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1.
Int J Vitam Nutr Res ; 91(5-6): 491-499, 2021 Sep.
Article in English | MEDLINE | ID: mdl-32228174

ABSTRACT

Although thiamine pyrophosphate (TPP) is considered a protective agent for endothelial cells, it is still unknown if this is associated with nitric oxide (NO) synthesis. Our aim was to evaluate the synthesis of NO in endothelial cells incubated with TPP and high glucose concentrations. Endothelial cells from the umbilical cord vein from newborns (n = 20), were incubated with 5, 15 or 30 mmol/L glucose, in absence or presence of 0.625 mg/ml of TPP. Our results showed a significant increase in cell proliferation (> 40%; P < 0.05), and cell viability (> 90%; P < 0.001) after 48 h in endothelial cells cultured with glucose plus TPP. Likewise, in the presence of glucose and TPP an important rise in the consumption of glucose by the endothelial cells was observed after 24 h (> 7%; P < 0.001) and 48 h (> 10%; P < 0.05). Additionally, the levels of lactate after incubation with glucose and TPP showed only slight variations after 48 h (P < 0.05). However, these changes were clearly different from those observed in the absence of TPP. Interestingly, we found that the changes mentioned were linked with reduced levels of nitrites both at 24 h (< 171 pmol/µg protein; P < 0.001), and 48 h (< 250 pmol/µg protein; P < 0.05), which was associated with a reduced expression of mRNA of eNOS in endothelial cells incubated with TPP and high glucose. In conclusion, the presence of TPP regulates the consumption of glucose and the synthesis of NO, which would explain its protective effect in the endothelium of diabetic patients.


Subject(s)
Diabetes Mellitus , Thiamine Pyrophosphate , Cells, Cultured , Endothelial Cells , Glucose , Humans , Infant, Newborn , Nitric Oxide , Thiamine
2.
Rev. bras. farmacogn ; 28(3): 339-343, May-June 2018. tab, graf
Article in English | LILACS | ID: biblio-958866

ABSTRACT

ABSTRACT Calea urticifolia (Mill.) DC., Asteraceae, is a native plant of the Yucatan Peninsula used in traditional medicine to treat inflammation and pain. The bioassay-guided purification of the ethanol root extract allowed the isolation of the main bioactive metabolites, which were identified as an inseparable mixture of thymol (1) and 3-methyl-4-isopropylphenol (2), together with 3,4-O-dicaffeoylquinic acid methyl ester (3), 3,4-O-dicaffeoyl-epi-quinic acid methyl ester (4), 3,5-O-dicaffeoyl-epi-quinic acid methyl ester (5) and 3,5-O-dicaffeoylquinic acid (6). The results showed that the analgesic activity detected in the root extract of C. urticifolia could be attributed mainly to the mixture of 1 and 2 and to the novel 3,4-O-dicaffeoyl-epi-quinic acid methyl ester (4). Alternatively, the similarity on the antiinflammatory and antioxidant activities of the dicaffeoylquinic acid derivatives 3-5 suggests that the former might be related to their ability as radical scavengers.

3.
Mar Drugs ; 15(7)2017 Jun 25.
Article in English | MEDLINE | ID: mdl-28672825

ABSTRACT

Maitotoxin (MTX) is the most potent marine toxin known to date. It is responsible for a particular human intoxication syndrome called ciguatera fish poisoning (CFP). Several reports indicate that MTX is an activator of non-selective cation channels (NSCC) in different cell types. The molecular identity of these channels is still an unresolved topic, and it has been proposed that the transient receptor potential (TRP) channels are involved in this effect. In Xenopus laevis oocytes, MTX at picomolar (pM) concentrations induces the activation of NSCC with functional and pharmacological properties that resemble the activity of TRP channels. The purpose of this study was to characterize the molecular identity of the TRP channel involved in the MTX response, using the small interference RNA (siRNA) approach and the two-electrode voltage-clamp technique (TEVC). The injection of a specifically designed siRNA to silence the transient receptor potential canonical type 1 (TRPC1) protein expression abolished the MTX response. MTX had no effect on oocytes, even at doses 20-fold higher compared to cells without injection. Total mRNA and protein levels of TRPC1 were notably diminished. The TRPC4 siRNA did not change the MTX effect, even though it was important to note that the protein level was reduced by the silencing of TRPC4. Our results suggest that MTX could be a selective activator of TRPC1 channels in X. laevis oocytes and a useful pharmacological tool for further studies on these TRP channels.


