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1.
Front Microbiol ; 13: 1078972, 2022.
Article in English | MEDLINE | ID: mdl-36620034

ABSTRACT

Cyclins are a family of proteins characterized by possessing a cyclin box domain that mediates binding to cyclin dependent kinases (CDKs) partners. In this study, the search for a partner cyclin of the PHO85-1 CDK retrieved PCL-1 an ortholog of yeast Pcls (for Pho85 cyclins) that performs functions common to Pcls belonging to different cyclin families. We show here that PCL-1, as a typical cyclin, is involved in cell cycle control and cell progression. In addition, PCL-1 regulates glycogen metabolism; Δpcl-1 cells accumulate higher glycogen levels than wild-type cells and the glycogen synthase (GSN) enzyme is less phosphorylated and, therefore, more active in the mutant cells. Together with PHO85-1, PCL-1 phosphorylates in vitro GSN at the Ser636 amino acid residue. Modeling studies identified PHO85-1 and PCL-1 as a CDK/cyclin complex, with a conserved intermolecular region stabilized by hydrophobic and polar interactions. PCL-1 is also involved in calcium and NaCl stress response. Δpcl-1 cells are sensitive to high NaCl concentration; on the contrary, they grow better and overexpress calcium responsive genes under high calcium chloride concentration compared to the wild-type strain. The expression of the calcium-responsive CRZ-1 transcription factor is modulated by PCL-1, and this transcription factor seems to be less phosphorylated in Δpcl-1 cells since exhibits nuclear location in these cells in the absence of calcium. Our results show that PCL-1 locates at different cell regions suggesting that it may determine its activity by controlling its intracellular location and reveal an interesting functional divergence between yeast and filamentous fungus cyclins.

2.
Parasite Immunol ; 42(12): e12780, 2020 12.
Article in English | MEDLINE | ID: mdl-32738171

ABSTRACT

AIMS: This study aimed to evaluate the toxicity and humoral and cellular immune response of three heterologous vaccines against Leishmania infantum, yet containing synthetic peptides from Leishmania major in the experimental model in hamsters. METHODS AND RESULTS: Through bioinformatics analyses, two Leishmania major Gp63 peptides were predicted and selected for vaccine formulations. Hamsters were divided into four groups, with each group receiving doses of three vaccine formulations containing HLA-DR1 or HLA-A2 peptides plus MontanideTM or both associated with the adjuvant. The animals received three vaccine doses and were evaluated for toxicity after each dose, in addition to being analysed for the production of antibodies and lymphoproliferation on day 211 after the last vaccine dose. Peptides predicted in association with oily adjuvant induced a humoral response and strong lymphoproliferation to Leishmania infantum antigen-specific stimulation.


Subject(s)
Leishmania major/immunology , Leishmaniasis Vaccines/immunology , Leishmaniasis/immunology , Metalloendopeptidases/immunology , Peptides/immunology , Adjuvants, Immunologic/administration & dosage , Animals , Cross Protection , HLA-A2 Antigen/immunology , HLA-DR1 Antigen/immunology , Immunity, Cellular , Immunity, Humoral , Leishmania infantum/immunology , Leishmaniasis/prevention & control , Leishmaniasis Vaccines/administration & dosage , Leishmaniasis Vaccines/chemistry , Mesocricetus , Metalloendopeptidases/chemistry , Mineral Oil/administration & dosage , Peptides/administration & dosage , Peptides/chemistry
4.
Braz J Microbiol ; 50(3): 839-848, 2019 07.
Article in English | MEDLINE | ID: mdl-31055774

ABSTRACT

The Escherichia coli GhoT/GhoS system is a type V toxin-antitoxin system in which the antitoxin GhoS cleaves the GhoT mRNA, controlling its translation. GhoT is a small hydrophobic protein that damages bacterial membranes. OrtT is a GhoT-like toxin, but it apparently lacks a corresponding antitoxin and serves a different physiologic role. Using a profile hidden Markov model approach, a Salmonella enterica serovar Houten genome was screened to obtain homologs of GhoT/OrtT. We only found one protein (referred to here as OrtT-Sal) that shared more sequence identity with OrtT than GhoT. The chromosomal region around the coding sequence of OrtT-Sal suggests that it is an orphan toxin and can be under RpoH activation. To study OrtT-Sal, we chemically synthesized and expressed in E. coli the whole toxin and its N- and C-terminal regions (OrtT-Sal1-29 and OrtT-Sal29-57, respectively). Our findings have shown that the overproduction of the polypeptides resulted in severe growth inhibition and cell lysis. Using circular dichroism, we found that OrtT-Sal, OrtT-Sal1-29, and OrtT-Sal29-57 form an alpha-helical structure in the presence of SDS micelles or TFE. Finally, using carboxyfluorescein-loaded lipid vesicles, we determined that the polypeptides damage lipid membrane directly.


