Group B Streptococcus colonization prevalence and susceptibility profile in pregnant women in the Brazilian Amazon / Prevalência e perfil de suscetibilidade da colonização por Streptococcus do grupo B em gestantes da Amazônia Brasileira

Abstract Objectives: to assess the prevalence and epidemiological factors associated with group B Streptococcus (GBS) colonization in pregnant women in Porto Velho City, Rondônia. Methods: GBS was identified and isolated by genotypic and microbiological methods from rectovaginal samples of pregnant women between 35 and 37 weeks of gestation. Epidemiological data were collected using questionnaires and their correlation with colonization was assessed. The antimicrobial susceptibility profile was determined by disk diffusion method. Results: a total of 22.5% (102/453) pregnant women were colonized with GBS. A higher level of colonization was observed at the vaginal tract (17.6%), compared to the rectal area. We did not find any sociodemographic or obstetric factors associated with an increased risk of GBS colonization. All strains were susceptible to antibiotics penicillin, ampicillin, cefazolin, and ceftriaxone. In contrast, the rates of resistance to tetracycline (74.1%), erythromycin (14.1%), and clindamycin (3.5%) were observed. Conclusion: the prevalence of GBS as well as the absence of predictors of colonization demonstrated the need for universal screening for GBS in all pregnant women in the region. In addition, we showed that the first-line antibiotics recommended for prophylaxis are still good options for the prevention of neonatal GBS disease in the region.

Resumo Objetivos: avaliar a prevalência e os fatores epidemiológicos associados à colonização por Streptococcus do grupo B (GBS) em gestantes na cidade de Porto Velho, Rondônia. Métodos: GBS foi identificado e isolado por métodos genotípicos e microbiológicos a partir de amostras retovaginais de grávidas com 35-37 semanas de gestação. Os dados epidemiológicos foram coletados através de questionários e sua correlação com a presença de colonização foi avaliada. O perfil de susceptibilidade antimicrobiana foi determinado pelo método de disco-difusão. Resultado: um total de 22.5% (102/453) gestantes foram colonizadas por GBS. Um nível mais alto de colonização foi observado no sítio vaginal (17.6%) em comparação ao sítio retal. Não encontramos nenhum fator sociodemográfico ou obstétrico associado a um risco aumentado de colonização por GBS. Todas as amostras foram suscetíveis aos antibióticos penicilina, ampicilina, cefazolina e ceftriaxona. Em contraste, as taxas de resistência à tetraciclina (74.1%), eritromicina (14.1%) e clindamicina (3.5%) foram observadas. Conclusões: a prevalência de GBS, bem como a ausência de preditores de colonização, demonstraram a necessidade de triagem universal para GBS em todas as gestantes da região. Além disso, mostramos que os antimicrobianos de primeira linha recomendados para profilaxia são boas opções para a prevenção da doença GBS neonatal na região.

Phenotypic Changes in Mammary Adenocarcinoma (4T1) cells In Vitro after Treatment with Carcinosinum.

OBJECTIVE: The present study aimed to identify possible phenotypic changes in 4T1 (murine mammary adenocarcinoma) cells in vitro, including viability, HER-2 (human epidermal growth factor receptor-type 2) expression, and metastatic potential, after treatment with Carcinosinum in different homeopathic dilutions (12cH, 30cH, 200cH) shaken mechanically in pure, sterile, water from a commercial stock dilution. METHODS: Treated cells were cultured in R10 medium, using 24-well plates, 105 cells per well, and treated with vehicle, Carcinosinum 12cH, 30cH or 200cH; untreated cells were used as the baseline control. After 24 hours of treatment, the percentage of apoptotic cells was analyzed by annexin V. Cell morphology was evaluated by microscopy after hematoxylin-eosin and Giemsa staining, whilst HER-2 expression was assessed using immunocytochemistry. The metastatic potential was determined by the expression and activity of the enzyme matrix metalloproteinase 9 (MMP-9) using zymography. The cytokine profile was established using the cytometric bead array method. RESULT: Treatment of 4T1 cells in vitro with Carcinosinum 30cH produced an increase in the number of annexin V-positive cells (apoptosis) and decreased expression of proactivated MMP-9. Cells treated with Carcinosinum 200cH presented hyper-expression of HER-2 on the plasma membrane, identified by immunocytochemistry. There were no differences in cytokine production among treatments. CONCLUSION: The data show promising results for Carcinosinum 30cH in vitro, but in vivo studies are also required to evaluate the role of tumor microenvironment in its effects.

