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1.
Poult Sci ; 100(5): 101046, 2021 May.
Article in English | MEDLINE | ID: mdl-33780752

ABSTRACT

Japanese quail is a low-fat, meat-bird species exhibiting high disease resistance. Cathelicidins (CATHs) are host defense peptides conserved across numerous vertebrate species that play an important role in innate immunity. The activity of host defense peptides can be affected by amino acid substitutions. However, no polymorphisms in avian CATH genes have been reported to date. The aim of this study was to clarify the polymorphisms in CATHs in Japanese quail. DNA for genomic analyses was extracted from the peripheral blood of 99 randomly selected quail from 6 inbred lines. A total of 6, 4, 6, and 4 CjCATH1, -2, -3, and -B1 alleles were identified, respectively. Nine haplotypes, including 4 strain-specific haplotypes, were identified by combining alleles at the CjCATH1, -2, -3, and -B1 loci. In addition, 2 and 1 amino acid substitutions (I145F, Q148H, and P245H) predicted by PROVEAN and PolyPhen-2 to have deleterious effects were detected in CjCATH2 and -B1, respectively. Synthetic CjCATH2 and -B1 peptides exhibited greater antibacterial activity against Escherichia coli than chicken CATH2 and -B1, respectively. Furthermore, the CjCATHB1∗04 peptide exhibited less potent antimicrobial activity than other CjCATHB1 peptides examined. This is the first report of amino acid substitutions accompanied by changes in antibacterial activity in avian CATHs. These findings could be employed as indicators of improvements in innate immune response in poultry.


Subject(s)
Cathelicidins , Coturnix , Amino Acid Sequence , Animals , Base Sequence , Cathelicidins/genetics , Chickens , Coturnix/genetics
2.
J Hered ; 111(5): 436-443, 2020 09 30.
Article in English | MEDLINE | ID: mdl-32852036

ABSTRACT

The avian ß-defensin (AvBD) gene region is an important component of the innate immune system, encoding a variety of antimicrobial peptides. The AvBD region forms a multigene cluster in a specific chromosomal region. Comparison of the AvBD region among various birds suggests the presence of defects, duplications, and pseudogenization at many loci. The AvBD region in certain galliform birds, namely chicken, turkey, and bobwhite quail, includes AvBD3, -6, and -7, with the latter exhibiting copy number variants (CNVs) in chickens. DNA for genomic analysis was extracted from the peripheral blood of 99 randomly selected quail (Coturnix japonica) from 6 inbred lines. Nine CjAvBD1 and 8 CjAvBD12 alleles were detected. Ten haplotypes, including three that were strain specific, were found in alleles from the quail AvBD1 (CjAvBD1) and -12 (CjAvBD12) loci. Next-generation sequencing was used to determine the nucleotide sequences of the CjAvBD gene region (56-70 kb) for 7 homozygous diplotypes of these 10 haplotypes. These 7 haplotypes contained between 12 and 16 CjAvBD genes and were composed of 11 common loci: CjAvBD1, -2, -4, -5, -8, -9, -10, -11, -12, -13, and -14, but lacked CjAvBD3 and -7. Furthermore, up to 5 CjAvBD101 (AvBD6 ortholog) CNVs were observed among the 7 haplotypes. In addition, we detected amino acid substitutions causing net charge mutations that could affect antimicrobial activity in CjAvBD4, -13, -14, and -101. These results suggest that the CjAvBD region is unique among the Galliformes and that its diversity results in potential functional variation in innate immunity.


Subject(s)
Coturnix/genetics , Genetic Variation , beta-Defensins/genetics , Amino Acid Sequence , Amino Acid Substitution , Animals , Biodiversity , DNA Copy Number Variations , Evolution, Molecular , Genomics/methods , Mutation
3.
Anim Sci J ; 88(9): 1249-1257, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28084024

ABSTRACT

The Japanese quail has several advantages as a low-fat meat bird with high immunity against diseases. Cathelicidins (CATHs) are antimicrobial peptides that play an important role in innate immunity. The aim of this study was to characterize the CATH cluster in the Japanese quail (Coturnix japonica). The Japanese quail CATH (CjCATH) cluster, contains four CATH genes, as in the chicken. The coding sequences of CjCATHs exhibited >85.3% identity to chicken CATHs. The predicted amino acid sequences of the four CjCATH genes contained the cathelin-like domain characteristic of CATH proteins. Polymorphisms were detected in the open reading frames (ORFs) of all CjCATH sequences. Two amino acid substitutions were observed in the antimicrobial region of the mature peptide of CjCATH2, and predicted to influence peptide function. CjCATH1 is expressed in lung, heart, bone marrow and bursa of Fabricius (BF). CjCATH2 is expressed in bone marrow. CjCATH3 is expressed in lung, heart, bone marrow, BF, tongue and duodenum. CjCATHB1 is expressed in bone marrow and BF. This study is the first to characterize CATH genes in the Japanese quail, and identifies novel antimicrobial peptide sequences belonging to the cathelicidin family, which may play a role in immunity in this species.