Subject(s)
Bacterial Proteins/metabolism , Bacterial Toxins/metabolism , Salmonella enterica/metabolism , Antitoxins/metabolism , Bacterial Proteins/genetics , Bacterial Toxins/chemistry , Genome, Bacterial , Molecular Structure , Salmonella enterica/chemistry , Salmonella enterica/genetics
5.
Microb Pathog ; 129: 19-29, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30685362

ABSTRACT

Bovine mastitis affects dairy cattle worldwide and, despite the existing therapeutic measures, is not totally under control, leading to the need to develop alternative strategies. Brassica oleracea is a phytochemical commonly used in the control and prevention of human and animal diseases. The use of this plant in the treatment of infectious bovine mastitis has been little referenced in the literature and its molecular mechanism of action in this disease has not been clarified yet. This study aimed to reveal, through bioinformatic analysis, the molecular mechanism of action of Brassica oleracea in bovine mastitis. We investigated genes expressed in the signaling pathways of bovine mastitis and Brassica oleracea performance and elaborated the Venn diagram. A gene network was developed using the STRING 10 database. Leader genes were identified by calculating the weighted number of links (WNL). The NetworkAnalyzer plugin for Cytoscape software was used to characterize network topology. For the visualization of highly interconnected regions in the network, the MCODE was used. The BINGO and GFD-Net plugins were used to perform the ontological analysis. The TP53 and MTOR leader genes were identified in the sub-networks of the bovine mastitis signaling pathway and Brassica oleracea performance, respectively. Topological analysis confirmed the leader condition of the genes. Although the overlap of genes in the Venn diagram was not observed, the leader genes were found to be interconnected (confidence = 0.9). In the network that interconnected the leader genes two molecular complexes were detected and the ontological analysis revealed biological processes, cellular components and important molecular functions. It was concluded that Brassica oleracea may be a promising candidate to be included in a mammalian herbal cocktail against infectious bovine mastitis by interfering in the mechanisms of action of genes such as MTOR and TP53.


Subject(s)
Bacterial Infections/veterinary , Brassica/chemistry , Computational Biology , Mastitis, Bovine/drug therapy , Plant Extracts/pharmacology , Animals , Bacterial Infections/drug therapy , Bacterial Infections/pathology , Cattle , Gene Expression Profiling , Gene Regulatory Networks , Mastitis, Bovine/pathology , Plant Extracts/administration & dosage , Signal Transduction
6.
Enzyme Res ; 2018: 8240698, 2018.
Article in English | MEDLINE | ID: mdl-29713527

ABSTRACT

Phytase plays a prominent role in monogastric animal nutrition due to its ability to improve phytic acid digestion in the gastrointestinal tract, releasing phosphorus and other micronutrients that are important for animal development. Moreover, phytase decreases the amounts of phytic acid and phosphate excreted in feces. Bioinformatics approaches can contribute to the understanding of the catalytic structure of phytase. Analysis of the catalytic structure can reveal enzymatic stability and the polarization and hydrophobicity of amino acids. One important aspect of this type of analysis is the estimation of the number of ß-sheets and α-helices in the enzymatic structure. Fermentative processes or genetic engineering methods are employed for phytase production in transgenic plants or microorganisms. To this end, phytase genes are inserted in transgenic crops to improve the bioavailability of phosphorus. This promising technology aims to improve agricultural efficiency and productivity. Thus, the aim of this review is to present the characterization of the catalytic structure of plant and microbial phytases, phytase genes used in transgenic plants and microorganisms, and their biotechnological applications in animal nutrition, which do not impact negatively on environmental degradation.

