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1.
Front Immunol ; 14: 1266659, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38035104

RESUMO

SARS-CoV-2 infection is the cause of the disease named COVID-19, a major public health challenge worldwide. Differences in the severity, complications and outcomes of the COVID-19 are intriguing and, patients with similar baseline clinical conditions may have very different evolution. Myeloid-derived suppressor cells (MDSCs) have been previously found to be recruited by the SARS-CoV-2 infection and may be a marker of clinical evolution in these patients. We have studied 90 consecutive patients admitted in the hospital before the vaccination program started in the general population, to measure MDSCs and lymphocyte subpopulations at admission and one week after to assess the possible association with unfavorable outcomes (dead or Intensive Care Unit admission). We analyzed MDSCs and lymphocyte subpopulations by flow cytometry. In the 72 patients discharged from the hospital, there were significant decreases in the monocytic and total MDSC populations measured in peripheral blood after one week but, most importantly, the number of MDSCs (total and both monocytic and granulocytic subsets) were much higher in the 18 patients with unfavorable outcome. In conclusion, the number of circulating MDSCs may be a good marker of evolution in the follow-up of unvaccinated patients admitted in the hospital with the diagnosis of COVID-19.


Assuntos
COVID-19 , Células Supressoras Mieloides , Humanos , Seguimentos , SARS-CoV-2 , Biomarcadores , Hospitalização
2.
Parasitol Res ; 122(7): 1489-1497, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37115316

RESUMO

The ability to modulate the host immune response has allowed some parasites to establish themselves in the tissues of an immunocompetent organism. While some parasite excretion/secretion products (ESPs) were recently reported to induce differentiation of regulatory T cells (Tregs), their identity is not known. This work is aimed to identify and characterize ESPs of Taenia crassiceps cysticerci linked with Treg induction in vivo. ESPs were obtained from cultures of T. crassiceps cysticerci and inoculated in mice, measuring Treg levels by flow cytometry. Proteins in ESPs were analyzed by electrophoresis; then, ESPs were classified as either differential or conserved. Differentially included proteins were MS-sequenced and functionally characterized. Only 4 of 10 ESPs induced Tregs. Proteins with catalytic activity and those involved in immunological processes predominated, supporting the idea that these molecules could play an important role in the induction of Tregs.


Assuntos
Parasitos , Taenia , Animais , Camundongos , Cysticercus , Linfócitos T Reguladores , Citometria de Fluxo , Camundongos Endogâmicos BALB C
3.
Gels ; 7(4)2021 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-34940335

RESUMO

Sol-Gel is a low cost, well-established and flexible synthetic route to produce a wide range of micro- and nanostructures. Small variations in pH, temperature, precursors, time, pressure, atmosphere, among others, can lead to a wide family of compounds that share the same molecular structures. In this work, we present a general review of the synthesis of LaMnO3, SrTiO3, BaTiO3 perovskites and zinc vanadium oxides nanostructures based on Sol-Gel method. We discuss how small changes in the parameters of the synthesis can modify the morphology, shape, size, homogeneity, aggregation, among others, of the products. We also discuss the different precursors, solvents, working temperature, reaction times used throughout the synthesis. In the last section, we present novel uses of Sol-Gel with organic materials with emphasis on carbon-based compounds. All with a perspective to improve the method for future applications in different technological fields.

4.
PeerJ ; 9: e11737, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34466280

RESUMO

The genus Sprattus comprises five species of marine pelagic fishes distributed worldwide in antitropical, temperate waters. Their distribution suggests an ancient origin during a cold period of the earth's history. In this study, we evaluated this hypothesis and corroborated the non-monophyly of the genus Sprattus, using a phylogenetic approach based on DNA sequences of five mitochondrial genome regions. Sprattus sprattus is more closely related to members of the genus Clupea than to other Sprattus species. We also investigated the historical biogeography of the genus, with the phylogenetic tree showing two well-supported clades corresponding to the species distribution in each hemisphere. Time-calibrated phylogenetic analyses showed that an ancient divergence between Northern and Southern Hemispheres occurred at 55.8 MYBP, followed by a diversification in the Oligocene epoch in the Northern Hemisphere clade (33.8 MYBP) and a more recent diversification in the Southern Hemisphere clade (34.2 MYBP). Historical biogeography analyses indicated that the most recent common ancestor (MRCA) likely inhabited the Atlantic Ocean in the Southern Hemisphere. These results suggest that the ancestral population of the MRCA diverged in two populations, one was dispersed to the Northern Hemisphere and the other across the Southern Hemisphere. Given that the Eocene was the warmest epoch since the Paleogene, the ancestral populations would have crossed the tropics through deeper cooler waters, as proposed by the isothermal submergence hypothesis. The non-monophyly confirmed for the genus Sprattus indicates that its systematics should be re-evaluated.

