the value of α was set at 0.05. Results: The Skillings-Mack test showed a significant simulated p-value (< 2.2e-16) when comparing each of the four ratios. In the post-hoc analysis, the quarterly comparisons of the SII medians did not show a significant difference, the PLR, NPR and NLR ratios showed two, three and six comparisons with significant differences, respectively. Conclusion: There were comparisons with significant specific differences, there was no general increase in the value of the SII, PLR, NPR and NLR ratios during the pandemic period (2020 - 2021) among hemodialysis patients.

Los biomarcadores de inflamación derivados del hemograma, como el índice de neutrófilos/linfocitos (NLR), el índice de plaquetas/linfocitos (PLR), el índice de neutrófilos/plaquetas (NPR) y el índice de inflamación inmune sistémica (SII), ya se han investigado como predictores del pronóstico de enfermedades sistémicas. enfermedades inflamatorias, cardiovasculares, malignas, etc., y con la inminente pandemia del SARS-CoV-2 también comenzaron a estudiarse como biomarcadores de interés en esta enfermedad. Objetivo: Comparar retrospectivamente el valor de estos 4 ratios hematimétricos durante los dos años de la pandemia (2020-2021), con el período anterior (2018-2019), en una población de pacientes con enfermedad renal en hemodiálisis. Métodos: Esta investigación fue presentada al Comité de Ética e Investigación de la Universidad Estadual de Ponta Grossa (CEP-UEPG) y fue aprobada con el dictamen número 5.024.864. Se incluyeron pacientes atendidos en el sector de Terapia de Reemplazo Renal del Hospital Santa Casa de Ponta Grossa durante los años 2018 ­ 2021, con un tamaño de muestra de 155 pacientes. La recolección de datos se basó en la consulta de historias clínicas electrónicas. El valor de los índices NLR, NPR, PLR y SII se calcularon a partir del recuento de neutrófilos, linfocitos y plaquetas en los hemogramas, considerando un hemograma cada trimestre en este intervalo de 4 años. Como no se comprobó la normalidad de los datos, se siguió la metodología no paramétrica, fijándose el valor de α en 0,05. Resultados: La prueba de Skillings-Mack mostró un valor p-simulado significativo (< 2,2e-16) al comparar cada una de las cuatro proporciones. En el análisis post-hoc, las comparaciones trimestrales de las medianas del SII no mostraron diferencia significativa, los ratios PLR, NPR y NLR presentaron, respectivamente, dos, tres y seis comparaciones con diferencias significativas. Conclusión: Hubo comparaciones con diferencias específicas significativas, no hubo un aumento general en el valor de los índices SII, PLR, NPR y NLR durante el período pandémico (2020 - 2021) entre los pacientes en hemodiálisis.

Non-Invasive Study of Intracranial Pressure in Pre- and Post-Chemotherapy Patients for the Treatment of Breast Neoplasia

Introduction: Breast cancer is the most common type among women and brings to them significant organic changes. A new intracranial pressure monitorization method consists of an external system of sensors that detects micrometric deformations on the cranial bones and transmits, in real-time, electrical signals that are visualized on a monitor. Objective: To identify changes in intracranial pressure due to chemotherapy connections through non-invasive methodology. Methods: The present study was conducted at Hospital Santa Casa de Misericordia in the city of Ponta Grossa, PR, Brazil in 2017. The variables P2/P1 ratio (ICP morphological evaluation), laboratory parameters, comorbidities, and clinical aspects of the volunteers were evaluated. The vascular toxicity of chemotherapy often causes endothelial dysfunction, resulting in a loss of vasodilation effects and suppresses anti-inflammatory and vascular repair functions. Results: The values of the P2/P1 ratio before and after chemotherapy were also compared between groups. A statistically significant difference was observed in the pre chemotherapy P2/P1 values compared to the post-chemotherapy values. Conclusion: Variations in ICP may occur in cancer patients. Further studies are necessary to evaluate if this change may contribute to the chemotherapy side effects occurrence.

