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1.
J Cataract Refract Surg ; 50(4): 333-338, 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-37938025

RESUMEN

PURPOSE: To determine whether the infusion pressure used during phacoemulsification may have a detrimental effect on the anterior hyaloid membrane barrier (AHMB) in a pressure fluctuation-free environment using diagnostic spectral-domain optical coherence tomography (SD-OCT) postoperatively. SETTING: Tandil Eye Clinic, Tandil, Buenos Aires, Argentina, and Centro Oftalmológico Dr. Charles, CABA, Buenos Aires, Argentina. DESIGN: Prospective, randomized, multicenter, experimental, and double-masked study. METHODS: Phacoemulsification with intraocular lens implantation was performed in all patients with the Centurion Vision System equipment with active fluidics and active sentry. Patients were randomly assigned to configuration 1 or 2. Configuration 1 had intraocular pressure (IOP) 30 mm Hg and configuration 2 IOP 80 mm Hg. Inclusion criteria were axial length >22 mm and <25 mm, age older than 50 and younger than 70 years, and complete adhesion of AHMB. RESULTS: 80 eyes of 80 patients were included. Berger space was identified in 17 cases (42.5%) of group 2 and 3 cases (7.5%) of group 1 postoperatively using SD-OCT. A statistically significant relationship was established using Fisher exact test ( P = .0003). Postoperatively, we observed posterior vitreous detachment changes in only 1 patient (1.25%) during the 3 months of follow-up ( P = .5). According to the Wong-Baker FACES Scale, the patient's subjective perception was better for the low infusion pressure group ( P = .0001, Fisher exact test). CONCLUSIONS: Phacoemulsification with high infusion pressure can change the vitreous-lens interface. Positive Berger space after phacoemulsification is a biomarker of this change and can occur in eyes without risk factors. Incidence is directly related to the infusion pressure used.


Asunto(s)
Extracción de Catarata , Catarata , Cristalino , Facoemulsificación , Anciano , Humanos , Presión Intraocular , Implantación de Lentes Intraoculares , Estudios Prospectivos , Persona de Mediana Edad
2.
Plant Divers ; 45(4): 369-384, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37601544

RESUMEN

Clear and data-driven bioregionalizations can provide a framework to test hypotheses and base biodiversity conservation. Here we used occurrence and abundance data in combination with objective analytical methods to propose two bioregionalization schemes for tree species of the Cerrado and the Pantanal in South America. We also evaluated the contribution of three sets of determinants of the occurrence- and abundance-based subregions. We compiled data on tree species composition from 894 local assemblages based on species occurrences, and from 658 local assemblages based on species abundances. We used an unconstrained community-level modelling approach and clustering techniques to identify and map tree subregions for the occurrence and the abundance data sets, separately. Hierarchical clustering analyses were conducted to investigate floristic affinities between the subregions and to map broader floristic regions. We used multinomial logistic regression models, deviance partitioning, and rank-sum tests to assess the main subregion correlates. We identified 18 occurrence- and four abundance-based subregions in the Cerrado-Pantanal. The hierarchical classifications grouped the occurrence-based subregions into nine floristic zones and abundance-based subregions into two broad floristic zones. Variation in subregions were explained mainly by environmental factors and spatial structure in both occurrence and abundance data sets. The occurrence- and abundance-based subregions are complementary approaches to disentangle macroecological patterns and to plan conservation efforts in the Cerrado and the Pantanal. Our findings based on occurrence data revealed more complex and interdigitated boundaries between subregions of tree species than previously reported. The environment, historical stability, and human effects act in a synergetic way on the distribution of the subregions. Finally, the relevance of contemporary environmental factors to the subregion patterns we found alert us to the profound impact global warming may have on the spatial organization of the Cerrado-Pantanal tree flora.

