Isolation and Characterization of Escherichia coli from Brazilian Broilers.

Avian pathogenic Escherichia coli (APEC) causes colibacillosis, one of the main diseases leading to economic losses in industrial poultry farming due to high morbidity and mortality and its role in the condemnation of chicken carcasses. This study aimed to isolate and characterize APEC obtained from necropsied chickens on Brazilian poultry farms. Samples from birds already necropsied by routine inspection were collected from 100 batches of broiler chickens from six Brazilian states between August and November 2021. Three femurs were collected per batch, and characteristic E. coli colonies were isolated on MacConkey agar and characterized by qualitative PCR for minimal predictive APEC genes, antimicrobial susceptibility testing, and whole genome sequencing to identify species, serogroups, virulence genes, and resistance genes. Phenotypic resistance indices revealed significant resistance to several antibiotics from different antimicrobial classes. The isolates harbored virulence genes linked to APEC pathogenicity, including adhesion, iron acquisition, serum resistance, and toxins. Aminoglycoside resistance genes were detected in 79.36% of isolates, 74.6% had sulfonamide resistance genes, 63.49% showed ß-lactam resistance genes, and 49.2% possessed at least one tetracycline resistance gene. This study found a 58% prevalence of avian pathogenic E. coli in Brazilian poultry, with strains showing notable antimicrobial resistance to commonly used antibiotics.

Trends and Challenges in the Surveillance and Control of Avian Metapneumovirus.

Among the respiratory pathogens of birds, the Avian Metapneumovirus (aMPV) is one of the most relevant, as it is responsible for causing infections of the upper respiratory tract and may induce respiratory syndromes. aMPV is capable of affecting the reproductive system of birds, directly impacting shell quality and decreasing egg production. Consequently, this infection can cause disorders related to animal welfare and zootechnical losses. The first cases of respiratory syndromes caused by aMPV were described in the 1970s, and today six subtypes (A, B, C, D, and two more new subtypes) have been identified and are widespread in all chicken and turkey-producing countries in the world, causing enormous economic losses for the poultry industry. Conventionally, immunological techniques are used to demonstrate aMPV infection in poultry, however, the identification of aMPV through molecular techniques helped in establishing the traceability of the virus. This review compiles data on the main aMPV subtypes present in different countries; aMPV and bacteria co-infection; vaccination against aMPV and viral selective pressure, highlighting the strategies used to prevent and control respiratory disease; and addresses tools for viral diagnosis and virus genome studies aiming at improving and streamlining pathogen detection and corroborating the development of new vaccines that can effectively protect herds, preventing viral escapes.

Oily wastewater treatment by a continuous flow electrocoagulation reactor with polarity switch: Assessment of the relation between process variables and the aluminum released to the environment.

Electrocoagulation with electrical polarity inversion was used to treat oil in water emulsions (145 ± 5 mg dm-3) using a cylindrical 4.8 dm3 reactor in continuous mode. The effects of spatial time and time between polarity inversion were explored using a three-level full factorial design (32), followed by Spearman correlation (ps), which has shown that the aluminum concentration in the treated effluent is not directly dependent on the mass of aluminum released by the electrodes. Nonetheless, the loss of mass of the electrodes is correlated (ps = 0.6970) to oil removal and to less electric power consumption (ps = -0.6909). Surface response analysis revealed that increasing the number of inversion cycles reduces electrode degradation. The treatment reduced the effluent's chemical oxygen demand by over 92.8%. Regarding environmental impact, there is an inverse statistical correlation between aluminum in the treated effluent and oil removal (ps = -0.7426), indicating that removing more oil with less environmental impact is possible. The better condition, considering oil removal and lower electrode consumption, was obtained with a spatial time of 36 min and a polarity inversion time of 10 s; for this condition, oil removal reached 87.0% with an energy expenditure of about 7.21 kW h.m-3.

Bacteriophage-Associated Antimicrobial Resistance Genes in Avian Pathogenic Escherichia coli Isolated from Brazilian Poultry.

