Metazoan parasite fauna of detritivorous and omnivorous fishes from Amapá Lake, in western Brazilian Amazon / Fauna parasitária de metazoários em peixes detritívoros e onívoros do Lago Amapá, na Amazônia Ocidental brasileira

Abstract Despite being an important component of the freshwater ecosystems and an important factor controlling wild fish populations, Amazonian fish parasites have been poorly studied. Here, we analyzed the fauna of metazoan parasites from 10 detritivorous and omnivorous fish species from Amapá Lake in the western Amazon. Of 159 fish specimens examined, 73.6% were parasitized by one or more species of metazoan parasites. A total of 5,260 parasites (24 Monogenea, 14 Nematoda, 10 Digenea, 2 Acanthocephala, and 6 Crustacea) were identified. Aggregated dispersion pattern of parasites was observed. There was a predominance of endohelminth species that presented a similar pattern regarding the level of component communities (i.e., a low species number, low diversity and dominance of a single species, mainly the digeneans and nematodes in their larval stages). Five species of parasites presented correlation with the body size of the hosts. In the fish community, the presence of endoparasites in the larval and adult stages suggests that these are intermediate, paratenic and definitive hosts, reflecting their detritivorous or omnivorous feeding habits. The trophic level and diet had an influence on the structuring of endohelminth communities and infracommunities. Lastly, 38% of the metazoan parasite species were new records for examined hosts.

Resumo Apesar de ser um importante componente dos ecossistemas de água doce e um importante fator controlador das populações naturais de peixes, os parasitos de peixes amazônicos ainda são pouco estudados. Foi analisada a fauna de parasitos metazoários em 10 espécies de peixes detritívoros e onívoros do Lago Amapá na Amazônia ocidental. Dos 159 espécimes de peixes examinados, 73,6% estavam parasitados por uma ou mais espécies de parasitos metazoários. Um total de 5.260 parasitos (24 Monogenea, 14 Nematoda, 10 Digenea, 2 Acanthocephala e 6 Crustacea) foram identificados. Houve um padrão de dispersão agregado de parasitos. Houve predominância de espécies de endohelmintos que apresentaram padrão semelhante quanto ao nível de comunidades componentes, ou seja, baixo número de espécies, baixa diversidade e dominância de uma única espécie, principalmente os digenéticos e nematoides em estágio larval. Cinco espécies de parasitos apresentaram correlação com o tamanho corporal dos hospedeiros. Na comunidade de peixes, a presença de endoparasitos em fase larval e adulta sugere que esses são hospedeiros intermediários, paratênicos e definitivos, refletindo seus hábitos alimentares detritívoros ou onívoros. O nível trófico e dieta influenciaram na estruturação das comunidades e infracomunidades de endohelmintos. Por fim, 38% das espécies de parasitos metazoários foram novos registros para os hospedeiros examinados.

Albendazole is effective for controlling monogenean parasites of the gills of Piaractus brachypomus (Serrasalmidae) and Megaleporinus macrocephalus (Anostomidae).

Monogenean infestations can cause high mortality in farmed fish and therefore significant economic losses. The present study investigated the efficacy of albendazole in therapeutic baths against monogeneans of Piaractus brachypomus Cuvier, 1818 and Megaleporinus macrocephalus (Garavello & Britski, 1988). For both fish, a 24 hours therapeutic bath with albendazole concentrations of 150, 300 and 500 mg/L were tested against monogeneans from the gills. The baths had an efficacy from 61.4 ± 32.9 (95%CI=64.5) against monogeneans of P. brachypomus, and from 95.4 ± 5.6 (95%CI=10.9) against monogeneans of M. macrocephalus. In P. brachypomus, the hepatosomatic index (HSI) in fish exposed to 150 mg/L of albendazole was higher than in fish exposed to 300 mg/L. The splenosomatic index (SSI) values in fish exposed to 150 mg/L of albendazole were lower than in fish exposed to 300 mg/L. In M. macrocephalus, the HSI and SSI values decreased in treatments with 150, 300 and 500 mg/L of albendazole to control and treat infestations by monogeneans. For M. macrocephalus, 150 mg/L of albendazole can be used to control and treat infestations by monogeneans, while for P. brachypomus 500 mg/L of albendazole can be used in a 24 hours bath.

Seeds of Cucurbita maxima and Carica papaya are effective for controlling monogeneans in the gills of Leporinus macrocephalus.