5.
Scand J Clin Lab Invest ; 81(4): 282-289, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33974458

RESUMO

BACKGROUND: Early identification of patients with COVID-19 who may develop critical illness is of great importance. METHODS: In this study a retrospective cohort of 264 COVID-19 cases admitted at Macarena University was used for development and internal validation of a risk score to predict the occurrence of critical illness in hospitalized patients with COVID-19. Backward stepwise logistic regression was used to derive the model, including clinical and laboratory variables predictive of critical illness. Internal validation of the final model used bootstrapped samples and the model scoring derived from the coefficients. External validation was performed in a cohort of 154 cases admitted at Valme and Virgen del Rocio University Hospital. RESULTS: A total of 62 (23.5%) patients developed a critical illness during their hospitalization stay, 21 (8.0%) patients needed invasive ventilation, 34 (12.9%) were admitted at the ICU and the overall mortality was of 14.8% (39 cases). 5 variables were included in the final model: age >59.5 years (OR: 3.11;95%CI 1.39-6.97), abnormal CRP results (OR: 5.76;95%CI 2.32-14.30), abnormal lymphocytes count (OR: 3.252;95%CI 1.56-6.77), abnormal CK results (OR: 3.38;95%CI 1.59-7.20) and abnormal creatinine (OR: 3.30;95%CI 1.42-7.68). The AUC of this model was 0.850 with sensitivity of 65% and specificity of 87% and the IDI and NRI were 0.1744 and 0.2785, respectively. The validation indicated a good discrimination for the external population. CONCLUSIONS: Biomarkers add prognostic information in COVID-19 patients. Our risk-score provides an easy to use tool to identify patients who are likely to develop critical illness during their hospital stay.


Assuntos
Biomarcadores/sangue , COVID-19/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Proteína C-Reativa/análise , COVID-19/mortalidade , COVID-19/terapia , Creatina Quinase/sangue , Creatinina/sangue , Estado Terminal , Feminino , Hospitalização , Humanos , Laboratórios , Contagem de Linfócitos , Masculino , Pessoa de Meia-Idade , Respiração Artificial , Estudos Retrospectivos , Medição de Risco , Sensibilidade e Especificidade , Adulto Jovem
6.
Front Cell Infect Microbiol ; 11: 630583, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33928043

RESUMO

Murine cysticercosis by Taenia crassiceps is a model for human neurocysticercosis. Genetic and/or immune differences may underlie the higher susceptibility to infection in BALB/cAnN with respect to C57BL/6 mice. T regulatory cells (Tregs) could mediate the escape of T. crassiceps from the host immunity. This study is aimed to investigate the role of Tregs in T. crassiceps establishment in susceptible and non-susceptible mouse strains. Treg and effector cells were quantified in lymphoid organs before infection and 5, 30, 90, and 130 days post-infection. The proliferative response post-infection was characterized in vitro. The expression of regulatory and inflammatory molecules was assessed on days 5 and 30 post-infection. Depletion assays were performed to assess Treg functionality. Significantly higher Treg percentages were observed in BALB/cAnN mice, while increased percentages of activated CD127+ cells were found in C57BL/6 mice. The proliferative response was suppressed in susceptible mice, and Treg proliferation occurred only in susceptible mice. Treg-mediated suppression mechanisms may include IL-10 and TGFß secretion, granzyme- and perforin-mediated cytolysis, metabolic disruption, and cell-to-cell contact. Tregs are functional in BALB/cAnN mice. Therefore Tregs could be allowing parasite establishment and survival in susceptible mice but could play a homeostatic role in non-susceptible strains.


