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2.
J Biol Chem ; 298(3): 101599, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35063504

RESUMO

Carbohydrate metabolism not only functions in supplying cellular energy but also has an important role in maintaining physiological homeostasis and in preventing oxidative damage caused by reactive oxygen species. Previously, we showed that arthropod embryonic cell lines have high tolerance to H2O2 exposure. Here, we describe that Rhipicephalus microplus tick embryonic cell line (BME26) employs an adaptive glucose metabolism mechanism that confers tolerance to hydrogen peroxide at concentrations too high for other organisms. This adaptive mechanism sustained by glucose metabolism remodeling promotes cell survival and redox balance in BME26 cell line after millimolar H2O2 exposure. The present work shows that this tick cell line could tolerate high H2O2 concentrations by initiating a carbohydrate-related adaptive response. We demonstrate that gluconeogenesis was induced as a compensation strategy that involved, among other molecules, the metabolic enzymes NADP-ICDH, G6PDH, and PEPCK. We also found that this phenomenon was coupled to glycogen accumulation and glucose uptake, supporting the pentose phosphate pathway to sustain NADPH production and leading to cell survival and proliferation. Our findings suggest that the described response is not atypical, being also observed in cancer cells, which highlights the importance of this model to all proliferative cells. We propose that these results will be useful in generating basic biological information to support the development of new strategies for disease treatment and parasite control.


Assuntos
Glucose , Rhipicephalus , Animais , Linhagem Celular , Gluconeogênese , Glucose/metabolismo , Peróxido de Hidrogênio/metabolismo , Peróxido de Hidrogênio/farmacologia , NADP/metabolismo , Oxirredução , Rhipicephalus/metabolismo
3.
J Biomol Struct Dyn ; 40(19): 8925-8937, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33949286

RESUMO

The recent outbreak caused by SARS-CoV-2 continues to threat and take many lives all over the world. The lack of an efficient pharmacological treatments are serious problems to be faced by scientists and medical staffs worldwide. In this work, an in silico approach based on the combination of molecular docking, dynamics simulations, and quantum biochemistry revealed that the synthetic peptides RcAlb-PepI, PepGAT, and PepKAA, strongly interact with the main protease (Mpro) a pivotal protein for SARS-CoV-2 replication. Although not binding to the proteolytic site of SARS-CoV-2 Mpro, RcAlb-PepI, PepGAT, and PepKAA interact with other protein domain and allosterically altered the protease topology. Indeed, such peptide-SARS-CoV-2 Mpro complexes provoked dramatic alterations in the three-dimensional structure of Mpro leading to area and volume shrinkage of the proteolytic site, which could affect the protease activity and thus the virus replication. Based on these findings, it is suggested that RcAlb-PepI, PepGAT, and PepKAA could interfere with SARS-CoV-2 Mpro role in vivo. Also, unlike other antiviral drugs, these peptides have no toxicity to human cells. This pioneering in silico investigation opens up opportunity for further in vivo research on these peptides, towards discovering new drugs and entirely new perspectives to treat COVID-19.Communicated by Ramaswamy H. Sarma.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Domínio Catalítico , Simulação de Acoplamento Molecular , Peptídeos/farmacologia , Peptídeo Hidrolases , Inibidores de Proteases/farmacologia , Simulação de Dinâmica Molecular
4.
Sci Rep ; 11(1): 19202, 2021 09 28.
Artigo em Inglês | MEDLINE | ID: mdl-34584163

RESUMO

In the present work, we established two novel embryonic cell lines from the mosquito Aedes fluviatilis containing or not the naturally occurring symbiont bacteria Wolbachia, which were called wAflu1 and Aflu2, respectively. We also obtained wAflu1 without Wolbachia after tetracycline treatment, named wAflu1.tet. Morphofunctional characterization was performed to help elucidate the symbiont-host interaction in the context of energy metabolism regulation and molecular mechanisms of the immune responses involved. The presence of Wolbachia pipientis improves energy performance in A. fluviatilis cells; it affects the regulation of key energy sources such as lipids, proteins, and carbohydrates, making the distribution of actin more peripheral and with extensions that come into contact with neighboring cells. Additionally, innate immunity mechanisms were activated, showing that the wAflu1 and wAflu1.tet cells are responsive after the stimulus using Gram negative bacteria. Therefore, this work confirms the natural, mutually co-regulating symbiotic relationship between W. pipientis and A. fluviatilis, modulating the host metabolism and immune pathway activation. The results presented here add important resources to the current knowledge of Wolbachia-arthropod interactions.


