Systems Challenges of Hepatic Carcinomas: A Review.

Hepatocellular Carcinoma (HCC) is ubiquitous in its prevalence in most of the developing countries. In the era of systems biology, multi-omics has evinced an extensive approach to define the underlying mechanism of disease progression. HCC is a multifactorial disease and the investigation of progression of liver cirrhosis becomes much extensive with cultivating omics approaches. We have performed a comprehensive review about such challenges in multi-omics approaches that are concerned to identify the immunological, genetics and epidemiological factors associated with HCC.

Etnobotânica de plantas medicinais em comunidades ribeirinhas do Município de Manacapuru, Amazonas, Brasil / Ethnobotany of medicinal plants in riverine communities of the Municipality of Manacapuru, Amazonas, Brasil

The utilization of medicinal plants is a common practice among human populations. The present work aimed to carry out an ethno botanical survey to assess plant knowledge and use of medicinal plants by local people of four riverine communities at the municipality of Manacapuru. We collected information from one hundred and sixty-four local dwellers, selected at random, using semi-structured interviews, participant observations and guided tours. Health problems cited were ranked according to the International Statistic Classification of Diseases and Health Related Problems (CID-10) and agreement indexes were used to identify the main uses of each species. One hundred seventy-one medicinal plants were identified belonging to 65 families. The Lamiaceae (14 species), Asteraceae (9 species), Fabaceae and Euphorbiaceae (8 species) were to most common families. The most cited species were Mentha arvensis (mint), Ruta graveolens (common rue) and Citrus sinensis (sweet orange). Leaves were the most utilized plant part and leaf decoction the most common procedure used for preparing medicines. The most common problems cited were digestive tract ailments, respiratory system illnesses and problems with unclassified symptoms. Plants with agreement indexes greater than 25% were Plectranthus amboinicus, Chenopodium ambrosioides, Citrus aurantiifolia, Acmella oleracea, Plectranthus barbatus, Mentha arvensis, Citrus sinensis, Lippia origanoides, Lippia alba, Cymbopogon citratus and Ruta graveolens. These results confirm that populations living in Manacapuru still use medicinal plants as one of the ways of treating their most frequent ailments.

A utilização de plantas medicinais é uma prática comum entre as populações humanas. O presente trabalho teve por objetivo efetuar levantamento etnobotânico sobre o conhecimento e uso das plantas medicinais em quatro comunidades ribeirinhas do Município de Manacapuru. Foram coletadas informações de 164 moradores locais, selecionados aleatoriamente, por meio de entrevistas semi-estruturadas, observações participantes e visitas guiadas. Os problemas de saúde citados foram classificados de acordo com a Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde (CID-10) e índices de concordância foram utilizados para identificar os principais usos de cada espécie. Identificaram-se 171 plantas medicinais, pertencentes a 65 famílias. Lamiaceae (14 espécies), Asteraceae (9 espécies), Fabaceae e Euphorbiaceae (8 espécies) foram as famílias mais comuns. As espécies mais citadas foram Mentha arvensis (hortelã), Ruta graveolens (arruda) e Citrus sinensis (laranja). As folhas foram as partes da planta mais utilizadas e a decocção da folha o procedimento mais comum usado para preparar medicamentos. Os problemas mais comuns citados foram doenças do aparelho digestivo, doenças do aparelho respiratório e problemas com sintomas não classificados. Plantas com índices de concordância maior que 25% foram Plectranthus amboinicus, Chenopodium ambrosioides, Citrus aurantiifolia, Acmella oleracea, Plectranthus barbatus, Mentha arvensis, Citrus sinensis, Lippia origanoides, Lippia alba, Cymbopogon citratus e Ruta graveolens. Estes resultados confirmam que as populações que vivem em Manacapuru ainda utilizam plantas medicinais como uma das formas de tratar suas doenças mais frequentes.

Dynamic perfusion patterns in temporal lobe epilepsy.