Subject(s)
Antimicrobial Cationic Peptides/genetics , Antimicrobial Cationic Peptides/immunology , Coturnix/genetics , Coturnix/immunology , Immunity, Innate/genetics , Immunity, Innate/immunology , Multigene Family/genetics , Multigene Family/immunology , Amino Acid Sequence , Amino Acid Substitution , Animals , Antimicrobial Cationic Peptides/chemistry , Antimicrobial Cationic Peptides/metabolism , Bone Marrow/metabolism , Duodenum/metabolism , Gene Expression , Lung/metabolism , Myocardium/metabolism , Open Reading Frames/genetics , Polymorphism, Genetic , Tongue/metabolism , Cathelicidins
4.
Anim Biotechnol ; 28(4): 242-247, 2017 Oct 02.
Article in English | MEDLINE | ID: mdl-28103142

ABSTRACT

Weak calf syndrome (WCS) is a major cause of calf death in Japanese Black cattle. Among IARS disorders, the isoleucyl-tRNA synthetase c.235G>C mutation has been identified as one of the causes of WCS. However, calf deaths differing from those attributed to IARS disorder has been occurring. To identify other genes potentially responsible for these calf deaths, we constructed three populations of three bulls (Bull-1, -2 and -3) that did not carry the IARS mutation, and dead calves (18, 28, and 31 calves) and healthy cattle (18, 15, and 10 cattle) sired by these bulls. The populations were genotyped using the BovineSNP50 BeadChip, but homozygosity mapping did not detect any associated genomic regions with calf death. Linkage analysis performed using each population as a paternal half-sib family of Bull-1, Bull-2, and Bull-3 revealed that, in the Bull-1 population, calf death was mapped to the 8.94 Mb-14.53 Mb and 29.82 Mb-33.77 Mb regions of BTA29. The findings suggested that the incidence of calf death in calves sired by Bull-1 was a hereditary disease exhibiting a dominant, not recessive, inheritance pattern.


Subject(s)
Cattle Diseases/genetics , Chromosome Mapping/methods , Isoleucine-tRNA Ligase/genetics , Animals , Breeding , Cattle , DNA Mutational Analysis , Female , Genotype , Haplotypes , Male , Polymorphism, Single Nucleotide/genetics
5.
Anim Sci J ; 87(9): 1182-7, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27313148

ABSTRACT

Liver-expressed antimicrobial peptide 2 (LEAP-2) is a cationic peptide that plays an important role in innate immunity for host defense. The aim of this study was to characterize the LEAP-2 gene in the Japanese quail (Coturnix japonica). Japanese quail LEAP-2 (CjLEAP-2) was identified from the Japanese quail draft genome database by a local BLAST analysis using chicken LEAP-2 (GgLEAP-2). The exon-intron structure of CjLEAP-2, analyzed from three quails, is composed of three exons, as is the chicken LEAP-2 homolog (GgLEAP-2). An analysis of the coding sequence revealed that CjLEAP-2 is 231 bp long, like GgLEAP-2, and 93% identical to GgLEAP-2 at the nucleic acid level. The predicted amino acid sequence of CjLEAP-2 contained the liver-expressed antimicrobial peptide 2-precursor domain and four cysteine residues characteristic of the LEAP-2 protein. The amino acid sequence of the mature peptide of CjLEAP-2 was 100% identical to that of GgLEAP-2. We confirmed that CjLEAP-2 was transcribed in at least seven tissues, including the digestive system. Additionally, the mature peptide region of CjLEAP-2 exhibited no polymorphisms in 99 quails from six strains. Taken together, these findings indicate that CjLEAP-2 is non-polymorphic and therefore, it likely plays an important role in the innate immunity of quail as it does in chicken.