Assuntos
Aedes/microbiologia , Imunidade Inata , Wolbachia/imunologia , Aedes/imunologia , Aedes/metabolismo , Animais , Linhagem Celular , Feminino , Interações entre Hospedeiro e Microrganismos/imunologia , Simbiose/imunologia
5.
Psychiatr Q ; 92(4): 1685-1710, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34173160

RESUMO

We compare the relative efficacy of virtual reality therapy exposure (VRET) versus in vivo therapy exposure among individuals suffering from phobias. A systematic search was completed up to 03 April 2020, using the following databases: ACM Digital Library, ResearchGate, IEEE, Science Direct, MIT PressJournals, Center for Direct Scientific Communication (CCSD) and Mary Ann Liebert Publishers. Five authors searched the databases using the following terms: Virtual Reality, Phobia, Mental health, Computing, Therapy, HMD, CAVE, Virtual ambient, in virtuo, Avoidance, Exposure, VRET, in vivo, Anxiety, Agoraphobia, Social Phobia, Stimuli, Cognitive-behaviour. All studies that evaluate the effect of in virtuo exposure towards phobia rehabilitation were selected. By reviewing the article, each author then applied the inclusion and exclusion criteria, and 30 articles were selected. Data extracted included the number of samples, amount of sessions, study variables that may affect the final outcome, therapy technology. The data provided was synthesized using a meta-analysis based on the results. The results demonstrated a positive outcome of Virtual Reality Exposure Treatment in the treatment of most phobias. In contrast, some of these treatments did not work for a few specific phobias in which the standard procedures were more effective. The findings suggest that for some specific phobias treatment, Virtual Reality Exposure Treatment does not reach the in vivo exposure level of immersion and presence. Further research is needed to perform studies with higher-dimension samples, since many papers report a low sample size and that is probably why many of them have inconclusive results.


Assuntos
Terapia Implosiva , Transtornos Fóbicos , Terapia de Exposição à Realidade Virtual , Realidade Virtual , Transtornos de Ansiedade , Humanos , Transtornos Fóbicos/terapia
6.
Insect Biochem Mol Biol ; 118: 103307, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31857215

RESUMO

Several research groups around the world have studied diverse aspects of energy metabolism in arthropod disease vectors, with the aim of discovering potential control targets. As in all oviparous organisms, arthropod embryonic development is characterized by the mobilization of maternally-derived metabolites for the formation of new tissues and organs. Glycogen synthase kinase-3 (GSK-3) is a serine-threonine kinase described as an important regulator of metabolism and development in a wide range of organisms. GSK-3 was first identified based on its action upon glycogen synthase, a central enzyme in glycogen biosynthesis. Currently, it is recognized as a key component of multiple cellular processes such as glucose metabolism, apoptosis, cell proliferation, transcription, cell migration, and immune response. The present review will describe the current knowledge on GSK-3 activation and its role in morphogenesis and embryonic metabolism in arthropods. Altogether, the information discussed here can spark new approaches and strategies for further studies, enhancing our understanding of these important arthropod vectors and strengthening the resources in the search for novel control methods.


Assuntos
Proteínas de Artrópodes/genética , Artrópodes/genética , Desenvolvimento Embrionário/genética , Quinase 3 da Glicogênio Sintase/genética , Morfogênese/genética , Animais , Proteínas de Artrópodes/metabolismo , Artrópodes/embriologia , Artrópodes/metabolismo , Embrião não Mamífero/metabolismo , Quinase 3 da Glicogênio Sintase/metabolismo
7.
Front Physiol ; 10: 965, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31417424

