Is screening for anal squamous intraepithelial lesions in women with genital human papillomavirus intraepithelial lesions necessary? / Há necessidade de rastreio para lesão intraepitelial anal em mulheres com lesões intraepiteliais genitais por papilomavírus humano?

Parece haver uma relação bastante estreita entre lesões genitais e anais associadas ao papilomavírus humano (HPV), bem como sua relação com a patogênese de neoplasias nesses sítios. Objetivo: Avaliar a existência de dados publicados que sugiram a necessidade de rastreio para lesão intraepitelial anal entre mulheres com lesões genitais associadas ao HPV. Métodos: Foi realizada uma revisão sistemática de pesquisas originais publicadas entre 2001 e 2014 nos bancos de dados: PubMed, High Wire, Biblioteca Cochrane e Google Acadêmico. As palavras-chaves para busca foram: "rastreio" ou "detecção precoce de câncer" e "anus" ou "anus diseases" ou "anus neoplasms" e "woman" ou "women" e "HPV" ou "DNA probes, HPV". Resultados: A busca inicial retornou 1203 artigos. Após a publicação dos critérios de exclusão e inclusão e da análise dos revisores, restaram 15 trabalhos que foram empregados para compor a presente revisão. Grande parte dos estudos apontou que mulheres com lesões genitais pelo HPV apresentavam maior risco de lesões anais em comparação com mulheres normais. Verificou-se também a relação entre neoplasia genital e infecção anal por tipos oncogênicos do HPV e o papel do vírus no desenvolvimento do câncer anal. Conclusão: O rastreio de lesões em mulheres com lesões genitais por HPV deve ser indicado. O método mais adequado para tal ainda deve ser mais bem estudado.

Thre seems to be a fairly close relationship between genital and anal lesions associated with human papilomavirus (HPV) and with the pathogenesis of malignancies in such sites. Objective: This review seeks to analyze published papers that suggest the necessity for anal intraepithelial lesions screening in women with HPV genital intraepithelial lesions. Methods: A systematic review of original research published between 2001 and 2014 was performed in the databases PubMed, High Wire, Cochrane Library and Scholar Google. The keywords for the search were: "screening" or "early detection of cancer" and "anus" or "anus diseases" or "neoplasms anus" and "woman" or "women" and "HPV" or "DNA probes, HPV". Results: 1203 articles were selected in ht e first search. After the reviewers applied exclusion and inclusion criteria and analyzed the papers, 15 were selected to compose this review. Most of them showed higher rates of anal intraepithelial lesions in women with genital intraepithelial lesions than in regular women. We also found a correlation between genital neoplasms and anal infection by oncogenic HPV types and the role of the virus in the pathogenesis of anal cancer. Conclusion: Screening for anal lesions in women with HPV genital lesions should be indicated, and further studies are required to determine the best methods.

Effects of acupuncture and electroacupuncture on estradiol-induced inflammation and oxidative stress in health rodents

PURPOSE:To investigate the effects of classical acupuncture (Ac) and electroacupuncture (EAc) on estradiol-induced inflammation and oxidative stress in health rodents. METHODS: Twenty-four eight-week old female rats were treated with estradiol valerate (EV) 4.0 mg i.m. single dose and randomly assigned to four groups (n=6): G1(control), G2 (Ac), G3 (EAc 2 Hz) and G4 (EAc 100 Hz). After 60 days all rats were anesthetized with chloral hydrate 10% (0.1 ml/30 g weight of the animal) and submitted to Ac/EAc for twenty minutes. The procedures were repeated on days three, five, seven and nine of the study. The equivalent of the human right ST-36 (Zusanli) and SP-6 (Sanyinjiao) acupoints were chosen for needling and electrical stimulation. On the 10th day of the experiment, all rats were anesthetized for collection of blood and tissues (ovaries) samples for biochemical analysis and histological examination. RESULTS:Glutathione (GSH) and malonaldehyde (MDA) concentrations increased significantly in all groups (plasma and ovary) while myeloperoxidase (MPO) activity decreased significantly in all groups compared with control group (G1). CONCLUSIONS:Both classical acupuncture and electroacupuncture decrease systemic and local oxidative stress and ovary inflammation in healthy rats exposed to estrogenic stimulation. EAc enhances lipid peroxidation at systemic and local levels in female rats exposed to estrogenic stimulation.

Qual o papel do Toll-Like Receptor (TLR) na indução de lesão de tuba uterina nas infecções por Chlamydia Trachomatis? / What is the role of Toll-Like Receptor (TLR) in the induction of tubal damages caused by Chlamydia Trachomatis infection?

A suscetibilidade à infecção por C. trachomatis, curso, complicações e resolução da doença depende do tipo da bactéria, de fatores ambientais eda genética do paciente. Entre as mulheres uma forma frequente da infecção é a endocervicite, que pode se complicar com salpingite com consequente lesãotubária. Acredita-se que as complicações a longo prazo desta infecção ocorrem via heat shock protein HSP 60 e toll-like receptors (TLR)...

The susceptibility, course, complications and outcome of Chlamydia trachomatis infection depends on the type of bacteria, environmentalfactors and host genetic factors. Among women, the most common infection is cervicitis that can be complicated by salpingitis leading to tubal damage.It is believed that long-term complications occur via HSP 60 and toll-like receptors...