Assuntos
Linfócitos T Reguladores , Taenia , Animais , Imunidade , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL
7.
PLoS Negl Trop Dis ; 15(2): e0009104, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33600419

RESUMO

The flatworm Taenia solium causes human and pig cysticercosis. When cysticerci are established in the human central nervous system, they cause neurocysticercosis, a potentially fatal disease. Neurocysticercosis is a persisting public health problem in rural regions of Mexico and other developing countries of Latin America, Asia, and Africa, where the infection is endemic. The great variability observed in the phenotypic and genotypic traits of cysticerci result in a great heterogeneity in the patterns of molecules secreted by them within their host. This work is aimed to identify and characterize cysticercal secretion proteins of T. solium cysticerci obtained from 5 naturally infected pigs from Guerrero, Mexico, using 2D-PAGE proteomic analysis. The isoelectric point (IP) and molecular weight (MW) of the spots were identified using the software ImageMaster 2D Platinum v.7.0. Since most secreted proteins are impossible to identify by mass spectrometry (MS) due to their low concentration in the sample, a novel strategy to predict their sequence was applied. In total, 108 conserved and 186 differential proteins were identified in five cysticercus cultures. Interestingly, we predicted the sequence of 14 proteins that were common in four out of five cysticercus cultures, which could be used to design vaccines or diagnostic methods for neurocysticercosis. A functional characterization of all sequences was performed using the algorithms SecretomeP, SignalP, and BlastKOALA. We found a possible link between signal transduction pathways in parasite cells and human cancer due to deregulation in signal transduction pathways. Bioinformatics analysis also demonstrated that the parasite release proteins by an exosome-like mechanism, which could be of biological interest.


Assuntos
Cysticercus/metabolismo , Proteoma , Taenia solium/metabolismo , Animais , Cisticercose/veterinária , Eletroforese em Gel Bidimensional , Proteínas de Helminto/genética , Proteínas de Helminto/isolamento & purificação , Análise de Sequência de Proteína , Transdução de Sinais , Suínos , Doenças dos Suínos/parasitologia , Taenia solium/genética , Taenia solium/crescimento & desenvolvimento
8.
Front Immunol ; 12: 801410, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35154077

RESUMO

Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes a disease (coronavirus disease 2019, COVID-19) that may develop into a systemic disease with immunosuppression and death in its severe form. Myeloid-derived suppressive cells (MDSCs) are inhibitory cells that contribute to immunosuppression in patients with cancer and infection. Increased levels of MDSCs have been found in COVID-19 patients, although their role in the pathogenesis of severe COVID-19 has not been clarified. For this reason, we raised the question whether MDSCs could be useful in the follow-up of patients with severe COVID-19 in the intensive care unit (ICU). Thus, we monitored the immunological cells, including MDSCs, in 80 patients admitted into the ICU. After 1, 2, and 3 weeks, we examined for a possible association with mortality (40 patients). Although the basal levels of circulating MDSCs did not discriminate between the two groups of patients, the last measurement before the endpoint (death or ICU discharge) showed that patients discharged alive from the ICU had lower levels of granulocytic MDSCs (G-MDSCs), higher levels of activated lymphocytes, and lower levels of exhausted lymphocytes compared with patients who had a bad evolution (death). In conclusion, a steady increase of G-MDSCs during the follow-up of patients with severe COVID-19 was found in those who eventually died.


Assuntos
COVID-19/mortalidade , Granulócitos/imunologia , Subpopulações de Linfócitos/imunologia , Células Supressoras Mieloides/imunologia , Linfócitos T Reguladores/imunologia , Idoso , COVID-19/patologia , Comorbidade , Cuidados Críticos , Feminino , Granulócitos/citologia , Humanos , Hospedeiro Imunocomprometido/imunologia , Ativação Linfocitária/imunologia , Contagem de Linfócitos , Subpopulações de Linfócitos/citologia , Masculino , Pessoa de Meia-Idade , Células Supressoras Mieloides/citologia , Estudos Prospectivos , SARS-CoV-2/imunologia , Índice de Gravidade de Doença , Linfócitos T Reguladores/citologia
9.
Viruses ; 12(4)2020 04 06.
Artigo em Inglês | MEDLINE | ID: mdl-32268512