RESUMO

Embryogenesis is a metabolically intensive process carried out under tightly controlled conditions. The insulin signaling pathway regulates glucose homeostasis and is essential for reproduction in metazoan model species. Three key targets are part of this signaling pathway: protein kinase B (PKB, or AKT), glycogen synthase kinase 3 (GSK-3), and target of rapamycin (TOR). While the role of AKT and GSK-3 has been investigated during tick embryonic development, the role of TOR remains unknown. In this study, TOR and two other downstream effectors, namely S6 kinase (S6K) and eukaryotic translation initiation factor 4E-binding protein 1 (4E-BP1), were investigated in in vitro studies using the tick embryonic cell line BME26. First, we show that exogenous insulin can stimulate TOR transcription. Second, TOR chemical inhibition led to a decrease in BME26 cell viability, loss of membrane integrity, and downregulation of S6K and 4E-BP1 transcription. Conversely, treating BME26 cells with chemical inhibitors of AKT or GSK-3 did not affect S6K and 4E-BP1 transcription, showing that TOR is specifically required to activate its downstream targets. To address the role of TOR in tick reproduction, in vivo studies were performed. Analysis of relative transcription during different stages of tick embryonic development showed different levels of transcription for TOR, and a maternal deposition of S6K and 4E-BP1 transcripts. Injection of TOR double-stranded RNA (dsRNA) into partially fed females led to a slight delay in oviposition, an atypical egg external morphology, decreased vitellin content in eggs, and decreased larval hatching. Taken together, our data show that the TOR signaling pathway is important for tick reproduction, that TOR acts as a regulatory target in Rhipicephalus microplus embryogenesis and represents a promising target for the development of compounds for tick control.

8.
Sci Rep ; 9(1): 4753, 2019 03 18.
Artigo em Inglês | MEDLINE | ID: mdl-30894596

RESUMO

Reactive oxygen species (ROS) are natural byproducts of metabolism that have toxic effects well documented in mammals. In hematophagous arthropods, however, these processes are not largely understood. Here, we describe that Rhipicephalus microplus ticks and embryonic cell line (BME26) employ an adaptive metabolic compensation mechanism that confers tolerance to hydrogen peroxide (H2O2) at concentrations too high for others organisms. Tick survival and reproduction are not affected by H2O2 exposure, while BME26 cells morphology was only mildly altered by the treatment. Furthermore, H2O2-tolerant BME26 cells maintained their proliferative capacity unchanged. We evaluated several genes involved in gluconeogenesis, glycolysis, and pentose phosphate pathway, major pathways for carbohydrate catabolism and anabolism, describing a metabolic mechanism that explains such tolerance. Genetic and catalytic control of the genes and enzymes associated with these pathways are modulated by glucose uptake and energy resource availability. Transient increase in ROS levels, oxygen consumption, and ROS-scavenger enzymes, as well as decreased mitochondrial superoxide levels, were indicative of cell adaptation to high H2O2 exposure, and suggested a tolerance strategy developed by BME26 cells to cope with oxidative stress. Moreover, NADPH levels increased upon H2O2 challenge, and this phenomenon was sustained mainly by G6PDH activity. Interestingly, G6PDH knockdown in BME26 cells did not impair H2O2 tolerance, but generated an increase in NADP-ICDH transcription. In agreement with the hypothesis of a compensatory NADPH production in these cells, NADP-ICDH knockdown increased G6PDH relative transcript level. The present study unveils the first metabolic evidence of an adaptive mechanism to cope with high H2O2 exposure and maintain redox balance in ticks.


Assuntos
Metabolismo dos Carboidratos/fisiologia , Peróxido de Hidrogênio/toxicidade , Oxidantes/toxicidade , Estresse Oxidativo/fisiologia , Rhipicephalus/metabolismo , Adaptação Fisiológica , Animais , Carboidratos/química , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Resistência a Medicamentos , Tolerância a Medicamentos/fisiologia , Glucosefosfato Desidrogenase/genética , Glucosefosfato Desidrogenase/metabolismo , NADP/análise , Oxirredução
9.
Biomed Res Int ; 2019: 8575398, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30882000

RESUMO

Small renal masses have been diagnosed increasingly in recent decades, allowing surgical treatment by partial nephrectomy. This treatment option is associated with better renal function preservation, in comparison with radical nephrectomy. However, for obtaining a bloodless field during surgery, occlusion of renal artery and veins is often required, which results in transitory ischemia. The renal ischemia-reperfusion injury is associated with increased reactive oxygen species production leading to renal tissue damage. Thus, the use of antioxidants has been advocated in the partial nephrectomy perioperative period. Several antioxidants were investigated in regard to renal ischemia-reperfusion injury. The present manuscript aims to present the literature on the most commonly studied antioxidants used during partial nephrectomy. The results of experimental and clinical studies using antioxidants during partial nephrectomy are reported. Further, alimentary sources of some antioxidants are presented, stimulating future studies focusing on perioperative antioxidant-rich diets.


