Anti-inflammatory activity of the sesquiterpene lactone diacethylpiptocarphol in dextransulfate sodium-induced colitis in mice.

ETHNOPHARMACOLOGICAL RELEVANCE: Sesquiterpene lactones are organic compounds derived mainly from plants that exhibit anti-inflammatory and antitumor activities being one of the key mechanism of action of NF-kB pathway and synthesis of cytokines such as IL-1 and TNF- α. AIM OF THE STUDY: The overall objective of the present study was to evaluate the anti-inflammatory action of a sesquiterpene lactone diacethylpiptocarphol (DPC) from Vernonia scorpioides (Lam.) Pers. and parthenolide (PTH) in Balb-c mice with DSS-induced colitis. MATERIALS AND METHODS: The anti-inflammatory effects of Intraperitonial administration of DPC (5 mg/kg/day) were evaluated in Balb/c mice with DSS-induced colitis, and further the body weight measurement, TNF-α and TGF-ß level was determined. RESULTS: After intraperitoneal treatment for one week, DSS-induced colitis was significantly reduced in mice treated with either of both sesquiterpenes lactones, as witnessed by reduced cellular infiltration, tissue damage, TNF-α production, and enhanced production of TGF-ß. CONCLUSIONS: Sesquiterpene lactone DPC, isolated from Vernonia scorpioides showed anti-inflammatory activity, in this experimental model of colitis the sesquiterpene lactones DPC and PTH exhibit equal anti-inflammatory activity.

Spatial distribution and risk factors for equine infectious anaemia in the state of Mato Grosso, Brazil.

The prevalence of equine infectious anaemia (EIA) in the three biomes of the state of Mato Grosso (Amazon, Cerrado and Pantanal) was estimated. Serum samples were collected from 3,858 equines in 1,067 herds between Septemberand December 2014. The agar gel immunodiffusion (AGID) assay was used to detect EIA virus antibodies, and if a herd contained a seropositive animal itwas classified as a focus. The prevalence rates were 17.2% (95% confidence interval [CI]: 14.9-19.8%) for herds and 6.6% (95% CI: 5.8-7.5%) for animals. The Pantanal region showed the highest prevalence rates: 36.1% (95% CI: 30.8-41.7%) for herds and 17.0% (95% CI: 14.7-19.6%) for animals. The spatial distribution of relative risk was calculated according to the kernel density, which revealed three major clusters with the highest prevalence rates occurring in the north-western(Amazon biome), north-eastern (Cerrado biome) and southern (Pantanal biome)regions. A high spatial correlation was found among ranches, with high intra-herd prevalence rates located in the Amazon and Cerrado biomes, but the highest spatial correlation with EIA foci was found in the Pantanal biome. Variables related to ranch management, reflecting human influence, were associated with positive equines. Based on the results, it can be concluded that EIA is present in all biomes of the state, and that the risk factors are associated with human interference in the transmission process. Given this situation, the EIA control programme should be re-evaluated and more prophylactic measures should be adopted to control the disease.

Les auteurs présentent les résultats d'une estimation de la prévalence de l'anémie infectieuse des équidés (AIE) dans les trois biomes de l'état du Mato Grosso (l'Amazonie, le Cerrado et le Pantanal) réalisée de septembre à décembre2014 à partir d'échantillons de sérum collectés chez 3 858 équidés dans1 067 troupeaux. La méthode d'immunodiffusion sur gélose était utilisée pour détecter les anticorps anti-AIE. En cas de test positif chez un individu, le troupeau était classé comme un foyer. La prévalence par troupeau était de 17,2 % (intervalle de confiance à 95 % [IC 95 %] de 14,9 à 19,8) tandis que la prévalence individuelle était de 6,6 % (IC 95 % de 5,8 à 7,5). La prévalence la plus élevée était enregistrée dans la région du Pantanal : 36,1 % (IC 95 % de 30,8 à 41,7) par troupeaux et17,0 (IC 95 % de 14,7 à 19,6) à l'échelle des individus. La distribution spatiale du risque relatif estimée par noyau montre trois grappes de prévalence élevée dans le nord-ouest (biome de l'Amazonie), le nord-est (biome du Cerrado) et le sud (biome du Pantanal). Si une corrélation spatiale forte est observée dans les élevages des biomes de l'Amazonie et du Cerrado où la prévalence intra-troupeau est élevée, la corrélation spatiale la plus élevée avec les foyers d'AIE se trouve dans le biome du Pantanal. Une association a été constatée entre les équidés testés positifs et les variables descriptives liées aux pratiques d'élevage, ce qui traduit l'importance de l'influence humaine. À partir de ces résultats, on peut conclure que l'AIE est présente dans l'ensemble des biomes de l'état et que les facteurs de risque sont associés à l'interférence humaine dans le processus de transmission. Ainsi, une réévaluation du programme de lutte contre l'AIE serait indiquée avec plus de mesures prophylactiques afin de contrôler la maladie.