Subject(s)
Antimicrobial Cationic Peptides/genetics , Antimicrobial Cationic Peptides/immunology , Coturnix/genetics , Coturnix/immunology , Gene Expression , Immunity, Innate/genetics , Liver/immunology , Amino Acid Sequence , Animals , Antimicrobial Cationic Peptides/chemistry , Antimicrobial Cationic Peptides/metabolism , Blood Proteins , Chickens , Cysteine , Databases, Genetic , Exons , Liver/metabolism , Nucleic Acids , Polymorphism, Genetic , Protein Domains
6.
Anim Sci J ; 87(9): 1178-81, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27229878

ABSTRACT

Isoleucyl-tRNA synthetase (IARS) c.235G > C (p.V79L) is a causative mutation for a recessive disease called IARS disorder in Japanese black cattle. The disease is involved in weak calf syndrome and is characterized by low birth weight, weakness and poor suckling. The gestation period is often slightly extended, implying that intrauterine growth is retarded. In a previous analysis of 2597 artificial insemination (AI) procedures, we suggested that the IARS mutation might contribute toward an increase in the incidence of prenatal death. In this study, we extended this analysis to better clarify the association between the IARS mutation and prenatal death. The IARS genotypes of 92 animals resulting from crosses between carrier (G/C) × G/C were 27 normal (G/G), 55 G/C and 10 affected animals (C/C) (expected numbers: 23, 46 and 23, respectively). Compared to the expected numbers, there were significantly fewer affected animals in this population (P < 0.05), suggesting that more than half of the affected embryos died prenatally. When the number of AI procedures examined was increased to 11 580, the frequency of re-insemination after G/C × G/C insemination was significantly higher at 61-140 days (P < 0.001). The findings suggested that the homozygous IARS mutation not only causes calf death, but also embryonic or fetal death.


Subject(s)
Cattle Diseases/genetics , Cattle/genetics , Fetal Death/etiology , Fetal Growth Retardation/genetics , Fetal Growth Retardation/veterinary , Isoleucine-tRNA Ligase/genetics , Mutation , Animals , Cattle Diseases/epidemiology , Female , Fetal Growth Retardation/epidemiology , Genotype , Gestational Age , Homozygote , Hybridization, Genetic/genetics , Incidence , Insemination, Artificial , Pregnancy , Syndrome
7.
Anim Sci J ; 87(3): 311-20, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26338292

ABSTRACT

In this study, we identified a cluster of 14 avian ß-defensins (AvBD; approximately 66 kbp) in the Japanese quail, Coturnix japonica. Except for AvBD12 (CjAvBD12) and -13, the CjAvBDs coding sequences exhibited greater than 78.0% similarity to the respective orthologous chicken AvBD genes (GgAvBD). The putative amino acid sequence encoded by each CjAvBD contained six cysteine residues and the GXC (X1-2) motif considered essential for the ß-defensin family. Each CjAvBDs also formed a sub-group with the respective orthologous genes of various bird species in a phylogenetic tree analysis. Synteny between the CjAvBD cluster and GgAvBD cluster was confirmed. The CjAvBD cluster was mapped on the long-arm end of chromosome 3 by linkage analysis based on single nucleotide polymorphisms (SNPs) of CjAvBD1 and CjAvBD12 (approximately 46 kbp), as well as GgAvBD cluster. We also confirmed that CjAvBD1, -4, -5, -9, and -10 are transcribed in 20 tissues, including immune and digestive tissues. However, our experimental data indicated that the CjAvBD cluster lacks the AvBD3 and -7 loci, whereas the CjAvBD101α, -101ß, and -101θ loci arose from gene duplication of the AvBD6 orthologous locus in the CjAvBD cluster after differentiation between Coturnix - Gallus.


Subject(s)
Coturnix/genetics , beta-Defensins/genetics , Amino Acid Motifs , Amino Acid Sequence , Animals , Chickens , Chromosomes, Human, Pair 3/genetics , Cysteine , Gene Duplication , Genetic Linkage , Humans , Male , Phylogeny , Polymorphism, Single Nucleotide , beta-Defensins/chemistry
8.
Anim Sci J ; 87(1): 143-6, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26472627