Relationship between dialysis quality and brain compliance in patients with end-stage renal disease (ESRD): a cross-sectional study

ABSTRACT BACKGROUND: The high number of patients with end-stage kidney disease (ESRD) on hemodialysis makes it necessary to conduct studies aimed at improving their quality of life. OBJECTIVES: To evaluate brain compliance, using the Brain4care method for intracranial pressure (ICP) monitoring, among patients with ESRD before and at the end of the hemodialysis session, and to correlate ICP with the dialysis quality index (Kt/V). DESIGN AND SETTING: Cross-sectional study conducted at a renal replacement therapy center in Brazil. METHODS: Sixty volunteers who were undergoing hemodialysis three times a week were included in this study. Brain compliance was assessed before and after hemodialysis using the noninvasive Brain4care method and intracranial pressure wave morphology was analyzed. RESULTS: Among these 60 ESRD volunteers, 17 (28%) presented altered brain compliance before hemodialysis. After hemodialysis, 12 (20%) exhibited normalization of brain compliance. Moreover, 10 (83%) of the 12 patients whose post-dialysis brain compliance became normalized were seen to present good-quality dialysis, as confirmed by Kt/V > 1.2. CONCLUSIONS: It can be suggested that changes to cerebral compliance in individuals with ESRD occur frequently and that a good-quality hemodialysis session (Kt/V > 1.2) may be effective for normalizing the patient's cerebral compliance.

Association between disease activity and quality of life among patients with rheumatoid arthritis

Abstract The aim of this study is the association between the scores of disease activity, functional capacity and quality of life among patients diagnosed with rheumatoid arthritis, under clinical treatment at the Regional University Hospital of Campos Gerais - Wallace Thadeu de Mello and Silva. The sample was composed by volunteer patients, who freely underwent 3 research questionnaires. With the results of the survey, the disease activity score was correlated to the functional capacity and the quality-of-life scores. A mean of 3.87 and 1.2 was observed for the disease activity and the functional capacity scores, respectively, yet not achieving a correlation between those two variables. A strong correlation between the disease activity and the "functional capacity", "general health status" and "mental health" domains was found. The lowest average observed corresponded to "physical limitation", from the quality-of-life questionnaire. There was no statistically significant correlation between disease activity and functional capacity, although disease activity seems to affect the mental health, general health status and functional capacity of patients.

Effect of non-nucleoside reverse transcriptase inhibitors and protease inhibitors on serum levels of myeloperoxidase and C-reactive protein in HIV-infected individuals

Abstract It remains unclear whether increased inflammatory and cardiovascular risk biomarkers differ depending on the class of antiretroviral that is used. This study evaluated the plasma levels of inflammatory and cardiovascular risk biomarkers, such as MPO, hs-CRP, glucose, lipid profile, ALT (GPT), AST (GOT), urea and creatinine, as well as the blood count, of all the 164 participants in the study, either infected or un-infected with HIV. Thirty of the 104 HIV-infected individuals did not receive any antiretroviral; twenty-four of them were treated with non-nucleoside reverse transcriptase inhibitor class; and fifty took protease inhibitors. The control group consisted of sixty non-HIV infected individuals. In the case of the HIV-infected volunteers, the CD4+ T lymphocyte counts and viral load were also analyzed. Regardless of the hematological and biochemical changes resulting from the antiretroviral therapy (ART), the MPO and hs-CRP values significantly increased for the HIV-infected individuals (treated or untreated), irrespective of the class of ART that was used. This is important because these biomarkers are designed to be predictors of the risk of cardiovascular disease. The results of this study provide supporting evidence for the hypothesis that HIV-infected individuals are at increased risk of developing cardiovascular disease related to chronic inflammations, despite virological control with ART, and regardless of the class of ART that is used.

Comparison between DAS28-ESR and DAS28- CRPus for patients with rheumatoid arthritis: application in a population of southern Brazil

Abstract The Disease Activity Score 28 (DAS28) shows discrepancies when using erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) scores to assess rheumatoid arthritis (RA). This study aimed to verify the agreement between the DAS28-CRP and DAS28-ESR scores in patients with RA from the south of Brazil. A unicentric cross-sectional study was performed (n = 56). The diagnosis of the patients followed the American College of Rheumatology/ European League Against Rheumatism criteria, and their DAS28 were calculated. The DAS28- ESR score was higher than the DAS28-CRP (DAS28-ESR mean 4.8±1.6; DAS28-CRP mean 4.3±1.4) for 83.9% of the patients. The DAS28-CRP and DAS28-ESR scores showed a very strong correlation (Pearson's coefficient = 0.922; P<0.0001, 95% CI +0.87 to +0.95, statistical power 100%). Spearman's correlation coefficient (0.49; P=0.0001, 95% CI +0.25 to +0.67, statistical power 47.54%) showed a moderate correlation between the unique components of the DAS28 formulas. There was agreement between the tests in only 36 of the patients (64.29%). Among the discordant categories, DAS28-ESR overestimated the classification in 16 patients (28.5%). The Kappa coefficient between the categories was 0.465 (SE 0.084, 95% CI +0.301 to +0.630), showing a moderate degree of agreement between the instruments. Although the DAS28-ESR and DAS28-CRP were highly correlated, they differed significantly in terms of patient categorization and should not be used interchangeably

