Susceptibility trends of Bacteroides fragilis group isolates from Buenos Aires, Argentina.

The aim of this study was to analyze the susceptibility trends to seven antibiotics of Bacteroides fragilis group isolates based on three survey studies performed by the Committee of Anaerobic Bacteria between 1989 and 2002. Fifty three, 82 and 65 B. fragilis group isolates were collected during each period. The antimicrobial agents included were: ampicillin, ampicillin-sulbactam (2:1), cefoxitin, piperacillin, imipenem, clindamycin, and metronidazole. Minimal inhibitory concentrations (MICs) were determined according to the reference agar dilution method described by the Clinical and Laboratory Standards Institute (CLSI, formerly NCCLS). The most active antibiotics for B. fragilis and non-B. fragilis species throughout the three periods were: imipenem with 99.1 and 100% of activity, respectively, and metronidazole with 100% of activity. The susceptibility to ampicillin-sulbactam showed a decrease, from 100% to 90.3% and to 82.4 % in the last period, for both B. fragilis and non-B. fragilis species, respectively. The overall susceptibility rates for cefoxitin, piperacillin, and clindamycin were significantly different between B. fragilis and non-B. fragilis species (84.2% vs. 56.5%; 85.9% vs. 66.7% and 88.8% vs. 64.7%, respectively, p < 0.05). Cefoxitin was the antibiotic that showed more variations as regards periods and species. The susceptibility rates for clindamycin were low, about 60%, for non-B. fragilis species during the last two periods. The variations observed in the susceptibility patterns of the B. fragilis group isolates emphasize the need to continue monitoring the emergence of resistance in order to guide the election of the most appropriate antibiotic therapy scheme for anaerobic infections.

In vitro and in vivo effects of progesterone on Trichinella spiralis newborn larvae.

We have previously demonstrated that during pregnancy there exists an increased parasiticide activity against Trichinella spiralis newborn larvae (NBL) in infected rats. In this work we analysed the contribution of peritoneal cells from noninfected pregnant rats to the mortality of the NBL in cytotoxicity assays, and evaluated the role of progesterone in this effector mechanism. Our findings suggest that progesterone can induce activation of effector peritoneal cells to destroy the NBL in a rapid and antibody-independent manner. The administration of progesterone to ovariectomized rats also led to a significant decrease in the parasite load of the animals, thus demonstrating that progesterone induces the increase of the parasiticide activity of the leukocytes involved in the mechanisms of NBL death.

Alteration of biochemical parameters related with exposure to lead in heavy alcohol drinkers.

Blood lead levels (PbB), delta-ALA dehydratase activity (ALAD) and erythrocytic protoporphyrin (EPP) values were studied in heavy wine and spirit drinkers. Results were compared in both groups and with a control group (teetotalers). Results in all cases are expressed as arithmetic means +/- SD. PbB values found in the three groups were statistically different inter se: wine group, 195 +/- 82 microg l(-1); spirits group, 159 +/- 69 microg l(-1); teetotalers, 72 +/- 43 microg l(-1). ALAD was significantly lower in the drinker groups (wine 26.9 plus minus 11.4 U l(-1)and spirits 28.3 plus minus 11.6 U l(-1))vs the control group (48.3 plus minus 13.5 U l(-1)). Differences in EPP levels in the three groups were only significant between the teetotaler and the wine drinker groups. Our findings indicate that, in heavy drinkers (more than 2 liters of wine per day), not only are lead levels increased in the blood but there are also biochemical alterations that affect the heme biosynthetic pathway, which should be taken into account in treatment for alcoholics.

Heterogeneous distribution of tumor blood supply affects the response to chemotherapy in patients with head and neck cancer.