Los autores describen el proceso seguido para estimar la prevalencia de anemia infecciosa equina en los tres biomas presentes en el estado de Mato Grosso (Amazonia, Cerrado y Pantanal). Entre septiembre y diciembre de 2014 se extrajeron muestras a 3.858 equinos de 1.067 rebaños, a las que se aplicó la técnica de inmunodifusión en gel de agar para detectar anticuerpos contra el virus de la anemia infecciosa equina: todo rebaño en el que hubiera un animal seropositivo era considerado un foco. La tasa de prevalencia de rebaños infectados resultó del 17,2% (intervalo de confianza [IC] al 95%: 14,9­19,8) y la de individuos infectados del 6,6% (IC 95%: 5,8­7,5). Las tasas más elevadas se observaron en la región de Pantanal: un 36,1% (IC 95%: 30,8­41,7) de prevalencia de rebaño y un 17,0% (IC 95%: 14,7­19,6) de prevalencia individual. La distribución espacial del riesgo relativo se determinó con arreglo a la densidad kernel, proceso que reveló la presencia de tres grandes conglomerados: las mayores tasas de prevalencia se situaban en las regiones del noroeste (en el caso del bioma amazónico), el noreste (biomade Cerrado) y el sur (bioma de Pantanal). Se observó que existía una estrecha correlación espacial entre explotaciones, y aunque en los biomas de la Amazonia y Cerrado había elevadas tasas de prevalencia intrarrebaño, fue en el bioma de Pantanal donde se observó la correlación espacial más estrecha con los focos de anemia infecciosa equina. La presencia de equinos seropositivos venía asociada a variables relacionadas con la gestión de las explotaciones, hecho que pone de relieve la influencia humana en la cuestión. A tenor de los resultados, cabe concluir que la anemia infecciosa equina está presente en todos los biomas del estado y que los factores de riesgo guardan relación con la interferencia humana en el proceso de transmisión. Ante tal situación, convendría evaluar de nuevo el programa de lucha contra la anemia infecciosa y poner mayor acento en las medidas profilácticas para combatir la enfermedad.

Avaliação da inibição da acetilcolinesterase por extratos de plantas medicinais / Evaluation of acetylcholinesterase inhibition by extracts from medicinal plants

Neste trabalho foi avaliada a atividade inibitória da acetilcolinesterase (AChE) pelo método de Ellman, modificado por Rhee, de extratos aquosos e etanólicos de oito plantas utilizadas na medicina popular da região Nordeste do Brasil. O extrato aquoso de E. velutina não apresentou atividade inibitória enquanto o extrato aquoso de Maytenus rigida apresentou baixa atividade inibitória (percentual de inibição de 4%). Detectou-se atividade inibitória moderada com o extrato aquoso de P. piperoides (percentual de inibição de 40 %), enquanto o extrato de V. agnus-castus L. inibiu 74% da atividade da AChE, caracterizando-se como potente atividade inibitória. A avaliação da inibição da AChE com os extratos etanólicos demonstrou que os extratos de Sideroxylon obtusifolium, Erythrina velutina, Vitex agnus-castus, Phoradendron piperoides, Chrysobalanus icaco, Bauhinia cheilantha e Orbignya phalerata não apresentaram atividade inibitória. Baixa atividade inibitória foi observada com os extratos etanólicos de Maytenus rigida (percentual de inibição de 7%) e de Hyptis fruticosa (percentual de inibição de 11%). O extrato etanólico de Moringa oleifera apresentou atividade inibitória moderada, inibindo 47% da atividade dessa enzima. Nenhum dos extratos etanólicos testados apresentou atividade inibitória potente da AChE. Os resultados dos estudos de inibição da acetilcolinesterase permitem concluir que o extrato aquoso de V. agnus-castus L. mostrou-se o mais eficaz quanto a inibição da AChE. Este resultado reforça a necessidade da continuidade do estudo desse extrato, de forma a realizar a partição do extrato e a purificação das frações para isolar a molécula responsável pela inibição observada.

In this study, we evaluated the inhibitory activity against acetylcholinesterase (AChE) according to Ellman's method, modified by Rhee, for ethanol and aqueous extracts from eight plants used in folk medicine in the northeast region of Brazil. E. velutina aqueous extract did not have inhibitory activity, while Maytenus rigida aqueous extract showed low inhibitory activity (percentage of inhibition of 4%). Moderate inhibitory activity was detected for Phoradendron piperoides aqueous extract (percentage of inhibition of 40%), while V. agnus castus L. extract inhibited 74% AChE activity, characterized as a potent inhibitory activity. Evaluation of AChE inhibition by ethanol extracts indicated that the extracts from Sideroxylon obtusifolium, Erythrina velutina, Vitex agnus-castus L., Phoradendron piperoides, Chrysobalanus icaco, Bauhinia cheilantha and Orbignya phalerata did not show inhibitory activity. A low inhibitory activity was observed for ethanol extracts from Maytenus rigida (percentage of inhibition of 7%) and Hyptis fruticosa (percentage of inhibition of 11%). Moringa oleifera ethanol extract showed moderate inhibitory activity, inhibiting 47% of the activity of this enzyme. None of the tested ethanol extracts showed potent inhibitory activity against AChE. Results of the studies of acetylcholinesterase inhibition allow the conclusion that V. agnus-castus L. aqueous extract showed to be most effective in inhibiting AChE. This result reinforces the need for continued study of this extract in order to make the partition and the purification of fractions to isolate the molecule responsible for the observed inhibition.

