Anti-ribosomal P antibody: a multicenter study in childhood-onset systemic lupus erythematosus patients.

Objectives Anti-ribosomal P protein (anti-P) autoantibodies are highly specific for systemic lupus erythematosus (SLE). However, the evaluation of this autoantibody in childhood-onset SLE (cSLE) populations has been limited to a few small series, hampering the interpretation of the clinical and laboratorial associations. Therefore, the objective of this multicenter cohort study was to evaluate demographic, clinical/laboratorial features, and disease damage score in cSLE patients with and without the presence of anti-P antibody. Methods This was a retrospective multicenter study performed in 10 pediatric rheumatology services of São Paulo state, Brazil. Anti-P antibodies were measured by ELISA in 228 cSLE patients. Results Anti-P antibodies were observed in 61/228 (27%) cSLE patients. Frequencies of cumulative lymphadenopathy (29% vs. 15%, p = 0.014), acute confusional state (13% vs. 5%, p = 0.041), mood disorder (18% vs. 8%, p = 0.041), autoimmune hemolytic anemia (34% vs. 15%, p = 0.001), as well as presence of anti-Sm (67% vs. 40%, p = 0.001), anti-RNP (39% vs. 21%, p = 0.012) and anti-Ro/SSA antibodies (43% vs. 25%, p = 0.016) were significantly higher in cSLE patients with anti-P antibodies compared to those without these autoantibodies. A multiple regression model revealed that anti-P antibodies were associated with autoimmune hemolytic anemia (odds ratio (OR) = 2.758, 95% confidence interval (CI): 1.304-5.833, p = 0.008) and anti-Sm antibody (OR = 2.719, 95% CI: 1.365-5.418, p = 0.004). The SLICC/ACR damage index was comparable in patients with and without anti-P antibodies ( p = 0.780). Conclusions The novel association of anti-P antibodies and autoimmune hemolytic anemia was evidenced in cSLE patients and further studies are necessary to determine if anti-P titers may vary with this hematological manifestation.

Valor nutritivo de dietas contendo torta de mamona submetida a métodos alternativos de destoxificação para ovinos / Nutritive value of feeds containing castor bean cake subjected to alternative methods of detoxification for sheep

Avaliaram-se o consumo e a digestibilidade de nutrientes por ovinos alimentados com rações contendo torta de mamona sem tratamento (NT), tratadas com calcário calcítico (CC), ureia (UR), fosfato monobicálcico (FOS) e por autoclave (ACL). Foram utilizados 20 ovinos em delineamento em blocos ao acaso, sendo 10 machos inteiros e 10 fêmeas, mestiços de raça Morada Nova. As dietas foram isoproteicas e isoenergéticas. A ricina foi parcialmente desnaturada pelos tratamentos de destoxificação da torta de mamona. Não houve efeito dos tratamentos de destoxificação da torta de mamona sobre o consumo de nutrientes. A digestibilidade da fibra em detergente neutro no tratamento NT foi de 57,5 por cento, maior que no tratamento CC, de 52,4 por cento. A digestibilidade do extrato etéreo foi mais alta no tratamento CC, média de 71,3 por cento, em relação ao tratamento FOS, de 68,2 por cento. Houve maior consumo de fibra em detergente neutro e fibra em detergente ácido dos machos em relação às fêmeas quando o consumo foi expresso em g/dia. A torta de mamona NT pode ser utilizada em dietas de ovinos como alimento proteico alternativo, participando em até 8 por cento da dieta total, sem ocasionar redução expressiva no consumo e na digestibilidade.

Feed intake and digestibility were evaluate in sheep fed diets containing castor bean cake with no treatment (NT), treated with calcium carbonate (CC), urea (UR), phosphate monodicalcium (FOS) and autoclave (ACL). We used 20 sheep in a randomized block design, being 10 males and 10 females, crossbred Morada Nova. The diets were isonitrogenous and isocaloric. Ricin was partially denatured through the treatments of detoxification of the castor bean cake. There was no treatment effect of detoxification of the castor bean cake on the intake of nutrients. The digestibility of neutral detergent fiber in the NT treatment had a 57.52 percent average, higher than the CC treatment which had an average of 52.42 percent. The digestibility of ether extract was higher in CC treatment, which had an average of 71.29 percent compared to the FOS treatment that had an average of 68.22 percent. Regarding the effect of sex, there was a higher intake of neutral detergent fiber and acid detergent fiber in males compared to females when intake was expressed as g/day. The castor bean cake NT can be used in rations for sheep as an alternative protein source participating in up to 8 percent of the total ration, without causing significant reductions in intake and digestibility.