3.
J Neurovirol ; 29(2): 180-186, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36719594

RESUMEN

Neurological symptoms have been often reported in COVID-19 disease. In the present study, we evaluated brain damage associated with the increase of serum levels of neurological biomarkers S100B and neuron-specific enolase (NSE) induced by SARS-CoV-2 infection, in a population from Northeastern Brazil. Thirty-six healthy control (G1) individuals and 141 patients with confirmed COVID-19 were enrolled in this study. Positive-COVID-19 patients were divided into two groups according to the severity of illness by the National Institute of Health (NIH) criteria, 76 patients with mild symptoms for COVID-19 and (G2) and 65 with acute respiratory conditions requiring supplemental oxygenation via intensive care unit (ICU) admission (G3). A follow-up study was conducted with 23 patients from G2 14 (D14) and 21 (D21) days after the onset of symptoms. Serum levels of NSE and S100B were measured using the enzyme-linked immunoassay method (ELISA). Results revealed a significant positive association between G3 patients and S100B serum expression (p = 0.0403). The serum levels of NSE were also significantly enhanced in the G3 group compared to the control (p < 0.0001) and G2 group (p < 0.0001). In addition, clinical features such as symptoms and oxygenation status were not correlated with NSE or S100B serum expression. The follow-up study demonstrated a decrease over time (21 days) in NSE serum expression (p < 0.0001). These results suggest that brain damage is followed by acute virus exposure, with no long-term effects. Future work examining COVID-19 recovery will shed light on chronic neurological damage of SARS-CoV-2 infection.


Asunto(s)
COVID-19 , Humanos , Estudios de Seguimiento , Brasil , Subunidad beta de la Proteína de Unión al Calcio S100 , SARS-CoV-2 , Biomarcadores , Encéfalo
4.
Talanta ; 256: 124285, 2023 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-36706502

RESUMEN

Systemic sclerosis (SSc) is a chronic, autoimmune disease that primarily affects connective tissue. SSc can be classified into limited cutaneous (lSSc) and diffuse cutaneous (dSSc). Oncostatin M receptor (sOSMR) is an important inflammatory biomarker expressed in the serum of patients with autoimmune diseases. A nanoengineered immunosensor surface was developed. The biosensor was composed of a conductive layer of polypyrrole, electrodeposited gold nanoparticles, and sOSMR protein for anti-human OSMR monoclonal antibody biorecognition. The electrochemical response evaluated by cyclic voltammetry and electrochemical impedance spectroscopy indicated the detection of the target analyte present in clinical samples from lSSc and dSSc patients. The voltammetric anodic shift for lSSc specimens was 82.7% ± 0.9-93.6% ± 3.2, and dSSc specimens was 118.7 ± 2.6 to 379.6 ± 2.6, revealing a differential diagnostic character for SSc subtypes. The sensor platform was adapted for identifying sOSMR, using anti-OSMR antibodies as bioreceptors. With a linear response range estimated from 0.005 to 500 pg mL-1 and a limit of detection of 0.42 pg mL-1, the sensing strategy demonstrated high sensitivity in identifying the human OSMR protein in clinical samples. The proposed biosensor is a promising and innovative tool for SSc-related biomarker research.


Asunto(s)
Técnicas Biosensibles , Nanopartículas del Metal , Esclerodermia Sistémica , Humanos , Autoanticuerpos , Biomarcadores , Oro , Inmunoensayo , Polímeros , Pirroles , Receptores de Oncostatina M , Esclerodermia Sistémica/diagnóstico , Técnicas Electroquímicas
5.
Orphanet J Rare Dis ; 17(1): 407, 2022 11 08.
Artículo en Inglés | MEDLINE | ID: mdl-36348386

RESUMEN

BACKGROUND: Acid sphingomyelinase deficiency (ASMD) is a lysosomal disorder caused by deficiency of acid sphingomyelinase (ASM) leading to the accumulation of sphingomyelin (SM) in a variety of cell types. Lysosphingomyelin (LysoSM) is the de-acetylated form of SM and it has been shown as a biomarker for ASMD in tissues, plasma, and dried blood spots (DBS) and lysosphingomyelin-509 (LysoSM509) is the carboxylated analogue of LysoSM. High levels of Lysosphingomyelin 509 (LysoSM509) have also been shown in ASMD patients. In this study, we report the utility of the quantification of LysoSM and LysoSM509 in DBS of patients from Latin America with ASMD by ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS). RESULTS: DBS samples from 14 ASMD patients were compared with 15 controls, and 44 general newborns. All patients had their diagnosis confirmed by the quantification of ASM and the measurement of the activity of chitotriosidase. All patients had significantly higher levels of lysoSM and lysoSM509 compared to controls and general newborns. CONCLUSIONS: The quantification of lysosphingolipids in DBS is a valuable tool for the diagnosis of ASMD patients and lysoSM can be useful in the differential diagnosis with NPC. This method is also valuable in the ASMD newborn screening process.


