Phylogenetic analyses reveal insights into interdomain horizontal gene transfer of microbial lipases.

Microbial lipases play a pivotal role in a wide range of biotechnological processes and in the human skin microbiome. However, their evolution remains poorly understood. Accessing the evolutionary process of lipases could contribute to future applications in health and biotechnology. We investigated genetic events associated with the evolutionary trajectory of the microbial family LIP lipases. Using phylogenetic analysis, we identified two distinct horizontal gene transfer (HGT) events from Bacteria to Fungi. Further analysis of human cutaneous mycobiome members such as the lipophilic Malassezia yeasts and CUG-Ser-1 clade (including Candida sp. and other microorganisms associated with cutaneous mycobiota) revealed recent evolutionary processes, with multiple gene duplication events. The Lid region of fungal lipases, crucial for substrate interaction, exhibits varying degrees of conservation among different groups. Our findings suggest the adaptability of the fungal LIP family in various genetic and metabolic contexts and its potential role in niche exploration.

Nucleoside hydrolase immobilized on magnetic particles as a tool for onflow screening and characterization of inhibitors.

Nucleoside Hydrolases (NH) are considered a target for the development of new antiprotozoal agents. The development of new and automated screening assays for the identification of NH inhibitors can accelerate the first stages of the drug discovery process. In this work, NH from Leishmania donovani (LdNH) was covalently immobilized onto magnetic particles (LdNH-MPs) and trapped by magnets into a TFE tube to yield an immobilized enzyme reactor (IMER). For an automated assay, the LdNH-MP-IMER was connected in-line to an analytical column in an HPLC-DAD system to monitor the enzyme activity through quantification of the product hypoxanthine. Kinetic studies provided a KM value of 2079 ± 87 µmol.L-1 for the inosine substrate. Validation of the LdNH-MP-IMER for onflow screening purposes was performed with a library containing 12 quinolone ribonucleosides. Among them, three were identified as new competitive LdNH inhibitors, with Ki values between 83.5 and 169.4 µmol.L-1. This novel in-line screening assay has proven to be reliable, fast, low cost, and applicable to large libraries of compounds.

Myeloperoxidase as a biomarker for intestinal-brain axis dysfunction induced by malnutrition and Cryptosporidium infection in weanling mice.

Cryptosporidiosis is a waterborne protozoal infection that may cause life-threatening diarrhea in undernourished children living in unsanitary environments. The aim of this study is to identify new biomarkers that may be related to gut-brain axis dysfunction in children suffering from the malnutrition/infection vicious cycle, necessary for better intervention strategies. Myeloperoxidase (MPO) is a well-known neutrophil-related tissue factor released during enteropathy that could drive gut-derived brain inflammation. We utilized a model of environmental enteropathy in C57BL/6 weanling mice challenged by Cryptosporidium and undernutrition. Mice were fed a 2%-Protein Diet (dPD) for eight days and orally infected with 107-C. parvum oocysts. C. parvum oocyst shedding was assessed from fecal and ileal-extracted genomic DNA by qRT-PCR. Ileal histopathology scores were assessed for intestinal inflammation. Prefrontal cortex samples were snap-frozen for MPO ELISA assay and NF-kb immunostaining. Blood samples were drawn by cardiac puncture after anesthesia and sera were obtained for serum amyloid A (SAA) and MPO analysis. Brain samples were also obtained for Iba-1 prefrontal cortex immunostaining. C. parvum-infected mice showed sustained stool oocyst shedding for six days post-infection and increased fecal MPO and inflammation scores. dPD and cryptosporidiosis led to impaired growth and weight gain. C. parvum-infected dPD mice showed increased serum MPO and serum amyloid A (SAA) levels, markers of systemic inflammation. dPD-infected mice showed greater MPO, NF-kB expression, and Iba-1 immunolabeling in the prefrontal cortex, an important brain region involved in executive function. Our findings suggest MPO as a potential biomarker for intestinal-brain axis dysfunction due to environmental enteropathy.

Consumption of a multi-deficient diet causes dynamic changes in the intestinal morphofunctional barrier, body composition and impaired physical development in post-weaning mice.

