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1.
J Sci Food Agric ; 104(9): 4939-4949, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38314878

ABSTRACT

Cacti are a distinguished group of plants that stand out for their great nutritional values, diverse uses, and unique morphology, allowing them to grow and thrive under different conditions such as dry, xeric, and even low-temperature environments. The world is going through significant climate changes that are affecting the agriculture system. Therefore, sustainable and multifunctional crops, as many species of the Cactaceae family are, might be a good alternative in the near future. In this work, the uses of cacti in human food were analyzed through a scientific prospection from the point of view of their temporal and spatial distribution and potential uses. Brazil is the country with more publications related to the scope of this work, followed by Mexico. The presence of cacti in these countries can influence their interest in these species, which might reflect the results encountered in this study. The uses and ethnobotanical applications of cacti vary in different countries worldwide. Cactus is consumed fresh (in salads), in preparations (jams and sweets), and juices, being also present in traditional dishes in countries like Mexico. This study emphasizes cacti's importance in people's diets and ongoing world changes. Their ability to thrive even in hot environments with low water resources will lead to a greater focus on these species in the upcoming years. Furthermore, these plants have great flavor and contain several beneficial chemical compounds with desirable nutritional and health properties. Therefore, knowledge dissemination combined with technological innovations will allow greater use of these multifunctional species for human consumption. © 2024 Society of Chemical Industry.


Subject(s)
Cactaceae , Cactaceae/chemistry , Cactaceae/growth & development , Humans , Mexico , Brazil , Nutritive Value , Ethnobotany
2.
Insects ; 14(8)2023 Aug 08.
Article in English | MEDLINE | ID: mdl-37623406

ABSTRACT

The hemodynamic activity of Melipona flavolineata workers was evaluated during restraint stress for a period of 30 min. The observed parameters were power variation in the elapsed time, and subsequently, six periods of one second were divided and called A, B, C, D, E and F; in each period, the electrocardiographic parameters were evaluated: spike frequency, amplitude, spike intervals and spike duration. The experiment was carried out with eight worker bees of M. flavolineata, for which electrodes of a nickel-chromium alloy were made. The bees were previously anesthetized with isoflurane and properly contained and fixed in a base for stereotaxis in which the electrode was implanted. All these procedures were performed inside a Faraday cage. The results showed power oscillations during the recording, with the highest energy level being between 300 and 600 s. Spike frequency, spike amplitude, interval between spikes and spike duration parameters underwent changes during the restraint stress period. Thus, the cardiac activity of M. flavolineata can be used as a biomarker and can be used to clarify physiological issues or alterations caused by toxic agents and indicate risk factors for these animals.

3.
Gigascience ; 112022 11 03.
Article in English | MEDLINE | ID: mdl-36329618

ABSTRACT

Vector-borne diseases are responsible for more than 17% of human cases of infectious diseases. In most situations, effective control of debilitating and deadly vector-bone diseases (VBDs), such as malaria, dengue, chikungunya, yellow fever, Zika and Chagas requires up-to-date, robust and comprehensive information on the presence, diversity, ecology, bionomics and geographic spread of the organisms that carry and transmit the infectious agents. Huge gaps exist in the information related to these vectors, creating an essential need for campaigns to mobilise and share data. The publication of data papers is an effective tool for overcoming this challenge. These peer-reviewed articles provide scholarly credit for researchers whose vital work of assembling and publishing well-described, properly-formatted datasets often fails to receive appropriate recognition. To address this, GigaScience's sister journal GigaByte partnered with the Global Biodiversity Information Facility (GBIF) to publish a series of data papers, with support from the Special Programme for Research and Training in Tropical Diseases (TDR), hosted by the World Health Organisation (WHO). Here we outline the initial results of this targeted approach to sharing data and describe its importance for controlling VBDs and improving public health.


Subject(s)
Communicable Diseases , Zika Virus Infection , Zika Virus , Animals , Humans , Disease Vectors , Publishing
4.
Phytother Res ; 36(4): 1459-1506, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35229374

ABSTRACT

Terpenes are one of the most abundant classes of secondary metabolites produced by plants and can be divided based on the number of isoprene units (C5 ) in monoterpenes (2 units-C10 ), sesquiterpenes (3 units-C15 ), diterpenes (4 units-C20 ), triterpenes (6 units-C30 ), etc. Chemically, triterpenes are classified based on their structural skeleton including lanostanes, euphanes, cycloartanes, ursanes, oleananes, lupanes, tirucallanes, cucurbitanes, dammaranes, baccharanes, friedelanes, hopanes, serratanes etc. Additionally, glycosylated (saponins) or highly oxidated/degraded (limonoids) triterpenes could be found in nature. The antiinflammatory effect and action as immunomodulators of these secondary metabolites have been demonstrated in different studies. This review reports an overview of articles published in the last 15 years (from 2006 to 2021 using PubMed and SciFinder database) describing the antiinflammatory effects of different triterpenes with their presumed mechanism of action, suggesting that triterpenes could be appointed as natural products with future pharmaceutical applicability.