Colibacillosis is a disease caused by Escherichia coli and remains a major concern in poultry production, as it leads to significant economic losses due to carcass condemnation and clinical symptoms. The development of antimicrobial resistance is a growing problem of worldwide concern. Lysogenic bacteriophages are effective vectors for acquiring and disseminating antibiotic resistance genes (ARGs). The aim of this study was to investigate the complete genome of Escherichia coli isolates from the femurs of Brazilian broiler chickens in order to investigate the presence of antimicrobial resistance genes associated with bacteriophages. Samples were collected between August and November 2021 from broiler batches from six Brazilian states. Through whole genome sequencing (WGS), data obtained were analyzed for the presence of antimicrobial resistance genes. Antimicrobial resistance genes against the aminoglycosides class were detected in 79.36% of the isolates; 74.6% had predicted sulfonamides resistance genes, 63.49% had predicted resistance genes against ß-lactams, and 49.2% of the isolates had at least one of the tetracycline resistance genes. Among the detected genes, 27 have been described in previous studies and associated with bacteriophages. The findings of this study highlight the role of bacteriophages in the dissemination of ARGs in the poultry industry.

Surveillance of Avian Metapneumovirus in Non-Vaccinated Chickens and Co-Infection with Avian Pathogenic Escherichia coli.

Brazil is the second largest producer of broiler chicken in the world, and the surveillance of avian pathogens is of great importance for the global economy and nutrition. Avian metapneumovirus (aMPV) infection results in high rates of animal carcass losses due to aerosacculitis and these impacts can be worsened through co-infection with pathogenic bacteria, particularly Escherichia coli (APEC). The present study evaluated the seroprevalence of the main aMPV subtypes in unvaccinated broiler chickens from poultry farms in Brazil, as well as the clinical effects of co-infection with APEC. Blood samples, respiratory swabs, femurs, liver, and spleen of post-mortem broiler chickens were collected from 100 poultry production batches, totaling 1000 samples. The selection of the production batch was based on the history of systemic and respiratory clinical signs. The results indicated that 20% of the lots showed serological evidence of the presence of aMPV, with two lots being positive for aMPV-B. A total of 45% of batches demonstrated co-infection between aMPV and APEC. The results point to the need for viral surveillance, targeted vaccination, and vaccination programs, which could reduce clinical problems and consequently reduce the use of antibiotics to treat bacterial co-infections.

Tangential effluent inlet in a cylindrical electrocoagulation reactor containing curved electrodes, and its use in crude oil in water treatment.

A continuous electrocoagulation reactor, with curved electrodes, polarity switch, and cylindrical geometry, was used for emulsified crude oil in water separation. Apparatus novelty consists of an inlet arranged to promote a circular flow regime. The effects of flow rate (2 and 6 mL.s-1), electrical current (2 and 4 A), and distance between electrodes (1.5 and 2.5 cm) were investigated using a full factorial design and statistical analysis. Using 6 mL.s-1 flow rate, 2 A electric current and 2.5 cm electrode distance; 86% oil removal was obtained at a pH < 9.0. For this configuration, the system will process 21.6 L of oily emulsion while consuming 6.92 Wh. Oil removal increased with flow rate, a novel characteristic created by the unusual geometry of the system.

Crude oil wastewater treatment by electrocoagulation in a continuous process with polarity switch.

The influence of the distance between electrodes, electrical current, and flow rate of emulsified crude oil in water effluent through an electrocoagulation reactor was studied. Power switch at an interval of 30 s was used to reduce electrode passivation. The output variables were power consumption, pH, and oil removal from effluent. There was no significant change in the output variables with the working time of the reactor. The final pH was between 7.5 and 9.5 depending on the input variables. It increases with higher electrical current and tends to decrease with increased flow rate. Increasing electrical current tends to increase while increasing either distance between electrodes or the flow rate tends to reduce oil removal. Using a 2.88 L reactor, it is possible to treat 7.12 L of effluent in one hour, removing 78% of the crude oil, keeping final pH at 8.3, and this system will have an energy consumption of 21.6 kWh.

Effects of aroA deleted E. coli vaccine on intestinal microbiota and mucosal immunity.

