Circulatory and Ventilatory Power: Characterization in Patients with Coronary Artery Disease / Potência Circulatória e Ventilatória: Caracterização em Pacientes com Doença Arterial Coronariana

Background: Circulatory power (CP) and ventilatory power (VP) are indices that have been used for the clinical evaluation of patients with heart failure; however, no study has evaluated these indices in patients with coronary artery disease (CAD) without heart failure. Objective: To characterize both indices in patients with CAD compared with healthy controls. Methods: Eighty-seven men [CAD group = 42 subjects and healthy control group (CG) = 45 subjects] aged 40–65 years were included. Cardiopulmonary exercise testing was performed on a treadmill and the following parameters were measured: 1) peak oxygen consumption (VO2), 2) peak heart rate (HR), 3) peak blood pressure (BP), 4) peak rate-pressure product (peak systolic HR x peak BP), 5) peak oxygen pulse (peak VO2/peak HR), 6) oxygen uptake efficiency (OUES), 7) carbon dioxide production efficiency (minute ventilation/carbon dioxide production slope), 8) CP (peak VO2 x peak systolic BP) and 9) VP (peak systolic BP/carbon dioxide production efficiency). Results: The CAD group had significantly lower values for peak VO2 (p < 0.001), peak HR (p < 0.001), peak systolic BP (p < 0.001), peak rate-pressure product (p < 0.001), peak oxygen pulse (p = 0.008), OUES (p < 0.001), CP (p < 0.001), and VP (p < 0.001) and significantly higher values for peak diastolic BP (p = 0.004) and carbon dioxide production efficiency (p < 0.001) compared with CG. Stepwise regression analysis showed that CP was influenced by group (R2 = 0.44, p < 0.001) and VP was influenced by both group and number of vessels with stenosis after treatment (interaction effects: R2 = 0.46, p < 0.001). Conclusion: The indices CP and VP were lower in men with CAD than healthy controls. .

Fundamento: Os índices da Potência Circulatória (PC) e Potência Ventilatória (PV) têm sido utilizados para avaliação clínica de pacientes com insuficiência cardíaca, mas nenhum estudo avaliou esses índices em pacientes com Doença Arterial Coronariana (DAC). Objetivo: Caracterizar ambos os índices em pacientes com DAC comparados a indivíduos saudáveis. Métodos: Oitenta e sete homens [grupo DAC = 42 sujeitos e, grupo controle (GC) = 45 sujeitos] com idade entre 45 e 65 anos foram incluídos. Um Teste de Exercício Cardiopulmonar (TECP) foi realizado em esteira e as seguintes variáveis foram obtidas: 1) consumo de oxigênio (VO2) pico; 2) Frequência Cardíaca (FC) pico; 3) Pressão Arterial (PA) pico; 4) duplo produto pico (PA sistólica pico x FC pico); 5) pulso de oxigênio pico (VO2 pico dividido pela FC pico); 6) eficiência ventilatória para o consumo de oxigênio (OUES); 7) eficiência ventilatória para a produção de dióxido de carbono (VE/VCO2 slope); 8) PC (VO2 pico x PA sistólica pico); e 9) PV (PA sistólica pico dividido pelo VE/VCO2 slope). Resultados: O grupo DAC apresentou valores significativamente menores das seguintes variáveis no pico do exercício: VO2 (p < 0,001), FC (p < 0,001), PA sistólica (p < 0,001), duplo produto (p < 0,001), pulso de oxigênio (p = 0,008), OUES (p < 0,001), PC (p < 0,001) e PV (p < 0,001), e valores significativamente maiores de PA diastólica (p = 0,004) e VE/VCO2 slope (p < 0,001) em relação ao GC. Uma análise de regressão pelo método stepwise mostrou que a PC foi influenciada pelo grupo (R2 = 0,44, p < 0,001) e a PV tanto pelo grupo quanto pelo número de vasos com estenose pós tratamento (efeito de interação: R2 = 0,46, p < 0,001). Conclusion: Os índices da PC e PV foram menores em homens com DAC comparados ao GC, podendo dessa forma ser utilizados na caracterização dessa população. .