Subject(s)
Biological Products , Saponins , Triterpenes , Anti-Inflammatory Agents/pharmacology , Biological Products/chemistry , Biological Products/pharmacology , Molecular Structure , Plants , Triterpenes/chemistry , Triterpenes/pharmacology
5.
GigaByte ; 2022: gigabyte55, 2022.
Article in English | MEDLINE | ID: mdl-36824533

ABSTRACT

Biological collections are important for acquiring knowledge of the biodiversity of a specific environment. Here, we organize, list and catalog adult specimens of Culicidae from the Parasitology Collection of the Basic Pathology Department at the Federal University of Paraná, Brazil, and present a databank of taxonomic and collection information for each sample. Culicids were collected using different methodologies in 18 municipalities in Paraná state, between 1967 and 1999. There are 5,739 catalogued specimens, of which 4,703 (81.94%) are identified at species level, with a diversity of 100 species. Of these, 18 are new recorded samples for Paraná, and three are new for Brazil. This collection is named the Ana Leuch Lozovei Entomological Collection in honor of the 30 years Prof Lovozei dedicated to culicid study in Paraná. The collection comprises insect vectors or potential vectors, of agents causing human diseases.

6.
PLoS One ; 14(3): e0212817, 2019.
Article in English | MEDLINE | ID: mdl-30884493

ABSTRACT

OBJECTIVE: To investigate the association between maternal anemia and low/insufficient birth weight. DESIGN: A prospective cohort study of pregnant women who underwent prenatal care at the healthcare units in a municipality of northeast Brazil together with their newborn infants was carried out. The pregnant women were classified as having anemia when the hemoglobin level was below 11 g/dl. Infants who were born full term weighing less than 2500 grams were classified as low birth weight, and those weighing between 2500 and 2999 grams were classified as insufficient weight. The occurrence of maternal anemia and its association with birth weight was verified using crude and adjusted Relative Risk (RR) estimates with their corresponding 95% confidence intervals (95%CIs). RESULTS: The final sample was comprised of 622 women. Maternal anemia was considered a risk factor for low/insufficient birth weight, after adjusting the effect measurement for maternal age, family income, urinary infection, parity, alcoholic beverage consumption during pregnancy and gestational body mass index: RRadjusted = 1.38 [95% CI: 1.07 to 1.77]. CONCLUSIONS: Maternal anemia was associated with low/insufficient birth weight, representing a risk factor for the gestational outcomes studied.


Subject(s)
Anemia/epidemiology , Birth Weight , Infant, Low Birth Weight , Pregnancy Complications/epidemiology , Adolescent , Adult , Anemia/diagnosis , Brazil/epidemiology , Female , Hemoglobins/analysis , Humans , Infant, Newborn , Middle Aged , Pregnancy , Pregnancy Complications/diagnosis , Pregnancy Outcome , Prospective Studies , Risk Factors , Socioeconomic Factors , Young Adult
7.
Tuberculosis (Edinb) ; 111: 198-201, 2018 07.
Article in English | MEDLINE | ID: mdl-30029908

ABSTRACT

Tuberculosis (TB) is the cause of more than one million deaths worldwide, and despite being a curable disease, some factors can make therapy difficult, emphasizing the need for the development of new drugs that may potentiate the action of the classic anti-TB antimicrobials. Naphthoimidazoles show a broad spectrum of biological activities, including antimycobacterial activity. The aim of this study was to evaluate the anti-Mycobacterium tuberculosis activity of nine naphthoimidazoles, alone and combined with isoniazid (INH) and rifampicin (RIF). We evaluated the minimum inhibitory concentration (MIC) of the compounds, the fractional inhibitory concentration of the combinations of the naphthoimidazoles with INH or RIF, and the cytotoxicity of these compounds. Eight compounds showed MICs ranging from 1.56 to 25 µg/mL and the presence of substituents on phenyl groups shown to be essential for antimycobacterial activity. Four compounds showed additivity with both INH and RIF and showed SI values higher than 10, indicating safety. Thus, considering the antimycobacterial activity and the absence of antagonism between naphthoimidazoles and the two main drugs for TB treatment, these compounds could be scaffolds for the development of new anti-TB drugs.