Asunto(s)
Enfermedad de Niemann-Pick Tipo A , Enfermedades de Niemann-Pick , Recién Nacido , Humanos , Cromatografía Liquida/métodos , Espectrometría de Masas en Tándem/métodos , Esfingomielina Fosfodiesterasa
6.
Eur J Histochem ; 66(4)2022 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-36172711

RESUMEN

Gastric cancer (GC) is one of the leading causes of cancer-related deaths worldwide. Despite progress in the last decades, there are still no reliable biomarkers for the diagnosis of and prognosis for GC. Aberrant sialylation is a widespread critical event in the development of GC. Neuraminidases (Neu) and sialyltransferases (STs) regulate the ablation and addition of sialic acid during glycoconjugates biosynthesis, and they are a considerable source of biomarkers in various cancers. This study retrospectively characterized Neu3 and ST3Gal3 expression by immunohistochemistry in 71 paraffin-embedded GC tissue specimens and analyzed the relationship between their expression and the clinicopathological parameters. Neu3 expression was markedly increased in GC tissues compared with non-tumoral tissues (p<0.0001). Intratumoral ST3Gal3 staining was significantly associated with intestinal subtype (p=0.0042) and was negatively associated with angiolymphatic invasion (p=0.0002) and higher histological grade G3 (p=0.0066). Multivariate analysis revealed that ST3Gal3 positivity is able to predict Lauren's classification. No associations were found between Neu3 staining and clinical parameters. The in silico analysis of mRNA expression in GC validation cohorts corroborates the significant ST3Gal3 association with higher histological grade observed in our study. These findings suggest that ST3Gal3 expression may be an indicator for aggressiveness of primary GC.


Asunto(s)
Neoplasias Gástricas , Humanos , Ácido N-Acetilneuramínico , ARN Mensajero , Estudios Retrospectivos , Sialiltransferasas/genética , Sialiltransferasas/metabolismo , Neoplasias Gástricas/patología
7.
Int J Neonatal Screen ; 8(3)2022 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-35892469

RESUMEN

Niemann-Pick disease type C (NPC) is a lysosomal disorder caused by impaired cholesterol metabolism. Levels of lysosphingomyelin 509 (LysoSM509) have been shown elevated in dried blood spots (DBS) of NPC and acid sphingomyelinase deficiency patients. In this study, we report our experience using a two-tier approach (1st tier is the quantification of lysoSM509 by ultra-performance liquid chromatography tandem mass spectrometry followed by the 2nd tier with next-generation sequencing of the NPC1 and NPC2 genes). DBS samples from 450 suspected patients were received by the NPC Brazil network. Of these, 33 samples had elevated levels of lysoSM509, and in 25 of them, variants classified as pathogenic, likely pathogenic, or of unknown significance were identified in the NPC1 or NPC2 genes by next-generation sequencing. The quantification of lysoSM509 in DBS as a first-tier test for the diagnosis of NPC followed by molecular analysis of the NPC1 and NPC2 genes almost doubled the detection rate when compared to the performance of chitotriosidase activity as a first-tier biomarker, and it could likely be increased with the addition of a third tier with MLPA of the two genes involved. This strategy seems suitable for the neonatal screening (NBS) of NPC if this disease is eventually adopted by NBS programs.

9.
Bioorg Chem ; 119: 105548, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34959174

RESUMEN

Epilepsy is a disease that affects millions of people around the globe and has a multifactorial cause. Inflammation is a process that can be involved in the development of seizures. Thus, the present study proposed the design and synthesis of new candidates for antiepileptic drugs that would also control the inflammatory process. Nine new derivatives of the substituted thiazophthalimide hybrid core were obtained with satisfactory purity ≥99% and yields between 27% and 87%. All compounds showed cell viability values greater than 90% in the culture of PBMC cells from healthy volunteers and, therefore, were not considered cytotoxic. These compounds modulated proinflammatory cytokines IFN-y and IL-17A and can mitigate inflammation. Acute toxicity studies of compound 7i in an animal model indicated that the compound has low toxicity and an LD50 greater than 2 g/kg in healthy adult rats. The same compound did not show positive results for anticonvulsant activity through the PTZ test. However, 7i demonstrates the interaction with the target GABA-A receptor in silico, indicating a possible activity as an agonist of that receptor. Thus, further studies are needed to investigate the anticonvulsant activity, in particular, using models in which the inflammatory process triggers epileptic seizures.


