Comparative analyses of whole genome sequences of Leishmania infantum isolates from humans and dogs in northeastern Brazil.

The genomic sequences of 20 Leishmania infantum isolates collected in northeastern Brazil were compared with each other and with the available genomic sequences of 29 L. infantum/donovani isolates from Nepal and Turkey. The Brazilian isolates were obtained in the early 1990s or since 2009 from patients with visceral or non-ulcerating cutaneous leishmaniasis, asymptomatic humans, or dogs with visceral leishmaniasis. Two isolates were from the blood and bone marrow of the same visceral leishmaniasis patient. All 20 genomic sequences display 99.95% identity with each other and slightly less identity with a reference L. infantum genome from a Spanish isolate. Despite the high identity, analysis of individual differences among the 32 million base pair genomes showed sufficient variation to allow the isolates to be clustered based on the primary sequence. A major source of variation detected was in chromosome somy, with only four of the 36 chromosomes being predominantly disomic in all 49 isolates examined. In contrast, chromosome 31 was predominantly tetrasomic/pentasomic, consistent with its regions of synteny on two different disomic chromosomes of Trypanosoma brucei. In the Brazilian isolates, evidence for recombination was detected in 27 of the 36 chromosomes. Clustering analyses suggested two populations, in which two of the five older isolates from the 1990s clustered with a majority of recent isolates. Overall the analyses do not suggest individual sequence variants account for differences in clinical outcome or adaptation to different hosts. For the first known time, DNA of isolates from asymptomatic subjects were sequenced. Of interest, these displayed lower diversity than isolates from symptomatic subjects, an observation that deserves further investigation with additional isolates from asymptomatic subjects.

Efeito anti-helmíntico dos extratos aquosos e etanólicos da Annona squamosa L. (fruta-do-conde) sobre o nematóide Ascaridia galli / Anthelmintic effect of aqueous and ethanolic extracts from Annona squamosa L. (sweetsop) on the nematode Ascaridia galli

As plantas são fontes importantes de produtos naturais biologicamente ativos. Dentre as plantas usadas na medicina popular a Anonna squamosa conhecida como fruta-do-conde é citada como tendo várias ações medicinais, dentre elas a atividade inseticida e anti-helmíntica. Dentro desta perspectiva, objetivou-se determinar a atividade anti-helmíntica dos extratos aquosos (EA) e etanólicos (EE) das folhas da fruta-do-conde sobre o nematóide de aves Ascaridia galli, in vitro e in vivo. No primeiro, os nematóides foram colocados em placa de Petri contendo diferentes concentrações dos extratos e no segundo foram utilizadas seis galinhas poedeiras por grupo, as quais foram administrados10 mL Kg-1 dos extratos. No teste in vitro o EA da A. squamosa nas concentrações 2,4 e 9,6 mg mL-1 foi capaz de matar 63,33 por cento e 53,33 por cento dos nematóides, respectivamente. O EE não produziu efeito significativo. No teste in vivo, o percentual de eliminação do EA foi de 39 por cento e do EE de 20 por cento. Estes dados sugerem que neste caso a substância responsável pela mortalidade dos parasitos esteja em maior concentração na fração aquosa. Desta maneira, acredita-se que o EA de A. squamosa apresenta uma atividade anti-helmíntica potencial sobre o A. galli.

Plants are important sources of biologically active natural products. Among the plants used in popular medicine, Annona squamosa, known as sweetsop, is reported to have several medicinal actions such as insecticidal and anthelmintic activity. Therefore, this study aimed to assess the anthelmintic activity of aqueous (AE) and ethanolic (EE) extracts from sweetsop leaves on the chicken roundworm Ascaridia galli, both in vitro and in vivo. In the former, nematodes were placed on a Petri plate containing different concentrations of the extracts; in the in vivo test, six egg-laying chickens per group received 10 mL Kg-1 of the extracts. In vitro results indicated that A. squamosa AE at the concentrations 2.4 and 9.6 mg mL-1 could kill 63.33 percent and 53.33 percent nematodes, respectively. However, EE did not have any significant effect. According to the in vivo test, the elimination percentage for AE was 39 percent and for EE, 20 percent. These data suggest that the substance responsible for parasite mortality was present at a higher concentration in the aqueous fraction. Thus, A. squamosa AE is believed to have a potential anthelmintic activity on A. galli.

Atypical American visceral leishmaniasis caused by disseminated Leishmania amazonensis infection presenting with hepatitis and adenopathy.

Leishmania amazonensis is widely recognised as a cause of cutaneous leishmaniasis in Latin America, but it can also disseminate to produce atypical visceral leishmaniasis with hepatitis and lymphadenopathy. The patient, an 8-year-old Brazilian boy, presented with a febrile illness and hepatosplenomegaly, elevated liver enzymes and generalised adenopathy. Serological tests using antigens of L. chagasi, the typical cause of visceral leishmaniasis in Latin America, were inconclusive. Leishmania amazonensis was eventually isolated in a culture of a lymph node. The patient recovered fully after treatment with meglumine antimoniate. As this case illustrates, L. amazonensis produces a spectrum of disease that includes atypical American visceral leishmaniasis with evidence of hepatocellular injury and generalised lymphadenopathy.