E. coli infection of broilers can result in systemic diseases and productivity losses. Use of antimicrobials against this condition is common but other approaches, such as vaccination, are gaining ground. Anecdotal field reports indicate that intestinal health is improved unspecifically following E. coli live vaccination. We hypothesized that the intestine may be an important site for the functionality of the vaccine. Vaccine effects on the intestine were assessed. Spray vaccination induced marked alterations of the caecum microbiota of broilers within 3 days, and this effect gradually waned. However, T cell activation occurred in the spleen, but not in caecal tonsils, and anti-E. coli IgA was concentrated in the respiratory mucosae. Accordingly, IL-6 mRNA was produced in the lungs following immunization. Overall, these data are an initial indication that any vaccine-induced effects on the intestine are greatly associated with the microbiota. However, immunity conferred by vaccination is not primarily induced in gut-associated lymphoid tissues.

Electrocoagulation with polarity switch for fast oil removal from oil in water emulsions.

An electrocoagulation technique using a 3.5 L reactor, with aluminum electrodes in a monopolar arrangement with polarity switch at each 10 s was used to separate oil from synthetic oily water similar in oil concentration to produced water from offshore platforms. Up to 98% of oil removal was achieved after 20 min of processing. Processing time dependence of the oil removal and pH was measured and successfully adjusted to exponential models, indicating a pseudo first order behavior. Statistical analysis was used to prove that electrical conductivity and total solids depend significantly on the concentration of electrolyte (NaCl) in the medium. Oil removal depends mostly on the distance between the electrodes but is proportional to electrolyte concentration when initial pH is 8. Electrocoagulation with polarity switch maximizes the lifetime of the electrodes. The process reduced oil concentration to a value below that stipulated by law, proving it can be an efficient technology to minimize the offshore drilling impact in the environment.

Evaluation of the effectiveness and safety of a genetically modified live vaccine in broilers challenged with Salmonella Heidelberg.

Salmonellosis ranks among the major diseases of commercial poultry, and its presence in poultry flocks is responsible for economic losses and risks related to public health. Vaccines are an important tool within integrated programmes to control salmonellosis. The purpose of this study was to assess cross-protection provided by the Poulvac® ST vaccine in the control of Salmonella Heidelberg in experimentally challenged 3- and 21-day-old birds. Eighty birds were identified and separated into four treatments (T1: vaccinated and challenged at 3 days of age, T2: unvaccinated and challenged at 3 days of age, T3: vaccinated and challenged at 21 days of age, and T4: unvaccinated and challenged at 21 days of age). The inoculum was produced from a Brazilian field strain of SH. At the end of the experiment, caecum and liver/spleen samples were collected for quantitative and qualitative analysis of SH, respectively. Analysis of the liver/spleen showed that Poulvac® ST significantly (P ≤ 0.05) reduced the percentage of SH positivity in the group challenged at 3 days of age, while in the group challenged at 21 days this difference was almost considered significant (P = 0.1818). On the other hand, there was no statistically significant difference in SH count in the caecum (CFU/g) in the group challenged at 3 days, but for the group challenged at 21 days the SH counts were significantly (P ≤ 0.05) lower in the vaccinated group when compared to the positive control.

Risk Factors Associated with Human Visceral Leishmaniasis in an Urban Area of Bahia, Brazil.

BACKGROUND: The early diagnosis of asymptomatic, acute, and subclinical Leishmania infections remains a challenge for controlling visceral leishmaniasis (VL). Individuals with acute VL represent <1% of Leishmania infections occurring in active transmission endemic areas. In this cross-sectional study with a prospective follow-up, we explored the risk factors associated with acquisition of Leishmania infection in an area with newly identified endemic VL. MATERIALS AND METHODS: Ninety-four households were randomly selected from the study area, which included a population of 213 individuals (10% of the total population of Pé de Areia, Bahia, Brazil). Clinical and epidemiological surveys were prospectively performed to detect cases of asymptomatic infections, acute VL, and subclinical VL, using the leishmanin skin test (LST), and serological response to two Leishmania-specific antigens: rK39 and rK26. RESULTS: Within the 92 households included in the study, the prevalence of Leishmania infection in individuals detected by positive serology was 91/197 (46.2%; 95% CI: 0.3937-0.5316) and by LST was 29/114 (25.4%; 95% CI: 0.1834-0.3414). Reactivity to both antigens was detected in 64/197 individuals (32.5%; 95% CI: 0.2634-0.3931). Among 89 individuals diagnosed with leishmaniasis, we found acute VL in one (1%), subclinical VL in 20 (22.5%), and asymptomatic Leishmania infection in 68 (76.4%) subjects. Use of repellents and bed nets showed no significant protection (prevalence ratio [PR] = 1.01, p = 1.0). Interestingly, individuals residing in houses with a sand backyard had significant protection against Leishmania infection (PR = 1.24, p = 0.049) compared to those with a different type or no backyard. Moreover, the presence of cat or dog at home was also not a risk factor (dog: PR = 1.14, 95% CI: 0.80-1.64; and cat: PR = 1.19, 95% CI: 0.78-1.81). We conclude that in newly discovered areas of transmission of L. infantum infection with sylvatic reservoirs, periodic surveys may be helpful in identifying risk factors for infection and optimizing prevention guidelines.