Assuntos
Antioxidantes/uso terapêutico , Neoplasias Renais/tratamento farmacológico , Neoplasias Renais/cirurgia , Traumatismo por Reperfusão/tratamento farmacológico , Humanos , Rim/efeitos dos fármacos , Rim/patologia , Rim/cirurgia , Neoplasias Renais/fisiopatologia , Nefrectomia , Período Perioperatório , Artéria Renal/efeitos dos fármacos , Artéria Renal/patologia , Artéria Renal/cirurgia , Traumatismo por Reperfusão/fisiopatologia
10.
BMC Urol ; 18(1): 16, 2018 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-29510690

RESUMO

BACKGROUND: Mannitol has been employed to ameliorate renal warm ischemia damage during partial nephrectomy, however, there is limited scientific evidence to support the use of mannitol during partial nephrectomy. The objective of the present study was to investigate the glomerular number after renal warm ischemia, with and without the use of mannitol in a Pig Model. METHODS: Twenty-four male pigs were assigned into three groups. Eight animals were allocated to the sham group that was subjected to laparoscopic dissection of the left renal hilum, without renal ischemia. Eight animals were allocated to the ischemia group that had the left renal hilum clamped for 30 min through laparoscopic access. Eight animals received mannitol (250 mg/kg) before the occlusion of renal hilum for 30 min. The kidneys were collected after the euthanasia of the pigs 21 days post surgery. The right kidney was utilized as a self-control for each animal. Serum creatinine, urea levels, the weight and volume of the kidneys were measured. Glomerular volumetric density, volume-weighted glomerular volume, and cortical volume were quantified through stereological methods and employed to determine the number of nephrons per kidney. Student's t test and ANOVA were used for statistical analysis. RESULTS: In the ischemia group, the left kidney recorded a reduction of 24.6% (290, 000 glomeruli) in the number of glomeruli in comparison to the right kidney. Kidneys subjected to ischemia also displayed decreased weight and volume in comparison to the sham and mannitol groups. No difference was observed between the left and right kidneys from the sham and mannitol groups. Further, no distinction in serum creatinine and urea among the groups was observed. CONCLUSION: The use of mannitol significantly reduces nephron loss during warm ischemia in pigs.


Assuntos
Diuréticos Osmóticos/farmacologia , Manitol/farmacologia , Modelos Animais , Néfrons/efeitos dos fármacos , Isquemia Quente/métodos , Animais , Contagem de Células/métodos , Masculino , Néfrons/patologia , Suínos , Isquemia Quente/efeitos adversos
11.
Urology ; 116: 229.e7-229.e11, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29578042

RESUMO

OBJECTIVE: To evaluate the microscopic characteristics and quantify the volume of a radiofrequency ablation (RFA) lesion. METHODS: Ten male pigs were submitted to laparoscopic RFA. An RFA needle was introduced in the lower pole of the left kidney to create a lesion expected to be a sphere of 2.0 cm diameter. The animals were followed up for 21 days. Kidneys were weighed and the volume was assessed using Scherle's method. Cavalieri's principle was used to assess the RFA volume, and sphericity was calculated to assess RFA lesion. One sample t test was used to compare RFA volume with the volume of a sphere of 2.0 cm diameter, and sphericity to hypothetical values of a sphere and an icosahedron. Fragments of RFA region were histologically evaluated. RESULTS: Three animals developed postoperative complications and were excluded from the analyses. There was no difference in the mean weight and volume between right and left kidneys following RFA. The mean total volume of RFA injury was 3.44 cm3. There was no difference in the RFA volume in comparison with hypothetical volumes of a sphere and an icosahedron of 2.0 cm diameter. Sphericity of the RFA injury was not similar with a sphere; however, it was similar to an icosahedron. Histology revealed areas of coagulation necrosis, fibrosis, and inflammatory mononuclear infiltration. Areas with normal tissue were also observed. CONCLUSION: The volume of injury caused by RFA was as expected and its shape was comparable with an icosahedron. Microscopic evaluation revealed areas of normal-appearing tissue.