This study was carried out to evaluate the anthelminthic efficacy of seeds of Cucurbita maxima and Carica papaya for controlling monogeneans in the gills of Leporinus macrocephalus, besides hepatosomatic and splenosomatic index and condition factor of host. The fish were fed with seeds of C. maxima or C. papaya for seven days, and these treatments did not cause any mortality among them. Jainus leporini, Urocleidoides paradoxus, Urocleidoides eremitus and Tereancistrum parvus were the monogeneans found, and their prevalence in fish fed with seeds of C. papaya was 100%, while in fish fed with C. maxima the prevalence was 42.8%. Fish fed with seeds of C. papaya showed decreased in intensity and abundance of monogeneans, while fish fed with seeds of C. maxima presented decreased in abundance. Feeding of L. macrocephalus with seeds of C. maxima or C. papaya had efficacy of 69.6 and 67.8%, respectively. The hepatosomatic index of fish fed with seeds of C. maxima or C. papaya was not affected by the treatments. However, the splenosomatic index and condition factor of fish fed with C. maxima seeds decreased. Seeds of C. maxima and C. papaya may be used for controlling monogeneans of L. macrocephalus in fish farming.

Parasites in Leporinus macrocephalus (Anostomidae) of four fish farms from the western Amazon (Brazil).

This study evaluated the presence of metazoan parasites in Leporinus macrocephalus from four fish farms from the western Amazon (Brazil). In 160 fish examined, prevalence was 61.9%, and parasites found were: Urocleidoides paradoxus, Urocleidoides eremitus, Tereancistrum parvus, Jainus leporini, Procamallanus (Spirocamallanus) inopinatus, Rhabdochona (Rhabdochona) acuminata, Dolops discoidalis and Ergasilus sp., but U. paradoxus was the dominant parasite. Jainus leporini and Ergasilus sp. occurred only in L. macrocephalus from one fish farm, while U. paradoxus, U. eremitus and T. parvus were found in fish from three fish farms. Dolops discoidalis, P. (S.) inopinatus and R. (R.) acuminata occurred only in L. macrocephalus from two fish farms. Higher infection levels were caused by U. paradoxus, U. eremitus and P. (S.) inopinatus, which had an aggregated dispersion. There was positive correlation between abundance of parasites and the length of hosts. No difference in the condition factor of parasitized and non-parasitized fish were found. Such differences between fish farms were attributed to differences in management and quality of cultivation environments, and data indicate the need to adopt prophylactic measures in the fish farms to prevent diseases in the future. This was the first report of D. discoidalis and Ergasilus sp. for L. macrocephalus.

Occurrence of Neoechinorhynchus curemai (Acanthocephala: Neoechinorhynchidae) in Prochilodus nigricans (Characiformes: Prochilodontidae), in southwestern Amazon

Prochilodus nigricansis extensively exploited in fishing and aquaculture activities in the Brazilian Amazon, it is the definitive host for Neoechinorhynchus curemaiNoronha, 1973. Thus, the present study aimed to evaluate the occurrence of N. curemaiin P. nigricansand the parasite-host relationship in three rivers (Juruá, Crôa and Môa) in the municipality of Cruzeiro do Sul, state of Acre, Brazil. Fish were caught, weighed, measured, and subjected to necropsy, and the gastrointestinal tract and viscera were analyzed. A totalof 178 specimens of N. curemaiwere found in 61 infected fish, with the (p= 58.62%). The prevalence, mean intensity, and mean abundance were higher in hosts from the Môa River, and lower from the Juruá River. Regarding the length-weight relationship, the b-value did not differ statistically from three (b=3) for fish species in the three locations, nor in parasitized and non-parasitized species. In addition, growth was considered isometric, and in the case of the relative condition factor, there was no difference in fish hosts between the three rivers. The correlation between parasite intensity, condition factor, length, and weight of P. nigricanswas not significant. Thus, this parasite infestation varied between the habitats. However, this did not influence the growth and development of the hosts.

Diversity of monogenean parasites on gills of fishes from the Matapi River, in the Brazilian Amazon.

