ABSTRACT
Andes virus (ANDV) is the etiological agent of hantavirus cardiopulmonary syndrome in Chile. In this study, we evaluated the profile of the pro-inflammatory cytokines IL-1ß, IL-12p70, IL-21, TNF-α, IFN-γ, IL-10 and IL-6 in serum samples of ANDV-infected patients at the time of hospitalization. The mean levels of circulating cytokines were determined by a Bead-Based Multiplex assay coupled with Luminex detection technology, in order to compare 43 serum samples of healthy controls and 43 samples of ANDV-infected patients that had been categorized according to the severity of disease. When compared to the controls, no significant differences in IL-1ß concentration were observed in ANDV-infected patients (p = 0.9672), whereas levels of IL-12p70 and IL-21 were significantly lower in infected cases (p = <0.0001). Significantly elevated levels of TNF-α, IFN-γ, IL-10, and IL-6 were detected in ANDV-infected individuals (p = <0.0001, 0.0036, <0.0001, <0.0001, respectively). Notably, IL-6 levels were significantly higher (40-fold) in the 22 patients with severe symptoms compared to the 21 individuals with mild symptoms (p = <0.0001). Using multivariate regression models, we show that IL-6 levels has a crude OR of 14.4 (CI: 3.3-63.1). In conclusion, the serum level of IL-6 is a significant predictor of the severity of the clinical outcome of ANDV-induced disease.
Subject(s)
Disease Progression , Hantavirus Pulmonary Syndrome/blood , Hantavirus Pulmonary Syndrome/epidemiology , Interleukin-6/blood , Adolescent , Adult , Age Distribution , Aged , Aged, 80 and over , Case-Control Studies , Child , Child, Preschool , Chile/epidemiology , Cytokines/blood , Female , Orthohantavirus , Hantavirus Pulmonary Syndrome/physiopathology , Humans , Infant , Infant, Newborn , Logistic Models , Male , Middle Aged , Multivariate Analysis , Risk Factors , Severity of Illness Index , Sex Distribution , Young AdultABSTRACT
The aim of this study was to evaluate the effect on seaweeds Scytosiphon lomentaria and Ulva rigida of coastal waters of sites with mining activity, using oxidative stress biomarkers and heavy metal determination both in water and in tissue. The greatest bioaccumulation factors in S. lomentaria and U. rigida were founded for iron and arsenic in Quintay. Bioaccumulation factor in S. lomentaria in descending order was Fe> Cu> Zn> Cd> Cr> As> Mo and in U. rigida, in descending order, was Fe> Cu> Cd> Zn> Cr> Mo> As. Both species had higher antioxidant activity levels in areas with high mining activities. The concentration of metals in waters such as copper and arsenic in S. lomentaria, and iron, arsenic, and cadmium in U. rigida were related with oxidative stress biomarkers measured in both species. The use of both species is proposed to monitor the bioavailability and oxidative damage in coastal areas with mining activity. This work will generate a significant knowledge about the impact of mining wastes on macroalgal community in the area of north-central Chile.
Subject(s)
Environmental Monitoring , Metals, Heavy/metabolism , Seaweed/metabolism , Water Pollutants, Chemical/metabolism , Arsenic/metabolism , Biomarkers/metabolism , Cadmium/metabolism , Chile , Copper/metabolism , Metals, Heavy/analysis , Mining , Oxidative Stress , Phaeophyceae/metabolism , Ulva/metabolismABSTRACT
BACKGROUND: Andes virus (ANDV) is the sole etiologic agent of hantavirus cardiopulmonary syndrome (HCPS) in Chile, with a fatality rate of about 35%. Individual host factors affecting ANDV infection outcome are poorly understood. In this case-control genetic association analysis, we explored the link between single-nucleotide polymorphisms (SNPs) rs12979860, rs8099917 and rs1800629 and the clinical outcome of ANDV-induced disease. The SNPs rs12979860 and rs8099917 are known to play a role in the differential expression of the interleukin 28B gene (IL28B), whereas SNP rs1800629 is implicated in the expression of tumor necrosis factor α gene (TNF-α). METHODS: A total of 238 samples from confirmed ANDV-infected patients collected between 2006 and 2014, and categorized according to the severity of the disease, were genotyped for SNPs rs12979860, rs8099917, and rs1800629. RESULTS: Analysis of IL28B SNPs rs12979860 and rs8099917 revealed a link between homozygosity of the minor alleles (TT and GG, respectively), displaying a mild disease progression, whereas heterozygosity or homozygosity for the major alleles (CT/CC and TG/TT, respectively) in both IL28B SNPs is associated with severe disease. No association with the clinical outcome of HCPS was observed for TNF-α SNP rs1800629 (TNF -308G>A). CONCLUSIONS: The IL28B SNPs rs12979860 and rs8099917, but not TNF-α SNP rs1800629, are associated with the clinical outcome of ANDV-induced disease, suggesting a possible link between IL28B expression and ANDV pathogenesis.