Perinatal exposure to an aromatase inhibitor glyphosate-base herbicide reduced male and female social behavior in juvenile age and the sexual behavior at adult female rats / Exposição perinatal ao inibidor da aromatase a base de glifosato reduz o comportamento social de machos e fêmeas e o comportamento sexual de ratas

Objectives: The herbicide glyphosate, a pesticide used in agriculture to control weeds, both in food crops and in other agricultural areas, has been identified as an endocrine modulator through the inhibition of aromatase activity and the activation of estrogen receptors. The present study examined the effects of a glyphosate-based herbicide (Roundup® (GLY-BH) on sexual dimorphism of rats after perinatal exposure to low and high GLY-BH in males and females offspring. Methods: Two groups of pregnant rats were treated with two doses of GLY-BH (50 or 150 mg/kg) from day 15 of gestation (GD15) to postnatal day 7 (PND7). Play fighting behavior was observed at the juvenile stage and during social and sexual behaviors in adulthood. Results: Perinatal GLY-BH exposure reduced male and female body weight at 28, 75, and 90 days of age. The play fighting behavior was decreased in both sexes, but female rats were more affected. The sexual behaviors were reduced only in females. Conclusions: Perinatal exposure to both doses of GLY-BH promoted sexually dimorphic effects in both juvenile and adulthood stages. These effects were attributed to the inhibition of aromatase activity induced by exposure to GLY-BH in the perinatal period.(AU)

Objetivos: O glifosato é um herbicida não seletivo, usado em muitas culturas alimentares e não alimentares e em áreas não agrícolas, sendo que os produtos a base de glifosato atuam como moduladores das funções endócrinas por meio da inibição da atividade da aromatase e da ativação de receptores de estrógeno. O presente estudo avaliou os efeitos do herbicida Roundup® (GLY-BH) à base de glifosato, em comportamentos sexualmente dimórficos de ratos após exposição perinatal a doses baixas e altas de GLY-BH no período perinatal. Métodos: Ratas prenhas foram tratadas com 50 ou 150 mg/kg de GLY-BH do 15º dia de gestação (GD15) ao 7º dia de lactação (LD7). O comportamento de luta/brincar foi observado na fase juvenil e os comportamentos social e sexual na idade adulta. Resultados: a exposição perinatal a GLY-BH reduziu o peso corporal de machos e fêmeas aos 28, 75 e 90 dias de idade. O comportamento de luta/brincar diminuiu em ambos os sexos, sendo as ratas foram as mais afetadas. O comportamento sexual foi reduzido apenas nas fêmeas. Conclusões: A exposição perinatal a ambas as doses do GLY- BH promoveu tanto na idade juvenil como na idade adulta, efeitos sexualmente dimórficos. Esses efeitos foram atribuídos à inibição da atividade da aromatase induzida exposição perinatal ao GLY-BH.(AU)

Opportunistic pneumonia caused by E. cuniculi in mice immunosuppressed with cyclophosphamide

Opportunistic fungal pneumonia is a cause of concern in immunocompromised patients due to its high morbidity and mortality rates. One such opportunistic agent affecting immunocompromised patients is the microsporidia called Encephalitozoon cuniculi. This study aimed to evaluate pneumonia caused by E. cuniculi in mice treated with the immunosuppressive agent cyclophosphamide (Cy). This study also aimed to describe the immune cells associated with the microsporidial pneumonia. C57BL/6 mice were infected intravenously with E. cuniculi spores and treated with Cy (75 mg/kg/week, intraperitoneally). Thirty days post-infection, the fungal burden (qPCR), histopathological lesions, cytokine production, and the phenotype of the immune cells in the lung parenchyma were evaluated. Histologically, interstitial pneumonia with lymphocytic infiltrate was observed in the infected animals. The infiltrate mainly consisted of CD8+ and CD4+ T lymphocytes, with reduced populations of B lymphocytes and macrophages. The production of tumor necrosis factor-alpha (TNF-α) was significant in the animals of the infected groups. Also, the fungal burden was higher in the Cy-treated animals, which was confirmed by the immunohistochemical observation of spores. These results demonstrated that E. cuniculi infection of C57BL/6 mice caused lymphocytic interstitial pneumonia (characterized by a predominant lymphocytic infiltrate), which was aggravated by Cy-induced immunosuppression. Thus, these results can be used to understand the different pathological, immunological, and therapeutic aspects of lymphocytic interstitial pneumonia.