OBJECTIVE: To evaluate if the heterogeneous distribution of tumor blood supply affects the response to chemotherapy in patients with head and neck cancer. METHODS: We treated 25 stage III/IV patients with an intraarterial cisplatinum-bleomycin regimen. Prior to treatment, a blue dye was injected directly to tumors through the catheter. Well-stained areas were considered as profusely perfused areas whereas poorly stained areas were considered as poorly perfused areas. Biopsies of both areas of each tumor were taken prior to and after the treatment and the histopathological response was evaluated with the following grading: I, tumor disappearance; II, destruction of some tumor nests; III, no changes. RESULTS: Grade I responses were attained in 13/25 (52%) of profusely perfused areas against 1/25 (4%) of poorly perfused areas (p < 0.001). Moreover, there were significant differences (p < 0.001) in the overall responses: 21/25 (84%) in the profusely perfused areas versus 7/25 (28%) in the poorly perfused areas; and in grade III responses (4/25, 16% vs. 18/25, 72%). To determine a possible correlation between the histopathological responses obtained in profusely perfused and in poorly perfused areas of each tumor, we then calculated the Kendall's tau-b statistics, obtaining a tau value of 0.279 (p = 0.145). This data indicated that histopathological responses to chemotherapy of profusely perfused and poorly perfused areas were independent in each tumor. CONCLUSIONS: Heterogeneity in the distribution of tumor blood supply affects the response to chemotherapy by influencing the intratumoral delivery of therapeutic agents. After the administration of effective doses of anticancer drugs to a tumor, cells in profusely perfused areas receive enough to destroy them while cells in the poorly perfused areas are exposed to lower drug concentrations and, therefore, survive. This phenomenon could explain in part the difficulty in the treatment of human solid tumors.

[In vitro analysis of the iron availability in fortified rice]. / Análisis in vitro de la disponibilidad del hierro en el arroz fortificado.

Cereals are rich in fiber but also in phytate which is considered the principal inhibitor of mineral availability. On this basis, iron availability of fortified rice, and the inhibitory effect of bran phytate was studied in: white rice fortified with electrolytic iron (ABF) from commercial origin; and mixtures of ABF plus 4.76% and 9.09% of rice bran (ABF2 and ABF3 respectively) to simulate brown rice. Samples were analysed before and after phytic acid hydrolysis with phytase: Dietary fiber and phytic acid were assessed according AOAC; iron availability, expressed as dialisable iron by the in vitro method of Kapsokefalou and Miller modified by Valencia et al.; iron content was assessed by AAS. Results showed that added bran depressed iron availability, 9.65%; 4.04% and 1.82% as expected (ABF, ABF2 and ABF3 respectively). After phytic acid hydrolysis iron availability reached 28.20%; 27.95% and 25.30% for the same samples. These values were not different. After phytic acid hydrolysis, fiber content of ABF2 and ABF3 were lower than before. However multiple regression analysis of the data showed that fiber had not influence on iron availability and that phytic acid would be the principal responsible of it. These results indicate that brown rice should have a higher level of iron fortification than in white rice or be combined with other foods that improve iron availability as meats, vegetables or fruits.

Effect of castration on renin-angiotensin system of hypertensive rats submitted to chronic hypobaric hypoxia (simulated altitude: 4400 m).

The aim of the present study was to provide an overview of the role of circulating gonadal steroids on the adaptive changes of the renin-angiotensin system to chronic hypobaric hypoxia (CHH: 4400 m simulated altitude in an hypobaric chamber) and the development of experimental hypertension by bilateral renal ischemia. In order to fulfill this goal, blood pressure (BP), plasma renin activity (PRA) and plasma angiotensinogen concentration (PAoC) as well as haematocrit (Htc) and body weight (BW) of intact and post-puberal castrated normotensive (Nt) and hypertensive (Ht) rats of both sexes were studied following an experimental design similar to that of previous works. Post-puberal castration decreased BP of Nt and Ht rats subjected to CHH. Sexual dimorphism in BP, PRA and PAoC was maintained while that in haematocrit disappeared after castration. Results suggest that circulating sexual steroid hormones are involved in the response of the renin-angiotensin system to the experimental conditions of environmental reduced O2 partial pressure.

Fucosylated glycoconjugates of the human spermatozoon. Comparison of the domains of these glycoconjugates with the alpha-fucosyl binding sites, and with lactosaminic glycoconjugates and beta-D-galactosyl binding site domains.

Fucosylated glycoconjugates play an important role in fertilization as the recognition signal of the zona pellucida. In this work, using "critical" concentrations of either, FITC Lotus tetragonolobus lectin or FITC alpha-L-fucosyl-BSA neoglycoprotein as molecular probes, population densities of fucosylated glycoconjugates and of their "complementary" molecules (carrying fucosyl receptors), were found all over the sperm surface with higher population densities in post acrosomal sheath, neck and midpiece. These results were compared with previously reported data on the population densities of lactosaminic compounds and their "complementary" molecules, obtained on same samples of spermatozoa. Statistical data demonstrate that fucosylated glycoconjugates share the same domains with biantennary N-acetyllactosaminic oligosaccharides carrying outer galactose and bisected N-acetylglucosamine residues. These domains highly differ with those of the lactosaminic glycoproteins carrying tri and tetraantennary N-acetyllactosaminic oligosaccharides. These studies also show that the domains of fucosylated glycoconjugates and their "complementary" molecules (carrying fucosyl receptors) locate in different zones of the spermatozoon than those of the compounds carrying beta-galactosyl receptors. Besides, the results suggest structural differences between fucosylated glycoconjugates of the acrosome, equatorial zone and post acrosomal sheath. This may be relevant to the different biological behavior of these compounds and zones, in fertilization.