ABSTRACT

NK-lysins are cationic peptides that play important roles in host protection, and are an important constituent of innate immunity. We identified nine single-nucleotide polymorphisms (SNPs) in the NK-lysin open reading frame (ORF) from 32 Japanese quails in six strains: A, B, ND, K, P, and Y. The G to A substitution at nucleotide position 272 in the ORF resulted in a Gly (G) to Asp (D) amino acid substitution (Cj31G and Cj31D alleles). The Cj31D allele was detected in P (frequency 0.76) and Y (frequency 0.03) strains. We compared the antimicrobial activities of four synthetic peptides from the helix 2-loop-helix 3 region of avian NK-lysins against Escherichia coli: Cj31G and Cj31D from quail and Gg29N and Gg29D from chicken. The antimicrobial activities of the four peptides decreased in the following order: Gg29N > Cj31G > Gg29D > Cj31D (P < 0.05). Although there were no differences in the predicted secondary structure of the Cj31G and Cj31D, the net charge of the Cj31G was higher than that of Cj31D. These data indicated that the antimicrobial activity of CjNKL is influenced by net charge, similar to that which has been observed in chicken.


Subject(s)
Antimicrobial Cationic Peptides/genetics , Coturnix/genetics , Coturnix/immunology , Genetic Association Studies/veterinary , Polymorphism, Single Nucleotide/genetics , Proteolipids/genetics , Alleles , Amino Acid Substitution/genetics , Animals , Antimicrobial Cationic Peptides/immunology , Antimicrobial Cationic Peptides/pharmacology , Chickens , Drug Resistance, Bacterial , Escherichia coli/drug effects , Immunity, Innate/genetics , Immunity, Innate/immunology , Open Reading Frames/genetics , Proteolipids/immunology , Proteolipids/pharmacology
9.
Anim Sci J ; 85(1): 90-5, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24206178

ABSTRACT

We identified an antimicrobial cationic peptide that was expressed in the natural killer cells and cytotoxic T-lymphocytes of Japanese quail. The gene, designated CjNKL, was located downstream of AEBP1L and POLD2 in a region syntenic with the chicken genome. CjNKL comprised four exons, as does chicken GgNKL. The coding sequence in CjNKL was 411 bp long and exon 3 of CjNKL lacked 9 bp when compared to chicken GgNKL, but CjNKL and GgNKL were 81% identical at the nucleic acid level. The saposin like type-B domain of CjNKL contained the six essential cysteines, one proline, 15 cationic amino acids residues, and an antibacterial region that are characteristic of NKL proteins. The 5' flanking region of CjNKL contained positive regulatory elements, an activator protein-1 binding site and two nuclear factor (NF)-κB binding sites, and a negative regulatory element, CAAT/enhancer binding protein ß (C/EBPß) binding site. However, the number of NF-κB sites and C/EBPß sites within CjNKL are fewer than the number within GgNKL. Additionally, we confirmed that CjNKL was transcribed in at least 18 tissues, including immune and digestive tissues. These data indicated that transcriptional activation of CjNKL differed slightly from those of GgNKL.


Subject(s)
Coturnix/genetics , Genetic Loci/genetics , Proteolipids/chemistry , Proteolipids/genetics , 5' Flanking Region , Amino Acid Sequence , Animals , Binding Sites , CCAAT-Enhancer-Binding Proteins , Chickens , Exons , Genome/genetics , Humans , Killer Cells, Natural , Molecular Sequence Data , NF-kappa B , Organ Specificity , RNA, Messenger/metabolism , Replication Protein C , Reverse Transcriptase Polymerase Chain Reaction , T-Lymphocytes, Cytotoxic , Transcription Factor AP-1 , Transcriptional Activation
10.
Anim Sci J ; 84(1): 90-6, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23302088

ABSTRACT

Based on sequences of two cosmid clones from Japanese quail (Coturnix japonica, Coja), we confirmed that the syntenic cluster, GNB2L1∼BTN1∼BTN2, is located in the quail TRIM subregion of the quail major histocompatibility complex (MHC Coja) region. These cosmids also included four CjBG loci and one CjLEC locus; therefore, the quail TRIM subregion was thought to be adjacent to the BG/LEC subregion. We then identified three polymorphic markers - CjHEP21, CjTRIM39.2 and CjBTN2 - in the TRIM subregion that may be useful for the functional analysis of the MHC-Coja region. We examined MHC-Coja sequences from 321 individual quails sampled from 11 inbred strains, and we found eight alleles for each of the three genes - CjHEP21, CjTRIM39.2 and CjBTN2. These polymorphisms represent the first avian DNA markers in the TRIM subregion. Additionally, we discovered a quail-specific VNTR (variable number of long tandem repeats, 133-137 bp) in intron 7 of CjBTN2. We identified 25 haplotypes in the sample of 321 quail; these haplotypes comprised combinations of all 24 alleles of the three polymorphic genes. We suggest that there are two recombination hotspots, one between each pair of adjacent loci. All strains, except AMRP, contained multiple haplotypes; the AMRP strain contained a single, apparently fixed haplotype.