Perinatal glyphosate-based herbicide impaired maternal behavior by reducing the striatal dopaminergic activity and delayed the offspring reflex development / A administração perinatal do herbicida à base do glifosato prejudicou o comportamento maternal por reduzir a atividade do sistema dopaminérgico estriatal e atrasou o desenvolvimento de reflexos da prole

Glyphosate, a non-selective herbicide, causes in mammals’ cellular mutagenesisand toxic effects at the embryonic, fetal, and placental levels, even at lowconcentrations. This study investigated in rats the effects of perinatal exposureto glyphosate-base herbicide on maternal behavior and the hypothalamic andstriatal levels of dopamine and serotonin. The pup’s physical and behavioraldevelopment were observed. Glyphosate-base herbicide (50 or 150 mg/kg, peros) was administered in dams during gestation (15º gestational day to 7ºlactation day. The female body weight was recorded throughout the pregnancyand lactation. The dams’ reproductive performance was observed at postnatalday 2, the open field behavior at postnatal day 5 and the maternal behavior atpostnatal day 6. At weaning, the dam’s hypothalamic and striatal levels ofdopamine and serotonin were measured. Maternal exposure to both glyphosatebase herbicide doses: i) had few effects on maternal body weight gain; ii)decreased the number and body weight of the pups; iii) impaired the maternalcare; iv) both doses decreased the activity of striatal and hypothalamic dopaminergic systems; v) 50 mg/kg increased and 150 mg/kg decreased theserotoninergic hypothalamic activity. In offspring, no effects on physicaldevelopment but a delay on reflex development. Conclusions: perinatal exposureto glyphosate-base herbicide decreased the maternal care by a reduced striataldopaminergic activity and delayed the pup’s reflex development.

O glifosato é um herbicida não seletivo, que causa mutagênese celular e efeitostóxicos embrionário, fetal e placentário, mesmo em baixas concentrações. Esteestudo investigou, em ratos, os efeitos da exposição perinatal ao herbicida àbase de glifosato sobre o comportamento materno e os níveis hipotalâmicos eestriatais de dopamina e serotonina. O desenvolvimento físico e comportamentaldos filhotes foi observado. O herbicida (50 ou 150 mg / kg, per os) foiadministrado às mães durante a gestação (15º dia gestacional ao 7º dia delactação. O peso corporal foi registrado durante a gestação e lactação Odesempenho reprodutivo das mães foi observado no dia pós-natal 2, ocomportamento de campo aberto no dia pós-natal 5 e o comportamento maternono dia pós-natal 6. Ao desmame os níveis hipotalâmicos e estriatais da dopaminae da serotonina foram medidos. A exposição materna às duas doses do glifosato:i) teve poucos efeitos sobre o ganho de peso corporal materno; ii) diminuiu onúmero e peso corporal dos filhotes; iii) prejudicou o cuidado materno; iv)ambas as doses diminuíram a atividade dos sistemas dopaminérgicos estriatal ehipotalâmico; v) 50 mg / kg e 150 mg / kg do glifosato diminuíram a atividadehipotalâmica serotoninérgica. Na prole, não houve efeitos no desenvolvimentofísico, mas observou-se atraso no desenvolvimento reflexológico. Poucos efeitosna atividade geral do filhote foram observados. Conclusões: a exposiçãoperinatal ao herbicida à base de glifosato diminuiu o cuidado materno por umaatividade redução da atividade dopaminérgica estriatal e atrasou odesenvolvimento dos reflexos dos filhotes.