Subject(s)
Marine Toxins/pharmacology , Oocytes/drug effects , Oxocins/pharmacology , TRPC Cation Channels/metabolism , Xenopus , Animals , Electric Stimulation , Electrophysiology , Membrane Potentials/drug effects , Oocytes/metabolism , Patch-Clamp Techniques , TRPC Cation Channels/genetics
4.
Nat Prod Commun ; 9(9): 1319-21, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25918802

ABSTRACT

The bioassay-guided purification of the ethanol extracts of Acmella pilosa and Cnidoscolus souzae, two plants of the native flora of the Yucatan Peninsula used in traditional medicine to treat inflammation and pain, resulted in the identification of rosmarinic acid (1) and caffeic acid (2) as the bioactive metabolites from A. pilosa, and of 7-deoxynimbidiol (4) as the major bioactive metabolite from C. souzae. Metabolites 1, 2, and 4 proved to be responsible for the antioxidant activity originally detected in the corresponding organic crude extracts; 7-deoxynimbidiol (4) showed good analgesic and anti-inflammatory activities, inhibiting the pain induced by PGE2 and reducing the edema induced by carrageenan, respectively.


Subject(s)
Anti-Inflammatory Agents/pharmacology , Asteraceae/chemistry , Euphorbiaceae/chemistry , Plant Extracts/pharmacology , Analgesics/administration & dosage , Analgesics/chemistry , Analgesics/metabolism , Analgesics/pharmacology , Animals , Anti-Inflammatory Agents/chemistry , Anti-Inflammatory Agents/metabolism , Asteraceae/metabolism , Edema/drug therapy , Edema/immunology , Euphorbiaceae/metabolism , Humans , Male , Mice , Plant Extracts/chemistry , Plant Extracts/metabolism
5.
J Bioenerg Biomembr ; 45(5): 441-8, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23536162

ABSTRACT

Bax, a pro-apoptotic member of the Bcl-2 family of proteins has the ability to form transmembrane pores large enough to allow cytochrome c (Cyt c) release, as well as to activate the mitochondrial permeability transition pore (mPTP); however, no differential study has been conducted to clarify which one of these mechanisms predominates over the other in the same system. In the present study, we treated isolated mitochondria from MCF7 cells with recombinant protein Bax and tested the efficacy of the mPTP inhibitor cyclosporin A (CsA) and of the Bax channel blocker (Bcb) to inhibit cytochrome c release. We also, induced apoptosis in MCF7 cell cultures with TNF-α plus cycloheximide to determine the effect of such compounds in apoptosis induction via mPTP or Bax oligomerization. Cytochrome c release was totally prevented by CsA and partially by Bcb when apoptosis was induced with recombinant Bax in isolated mitochondria from MCF7 cells. CsA increased the number of living cells in cell culture, as compared with the effect of Bax channel blocker. These results indicate that mPTP activation is the predominant pathway for Bax-induced cytochrome c release from MCF7 mitochondria and for apoptosis induction in the whole cell.


Subject(s)
Cytochromes c/metabolism , Mitochondria/metabolism , bcl-2-Associated X Protein/metabolism , Apoptosis/drug effects , Apoptosis/physiology , Cycloheximide/pharmacology , Cyclosporine/pharmacology , Humans , MCF-7 Cells , Mitochondria/drug effects , Recombinant Proteins/pharmacology , Tumor Necrosis Factor-alpha/pharmacology , bcl-2-Associated X Protein/antagonists & inhibitors , bcl-2-Associated X Protein/pharmacology
6.
Am J Physiol Endocrinol Metab ; 301(6): E1198-207, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21917631