Relationship between corticotherapy and increased cardiac risk in patients with rheumatoid arthritis

Rheumatoid arthritis is an autoimmune inflammatory joint disease with global prevalence of 0.4% to 1.0%. Extra-articular manifestations increase its morbidity and severity, and cardiovascular diseases present the greatest risk. Therapeutic approaches have been used to treat rheumatoid arthritis, often involving the use of multiple classes of drugs with different mechanisms and forms of action. Corticosteroid therapy is widely used in this therapeutic combination; however, its use has been widely questioned because of its high toxicity and some negative effects, including the possibility of increased cardiovascular risk, depending on the dosage. Some studies have provided important insights into how glucocorticoids have an impact on cardiac complications in patients with rheumatoid arthritis. Most of these studies have concluded that exposure to these drugs at high or cumulative doses is associated with increased risk of death, as well as possibly being associated with the presence of a positive rheumatoid factor.

Association between soluble biomarkers - microbial translocation, inflammation and cardiovascular risk in HIV- infected individuals: a systematic review

Microbial translocation is associated with the increased risk of cardiovascular disease in HIV-infected individuals. There is scarce information regarding the possible associations between the biomarkers of microbial translocation, inflammation and cardiovascular risk that can be evaluated in clinical laboratories using plasma or serum samples. This systematic review was conducted according to the PRISMA protocol in order to verify the most used soluble biomarkers of microbial translocation, inflammation and cardiovascular risk, as well as possible associations between them, in HIV-infected individuals. A search was performed using the Medline, Scopus and Web of Science databases to identify existing studies regarding the relationship between microbial translocation biomarkers, inflammation and cardiovascular risk in HIV-infected patients. Eleven articles that presented soluble biomarkers of microbial translocation (LPS, rDNA, sCD14, LBP and EndoCAb) were selected. The most frequently evaluated soluble biomarker was sCD14, followed by LPS; the latter were associated with some lipid profile parameters. This systematic review considered soluble blood biomarkers that can be utilized in laboratory diagnosis. The aim was to identify the interconnection between microbial translocation, inflammation and cardiovascular risk. Despite the fact that a large number of inflammation and cardiovascular risk biomarkers have been previously reported, it was noted that important markers involved in the pathophysiology of cardiovascular diseases need to be included in future research.

A Simple and High-yield Synthesis of Hexadecyl Ferulate and Its In Vitro Antioxidant Potential

ABSTRACT Ferulic acid (FA) is a phenolic compound with well-known antioxidant potential that can be used as a promising anti-inflammatory and anti-cancer molecule. Furthermore, it has been reported to have neuroprotective activity. One of the main problems, which limit its clinical use, is its low bioavailability when administered orally. This limitation can be circumvented by changes in their structure and/or for preparing lipid-based formulations. The aim of this study was to synthesize a derivative of FA, the hexadecyl ferulate (HF). This compound would be more susceptible to pass through blood-brain barrier (BBB) due to its lipophilic character. The HF was obtained by Steglich esterification and yielded 76.77 ± 1.35%. Its structural characterization was performed by spectroscopic methods of Fourier-transformed infrared spectroscopy (FTIR) and nuclear magnetic resonance (NMR). FTIR spectrum of HF presented two typical bands of ester group, a C=O ester stretching band at 1725 cm-1 and a C-O stretching band at 1159 cm-1. The 1H and 13C spectral data confirmed the chemical structure of HF. Regarding the 13C NMR spectrum, HF showed a chemical shift at δ 167.39 ppm which corresponded to the carbonyl carbon of the ester group. Concerning the in vitro antioxidant potential, HF had equivalent or improved scavenger activity than FA leading to IC50 values of 0.083 ± 0.009 nmol.mL-1 and 0.027 ± 0.002 nmol.mL-1 in DPPH radical scavenging and ABTS radical cation decolorization assays, respectively. Further studies are required in order to investigate the antioxidant effect of HF in biological media.