Cell accumulation and antileishmanial effect of exogenous and endogenous protoporphyrin IX after photodynamic treatment / Acumulación celular y efecto anti- Leishmania de la protoporfirina IX exógena y endógena después del tratamiento fotodinámico

Introduction: Photodynamic therapy (PDT) using 5-aminolevulinic acid-induced protoporphyrin IX (ALA-PpIX) constitutes an interesting alternative for cutaneous leishmaniasis treatment. Objective: To evaluate the production of PpIXbased on the administration of ALA and MAL and the effect of ALA-PDTat cellular level on non-infected and infected THP-1 cells using Leishmania ( Viannia ) panamensis or Leishmania ( Leishmania ) infantum (syn Leishmania chagasi ) parasites. Materials and methods: Protoporphyrin IX (PpIX) production and mitochondrial colocalization were evaluated by confocal microscopy. Cell toxicities were evaluated after treatment with the compounds, followed by light irradiation (597-752 nm) at 2.5 J/cm 2 fluency using a colorimetric MTT assay for THP-1 cells and a standard microscopic analysis of parasites. Results were expressed as compound concentration activity against 50% of cells or parasites (CC 50 or IC 50 ). Results: ALA or MAL induced an endogenous PpIX with a red fluorescence localized mainly in the mitochondria inside human cells. ALA and MAL-PDT induced a similar range of toxicities on THP-1 cells (CC 50 0.16±0.01mM and 0.33±0.019 mM, respectively) without any apparent inhibition of intracellular parasites in the infected cells as compared to untreated controls. Exogenous PpIX-PDT was toxic to THP-1 cells (CC 50 0.00032±0.00002 mM), L. (L.) infantum (IC 50 0.003±0.0001 mM) and L. (V.) panamensis (IC 50 0.024±0.0001 mM) promastigotes. Conclusions: Despite the effectiveness of exogenous PpIX on promastigotes and the production of PpIX by human infected cells, treatment with ALA or MAL before irradiation was unable to completely destroy L. (L.) infantum or L. (V.) panamensis intracellular amastigotes.

Introducción. El tratamiento fotodinámico con ácido 5-aminolevulínico como inductor de la protoporfirina IX (ALA-PpIX) constituye una alternativa interesante en el tratamiento de la leishmaniasis cutánea. Objetivo. Evaluar la producción de protoporfirina IX (PpIX) a partir de la administración de ALA o MAL y el efecto de la PDT con ALA a nivel celular en células THP-1 no infectadas e infectadas con Leishmania ( Viannia ) panamensis o Leishmania ( Leishmania ) infantum (syn. Leishmania chagasi ). Materiales y métodos. La producción de protoporfirina IX y su ‘colocalización´ mitocondrial se evaluaron mediante microscopía ‘confocal´. Se evaluó la toxicidad celular después del tratamiento con los compuestos y la aplicación de irradiación de luz (597-752 nm) en una fluencia de 2,5 J/cm 2 mediante el empleo de la prueba colorimétrica con metil-tiazol-tetrazolio (MTT) en las células, y de métodos microscópicos estándar en los parásitos. Los resultados se expresaron como la concentración del compuesto activo en el 50 % de las células o parásitos (CC 50 o CI 50 ). Resultados. El ácido aminolevulínico o el metil-5-aminolevulinato indujeron la protoporfirina IX endógena en células humanas, y se observó fluorescencia de color rojo en las mitocondrias. La actividad del ácido aminolevulínico y del metil-5-aminolevulinato utilizados con terapia fotodinámica fue similar en las células THP-1 (CC 50 0,16±0,01 mM y 0,33±0,019 mM, respectivamente) y, aparentemente, no inhibió los parásitos en las células infectadas, en comparación con los controles. El tratamiento exógeno con protoporfirina IX y terapia fotodinámica fue tóxico para las células THP-1 (CC 50 0,00032 ±0,00002 mM) y para los promastigotes de L. (L .) infantum (IC 50 0,003±0,0001 mM) y L. ( V .) panamensis (CI 50 0,024±0,0001 mM). Conclusiones. A pesar de la ‘fotoactividad´ del tratamiento con protoporfirina IX en promastigotes y de su producción después del tratamiento con ácido aminolevulínico y metil-5-aminolevulinato en las células infectadas con Leishmania , no se observó daño en los amastigotes presentes en las células de L. ( L .) infantum o L . ( V .) panamensis .