Perinatal glyphosate-based herbicide impaired maternal behavior by reducing the striatal dopaminergic activity and delayed the offspring reflex development / A administração perinatal do herbicida à base do glifosato prejudicou o comportamento maternal por reduzir a atividade do sistema dopaminérgico estriatal e atrasou o desenvolvimento de reflexos da prole

Glyphosate, a non-selective herbicide, causes in mammals cellular mutagenesisand toxic effects at the embryonic, fetal, and placental levels, even at lowconcentrations. This study investigated in rats the effects of perinatal exposureto glyphosate-base herbicide on maternal behavior and the hypothalamic andstriatal levels of dopamine and serotonin. The pups physical and behavioraldevelopment were observed. Glyphosate-base herbicide (50 or 150 mg/kg, peros) was administered in dams during gestation (15º gestational day to 7ºlactation day. The female body weight was recorded throughout the pregnancyand lactation. The dams reproductive performance was observed at postnatalday 2, the open field behavior at postnatal day 5 and the maternal behavior atpostnatal day 6. At weaning, the dams hypothalamic and striatal levels ofdopamine and serotonin were measured. Maternal exposure to both glyphosatebase herbicide doses: i) had few effects on maternal body weight gain; ii)decreased the number and body weight of the pups; iii) impaired the maternalcare; iv) both doses decreased the activity of striatal and hypothalamic dopaminergic systems; v) 50 mg/kg increased and 150 mg/kg decreased theserotoninergic hypothalamic activity. In offspring, no effects on physicaldevelopment but a delay on reflex development. Conclusions: perinatal exposureto glyphosate-base herbicide decreased the maternal care by a reduced striataldopaminergic activity and delayed the pups reflex development.(AU)

O glifosato é um herbicida não seletivo, que causa mutagênese celular e efeitostóxicos embrionário, fetal e placentário, mesmo em baixas concentrações. Esteestudo investigou, em ratos, os efeitos da exposição perinatal ao herbicida àbase de glifosato sobre o comportamento materno e os níveis hipotalâmicos eestriatais de dopamina e serotonina. O desenvolvimento físico e comportamentaldos filhotes foi observado. O herbicida (50 ou 150 mg / kg, per os) foiadministrado às mães durante a gestação (15º dia gestacional ao 7º dia delactação. O peso corporal foi registrado durante a gestação e lactação Odesempenho reprodutivo das mães foi observado no dia pós-natal 2, ocomportamento de campo aberto no dia pós-natal 5 e o comportamento maternono dia pós-natal 6. Ao desmame os níveis hipotalâmicos e estriatais da dopaminae da serotonina foram medidos. A exposição materna às duas doses do glifosato:i) teve poucos efeitos sobre o ganho de peso corporal materno; ii) diminuiu onúmero e peso corporal dos filhotes; iii) prejudicou o cuidado materno; iv)ambas as doses diminuíram a atividade dos sistemas dopaminérgicos estriatal ehipotalâmico; v) 50 mg / kg e 150 mg / kg do glifosato diminuíram a atividadehipotalâmica serotoninérgica. Na prole, não houve efeitos no desenvolvimentofísico, mas observou-se atraso no desenvolvimento reflexológico. Poucos efeitosna atividade geral do filhote foram observados. Conclusões: a exposiçãoperinatal ao herbicida à base de glifosato diminuiu o cuidado materno por umaatividade redução da atividade dopaminérgica estriatal e atrasou odesenvolvimento dos reflexos dos filhotes.(AU)

Cyclophosphamide Treatment Mimics Sub-Lethal Infections With Encephalitozoon intestinalis in Immunocompromised Individuals.