Subject(s)
Antitubercular Agents/pharmacology , Imidazoles/pharmacology , Isoniazid/pharmacology , Mycobacterium tuberculosis/drug effects , Naphthoquinones/pharmacology , Rifampin/pharmacology , Tuberculosis/drug therapy , Antitubercular Agents/chemical synthesis , Drug Discovery , Drug Resistance, Bacterial , Drug Therapy, Combination , Humans , Imidazoles/chemical synthesis , Microbial Sensitivity Tests , Molecular Structure , Mycobacterium tuberculosis/growth & development , Mycobacterium tuberculosis/pathogenicity , Naphthoquinones/chemical synthesis , Structure-Activity Relationship , Tuberculosis/microbiology
8.
Educ. med. super ; 31(1): 166-177, ene.-mar. 2017.
Article in Spanish | CUMED | ID: cum-71232

ABSTRACT

Introducción: la Pasantía Curricular Supervisada posibilita el desarrollo de habilidades y destrezas esenciales para la actuación profesional. Objetivo: describir las percepciones del pasante sobre Pasantía Curricular Supervisada en el curso de graduación en enfermería. Métodos: abordaje cualitativo descriptivo, por medio de cuestionario, grupo focal y narrativa. Resultados: la Pasantía Curricular Supervisada es la inmersión del académico en el mundo del trabajo, prepara al estudiante para actuación profesional, pero, el conocimiento insuficiente sobre las legislaciones que orientan el pasante y sus objetivos intensifica los sentimientos de miedo, inseguridad despertados frente al nuevo; entre las dificultades están fallos del conocimiento previo e interacción enseñanza-servicio; entre las sugerencias están flexibilidad de horario, aumento de la carga horaria y normalización de la evaluación. Conclusiones: se quedó explícito que ese período es imprescindible en la formación académica. Ese estudio contribuye problematizándose y proponiéndose orientaciones para la reflexión de la Pasantía Curricular Supervisada en la consolidación formativa necesaria a la profesión escogida(AU)


Introduction: The Supervised Curricular Internship makes possible the development of skills essential for professional performance. Objective: To describe the interns' perceptions about the Supervised Curricular Internship in the nursing graduation course. Methods: Descriptive qualitative approach, by the questionnaire, target group and narrative methods. Results: The Supervised Curricular Internship means involving the scholars in the world of work, prepares the student for professional performance, but insufficient knowledge about the legislations that guide the interns and their objectives intensifies the feelings of fear and insecurity aroused by the new. Among the difficulties are previous knowledge failures and teaching-service interaction. Among the suggestions are schedule flexibility in, work burden increase, and the evaluation standardization. Conclusions: It was explicit that period is essential in academic training. This study contributes by providing a problem and suggesting orientations for the reflection about the Supervised Curricular Internship in the necessary training consolidation within the chosen profession(AU)


Subject(s)
Training Support , Licensure, Nursing , Universities , Training Support , Epidemiology, Descriptive , Evaluation Studies as Topic , Brazil
9.
Educ. med. super ; 31(1): 166-177, ene.-mar. 2017.
Article in Spanish | LILACS | ID: biblio-891161

ABSTRACT

Introducción: la Pasantía Curricular Supervisada posibilita el desarrollo de habilidades y destrezas esenciales para la actuación profesional. Objetivo: describir las percepciones del pasante sobre Pasantía Curricular Supervisada en el curso de graduación en enfermería. Métodos: abordaje cualitativo descriptivo, por medio de cuestionario, grupo focal y narrativa. Resultados: la Pasantía Curricular Supervisada es la inmersión del académico en el mundo del trabajo, prepara al estudiante para actuación profesional, pero, el conocimiento insuficiente sobre las legislaciones que orientan el pasante y sus objetivos intensifica los sentimientos de miedo, inseguridad despertados frente al nuevo; entre las dificultades están fallos del conocimiento previo e interacción enseñanza-servicio; entre las sugerencias están flexibilidad de horario, aumento de la carga horaria y normalización de la evaluación. Conclusiones: se quedó explícito que ese período es imprescindible en la formación académica. Ese estudio contribuye problematizándose y proponiéndose orientaciones para la reflexión de la Pasantía Curricular Supervisada en la consolidación formativa necesaria a la profesión escogida(AU)