This study investigated the fauna of monogeneans on gills of 13 fish species from the Matapi River, Brazilian Amazon. A total 548 fish belonging to 13 species (1 Anostomidae, 3 Characidae, 1 Curimatidae, 1 Hemiodontidae, 2 Serrasalmidae, 3 Scianidae, 1 Ageneiosidae and 1 Tetradontidae) were examined. From these fish, 6 species were infected and with a total prevalence of 22.4%. Monogeneans collected are represented by the following taxa: Anacanthorus gravihamulatus, Notozothecium minor, Notozothecium penetrarum, Diplectanum piscinarius, Aetheolabes goeldiensis, Euryhaliotrema succedanus, Anacanthorus jegui, Urocleidoides astyanacis, Urocleidoides strombicirrus, Euryhaliotrema sp. and Urocleidoides spp. There was a variation in the prevalence, mean intensity and mean abundance of monogeneans among the host populations examined. Monogeneans of Metynnis lippincottianus, Plagioscion squamosissimus, Astyanax bimaculatus and Curimata incompta presented a highly aggregated dispersion pattern. Body weight of M. lippincottianus and C. incompta presented a weak positive correlation with abundance of parasites. Lastly, this is first study for 12 fish species from the Matapi River and the first report of E. succedanus for Plagioscion surinamensis and N. penetrarum for Serrasalmus rhombeus.

Dadaytrema oxycephala (Digenea: Cladorchiidae) in definitive host Pimelodus blochii (Pisces: Pimelodidae), with morphological and geographic distribution data in fishes from the South America.

The aim of this study was to describe structural and ultrastructural morphological data of Dadaytrema oxycephala (Diesing, 1836) Travassos, 1931 in Pimelodus blochii Valenciennes, 1840 from western Amazon (Brazil), besides geographic distribution in host fishes from South America. Of 160 P. blochii examined in the rivers Acre and Iaco, 15% were infected by D. oxycephala with mean intensity of 6.5 ± 1.9 and mean abundance of 1.0 ± 5.1. All parasites were found in the intestine of the infected hosts. The structural and ultrastructural characteristics of the developmental stages of D. oxycephala are presented and discussed. Dadaytrema oxycephala has a wide geographic distribution in South America, parasitizing fish species of Characiformes and Siluriformes from Brazil, Venezuela, Argentina, Peru and Paraguay. We elucidated part of life cycle of D. oxicephala in P. blochii, which is a definitive host for this digenean.

Diversity of monogenean parasites on gills of fishes from the Matapi River, in the Brazilian Amazon / Diversidade de parasitos monogeneas nas brânquias de peixes do Rio Matapi, na Amazônia brasileira

Abstract This study investigated the fauna of monogeneans on gills of 13 fish species from the Matapi River, Brazilian Amazon. A total 548 fish belonging to 13 species (1 Anostomidae, 3 Characidae, 1 Curimatidae, 1 Hemiodontidae, 2 Serrasalmidae, 3 Scianidae, 1 Ageneiosidae and 1 Tetradontidae) were examined. From these fish, 6 species were infected and with a total prevalence of 22.4%. Monogeneans collected are represented by the following taxa: Anacanthorus gravihamulatus, Notozothecium minor, Notozothecium penetrarum, Diplectanum piscinarius, Aetheolabes goeldiensis, Euryhaliotrema succedanus, Anacanthorus jegui, Urocleidoides astyanacis, Urocleidoides strombicirrus, Euryhaliotrema sp. and Urocleidoides spp. There was a variation in the prevalence, mean intensity and mean abundance of monogeneans among the host populations examined. Monogeneans of Metynnis lippincottianus, Plagioscion squamosissimus, Astyanax bimaculatus and Curimata incompta presented a highly aggregated dispersion pattern. Body weight of M. lippincottianus and C. incompta presented a weak positive correlation with abundance of parasites. Lastly, this is first study for 12 fish species from the Matapi River and the first report of E. succedanus for Plagioscion surinamensis and N. penetrarum for Serrasalmus rhombeus.