ABSTRACT

Obesity, a risk factor for insulin resistance, contributes to the development of type 2 diabetes and cardiovascular diseases. The relationship between increased levels of free fatty acids in the liver mitochondria, mitochondrial function, and ROS generation in rat model of obesity induced by a high-sucrose diet was not sufficiently established. We determined how the bioenergetic functions and ROS generation of the mitochondria respond to a hyperlipidemic environment. Mitochondria from sucrose-fed rats generated H(2)O(2) at a higher rate than the control mitochondria. Adding fatty acid-free bovine serum albumin to mitochondria from sucrose-fed rats significantly reduced the rate of H(2)O(2) generation. In contrast, adding exogenous oleic or linoleic acid exacerbated the rate of H(2)O(2) generation in both sucrose-fed and control mitochondria, and the mitochondria from sucrose-fed rats were more sensitive than the control mitochondria. The increased rate of H(2)O(2) generation in sucrose-fed mitochondria corresponded to decreased levels of reduced GSH and vitamin E and increased levels of Cu/Zn-SOD in the intermembrane space. There was no difference between the levels of lipid peroxidation and protein carbonylation in the two types of mitochondria. In addition to the normal activity of Mn-SOD, GPX and catalase detected an increased activity of complex II, and upregulation of UCP2 was observed in mitochondria from sucrose-fed rats, all of which may accelerate respiration rates and reduce generation of ROS. In turn, these effects may protect the mitochondria of sucrose-fed rats from oxidative stress and preserve their function and integrity. However, in whole liver these adaptive mechanisms of the mitochondria were inefficient at counteracting redox imbalances and inhibiting oxidative stress outside of the mitochondria.


Subject(s)
Dietary Sucrose/pharmacology , Fatty Acids, Nonesterified/metabolism , Ion Channels/metabolism , Mitochondria, Liver/drug effects , Mitochondrial Proteins/metabolism , Protons , Reactive Oxygen Species/metabolism , Abdominal Fat/drug effects , Abdominal Fat/metabolism , Animals , Dose-Response Relationship, Drug , Fatty Acids, Nonesterified/blood , Insulin/blood , Insulin/metabolism , Lipid Peroxidation , Male , Mitochondria, Liver/metabolism , Proton Pumps/metabolism , Rats , Rats, Wistar , Uncoupling Protein 2
7.
Atherosclerosis ; 208(1): 62-8, 2010 Jan.
Article in English | MEDLINE | ID: mdl-19615684

ABSTRACT

OBJECTIVE: Women under hormone replacement therapy carry an increased risk of venous thromboembolism (VTE), mostly during the first year. Despite great efforts devoted to hormone therapy research, VTE remains a major drawback of estrogenic therapy, and the search for new compounds continues. We have synthesized and evaluated prolame, an aminoestrogen with anticoagulant properties. The aim of our work was to elucidate the anticoagulant mechanism of prolame. METHODS: We studied the effects of prolame on nitric oxide (NO) synthesis in cultured endothelial cells and platelets using flow cytometry, on NO metabolites using a modified Griess method, on NO formation in vivo using electron paramagnetic resonance spectroscopy, on participation of nuclear estrogen receptors using flow cytometry, and on endothelial NO synthase (eNOS) mRNA expression using RT-PCR. We also studied the impact of prolame-treated endothelial cells (EC) on ADP-induced platelet aggregation, as well as the ability to prevent occlusive thrombi in an in vivo mice thrombosis model. RESULTS: (a) Prolame induces NO production in ECs, platelets, and in a mouse model in vivo. (b) The NO-elevating effect of prolame can only be partially attributed to the nuclear estrogen receptors (ERs) since endothelial nitric oxide synthase (e-NOS) is slightly induced (37%) in ECs treated with prolame. (c) Platelets become 60% less responsive to aggregation induced by 10muM ADP when in suspension with prolame-treated ECs. (d) Prolame reduces the formation of thrombi in an in vivo thrombosis model. CONCLUSIONS: Prolame could be a preferred alternative to other estrogens because of its reduced thromboembolic risk.


Subject(s)
Blood Platelets/metabolism , Endothelial Cells/metabolism , Estrenes/pharmacology , Fibrinolysis/drug effects , Nitric Oxide/biosynthesis , Animals , Cells, Cultured , Humans , Male , Mice
8.
Cancer Invest ; 26(7): 698-707, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18608208

ABSTRACT

Statins have antiproliferative and anti-tumoral effects in MCF-7 cells. We determined the effect of statins upon MCF-7 cell cycle, toxicity, cell death, reactive oxygen species (ROS) production and mitochondrial membrane potential. Fluvastatin, simvastatin and atorvastatin inhibited cell proliferation. Antiproliferation was associated with a decrease in the DNA synthesis and a cell cycle arrest in the G1 and G2/M phases. A loss in the mitochondrial membrane potential was observed with fluvastatin. Statins induced increase in ROS production that was associated with cell death, which was abrogated by the antioxidant NAC. Our results suggest that the cytotoxic effect observed is mediated by an oxidative stress.