Introduction: The Supervised Curricular Internship makes possible the development of skills essential for professional performance. Objective: To describe the interns' perceptions about the Supervised Curricular Internship in the nursing graduation course. Methods: Descriptive qualitative approach, by the questionnaire, target group and narrative methods. Results: The Supervised Curricular Internship means involving the scholars in the world of work, prepares the student for professional performance, but insufficient knowledge about the legislations that guide the interns and their objectives intensifies the feelings of fear and insecurity aroused by the new. Among the difficulties are previous knowledge failures and teaching-service interaction. Among the suggestions are schedule flexibility in, work burden increase, and the evaluation standardization. Conclusions: It was explicit that period is essential in academic training. This study contributes by providing a problem and suggesting orientations for the reflection about the Supervised Curricular Internship in the necessary training consolidation within the chosen profession(AU)


Subject(s)
Licensure, Nursing , Training Support , Universities , Brazil , Epidemiology, Descriptive , Evaluation Studies as Topic
10.
Braz. J. Pharm. Sci. (Online) ; 53(2): e15197, 2017. tab
Article in English | LILACS | ID: biblio-839494

ABSTRACT

ABSTRACT Recent research on Vitamin K has shown its importance in maintaining vascular and bone health. Brazilian food composition tables do not show phylloquinone content in national foods. These data are needed to obtain more reliable results in nutritional status assessment studies of individuals in relation to this vitamin as studies have shown a geographical influence in food phylloquinone content. This study aims to determine phylloquinone (Vitamin K1) levels in its most important source: dark green leaved vegetables. Several varieties of vegetables were purchased directly from CEAGESP (General Warehouse Company of São Paulo) at different times. Phylloquinone was extracted using organic solvents and quantified by High Performance Liquid Chromatography - HPLC. Results show the concentrations of phylloquinone in commonly consumed foodstuffs. In general, results showed variations with data from literature on the amount of Vitamin K in the plants analysed.


Subject(s)
Vitamin K 1/pharmacology , Vitamin K/analysis , Food/statistics & numerical data , Brazil , Chromatography, High Pressure Liquid/instrumentation , Food Composition , Vegetable Products/classification
11.
São Paulo; s.n; s.n; set. 2013. 113 p. tab, graf, ilus.
Thesis in Portuguese | LILACS | ID: biblio-837008

ABSTRACT

Estudos sobre a vitamina K têm evidenciado seu papel na manutenção da saúde óssea e vascular. A atuação desta vitamina em tecidos extra-hepáticos não é considerada na recomendação dietética da DRI de 2001, sendo reconhecidas necessidades maiores para função óssea em pessoas acima dos 60 anos e em indivíduos que fazem uso de medicamentos antivitamina K. Visando colaborar com pesquisas futuras, onde o conhecimento do teor de vitamina K1 é relevante, além de contribuir com dados para Tabela Brasileira de Composição de Alimentos - TBCA-USP, o presente trabalho foi conduzido para determinação do teor de filoquinona (vitamina K1) de hortaliças consumidas na cidade de São Paulo. As hortaliças analisadas foram escolhidas após a conclusão de um inquérito alimentar realizado, com adultos e idosos, num projeto de pesquisa desenvolvido junto ao Departamento de Alimentos e Nutrição Experimental da FCF/USP visando a análise da ingestão diária de vitamina K. Desta forma, foram analisadas as hortaliças mais consumidas por esses grupos, submetidas ou não ao processo de cocção. Estas amostras foram adquiridas diretamente na CEAGESP - Companhia de Entrepostos e Armazéns Gerais de São Paulo. As metodologias empregadas na determinação da filoquinona (vitamina K1) foram extração e purificação pelo método líquido-líquido utilizando solventes orgânicos e quantificação através da Cromatografia Líquida de Alta Eficiência (CLAE). Os resultados mostraram que as amostras de hortaliças de colorações verdes mais escuras apresentaram os maiores teores da vitamina como: salsa 491,05 µg/100g; espinafre 375,01 µg/100g, quando comparados com as amostras de colorações verdes mais claras as quais como é o caso da alface americana 113,42 µg/100g e a couve-flor 32,55 µg/100g. A maioria das hortaliças analisadas apresentaram variações entre as diferentes épocas do ano e quando comparadas com dados da literatura