Asunto(s)
Anticonvulsivantes/uso terapéutico , Epilepsia/tratamiento farmacológico , Ftalimidas/uso terapéutico , Convulsiones/tratamiento farmacológico , Tiazoles/uso terapéutico , Animales , Anticonvulsivantes/síntesis química , Anticonvulsivantes/química , Células Cultivadas , Relación Dosis-Respuesta a Droga , Epilepsia/patología , Humanos , Masculino , Simulación del Acoplamiento Molecular , Estructura Molecular , Ftalimidas/síntesis química , Ftalimidas/química , Ratas , Ratas Wistar , Convulsiones/patología , Relación Estructura-Actividad , Tiazoles/síntesis química , Tiazoles/química
10.
J Pharm Biomed Anal ; 206: 114392, 2021 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-34607201

RESUMEN

The projection of new biosensing technologies for genetic identification of SARS-COV-2 is essential in the face of a pandemic scenario. For this reason, the current research aims to develop a label-free flexible biodevice applicable to COVID-19. A nanostructured platform made of polypyrrole (PPy) and gold nanoparticles (GNP) was designed for interfacing the electrochemical signal in miniaturized electrodes of tin-doped indium oxide (ITO). Oligonucleotide primer was chemically immobilized on the flexible transducers for the biorecognition of the nucleocapsid protein (N) gene. Methodological protocols based on cyclic voltammetry (CV), electrochemical impedance spectroscopy (EIS), and atomic force microscopy (AFM) were used to characterize the nanotechnological apparatus. The biosensor's electrochemical performance was evaluated using the SARS-CoV-2 genome and biological samples of cDNA from patients infected with retrovirus at various disease stages. It is inferred that the analytical tool was able to distinguish the expression of SARS-CoV-2 in patients diagnosed with COVID-19 in the early, intermediate and late stages. The biosensor exhibited high selectivity by not recognizing the biological target in samples from patients not infected with SARS-CoV-2. The proposed sensor obtained a linear response range estimated from 800 to 4000 copies µL-1 with a regression coefficient of 0.99, and a detection limit of 258.01 copies µL-1. Therefore, the electrochemical biosensor based on flexible electrode technology represents a promising trend for sensitive molecular analysis of etiologic agent with fast and simple operationalization. In addition to early genetic diagnosis, the biomolecular assay may help to monitor the progression of COVID-19 infection in a novel manner.


Asunto(s)
Técnicas Biosensibles , COVID-19 , Nanopartículas del Metal , Anticuerpos Inmovilizados , Técnicas Electroquímicas , Electrodos , Oro , Humanos , Límite de Detección , Microelectrodos , Polímeros , Pirroles , SARS-CoV-2
11.
Ann Hematol ; 100(8): 1921-1927, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34125262

RESUMEN

The clinical and phenotypic heterogeneity of patients with sickle cell anemia (SCA) is influenced by environmental and genetic factors. Several genetic modifiers, such as the KLOTHO (KL) gene, have been associated with SCA clinical outcomes. The KL gene and its encoded proteins are implicated in important biological pathways, which affect the disease's pathophysiology, such as expression of adhesion molecules VCAM-1 and ICAM-1, oxidative stress, and nitric oxide biology. Here, we evaluated the clinical relevance of two polymorphisms found on the KL gene (rs685417 and rs211239) in 588 unrelated patients with SCA. Genotyping analyses were performed using the TaqMan system. The KL rs211239 was associated with increased number of vaso-occlusive crisis (VOCs) per year (P = 0.001), while KL rs685417 was associated with increased frequency of stroke (P = 0.034), priapism (P = 0.011), number of complications (P = 0.019), and with a lower incidence of priapism (P = 0.036). Additionally, the associations with VOCs, stroke, and priapism remained consistent in multivariate analyses (P < 0.05). Our data highlight the clinical importance of KL in SCA.