Vascular endothelial growth factor-A enhances indoleamine 2,3-dioxygenase expression by dendritic cells and subsequently impacts lymphocyte proliferation

Dendritic cells (DCs) are antigen (Ag)-presenting cells that activate and stimulate effective immune responses by T cells, but can also act as negative regulators of these responses and thus play important roles in immune regulation. Pro-angiogenic vascular endothelial growth factor (VEGF) has been shown to cause defective DC differentiation and maturation. Previous studies have demonstrated that the addition of VEGF to DC cultures renders these cells weak stimulators of Ag-specific T cells due to the inhibitory effects mediated by VEGF receptor 1 (VEGFR1) and/or VEGFR2 signalling. As the enzyme indoleamine 2,3-dioxygenase (IDO) is recognised as an important negative regulator of immune responses, this study aimed to investigate whether VEGF affects the expression of IDO by DCs and whether VEGF-matured DCs acquire a suppressor phenotype. Our results are the first to demonstrate that VEGF increases the expression and activity of IDO in DCs, which has a suppressive effect on Ag-specific and mitogen-stimulated lymphocyte proliferation. These mechanisms have broad implications for the study of immunological responses and tolerance under conditions as diverse as cancer, graft rejection and autoimmunity.

Effect of human adipose-derived mesenchymal stem-C on the differentiation of monocytes

The ideal stem cell for use in functional tissue engineering needs to be abundantly available, harvested with minimal morbidity, differentiated reliably down various pathways and able to be transplanted safely and efficaciously. Adult human adipose tissue contains a population of mesenchymal stem cells; adipose-derived stem cells, which seem to fulfil most, if not all, of these criteria. In this work, we investigated the immunogenicity properties of human adipose-derived mesenchymal stem cells [HAMSCs] and their effect on monocytes differentiation. The HAMSCs have been isolated and specified. Human peripheral blood mononuclear cells [PBMCs] were isolated and passed through a column with magnetic beads coated with anti-CD14 antibody. CD14+ ve cells were isolated and cultured independently or co-cultured with HAMSCs in the presence of cytokines [IL-4, Granulocyte-macrophage colony-stimulating factor [GM-CSF]] to induce their differentiation into dendritic cells [DCs]. Their further maturation was induced by LPS added on the 6[th] day of culture. The major part of the independently cultured cells [CD14+ ve] was found to express the markers which are considered to be specific for the mature dendritic cells such as Human leukocyte antigen-DR [HLA-DR] [40.44%] and low percentage of cells [6.9%]. Nevertheless dendritic cells of monocyte origin [mDCs] co-cultured with HAMSCs showed significant shifts in the pattern of surface markers. The percentage of HLA-DR cells was much lower [6.44%] compared to control cultures [p < 0.001]. Similarly, the secretion of IL-10 by DCs was up-regulated in co-cultures of HAMSCs and DCs. The results show that human adipose-tissue mesenchymal stem cells [HAMSCs] could inhibit the differentiation of the blood monocytes into dendritic cells

Development of granulocytes and monocytes in adult rabbit bone marrow ultrastructural aspects