Resumo Este estudo investigou a fauna de monogeneas das brânquias de 13 espécies de peixes do Rio Matapi, na Amazônia brasileira. Foram examinados um total de 548 peixes pertencentes a 13 espécies (1 Anostomidae, 3 Characidae, 1 Curimatidae, 1 Hemiodontidae, 2 Serrasalmidae, 3 Scianidae, 1 Ageneiosidae e 1 Tetradontidae). Entre esses peixes, 6 espécies estavam infectadas e houve uma prevalência total de 22,4%. As espécies de monogeneas coletadas foram distribuídas nos seguintes táxons: Anacanthorus gravihamulatus, Notozothecium minor, Notozothecium penetrarum Diplectanum piscinarius, Euryhaliotrema sp., Aetheolabes goeldiensis, Euryhaliotrema succedanus, Anacanthorus jegui, Urocleidoides astyanacis, Urocleidoides strombicirrus Urocleidoides spp. Houve variação na prevalência, intensidade média e abundância média de monogeneas entre as populações hospedeiras. Monogeneas em Metynnis lippincottianus, Plagioscion squamosissimus, Astyanax bimaculatus e Curimata incompta apresentaram um padrão de dispersão altamente agregado. O peso corporal de M. lippincottianus do Rio Matapi mostrou uma correlação positiva fraca com a abundância de A. jegui. O comprimento de C. incompta também mostrou uma correlação positiva fraca com abundância de Urocleidoides spp. Por fim, este é primeiro estudo para 12 espécies de peixes da bacia do Rio Matapi e registra pela primeira vez E. succedanus para Plagioscion surinamensis e N. penetrarum para Serrasalmus rhombeus.

Parasites in farmed Piaractus brachypomus (Serrasalmidae) in the state of Acre, western Brazilian Amazonia

This study investigated the parasite fauna in Piaractus brachypomus grown in fish farms in the state of Acre, in the western Brazilian Amazon. We examined 160 fish from four farms. Overall parasite prevalence was 66.9%. The fish were parasitized by Anacanthorus spathulatus, Mymarothecium viatorum, Anacanthorus penilabiatus, Clinostomum marginatum, Echinorhynchus jucundus and Henneguya sp., but monogenean species were the dominant parasites. Monogeneans showed an aggregated distribution pattern and there was a weak correlation between host size and abundance of M. viatorum and A. penilabiatus. No difference in the condition factor of parasitized and non-parasitized fish was detected. The fish of all farms had the gills parasitized by A. spathulatus and M. viatorum, but A. penilabiatus was found only in fish from two farms. Echinorhynchus jucundus, C. marginatum and Henneguya sp. were found in only one farm. The differences in parasitism level among the farms are attributable to differences in management and quality of cultivation environments. (AU)

Long-term temporal variation in the parasite community structure of metazoans of Pimelodus blochii (Pimelodidae), a catfish from the Brazilian Amazon.

The Amazon represents one of the most complex biomes in the world; however, the temporal variations in parasite community structure of fishes inhabiting this region remain poorly understood. Therefore, processes generating such variations are still unknown. The present study evaluated the long-term temporal variation of community structure of metazoan parasites of Pimelodus blochii collected in Iaco River, State of Acre (Southwestern Brazilian Amazon). A total of 196 parasites were collected over a 6-year period (2012-2017). Twenty-four different taxa of parasites were found, of which 5 Monogenea, 11 Nematoda, 3 Digenea, 1 Acanthocephala, 1 Cestoda, and 3 Crustacea. The overall species richness ranged from 4 in 2012 to 17 in 2016, in which nematodes (larvae and adults) showed higher numerical dominance, diversity, and species richness. However, the annual species richness was similar between the study years, except in 2016, where it showed a distinctly higher value. The overall parasite diversity was also different in 2012 and 2016, whereas the overall abundance differed in 2013 and 2017. The prevalence and abundance of some infracommunities of parasites varied over time. The temporal changes in the parasite community structure of P. blochii are probably related to variations in host-related features, i.e., body size and shift in diet composition as well as to the occurrence of parasites with distinct life history and biology (mainly monogeneans, digeneans, and nematodes). This is the first evaluation of a long-term temporal variation in the structure of the parasite community in fish from the Amazon.

First record of Unibarra paranoplatensis Suriano & Incorvaia, 1995 (Dactylogyridae: Monogenea) on Sorubim lima (Siluriformes: Pimelodidae) from Brazil / Primeiro registro de Unibarra paranoplatensis Suriano & Incorvaia, 1995 (Dactylogyridae: Monogenea) em Sorubim lima (Siluriformes: Pimelodidae) do Brasil

Abstract The aim of this study was to report the first occurrence of Unibarra paranoplatensis Suriano & Incorvaia, 1995 on Sorubim lima Bloch & Schneider, 1801 from Brazil. On the gills of S. lima, U. paranoplatensis presented similar morphological and morphometric features to those described for conspecifics infesting Zungaro zungaro Humboldt, 1921 except the length, which was higher in the present study, as well as ventral bar shape that was V-shaped open, and with the upper and lower end of the rod relatively sinuous. This study expands the geographic distribution of U. paranoplatensis to Brazil, a parasite that has a wide occurrence across South America.