RESUMO

African green monkey (AGM) spumaretroviruses have been less well-studied than other simian foamy viruses (SFVs). We report the biological and genomic characterization of SFVcae_FV2014, which was the first foamy virus isolated from an African green monkey (AGM) and was found to be serotype 3. Infectivity studies in various cell lines from different species (mouse, dog, rhesus monkey, AGM, and human) indicated that like other SFVs, SFVcae_FV2014 had broad species and cell tropism, and in vitro cell culture infection resulted in cytopathic effect (CPE). In Mus dunni (a wild mouse fibroblast cell line), MDCK (Madin-Darby canine kidney cell line), FRhK-4 (a fetal rhesus kidney cell line), and MRC-5 (a human fetal lung cell line), SFVcae_FV2014 infection was productive resulting in CPE, and had delayed or similar replication kinetics compared with SFVmcy_FV21 and SFVmcy_FV34[RF], which are two Taiwanese macaque isolates, designated as serotypes 1 and 2, respectively. However, in Vero (AGM kidney cell line) and A549 (a human lung carcinoma cell line), the replication kinetics of SFVcae_FV2014 and the SFVmcy viruses were discordant: In Vero, SFVcae_FV2014 showed rapid replication kinetics and extensive CPE, and a persistent infection was seen in A549, with delayed, low CPE, which did not progress even upon extended culture (day 55). Nucleotide sequence analysis of the assembled SFVcae_FV2014 genome, obtained by high-throughput sequencing, indicated an overall 80-90% nucleotide sequence identity with SFVcae_LK3, the only available full-length genome sequence of an AGM SFV, and was distinct phylogenetically from other AGM spumaretroviruses, corroborating previous results based on analysis of partial env sequences. Our study confirmed that SFVcae_FV2014 and SFVcae_LK3 are genetically distinct AGM foamy virus (FV) isolates. Furthermore, comparative infectivity studies of SFVcae_FV2014 and SFVmcy isolates showed that although SFVs have a wide host range and cell tropism, regulation of virus replication is complex and depends on the virus strain and cell-specific factors.


Assuntos
Genoma Viral , Spumavirus/genética , Replicação Viral , Células A549 , Animais , Linhagem Celular , Chlorocebus aethiops , Efeito Citopatogênico Viral , Cães , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Cinética , Macaca , Camundongos , Filogenia , Sorogrupo , Spumavirus/classificação , Spumavirus/fisiologia
10.
iScience ; 23(3): 100920, 2020 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-32145646

RESUMO

Limited knowledge exists on the quality of polyclonal antibody response generated following Ebola virus (EBOV) infection compared with vaccination. Polyclonal antibody repertoire in plasma following EBOV infection in survivors was compared with ChAd3-MVA prime-boost human vaccination. Higher antibody binding and affinity to GP was observed in survivors compared with vaccinated plasma that correlated with EBOV neutralization. Surprisingly, a predominant IgM response was generated after prime-boost vaccination, whereas survivors demonstrated IgG-dominant antibody response. EBOV infection induced more diverse antibody epitope repertoire compared with vaccination. A strong binding to antigenic sites in the fusion peptide and another in the highly conserved GP2-HR2 domain was preferentially recognized by EBOV survivors than vaccinated individuals that correlated strongly with EBOV neutralization titers. These findings will help development and evaluation of effective Ebola countermeasures including therapeutics and vaccines.

11.
J Infect Dis ; 221(4): 636-646, 2020 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-31745552

RESUMO

BACKGROUND: Respiratory syncytial virus (RSV) infection causes significant morbidity in hematopoietic cell transplant (HCT) recipients. However, antibody responses that correlate with recovery from RSV disease are not fully understood. METHODS: In this study, antibody repertoire in paired serum and nasal wash samples from acutely RSV-A-infected HCT recipients who recovered early (<14 days of RSV shedding) were compared with late-recovered patients (≥14 days of shedding) using gene fragment phage display libraries and surface plasmon resonance. RESULTS: Anti-F serum responses were similar between these 2 groups for antibody repertoires, neutralization titers, anti-F binding antibodies (prefusion and postfusion proteins), antibody avidity, and binding to specific antigenic sites. In contrast, nasal washes from early-recovered individuals demonstrated higher binding to F peptide containing p27. While the serum RSV G antibody repertoires in the 2 groups were similar, the strongest difference between early-recovered and late-recovered patients was observed in the titers of nasal wash antibodies, especially binding to the central conserved domain. Most importantly, a significantly higher antibody affinity to RSV G was observed in nasal washes from early-recovered individuals compared with late-recovered HCT recipients. CONCLUSIONS: These findings highlight the importance of mucosal antibodies in resolution of RSV-A infection in the upper respiratory tract.