Assuntos
Rim/lesões , Rim/patologia , Ablação por Radiofrequência/efeitos adversos , Animais , Laparoscopia , Masculino , Modelos Animais , Necrose/etiologia , Necrose/patologia , Suínos
12.
Urol Int ; 99(3): 262-266, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28355603

RESUMO

OBJECTIVE: The study aimed to evaluate the ischemic and non-ischemic areas after selective arterial occlusion by using stereological analysis of glomeruli, and to compare them with main arterial clamping and sham-operated animals. MATERIALS AND METHODS: Twenty-four male pigs were used in the study. The animals were divided into 3 groups with 8 animals in each as follows: group sham, submitted to laparoscopic dissection of the renal pedicle but not submitted to ischemia; group arterial (A), submitted to left renal artery clamping; and group selective (S), submitted to left renal artery caudal branch occlusion. Groups A and S underwent 30 min of warm ischemia. Left and right kidneys were collected after 21 days and renal fragments were processed for stereological evaluation. Glomerular volume density (Vv[glom]), mean glomerular volume (MGV), and glomerular density were measured. Serum creatinine and urea were assessed preoperatively, 10 days after surgery, and before euthanasia. RESULTS: There was no significant difference among groups with regard to renal function. Renal weight and volume were similar among groups. Also, no difference was observed between the groups with regard to Vv[glom], MGV, and glomerular density, both when compared to its right control or when left kidneys were compared. CONCLUSIONS: Selective arterial clamping technique was neither superior nor inferior to main artery clamping.


Assuntos
Rim/irrigação sanguínea , Artéria Renal/cirurgia , Isquemia Quente/métodos , Animais , Constrição , Rim/patologia , Rim/fisiopatologia , Glomérulos Renais/patologia , Masculino , Modelos Animais , Tamanho do Órgão , Artéria Renal/fisiopatologia , Circulação Renal , Sus scrofa , Fatores de Tempo , Isquemia Quente/efeitos adversos
13.
J Endourol ; 31(5): 517-521, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28326799

RESUMO

PURPOSE: To compare, with stereological methods, the glomerular loss in kidneys submitted to radiofrequency ablation (RFA) or warm ischemia. MATERIALS AND METHODS: Twenty-six male pigs were divided into three groups. Eight animals were allocated in the sham group, which was submitted to laparoscopic dissection of the left renal hilum, without renal ischemia. Eight animals were allocated in the ischemia group, which had the left renal hilum clamped for 30 minutes under laparoscopic access. Ten animals were submitted to RFA of the left kidney lower pole, under laparoscopic visualization. Animals were euthanized 21 days after surgery, when kidneys were collected. Fragments of the upper pole of the left kidney were processed for morphometric analysis. Right kidney was used as self-controls for each animal. Glomerular volumetric density (Vv[glom]); volume-weighted glomerular volume (VWGV); and glomerular density were quantified by stereological methods and compared by Student's t-test and one-way-analysis of variance with Dunnett's post-test. RESULTS: Three animals in the RFA group developed postoperative complications (Urinoma/Hydronephrosis) and were excluded from the analysis. No difference was found among the kidneys submitted to RFA and warm ischemia for all parameters. However, these kidneys showed lower Vv[glom] and glomerular density when compared to its self-controls (right kidneys), and when compared to sham-operated animals (p < 0.05). No difference was observed in regards to VWGV among the groups. CONCLUSION: RFA in pigs determines a significant reduction of glomerular density in the remaining parenchyma. This alteration was comparable to that observed in kidneys submitted to 30 minutes of warm ischemia.


Assuntos
Ablação por Cateter/efeitos adversos , Nefropatias/cirurgia , Glomérulos Renais/fisiopatologia , Rim/cirurgia , Laparoscopia/métodos , Isquemia Quente/métodos , Animais , Dissecação , Hidronefrose/cirurgia , Isquemia/fisiopatologia , Masculino , Complicações Pós-Operatórias/cirurgia , Sus scrofa , Suínos
14.
Acta Cir Bras ; 31(11): 753-758, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27982263