Asunto(s)
Anemia de Células Falciformes/complicaciones , Anemia de Células Falciformes/genética , Glucuronidasa/genética , Polimorfismo de Nucleótido Simple , Adolescente , Adulto , Anciano , Anemia de Células Falciformes/diagnóstico , Niño , Femenino , Humanos , Proteínas Klotho , Masculino , Persona de Mediana Edad , Pronóstico , Accidente Cerebrovascular/etiología , Accidente Cerebrovascular/genética , Adulto Joven
12.
Pest Manag Sci ; 77(3): 1444-1451, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33128432

RESUMEN

BACKGROUND: Plant extracts and isolated compounds are known for their insecticidal activity. The Aedes aegypti mosquito has a significant medical impact as it transmits a number of arboviruses and is able to develop resistance to the commercially available insecticides. This study investigates larvicidal compounds isolated from Machaerium acutifolium, designated by the Brazilian Forest Service as a sustainable species. RESULTS: A M. acutifolium trunk ethyl acetate extract was fractionated using chromatographic methods with full structural elucidation by mass spectrometry (MS), nuclear magnetic resonance and specific rotation analyses revealing: one new 3-arylcoumarin derivative 1; two flavonoids 2 and 3; a trans-stilbene 4, and an unprecedented natural indene 5. The larvicidal activity against Ae. aegypti after 24 h exposure was: crude extract (median lethal dose, LC50 205 mg L-1 ), fraction C (LC50 27 mg L-1 ) and 5 (LC50 24 mg L-1 ). CONCLUSION: A M. acutifolium extract showed larvicidal activity, which increased with prolonged exposure, demonstrating LC50 75 mg L-1 after 72 h. Although the flavonoids 2 and 3 and trans-stilbene 4 were deemed inactive according to the adopted mortality limit, additional tests revealed their ability to cause 65% Ae. aegypti larvae mortality, suggesting they could contribute to the larvicidal activity. Compound 5, identified by liquid chromatography-MS, was over eight-fold more toxic to larvae than the crude extract after 24 h. Therefore, 5 constitutes a structural model for new prototypes to control Ae. aegypti. These data reinforce the potential of natural products as a source of commercial alternatives for vector control strategies, respecting both sustainability and eco-friendly principles. © 2020 Society of Chemical Industry.


Asunto(s)
Aedes , Fabaceae , Insecticidas , Animales , Brasil , Insecticidas/análisis , Larva , Mosquitos Vectores , Extractos Vegetales/farmacología , Hojas de la Planta/química
13.
J Infect Dis ; 223(3): 527-535, 2021 02 13.
Artículo en Inglés | MEDLINE | ID: mdl-32620011

RESUMEN

BACKGROUND: Leishmania skin test (LST) evaluates the delayed type hypersensitivity to Leishmania antigens (LA) and has been used for diagnosis of cutaneous leishmaniasis (CL). In CL patients LST is usually positive but a small percentage have negative LST. The aim of this study was to determine the clinical and immunologic features and response to antimony therapy in LST-negative CL patients. METHODS: We compare the clinical presentation, response to therapy, and immune response of CL patients with negative vs positive LST. RESULTS: The clinical presentation was similar in both groups but LST-negative patients had a lower cure rate. In the lesions, LST-negative patients displayed less inflammation and necrosis, and higher frequency of CD8+ T cells. Mononuclear cells from LST-negative patients had a poor T helper 1 cell (Th1) response but levels of interleukin-1ß (IL-1ß), IL-6, IL-17, granzyme B, and metalloproteinase-9 (MMP-9) were similar to the LST-positive group upon stimulation with LA. Leishmania internalization and killing by macrophages were similar in both groups. Cure of disease was associated with restoration of Th1 response. CONCLUSIONS: In LST-negative patients, impaired Th1 response is associated with therapeutic failure. Increased frequency of CD8+ T cells and high production of inflammatory cytokines, granzyme B, and MMP-9 contributes to immunopathology.


Asunto(s)
Leishmania braziliensis/inmunología , Leishmaniasis Cutánea/parasitología , Células TH1/inmunología , Adolescente , Adulto , Anciano , Antimonio , Brasil , Linfocitos T CD8-positivos/inmunología , Citocinas/metabolismo , Femenino , Granzimas , Humanos , Inflamación , Leishmania/inmunología , Leishmaniasis Cutánea/patología , Masculino , Metaloproteinasa 9 de la Matriz , Persona de Mediana Edad , Necrosis , Piel/parasitología , Piel/patología , Adulto Joven
14.
Biol Chem ; 401(10): 1153-1165, 2020 09 25.
Artículo en Inglés | MEDLINE | ID: mdl-32755098