Risco presumido para doenças cardiovasculares em servidores de uma universidade estadual do Paraná, Brasil / Presued risk of cardiovascular diseases of employeesof a paraná staate university, Brazil

Segundo o Ministério da Saúde, há uma carência de informações epidemiológicas relativas a fatores de risco relacionados às doenças crônicas não transmissíveis e que podem ser evitáveis, em sua maioria, com a modificação de estilo de vida, detecção precoce e o controle oportuno, Dentre estas, destacam-se as doenças cardiovasculares, as quais, segundo dados da Secretaria de Saúde do Paraná, apresentam maior impacto sobre a mortalidade, O objetivo deste trabalho foi avaliar a saúde dos servidores da Universidade Estadual de Ponta Grossa por meio do risco total presumido em desenvolver doenças do aparelho circulatório, de acordo com o Escore de Framingham e ocorrência de fatores de risco modificáveis, Para tanto, aplicou-se inquérito epidemiológico e determinaram-se parâmetros antropométricos, parâmetros laboratoriais e pressão arterial, As análises laboratoriais foram realizadas no Laboratório Universitário de Análises Clínicas em rotina automatizada, Os resultados revelaram o risco absoluto de infarto (calculado usando o Escore de Framingham) e morte em 10 anos, Segundo este critério, 78 dos 86 voluntários enquadraram-se em baixo risco no desenvolvimento de doenças cardiovasculares, Entretanto, a ocorrência de fatores de risco modificáveis, como sobrepeso e obesidade, tabagismo e hipertensão, aponta para a necessidade de medidas educativas e preventivas em relação aos fatores de risco observados nos servidores da Universidade, os quais devem ser alvos de um programa de saúde que contemple esses aspectos...

According to the Ministry of Health there is a lack of epidemiological information regarding risk factors related to chronic diseases that may be preventable, mostly, with the modification of lifestyle, early detection and timely control. Among these, there are the cardiovascular diseases, which, according to the Department of Health of Paraná, have greater impact on mortality. The aim of this study was to evaluate the health of servers from the Paraná State University of Ponta Grossa through the assumed total risk in developing cardiovascular diseases, according to the Framingham Score and the occurrence of modifiable risk factors. Therefore, it was applied an epidemiological survey and anthropometric parameters, laboratory parameters and blood pressure were determined. Laboratory analyzes were performed at the University Laboratory of Clinical Analyses in automated routine. The results revealed the absolute risk (calculated using the Framingham Score) of myocardial infarction and death in 10 years. According to this criterion, 78 of the 86 volunteers were classified at low risk of developing cardiovascular disease. However, the occurrence of modifiable risk factors, such as overweight and obesity, smoking and hypertension, points to the need for educational and preventive measures in relation to the risk factors noted in the University’s servers, which should be targeted for a health program that addresses these issues...

Avaliação preliminar da associação entre anfotericina e hesperina com oxidantes e células huvec / Preliminary assessment of the association between amphotericin and hesperetin with oxididants and huvec cells

A anfotericina B (AmB) é fármaco o “padrão ouro” para o tratamento de infecções fúngicas invasivas desde 1960, Entretanto, a anfotericina B apresenta elevada toxicidade, a qual manifesta-se mais frequentemente nos rins e no fígado, Sabe-se, desde 1985, que a auto-oxidação da AmB origina diferentes formas de espécies reativas oxidativas e estas, por serem tóxicas para a célula, seriam responsáveis, em parte, pela toxicidade, Diferentes estudos indicam que a hesperidina contribui por meio do decréscimo do estresse oxidativo, para a proteção renal e contra a injúria gerada pela isquemia, Tal fato e o envolvimento da AmB na geração de radicais livres tornam interessante a avaliação preliminar do efeito da hesperidina e AmB (isoladamente ou associadas) frente a espécies reativas do oxigênio e radicais livres, bem como o estudo das mesmas em modelos de citoxicidade, Frente ao ABTS•+, a AmB apresentou IC50 igual a 0,0124mg/mL, mas quando associada à hesperidina este valor caiu para 0,0003mg/mL, Frente ao HOCl, a Amb apresentou IC50 igual a 0,0056, mas quando associada à hesperidina este valor caiu para 0,0023mg/mL, No ensaio com DPPH• e radical ânion superóxido as amostras não foram efetivas, No ensaio com células endoteliais em cultivo (HUVEC), as associações reduziram a viabilidade celular, Estes resultados preliminares evidenciam a interação dos compostos com espécies reativas bem como indicam possibilidade de exacerbação do dano pela AmB na presença dos antioxidantes em um modelo in vitro...