Assuntos
Anticorpos Antivirais/sangue , Antígenos Virais/imunologia , Transplante de Células-Tronco Hematopoéticas , Mucosa Respiratória/imunologia , Infecções por Vírus Respiratório Sincicial/imunologia , Vírus Sincicial Respiratório Humano/imunologia , Transplantados , Proteínas do Envelope Viral/imunologia , Anticorpos Neutralizantes/sangue , Afinidade de Anticorpos , Humanos , Imunoglobulina G/imunologia , Idiótipos de Imunoglobulinas/imunologia , Infecções por Vírus Respiratório Sincicial/virologia , Proteínas Virais de Fusão/imunologia , Eliminação de Partículas Virais
12.
Neuroimmunomodulation ; 25(2): 103-109, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30041237

RESUMO

OBJECTIVE: The aim of this study is to analyze the immune-endocrine profile in neurocysticercosis (NC) patients resistant to cysticidal treatment. METHODS: The inflammatory and regulatory responses of 8 resistant NC patients with extraparenchymal parasites and 5 healthy controls were evaluated through flow cytometry. Serum interleukin levels were measured by ELISA and catecholamines levels by high performance liquid chromatography. RESULTS: Higher percentages of Tr1, CD4+CD25+FOXP3+CD127- and CD4+CD45RO+FOXP3HI were found in NC patients compared with healthy controls, but no difference was found in catecholamine levels. Antigen-specific proliferative immune response was observed in NC patients. Neither anti-inflammatory nor pro-inflammatory cytokines showed differences between patients and controls, but IL-6 levels were lower in treatment-resistant NC patients. In addition, TGFß showed a significant negative correlation with dopamine. CONCLUSIONS: Altogether, these results may point to a modulation of the neuroinflammation in these patients that could indirectly favor cysticercal survival in CNS microenvironment.


Assuntos
Antiparasitários/uso terapêutico , Imunidade Celular/imunologia , Mediadores da Inflamação/sangue , Mediadores da Inflamação/imunologia , Neurocisticercose/sangue , Neurocisticercose/imunologia , Adulto , Idoso , Antiparasitários/farmacologia , Biomarcadores/sangue , Catecolaminas/sangue , Catecolaminas/imunologia , Feminino , Humanos , Imunidade Celular/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Neurocisticercose/tratamento farmacológico , Linfócitos T/efeitos dos fármacos , Linfócitos T/imunologia , Linfócitos T/metabolismo , Resultado do Tratamento
13.
J Infect Dis ; 218(suppl_5): S597-S602, 2018 11 22.
Artigo em Inglês | MEDLINE | ID: mdl-29939294

RESUMO

Several Ebola vaccines and therapeutics are under clinical development. However, limited knowledge exists on the quality of antibody response generated by different Ebola vaccines. In this study, antibody repertoire induced by vaccination of transchromosomal bovine (TcB) with Ebola virus (EBOV) glycoprotein ([GP]; recombinant GP [rGP]) encoded by either deoxyribonucleic acid (DNA) or nanoparticle-based vaccine platform was analyzed using EBOV genome fragment phage display library and surface plasmon resonance (SPR)-based real-time kinetics assay to measure antibody affinity maturation to both native and partially denatured Ebola GP as well as GP containing the receptor binding domain but lacking the mucin-like domain. Immunoglobulin (IgG) obtained from rGP nanoparticle-vaccinated TcB demonstrated ~4-fold higher binding affinity compared with DNA-vaccinated TcB-induced IgG against the native rGP's. The rGP nanoparticle vaccine generated a more robust and diverse antibody immune response to the native EBOV-GP compared with the DNA vaccine, which may explain the protective efficacy observed for these antibody preparations.


Assuntos
Anticorpos Antivirais/imunologia , Vacinas contra Ebola/imunologia , Ebolavirus/imunologia , Glicoproteínas/imunologia , Vacinação , Vacinas de DNA/imunologia , Animais , Bovinos , Humanos , Nanopartículas , Vacinas Sintéticas/imunologia
14.
Mitochondrial DNA A DNA Mapp Seq Anal ; 29(8): 1148-1155, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29334843

RESUMO

The Patagonian sprat, Sprattus fuegensis, is a small pelagic marine fish that inhabits the continental shelf along the coasts of Chilean Patagonian and Argentina, a distribution that was highly impacted during the Last Glacial Maximum (LGM). In order to identify how the LGM played a role on the current observed genetic diversity and population structure of S. fuegensis, we analyzed 1438 nucleotide positions from the control region of 335 individuals collected at 12 sites across its distribution. Genetic diversity and differentiation indices were calculated to identify population structure, and a Bayesian skyride plot (BSRP) reconstruction was carried out to infer the historic population dynamics. Extremely high genetic diversity was found at all locations analyzed, non-population structure was found across its distribution, and the BSRP showed two increases in effective population size over time. Our outcomes suggest that the current genetic diversity, population structure and population expansion may have occurred during the medium and late Pleistocene.