7.
Biosci. j. (Online) ; 32(6): 1522-1536, nov./dec. 2016. tab, ilus
Article in English | LILACS | ID: biblio-965794

ABSTRACT

Spodoptera frugiperda (SMITH, 1797) (Lepidoptera: Noctuidae) affects diverse crops of great economic interest, for instance, it can cause severe yield losses in maize, rice and sorghum. In this study, a selection and characterization of Bacillus thuringiensis (BERLINER, 1911) isolates with a high insecticidal activity against S. frugiperda was performed. Fifty-two crystal-forming B. thuringiensis isolates that were identified from 3384 Bacillus-like colonies were examined and screened by PCR for the presence cry genes (cry1, cry1Aa, cry1Ab, cry1Ac, cry1D, cry2 and cry2Ab). Four isolates that showed high toxicity towards S. frugiperda were shown to harbor cry2 genes. The crystals were analyzed by electron microscopy and showed bipyramidal and cuboidal shapes. Furthermore, these four isolates had lethal concentration (LC50) values of 44.5 ng/cm2 (SUFT01), 74.0 ng/cm2 (SUFT02), 89.0 ng/cm2 (SUFT03) and 108 ng/cm2 (SUFT 04) to neonate S. frugiperda larvae. An ultrastructural analysis of midgut cells from S. frugiperda incubated with the SUFT01 spore-crystal complex showed disruptions in cellular integrity and in the microvilli of the midgut columnar cells. The isolates characterized in this work are good candidates for the control of S. frugiperda, and could be used for the formulation of new bioinsecticides.


Spodoptera frugiperda (SMITH, 1797) (Lepidoptera: Noctuidae) afeta diversas culturas de grande interesse econômico, por exemplo, pode causar severas perdas em milho, arroz e sorgo. Neste estudo, foi realizada uma seleção e caracterização de isolados de Bacillus thuringiensis (BERLINER, 1911) com elevada atividade inseticida contra S. frugiperda. Cinquenta e dois isolados formadores de cristal B. thuringiensis que foram identificados a partir de 3384 colônias foram examinados e testados por PCR para a presença dos genes cry (cry1, cry1Aa, cry1Ab, cry1Ac, cry1D, cry2 e cry2Ab). Quatro isolados que apresentaram alta toxicidade contra S. frugiperda foram mostrados para abrigar os genes cry2. Os cristais foram analisados por microscopia eletrônica e mostraram formas bipiramidais e cúbicas. Os valores da concentração letal (CL50) destes quatro isolados foram de 44,5 ng / cm2 (SUFT01), 74,0 ng / cm2 (SUFT02), 89,0 ng / cm2 (SUFT03) e 108 ng / cm2 (suft 04) para larvas recém-eclodidas de S. frugiperda. Uma análise ultra-estrutural das células do intestino médio de S. frugiperda incubadas com complexo esporo-cristal do isolado SUFT01 mostrou rupturas na integridade celular e microvilosidades das células cilíndricas do intestino médio. Neste estudo, o alto nível de atividade inseticida de isolados os torna excelentes candidatos para o controlo de S. frugiperda, e pode proporcionar alternativas no controle destas populações de pragas, bem como a formação de novos bioinsecticidas.


Subject(s)
Bacillus thuringiensis , Spodoptera , Insecticides , Lepidoptera
8.
Mem Inst Oswaldo Cruz ; 110(6): 822-3, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26517667

ABSTRACT

Bacillus thuringiensis is a ubiquitous Gram-positive and sporulating bacterium. Its crystals and secreted toxins are useful tools against larvae of diverse insect orders and, as a consequence, an alternative to recalcitrant chemical insecticides. We report here the draft genome sequence of B. thuringiensis147, a strain isolated from Brazil and with high insecticidal activity. The assembled genome contained 6,167,994 bp and was distributed in seven replicons (a chromosome and 6 plasmids). We identified 12 coding regions, located in two plasmids, which encode insecticidal proteins.


Subject(s)
Bacillus thuringiensis/genetics , DNA, Bacterial/analysis , Insecticides , Bacillus thuringiensis/classification , Brazil , Plasmids/genetics , Replicon/genetics , Sequence Analysis, DNA
9.
Mem. Inst. Oswaldo Cruz ; 110(6): 822-823, Sept. 2015. tab
Article in English | LILACS | ID: lil-763095

ABSTRACT

Bacillus thuringiensisis a ubiquitous Gram-positive and sporulating bacterium. Its crystals and secreted toxins are useful tools against larvae of diverse insect orders and, as a consequence, an alternative to recalcitrant chemical insecticides. We report here the draft genome sequence ofB. thuringiensis147, a strain isolated from Brazil and with high insecticidal activity. The assembled genome contained 6,167,994 bp and was distributed in seven replicons (a chromosome and 6 plasmids). We identified 12 coding regions, located in two plasmids, which encode insecticidal proteins.


