ABO blood group system and occurrence of ischemic stroke / Sistema ABO de grupos sanguíneos e ocorrência de acidente vascular cerebral isquêmico

ABSTRACT Background: Ischemic stroke (IS) is a multifactorial disease that presents high rates of morbimortality in Brazil. Several studies proved that there is a link between the ABO blood group system and the occurrence of thrombotic events. Nonetheless, its association with IS is not well established. Objective: For that reason, the purpose hereof was to investigate the relation between the ABO blood groups and the occurrence of IS in a Brazilian cohort of cerebrovascular diseases. Methods: Five hundred and twenty-nine subjects were included over 12 months, from which 275 presented an IS episode and 254 composed the control group. Blood samples were drawn for direct and reverse serotyping. The control and IS groups were compared regarding the traditional risk factors and the distribution of the ABO blood groups. Results: The IS group presented a higher prevalence of systemic arterial hypertension (SAH), diabetes mellitus, smoking habits, family history, cardiopathy, and sedentary lifestyle in comparison with the control group. The AB blood type prevailed among the patients (5.1 vs. 1.6%; p<0.05) and this group had more SAH cases in comparison with the O type group (92.9 vs. 67.3%; p<0.05). Conclusions: Our results suggest that the occurrence of IS is more frequent among patients of the AB blood type.

RESUMO Antecedentes: O acidente vascular cerebral isquêmico (AVCI) é uma doença multifatorial que apresenta altas taxas de morbimortalidade no Brasil. Vários estudos provaram que existe uma ligação entre o sistema ABO de grupos sanguíneos e a ocorrência de eventos trombóticos. No entanto, sua associação com AVCI não está bem estabelecida. Objetivo: Por essa razão, o objetivo deste trabalho foi investigar a relação entre os grupos sanguíneos ABO e a ocorrência de AVCI em uma coorte brasileira de doenças cerebrovasculares. Métodos: Ao longo de 12 meses foram incluídos 529 indivíduos, dos quais 275 apresentaram um episódio de AVCI e 254 compuseram o grupo controle. Amostras de sangue foram coletadas para sorotipagem direta e reversa. Os grupos controle e AVCI foram comparados em relação aos fatores de risco tradicionais e à distribuição dos grupos sanguíneos ABO. Resultados: O grupo AVCI apresentou maior prevalência de hipertensão arterial sistêmica (HAS), diabetes mellitus, tabagismo, história familiar, cardiopatia e estilo de vida sedentário em comparação ao grupo controle. O tipo sanguíneo AB prevaleceu entre os pacientes (5,1 vs. 1,6%; p<0,05) e apresentou mais casos de HAS em comparação ao tipo O (92,9 vs. 67,3%; p<0,05). Conclusões: Nossos resultados sugerem que a ocorrência de AVCI é mais frequente entre os pacientes do tipo sanguíneo AB.

In vivo and in vitro anti-inflammatory activity of Litchi chinensis Sonn leaf extract and isolated compound procyanidin A2

Litchi chinensis Sonn seeds and pericarp are used in popular medicine as antioxidant, anticancer, antiviral, analgesic, antipyretic, immunomodulatory agent and others. However, literature on litchi leaves extract and the main compound procyanidin A2 (PA2) activities are scarce. Here, we investigated the anti-inflammatory activity of L. chinensis leaves extract and the main compound PA2 using in vitro and in vivo assays. We used the pleurisy and air-pouch model induced by carrageenan, substance P, histamine, bradykinin or lipopolysaccharide (LPS) in mice. The PA2 effects were also evaluated using carrageenan-induced pleurisy and LPS-induced air-pouch. In addition, LPS-induced NO2- production and cytotoxicity were quantified using peritoneal neutrophils recruited by oyster glycogen previously treated with L. chinensis extract or PA2. Animals orally treated with L. chinensis leaves extract exhibited a reduction on carrageenan-induced paw edema. Furthermore, the extract reduced the leukocyte migration and the protein leakage in the pleurisy model induced by carrageenan, substance P, histamine and bradykinin. The main compound in the leaves extract, PA2 reduced the paw edema and cell migration into the carrageenan-inflamed tissue. The data obtained in the LPS-induced air pouch model show that the extract and PA2 inhibit the in vivo neutrophil migration. In addition, the leaves extract and PA2 did not affect the neutrophil viability and reduces NO2- production. Taken together, the data herein obtained showed the modulatory actions of L. chinensis leaves extract on leukocyte migration to inflamed tissue, suggesting its therapeutic application to acute inflammatory process. In addition, it may be supposed that PA2 could be related with these actions, as it is the main compound of L. chinensis leaves extract