Assuntos
DNA Mitocondrial/genética , Peixes/genética , Especiação Genética , Polimorfismo Genético , Animais , Filogeografia
15.
PeerJ ; 6: e4173, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29362690

RESUMO

Previous studies of population genetic structure in Dissostichus eleginoides have shown that oceanographic and geographic discontinuities drive in this species population differentiation. Studies have focused on the genetics of D. eleginoides in the Southern Ocean; however, there is little knowledge of their genetic variation along the South American continental shelf. In this study, we used a panel of six microsatellites to test whether D. eleginoides shows population genetic structuring in this region. We hypothesized that this species would show zero or very limited genetic structuring due to the habitat continuity along the South American shelf from Peru in the Pacific Ocean to the Falkland Islands in the Atlantic Ocean. We used Bayesian and traditional analyses to evaluate population genetic structure, and we estimated the number of putative migrants and effective population size. Consistent with our predictions, our results showed no significant genetic structuring among populations of the South American continental shelf but supported two significant and well-defined genetic clusters of D. eleginoides between regions (South American continental shelf and South Georgia clusters). Genetic connectivity between these two clusters was 11.3% of putative migrants from the South American cluster to the South Georgia Island and 0.7% in the opposite direction. Effective population size was higher in locations from the South American continental shelf as compared with the South Georgia Island. Overall, our results support that the continuity of the deep-sea habitat along the continental shelf and the biological features of the study species are plausible drivers of intraspecific population genetic structuring across the distribution of D. eleginoides on the South American continental shelf.

16.
Rev. salud bosque ; 8(1): 48-63, 2018. Tab, Graf, Ilus
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1103929

RESUMO

La depresión y la ansiedad representan las principales enfermedades de salud mental a nivel mundial. Se estima que para el 2020 se aumenten en un 15 %, convirtiéndose en la segunda causa de morbimortalidad. En nuestro país, en la Ley 1616 del 2013 (Ley en salud mental), se promueve el derecho a la atención oportuna integral desde la atención primaria de las personas que tienen riesgo y de las que ya tienen una enfermedad mental. Sin embargo, no se ha instaurado un modelo de historia clínica que pueda atender la necesidad de estos pacientes; por lo tanto, es importante generar una propuesta que sea fácil de usar. Por esta razón, el objetivo de este estudio surge de la necesidad de crear un modelo de historia clínica en la que se incluyan diferentes variables y características que permitan el diagnóstico, el seguimiento y el tratamiento de los pacientes con trastornos de depresión y ansiedad en la atención primaria. Materiales y métodos. Se utilizó un enfoque metodológico múltiple: cuantitativo y cualitativo. Este método facilitó la recolección de distintas fuentes primarias (revisión sistemática) y secundarias (grupos focales). El análisis se hizo mediante los Primary Care Assessment Tools. Resultados. Los instrumentos de tamización en la atención primaria son un gran apoyo de manejo fácil, los cuales pueden usarse de forma directa o en una aplicación médica. Estas escalas permiten evaluar la gravedad y hacer el seguimiento del trastorno depresivo y de la ansiedad. Conclusión. Para la elaboración de la propuesta de historia clínica, consideramos que se debe incluir lo concerniente al contexto personal, familiar y social de los pacientes, con herramientas de tamización que faciliten al médico de atención primaria hacer el diagnóstico y el seguimiento de estas enfermedades


Overview: Depression and anxiety account for the leading men-tal health illnesses worldwide and by 2020 they are expected to increase 15% becoming the second leading cause of morbidity and mortality. In Colombia, Law 1616, promulgated in 2013, fosters the right to timely and comprehensive assistance for people dealing with mental health issues. Still, the implementation of a medical record suitable to meet these patients needs is yet to be introduced. It is therefore important to generate a proposal that is easy to use. Objective: Creating a comprehensive medical record, including various variables and features that allow for diagnosing, following up and treating patients bearing depression and anxiety disorders, within the framework of Primary Care. Materials and methods: A multi methodological approach, blen-ding both quantitative and qualitative tools was used to facilitate data gathering from primary sources, such as systematic reviews and secondary sources, such as focus groups. Data analysis was done utilizing PCAT (Primary care assessment tools). Results: The use of primary care screening tools proved to be a valuable resource, being its friendly usage and reliability. These scales also allow for follow up on depression and anxiety disorders. Conclusion: To implement a medical record proposal it is ne-cessary to include background on personal, familiar and social information regarding the patient. It is also key to include screening tools that allow the physician to come up with a proper diagnosis and follow up.