PURPOSE: To investigate dynamic ictal perfusion changes during temporal lobe epilepsy (TLE). METHODS: We investigated 37 patients with TLE by ictal and interictal SPECT. All ictal injections were performed within 60 s of seizure onset. Statistical parametric mapping was used to analyse brain perfusion changes and temporal relationships with injection time and seizure duration as covariates. RESULTS: The analysis revealed significant ictal hyperperfusion in the ipsilateral temporal lobe extending to subcortical regions. Hypoperfusion was observed in large extratemporal areas. There were also significant dynamic changes in several extratemporal regions: ipsilateral orbitofrontal and bilateral superior frontal gyri and the contralateral cerebellum and ipsilateral striatum. CONCLUSION: The study demonstrated early dynamic perfusion changes in extratemporal regions probably involved in both propagation of epileptic activity and initiation of inhibitory mechanisms.

A new clade of hepatitis B virus subgenotype F1 from Peru with unusual properties.

There are eight genotypes A-H of hepatitis B virus (HBV). Most genotypes are further divided into subgenotypes. Genotypes and subgenotypes influence the natural course of infection and therapy. We analysed nine sera from HBV carriers from Peru. Using the small hepatitis B surface protein HBs, all samples could be grouped to genotype F. Sequencing of three complete Peruvian genomes showed that HBV from Peru belongs to subgenotype F1. Two of the genomes from HBeAg positive carriers coded surprisingly for a stop codon in the polymerase-ORF leading to a translational stop after 213 and 214 aa, respectively. The third isolate from an HBe Ag positive carrier had three deletions: aa 1-53 and aa 111-142 in preS. In addition nt. 2002-2087 in the HBc-ORF were deleted, leading to an HBc starting at aa 66.

Hepatitis C virus F protein sequence reveals a lack of functional constraints and a variable pattern of amino acid substitution.

Hepatitis C virus (HCV) is an important human pathogen that affects 170 million people worldwide. The HCV genome is an RNA molecule that is approximately 9.6 kb in length and encodes a polyprotein that is cleaved proteolytically to generate at least 10 mature viral proteins. Recently, a new HCV protein named F has been described, which is synthesized as a result of a ribosomal frameshift. Little is known about the biological properties of this protein, but the possibility that the F protein may participate in HCV morphology or replication has been raised. In this work, the presence of functional constraints in the F protein was investigated. It was found that the rate of amino acid substitutions along the F protein was significantly higher than the rate of synonymous substitutions, and comparisons involving genes that represented independent phylogenetic lineages yielded very different divergence/conservation patterns. The distribution of stop codons in the F protein across all HCV genotypes was also investigated; genotypes 2 and 3 were found to have more stop codons than genotype 1. The results of this work suggest strongly that the pattern of divergence in the F protein is not affected by functional constraints.

Evidence of intratypic recombination in natural populations of hepatitis C virus.

Hepatitis C virus (HCV) has high genomic variability and, since its discovery, at least six different types and an increasing number of subtypes have been reported. Genotype 1 is the most prevalent genotype found in South America. In the present study, three different genomic regions (5'UTR, core and NS5B) of four HCV strains isolated from Peruvian patients were sequenced in order to investigate the congruence of HCV genotyping for these three genomic regions. Phylogenetic analysis using 5'UTR-core sequences found strain PE22 to be related to subtype 1b. However, the same analysis using the NS5B region found it to be related to subtype 1a. To test the possibility of genetic recombination, phylogenetic studies were carried out, revealing that a crossover event had taken place in the NS5B protein. We discuss the consequences of this observation on HCV genotype classification, laboratory diagnosis and treatment of HCV infection.

La reaccion de arias-stella: correlacion clinico-patologica de 31 casos / The reaction of arias-stella: clinic and pathologic correlation of 31 cases

Se procede a la revision de 31 casos de material endometrial con diagnostico de areas-stella y se los correlaciona con los datos contenidos en las respectivas historias clinicas, en especial con la presencia de mebarazo eutopico y ectopico, ademas de hormonoterapia.