The hematopoietic tissue of bone marrow constitutes a heterogeneous family of indistinguishable pleuripotential stem cells; they subsequently pass through a series of developmental stages that are microscopically identifiable. The aim of the present work was to throw mor light on the development of blood granulocytes in the red bone marrow of adult rabbit using the electron microscope.in bone marrow, developing granulocytopoietic series appeared to be grouped into clusters. Among these cells, myeloblasts were characterized by a relatively large nucleus with fully granular chromatin. The cytoplasm contained much free eibosomes. During the prom yelocyte stage, Iry granules being to be formed, while the maturation sequence was evidenced by change in the nuclear configuration and size and by the appearance 2ry granules which later on dominated over the Iry type. In this study it was observed that the myelocytes nuclei were rounded or oval in shape. However, gradual elongation and indentation of the nucleus was the initial sign of maturation from myelocyte to metamyelocyte. After that, nucear remodeling continued forming the staff granulocyte, and later on constrictions appeared to segment the nucleus into two or more lobes and thus a muture segmented granulocyte was formed. A characteristic feature in eosinophilic granulocytes was their 2ry specific granules which contained electron dense crystals. Monoblasts had similarities with their mature forms, but the chromatin was homogeneously fine and granular and the cytoplasm was entirely devoid of granules, while promonocytes contained small clear vesicles. The maturation of the latter cell into monocyte was associated with development of lysosomal granules and an increase of condensed chromatin with a progressive decrease in the number of ribosomes

Aspectos morfológicos y citoquímicos de las células sanguíneas de salminus maxillosus: characiformes characidae / Morphological and cytochemistry observation in blood cells of salminus maxillosus: characiformes characidae

Las características morfológicas de sangre periférica del pez Salminus maxillosus fueron descritas usando microscopía de luz. Para demostrar el comportamiento citoquímico de las células sanguíneas del pez en estudio, fueron aplicados métodos específicos para la detección de cuatro tipos básicos de componentes macromoleculares, de naturaleza química diferente: carbohidratos, lípidos. proteínas enzimáticas y estructurales. Fueron observados 6 tipos de células: eritrocitos, trombocitos, monocitos, linfocitos, neutrófilos de los tipos I y II y eosinófilos. Los trombocitos y los neutrófilos de los tipos I y II presentaron glucógeno en el citoplasma. Los neutrófilos del tipo II presentan gránulos sudanófilos y mielloperoxidasa. Además presentan, reacción difusa intensa para proteínas en el citoplasma. Los eosinófilos muestran reacción intensa en sus gránulos

In vitro model of atherosclerosis using coculture of arterial wall cells and macrophage

In order to determine the precise mechanism of the interactions between different types of cells, which are common phenomena in tissues and organs, the importance of coculture techniques are becoming increasingly important. In the area of cardiology, artificial arteries have been developed, based on the understanding of physiological communication of the arterial smooth muscle cells (SMC), endothelial cells (EC), and the extracellular matrix (ECM). In the study of atherosclerosis, the modification of low-density lipoprotein (LDL), which result in the recruitment and accumulation of white blood cells, especially, monocytes/macrophages, and foam cell formation, are hypothesized. Although there are well known animal models, an in vitro model of atherogenesis with a precisely known atherogenesis mechanism has not yet been developed. In this paper, an arterial wall reconstruction model using rabbit primary cultivated aortic SMCs and ECs, was shown. In addition, human peripheral monocytes were used and the transmigration of monocytes was observed by scanning electron and laser confocal microscopy. Monocyte differentiation into macrophages was shown by immunohistochemistry and comprehensive gene expression analysis. With the modified form of LDL, the macrophages were observed to accumulate lipids with a foamy appearance and differentiate into the foam cells in the ECM between the ECs and SMCs in the area of our coculture model.

Características do infiltrado inflamatório renal na nefropatia de refluxo / Characteristics of the renal inflamatory infiltrates in reflux nephropathy

Este trabalho objetivou caracterizar, in situ, o infiltrado inflamatório da nefropatia de refluxo. Para tal, estudamos rins de ratos infectados experimentalmente com Escherichia coli e espécimes renais humanos obtidos por biópsia renal ou nefrectomia. A caracterizaçäo das células mononucleares foi feita pela técnica de imunoperoxidase em quatro etapas, utilizando-se anticorpos monoclonais na primeira etapa. Observamos que a nefrite tubulointersticial era constituída de 72,1% de linfocitos T, dos quais 79,7 - 88,2% eram células T auxiliares e 11, 7-20,3% linfócitos T citotóxicos supressores. O restante do infiltrado inflamatório (27,9%) constituiu-se de monócitos-macrófagos (18%) e linfócitos B e/ou células "nulas" (10%)