Few studies have focused on nutrient-deficient diets and associated pathobiological dynamics of body composition and intestinal barrier function. This study evaluated the impact of a nutrient-deficient diet on physical development and intestinal morphofunctional barrier in mice. C57BL/6 (21 days of age) mice were fed a Northeastern Brazil regional basic diet (RBD) or a control diet for 21 d. The animals were subjected to bioimpedance analysis, lactulose test, morphometric analysis and quantitative reverse transcription-PCR to evaluate tight junctions and intestinal transporters. RBD feeding significantly reduced weight (P < 0·05) from day 5, weight gain from day 3 and tail length from day 14. The intake of RBD reduced total body water, extracellular fluid, fat mass and fat-free mass from day 7 (P < 0·05). RBD induced changes in the jejunum, with an increase in the villus:crypt ratio on day 7, followed by reduction on days 14 and 21 (P < 0·05). Lactulose:mannitol ratio increased on day 14 (P < 0·05). Changes in intestinal barrier function on day 14 were associated with reductions in claudin-1 and occludin, and on day 21, there was a reduction in the levels of claudin-2 and occludin. SGLT-1 levels decreased on day 21. RBD compromises body composition and physical development with dynamic changes in intestinal barrier morphofunctional. RBD is associated with damage to intestinal permeability, reduced levels of claudin-1 and occludin transcripts and return of bowel function in a chronic period.

Myeloperoxidase as a biomarker for intestinal-brain axis dysfunction induced by malnutrition and Cryptosporidium infection in weanling mice

Abstract Cryptosporidiosis is a waterborne protozoal infection that may cause life-threatening diarrhea in undernourished children living in unsanitary environments. The aim of this study is to identify new biomarkers that may be related to gut-brain axis dysfunction in children suffering from the malnutrition/infection vicious cycle is necessary for better intervention strategies. Myeloperoxidase (MPO) is a well-known neutrophil-related tissue factor released during enteropathy that could drive gut-derived brain inflammation. We utilized a model of environmental enteropathy in C57BL/6 weanling mice challenged by Cryptosporidium and undernutrition. Mice were fed a 2%-Protein Diet (dPD) for eight days and orally infected with 107-C. parvum oocysts. C. parvum oocyst shedding was assessed from fecal and ileal-extracted genomic DNA by qRT-PCR. Ileal histopathology scores were assessed for intestinal inflammation. Prefrontal cortex samples were snap-frozen for MPO ELISA assay and NF-kb immunostaining. Blood samples were drawn by cardiac puncture after anesthesia and sera were obtained for serum amyloid A (SAA) and MPO analysis. Brain samples were also obtained for Iba-1 prefrontal cortex immunostaining. C. parvum-infected mice showed sustained stool oocyst shedding for six days post-infection and increased fecal MPO and inflammation scores. dPD and cryptosporidiosis led to impaired growth and weight gain. C. parvum-infected dPD mice showed increased serum MPO and serum amyloid A (SAA) levels, markers of systemic inflammation. dPD-infected mice showed greater MPO, NF-kB expression, and Iba-1 immunolabeling in the prefrontal cortex, an important brain region involved in executive function. Our findings suggest MPO as a potential biomarker for intestinal-brain axis dysfunction due to environmental enteropathy.

Costs, effectiveness, and safety associated with Chimeric Antigen Receptor (CAR) T-cell therapy: Results from a comprehensive cancer center.

Real world effectiveness, toxicity and costs analyses from chimeric antigen receptor (CAR)-T cell therapy are of utmost relevance to determine whether and how to offer patients highly personalized immunotherapy. In this study, we aimed at describing CAR T-cells effectiveness, safety and costs in a Portuguese Comprehensive Cancer Center. We performed a retrospective descriptive study of adult patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL), primary mediastinal B-cell lymphoma and transformed follicular lymphoma referred to CAR T-cell therapy, between May 2019 and February 2021. Rates of treatment response, toxicity and survival (Kaplan-Meier method) were analyzed by intention-to-treat. Direct medical costs stratified by inpatient-care, outpatient-care, and diagnostic-therapeutic procedures (DTP) were derived based on resources used and their respective unit costs. In twenty patients (median age 49.5y; 55%male; 70%DLBCL; 50% with primary refractory disease), best overall and complete response rates were 65.0% and 45.0%, respectively. Median overall (OS) and progression-free survivals were 9.2 and 7.3 months; 12-month OS rate was 42.6% (95%CI:23.2-78.3). Grade≥3 cytokine release syndrome and neurotoxicity occurred in 5.6% and 11.1% of patients, respectively. CAR T-cell therapy expenditure, including adverse events costs, was 7 176 196€, or 286 238€ when excluding drug cost. Median cost for treated patient was 355 165€ with CAR T-cell drug cost accounting for 97.0% of the overall expense. Excluding CAR T-cell acquisition cost, inpatient-care and DTP accounted for 57% and 38% of total cost/patient, respectively. Our findings highlight the heavy economic burden of CAR T-cell therapy driven by drug acquisition costs.

