RESUMO
Hunga Tonga-Hunga Ha'apai had a large eruption (VEI 5-6) on 15 January 2022, which caused a tsunami recorded in all ocean basins. Costa Rica has made many advances in tsunami preparation over the past 9 years since the creation of SINAMOT (Sistema Nacional de Monitoreo de Tsunamis, National Tsunami Monitoring System), both on watch and warning protocols and on community preparedness. For the Hunga Tonga-Hunga Ha'apai event, the government declared a low-threat warning, suspending all in-water activities, even though the country did not receive any official warning from PTWC (Pacific Tsunami Warning Center) due to the lack of procedures for tsunamis generated by volcanoes. The tsunami was observed at 24 locations on both the Pacific and Caribbean coasts of Costa Rica, becoming the second most recorded tsunami in the country, after the 1991 Limon tsunami along the Caribbean coast. At 22 of those locations along the continental Pacific coast, observations were made by eyewitnesses, including one collocated with the sea level station at Quepos, which registered the tsunami. At Cocos Island (~ 500 km southwest of the continental Costa Rica, in the Pacific Ocean), several eyewitnesses reported the tsunami at two locations, and it was recorded at the sea level station. The tsunami was also recorded at the sea level station on the Caribbean coast. The tsunami effects reported were a combination of sea level fluctuations, strong currents, and coastal erosion, proving that the response actions were adequate for the size of the tsunami. Tsunami preparedness and the largest waves arriving during a dry season Saturday afternoon allowed the large number of eyewitness reports. This event then increased tsunami awareness in the country and tested protocols and procedures. Still, many people along the coast were not informed of the tsunami during the alert due to their remote location, the short notice of the warning, and a lack of procedures for some communities. There is thus still much work to do, particularly about warning dissemination, a direction in which communities should take an active role. Supplementary Information: The online version contains supplementary material available at 10.1007/s00445-023-01648-x.
RESUMO
Vitamin D (VD) deficiency is more frequent in systemic lupus erythematosus (SLE) patients than in control subjects (CS); genetic variants in the VD receptor (VDR) could contribute to the clinical disease activity. This study was aimed to determine the association of the VDR variants FokI (rs2228570), BsmI (rs1544410), ApaI (rs7975232), and TaqI (rs731236) with susceptibility to the disease, VD status, VDR mRNA expression, and clinical disease activity in SLE patients. A cross-sectional study was conducted in 194 SLE and 196 CS Mexican women. Immunoassays quantified serum calcidiol and calcitriol. Genotyping was performed by allelic discrimination assays and mRNA VDR expression by qPCR. The FokI variant was not in linkage disequilibrium with BsmI, ApaI, and TaqI VDR variants. SLE patient carriers of the TT FokI genotype showed higher clinical disease activity scores. Notably, the mRNA VDR expression was higher in SLE patients vs. CS, in active vs. inactive SLE patients, and in participants of both study groups with vitamin D deficiency, higher calcitriol levels, and TT FokI genotype carriers. In conclusion, the TT FokI VDR genotype was related to high VDR expression and clinical disease activity in systemic lupus erythematosus patients.
Assuntos
Lúpus Eritematoso Sistêmico , Receptores de Calcitriol , Humanos , Feminino , Receptores de Calcitriol/genética , Predisposição Genética para Doença , Calcitriol , Estudos Transversais , Estudos de Casos e Controles , Genótipo , Lúpus Eritematoso Sistêmico/genética , RNA Mensageiro/genéticaRESUMO
PURPOSE: The objective of the present meta-analysis was to evaluate the association between TaqI (rs731236), ApaI (rs7975232) and BsmI (rs1544410) polymorphisms of the VDR gene and lumbar spine pathologies such as lumbar disc herniation and lumbar disc degeneration. BACKGROUND: VDR gene polymorphisms have been reported to be associated with an increased risk of lumbar spine pathologies. MATERIALS AND METHODS: A systematic search was performed up to February 2020 using PubMed, EBSCO and Web of Science databases. We used the keywords and combinations "lumbar disc degeneration," "lumbar disc herniation," "lumbar spine pathologies" and "VDR polymorphism." Subsequently, we performed a meta-analysis with the results of the included studies. RESULTS: We found that the TaqI polymorphism was associated with an increased risk of developing lumbar spine pathologies (recessive model OR 1.25, 95% CI 1.01-1.54) and lumbar disc degeneration (allelic model OR 1.26, 95% CI 1.07-1.48; recessive model OR 1.34, 95% CI 1.06-1.69), but not with lumbar disc herniation. Additionally, ApaI was associated with an increased risk of developing lumbar spine pathologies (heterozygous model OR 1.45, 95% CI 1.06-1.98), but not with lumbar disc herniation or lumbar disc degeneration. CONCLUSIONS: Our findings indicate that TaqI and ApaI polymorphisms of the VDR gene are important risk factors for developing lumbar spine pathologies. Moreover, the TaqI polymorphism is a risk factor for lumbar disc degeneration.
Assuntos
Degeneração do Disco Intervertebral , Receptores de Calcitriol , Alelos , Predisposição Genética para Doença/genética , Humanos , Degeneração do Disco Intervertebral/genética , Polimorfismo Genético/genética , Receptores de Calcitriol/genéticaRESUMO
BACKGROUND: Vitamin D deficiency and single nucleotide polymorphisms (SNP) in the gene encoding vitamin D receptor (VDR) have been associated with asthma. OBJECTIVE: To compare 25-hydroxyvitamin D (25OHD) levels and the frequency of 3 SNPs in the VDR gene between asthmatic and healthy children. METHODS: In persistent asthmatic and healthy control children, the 25OHD levels were measured using radioimmunoassay and SNPs (FokI, ApaI, and TaqI) were analyzed by a PCR-RFLP assay. Relevant medical history was collected. RESULTS: About 75 asthmatic (median age: 9.1 years) and 227 healthy children (10.3 years) were studied. In the whole population, the proportion of sufficient, insufficient, and deficient levels of 25OHD were 14.9%, 44%, and 41.1%, respectively. 25OHD sufficiency status was similar in asthmatic and healthy children (p = 0.57). However, the proportion of 25OHD sufficient levels among asthmatics according to the Global Initiative for Asthma treatment steps 2, 3, and 4 was significantly different (8.6%, 16.6%, and 43.7%, respectively, p = 0.046). All patients on step 4 of the treatment (16/16) were heterozygous for the C allele (FokI VDR SNP). There was a lower presence of the C allele among asthmatics in step 2 (30/33), step 3 (16/24), and controls (45/50), p = 0.007, but this significance did not persist after logistic regression. No significant differences in ApaI and TaqI were found. CONCLUSIONS: We found a possible association of vitamin D sufficiency status and FokI C allele with higher requirement of therapy to reach asthma control, suggesting that it may be involved in treatment response. Variations in VDR might also play a role in the 25OHD levels.