Subject(s)
Coturnix/genetics , DNA/genetics , Major Histocompatibility Complex/genetics , Polymorphism, Genetic/genetics , Alleles , Animals , Cosmids/genetics , Genetic Loci/genetics , Haplotypes/genetics , Introns/genetics , Minisatellite Repeats/genetics , Multigene Family/genetics , Receptors for Activated C Kinase , Receptors, Cell Surface/genetics
11.
Anim Sci J ; 81(4): 513-8, 2010 Aug 01.
Article in English | MEDLINE | ID: mdl-20662823

ABSTRACT

In the current study, we describe four novel members of the 90 kDa heat shock protein (HSP90) family expressed in Japanese quail, Coturnix japonica. The coding regions of the genes, CjHSP90AA1, CjHSP90AB1, CjHSP90B1 and CjTRAP1, exhibited more than 94% similarity to their related genes in chicken. The putative proteins encoded by these quail genes contained motifs considered essential for HSP90 gene function. In addition, the predicted proteins were more similar to HSP90AA1, HSP90AB1, HSP90B1 and TRAP1 proteins expressed in vertebrates than they were to other members of the HSP90 family. Exon numbers of CjHSP90AA1 (11), CjHSP90AB1 (12) or CjTRAP1 (18) are the same as the chicken and mammalian orthologs. Furthermore, gene order in the regions surrounding CjHSP90AB1 and CjTRAP1 has been preserved, providing evidence that the genomic regions were orthologous to HSP90-containing regions in the chicken genome. The promoter regions of the genes also contained conserved motifs identified in related genes of chicken. However, the nucleotide sequences of the 5'-flanking region of these genes were highly polymorphic. We also found that CjHSP90AA1 exhibited a robust response to heat shock treatment. Taken together, the data suggest that CjHSP90AA1, CjHSP90AB1, CjHSP90B1 and CjTRAP1 encode orthologs of HSP90AA1, HSP90AB1, HSP90B1 and TRAP1, respectively.


Subject(s)
Coturnix/genetics , HSP90 Heat-Shock Proteins/genetics , Animals
12.
Org Biomol Chem ; 7(23): 4817-20, 2009 Dec 07.
Article in English | MEDLINE | ID: mdl-19907768

ABSTRACT

A cationic rhodium(I)/bisphosphine complex catalyzes carboxylative cyclizations of 1,6-diynes, leading to cyclic dienyl carboxylates, in high yields with high chemo-, regio-, and stereoselectivities under mild reaction conditions.


Subject(s)
Alkynes/chemistry , Carboxylic Acids/chemistry , Organometallic Compounds/chemistry , Phosphines/chemistry , Rhodium/chemistry , Alkynes/chemical synthesis , Carboxylic Acids/chemical synthesis , Catalysis , Cations/chemistry , Cyclization , Stereoisomerism
13.
Org Lett ; 11(6): 1337-40, 2009 Mar 19.
Article in English | MEDLINE | ID: mdl-19226144

ABSTRACT

A new route to substituted phenols has been developed by cationic rhodium(I)/BINAP complex-catalyzed decarboxylative [2 + 2 + 2] cycloadditions of 1,6- and 1,7-diynes with commercially available vinylene carbonate.

14.
Org Lett ; 10(12): 2537-40, 2008 Jun 19.
Article in English | MEDLINE | ID: mdl-18476712

ABSTRACT

A cationic rhodium(I)/rac-BINAP complex catalyzes chemo- and regioselective formal cross-cyclotrimerizations of alkynes with enol ethers or acetates. Commercially available and cheap liquid enol ethers and acetates could be used as convenient gaseous alkyne equivalents in the present rhodium catalyses.

15.
Org Lett ; 9(10): 1907-10, 2007 May 10.
Article in English | MEDLINE | ID: mdl-17432866

ABSTRACT

A convenient synthesis of perfluoroalkylated benzenes and pyridines has been achieved by a cationic Rh(I)/modified BINAP-complex-catalyzed chemo- and regioselective [2 + 2 + 2] cycloaddition of alkynes with a perfluoroalkylacetylene and a perfluoroalkylnitrile.