Atividade anti-helmíntica de plantas em frangos de corte naturalmente infectados com Ascaridia galli / Anthelminthic activity of plants in broiler chickens naturally infected with Ascaridia galli

The anthelminthic activity of four plants - Allium sativum (garlic), Punica granatum (pomegranate), Tynnanthus labiatus (liana-carnation) and Cocus nucifera (coconut) with the activity of mebendazole was compared. Seventy Hubbard chickens, naturally infected with Ascarídia galli, divided in 5 groups of 10 chichens plus a control group (not treated, n=20) were used in the experiment. The vegetable matter was used in the forms of aqueous extract, juice and triturated, administered by probe or incorporated to the diet, in the doses of 2, 3 and 10glkg/day, for three days. A non parametric test was used to evaluate the anthelminthic effect of the plants. The eliminations of A galli for the garlic, pomegranate, lianacarnation, coconut and mebendazole were: 9.7; 6.6, 16.7; 19. 0 and 99. 0, respectively. The results showed that those plants do not have anthelminthic activity.

Glycosaminoglycan structure and content differ according to the origins of human tumors.

The glycosaminoglycans of the tumor mass and from the urine of patients with a nephroblastoma of embryonic origin (Wilms' tumor) and hypernephroma were analyzed. The urine of patients with Wilms' tumors prior to treatment, and two patients with metastasis contained high levels of hyaluronic acid (2-5 mg/l of urine) when compared to patients after surgery or chemotherapy where the content of hyaluronic acid was less than 0.1 mg/l. Urine of patients with hypernephroma and normal individuals contained even smaller amounts of hyaluronic acid. Normal kidneys contain mainly dermatan sulfate and heparan sulfate, while the hypernephroma and Wilms' tumor contain substantial amounts of chondroitin sulfate. The amount of glycosaminoglycans isolated from Wilms' tumor and hypernephroma were 10 times and 3 times, respectively, greater than normal kidneys. The amounts of hyaluronic acid in Wilms' tumor varied from 56 to 73% whereas normal kidneys contained about 13%. Chondroitin sulfate was also increased in Wilms' tumor and hypernephroma. It corresponded to 11% and 42%, respectively, of the total glycosaminoglycans. These and other findings indicate that the glycosaminoglycans of Wilms' tumors resemble those present during embryonic development of normal tissues whereas those in hypernephroma are typical of other carcinomas of different origins.

Glycosaminoglycan structure and content differ according to the origins of human tumors

The glycosaminoglycans of the tumor mass and from the urine of patients with a nephroblastoma of embryonic origin (Wilms' tumor) and hypernephroma were analyzed. The urine of patients with Wilms/ tumors prior to treatment, and two patients with metastasis contained high levels of hyaluronic acid (2-5 mg/l of urine) when compared to patients after surgery or chemotherapy where the content of hyaluronic acid was less than 0.1 mg/l. Urine of patients with hypernephroma and normal individuals contained even smaller amounts of hyaluronic acid. Normal kidneys contain mainly dermatan sulfate and heparan sulfate, while the hypernephroma and Wilms' tumor contain substantial amounts of chondroitin sulfate. The amount of glycosaminoglycans isolated from Wilms' tumor and hypernephroma were 10 times and 3 times, respectively, greater than normal kidneys. The amonunts of hyaluronic acid in Wilms' tumor varied from 56 to 73 per cent whereas normal kidneys contained about 13 per cent. Chondroitin sulfate was also increased in Wilms' tumor and hypernephroma. It corresponded to 11 per cent and 42 per cent, respectively, of the total glycosaminoglycans. These and other findings indicate that the glycosaminoglycans of Wilms' tumors resemble those present during embryonic development of normal tissues whereas those in hypernephroma are typical of other carinomas of different origins

An urban outbreak of visceral leishmaniasis in Natal, Brazil.

The epidemiological pattern of visceral leishmaniasis in north-eastern Brazil is changing. The disease was typically seen in rural, endemic areas, but is now occurring as an epidemic in the city of Natal where 316 cases have been reported since 1989; 49% were in children less than 5 years of age. The principle clinical and laboratory findings were weight loss, fever, hepato-splenomegaly, anaemia, leucopenia and hypergammaglobulinaemia. Elevated transaminases and hyperbilirubinaemia were also observed. The diagnosis was confirmed in 87% of cases by identifying amastigotes in aspirates from bone marrow or spleen. Five isolates were identified as Leishmania (L.) chagasi by isoenzyme analysis. The mortality rate was 9%; all deaths occurred during the first week in hospital. One person had concurrent human immunodeficiency virus infection. Among 210 household contacts and neighbours of patients from the endemic area examined for evidence of L. (L.) chagasi infection, 6 additional cases of visceral leishmaniasis were diagnosed. Thirty-eight percent of house-mates and neighbours gave a positive Montenegro skin test reaction, indicating prior subclinical infection.