The oral glucose tolerance test is frequently abnormal in patients with uncontrolled epilepsy.

PURPOSE: The clinical efficacy of the ketogenic diet as therapy for patients with difficult-to-treat epilepsy prompted us to investigate the glucose metabolism of these patients under an oral overload of glucose, that is, in the oral glucose tolerance test (OGTT). METHODS: Thirty patients (12 males, 18 females; age range: 17-59, mean: 35.1) with difficult-to-treat epilepsy, 23 patients with controlled epilepsy (11 males, 12 females; age range: 14-66, mean: 36.9), and 39 control subjects (18 males, 21 females; age range: 16-58, mean: 33.3) were evaluated with the OGTT. For patients with epilepsy, we also measured C-peptide and glycosylated hemoglobin in the fasting state. Glucose levels lower than 70 mg/dL at any point of the curve were considered to be abnormal. RESULTS: All subjects in the control group and the group with controlled epilepsy had a normal OGTT. In contrast, all 30 patients with difficult-to-treat epilepsy had at least one point on the OGTT curve below the normal range (P<0.001), most often 180 and 240 minutes after the oral glucose load (P<0.001). C-peptide levels were significantly lower in the group with difficult-to-treat epilepsy as compared with the group with controlled epilepsy. Fasting glycohemoglobin and insulin levels did not differ between the two patient groups. CONCLUSIONS: We suggest that undiagnosed metabolic disturbances in patients with difficult-to-treat epilepsy may somehow contribute to their refractoriness to conventional pharmacological therapy. We propose the hypothesis that calorie-restricted diets aimed at correcting OGTT curves may prove beneficial in treating patients with difficult-to-treat epilepsy. Our hypothesis generates a clear endpoint for the diet, and its demonstration would provide new standards for diet-based antiepileptic regimens. Accordingly, our results may help in understanding the positive consequences of ketogenic or calorie-restricted diets in persons with seizures.

[Endomyocardial fibrosis: surgical treatment]. / Endomiocardiofibrose: tratamento cirúrgico.

The authors analyse the experience acquired for surgical treatment of endomyocardiofibrosis. Among the 15 patients submitted to the operation, nine had the biventricular form, four had the disease in the right ventricle and two only in the left ventricle. The surgery consisted of endocardioectomy of the ventricles (RV--04,LV--02, bilateral--08) and replacement of the diseased atrioventricular valves (mitral--02, tricuspid--06, mitral and tricuspid--07). In one patient there was severe obstruction of the anterior descending artery and a bypass was done. Three patients had associated rheumatic mitral stenosis. There was one early operative death and three late deaths (respectively 13.34 and 37 months later). Two patients required re-operation. The first one, 33 months later, to replace the mitral valve which had been preserved in the first procedure, and the second, 12 months later, who presented ventricular septal defect secondary to rupture of the weak septum. Of all the patients who underwent surgery, 11 survived and all, except one, have had a good course. The detailed analysis of this series permitted us to conclude that: 1st--the general use of the bidimensional echocardiography in high risk patients, allows early diagnosis in a greater number of them; 2nd, the surgery must be early to avoid cardiac and extracardiac injury due to the disease; 3rd--a low profile valve must be used; 4th--to this moment there have been no signs of recurrence; 5th--surgical treatment appears to improve the course of this terrible disease.

Metodologia de ensenanza de los metodos naturales de regulacion de la natalidad (especial referencia al metodo de ovulacion de Billings). / Teaching methodology of the natural methods of family planning (special reference to the Billings' ovulation method

Se presenta una metodologia modular y personalizada de ensenanza de los metodos naturales de regulacion de la natalidad, con especial referencia al metodo de la ovulacion de Billings. Se describen los resultados obtenidos en la aplicacion de esta metodologia durante un periodo de 22 meses en el consultorio de metodos naturales del Hospital Clinico de la Universidad de Chile. Se destaca el particular comportamiento de las ex-usuarias de dispositivo intrauterino. Se determina el tiempo y numero de sesiones de instruccion empleadas para todo el proceso, cada modulo y situaciones de fertilidad en particular. Se senalan posibles ventajas de caracter economico de la ensenanza del M.O, en relacion a los costos de la planificacion familiar por metodos artificiales