Fucosylated glycoconjugates of the human spermatozoon. Comparison of the domains of these glycoconjugates with the alpha-fucosyl binding sites, and with lactosaminic glycoconjugates and beta-D-galactosyl binding site domains

Fucosylated glycoconjugates play an important role in fertilization as the recognition signal of the zona pellucida. In this work, using "critical" concentrations of either, FITC Lotus tetragonolobus lectin or FITC alpha-L-fucosyl-BSA neoglycoprotein as molecular probes, population densities of fucosylated glycoconjugates and of their "complementary" molecules (carrying fucosyl receptors), were found all over the sperm surface with higher population densities in post acrosomal sheath, neck and midpiece. These results were compared with previously reported data on the population densities of lactosaminic compounds and their "complementary" molecules, obtained on same samples of spermatozoa. Statistical data demonstrate that fucosylated glycoconjugates share the same domains with biantennary N-acetyllactosaminic oligosaccharides carrying outer galactose and bisected N-acetylglucosamine residues. These domains highly differ with those of the lactosaminic glycoproteins carrying tri and tetraantennary N-acetyllactosaminic oligosaccharides. These studies also show that the domains of fucosylated glycoconjugates and their "complementary" molecules (carrying fucosyl receptors) locate in different zones of the spermatozoon than those of the compounds carrying beta-galactosyl receptors. Besides, the results suggest structural differences between fucosylated glycoconjugates of the acrosome, equatorial zone and post acrosomal sheath. This may be relevant to the different biological behavior of these compounds and zones, in fertilization.

Fucosylated glycoconjugates of the human spermatozoon. Comparison of the domains of these glycoconjugates with the alpha-fucosyl binding sites, and with lactosaminic glycoconjugates and beta-D-galactosyl binding site domains

Fucosylated glycoconjugates play an important role in fertilization as the recognition signal of the zona pellucida. In this work, using "critical" concentrations of either, FITC Lotus tetragonolobus lectin or FITC alpha-L-fucosyl-BSA neoglycoprotein as molecular probes, population densities of fucosylated glycoconjugates and of their "complementary" molecules (carrying fucosyl receptors), were found all over the sperm surface with higher population densities in post acrosomal sheath, neck and midpiece. These results were compared with previously reported data on the population densities of lactosaminic compounds and their "complementary" molecules, obtained on same samples of spermatozoa. Statistical data demonstrate that fucosylated glycoconjugates share the same domains with biantennary N-acetyllactosaminic oligosaccharides carrying outer galactose and bisected N-acetylglucosamine residues. These domains highly differ with those of the lactosaminic glycoproteins carrying tri and tetraantennary N-acetyllactosaminic oligosaccharides. These studies also show that the domains of fucosylated glycoconjugates and their "complementary" molecules (carrying fucosyl receptors) locate in different zones of the spermatozoon than those of the compounds carrying beta-galactosyl receptors. Besides, the results suggest structural differences between fucosylated glycoconjugates of the acrosome, equatorial zone and post acrosomal sheath. This may be relevant to the different biological behavior of these compounds and zones, in fertilization.(AU)

Changes in the renin-angiotensin-aldosterone system in 2 kidney -2 clip Goldblatt hypertensive rats of both sexes submitted to chronic hypobaric hypoxia.

The effect of chronic hypobaric hypoxia (CHH) on the development of 2k-2c Goldblatt renovascular hypertension has been analyzed in rats of both sexes. Results have shown lower values of blood pressure (BP) in all the animals exposed to CHH compared with their normoxic control (P < 0.001). Haematocrit was increased by adaptation to CHH (P < 0.001), and was larger in male than in female hypoxic rats, both normotensive (P < 0.05) and hypertensive (P < 0.01). Plasma renin activity was higher in normoxic and hypoxic hypertensive female rats than in their normotensive controls (P < 0.05). Plasma angiotensinogen concentration was higher in normoxic control male rats than in all the other groups. This difference disappeared after adaptation to CHH or development of hypertension. Plasma aldosterone concentration was lowest in normoxic control male rats and the difference also disappeared after CHH or renal ischemia. Present data indicate that CHH blunts the hypertensive response to bilateral renal ischemia in male and female rats. Sexual differences related to the mechanisms that could be involved in hypertension development have been observed. The renin-angiotensin-aldosterone system might be modulated by gonadal hormones during the development of hypertension.

