Remote Ischemic Preconditioning Is Efficient in Reducing Hepatic Ischemia-Reperfusion Injury in a Growing Rat Model and Does Not Promote Histologic Lesions in Distant Organs.

OBJECTIVE: Ischemic preconditioning (IPC) was developed to diminish ischemia-reperfusion injury (IRI). There are two main ways of performing it: direct ischemic-preconditioning (DIP) and remote ischemic-preconditioning (RIP). The objectives of this study were to investigate local and systemic effects of DIP and RIP in liver IRI. METHODS: Thirty-two weaning rats (50-70 g body weight; 21 days old) were divided into 4 groups: control (C); ischemia followed by reperfusion (IR); DIP followed by ischemia and reperfusion; and RIP followed by ischemia and reperfusion. In the IR group, the vascular pedicles of medial and left lateral liver lobes were clamped for 60 minutes and then unclamped. In the DIP group, a 10-minute cycle of ischemia followed by a 10-minute reperfusion of the same lobes was performed before 60 minutes of ischemia. In the RIP group, three 5-minute cycles of clamping and unclamping of the femoral vessels were performed before liver ischemia. The animals were euthanized 24 hours after the surgical procedures. RESULTS: The serum levels of liver enzymes were significantly lower in the RIP group compared to the control and IR groups and to the DIP group. The scores of histologic hepatic lesions were significantly lower in RIP animals than those of IR animals (P = .002) and similar to the C group animals. The Bax/BCl-xl relation was lower in the DIP group than that in the RIP group (P = .045) and no differences were observed in histologic analyses of kidney, lung, intestine, and heart. CONCLUSION: In young animals, the beneficial effects of RIP are more evident than those of DIP.

Dynamic expression of desmin, α-SMA and TGF-β1 during hepatic fibrogenesis induced by selective bile duct ligation in young rats

We previously described a selective bile duct ligation model to elucidate the process of hepatic fibrogenesis in children with biliary atresia or intrahepatic biliary stenosis. Using this model, we identified changes in the expression of alpha smooth muscle actin (α-SMA) both in the obstructed parenchyma and in the hepatic parenchyma adjacent to the obstruction. However, the expression profiles of desmin and TGF-β1, molecules known to be involved in hepatic fibrogenesis, were unchanged when analyzed by semiquantitative polymerase chain reaction (RT-PCR). Thus, the molecular mechanisms involved in the modulation of liver fibrosis in this experimental model are not fully understood. This study aimed to evaluate the molecular changes in an experimental model of selective bile duct ligation and to compare the gene expression changes observed in RT-PCR and in real-time quantitative PCR (qRT‐PCR). Twenty-eight Wistar rats of both sexes and weaning age (21-23 days old) were used. The rats were separated into groups that were assessed 7 or 60 days after selective biliary duct ligation. The expression of desmin, α-SMA and TGF-β1 was examined in tissue from hepatic parenchyma with biliary obstruction (BO) and in hepatic parenchyma without biliary obstruction (WBO), using RT-PCR and qRT‐PCR. The results obtained in this study using these two methods were significantly different. The BO parenchyma had a more severe fibrogenic reaction, with increased α-SMA and TGF-β1 expression after 7 days. The WBO parenchyma presented a later, fibrotic response, with increased desmin expression 7 days after surgery and increased α-SMA 60 days after surgery. The qRT‐PCR technique was more sensitive to expression changes than the semiquantitative method.

Dynamic expression of desmin, α-SMA and TGF-ß1 during hepatic fibrogenesis induced by selective bile duct ligation in young rats.

