Midgut morphological changes and autophagy during metamorphosis in sand flies.

During metamorphosis, holometabolous insects undergo significant remodeling of their midgut and become able to cope with changes in dietary requirements between larval and adult stages. At this stage, insects must be able to manage and recycle available food resources in order to develop fully into adults, especially when no nutrients are acquired from the environment. Autophagy has been previously suggested to play a crucial role during metamorphosis of the mosquito. Here, we investigate the overall morphological changes of the midgut of the sand fly during metamorphosis and assess the expression profiles of the autophagy-related genes ATG1, ATG6, and ATG8, which are associated with various steps of the autophagic process. Morphological changes in the midgut start during the fourth larval instar, with epithelial degeneration followed by remodeling via the differentiation of regenerative cells in pre-pupal and pupal stages. The changes in the midgut epithelium are paired with the up-regulation of ATG1, ATG6 and ATG8 during the larva-adult transition. Vein, a putative epidermal growth factor involved in regulating epithelial midgut regeneration, is also up-regulated. Autophagy has further been confirmed in sand flies via the presence of autophagosomes residing within the cytoplasmic compartment of the pupal stages. An understanding of the underlying mechanisms of this process should aid the future management of this neglected tropical vector.

Effects of specific antisera targeting peritrophic matrix-associated proteins in the sand fly vector Phlebotomus papatasi.

In many hematophagous insects, the peritrophic matrix (PM) is formed soon after a blood meal (PBM) to compartmentalize the food bolus. The PM is an important component of vector competence, functioning as a barrier to the development of many pathogens including parasites of the genus Leishmania transmitted by sand flies. PM morphology and permeability are associated with the proteins that are part of the PM scaffolding, including several peritrophins, and chitin fibers. Here, we assessed the effects of specific antisera targeting proteins thought to be an integral part of the PM scaffolding and its process of maturation and degradation. Phlebotomus papatasi sand flies were fed with red blood cells reconstituted with antisera targeting the chitinase PpChit1, and the peritrophin PpPer2. Sand fly midguts were dissected at different time points and processed for light microscopy (LM), confocal and transmission electron (TEM) microscopies (24, 42-46, 48 and 72h PBM), scanning electron (SEM) (48h PBM) and atomic force (AFM) (30h PBM) microscopies. TEM and WGA-FITC staining indicate PM degradation was significantly delayed following feeding of flies on anti-PpChit1. AFM analysis at 30h PBM point to an increase in roughness' amplitude of the PM of flies that fed on either anti-PpChit1 or anti-PpPer2. Collective, our data suggest that antibodies targeting PM-associated proteins affects the kinetics of PM maturation, delaying its degradation and disruption and are potential targets on transmission-blocking vaccines strategies.

The characterization of the fat bodies and oenocytes in the adult females of the sand fly vectors Lutzomyia longipalpis and Phlebotomus papatasi.

The fat body (FB) is responsible for the storage and synthesis of the majority of proteins and metabolites secreted into the hemolymph. Oenocytes are responsible for lipid processing and detoxification. The FB is distributed throughout the insect body cavity and organized as peripheral and perivisceral portions in the abdomen, with trophocytes and oenocytes attached to the peripheral portion. Here, we investigated the morphology and the subcellular changes in the peripheral and perivisceral FBs and in oenocytes of the sand flies Lutzomyia longipalpis and Phlebotomus papatasi after blood feeding. In L. longipalpis two-sized oenocytes (small and large) were identified, with both cell types displaying well-developed reticular system and smooth endoplasmic reticulum, whereas in P. papatasi, only small cells were observed. Detailed features of FBs of L. longipalpis and P. papatasi are shared either prior to or after blood feeding. The peripheral and perivisceral FBs responded to blood feeding with the development of glycogen zones and rough endoplasmic reticulum. This study provides the first detailed description of the FBs and oenocytes in sand flies, contributing significantly towards are better understanding of the biology of such important disease vectors.

[Association of color vision alterations and the use of oral contraceptives]. / Associação de alterações cromáticas e uso de anticoncepcionais orais.

PURPOSE: To evaluate the association between oral low-dose contraceptives and color vision alterations. METHODS: Were included in the study 30 women, sixteen used oral contraceptive for less than five years (Group I) and 14 used it for more than five years (Group II). The Ishihara, City University Color Vision Test, and the D 15 desaturated tests were used. RESULTS: No characteristic alterations in the chromatic perception were found in any of the groups. CONCLUSION: In the studied sample, low-dose oral contraceptive has not influenced color vision, independent of the time of use.