Glucocorticoid response and adrenal lipid peroxidation in rats submitted to chronic hypobaric hypoxia.

The well known physiological changes that occur in adaptation to chronic hypobaric hypoxia (CHH) prevent the fall in arterial blood oxygen pressure below normal limits but neither the ventilatory nor the circulatory adaptation are able to maintain a normal capillary blood pO2. We report here our findings on adrenal histology, function, and lipid peroxidation in intact and castrated rats of both sexes submitted to twelve weeks of adaptation to 4,400 m simulated altitude. In the CHH rats hematocrit was increased; adrenal weight was increased in males and decreased in castrated females. Adrenal histology and histochemistry were normal. Corticosterone level and uric acid were unchanged except in castrated animals: corticosterone was decreased in males and increased in females. Uric acid was increased in castrated males, the only group in which adrenal lipid peroxidation was unaffected by castration. In the remaining groups, it was diminished compared to their intact controls. Intact normoxic males showed a significant direct correlation between plasmatic lipoperoxidation products (TBA-reactive substances) and uric acid (r = 0.961), which disappeared under hypoxia or with castration. Sex related differences were found in hematocrit and adrenal weight responses. The presence of androgens was involved in the adaptative response of cortical and reticular histometry, lipid peroxidation, and corticosterone level. These results do not support Selye's hypothesis of exhausted adrenal glands in chronic stages of adaptation and suggest that a proper relation between adrenal and gonadal steroids hormones is essential for systemic and tissular responses to diminished oxygen supply.

[The reduction of the extension and severity of experimental myocardial infarct in pigs with growth hormone. The preservation of the microcirculation]. / Reducción de la extensión y gravedad del infarto del miocardio experimental en cerdos con hormona de crecimiento. Preservación de la microcirculación.

Administration of hGH during the acute phase of experimental myocardial infarctions in pigs showed several aspects which clearly distinguished the treated group from the control one. In the first case the necrotic segment appeared considerably smaller than in the control group but also exhibit a qualitative different necrotic pattern in the histologic aspect, i.e. the infarcted area is shown itself reduced to isolated cells; scarce clusters of them interspersed where found within larger areas of preserved tissue. Affected cells have been defined as "injured fibres" according to their particular aspect which notably differs to the classic expected picture of a 25th day infarction and exhibits itself as an "arrested necrosis". A remarkable preservation of capillary vessels has also been found in the treated cases by a contrasting disappearance of the capillary bed in the control group. Ventricular contractility was also explored with ECHO B which showed significant differences between both groups: wall thinning of the ventricular wall in the affected area did not appear in treated cases and normal contractility in the same area reappeared a few hours after the infarction. Contractility was never restored in the control group. hGH main action is directed towards the preservation of the myocardial collagen matrix, helping to maintain the structural integrity of ventricular wall. There are, however, other possible effects on immunological aspects of the macrophages partially noticed, and to be disclosed in the future.

Respuesta glucocorticoides y lipoperoxidación adrenal en ratas sometidas a hipoxia hipobárica crónica / Glucococorticoid and adrenal lipoperoxidation response in rats subjected to chronic hypobaric hipoxia

En el presente estudio experimental fue realizado en condiciones fisiológicas de hipoxia:adaptación crónica de ratas 4400 m de altura simulada (HHC).En este trabajo se resumen nuestros resultados de función,histología y lipoperoxidabilidad adrenal en ratas de ambos sexos enteras y castradas.Se reiteran observaciones previa de diferencias asociadas al sexo en las respuestas a la HHC del hematocrito,el peso adrenal y el peso seco cardíaco.Los niveles circulantes de corticosterona (B) y de ácido úrico (AU) no se afectaron por HHC en ambos sexos pero si en los machos castrados en los que B disminuyó respecto de su control normóxico (p<0,001) y del animal entero(p<0,001) y el ácido úrico aumentó por HHC (p<0,05).Los machos normóxicosintactos mostraron correlación directa entre la lipoperoxidabilidad adrenal y el AU que desapareció por HHC y por castración.A pesar de estos cambios se observó que las adrenales de todos los grupos adaptados eran histológica e histoquímicamente normales,o sea en disidencia a lo propuesto por Selye de que estas glándulas se agotan ante cronicidad del estímulo.Se concluye que las hormonas esteroideas en genral participan directa e indirectamente en la respuesta fisiológica a la HHC y modulan la lipoperoxibilidad adrenal en estas condiciones experimentales

