ABSTRACT
Sepsis is commonly associated with disturbances of the hemostatic balance. Most of the pathophysiological changes in sepsis are caused by endotoxin acting directly through endothelial injury or indirectly through release of cytokines with procoagulant effects. The relation between cytokines and hemostatic parameters was assessed in 32 patients with sepsis. Prothrombin fragment 1+2 (F1+2), thrombin-antithrombin III complexes (TAT), tissue type plasminogen activator (t-PA) functional and antigen, plasminogen activator inhibitor-1 (PAI-1), plasminalpha2-antiplasmin complexes (PAP), D-Dimer, thrombomodulin (TM) and von Willebrand factor (vWF) were measured in patients and in 30 healthy subjects. The levels of cytokines TNF-alpha and interleukin-6 (IL-6) also were determined. A significant increase of F1+2, TAT, PAI-1, PAP, and D-Dimer was observed in septic patients as compared with controls (p<0.0001), whereas t-PA activity was significantly reduced (p<0.01). The markers of endothelial cell activation TM, vWF, and t-PA antigen also were elevated significantly as compared with the control group (p<0.01). Finally, we found a marked increase of TNF-alpha and IL-6 (p<0.0001). Whereas the increase of cytokine levels could be partially responsible for the hemostatic activation, it did not correlate with markers of endothelial activation in patients with sepsis.
Subject(s)
Cytokines/blood , Endothelium, Vascular/chemistry , Endothelium, Vascular/pathology , Sepsis/blood , Antithrombin III/analysis , Biomarkers/blood , Case-Control Studies , Enzyme-Linked Immunosorbent Assay , Female , Fibrinolysin/analysis , Hemostasis , Humans , Immunoassay , Male , Middle Aged , Prothrombin/analysis , Sepsis/pathology , Statistics, Nonparametric , Thrombomodulin/analysis , Thrombomodulin/blood , Tissue Plasminogen Activator/analysis , Tissue Plasminogen Activator/blood , von Willebrand Factor/analysisABSTRACT
OBJECTIVE: To check up on measles-mumps-rubella immunity in children vaccinated with MMR vaccine. DESIGN: A descriptive cross-sectional study trough seroepidemiological survey. SETTING: Oliver-Miralbueno Health Centre, Zaragoza. PATIENTS: 92 healthy children of 5, 7 and 9 years of age who went for clinical preventive services. All of them vaccinated with MMR at the age of 15 to 18 months. None of them had suffered from measles, mumps or rubella. MEASUREMENTS AND MAIN RESULTS: 1) The percentage of seronegative children (title less than 1:8) was: 9.8% for measles, 8.7% for rubella, and 27.2% for mumps. 2) As to the time differences among seropositive and seronegative children. CONCLUSIONS: The study reveals that there is a high percentage of MMR vaccinated children showing minimal or undetectable levels of antibodies.
Subject(s)
Antibodies, Viral/analysis , Measles Vaccine/administration & dosage , Measles/immunology , Mumps Vaccine/administration & dosage , Mumps/immunology , Rubella Vaccine/administration & dosage , Rubella/immunology , Age Factors , Antibody Formation , Child , Child, Preschool , Cross-Sectional Studies , Enzyme-Linked Immunosorbent Assay , Humans , Infant , Measles Vaccine/immunology , Mumps Vaccine/immunology , Rubella Vaccine/immunology , Time Factors , VaccinationABSTRACT
With a reassortant from a cross of human rotavirus DS-1 (serotype 2) and OSU (serotype 5) it was determined that the OSU major neutralization glycoprotein antigen (VP7) was encoded by gene segment 9. A full-sized cloned cDNA copy of the OSU gene 9 was produced and sequenced. Hybridization of such labelled cDNA with the corresponding segment of a reassortant DS-1 X OSU virus confirmed the coding assignment. Comparison of the deduced amino acid sequence of the VP7 of OSU with those previously determined for five other rotavirus strains, representing four distinct serotypes, revealed some hydrophilic regions that exhibited significant homology and other hydrophilic domains with greater amino acid divergence. In one of the latter hydrophilic domains each of the five serotypes had a distinct amino acid substitution at residue 146, suggesting that it may be involved in serotype specificity.