Enteropathogenic Escherichia coli (EPEC) expressing a non-functional bundle-forming pili (BFP) also leads to increased growth failure and intestinal inflammation in C57BL/6 mice.

Bundle-forming pili (BFP) are implicated in the virulence of typical enteropathogenic E. coli (EPEC), resulting in enhanced colonization and mild to severe disease outcomes; hence, non-functional BFP may have a major influence on disease outcomes in vivo. Weaned antibiotic pre-treated C57BL/6 mice were orally infected with EPEC strain UMD901 (E2348/69 bfpA C129S); mice were monitored daily for body weight; stool specimens were collected daily; and intestinal tissues were collected at the termination of the experiment on day 3 post-infection. Real-time PCR was used to quantify fecal shedding and tissue burden. Intestinal inflammatory biomarkers lipocalin-2 (LCN-2) and myeloperoxidase (MPO) were also assessed. Infection caused substantial body weight loss, bloody diarrhea, and intestinal colonization with fecal and intestinal tissue inflammatory biomarkers that were comparable to those previously published with the wild-type typical EPEC strain. Here we further report on the evaluation of an EPEC infection model, showing how disruption of bfp function does not impair, and may even worsen diarrhea, colonization, and intestinal disruption and inflammation. More research is needed to understand the role of bfp in pathogenicity of EPEC infections in vivo.

A near real-time economic activity tracker for the Brazilian economy during the COVID-19 pandemic.

During the COVID-19 pandemic, policymakers needed to assess the impact of large monetary and fiscal policy interventions in as close to real time as possible-yet existing survey-based indicators are usually released monthly or quarterly. The use of high-frequency data to track economic activity has become widespread. This paper constructs a near real-time economic activity indicator for the Brazilian economy during the COVID-19 pandemic. Brazil's integrated national electricity sector, which covers over 98% of the population, allows us to construct an economic activity indicator based solely on electricity consumption data that are available at near real time and accounts for activity in the large informal sector of the economy. We construct our indicator by isolating the variability in electricity consumption that is not related to economic activity, then measure how well monthly and quarterly versions of our indicator track against standard economic indicators. The results show strong correlation with standard indicators, notably during economic shocks.

Assessment of phosphorus loading dynamics in a tropical reservoir with high seasonal water level changes.

Nutrient accumulation in man-made reservoirs has been documented worldwide. Therefore, quantifying phosphorus loading and understanding its temporal dynamics in reservoirs is mandatory for sustainable water management. In this study, the Vollenweider's complete-mix phosphorus budget model was adapted to account for high water level variations, which are a common feature in tropical reservoirs, and for internal phosphorus loads. First- and zero-order kinetics were adopted to simulate phosphorus settling and release from the sediment layer, respectively, considering variable area of phosphorus release according to the height of the anoxic layer. The modeling approach was applied for a 52-months period to a 31-years-old reservoir located in the semiarid region of Brazil with 7.7 hm3 storage capacity. The simulations were supported by hydrological, meteorological and water quality data, as well as analyses of phosphorus partitioning of the reservoir bed sediment. The external phosphorus load was estimated from a relationship adjusted between inflow and phosphorus concentration, revealing an u-shaped pattern. Sedimentary phosphorus linked to iron and aluminum (PFeAl) increased over time and along the reservoir. Such measurements were used to estimate the internal phosphorus load, i.e., the yield from the bed sediments to the water column. The adaptations proposed to the model's structure improved its capacity to simulate phosphorus concentration in the water column, from "not satisfactory" to "good". We estimate that the internal phosphorus load currently accounts for 44% of the total load. It prevailed during the wet period, when reservoir stratification and hypolimnetic hypoxia were more notable, resulting in higher phosphorus concentration in the water column due to the combined effects of internal and external loadings. However, if the reservoir were 70 years older, the internal load would reach 83% of the total and the reservoir would become a source instead of a sink of phosphorus.

Vitamin C, Hydrocortisone, and the Combination Thereof Significantly Inhibited Two of Nine Inflammatory Markers Induced by Escherichia Coli But Not by Staphylococcus Aureus - When Incubated in Human Whole Blood.