Subject(s)
Antineoplastic Agents/pharmacology , Apoptosis/drug effects , Breast Neoplasms/pathology , Cell Cycle/drug effects , Hydroxymethylglutaryl-CoA Reductase Inhibitors/pharmacology , Oxidative Stress/drug effects , Acetylcysteine/pharmacology , Antioxidants/pharmacology , Atorvastatin , Breast Neoplasms/metabolism , Cell Line, Tumor , Cell Membrane/drug effects , Cell Proliferation/drug effects , DNA Replication/drug effects , Dose-Response Relationship, Drug , Fatty Acids, Monounsaturated/pharmacology , Female , Fluvastatin , Heptanoic Acids/pharmacology , Humans , Indoles/pharmacology , Membrane Potential, Mitochondrial/drug effects , Necrosis , Pyrroles/pharmacology , Reactive Oxygen Species/metabolism , Simvastatin/pharmacology
9.
Diabetes Metab Res Rev ; 23(7): 559-66, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17385193

ABSTRACT

BACKGROUND: A deficient synthesis of nitric oxide (NO) may play a role in the early endothelial dysfunction of healthy humans with a strong family history of type 2 diabetes (DM2). In this study, we evaluate the intracellular synthesis of NO and the expression of eNOS transcripts in human umbilical vein endothelial cells (HUVECs), exposed to high glucose concentrations, of healthy newborns with (experimental) and without (control) a strong family history of DM2. METHODS: HUVECs were incubated in M-199 culture media (containing a 5 mmol/L physiological glucose concentration) or supraphysiological glucose concentrations (15 or 30 mmol/L), for 48 h. Flow cytometry, reactive of Griess and RT-PCR were used to determine intracellular NO synthesis, presence of NO metabolites, and expression of eNOS, GLUT1 or p53 transcripts. RESULTS: NO synthesis in experimental HUVECs showed a progressive reduction in the presence of increasing glucose concentration (11% for 5 mmol to 8% for 30 mmol; p < 0.01), whereas control HUVECs showed an increase in NO synthesis (3% for 5 mmol to 31% for 30 mmol; p < 0.001). In experimental HUVECs, we found a diminished expression of eNOS and p53, and also an enhanced expression of GLUT1 mRNA transcripts. Control HUVECs showed an increase in eNOS, and no modifications in p53 or GLUT1 mRNA transcripts. CONCLUSIONS: Our results show how HUVECs, isolated from healthy newborns with a strong family history of DM2, have an abnormal intracellular synthesis of NO and an impaired expression of eNOS, GLUT1 and p53 genes, all associated with NO synthesis.


Subject(s)
Diabetes Mellitus, Type 2/genetics , Endothelium, Vascular/enzymology , Nitric Oxide Synthase Type III/genetics , Nitric Oxide/metabolism , Adult , Cell Division , Female , Gene Expression Regulation, Enzymologic/drug effects , Glucose/pharmacology , Humans , Infant, Newborn , Medical History Taking , Mitochondria/enzymology , Pregnancy , Reverse Transcriptase Polymerase Chain Reaction , Transcription, Genetic , Umbilical Veins/enzymology
10.
Atherosclerosis ; 190(1): 90-9, 2007 Jan.
Article in English | MEDLINE | ID: mdl-16574124

ABSTRACT

Dehydroepiandrosterone (DHEA) has a protective role against atherosclerosis. We determined the effect of pharmacological doses of DHEA upon the adhesion of monocytic U937 cells to human umbilical vein endothelial cells (HUVEC), as well as the expression of adhesion and chemoattractant molecules, the translocation of NF-kappaB, the degradation of IkappaB-alpha and the production of reactive oxygen species (ROS) in HUVEC. Adhesion of U937 cells to DHEA-treated HUVEC was evaluated by co-culture experiments using [(3)H]-thymidine-labeled U937 cells. The expression of adhesion and chemoattractant molecules was evaluated by flow cytometry and RT-PCR, respectively; NF-kappaB translocation was determined by Electrophoretic Mobility Shift Assay (EMSA) and IkappaB-alpha degradation by Western blot. ROS production was determined by the reduction of fluorescent DCFDA. TNF-alpha was used to induce inflammatory responses in HUVEC. One hundred micromolar of DHEA-treatment inhibited the TNF-alpha-induced expression of ICAM-1, E-selectin, ROS production and U937 cells adhesion to HUVEC, and interfered with NF-kappaB translocation and IkappaB-alpha degradation. DHEA at the above mention concentration also inhibited the mRNA expression of MCP-1 and IL-8 in basal conditions but not in TNF-alpha-stimulated conditions. Our results suggest that DHEA inhibits the expression of molecules involved in the inflammatory process, therefore it could be used as an alternative in the treatment of chronic inflammatory diseases such as atherosclerosis.