Subject(s)
Bacillus thuringiensis/genetics , DNA, Bacterial/analysis , Insecticides , Brazil , Bacillus thuringiensis/classification , Plasmids/genetics , Replicon/genetics , Sequence Analysis, DNA
10.
Comput Biol Med ; 58: 146-53, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25656309

ABSTRACT

PURPOSE: Toxin-antitoxin (TA) systems are diverse and abundant genetic modules in prokaryotic cells that are typically formed by two genes encoding a stable toxin and a labile antitoxin. Because TA systems are able to repress growth or kill cells and are considered to be important actors in cell persistence (multidrug resistance without genetic change), these modules are considered potential targets for alternative drug design. In this scenario, structural information for the proteins in these systems is highly valuable. In this report, we describe the development of a web-based system, named BtoxDB, that stores all protein structural data on TA systems. METHODS: The BtoxDB database was implemented as a MySQL relational database using PHP scripting language. Web interfaces were developed using HTML, CSS and JavaScript. The data were collected from the PDB, UniProt and Entrez databases. These data were appropriately filtered using specialized literature and our previous knowledge about toxin-antitoxin systems. RESULTS: The database provides three modules ("Search", "Browse" and "Statistics") that enable searches, acquisition of contents and access to statistical data. Direct links to matching external databases are also available. CONCLUSIONS: The compilation of all protein structural data on TA systems in one platform is highly useful for researchers interested in this content. BtoxDB is publicly available at http://www.gurupi.uft.edu.br/btoxdb.


Subject(s)
Antitoxins , Bacterial Proteins , Bacterial Toxins , Database Management Systems , Databases, Protein , Drug Resistance, Bacterial , User-Computer Interface
11.
Eur J Med Chem ; 54: 591-6, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22749642

ABSTRACT

Toxin-antitoxin (TA) proteic systems encode a toxin and an antitoxin that regulate the growth and death of bacterial cells under various stress conditions. The ParE protein is a toxin that inhibits DNA gyrase activity and thereby blocks DNA replication. Based on the Escherichia coli ParE structure, a series of linear peptides were designed and synthesized by solid-phase methodology. The ability of the peptides to inhibit the activity of bacterial topoisomerases was investigated. Four peptides (ParELC3, ParELC8, ParELC10 and ParELC12), showed complete inhibition of DNA gyrase supercoiling activity with an IC(100) between 20 and 40 µmol L(-1). In contrast to wild-type ParE, the peptide analogues were able to inhibit the DNA relaxation of topoisomerase IV, another type IIA bacterial topoisomerase, with lower IC(100) values. Interestingly only ParELC12 displayed inhibition of the relaxation activity of human topoisomerase II. Our findings reveal new inhibitors of bacterial topoisomerases and are a good starting point for the development of a new class of antibacterial agents that targets the DNA topoisomerases.


Subject(s)
Bacterial Toxins/chemistry , DNA Topoisomerase IV/chemistry , Drug Design , Peptides/chemical synthesis , Peptides/pharmacology , Topoisomerase Inhibitors/chemical synthesis , Topoisomerase Inhibitors/pharmacology , Amino Acid Sequence , Chemistry Techniques, Synthetic , Escherichia coli/enzymology , Humans , Models, Molecular , Molecular Sequence Data , Peptides/chemistry , Protein Structure, Secondary , Topoisomerase Inhibitors/chemistry
12.
Bioinformation ; 4(10): 438-40, 2010 Apr 30.
Article in English | MEDLINE | ID: mdl-20975905

ABSTRACT

Toxin-antitoxin (TA) systems contribute to plasmid stability by a mechanism that relies on the differential stabilities of the toxin and antitoxin proteins and leads to the killing of daughter bacteria that did not receive a plasmid copy at the cell division. ParE is the toxic component of a TA system that constitutes along with RelE an important class of bacterial toxin called RelE/ParE superfamily. For ParE toxin, no crystallographic structure is available so far and rare in vitro studies demonstrated that the target of toxin activity is E. coli DNA gyrase. Here, a 3D Model for E. coli ParE toxin by molecular homology modeling was built using MODELLER, a program for comparative modeling. The Model was energy minimized by CHARMM and validated using PROCHECK and VERIFY3D programs. Resulting Ramachandran plot analysis it was found that the portion residues failing into the most favored and allowed regions was 96.8%. Structural similarity search employing DALI server showed as the best matches RelE and YoeB families. The Model also showed similarities with other microbial ribonucleases but in a small score. A possible homologous deep cleft active site was identified in the Model using CASTp program. Additional studies to investigate the nuclease activity in members of ParE family as well as to confirm the inhibitory replication activity are needed. The predicted Model allows initial inferences about the unexplored 3D structure of the ParE toxin and may be further used in rational design of molecules for structure-function studies.