ABSTRACT: Vitamin C combined with hydrocortisone is increasingly being used to treat septic patients, even though this treatment regimen is based on questionable evidence. When used, a marked effect on key players of innate immunity would be expected, as sepsis is featured by a dysregulated immune response.Here, we explored the effect of vitamin C and hydrocortisone alone and combined, in an ex vivo human whole-blood model of Escherichia coli- or Staphylococcus aureus-induced inflammation. Inflammatory markers for activation of complement (terminal C5b-9 complement complex [TCC]), granulocytes (myeloperoxidase), platelets (ß-thromboglobulin), cytokines (tumor necrosis factor [TNF], IL-1ß, IL6, and IL-8), and leukocytes (CD11b and oxidative burst) were quantified, by enzyme-linked immunosorbent assay, multiplex technology, and flow cytometry.In E. coli- and S. aureus-stimulated whole blood, a broad dose-titration of vitamin C and hydrocortisone alone did not lead to dose-response effects for the central innate immune mediators TCC and IL-6. Hence, the clinically relevant doses were used further. Compared to the untreated control sample, two of the nine biomarkers induced by E. coli were reduced by hydrocortisone and/or vitamin C. TNF was reduced by hydrocortisone alone (19%, P = 0.01) and by the combination (31%, P = 0.01). The oxidative burst of monocytes and granulocytes was reduced for both drugs alone and their combination, (ranging 8-19%, P < 0.05). Using S. aureus, neither of the drugs, alone nor in combination, had any effects on the nine biomarkers.In conclusion, despite the limitation of the ex vivo model, the effect of vitamin C and hydrocortisone on bacteria-induced inflammatory response in human whole blood is limited and following the clinical data.

Off-label drug use in an adult intensive care unit of a Brazilian hospital

Abstract The objective of this study was to determine the prevalence and describe the factors associated with off-label drug use in an adult intensive care unit (ICU) of a Brazilian hospital. An analytical, cross-sectional, prospective study was conducted in the adult ICU population from March 2018 to May 2018. Off-label use of medication was classified by indication, dosage, route of administration, type and volume of diluent, and duration of administration. Most patients were female (57.89%), non-elderly (56.14%), and had a mean age of 54.44 ± 17.15 years. The prevalence of off-label drug use was 70.31%, but was not associated with the clinical severity of the patients. A statistically significant association was observed between label use of drugs and prescribing potentially inappropriate medicines (PIM). The most common reasons for off-label drug use were therapeutic indication (19.58%) and volume of diluent (23.30%). Drug administration by enteral tubes accounted for the largest number of off-label uses due to route of administration (90.85%). There was a higher prevalence of off-label use of systemic antimicrobials (14.44%) and norepinephrine (9.28%). Our study provided a broad characterization of off-label drug use in an adult ICU and showed why it is important for health professionals to evaluate the specific risks and benefits of this practice

S100B Inhibition Attenuates Intestinal Damage and Diarrhea Severity During Clostridioides difficile Infection by Modulating Inflammatory Response.

The involvement of the enteric nervous system, which is a source of S100B, in Clostridioides difficile (C. difficile) infection (CDI) is poorly understood although intestinal motility dysfunctions are known to occur following infection. Here, we investigated the role of S100B in CDI and examined the S100B signaling pathways activated in C. difficile toxin A (TcdA)- and B (TcdB)-induced enteric glial cell (EGC) inflammatory response. The expression of S100B was measured in colon tissues and fecal samples of patients with and without CDI, as well as in colon tissues from C. difficile-infected mice. To investigate the role of S100B signaling in IL-6 expression induced by TcdA and TcdB, rat EGCs were used. Increased S100B was found in colonic biopsies from patients with CDI and colon tissues from C. difficile-infected mice. Patients with CDI-promoted diarrhea exhibited higher levels of fecal S100B compared to non-CDI cases. Inhibition of S100B by pentamidine reduced the synthesis of IL-1ß, IL-18, IL-6, GMCSF, TNF-α, IL-17, IL-23, and IL-2 and downregulated a variety of NFκB-related genes, increased the transcription (SOCS2 and Bcl-2) of protective mediators, reduced neutrophil recruitment, and ameliorated intestinal damage and diarrhea severity in mice. In EGCs, TcdA and TcdB upregulated S100B-mediated IL-6 expression via activation of RAGE/PI3K/NFκB. Thus, CDI appears to upregulate colonic S100B signaling in EGCs, which in turn augment inflammatory response. Inhibition of S100B activity attenuates the intestinal injury and diarrhea caused by C. difficile toxins. Our findings provide new insight into the role of S100B in CDI pathogenesis and opens novel avenues for therapeutic interventions.