We previously described a selective bile duct ligation model to elucidate the process of hepatic fibrogenesis in children with biliary atresia or intrahepatic biliary stenosis. Using this model, we identified changes in the expression of alpha smooth muscle actin (α-SMA) both in the obstructed parenchyma and in the hepatic parenchyma adjacent to the obstruction. However, the expression profiles of desmin and TGF-ß1, molecules known to be involved in hepatic fibrogenesis, were unchanged when analyzed by semiquantitative polymerase chain reaction (RT-PCR). Thus, the molecular mechanisms involved in the modulation of liver fibrosis in this experimental model are not fully understood. This study aimed to evaluate the molecular changes in an experimental model of selective bile duct ligation and to compare the gene expression changes observed in RT-PCR and in real-time quantitative PCR (qRT-PCR). Twenty-eight Wistar rats of both sexes and weaning age (21-23 days old) were used. The rats were separated into groups that were assessed 7 or 60 days after selective biliary duct ligation. The expression of desmin, α-SMA and TGF-ß1 was examined in tissue from hepatic parenchyma with biliary obstruction (BO) and in hepatic parenchyma without biliary obstruction (WBO), using RT-PCR and qRT-PCR. The results obtained in this study using these two methods were significantly different. The BO parenchyma had a more severe fibrogenic reaction, with increased α-SMA and TGF-ß1 expression after 7 days. The WBO parenchyma presented a later, fibrotic response, with increased desmin expression 7 days after surgery and increased α-SMA 60 days after surgery. The qRT-PCR technique was more sensitive to expression changes than the semiquantitative method.

Biosorption of phenol onto bionanoparticles from Spirulina sp. LEB 18.

The biosorption of phenol onto bionanoparticles from Spirulina sp. LEB 18 was studied. Firstly, the bionanoparticles were prepared from Spirulina sp. strain LEB 18 and characterized. After, response surface methodology was employed to optimize the biosorption process as a function of pH (3.2-8.8) and bionanoparticles dosage (0.15-1.85 g L(-1)). Finally, equilibrium and thermodynamic studies were performed at different temperatures (298-328 K). The bionanoparticles presented hydrodynamic diameter of 232±3 nm and polydispersity index of 0.150. It was found that the more adequate condition for the phenol biosorption was pH of 6.0 and bionanoparticles dosage of 1.85 g L(-1). The Langmuir model presented satisfactory fit with the equilibrium experimental data. The maximum biosorption capacity was 159.33 mg g(-1), obtained at 298 K. The thermodynamic parameters showed that the biosorption was a spontaneous, favorable and exothermic process. Based on these results, it can be affirmed that the bionanoparticles are an alternative, renewable and eco-friendly biosorbent to removal phenol from aqueous solutions.

Oclusöes venosas retinianas: fatores de risco / Retinal venous oclusion: risk factors

Estudou-se no presente trabalho, os fatores de risco em relaçäo às oclusöes venosas retinianas. Os fatores de risco mais frequentes foram: hipertensäo arterial sistêmica, hipermetropia e glaucoma crônico simples. O diabetes mellitus foi uma associaçäo muito pouco frequente

Oftalmoplegia dolorosa ou sindrome de Tolosa-Hunt. / Painful ophtalmoplegia or Tolosa-Hunt syndrome

O autor descreve 4 casos da sindrome de Tolosa-Hunt, nos seus varios aspectos. Chama atencao da importancia que tem a flebografia orbitaria na elucidacao da doenca e dos corticoides no seu tratamento

Reconstrucao do canto medial e lateral. / Reconstruction of the medial and lateral canthus

Os autores analisaram 29 casos de reconstrucao de canto medial e lateral em pacientes portadores de lesoes tumorais, sendo 22 casos de canto medial e sete (7) de canto lateral.O tratamento cirurgico mostrou-se satisfatorio, pois as recidivas e complicacoes foram bastante reduzidas

Tumores palpebrais e das estruturas adjacentes (Estudos de 103 casos). / Eyelid and adjacent structure tumors (Study of 103 cases)

Os autores analizaram sob os aspectos clinico e cirurgico, 103 casos de tumores palpebrais e das estruturas adjacentes. Os carcinomas basocelulares palpebrais correspondem a 38.8% dos casos. Foram encontrados 52.46% de tumores malignos e 47.54% de tumores benignos considerando-se todos os tumores oculares externos. Chamam atencao para o grave problema do TUMOR VACINADO, oriundo e tratamento mal adequado. Foram relatados 3 casos de recidiva um paciente dos quais faleceu por metastases em caso de adenocarcinoma de glandula de Meibomius