Respuesta glucocorticoides y lipoperoxidación adrenal en ratas sometidas a hipoxia hipobárica crónica / Glucococorticoid and adrenal lipoperoxidation response in rats subjected to chronic hypobaric hipoxia

En el presente estudio experimental fue realizado en condiciones fisiológicas de hipoxia:adaptación crónica de ratas 4400 m de altura simulada (HHC).En este trabajo se resumen nuestros resultados de función,histología y lipoperoxidabilidad adrenal en ratas de ambos sexos enteras y castradas.Se reiteran observaciones previa de diferencias asociadas al sexo en las respuestas a la HHC del hematocrito,el peso adrenal y el peso seco cardíaco.Los niveles circulantes de corticosterona (B) y de ácido úrico (AU) no se afectaron por HHC en ambos sexos pero si en los machos castrados en los que B disminuyó respecto de su control normóxico (p<0,001) y del animal entero(p<0,001) y el ácido úrico aumentó por HHC (p<0,05).Los machos normóxicosintactos mostraron correlación directa entre la lipoperoxidabilidad adrenal y el AU que desapareció por HHC y por castración.A pesar de estos cambios se observó que las adrenales de todos los grupos adaptados eran histológica e histoquímicamente normales,o sea en disidencia a lo propuesto por Selye de que estas glándulas se agotan ante cronicidad del estímulo.Se concluye que las hormonas esteroideas en genral participan directa e indirectamente en la respuesta fisiológica a la HHC y modulan la lipoperoxibilidad adrenal en estas condiciones experimentales

Preservation of the myocardial collagen framework by human growth hormone in experimental infarctions and reduction in the incidence of ventricular aneurysms.

We administered human growth hormone to a group of rats with experimental myocardial infarctions, in order to observe its action on the connective tissue repair process and the consequent effect on postinfarction ventricular aneurysms. Myocardial connective tissue displays a complex layout around each myocyte and among neighboring ones. It has been shown to be highly vulnerable to acute coronary ischemia which affects its diverse components in accordance with a precise timetable. The ultimate consequence of ischemia on connective tissue is the disappearance of intermyocytic links and the collagen weave that surrounds each cell. Damage to this collagen framework of the heart is responsible for the final disarray of myocytes, with a parallel effect to the myocytolytic actions of ischemia within the very structure of each cell. Hence, the appearance of postinfarction ventricular aneurysms seems to be related to failure in normal repair processes resulting from maturation of new collagen tissue into the area of myocardial necrosis. It has been shown that, besides the well-known actions on chondrocytes, hypothalamic-hypophyseal human growth hormone and somatomedins activate the fibroblasts. Administration of human growth hormone resulted in a significant decrease in the incidence of ventricular aneurysms. Scanning electron microscopy showed a good preservation of connective tissue components of myocardium. A different histological pattern of necrosis resulted in the treated group.

Changes in the renin-angiotensin-aldosterone system in rats of both sexes submitted to chronic hypobaric hypoxia.

The effect of moderate chronic hypobaric hypoxia (CHH) on the renin-angiotensin-aldosterone system has been analysed in male and female intact and castrated rats. The experimental animals were submitted to a simulated altitude of 4,400 m during ten weeks. Half of the experimental and half of the control animals were castrated at three weeks of age. Arterial pressure (AP) was measured once a week during the whole experimental period. Blood samples were obtained by decapitation at the end of the study. Red cell volume, plasma renin activity (PRA), plasma angiotensinogen (Ao) and aldosterone concentration (ALDO) were determined in the blood samples. Results have shown that the female animals subjected to CHH had lower levels of AP than the control female rats during all the studied periods whereas the AP of male hypoxic rats was only transiently diminished. All these changes were abolished by castration. PRA was not altered in either sex. The enzymatic complex was higher in male than in female control animals and decreased after castration in both hypoxic and control male rats. Ao was decreased by CHH in both sexes of intact rats and in female castrated animals. The renin substrate was higher in male than in female intact rats and decreased after castration in male animals. ALDO was increased after CHH only in male rats. Control female rats have higher levels of ALDO than male animals. Changes in the renin-angiotensin-aldosterone system related to CHH and also significant differences between sexes suggest that adrenal and gonadal corticosteroids may be involved in the main alterations presently observed.