Subject(s)
Adjuvants, Immunologic/pharmacology , Atherosclerosis/drug therapy , Cell Adhesion/drug effects , Dehydroepiandrosterone/pharmacology , Tumor Necrosis Factor-alpha/pharmacology , Vasculitis/drug therapy , Atherosclerosis/immunology , Atherosclerosis/prevention & control , Chemokine CCL2/genetics , Chemokine CCL2/metabolism , E-Selectin/metabolism , Endothelial Cells/cytology , Endothelial Cells/drug effects , Endothelial Cells/immunology , Endothelium, Vascular/cytology , Humans , I-kappa B Proteins/metabolism , Intercellular Adhesion Molecule-1/metabolism , Interleukin-8/genetics , Interleukin-8/metabolism , NF-KappaB Inhibitor alpha , NF-kappa B/metabolism , RNA, Messenger/metabolism , Reactive Oxygen Species/metabolism , U937 Cells , Umbilical Veins/cytology , Vasculitis/immunology , Vasculitis/prevention & control
11.
Diabetes Metab Res Rev ; 23(1): 71-80, 2007 Jan.
Article in English | MEDLINE | ID: mdl-16810702

ABSTRACT

BACKGROUND: A family history of type 2 diabetes mellitus (DM) increases the probability to develop DM and endothelial dysfunction. The probable mechanism involves augmented reactive oxygen species (ROS) synthesis. The aim of this study was to evaluate the synthesis of ROS in human umbilical vein endothelial cells (HUVECs) obtained from healthy newborns with (experimental) and without (control) a strong family history of type 2 DM, exposed to different glucose concentrations. METHODS: HUVECs were exposed to various glucose concentrations for 24 and 48 h periods, before cell proliferation, mitochondrial activity, and mitochondrial membrane potential were determined. Intracellular ROS synthesis in the presence or absence of the mitochondrial uncoupler CCCP, cytochalasin B, or diphenyleneiodonium (DPI) was also evaluated. RESULTS: As opposed to control HUVECs, we found that experimental HUVECs exposed to 30 mmol/L glucose showed a 50% decrease in cell proliferation, a 90% reduction in mitochondrial activity, and a statistically significant inhibition of ROS synthesis in the presence of CCCP or cytochalasin B; DPI had no effect. CONCLUSIONS: Our results suggest that mitochondria and NAD(P)H-oxidase from HUVECs obtained from healthy newborns with a family history of DM have an innate deficient response to high glucose concentrations.


Subject(s)
Diabetes Mellitus, Type 2/genetics , Endothelium, Vascular/cytology , Endothelium, Vascular/metabolism , Glucose/pharmacology , Reactive Oxygen Species/metabolism , Adolescent , Adult , Carbonyl Cyanide m-Chlorophenyl Hydrazone/pharmacology , Cell Proliferation/drug effects , Cells, Cultured , Cytochalasin B/pharmacology , Endothelium, Vascular/drug effects , Family Health , Female , Humans , Infant, Newborn , Membrane Potential, Mitochondrial/drug effects , Mitochondria/drug effects , Mitochondria/metabolism , Onium Compounds/pharmacology , Pregnancy , Umbilical Veins/cytology
12.
Immunol Lett ; 103(2): 186-91, 2006 Mar 15.
Article in English | MEDLINE | ID: mdl-16378645

ABSTRACT

Previous work showed that immunotherapy with a DNA vaccine encoding Trypanosoma cruzi antigen TSA-1 reduced cardiac tissue damage and improved survival in mice when administered during the acute or chronic phases of T. cruzi infection. In the present study, we investigated changes in T-cell populations induced by DNA vaccine immunotherapy. ICR mice were infected with 500 T. cruzi blood trypomastigotes and treated during the acute or chronic phases with two 100 microg doses of DNA vaccine. Analysis of stained splenocytes by flow cytometry indicated that the therapeutic vaccine induced a rapid increase in the number of CD4+ and CD8+ T cells in both the acute and chronic phases. Also, there was a rapid increase in T. cruzi-specific IFNgamma-producing CD8+ T cells following treatment during the chronic phase. The effects of these changes on the control of infection required longer time periods to be detectable but resulted in a reduction in myocarditis and T. cruzi parasite burden in both phases of the infection, as assessed by histopathologic analysis and semi-quantitative PCR detection of T. cruzi in cardiac tissue. These results suggest that DNA vaccines that induce CD8+ T-cells activity and IFNgamma production, would be good candidates for effective therapeutic vaccination against T. cruzi infection.