Studies on vitamin K have shown its role in maintaining bone and vascular health. The role of this vitamin in extrahepatic tissues is not considered in the dietary recommendation of DRI 2001. Increased need for vitamin K intake is recognized for the bone function in people over age 60 and individuals who use anti-vitamin K drugs. Aiming at supporting future research, where knowledge of vitamin K1 is relevant, and contribute data to the Brazilian Table of Food Composition - TBCA-USP, this study was conducted to determine the level of phylloquinone (vitamin K1) of vegetables consumed in the city of São Paulo. The vegetables studied were chosen after completion of a nutrition survey carried out with adults and elderly people, a research project developed by the Department of Food and Experimental Nutrition FCF / USP aimed at analyzing the daily intake of vitamin K. Therefore, we analyzed the most consumed vegetables by these groups submitted or not to the cooking process. These samples were acquired directly at CEAGESP - General Warehouses Company of São Paulo. The methodologies employed in the determination of phylloquinone (vitamin K1) were extraction and purification method using liquid-liquid organic solvents followed by High Performance Liquid Chromatography (HPLC). The results showed that the samples of darker green vegetables showed the highest levels of vitamin such as parsley (491.05 µg/100g) and spinach (375.01 µg/100g), when compared with samples of lighter coloration (e.g. 113.42 µg/100g lettuce, and 32.55 µg/100g cauliflower). Most vegetables analyzed showed variation in results when compared to the different seasons and the literature data


Subject(s)
Aged , Vegetables/metabolism , Vitamin K/analysis , Vitamin K 1/analysis , Food Analysis/statistics & numerical data
12.
Rev. enferm. UFPE on line ; 7(5): 1390-1397, maio 2013. ilus
Article in Portuguese | BDENF - Nursing | ID: biblio-1033628

ABSTRACT

Objetivo: caracterizar os acompanhantes de clientes hospitalizados; identificar o bem-estar do cuidador prée pós-grupo de acompanhantes utilizando a Classificação dos Resultados de Enfermagem (NOC); analisar oslimites e as possibilidades de integração dos acompanhantes ao ambiente hospitalar. Método: estudo deabordagem quanti-qualitativa, do tipo quase-experimental, utilizando-se da técnica grupo focal com 140acompanhantes de pacientes internados nas unidades clínicas e cirúrgicas de um hospital geral, emNiterói/RJ/Brasil, após aprovação do projeto pelo Comitê de Ética em Pesquisa, sob protocolo0102.0.258.000-08. Para a análise dos dados foi empregada a Técnica Análise de conteúdo e descritivasimples. Resultados: estabeleceu-se o perfil do acompanhante; os fatores implicados na formação do papelde acompanhante; a atuação do acompanhante no processo de cuidar; reflexos e nexos da relaçãoacompanhante-cuidador; e o significado do ser acompanhante. Conclusão: houve melhora no bem-estar apósa intervenção grupal, e a inclusão do acompanhante na prática requer adequação do cenário hospitalar.


Subject(s)
Humans , Caregivers , Nursing , Epidemiology , Nursing Assessment , Caregivers/education , Caregivers/psychology , Psychotherapy, Group
13.
Braz. j. pharm. sci ; 48(4): 651-657, Oct.-Dec. 2012. tab
Article in English | LILACS | ID: lil-665861

ABSTRACT

In order to inactivate enzymatic deterioration, whole rice bran samples were subjected to two stabilization methods. Changes in nutritional value in terms of, concerning chemical composition, minerals and fatty acid content, were evaluated to supplement existing data and promote the utilization of rice bran in the human diet. The following homemade heat treatments were applied: roasting on a conventional stove or heating in a microwave oven. Based on the results, the different heating methods affected sample composition, since the levels of some nutrients of treated samples showed significant changes (p<0.05) compared to corresponding raw samples. The rice bran treated on a conventional stove produced products with lower moisture (5.14±0.10 g/100 g) and nutrients such as sodium 11.8%; palmitic acid 9.9% and stearic acid 8.1%. The microwave oven procedure resulted in better nutrient preservation, with slightly higher moisture content (6.28±0.10 g/100 g), and appears to be a practical and rapid tool for home heat stabilization of rice bran.