RESUMO

PURPOSE:: To evaluate the glomerular loss after arteriovenous or arterial warm ischemia in a swine model. METHODS:: Twenty four pigs were divided into Group Sham (submitted to all surgical steps except the renal ischemia), Group AV (submitted to 30 minutes of warm ischemia by arteriovenous clamping of left kidney vessels), and Group A (submitted to 30 minutes of ischemia by arterial clamping). Right kidneys were used as controls. Weigh, volume, cortical volume, glomerular volumetric density (Vv[Glom]), volume-weighted glomerular volume (VWGV), and the total number of glomeruli were measured for each organ. RESULTS:: Group AV showed a 24.5% reduction in its left kidney Vv[Glom] and a 25.4% reduction in the VWGV, when compared to the right kidney. Reductions were also observed when compared to kidneys of sham group. There was a reduction of 19.2% in the total number of glomeruli in AV kidneys. No difference was observed in any parameters analyzed on the left kidneys from group A. CONCLUSIONS:: Renal warm ischemia of 30 minutes by arterial clamping did not caused significant glomerular damage, but arteriovenous clamping caused significant glomerular loss in a swine model. Clamping only the renal artery should be considered to minimize renal injury after partial nephrectomies.


Assuntos
Glomérulos Renais/irrigação sanguínea , Laparoscopia/métodos , Nefrectomia/métodos , Artéria Renal/cirurgia , Isquemia Quente/métodos , Animais , Modelos Animais de Doenças , Glomérulos Renais/anatomia & histologia , Glomérulos Renais/fisiopatologia , Masculino , Tamanho do Órgão , Suínos
15.
Acta cir. bras ; 31(11): 753-758, Nov. 2016. tab, graf
Artigo em Inglês | LILACS | ID: biblio-827658

RESUMO

ABSTRACT PURPOSE: To evaluate the glomerular loss after arteriovenous or arterial warm ischemia in a swine model. METHODS: Twenty four pigs were divided into Group Sham (submitted to all surgical steps except the renal ischemia), Group AV (submitted to 30 minutes of warm ischemia by arteriovenous clamping of left kidney vessels), and Group A (submitted to 30 minutes of ischemia by arterial clamping). Right kidneys were used as controls. Weigh, volume, cortical volume, glomerular volumetric density (Vv[Glom]), volume-weighted glomerular volume (VWGV), and the total number of glomeruli were measured for each organ. RESULTS: Group AV showed a 24.5% reduction in its left kidney Vv[Glom] and a 25.4% reduction in the VWGV, when compared to the right kidney. Reductions were also observed when compared to kidneys of sham group. There was a reduction of 19.2% in the total number of glomeruli in AV kidneys. No difference was observed in any parameters analyzed on the left kidneys from group A. CONCLUSIONS: Renal warm ischemia of 30 minutes by arterial clamping did not caused significant glomerular damage, but arteriovenous clamping caused significant glomerular loss in a swine model. Clamping only the renal artery should be considered to minimize renal injury after partial nephrectomies.


Assuntos
Animais , Masculino , Artéria Renal/cirurgia , Laparoscopia/métodos , Isquemia Quente/métodos , Glomérulos Renais/irrigação sanguínea , Nefrectomia/métodos , Tamanho do Órgão , Suínos , Modelos Animais de Doenças , Glomérulos Renais/anatomia & histologia , Glomérulos Renais/fisiopatologia
16.
DST j. bras. doenças sex. transm ; 28(2): 44-49, 20160000.
Artigo em Inglês | LILACS | ID: biblio-2807