Amphotericin B (AmB) is drug “gold standard” for the treatment of invasive fungal infections since 1960. However, amphotericin B has high toxicity, which manifests itself most often in the kidneys and in the liver. It is known, since 1985, that self-oxidation of AmB gives different forms of reactive oxidative species and these, being toxic to the cell, would be responsible, in part, by its toxicity. Different studies indicate that hesperidin contributes, through the reduction of oxidative stress, to protect against renal injury generated by ischemia. This fact and the involvement of AmB in the generation of free radicals make it interesting the preliminary evaluation of the effect of hesperidin and AmB (alone or associated) against reactive oxygen species and free radicals, as well as the study on models of cytotoxicity. Front ABTS•+, AmB presented IC50 equal to 0.0124 mg/mL, but when it was associated to hesperidin this value has decreased to 0.0003 mg/mL. Front HOCl, Amb presented IC50 equal to 0.0056, but when it was associated to hesperidin this value has decreased to 0.0023 mg/mL. In the trials with DPPH• and the superoxide anion radical samples were not effective. In the assay with endotelial cell culture (HUVEC cells), the association has decreased cell viability. These preliminary results demonstrate the interaction of the compounds with reactive species as well as indicate the possibility of damage exacerbation by AmB in the presence of antioxidants in an in vitro model...

Alterações metabólicas e inflamatórias em condições de estresse oxidativo / Metabolic and inflammatory changes in oxidativestress situations

O estresse oxidativo pode ser definido com o desequilíbrio entre os níveis de compostos pró-oxidantes e antioxidantes, com predomínio dos primeiros. O estado pró-oxidante vem sendo relacionado a várias patologias, como doença cardiovascular, doenças neurodegenerativas, doenças auto-imunes e cânceres, ora como sua causa, em alguns casos como consequência. Assim, torna-se importante determinar quais alterações metabólicas e inflamatórias estão relacionadas com o estresse oxidativo, para auxiliar no diagnóstico e prognóstico dessas doenças. Além dos fatores de risco clássicos, esta revisão chama a atenção para possíveis novos biomarcadores relacionados ao estresse oxidativo, entre estes estão a mieloperoxidase, paraoxonase, homocisteína e determinação do estado antioxidante.

Oxidative stress can be defined as an imbalance between the levels of pro-oxidant and antioxidant compounds, with the former predominating. The pro-oxidant status has been linked to several diseases, such as cardiovascular, neurodegenerative and autoimmune diseases and cancers, at times as the cause, at others as a result. Thus, it is highly relevant to determine which metabolic and inflammatory disorders are associated with oxidative stress, to help in the diagnosis and prognosis of these diseases. In addition to the classical risk factors, this review highlights possible new biomarkers related to oxidative stress, among which are myeloperoxidase, paraoxonase, homocysteine and determination of the antioxidant status.

Salacia campestris root bark extract: peroxidase inhibition, antioxidant and antiradical profile / Salacia campestris extrato da casca da raiz: inibição da peroxidase, antioxidante e anti-radicalar perfil

Reactive oxygen species (ROS) and free radical species have been implicated in initiating or accompanying many diseases in living organisms; there is thus, a continual need for antioxidants molecules to inactivate ROS/free radicals. Many studies of plants crude extracts have demonstrated free-radical scavenging and antioxidant action. Salacia species have long been used, in several countries, as traditional medicines against certain diseases and for their anti-inflammatory properties. In this study, Salacia campestris Walp (Hippocrateaceae) root bark ethanol extract (ScEtOH) was assessed for its ability to scavenge free radicals and reactive oxygen species; the results were expressed as percentage inhibition of the active species. ScEtOH was efficient against studied species: DPPH radical (obtained inhibition = 30 percent), ABTSò+ (IC50 = 1.8±0.8 μg/mL), HOCl (IC50 = 1.7 ± 0.1 μg/mL), O2ò- (obtained inhibition = 32 percent), and NOò (obtained inhibition = 18 percent). Peroxidase activity inhibition was evaluated through the guaiacol oxidation reaction catalyzed by hemin, HRP and myeloperoxidase (MPO); data showed that ScEtOH at 10 μg/mL led to 54 and 51 percent of inhibition, respectively, for the hemin and HRP systems. In the MPO system, ScEtOH promoted a 50 percent inhibition at 8.9 μg/mL, whereas quercetin, a powerful MPO inhibitor, inhibited this system at 1.35 μg/mL.