Introdução. A depressão e a ansiedade representam as principais doenças de saúde mental no mundo, calcula-se que para 2020 este problema aumente em 15%, sendo a segunda causa de morbimortalidade. Na Colômbia, segundo a lei 1616 de 2013 "lei de saúde mental", que promove o direito à atenção integral de atenção primária para os doentes e quem está em risco. No entanto o país ainda não conta com um modelo de história clínica que atenda às necessidades destes pacientes. Materiais e métodos. O viés metodológico do trabalho é multi-metodológico, quantitativo e qualitativo, coleta diversas fontes tanto primárias (grupos focais) como secundárias (revisão sistemática). A análise foi feita através da ferramenta PCAT (Primary care assessment tools). Resultados. O uso de instrumentos para teste de rastreio em atenção primária é muito útil para serem administrados diretamente ou como aplicação médica e facilitam a avaliação de escalas para estabelecer níveis de gravidade e acompanhamento destes transtornos mentais. Conclusão. Na elaboração da proposta da história clínica que facilite a compreensão da condição mental do paciente é preciso considerar contexto familiar, social e pessoal dos pacientes, usando testes de rastreio como ferramentas da atenção primária


Assuntos
Assistência à Saúde Mental , Ansiedade , Atenção Primária à Saúde , Grupos Focais , Colômbia , Depressão
17.
Sci Rep ; 7: 42428, 2017 02 10.
Artigo em Inglês | MEDLINE | ID: mdl-28186208

RESUMO

In current study, we evaluated the safety and protective efficacy of recombinant unglycosylated RSV G protein ectodomain produced in E. coli (in presence and absence of oil-in-water adjuvant) in a preclinical RSV susceptible cotton rat challenge model compared to formaldehyde inactivated RSV (FI-RSV) and live RSV experimental infection. The adjuvanted G protein vaccine induced robust neutralization antibody responses comparable to those generated by live RSV infection. Importantly, adjuvanted G protein significantly reduced viral loads in both the lungs and nose at early time points following viral challenge. Antibody kinetics determined by Surface Plasmon Resonance showed that adjuvanted G generated 10-fold higher G-binding antibodies compared to non-adjvuanted G vaccine and live RSV infection, which correlated strongly with both neutralization titers and viral load titers in the nose and lungs post-viral challenge. Antibody diversity analysis revealed immunodominant antigenic sites in the N- and C-termini of the RSV-G protein, that were boosted >10-fold by adjuvant and inversely correlated with viral load titers. Enhanced lung pathology was observed only in animals vaccinated with FI-RSV, but not in animals vaccinated with unadjuvanted or adjuvanted RSV-G vaccine after viral challenge. The bacterially produced unglycosylated G protein could be developed as a protective vaccine against RSV disease.


Assuntos
Infecções por Vírus Respiratório Sincicial/prevenção & controle , Vacinas contra Vírus Sincicial Respiratório/imunologia , Vírus Sinciciais Respiratórios/imunologia , Proteínas Virais de Fusão/imunologia , Animais , Anticorpos Neutralizantes/sangue , Anticorpos Neutralizantes/imunologia , Anticorpos Antivirais/sangue , Anticorpos Antivirais/imunologia , Citocinas/genética , Citocinas/metabolismo , Modelos Animais de Doenças , Feminino , Expressão Gênica , Imunização , Pulmão/imunologia , Pulmão/patologia , Pulmão/virologia , Testes de Neutralização , Ratos , Infecções por Vírus Respiratório Sincicial/imunologia , Infecções por Vírus Respiratório Sincicial/patologia , Infecções por Vírus Respiratório Sincicial/virologia , Sigmodontinae
19.
Vaccine ; 35(4): 694-702, 2017 01 23.
Artigo em Inglês | MEDLINE | ID: mdl-27989627