13.
Fungal Genet Biol ; 47(1): 43-52, 2010 Jan.
Article in English | MEDLINE | ID: mdl-19883780

ABSTRACT

The cAMP-PKA signaling pathway plays an important role in many biological processes including glycogen metabolism. In this work we investigated its role in the Neurospora crassa glycogen metabolism control using mutant strains affected in components of the pathway, the cr-1 strain deficient in adenylyl cyclase activity therefore has the PKA pathway not active, and the mcb strain a temperature-sensitive mutant defective in the regulatory subunit of PKA therefore is a strain with constitutively active PKA. We analyzed the expression of the gene encoding glycogen synthase (gsn), the regulatory enzyme in glycogen synthesis as a potential target of the regulation. The cr-1 strain accumulated, during vegetative growth, glycogen levels much higher than the wild type strain indicating a role of the PKA pathway in the glycogen accumulation. The gsn transcript was not increased in this strain but the GSN protein was less phosphorylated "in vitro", and therefore more active, suggesting that the post-translational modification of GSN is likely the main mechanism controlling glycogen accumulation during vegetative growth. Heat shock down-regulates gsn gene transcription in the two mutant strains, as well as in the wild type strain, suggesting that the PKA pathway may not be the only pathway having a direct role in gsn transcription under heat shock. DNA-protein complexes were formed between the STRE motif in the gsn promoter and nuclear proteins from heat-shocked mycelium. However STRE was not able to induce transcription of a reporter gene in Saccharomyces cerevisiae, suggesting that the motif might be involved in a different way of regulation in the N. crassa gene expression under heat shock. The CRE-like DNA elements present in the gsn promoter were shown to be bound by different proteins from the PKA mutant strains. The DNA-protein complexes were observed with proteins from the strains grown under normal condition and under heat shock indicating the functionality of this DNA element. In this work we presented some evidences that the PKA signaling pathway regulates glycogen metabolism in N. crassa in a different way when compared to the well-characterized model of regulation existent in S. cerevisiae.


Subject(s)
Cyclic AMP/metabolism , Fungal Proteins/genetics , Gene Expression Regulation, Enzymologic , Gene Expression Regulation, Fungal , Glycogen Synthase/genetics , Glycogen/metabolism , Neurospora crassa/genetics , Cyclic AMP-Dependent Protein Kinases/metabolism , Fungal Proteins/metabolism , Glycogen Synthase/metabolism , Neurospora crassa/enzymology , Phosphorylation , Signal Transduction
14.
Bioinformation ; 5(2): 46-8, 2010 Jul 06.
Article in English | MEDLINE | ID: mdl-21346860

ABSTRACT

UNLABELLED: The work of biochemists and molecular biologists often is dependent or extremely favored by a preliminary computer analysis. Thus, the development of an efficient and friendly computational tool is very important. In this work, we developed a package of programs in Javascript language which can be used online or locally. The programs depend exclusively of Web browsers and are compatible with Internet Explorer, Opera, Mozilla Firefox and Google Chrome. With the EBiAn package it is can perform the main analysis and manipulation of DNA, RNA, proteins and peptides sequences. The programs can be freely accessed and adapted or modified to generate new programs. AVAILABILITY: http://www.iq.unesp.br/EXTENSAO/EBiAn/html/ebian.html.

15.
In. Sala, Arnaldo; Seixas, Paulo Henrique D'Ângelo. I Mostra SES/SP 2007: experiências inovadoras na gestão da saúde no Estado de São Paulo. São Paulo, SES/SP, 2008. p.129-134, graf.
Monography in Portuguese | LILACS, Sec. Est. Saúde SP, SESSP-CTDPROD, Sec. Est. Saúde SP | ID: lil-503600

ABSTRACT

Este estudo demonstra a necessidade de haver fluxos aos pacientes que procuram atendimento em prontos socorros uma vez que este era realizado por ordem de chegada na unidade. Com a implantação do modelo de Classificação de Riscos realizado por enfermeiros, obtivemos melhores resultados através da classificação de pacientes por gravidade, com isso conseguimos melhorar a assistência prestada a paciente de urgência e emergência no pronto socorro e também as demandas espontâneas não graves através do programa de acolhimento.