RESUMO

O papilomavírus humano (HPV) é uma grande preocupação na saúde pública e privada. A prevenção dessa condição é a combinação do uso do exame de Papanicolaou, de preservativos e de vacinas contra o HPV. Campos dos Goytacazes é o primeiro município brasileiro a implementar em setembro de 2010 a vacina quadrivalente contra o HPV (Gardasil®) para meninas de 11 a 15 anos de idade em uma estratégia híbrida de vacinação (escolas e centros de saúde). Em 2014, a vacinação começou para os meninos na mesma época em que o Ministério da Saúde introduziu a vacina para as meninas. Objetivo: O objetivo do estudo foi analisar as tendências na redução de anormalidades cervicais de baixo grau cinco anos depois da introdução da vacina quadrivalente de HPV na cidade (resultado primário). Além disso, esta investigação avaliou o risco relativo de cada grupo analisado, de maneira a explicar o efeito protetor da vacina (resultado secundário). Métodos: A análise ecológica avaliou o impacto da vacinação contra o HPV como um fator protetor contra o baixo risco de anormalidades pelo HPV. Os resultados do teste de Papanicolaou, obtidos por meio do Sistema de Informação do Câncer do Colo do Útero (Siscolo) do Ministério da Saúde, foram categorizados em anormalidades de baixo grau (LGA) e anormalidades de alto grau (HGA). Este estudo preliminar foi centrado nas taxas de LGA, as quais foram estimadas para o período de um mês e estratificadas por quatro grupos etários (<20; 20-24; 25- 30; >30 anos) de 2007 a 2014. A comparação quantitativa das tendências temporais de LGA antes e depois da vacinação foi feita com análise de regressão de Quase-Poisson. O efeito protetor da vacina ao longo do tempo foi avaliado por cálculo do risco relativo em cada grupo de idade. Resultados: O estudo mostrou diminuição significativa de mais de 60% em LGA em mulheres de <20 anos de idade e de pelo menos cerca de 50% para os outros grupos. A vacina contra o HPV foi um fator de proteção, por causa do resultado do risco relativo de <0,0001 em todas as idades. Conclusões: Embora os estudos mostrem que as lesões pré-neoplásicas do HPV possam ser reversíveis espontaneamente, é inegável que a vacina contribuiu grandemente para as taxas elevadas de redução, associadas com a alta cobertura vacinal. Esses resultados são os primeiros no Brasil e podem dirigir no futuro a necessidade de discutir a vacinação dos meninos no contexto dos mesmos resultados obtidos na Austrália


Human papillomavirus (HPV) is a huge concern in public and private health. The prevention of this condition is the combination of the use of Papanicolaou smear test, condoms and HPV vaccines. Campos dos Goytacazes, RJ, is the first Brazilian municipality to implement in September 2010 the quadrivalent HPV vaccine (Gardasil®) for girls in the age group of 11­15 years, in a hybrid strategy of vaccination (schools and health centers). In 2014, the vaccination was started also for boys, at the same time that the Ministry of Health introduced it for girls. Objective: The aim of the study was to analyze the trends in reduction of low-grade cervical abnormalities five years after the introduction of the quadrivalent HPV vaccine in this municipality (primary outcome). Furthermore, this study evaluated the relative risk (RR) of each of the groups studied, in order to explain the protective effect of the vaccine (secondary outcome). Methods: The ecological analysis evaluated the impact of HPV vaccination as a protective factor against low risk of HPV abnormalities. Results of the Pap smear test obtained from the Brazilian Ministry of Health's Sistema de Informação do Câncer do Colo do Útero (SISCOLO) were categorized in low-grade abnormalities (LGA) and high-grade abnormalities (HGA). This preliminary study focused in LGA rates, which were estimated for a 1-month period and then stratified by four age groups (<20; 20­24; 25­30; >30 years) from 2007 to 2014. A quantitative comparison of LGA temporal trends before and after vaccination was done with Quasi-Poisson regression analysis. The protective effect of the vaccine over time was evaluated by calculating the RR in each age group. Results: The study showed significant decrease of more than 60% in LGA in women <20 years old, and less, almost 50% for the other groups. HPV vaccine was a protective factor, because the RR result was <0.0001 in all age groups. Conclusions: Although the studies show that the pre-HPV neoplastic lesions may be reversible spontaneously, it is undeniable that the vaccine contributes greatly to the high reduction rates, associated with high vaccination coverage. These results are the first in Brazil and in future may address the necessity to discuss the vaccination for boys in the context of the same results obtained in Australia.


Assuntos
Humanos , Feminino , Adolescente , Vacina Quadrivalente Recombinante contra HPV tipos 6, 11, 16, 18 , Cobertura Vacinal , Papillomaviridae , Neoplasias do Colo do Útero/prevenção & controle , Teste de Papanicolaou
17.
Parasitology ; 143(12): 1569-79, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27574112