Associação de alterações cromáticas e uso de anticoncepcionais orais / Association of color vision alterations and the use of oral contraceptives

OBJETIVOS: Avaliar, em mulheres em idade fértil, a associação entre o uso de anticoncepcionais (ACO) orais de baixa dosagem e alterações na visão de cores. MÉTODOS: Foram incluídas no estudo 30 mulheres, 16 usuárias de ACO oral há menos de cinco anos (Grupo I) e 14 usuárias de anticoncepcionais orais há mais de cinco anos (Grupo II). Foram utilizados os testes de Ishihara, City University Color Vision Test e D 15 dessaturado. RESULTADOS: Não foram observados padrões característicos de distúrbio da visão cromática em nenhum teste dos dois grupos. CONCLUSÃO: Na amostra estudada, o uso de ACO oral de baixa dosagem não influenciou a visão de cores, independente do tempo de uso.

PURPOSE: To evaluate the association between oral low-dose contraceptives and color vision alterations. METHODS: Were included in the study 30 women, sixteen used oral contraceptive for less than five years (Group I) and 14 used it for more than five years (Group II). The Ishihara, City University Color Vision Test, and the D 15 desaturated tests were used. RESULTS: No characteristic alterations in the chromatic perception were found in any of the groups. CONCLUSION: In the studied sample, low-dose oral contraceptive has not influenced color vision, independent of the time of use.

[Functional outcome of visually handicapped children cared for at the Department of Visual Stimulation--"Fundação Altino Ventura"]. / Desempenho funcional de crianças com deficiência visual, atendidas no Departamento de Estimulação Visual da Fundação Altino Ventura.

PURPOSE: To analyze the functional outcome of visually handicapped children. METHODS: Twenty-seven children were evaluated using the standard functional PEDI test. Seventeen who attended school at "Escola Municipal Alto do Maracanã", Recife - Pernambuco, Brazil, had normal visual acuity and the other ten had visual handicap, and were cared for at Stimulation Visual Department - "Fundação Altino Ventura", in the same city. RESULTS: The children who had visual handicap showed significantly worse performance in self-care and mobility than normal children. CONCLUSION: Visual handicap may have limited the performance regarding self-care, mobility, understanding, communication, home works, in the studied group.

Desempenho funcional de crianças com deficiência visual, atendidas no Departamento de Estimulação Visual da Fundação Altino Ventura / Functional outcome of visually handicapped children cared for at the Department of Visual Stimulation - "Fundação Altino Ventura"

OBJETIVO: Traçar o perfil funcional de crianças portadoras de deficiência visual. MÉTODOS: Foram avaliadas 27 crianças. Dezessete com acuidade visual normal (que freqüentavam a Escola Municipal Alto do Maracanã, em Recife, e dez portadoras de deficiência visual (que recebiam estimulação visual no Departamento de Estimulação Visual da Fundação Altino Ventura, Recife). Foi utilizado o teste funcional padrão PEDI. RESULTADOS: As crianças portadoras de deficiência visual apresentaram desempenho significantemente inferior nas áreas de autocuidado e mobilidade que as crianças do grupo controle. CONCLUSÃO: A deficiência visual traz conseqüências limitantes para o desempenho de atividades de autocuidado, locomoção, compreensão, comunicação e tarefas domésticas, na faixa etária estudada.

PURPOSE: To analyze the functional outcome of visually handicapped children. METHODS: Twenty-seven children were evaluated using the standard functional PEDI test. Seventeen who attended school at "Escola Municipal Alto do Maracanã", Recife - Pernambuco, Brazil, had normal visual acuity and the other ten had visual handicap, and were cared for at Stimulation Visual Department - "Fundação Altino Ventura", in the same city. RESULTS: The children who had visual handicap showed significantly worse performance in self-care and mobility than normal children. CONCLUSION: Visual handicap may have limited the performance regarding self-care, mobility, understanding, communication, home works, in the studied group.

Eletromiografia aplicada aos músculos da mastigacao / Electromyography applied to chewing muscles

A eletromiografia tem se mostrado um método eficaz no auxilio de diagnósticos e tratamentos de desordens musculares. Na odontologia sua principal aplicacao é no tratamento das Disfuncoes Temporomandibulares. Os profissionais de odontologia nao utilizam esta técnica por desconhecerem seus benefícios ou mesmo nao terem conhecimento sobre o assunto. Um dos principais objetivos do tratamento utilizando eletromiografia é mostrar ao paciente o estado atual do músculo analisado e sua evolucao durante o tratamento, até chegar a uma funcao satisfatória.

Volvo da vesícula biliar: relato de caso / Volvulus of the gallbladder: report of a case

A torçäo ou volvo, da vesícula biliar é uma entidade pouco usual na patologia cirúrgica da vesícula biliar. Quando acontece, os fatores determinantes säo em essência ainda desconhecidos, e quando aparecem, em geral em pacientes idoso, apresentam uma sintomatologia biliar aguda ou mesmo recorrente. É descrito e comentado um caso de volvo da vesícula biliar, bem como o tratamento cirrugico indicado. Merece um especial registro, por ser uma patologia rara: talves pouco mais de 300 casos referidos na literatura médica, desde que Wendelk descreveu o primeiro caso, em 1898