Evaporation in Brazilian dryland reservoirs: Spatial variability and impact of riparian vegetation.

Evaporation is a major factor controlling the hydrological dynamics of surface water reservoirs in dry environments, therefore quantification with minimal uncertainties is desired. The aim of this paper is to assess the spatial variability and impact of riparian vegetation on reservoir evaporation by remote sensing. Eight reservoirs located in subhumid and semi-arid climates in the Brazilian Drylands were studied. Scenes from Landsat 5 and Landsat 8 satellites (1985 and 2018) supplied the data for four evaporation models. For reference evaporation, the Class A Pan and Piché Evaporimeter closest to the reservoirs were considered. The occurrence/density of riparian vegetation was associated with the Normalized Difference Vegetation Index (NDVI) and its influence on evaporation was assessed. The Surface Energy Balance System for Water (AquaSEBS) model presented the best average performance (Nash-Sutcliffe Efficiency coefficient 0.40 ± 0.19). Evaporation was observed to be higher at the reservoirs' margins and near the dams, due to the contact of exposed soil and rock/concrete, respectively, which transfer heat to the water. Marginal areas near the riparian forest presented low evaporation rates with decreases between 18% and 31% in relation to the average. This interdependence was evidenced by the high negative correlation (R2 0.87-0.96) between NDVI and evaporation; vegetation reduces radiation because of the shading of the reservoir margin and changes local aerodynamics, reducing evaporation. Depending on the spatial variability of evaporation, it was found that the volumes transferred to the atmosphere may have variations of up to 30%. On average, the evaporated volume in all the studied reservoirs is 450,000 m3/day, a quantity enough to supply more than two million people. Overall, the results of this study contribute not only to a better understanding of the spatial variability of evaporation in surface reservoirs, but also of the interdependence between riparian vegetation and evaporation rates.

Mapping regional surface water volume variation in reservoirs in northeastern Brazil during 2009-2017 using high-resolution satellite images.

The multiple-year drought that started in 2011 and reached climax in 2015 was the most severe and prolonged one in the semiarid northeastern (NE) Brazil in recent decades. This study aimed to investigate the reservoir surface water volume (SWV) variation in NE Brazil from 2009 to 2017 in four representative regions covering a total area of approximately 10,000 km2 there and encompassing 2,140 reservoirs (areas range from 0.003 to 21 km2). High-resolution (10 m) digital elevation models (DEMs) were generated from the TanDEM-X data acquired during October-December 2015 to represent the reservoirs' bathymetric maps. The water extents in the reservoirs were delineated from high-resolution (6.5 m) RapidEye images acquired during 2009-2017. The combination of the aforementioned two variables yielded reservoir SWV with an accuracy of 0.64 × 106-1.06 × 106 m3, corresponding to 3.1%-5.6% of the maximum SWV in the reservoirs. The results showed that: 1) 81%-99% of the reservoirs in the four regions were from the groups with maximum water extent <50 ha and contributed 2%-59% of the regional reservoir SWV. In contrast, 0.6%-20% of the reservoirs were from the group of >50 ha and contributed 40%-98% to the regional SWV; 2) From 2009 to 2017, reservoir SWV in the four regions decreased at the rates of 2.3 × 106-17.8 × 106 m3/year; and 3) The SWV in the reservoirs responded differently to the regional terrestrial water budget, i.e. the differences between precipitation and evapotranspiration (P-ET). This study filled the data gap of bathymetric maps for the 2140 reservoirs, regardless of their sizes and macrophyte coverage. The SWV variations derived in those reservoirs over a period covering the recent drought can support better preparedness for drought in NE Brazil and better understanding of the regional hydrology in semi-arid regions.

Retinoids delay cell cycle progression and promote differentiation of intestinal epithelial cells exposed to nutrient deprivation.