16.
BMC Genomics ; 7: 322, 2006 Dec 21.
Article in English | MEDLINE | ID: mdl-17184537

ABSTRACT

BACKGROUND: The quail and chicken major histocompatibility complex (Mhc) genomic regions have a similar overall organization but differ markedly in that the quail has an expanded number of duplicated class I, class IIB, natural killer (NK)-receptor-like, lectin-like and BG genes. Therefore, the elucidation of genetic factors that contribute to the greater Mhc diversity in the quail would help to establish it as a model experimental animal in the investigation of avian Mhc associated diseases. AIMS AND APPROACHES: The main aim here was to characterize the genetic and genomic features of the transcribed major quail MhcIIB (CojaIIB) region that is located between the Tapasin and BRD2 genes, and to compare our findings to the available information for the chicken MhcIIB (BLB). We used four approaches in the study of the quail MhcIIB region, (1) haplotype analyses with polymorphic loci, (2) cloning and sequencing of the RT-PCR CojaIIB products from individuals with different haplotypes, (3) genomic sequencing of the CojaIIB region from the individuals with the different haplotypes, and (4) phylogenetic and duplication analysis to explain the variability of the region between the quail and the chicken. RESULTS: Our results show that the Tapasin-BRD2 segment of the quail Mhc is highly variable in length and in gene transcription intensity and content. Haplotypic sequences were found to vary in length between 4 to 11 kb. Tapasin-BRD2 segments contain one or two major transcribed CojaIIBs that were probably generated by segmental duplications involving c-type lectin-like genes and NK receptor-like genes, gene fusions between two CojaIIBs and transpositions between the major and minor CojaIIB segments. The relative evolutionary speed for generating the MhcIIBs genomic structures from the ancestral BLB2 was estimated to be two times faster in the quail than in the chicken after their separation from a common ancestor. Four types of genomic rearrangement elements (GRE), composed of simple tandem repeats (STR), were identified in the MhcIIB genomic segment located between the Tapasin-BRD2 genes. The GREs have many more STR numbers in the quail than in the chicken that displays strong linkage disequilibrium. CONCLUSION: This study suggests that the Mhc classIIB region has a flexible genomic structure generated by rearrangement elements and rapid SNP accumulation probably as a consequence of the quail adapting to environmental conditions and pathogens during its migratory history after its divergence from the chicken.


Subject(s)
Chickens/immunology , Genomics , Major Histocompatibility Complex/genetics , Quail/immunology , Animals , Base Sequence , Chickens/genetics , DNA Primers , DNA, Complementary , Haplotypes , Membrane Transport Proteins/genetics , Phylogeny , Polymorphism, Genetic , Quail/genetics , Reverse Transcriptase Polymerase Chain Reaction , Species Specificity , Tandem Repeat Sequences
17.
Rev. chil. cir ; 51(5): 477-82, oct. 1999. tab
Article in Spanish | LILACS | ID: lil-260141

ABSTRACT

Las hemorragias digestivas (HD) constituyen una emergencia de soporte médico. Objetivo: demostrar la prevalencia de las HD, en un Hospital paraguayo de referencia. Se realiza un estudio observacional, descriptivo, de corte transversal y con componente analítico de las terapéuticas instituidas. La población concurrente al Departamento de Urgencias fue de 14.475 pacientes y el total de ingresos a recuperaciones 3.300 pacientes. El total de HD fue de 207 casos (6,27 por ciento). Al ingreso se constataron 123 casos de hematemesis y melena (59,42 por ciento). Hemorragia digestiva alta se presentó en 133 casos (64,25 por ciento); hemorragia digestiva baja en 46 casos (22,22 por ciento) e ignorados en 28 casos. Endoscopia digestiva se realizó en 133 casos (64,25 por ciento). Presentaron hemodinamia inestable 48 pacientes. Fueron internados 105 pacientes, dados de alta 90 pacientes. La mortalidad global fue de 15 pacientes (7,24 por ciento). Se realizaron 19 cirugías con mortalidad de 5 (26,31 por ciento). La hemorragia digestiva alta fue la más frecuente con 133 casos (64,25 por ciento). La terapéutica quirúrgica se realizó en 9,17 por ciento y la terapéutica médica conservadora fue la más empleada


Subject(s)
Endoscopy, Gastrointestinal , Gastrointestinal Hemorrhage/epidemiology , Blood Transfusion , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/therapy , Hematemesis/etiology , Hospital Statistics , Paraguay
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