Avaliação da resposta imunológica da mucosa intestinal de frangos de corte desafiados com diferentes sorovares de Salmonella / Evaluation of immune response of the intestinal mucosa in broilers challenged with different Salmonella serovars

Objetivou-se com o presente estudo comparar o efeito de diferentes sorovares de Salmonella na resposta imune local da mucosa do intestino de frangos de corte. Aos sete dias de idade, as aves foram desafiadas com os sorovares S. Enteritidis, S. Typhimurium, S. Senftenberg, S. Mbandaka e S. Minnesota. Foi observado que todos os sorovares testados foram capazes de colonizar o intestino das aves sendo possível o isolamento de Salmonella em suabes de cloaca, 48 h após inoculação. De maneira geral, as aves do grupo controle negativo, que não foram desafiados apresentaram quantidade significativamente menor de células imunológicas na mucosa intestinal do que as aves desafiadas. Porém, verificou-se que os sorovares de Salmonella, utilizados neste estudo, apresentaram diferentes efeitos sobre a dinâmica celular da mucosa do íleo e ceco e afetaram de modo diferente o ganho de peso e ganho médio diário das aves demonstrando distintos graus de patogenicidade. Os sorovares Enteritidis e Typhimurium apresentaram um efeito mais intenso tanto no desempenho quanto na mobilização de células imunológicas na mucosa intestinal de frangos de corte.

The study was designed to compare the effect of different Salmonella serovars in immune response across the count of CD8+ cells, CD4+ cells, goblet cells and macrophages in the gut mucosa of broilers. During the experimental inoculation at 7 day-old were used Salmonella enterica subspecies enterica sorovars Enteritidis, Typhimurium, Senftenberg, Mbandaka and Minnesota. It was observed that all serovars tested were capable of contaminating the poultry being possible counts of Salmonella in cloacal swabs, 48 h after inoculation and into the crop and cecum, at 14 and 20 day-old. Serovars tested had different effects on broiler performance assessed at 20 days. In the mucosa of the ileum and cecum of broilers, it was observed that some of the serotypes increased CD8 + cells, CD4 + cells, goblet cells and macrophages compared to the negative control group both at 14 and at 20 day-old. S. Enteritidis and S. Typhimurium are the serovars that showed the more intense effect in live performance and in the immune system of birds showing pathogenic characteristic; generally the broilers of the negative control showed significantly less immune cells on the intestinal mucosa than broilers inoculated experimentally. However, it was found that the Salmonella serovars used in this study had different effects on the cellular dynamics of the mucosa of the ileum and cecum and differently affect weight gain and average daily gain of poultry showing different levels of pathogenicity.