RESUMO

Rhodnius prolixus is a blood-feeding insect that transmits Trypanosoma cruzi and Trypanosoma rangeli to vertebrate hosts. Rhodnius prolixus is also a classical model in insect physiology, and the recent availability of R. prolixus genome has opened new avenues on triatomine research. Glycogen synthase kinase 3 (GSK-3) is classically described as a key enzyme involved in glycogen metabolism, also acting as a downstream component of the Wnt pathway during embryogenesis. GSK-3 has been shown to be highly conserved among several organisms, mainly in the catalytic domain region. Meanwhile, the role of GSK-3 during R. prolixus embryogenesis or glycogen metabolism has not been investigated. Here we show that chemical inhibition of GSK-3 by alsterpaullone, an ATP-competitive inhibitor of GSK3, does not affect adult survival rate, though it alters oviposition and egg hatching. Specific GSK-3 gene silencing by dsRNA injection in adult females showed a similar phenotype. Furthermore, bright field and 4'-6-diamidino-2-phenylindole (DAPI) staining analysis revealed that ovaries and eggs from dsGSK-3 injected females exhibited specific morphological defects. We also demonstrate that glycogen content was inversely related to activity and transcription levels of GSK-3 during embryogenesis. Lastly, after GSK-3 knockdown, we observed changes in the expression of the Wingless (Wnt) downstream target ß-catenin as well as in members of other pathways such as the receptor Notch. Taken together, our results show that GSK-3 regulation is essential for R. prolixus oogenesis and embryogenesis.


Assuntos
Desenvolvimento Embrionário , Quinase 3 da Glicogênio Sintase/metabolismo , Glicogênio/metabolismo , Rhodnius/embriologia , Rhodnius/enzimologia , Animais , Benzazepinas/metabolismo , Inibidores Enzimáticos/metabolismo , Perfilação da Expressão Gênica , Inativação Gênica , Quinase 3 da Glicogênio Sintase/antagonistas & inibidores , Indóis/metabolismo , Oogênese
19.
PLoS One ; 10(6): e0130008, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26091260

RESUMO

RNA interference-mediated gene silencing was shown to be an efficient tool for validation of targets that may become anti-tick vaccine components. Here, we demonstrate the application of this approach in the validation of components of molecular signaling cascades, such as the Protein Kinase B (AKT)/Glycogen Synthase Kinase (GSK) axis during tick embryogenesis. It was shown that heptane and hypochlorite treatment of tick eggs can remove wax, affecting corium integrity and but not embryo development. Evidence of AKT and GSK dsRNA delivery into de-waxed eggs of via electroporation is provided. Primers designed to amplify part of the dsRNA delivered into the electroporated eggs dsRNA confirmed its entry in eggs. In addition, it was shown that electroporation is able to deliver the fluorescent stain, 4',6-diamidino-2-phenylindole (DAPI). To confirm gene silencing, a second set of primers was designed outside the dsRNA sequence of target gene. In this assay, the suppression of AKT and GSK transcripts (approximately 50% reduction in both genes) was demonstrated in 7-day-old eggs. Interestingly, silencing of GSK in 7-day-old eggs caused 25% reduction in hatching. Additionally, the effect of silencing AKT and GSK on embryo energy metabolism was evaluated. As expected, knockdown of AKT, which down regulates GSK, the suppressor of glycogen synthesis, decreased glycogen content in electroporated eggs. These data demonstrate that electroporation of de-waxed R. microplus eggs could be used for gene silencing in tick embryos, and improve the knowledge about arthropod embryogenesis.


Assuntos
Técnicas de Silenciamento de Genes , RNA de Cadeia Dupla/genética , Rhipicephalus/genética , Animais , Proteínas de Artrópodes/genética , Proteínas de Artrópodes/metabolismo , Eletroporação , Feminino , Expressão Gênica , Quinases da Glicogênio Sintase/genética , Quinases da Glicogênio Sintase/metabolismo , Heptanos/química , Óvulo/química , Óvulo/fisiologia , Proteínas Proto-Oncogênicas c-akt/genética , Proteínas Proto-Oncogênicas c-akt/metabolismo , Interferência de RNA , Solventes/química , Técnicas de Cultura de Tecidos , Ceras/química
20.
World J Nephrol ; 4(1): 105-10, 2015 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-25664252

RESUMO

The main goals for urinary stone treatment are to preserve renal function, reduce or avoid complications related to calculi, and to render the patient free of calculi as soon as possible. Anatrophic nephrolithotomy (ANL) is a valid and useful alternative for conventional staghorn calculi excision. Although excellent stone free rates can be achieved with ANL there are some drawbacks that may be of concern. Morbidity related to intraoperative and postoperative complications is one of them. Another, great concern is the possibility of reduction on renal function related to the procedure itself. This may be related to nephron injury during nephrotomy and parenchymal closure or to ischemic injury. In this review we assess functional results after anatrophic nephrolithotomy.

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