Cytokine profile in childhood-onset systemic lupus erythematosus: a cross-sectional and longitudinal study

Childhood-onset systemic lupus erythematosus (cSLE) exhibits an aggressive clinical phenotype and severe complications. This could be due to a pro-inflammatory cytokine milieu. Therefore, we determined plasma levels of Th1 (IL-2, IFN-γ, TNF), Th2 (IL-4), Th17 (IL-17A, IL-6), and Treg (IL-10) cytokines in a cohort of cSLE patients and healthy controls, and we evaluated the association between these cytokines and disease activity. We conducted a cross-sectional study with 51 cSLE patients from two pediatric rheumatology services. Ten cSLE patients participated in a longitudinal follow-up study. Blood samples were collected from the same patient during active and inactive disease. Disease activity was evaluated according to SLE Disease Activity Index 2000 (SLEDAI-2K). Cytokines levels were measured by cytometric bead array technique. cSLE patients had higher IL-6 (P<0.001) and IL-10 (P<0.001) levels than healthy controls. Patients with active disease had higher IL-6 and IL-10 levels than patients with inactive disease (P=0.001 and P=0.014, respectively) and the control group (both P<0.001). IL-6 (P=0.022), IL-10 (P=0.013), and IL-17A (P=0.041) levels were significantly higher during active than inactive disease. Linear regression analysis revealed IL-6 (P=0.002, 95%CI=0.006-0.025) and IL-10 (P=0.01 95%CI=0.021-0.150) as independent factors for increased SLEDAI-2K. IL-6, IL-10, and IL-17A are candidate biomarkers for disease activity in cSLE patients. This is the first longitudinal study to support their pivotal role in the pathogenesis of the disease.

Caracterização genotípica dos isolados de Escherichia coli provenientes de frangos de corte / Genotypically characterization of Escherichia coli isolates from poultry

Caracterizaram-se genotipicamente os isolados de Escherichia coli oriundos de fígado de frangos provenientes de dois matadouros avícolas. Foram coletadas 62 amostras de fígados de frangos, sendo 30 macroscopicamente inalterados e 32 com alteração macroscópica e que originaram no descarte da carcaça. Isolaram-se 30 cepas de Escherichia coli pelo método clássico, sendo 21 isoladas de fígados inalterados e nove provenientes de carcaças rejeitadas. Utilizou-se a reação em cadeia de polimerase para verificação de genes de virulência de E. coli, incluindo o gene de resistência sérica (iss) para identificação de E. coli patogênica para aves, o gene para Shiga cytotoxin 1 e 2 (stx) para identificação de E. coli enteroemorrágica, o gene bfpA para identificação de E. coli enteropatogênica e os genes para toxinas LT-I (elt) e ST-I (stI) para identificação de E. coli enterotoxigênica. Identificou-se iss em 83,3 por cento (25/30) dos isolados, sendo 76,2 por cento (16/21) provenientes de fígados de animais hígidos, e detectou-se stx em 13,3 por cento (4/30). Os genes stx e iss foram identificados em três fígados, caracterizando infecção mista. Os genes não foram observados em um isolado de E. coli pelo método clássico. Faz-se necessária a utilização de tecnologias para identificação e prevenção de Escherichia coli nos aviários e matadouros avícolas.

The isolates of Escherichia coli from chicken livers from two slaughterhouses were genotypically characterized in 62 samples. Thirty samples were macroscopically unchanged and 32 demonstrated alterations that led to the disposal of carcass for sanitary inspection. Thirty Escherichia coli strains from 21 unchanged and 9 from carcasses that were rejected were isolated through the classical method. Polymerase Chain Reaction was performed to verify E. coli virulence of the following genes: serum resistance (iss), to identify avian pathogenic E. coli; Shiga cytotoxin 1 and 2 (stx), to identify enterohaemorrhagic E. col; bfpA, to identify enteropathogenic E. coli; LT-I (elt) and ST-I (stI) toxins to identify enterotoxigenic E. coli. Iss gene was identified in 83.3 percent (25/30), being 76.2 percent (16/21) from E. coli isolated strains from healthy animals. stx gene was identified in 13.3 percent (4/30) of E. coli isolates, and in three of these samples was identified as stx and iss, featuring a mixed infection. The genes were not identified in one E. coli isolated from the classic method. Thus, it is necessary to use advanced technologies to identify and prevent Escherichia coli contamination in poultry farms and slaughterhouses.

Protective immunity of single and multi-antigen DNA vaccines against schistosomiasis

We evaluated the usefulness of the combination of three plasmids encoding tegumental (pECL and pSM14) and muscular (pIRV5) antigens of the Schistosoma mansoni on improving the protective immunity over the use of a single antigen as DNA vaccines. Female BALB/c mice were inoculated twice with 25 æg DNA plasmid within two weeks interval. The challenge was performed with 80 cercarias of a regional isolate of S. mansoni (SLM) one week after the last immunization. Six weeks after challenge, all mice were perfused for worm load determination. The following groups were analyzed: saline; empty vector; monovalent formulations of pECL; pSM14 and pIRV5 and also double combinations of pECL/pIRV5 and pIRV5/pSM14 and a triple combination of pECL/pIRV5/pSM14. The protection was expressed as a percentage of worm loads in each group compared with the saline group. The results obtained were 41 percent (p < 0.05); 52 percent (p < 0.05); 51 percent (p < 0.05); 48 percent (p < 0.05); 55 percent (p < 0.05); 45 percent (p < 0.05); 65 percent (p < 0.05) for each group respectively