OBJECTIVE: Vitamin A is commonly recommended as a treatment for diarrhea and undernutrition; however, little is known about the underlying cellular mechanisms. The aim of this study was to investigate the modulation of cell cycle by vitamin A derivatives (retinyl palmitate or retinol) in undernourished intestinal epithelial crypts (IEC-6). METHODS: IEC-6 cells were exposed to nutrient deprivation (no serum and no glutamine) and supplemented with retinyl palmitate or retinol at a range of 2 to 20 µM. Proliferation, apoptosis/necrosis, cell cycle process, and gene transcription were assessed. RESULTS: Nutrient deprivation for 6, 12, 24, or 48 h decreased cell proliferation, and retinyl palmitate further decreased it after 24 and 48 h. Apoptosis rates were reduced by undernourishment and further reduced by retinyl palmitate after 48 h; whereas necrosis rates were unaltered. Undernourishment induced overall cell quiescence, increased percentage of cells in G0/G1 phase and decreased percentage of cells in S phase after 12 h and in G2/M phases at 6, 12, and 24 h after treatment. Both retinoids also showed cell quiescence induction with less cells in G2/M phases after 48 h, whereas only retinol showed significant modulation of G0/G1 and S phases. Both retinoids also increased markers of cell differentiation Fabp and Iap gene transcriptions in about fivefold rates after 42 h. Furthermore, specific gene transcriptions related to MAP kinase signaling pathway regulation of cell differentiation and cell cycle regulation were triggered by retinoids in undernourished IEC-6, with higher levels of expression for Atf2 and C-jun genes. CONCLUSIONS: These findings indicated that both vitamin A derivatives induce further survival mechanisms in undernourished intestinal epithelial crypt cells. These mechanisms include increased cell quiescence, decreased apoptosis, increased cell differentiation, and transcription of genes related to MAP kinase signaling pathway.

Hereditary breast cancer ­ what we have learned in the last decade

This literature review aims to inform and assist physicians and other health professionals in managing all information related to hereditary breast cancer, which is in constant and rapid growth, allowing for improvement in patient care and assistance. In addition, we seek to better identify which patients are eligible for the clinical criteria of association with risk of hereditary breast cancer, based on international recommendations and highlighting the main high and moderate penetrance genes that make up the multigenic panels for germline investigation in breast cancer, as well as the possibilities of clinical management that must be considered when complex decisions are required in clinical practice. Nowadays, there is more interest in population screening, in a greater supply of genetic tests, more genes included in multigene panels ­ allowing the search for genetic counseling ­, apart from the need for clinical-decision support.

Comparison of shoulder and trunk muscle activation between different pullover exercises / Comparación de la activación de los músculos del hombro y del tronco entre diferentes ejercicios de pullover

OBJECTIVE: To quantify and compare the electromyographic activity of trunk and upper limb muscles in three different pullover exercises. METHODS: 15 healthy men, with at least two years of experience in resistance training, executed in random order six repetitions with 60% of 1 Maximum Repetition for three different pullover exercises: lying on a step with a barbell, grip 100% biacromial (E1); lying on a step with a barbell, grip 150% (E2); lying on a Swiss ball with a barbell, grip 100% (E3). Surface electromyography was recorded from the Deltoideus (Clavicular and Spinalis Pars), Pectoralis Major (Clavicular and Sternocostalis Pars), Serratus Anterior, Triceps Brachii (Long Head), Latissimus Dorsi, Infraspinatus, Rectus Abdominis, Obliquus Internus Abdominis and Transversus Abdominis. The normalized electromyogram of maximal voluntary isometric contraction of each muscle was calculated for each exercise. RESULTS: The most engaged muscles were Infraspinatus (51-53% Electromyogram maximal voluntary isometric contraction) and Posterior Deltoid (49-51% Electromyogram maximal voluntary isometric contraction). Surface electromyography activity was similar between the E1, E2 and E3 exercises. CONCLUSIONS: This study quantified muscular solicitation during pullover exercises performed with 60% Maximum Repetition. The muscles with higher level of activation were the Posterior Deltoid and the Infraspinatus, suggesting that pullover may be a valid option for strengthening the dynamic stabilizing muscles of shoulder joint in trained individuals. No significant differences in muscle electromyography intensity were observed when grip distance and trunk stabilization were altered, showing that these conditions do not influence muscle activation levels. However, the 1 Maximum Repetition was lower when the pullover was performed on a Swiss ball, suggesting that it is possible to obtain higher level of muscle recruitment with lower weights in unstable exercises