Subject(s)
Emergencies , Hospitals , Risk , Emergency Medical Services
16.
Opt Lett ; 31(16): 2477-9, 2006 Aug 15.
Article in English | MEDLINE | ID: mdl-16880861

ABSTRACT

Using an analytical expression for an integral involving Bessel and Legendre functions, we succeed in obtaining the partial wave decomposition of a general optical beam at an arbitrary location relative to the origin. We also showed that solid angle integration will eliminate the radial dependence of the expansion coefficients. The beam shape coefficients obtained are given by an exact expression in terms of single or double integrals. These integrals can be evaluated numerically on a short time scale. We present the results for the case of a linear-polarized Gaussian beam.

17.
J. bras. ginecol ; 97(5): 211-3, maio 1987. tab
Article in Portuguese | LILACS | ID: lil-41331

ABSTRACT

Com base numa amostra de 442 usuárias de DIU no Instituto de Saúde Reprodutiva de Santa Maria, procurou-se obter o motivo pelo qual 148 destas retiraram o aparelho. Foram utilizados os modelos: Alça de Lippes e T de cobre (T Cu 200 B). Observou-se um índice aceitável de retiradas por complicaçöes, sendo o sangramento excessivo a principal causa. Registrou-se menor tendência a complicaçöes com o uso do T de cobre


Subject(s)
Adolescent , Adult , Middle Aged , Humans , Female , Intrauterine Devices/adverse effects
18.
Rev. bras. cir. cardiovasc ; 1(2): 15-9, dez. 1986. ilus
Article in Portuguese | LILACS | ID: lil-52754

ABSTRACT

O implante de marcapasso definitivo em crianças têm-se constituído em desafio, tanto pela incompatibilidade de rigidez dos sistemas de estimulaçäo em relaçäo ao crescimento, quanto pela dificuldade de se alojar o sistema, além de outros importantes problemas técnicos e sociais. Mesmo nos Serviços onde a primeira opçäo tem sido a via endocárdica, nas crianças de baixo peso a opçäo tem sido a via epicárdica. No Instituto do Coraçäo do Hospital das Clínicas da Faculdade de Medicina da USP, no período de novembro de 1980 a outubro de 1985, foram realizados 21 implantes de marcapasso em pacientes na primera década de vida, utilizando a via endocárdica. Esta técnica consta da introduçäo do eletrodo pelo território venoso femoral, deixando-se uma alça no átrio direito, para permitir o crescimento, e da colocaçäo do gerador na fossa ilíaca. Em um segundo tempo, após alguns anos, é realizada liberaçäo do eletrodo dentro da loja do gerador, permitindo-se a utilizaçäo do sistema por tempo indeterminado. A idade variou de 2 meses a 10 anos, sendo que 13 crianças tinham idade abaixo de 5 anos e 5 delas, no primeiro ano de vida. A indicaçäo mais comum foi o bloqueio atrioventricular do 3- grau (90%), que teve como etiologia mais freqüente pós-operatório (75%). No seguimento realizado de 3 meses a 63 meses, com média de 26 meses, 3 pacientes morreram por causas näo relacionadas ao marcapasso, enquanto que os demais estäo assintomáticos. Cinco crianças já foram reparadas para a liberaçäo do eletrodo no interior da loja do marcapasso, após o crescimento ter desfeito toda a alça atrial. O acompanhamento dessas crianças pode demonstrar a grande superioridade da técnica em relaçäo ao implante epicárdico e ao implante endocavitário convencional. Podemos destacar as seguintes vantagens: 1) grande facilidade técnica, com trauma cirúrgico mínimo e pós-operatório extremamente fácil; 2) näo necessita outros tipos de prótese para acomodar o eletrodo; 3) permite o acompanhamento seguro da criança com simples estudo radiológico; 4) preserva o sistema cava superior para a utilizaçäo...


Subject(s)
Infant, Newborn , Infant , Child, Preschool , Child , Humans , Male , Female , Pacemaker, Artificial
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