RESUMO

Respiratory Syncytial virus (RSV) is one of the leading causes of pneumonia among infants with no human vaccine or efficient curative treatments. Efforts are underway to develop new RSV vaccines and therapeutics. There is a dire need for animal models for preclinical evaluation and selection of products against RSV. Herein, we developed a whole body bioluminescence imaging to follow replication of RSV A2 virus strain expressing firefly luciferase (RSVA2-line19-FFL) in live BALB/c mice that can be used as an extremely sensitive readout for studying effects of antiviral and vaccines in living mice. Strong bioluminescence signal was detected in the nasal cavity and in the lungs following intranasal infection of mice with RSVA2-line19-FFL. The kinetics of viral replication in lungs quantified by daily live imaging strongly correlated with viral titers measured by ex-vivo plaque assay and by assessing viral RNA by qRT-PCR. Vaccination of mice with a pre-fusion F protein elicited high neutralizing antibody titers conferring strong protective immunity against virus replication in the nasal cavity and lungs. In contrast, post-challenge treatment of mice with the monoclonal antibody Palivizumab two days after infection reduced viral replication in the nasal cavity at day 4, but only modestly reduced virus loads in the lungs by day 5. In contrast to RSV bioluminescence, plaque assay did not detect viral titers in lungs on day 5 in Palivizumab-treated animals. This difference between viral loads measured by the two assays was found to be due to coating of virions with the Palivizumab that blocked infection of target cells in vitro and shows importance of live imaging in evaluation of RSV therapeutics. This recombinant RSV based live imaging animal model is convenient and valuable tool that can be used to study host dissemination of RSV and evaluation of antiviral compounds and vaccines against RSV.


Assuntos
Modelos Animais de Doenças , Microscopia Intravital/métodos , Medições Luminescentes/métodos , Infecções por Vírus Respiratório Sincicial/diagnóstico , Vírus Sinciciais Respiratórios/isolamento & purificação , Coloração e Rotulagem/métodos , Imagem Corporal Total/métodos , Animais , Antivirais/administração & dosagem , Feminino , Genes Reporter , Luciferases de Vaga-Lume/análise , Luciferases de Vaga-Lume/genética , Pulmão/virologia , Camundongos Endogâmicos BALB C , Cavidade Nasal/virologia , Infecções por Vírus Respiratório Sincicial/tratamento farmacológico , Infecções por Vírus Respiratório Sincicial/prevenção & controle , Vacinas contra Vírus Sincicial Respiratório/administração & dosagem , Vírus Sincicial Respiratório Humano , Resultado do Tratamento , Carga Viral
20.
Nat Med ; 22(12): 1439-1447, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27798615

RESUMO

Development of an effective vaccine against Ebola virus is of high priority. However, knowledge about potential correlates of protection and the durability of immune response after vaccination is limited. Here, we elucidate the human antibody repertoire after administration of vesicular stomatitis virus (VSV)-Ebola vaccine at 3 million, 20 million and 100 million plaque-forming units (PFU) and homologous VSV-Ebola vaccine boost in healthy adult volunteers. Whole genome-fragment phage display libraries, expressing linear and conformational epitopes of Ebola glycoprotein (GP), showed higher diversity of antibody epitopes in individuals vaccinated with 20 million PFU than in those vaccinated with 3 million or 100 million PFU. Surface plasmon resonance kinetics showed higher levels of GP-binding antibodies after a single vaccination with 20 million or 100 million PFU than with 3 million PFU, and these correlated strongly with neutralization titers. A second vaccination did not boost antibody or virus neutralization titers, which declined rapidly, and induced only minimal antibody affinity maturation. Isotype analysis revealed a predominant IgM response even after the second vaccination, which contributed substantially to virus neutralization in vitro. These findings may help identify new vaccine targets and aid development and evaluation of effective countermeasures against Ebola.


Assuntos
Anticorpos Neutralizantes/imunologia , Anticorpos Antivirais/imunologia , Vacinas contra Ebola/administração & dosagem , Ebolavirus/imunologia , Imunoglobulina M/imunologia , Vírus da Estomatite Vesicular Indiana/imunologia , Epitopos/imunologia , Feminino , Glicoproteínas/imunologia , Voluntários Saudáveis , Humanos , Imunogenicidade da Vacina , Masculino , Vacinas Atenuadas/administração & dosagem
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