Microsporidia, including Encephalitozoon intestinalis, are emerging pathogens which cause opportunistic infections in immunocompromised patients, such as those with AIDS, cancer, the elderly and people on immunosuppressive drugs. Intestinal mucosa (IM) is crucial for developing an efficient adaptive immune response against pathogenic micro-organisms, thereby preventing their colonization and subsequent infection. As immunosuppressive drugs affect the intestinal immune response is little known. In the present study, we investigated the immune response to E. intestinalis infection in the IM and gut-associated lymphoid tissue (GALT) in cyclophosphamide (Cy) immunosuppressed mice, to mimic an immunocompromised condition. Histopathology revealed lymphoplasmacytic enteritis at 7 and 14 days-post-infection (dpi) in all infected groups, however, inflammation diminished at 21 and 28 dpi. Cy treatment also led to a higher number of E. intestinalis spores and lesions, which reduced at 28 dpi. In addition, flow cytometry analysis demonstrated CD4+ and CD8+ T cells to be predominant immune cells, with up-regulation in both Th1 and Th2 cytokines at 7 and 14 dpi, as demonstrated by histopathology. In conclusion, Cy treatment reduced GALT (Peyer's plaques and mesenteric lymph nodes) and peritoneum populations but increased the T-cell population in the intestinal mucosa and the production of pro-and anti-inflammatory cytokines, which were able to eliminate this opportunistic fungus and reduced the E. intestinalis infection.

Cyclophosphamide treatment mimics sub-lethal infections with encephalitozoon intestinalis in immunocompromised individuals

Microsporidia, including Encephalitozoon intestinalis, are emerging pathogens which cause opportunistic infections in immunocompromised patients, such as those with AIDS, cancer, the elderly and people on immunosuppressive drugs. Intestinal mucosa (IM) is crucial for developing an efficient adaptive immune response against pathogenic micro-organisms, thereby preventing their colonization and subsequent infection. As immunosuppressive drugs affect the intestinal immune response is little known. In the present study, we investigated the immune response to E. intestinalis infection in the IM and gut-associated lymphoid tissue (GALT) in cyclophosphamide (Cy) immunosuppressed mice, to mimic an immunocompromised condition. Histopathology revealed lymphoplasmacytic enteritis at 7 and 14 days-post-infection (dpi) in all infected groups, however, inflammation diminished at 21 and 28 dpi. Cy treatment also led to a higher number of E. intestinalis spores and lesions, which reduced at 28 dpi. In addition, flow cytometry analysis demonstrated CD4+ and CD8+ T cells to be predominant immune cells, with up-regulation in both Th1 and Th2 cytokines at 7 and 14 dpi, as demonstrated by histopathology. In conclusion, Cy treatment reduced GALT (Peyer’s plaques and mesenteric lymph nodes) and peritoneum populations but increased the T-cell population in the intestinal mucosa and the production of pro-and anti-inflammatory cytokines, which were able to eliminate this opportunistic fungus and reduced the E. intestinalis infection.

B-1 cells upregulate CD8 T lymphocytes and increase proinflammatory cytokines serum levels in oral encephalitozoonosis

Microsporidia are intracellular pathogens that cause severe disease in immunocompromised humans and animals. We recently demonstrated that XID mice are more susceptible to Encephalitozoon cuniculi infection by intraperitoneal route, evidencing the role of B-1 cells in resistance against infection. The present study investigated the resistance and susceptibility against E. cuniculi oral infection, including the role of B-1 cells. BALB/c and BALB/c XID (B-1 cells deficient) mice were orally infected with E. cuniculi spores. No clinical symptoms were observed in infected animals; histopathology showed lymphoplasmocytic enteritis with degeneration of the apexes of the villi in all infected groups. Higher parasite burden was observed in infected BALB/c XID mice. In the spleen and peritoneum, all infected mice showed a decrease of lymphocytes, including CD8(+) T cells, mostly in infected BALB/c XID mice. Adoptive transfer of B-1 cells (XID thorn B-1) was associated with a lower parasite burden. Pro-inflammatory cytokines (IFN-gamma, TNF-alpha and IL-6) increased mostly in infected XID + B1 mice. Together, the present results showed that BALB/c XID mice infected by the oral route were more susceptible to encephalitozoonosis than BALB/c mice, demonstrating the B-1 cells importance in the control of the immune response against oral E. cuniculi infection.

Culture and propagation of microsporidia of veterinary interest.