RESUMEN

Pancreatic ductal adenocarcinoma is one of the most aggressive tumors with a microenvironment marked by hypoxia and starvation. Galectin-3 has been evaluated in solid tumors and seems to present both pro/anti-tumor effects. So, this study aims to characterize the expression of Galectin-3 from pancreatic tumor cells and analyze its influence for cell survive and motility in mimetic microenvironment. For this, cell cycle and cell death were accessed through flow cytometry. Characterization of inside and outside Galectin-3 was performed through Real-Time Quantitative Reverse Transcription PCR (qRT-PCR), immunofluorescence, Western blot, and ELISA. Consequences of Galectin-3 extracellular inhibition were investigated using cell death and scratch assays. PANC-1 showed increased Galectin-3 mRNA expression when cultivated in hypoxia for 24 and 48 h. After 24 h in simultaneously hypoxic/deprived incubation, PANC-1 shows increased Galectin-3 protein and secreted levels. For Mia PaCa-2, cultivation in deprivation was determinant for the increasing in Galectin-3 mRNA expression. When cultivated in simultaneously hypoxic/deprived condition, Mia PaCa-2 also presented increasing for the Galectin-3 secreted levels. Treatment of PANC-1 cells with lactose increased the death rate when cells were incubated simultaneously hypoxic/deprived condition. Therefore, it is possible to conclude that the microenvironmental conditions modulate the Galectin-3 expression on the transcriptional and translational levels for pancreatic cancer cells.


Asunto(s)
Proteínas Sanguíneas/metabolismo , Galectinas/metabolismo , Nutrientes/metabolismo , Neoplasias Pancreáticas/metabolismo , Proteínas Sanguíneas/genética , Proteínas Sanguíneas/aislamiento & purificación , Ciclo Celular , Muerte Celular , Hipoxia de la Célula , Galectinas/genética , Galectinas/aislamiento & purificación , Humanos , Neoplasias Pancreáticas/patología , Células Tumorales Cultivadas , Microambiente Tumoral
15.
Genet Mol Biol ; 43(2): e20180334, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32478793

RESUMEN

Lysosomal storage disorders (LSDs) are a group of genetic disorders characterized by deficiency of specific lysosomal enzymes. In general, patients are clinically normal at birth, and progressively develop severe signs and symptoms. Diagnosis is usually made several years after onset of manifestations, preventing patients to have the benefits of the early treatment. Newborn screening programs are being considered for LSDs to allow early diagnosis and treatment. The present study evaluated the feasibility of a customized screening approach based on modified fluorometric assays with reduced amounts of reagents, substrates and samples for: mucopolysaccharidosis (MPS) type I (MPS I), MPS VI, Fabry, Gaucher, and Pompe diseases. We also evaluated the advantages of including blood chitotriosidase and urinary glycosaminoglycans in the protocol. By the measurement of the specific disease-associated enzymes (plus blood chitotriosidase and urinary glycosaminoglycans) we analyzed 834 de-identified DBS of unselected newborns. No positive case was detected, and the false-positive rates were low. Taking into consideration the limitations of this methodology, we believe that, after defining proper cutoffs, it could be a viable alternative to provide NBS for LSDs by laboratories that may not be able to afford the commercial methods available.

16.
Rev. bras. ciênc. mov ; 28(2): 23-32, abr.-jun. 2020. tab, graf
Artículo en Portugués | LILACS | ID: biblio-1121062

RESUMEN

O objetivo do estudo foi verificar a percepção do idoso frágil, do cuidador e do fisioterapeuta sobre a melhora funcional do idoso ao realizar atendimento fisioterapêutico ambulatorial. Trata-se de um estudo quase experimental, realizado no ambulatório de um Centro de Referência. O estado cognitivo foi avaliado pelo Mini Exame do Estado Mental, as atividades instrumentais de v ida diária (AIVD) p elo questionário de Pfeffer, as atividades básicas de vida diária (ABVD) pelo Índice de Barthel modificado, a fragilidade pela estratificação funcional e o risco de quedas pelo teste Tim ed Up a n d Go (TUG). Fo i elaborado pelos pesquisadores um questionário para avaliar a percepção de melhora dos idosos, cuidadores e fisioterapeutas sobre a função corporal e independência nas ABVD e AIVD. Participaram 23 idosos frágeis, 19 cuidadores e 6 fisioterapeutas. Os participantes possuíam declínio funcional parcial para as AIVD, desejavam melhorar a dor e mostraram-se satisfeitos com o resultado do tratamento. Idosos mais frágeis apresentaram uma melhor percepção sobre o desempenho para o uso do banheiro. A percepção de melhora dos cuidadores de idosos menos frágeis, com relação a atividades como higiene pessoal, vestir-se e deambulação, foi superior as dos demais. Não houve diferença significativa entre a percepção do ido so , cuidador e fisioterapeuta sobre a percepção de melhora na função corporal e nas ABVD e AIVD. Segundo a percepção do idoso, seu cuidador e fisioterapeuta o atendimento fisioterapêutico ambulatorial melhora as funções corporais de idosos frágeis auxiliando principalmente no desempenho das suas ABVD. Palavras-chaves: Idoso Fragilizado, Fisioterapia, Percepção, Assistência Ambulatorial...(AU)