A fim de inativar a deterioração enzimática, as amostras de farelo de arroz foram submetidas a dois métodos de estabilização. As mudanças do valor nutricional, no que se refere a composição química, os minerais e o conteúdo de ácidos graxos, foram avaliadas para adicionar mais informações aos dados existentes e promover a utilização de farelo de arroz na dieta humana. Os seguintes tratamentos caseiros por calor foram aplicados: torra em forno convencional ou de aquecimento em forno de micro-ondas. Com base nos resultados, os diferentes métodos de aquecimento afetaram a composição das amostras, já que os níveis de alguns nutrientes mostraram alterações significativas (p <0,05), comparado com as amostras cruas correspondentes. O farelo de arroz tratado em fogão convencional forneceu produtos com menos umidade (5,14 ± 0,10 g/100 g) e nutrientes, tais como: de sódio 11,8%; ácido palmítico 9,9% e ácido esteárico 8,1%. O procedimento de forno de micro-ondas resultou em melhor preservação dos nutrientes, com teor de umidade um pouco maior (6,28 ± 0,10 g/100 g), o que parece ser uma ferramenta prática e rápida no tratamento térmico caseiro para o farelo de arroz.


Subject(s)
Oryza/classification , Organic Matter Stabilization/analysis , Nutritive Value , Oryza/chemistry , Thermic Treatment , Diet/classification , Fatty Acids/analysis
14.
Respir Res ; 6: 146, 2005 Dec 13.
Article in English | MEDLINE | ID: mdl-16351724

ABSTRACT

BACKGROUND: Alpha1-antitrypsin and surfactant protein-A (SP-A) are major lung defense proteins. With the hypothesis that SP-A could bind alpha1-antitrypsin, we designed a series of in vitro experiments aimed at investigating the nature and consequences of such an interaction. METHODS AND RESULTS: At an alpha1-antitrypsin:SP-A molar ratio of 1:1, the interaction resulted in a calcium-dependent decrease of 84.6% in the association rate constant of alpha1-antitrypsin for neutrophil elastase. The findings were similar when SP-A was coupled with the Z variant of alpha1-antitrypsin. The carbohydrate recognition domain of SP-A appeared to be a major determinant of the interaction, by recognizing alpha1-antitrypsin carbohydrate chains. However, binding of SP-A carbohydrate chains to the alpha1-antitrypsin amino acid backbone and interaction between carbohydrates of both proteins are also possible. Gel filtration chromatography and turnover per inactivation experiments indicated that one part of SP-A binds several molar parts of alpha1-antitrypsin. CONCLUSION: We conclude that the binding of SP-A to alpha1-antitrypsin results in a decrease of the inhibition of neutrophil elastase. This interaction could have potential implications in the physiologic regulation of alpha1-antitrypsin activity, in the pathogenesis of pulmonary emphysema, and in the defense against infectious agents.


Subject(s)
Leukocyte Elastase/chemistry , Pulmonary Surfactant-Associated Protein A/chemistry , alpha 1-Antitrypsin/chemistry , Enzyme Activation , Kinetics , Protein Binding
15.
Exp Hematol ; 33(4): 480-6, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15781339

ABSTRACT

OBJECTIVE: Functional recovery of B lymphocytes after hematopoietic stem cell transplantation (HSCT) can take up to 2 years. HSCT recipients may obtain protective titers of pathogen-specific antibody through vaccination, but optimal timing of reimmunization remains to be defined. PATIENTS AND METHODS: In this study, we evaluated the reconstitution of B-cell number and activity in 139 children given HSCT, by B-cell subset phenotyping and in vitro immunoglobulin (Ig) production. RESULTS: Patients were longitudinally studied at 3, 6, 12, and 18 to 24 months after transplantation. At all time points, recipients displayed a significantly higher percentage of naive (IgD+CD27-) B cells and showed significantly lower production of stimulated in vitro Ig as compared to healthy controls. Moreover, during follow-up, we observed an increase in the proportion of patients who had CD27+ B subsets and who were able to mount in vitro Ig production greater than the 5th percentile. CONCLUSION: Similar to what has been described in adults, most children lack memory B cells and produce low amounts of Ig. However, the number of B cells, as well as their function, gradually recovered over time and the spread of data we observed suggests that the reimmunization schedule should be individualized for each patient. It remains to be defined in a prospective clinical study the time point at which a patient should start reimmunization. A reasonable hypothesis to be explored is the time point at which a percentage of memory B cells greater than the 5th percentile of normal controls is reached.


Subject(s)
B-Lymphocytes/immunology , Hematopoiesis/immunology , Hematopoietic Stem Cell Transplantation , Immunologic Memory , Tumor Necrosis Factor Receptor Superfamily, Member 7 , Adolescent , Adult , Antibody Formation , B-Lymphocytes/physiology , Child , Child, Preschool , Female , Humans , Immunoglobulins/biosynthesis , Infant , Longitudinal Studies , Male , Vaccination
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