Microsporidia are obligate intracellular mitochondria-lacking pathogens that rely on host cells to grow and multiply. Microsporidia, currently classified as fungi, are ubiquitous in nature and are found worldwide. They infect a large number of mammals and are recognized as opportunistic infection agents in HIV-AIDS patients. Its importance for veterinary medicine has been unveiled in recent years through the description of clinical and subclinical forms of infection in domestic and wild animals. Domestic and wild birds may be infected by the same human microsporidia, reinforcing their zoonotic potential. Microsporidiosis in fish is prevalent and causes significant economic losses for fish farming. Some species of microsporidia have been propagated in cell cultures, which may provide conditions for the development of diagnostic techniques, understanding of pathogenesis and immune responses and for the discovery of potential therapies. Unfortunately, the cultivation of these parasites is not fully standardized in most research laboratories, especially in the veterinary field. The aim of this review is to relate the most important microsporidia of veterinary interest and demonstrate how these pathogens can be grown and propagated in cell culture for diagnostic purposes or for pathogenesis studies. Cultivation of microsporidia allowed the study of its life cycle, metabolism, pathogenesis and diagnosis, and may also serve as a repository for these pathogens for molecular, biochemical, antigenic and epidemiological studies.

Cholangiocarcinoma in an American Rhea (Rhea Americana araneipes) / Colangiocarcinoma em uma ema

Cholangiocarcinomas are neoplasms that originate from the bile duct epithelium. The present case described a cholangiocarcinoma in an adult female American Rhea (Rhea Americana araneipes) by means of gross, histopathology and immunohistochemistry. Irregular, firm, multifocal, yellow-white masses, measuring from 0.4 to 6cm in diameter were observed in both liver lobes. At the cut surface, multiple firm nodules filled with connective tissue were present. Microscopically, the neoplasia was composed of small, irregular, gland-like structures of neoplastic cells surrounded by connective tissue. The cells resembled epithelial cells of the hepatic biliary ducts. Neoplastic cells were positive for cytokeratin and negative for vimentin. This is the first report of a malignant fatal neoplasia in an American Rhea.(AU)

Colangiocarcinomas são neoplasias originárias do epitélio do ducto biliar. O presente caso descreve os achados macroscópicos, microscópicos e imuno-histoquímicos de um colangiocarcinoma em uma ema fêmea (Rhea americana araneipes). No fígado, massas irregulares, firmes, multifocais, de coloração amarelo-esbranquiçada, medindo de 0,4 a 6cm de diâmetro foram observadas em ambos os lobos. Ao corte, múltiplos nódulos firmes preenchidos por tecido conjuntivo foram observados. Microscopicamente, a neoplasia era composta de células pequenas, irregulares, semelhantes às células do epitélio biliar, que formavam estruturas glandulares. A imuno-histoquímica foi positiva para citoqueratina e negativa para vimentina. Este trabalho constitui o primeiro relato de uma neoplasia maligna fatal em uma ema.(AU)

Cholangiocarcinoma in an American Rhea (Rhea Americana araneipes) / Colangiocarcinoma em uma ema

Cholangiocarcinomas are neoplasms that originate from the bile duct epithelium. The present case described a cholangiocarcinoma in an adult female American Rhea (Rhea Americana araneipes) by means of gross, histopathology and immunohistochemistry. Irregular, firm, multifocal, yellow-white masses, measuring from 0.4 to 6cm in diameter were observed in both liver lobes. At the cut surface, multiple firm nodules filled with connective tissue were present. Microscopically, the neoplasia was composed of small, irregular, gland-like structures of neoplastic cells surrounded by connective tissue. The cells resembled epithelial cells of the hepatic biliary ducts. Neoplastic cells were positive for cytokeratin and negative for vimentin. This is the first report of a malignant fatal neoplasia in an American Rhea.

Colangiocarcinomas são neoplasias originárias do epitélio do ducto biliar. O presente caso descreve os achados macroscópicos, microscópicos e imuno-histoquímicos de um colangiocarcinoma em uma ema fêmea (Rhea americana araneipes). No fígado, massas irregulares, firmes, multifocais, de coloração amarelo-esbranquiçada, medindo de 0,4 a 6cm de diâmetro foram observadas em ambos os lobos. Ao corte, múltiplos nódulos firmes preenchidos por tecido conjuntivo foram observados. Microscopicamente, a neoplasia era composta de células pequenas, irregulares, semelhantes às células do epitélio biliar, que formavam estruturas glandulares. A imuno-histoquímica foi positiva para citoqueratina e negativa para vimentina. Este trabalho constitui o primeiro relato de uma neoplasia maligna fatal em uma ema.