The aim of this study was to verify the perception of frail elderly, t he caregiv er an d t he physiotherapist about the functional improvement of the elderly when performing outpatient physiotherapeutic care. It was developed an observational cross-sectional study, performed at an outpatient clinic of a Reference Center. The cognitive status was evaluated by Mini Men tal St at e Ex amination , instrumental activities of daily living (IADL) by Pfeffer questionnaire, the basic activities of daily liv in g (BADL) by modified Barthel Index, the fragility by functional stratification and the risk of falls by Timed Up and Go test. A questionnaire was developed by the researchers to evaluate the elderly p erceptio n o f improvement, caregivers and physiotherapists on body function and independence in BADL and IADL. A total of 23 frail elderly, 19 caregivers and 6 physiotherapists participated. The participants h ad p artial functional decline for AIDL, wished to improve pain and were satisfied with treatment's outcom e. More fragile elders presented a better perception of improvement for bathroom use. The perception of improvement for personal hygiene, dressing activity and ambulation of the caregiv ers o f less fragile elderly was superior to the others. There was no significant difference bet ween th e p erceptio n o f th e elderly, caregiver and physiotherapist about the improvement in body function an d BADL an d IADL. According to the perception of the elderly, their caregiver and physio therapist the outpatient physiotherapeutic care improves the body functions of fragile elderly assisting in the performance of their BADL...(AU)


Asunto(s)
Humanos , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Percepción , Anciano Frágil , Especialidad de Fisioterapia , Fisioterapeutas , Dolor , Accidentes por Caídas , Actividades Cotidianas , Riesgo , Resultado del Tratamiento , Cuidadores , Vida , Eficiencia , Atención Ambulatoria
17.
Int J Parasitol Parasites Wildl ; 11: 62-71, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32274328

RESUMEN

Agroforestry is an alternative kind of land use where the native vegetation is surrounded or intercalated by crops of economic interest. This system may maintain species richness by promoting the habitat heterogeneity or serving as ecological corridors. The aim of this study was to describe the gastrointestinal helminth fauna and to analyse the parasitological parameters of the helminth communities of six sigmodontine rodents in a cocoa agroforestry system in the municipality of Ilhéus, state of Bahia, Northeast Brazil. This is a novel study of helminth fauna in this kind of agroforestry. Rodents were captured in live-traps and euthanised for helminth recovery. Specimens were counted and identified to the species level whenever possible. Helminth abundance, intensity, and prevalence were calculated for each species and each host. The total abundance and prevalence of helminths were compared among localities and three attributes of the host: species, gender and age using generalised linear models. Considering all rodents, 52.14% of them were parasitised with at least one helminth species. Eight nematode species were identified and another seven morphospecies were identified to the genus level. The most abundant species were Hassalstrongylus epsilon, Stilestrongylus eta, Guerrerostrongylus zetta, and Syphacia alata. The opportunistic host species Oligoryzomys nigripes and Akodon cursor, besides the water rat Nectomys squamipes, were the most infected species for helminth parasites. Hylaeamys seuanezi was also an important host with the highest helminth species richness. This is the first report of the helminth fauna for this host. The locality most distant from the native vegetation and closest to the city had the highest helminth prevalence and mean species richness. The species richness in the helminth communities of Euryoryzomys russatus, N. squamipes and O. nigripes in these Cabruca agroforestries were within the range found in studies carried out in Atlantic Forest areas.