OBJETIVO: cuantificar y comparar la actividad electromiográfica de diez músculos en tres diferentes ejercicios de pullover. MÉTODO: 15 hombres sanos, con al menos dos años de experiencia en entrenamiento de resistencia, realizaron seis repeticiones al 60% de 1 Repetición Máxima en orden aleatorio para tres ejercicios de pullover diferentes: acostados en una tabla con mancuernas y agarre 100% biacromial (E1), acostados en una tabla con mancuernas, agarre 150% biacromial (E2) y acostado en una pelota suiza con mancuernas, agarre 100% biacromial (E3). Se registró la señal electromiográfica de superfície de Deltoides (anterior y posterior), Pectoral Mayor (clavicular y esternocostal), Serrato Anterior, Tríceps Braquial (porción externa), Dorsal Grande, Infraespinoso, Recto Abdominal, Oblicuo Interno y Transverso del Abdominal. Se calculó la Repetición Máxima para normalizar la señal electromiográfica de cada músculo y para cada ejercicio. RESULTADOS: los músculos más involucrados fueron el Infraespinoso (51-53% señal electromiográfica de superfície 1 Repetición Máxima) y el Deltoides Posterior (49-51% señal electromiográfica de superfície 1 Repetición Máxima). La actividad electromiográfica de superficie fue similar entre los ejercicios E1, E2 y E3. CONCLUSIONES: este estudio cuantificó las demandas musculares durante los ejercicios pullover realizados con un 60% de la Repetición Máxima. Los músculos con mayor nivel de activación fueron el Deltoides Posterior e Infraespinoso, lo que sugiere que el pullover puede ser una opción válida para fortalecer los músculos estabilizadores dinámicos de la articulación del hombro en individuos entrenados. No se observaron diferencias significativas en el nivel de la activación muscular cuando se modificó la distancia del agarre y la estabilización del tronco, lo que demuestra que estas condiciones no influyen en los niveles de activación muscular. Sin embargo, 1 Repetición Máxima fue menor cuando el pullover se realizó en una pelota suiza, lo que sugiere que es posible obtener un mayor nivel de reclutamiento muscular con pesos menores en ejercicios inestables

A bivalent vaccine confers immunogenicity and protection against Shigella flexneri and enterotoxigenic Escherichia coli infections in mice.

Vaccine studies for Shigella flexneri and enterotoxigenic Escherichia coli have been impaired by the lack of optimal animal models. We used two murine models to show that a S. flexneri 2a bivalent vaccine (CVD 1208S-122) expressing enterotoxigenic Escherichia coli colonization factor antigen-I (CFA/I) and the binding subunits A2 and B of heat labile-enterotoxin (LTb) is immunogenic and protects against weight loss and diarrhea. These findings document the immunogenicity and pre-clinical efficacy effects of CVD 1208S-122 vaccine and suggest that further work can help elucidate relevant immune responses and ultimately its clinical efficacy in humans.

Cerebral Venous Thrombosis in Hematological Malignancy: Balancing the Risks.

BACKGROUND AND AIM: The coexistence of cerebral venous thrombosis (CVT) and hematological neoplasms is rare. Currently available therapeutic options raise problems concerning the balance of thrombotic and hemorrhagic risks. Our purpose is to characterize a series of cases of CVT and concomitant hematological malignancy, focusing on predisposing factors and treatment strategies. METHODS: We performed a descriptive retrospective analysis of the cases of CVT and hematological neoplasms diagnosed in a tertiary center from 2006 to 2015. RESULTS: From the 111 CVT cases diagnosed, only 7 coexisted with hematological malignancy (lymphoma, leukemia, multiple myeloma, and myelodysplastic syndromes). These included 4 women; median age was 44 years old. Median follow-up time was 72 days. The hematological condition was already known in 5 cases. Besides malignancy, we identified other prothrombotic conditions in all cases. Several anticoagulant strategies were used during the acute phase, after which 5 patients remained on warfarin indefinitely. One patient died due to cerebral hemorrhage during the acute phase. In the remaining 6 patients, there was no recurrence of CVT or other complications of anticoagulation. CONCLUSIONS: Although these results reiterate the role of hematological malignancy as predisposing factor to CVT, in all cases other factors contributed to CVT etiology, potentiating the risk. We report 1 death directly attributable to a fatal hemorrhagic complication of anticoagulation, evidencing the delicate balance of thrombotic and hemorrhagic risk. Nevertheless, most patients benefited of long-term anticoagulation, which proved a reasonable option. A multidisciplinary approach is paramount in making decisions regarding the time and type of anticoagulation.