Resumo O objetivo deste estudo foi relatar a primeira ocorrência de Unibarra paranoplatensis Suriano & Incorvaia, 1995 em Sorubim lima Bloch & Schneider, 180 do Brasil. Nas brânquias de S. lima do Rio Acre, estado do Acre (Brasil), U. paranoplatensis apresentou características morfológicas e morfométricas similares àquelas descritas para Zungaro zungaro Humboldt, 1921; com exceção do comprimento que foi maior no presente estudo e formato da barra ventral que foi em forma de V aberto, com a extremidade superior e inferior da barra relativamente sinuosa. Este estudo amplia a distribuição geográfica de U. paranoplatensis para o Brasil, um parasito com distribuição na América do Sul.

First record of Unibarra paranoplatensis Suriano & Incorvaia, 1995 (Dactylogyridae: Monogenea) on Sorubim lima (Siluriformes: Pimelodidae) from Brazil.

The aim of this study was to report the first occurrence of Unibarra paranoplatensis Suriano & Incorvaia, 1995 on Sorubim lima Bloch & Schneider, 1801 from Brazil. On the gills of S. lima, U. paranoplatensis presented similar morphological and morphometric features to those described for conspecifics infesting Zungaro zungaro Humboldt, 1921 except the length, which was higher in the present study, as well as ventral bar shape that was V-shaped open, and with the upper and lower end of the rod relatively sinuous. This study expands the geographic distribution of U. paranoplatensis to Brazil, a parasite that has a wide occurrence across South America.

Monogeneans of the catfish Pimelodus blochii Valenciennes (Siluriformes: Pimelodidae) from the Brazilian Amazon, with a description of a new species of Ameloblastella Kritsky, Mendoza-Franco & Scholz, 2000 (Monogenea: Dactylogyridae).

Ameloblastella amazonica n. sp. (Monogenea: Dactylogyridae) collected on the gills of Pimelodus blochii Valenciennes (Siluriformes: Pimelodidae) from Rivers Acre and Iaco, State of Acre (Brazil) is described. The new species differs from the congeners mainly by the morphology of the dorsal bar, i.e. slightly U-shaped bearing a posteriorly directed flap, arising from the anterior edge of its middle third. The most morphologically similar congeners, A. paranaensis (França, Isaac, Pavanelli & Takemoto, 2003) and A. satoi Monteiro, Kritsky & Brasil-Sato, 2010, resemble A. amazonica n. sp. regarding the general structure of the copulatory complex; however, besides other features, they also differ from the new species because their hooks are similar in size (vs hooks with three different sizes). In addition to the dorsal bar lacking a flap, A. amazonica n. sp. can be differentiated from all congeners based on the combination of the following features: size of hooks (one or two different sizes), shape of the dorsal bar (other than slightly U-shaped), anchor points largely passing the level of superficial root (vs not or slightly passing it), number of MCO rings (other than 3-4) and structure of the articulation between the MCO base and the accessory piece (other than thick, medium-sized, smooth and tubular). Demidospermus leptosynophallus Kritsky & Gutierrez, 1998 and Scleroductus yuncensi Jara & Cone, 1989 were also found infesting P. blochii, both representing new host and locality records.

First description of the male of Philometroides acreanensis and phylogenetic assessment of Philometridae (Nematoda: Dracunculoidea) suggest instability of some taxa.

The male of Philometroides acreanensis, parasitic in the anterior intestine external wall of the freshwater catfish Pimelodus blochii, from the Brazilian Amazon, is described for the first time. Additional data on the morphology of females is given. The new morphological data strengthened the validity of the species as well as its first genetic characterization, using three nuclear genetic markers (18S and 28S of the rDNA and ITS1-58S-ITS2), confirmed the high genetic resemblance of male and female specimens. Philometroides acreanensis shows morphological features of the generic diagnosis of Neophilometroides, Alinema, Philometra and Philometroides. Phylogenetic analyses using sequences of the18S rDNA from representatives of Dracunculoidea confirmed the validity of P. acreanensis and its close relatedness with Alinema rather than with other genera. The validity of Philonemidae was confirmed, as was the monophyly of Philometridae and Clavinema. However, Dentiphilometra, Philometra and Philometroides appear not to be monophyletic. Host taxa, habitat and geographic occurrence seem to have some relationship with the evolutionary traits of certain phylogenetic assemblages of philometrids, which were highly supported in the phylogentic reconstructions. Even though interesting aspects of the phylogeny and taxonomy of Philometridae came to light, further integrative approaches should be used that include additional genetic markers, due to the loose boundaries between some genera as observed here.