18.
Comb Chem High Throughput Screen ; 23(5): 359-368, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32189590

RESUMEN

AIM AND OBJECTIVE: In the last decades, cancer has become a major problem in public health all around the globe. Chimeric chemical structures have been established as an important trend on medicinal chemistry in the last years. Thiazacridines are hybrid molecules composed of a thiazolidine and acridine nucleus, both pharmacophores that act on important biological targets for cancer. By the fact it is a serious disease, seven new 3-acridin-9-ylmethyl-thiazolidine-2,4-dione derivatives were synthesized, characterized, analyzed by computer simulation and tested in tumor cells. In order to find out if the compounds have therapeutic potential. MATERIALS AND METHODS: Seven new 3-acridin-9-ylmethyl-thiazolidine-2,4-dione derivatives were synthesized through Michael addition and Knoevenagel condensation strategies. Characterization was performed by NMR and Infrared spectroscopy techniques. Regarding biological activity, thiazacridines were tested against solid and hematopoietic tumoral cell lines, namely Jurkat (acute T-cell leukemia); HL-60 (acute promyelocytic leukemia); DU 145 (prostate cancer); MOLT-4 (acute lymphoblastic leukemia); RAJI (Burkitt's lymphoma); K562 (chronic myelogenous leukemia) and normal cells PBMC (healthy volunteers). Molecular docking analysis was also performed in order to assess major targets of these new compounds. Cell cycle and clonogenic assay were also performed. RESULTS: Compound LPSF/AA-62 (9f) exhibited the most potent anticancer activity against HL-60 (IC50 3,7±1,7 µM), MOLT-4 (IC50 5,7±1,1 µM), Jurkat (IC50 18,6 µM), Du-145 (IC50 20±5 µM) and Raji (IC50 52,3±9,2 µM). While the compound LPSF/AA-57 (9b) exhibited anticancer activity against the K562 cell line (IC50 51,8±7,8 µM). Derivative LPSF/AA-62 (9f) did not interfere in the cell cycle phases of the Molt-4 lineage. However, the LPSF/AA-62 (9f) derivative significantly reduced the formation of prostate cancer cell clones. The compound LPSF/AA-62 (9f) has shown strong anchorage stability with enzymes topoisomerases 1 and 2, in particular due the presence of chlorine favored hydrogen bonds with topoisomerase 1. CONCLUSION: The 3-(acridin-9-ylmethyl)-5-((10-chloroanthracen-9-yl)methylene)thiazolidine-2,4-dione (LPSF/AA-62) presented the most promising results, showing anti-tumor activity in 5 of the 6 cell types tested, especially inhibiting the formation of colonies of prostate tumor cells (DU-145).


Asunto(s)
Acridinas/farmacología , Antineoplásicos/farmacología , Simulación del Acoplamiento Molecular , Acridinas/síntesis química , Acridinas/química , Antineoplásicos/síntesis química , Antineoplásicos/química , Ciclo Celular/efectos de los fármacos , Línea Celular Tumoral , Proliferación Celular/efectos de los fármacos , Ensayos de Selección de Medicamentos Antitumorales , Humanos , Estructura Molecular
20.
Biomed Res Int ; 2018: 3419565, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30009168

RESUMEN

Heren, we analyzed Treg cells as potential biomarkers of disease activity in systemic lupus erythematosus (SLE) patients. Peripheral blood mononuclear cells from 30 SLE patients (15 active: SLEDAI > 6/15 SLE remission: SLEDAI< 6) and 15 healthy volunteers were purified. Treg immunophenotyping was performed using CD4, CD25, CD45, CD127, and FOXP3 markers. CD4+FOXP3+ Treg activation state was investigated based on CD45RA and FOXP3 expression. To increase the accuracy of our findings, a multivariate linear regression was performed. We showed a significant increase in the frequency of CD4+FOXP3+ Treg cells in SLE patients. However, unlike all other Treg cells phenotypes analyzed, only eTreg (CD4+FOXP3highCD45RA-) (p=0.01) subtype was inversely correlated with disease activity while Foxp3+nontreg (CD4+FOXP3lowCD45RA-) (p=0.003) exerted a direct influence in the outcome of the disease. Foxp3+nontreg cells were the most consistent SLE active indicator, confirmed by multiple linear regression analyses. In summary, our results demonstrate Foxp3+nontreg cells as new biomarkers in the search of an effective therapeutic strategy in SLE.


Asunto(s)
Biomarcadores , Lupus Eritematoso Sistémico/inmunología , Linfocitos T Reguladores , Adulto , Brasil , Antígenos CD4 , Femenino , Citometría de Flujo , Factores de Transcripción Forkhead , Humanos , Subunidad alfa del Receptor de Interleucina-2 , Antígenos Comunes de Leucocito , Leucocitos Mononucleares , Masculino , Persona de Mediana Edad , Adulto Joven
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