Subject(s)
Chagas Disease/therapy , T-Lymphocytes/immunology , Trypanosoma cruzi/immunology , Vaccines, DNA/therapeutic use , Acute Disease , Animals , Chagas Disease/immunology , Chronic Disease , Mice , Mice, Inbred ICR , Time Factors , Vaccines, DNA/immunology
13.
FEBS J ; 272(6): 1343-53, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15752352

ABSTRACT

Dehydroepiandrosterone (DHEA), a steroid hormone, modified the proliferation of human umbilical vein endothelial cells in a dose-dependent manner. Its inactive sulfate ester (DHEA-S) and two of its metabolites -- estradiol and testosterone -- had no inhibitory effect at physiological concentrations. Antiproliferation was associated with arrest in the G1 phase of the cell cycle, but not with cell death, as evaluated by cleavage of poly(ADP-ribose) polymerase and exposure of phosphatidylserine. The effect was not blocked by inhibitors of androgen or estrogen receptors. DHEA diminished the levels of phosphorylated retinoblastoma protein and increased the expression of p53 and p21 mRNAs. These results show that DHEA inhibits endothelial cell proliferation by regulating cell cycle relevant proteins through a cytoplasmic steroid hormone-independent pathway.


Subject(s)
Cell Cycle Proteins/genetics , Dehydroepiandrosterone/pharmacology , Endothelium, Vascular/physiology , Receptors, Estrogen/physiology , Retinoblastoma Protein/metabolism , Tumor Suppressor Protein p53/genetics , Cell Cycle Proteins/drug effects , Cell Division/drug effects , Cyclin-Dependent Kinase Inhibitor p21 , DNA/biosynthesis , Endothelium, Vascular/cytology , Endothelium, Vascular/drug effects , Enzyme Inhibitors , Gene Expression Regulation/drug effects , Humans , Phosphorylation , RNA, Messenger/genetics , Receptors, Androgen/physiology , Retinoblastoma Protein/drug effects , Reverse Transcriptase Polymerase Chain Reaction , Thymidine/metabolism , Tumor Suppressor Protein p53/drug effects , Umbilical Veins
14.
Gac. méd. boliv ; 17(1): 1-4, jun. 1993. tab
Article in Spanish | LILACS | ID: lil-127543

ABSTRACT

La bilis de pacientes con enfermedad calculosa puede estar colonizada por bacterias. Este trabajo busca determinar la frecuencia de cultivos, tipo de germenes, factores de alto riesgo para la colonizacion y numero de bacterias que podria sugerir infeccion biliar. Se llevo a cabo un estudio prospectivo de 49 pacientes consecutivos sometidos a cirugia por enfermedad lisiatica de vesicula y/o via biliar. Los cultivos fueron positivos en 21 pacientes (43//), la bacteria predominante fue Scherichia coli en 48//. La frecuencia de colonizacion biliar en pacientes del grupo de alto riesgo fue de 67//, y de 35// en aquellos pacientes sin factores de riesgo. En 18// de los casos existian 3 o mas factores de riesgo. El recuento de colonias fue menor de 100.000 en 86// de los pacientes. Los resultados sugieren que la colonizacion bacteriana de la bilis podria ser mayor cuando existen factores de riesgo. Los microorganismos aislados son similares a los senalados por otros autores con la exepcion de Salmonella typhi que no fue identificada en este estudio. En el recuento de colonias no se logro determinar una cifra que nos pueda indicar especificamente infeccion biliar


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Bacteria/pathogenicity , Bile/microbiology , Bolivia/epidemiology , Cells, Cultured , Cholangitis , Cholelithiasis/surgery , Empyema/microbiology , Escherichia coli/growth & development , Gallstones/microbiology , Jaundice/physiopathology , Residence Characteristics , Risk Factors
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