Community structure of metazoan parasites from Pimelodus blochii in two rivers of the Western Brazilian Amazon: same seasonal traits, but different anthropogenic impacts.

The present investigation evaluated the influence of seasonality and locality on the structure of the parasite community of the catfish Pimelodus blochii. A total of 160 fish were collected from two rivers in the State of Acre, western Brazilian Amazon: 80 fish in River Acre and 80 in River Iaco, with 40 in each season (rainy and drought). The overall prevalence was 78.7% and 1461 parasite specimens (adults and larvae) were allocated in 22 taxa: 5 of Monogenea, 10 of Nematoda, 3 of Digenea, 1 of Cestoda and 3 of Crustacea. In drought season, Procamallanus (Spirocamallanus) pimelodus and Demidospermus peruvianus were more prevalent in River Acre and Iaco, respectively. The parasite diversity (Brillouin index) as well as the prevalence and abundance of the monogeneans D. peruvianus, D. striatus, Demidospermus sp. and Ameloblastella sp. were higher in River Acre. The parasite community structure were dissimilar among rivers, and seasonally in River Iaco. These results suggest that environmental traits may overshadow seasonal influences on the parasite community structure, which may be related to the higher anthropization in River Acre. Furthermore, seasonality exerted less influence on the parasite community than expected, probably because the two rivers have different hydrological traits than those of other rivers in the Brazilian Amazon. New host and locality records expanded our knowledge of parasite biodiversity of P. blochii.

Avaliaçäo clínica da glicohemoglobina lábil e estável e da hemoglobina fetal por cromatografia líquida de alta performace / Clinical evaluation of labile and stable glycohemoglobin and of the high performance liquid chromatography

A análise da glicohemoglobina (GHb) por HPLC (high performance liquide chromatography) apresenta a vantagem de fracioná-la em componentes menores como, fraçao lábil (L-A1c) - que se eleva com a hiperglicemia recente -, HbA1c que é a fraçao estável, e hemoglobina fetal. Além disso, idenfica ou sugere a presença de hemoglobinas anômalas. No intuito de definir o valor de referência da HbA1c em adultos foram estudados 56 indivíduos com tolerância normal à glicose (TNG) após teste oral de tolerância à glicose (TOTG) pelos critérios da OMS. Para avaliar se este método é sensível a pequenas elevaçoes da glicemia comparamos 16 indivíduos com tolerância alterada à glicose (TAG) ao grupo com TNG. Foram também estudadas 20 crianças e adolescentes, oito indivíduos com insuficiência renal crônica, oito grávidas e quatro indivíduos com hemoglobinopatias. A GHb foi processada automaticamente pelo método de HPLC (L-9100, Merck-Hitachi). Os níveis de HbA1c foram significantemente maiores nos indivíduos com TAG do que nos indivíduos com TNG (4,09+0,46 por cento e 3,65+0,36 por cento; p=0,0001). O valor de referência encontrado para HbA1c foi 2,9 a 4,4 por cento. A glicemia de jejum apresentou correlaçao positiva com HbA1c (r=0,41;p=0,001) e com L-A1c (r=0,55;p=0,0001) nos indivíduos com TNG. Nos indivíduos com TAG também houve correlaçao positiva da glicemia de jejum com HbA1c (r=0,50;p<0,05) e com glicemoa 2 horas após TOTG (r=0,74; p=0,001). A HbA1c dos indivíduos com TNG (3,65+0,36 por cento) nao se mostrou significantemente diferente da de jovens (3,49+0,28 por cento), grávidas (3,58+0,49 por cento) e urêmicos (3,39+0,25 por cento). Os indivíduos com hemoglobinopatias apresentaram reduçao ou alteraçao na curva da GHb. O ensaio da GHb por HPLC é um método reprodutível e muito sensível a pequenas variaçoes da glicemia, nao sofrendo alteraçoes devido à gravidez, uremia ou em jovens. Além disso, a curva cromatográfica pode fornecer informaçoes seguras do controle metabólico a curto (L-A1c) e longo prazo (HbA1c) ou sugerir hemoglobinopatias.