Espécies reativas do oxigênio (ERO) e radicais livres estão relacionados ao início ou à exacerbação de muitas doenças em organismos vivos; existindo portanto uma necessidade contínua por moléculas antioxidantes que inativem as ERO e radicais livres. Muitos estudos com extratos brutos de plantas têm demonstrado propriedades antioxidantes e sequestradoras de radicais livres. Espécies de Salacia são utilizadas, em muitos países, como remédio tradicional contra certas doenças e por suas propriedades antiinflamatórias. Neste estudo, o extrato bruto etanólico da casca da raiz da Salacia campestris Walp (Hippocrateaceae) foi avaliado quanto à sua habilidade em seqüestrar radicais livres e espécies reativas do oxigênio; os resultados são expressos como porcentagem de inibição das espécies ativas. ScEtOH mostrou-se eficiente frente as espécies estudadas: radical DPPH (inibição obtida = 30 por cento), ABTSò+ (IC50 = 1,8±0,8 μg/mL), HOCl (IC50 = 1,7 ± 0,1 μg/mL), O2ò- (inibição obtida = 32 por cento), and NOò (inibição obtida = 18 por cento). A inibição da atividade peroxidásica foi avaliada através da oxidação do guaiacol catalisada pela hemina, HRP e mieloperoxidase (MPO); os dados mostram que 10 μg/mL de ScEtOH promovem 54 e 51 por cento de inibição, respectivamente para os sistemas da hemina e da HRP. No sistema da MPO, ScEtOH promoveu 50 por cento de inibição na dose de 8,9 μg/mL, enquanto a quercetina, um potente inibidor da MPO promoveu tal inibição com 1,35 μg/mL.

Profile of Maytenus aquifolium action over free radicals and reactive oxygen species

Reactive oxygen species (ROS) and free radical species have been implicated in initiating, accompanying or causing many diseases in living organisms; there is thus, a continual need for antioxidants molecules to inactivate ROS/free radicals. Many studies of plants crude extracts have demonstrated free-radical scavenging and antioxidant action. Maytenus species have long been used, in several countries, as traditional medicines against gastric ulcers, dyspepsia and others gastric problems and for their anti-inflammatory properties. In this study, Maytenus aquifolium (Celastraceae) root bark ethanol extract was assessed for its ability to scavenge free radicals and reactive oxygen species. The results were expressed as percentage inhibition of the active species. The extract was efficient against studied reactive species: DPPH radical (obtained inhibition = 35.5 ± 1.3 percent), ABTSò+ (IC50 = 0.0036 ± 0.0003 mg/mL), HOCl (IC50 = 0.002 ± 0.0001 mg/mL ), O2ò- (obtained inhibition = 36.0 ± 2.1 percent), and NOò (obtained inhibition = 18.3 ± 0.4 percent).

Espécies Reativas do Oxigênio (ERO) e radicais livres têm tido implicações na iniciação e evolução de muitas doenças ou nas causas das mesmas em organismos vivos; há portanto, necessidade contínua por moléculas antioxidantes para inativar ERO/radicais livres. Estudos sobre extratos brutos de plantas têm demonstrado suas ações antioxidante e seqüestradora de radicais livres. Espécies do gênero Maytenus são utilizadas, em vários países, como medicamentos tradicionais no combate a úlceras gástricas, dispepsia e outras desordens gástricas, bem como por suas propriedades antiinflamatórias. Neste estudo, o extrato bruto etanólico da raiz da Maytenus aquifolium (Celastraceae) foi avaliado quanto à sua habilidade em seqüestrar radicais livres e outras espécies reativas do oxigênio. Os resultados são expressos como porcentagem de inibição das espécies ativas. O extrato foi eficiente contra as espécies estudadas: radical DPPH (inibição alcançada = 35,5 ± 1,3 por cento), ABTSò+ (IC50 = 0,0036 ± 0,0003 mg/mL), HOCl (IC50 = 0,002 ± 0,0001 mg/mL ), O2ò- (inibição alcançada = 36,0 ± 2,1 por cento), and NOÀ (inibição alcançada = 18,3 ± 0,4 por cento).