Presence of Salmonella spp. in reused broiler litter / Presencia de Salmonella spp. en cama reutilizada de pollos de engorde / Presença de Salmonella spp. em cama reutilizada de frangos de corte

Background: reutilization of poultry litter for multiple broiler flocks is a common practice in modern production systems due to the increasing scarcity and cost of bedding materials, and the necessity to reduce environmental impact. However, this practice has been associated with sanitary risks, such as the presence of Salmonella spp. in broiler meat. Objective: a study was conducted to detect the presence of Salmonella spp. in reused litters. Methods: 1,280 litter samples from Midwestern Brazilian poultry farms were analyzed during seven consecutive flocks. Samples were collected from flocks aged 28 to 32 days. Disposable shoe covers were used for sample collections. Presence of Salmonella spp. was determined by microbiological isolation. During the interval period between flocks the litter was fermented prior to its reuse by covering it with a black plastic canvas for 7 days. Results: positive samples for Salmonella spp. decreased when the number of litter reuses increased compared with the first reuse of the litter. An anaerobic digestion process with biological and physicochemical changes in the litter material and microbial communities may explain the low survival of pathogenic bacteria such as Salmonella spp. Conclusions: our study demonstrates that litter reused after the fermentation process is a safe and recommended practice to reduce the presence of Salmonella spp.

Antecedentes: la reutilización de la cama de pollos de engorde es una práctica común en el sistema moderno de producción avícola, sustentada por la reducción en el impacto ambiental, escasez de este material y disminución de costos de producción. Sin embargo, esta reutilización se ha asociado con riesgos sanitarios, tales como presencia de Salmonella spp. en los lotes de pollo. Objetivo: se realizó un estudio con el fin de detectar la presencia de Salmonella spp. en camas reutilizadas y fermentadas de pollos de engorde pertenecientes a granjas comerciales. Métodos: se analizaron 1280 muestras de cama de diversas granjas avícolas ubicadas en el centro oeste de Brasil durante siete lotes consecutivos de pollos. Las muestras de cama fueron tomadas de galpones con aves entre los 28 y 32 días de edad, utilizando polainas. La presencia de Salmonella spp. se determinó mediante aislamiento microbiológico. Durante el intervalo entre lotes, la cama fue fermentada antes de cada reutilización cubriendo la superficie entera de la cama con una lona de plástico negra por siete días. Resultados: fue observada una disminución en las muestras positivas para Salmonella con la reutilización y fermentación de las camas entre lotes, significativa con respecto al primer reuso. Esto indica que puede estar ocurriendo un proceso de digestión anaeróbica que conduce a que los procesos biológicos y físico-químicos entre el material de la cama y la comunidad microbiana allí presentes, estén afectando la supervivencia de bacterias patógenas como Salmonella. Conclusiones: nuestro estudio demuestra que la reutilización de la cama es una práctica segura y recomendable cuando se realiza después del proceso de fermentación, debido a que reduce la presencia de Salmonella spp.

Antecedentes: a reutilização de cama aviária por vários lotes é uma prática moderna do sistema de produção de aves, baseada na redução do impacto ambiental, escassez de este material e diminuição nos custos de produção. Porém, dita prática é associada com riscos sanitários como a presença de patógenos como Salmonella spp. nos lotes de frango. Objetivo: uma pesquisa foi realizada para detectar a presença de Salmonella spp. na cama reutilizada e fermentada de produtores de frango. Métodos: foram analisadas 1280 amostras de cama de diferentes produtores do Centro-oeste do Brasil durante sete lotes consecutivos. As amostras de cama foram coletadas com aves na idade entre 28 e 32 dias usando pró-pés descartáveis e a presença de Salmonella spp. foi determinada por isolamento bacteriológico. Durante o intervalo dos lotes a cama foi tratada antes da reutilização por meio da cobertura através de uma lona plástica preta em toda a superfície interna do aviário por sete dias. Resultados: foi observada uma diminuição no número de amostras positivas de Salmonella spp. com a reutilização e fermentação das camas entre os lotes, significativa em relação ao primeiro reuso. Isto indica que o processo de reutilização, seguido de fermentação anaeróbia do material da cama pela comunidade de microrganismos afetou a sobrevivência de bactérias patogênicas como Salmonella spp. Conclusões: este estudo evidencia que o reuso da cama é seguro e recomendado quando realizado após o processo de fermentação no intervalo do lote, devido a que diminui a presença de Salmonella spp.

Transfusion strategies for acute upper gastrointestinal bleeding.

BACKGROUND: The hemoglobin threshold for transfusion of red cells in patients with acute gastrointestinal bleeding is controversial. We compared the efficacy and safety of a restrictive transfusion strategy with those of a liberal transfusion strategy. METHODS: We enrolled 921 patients with severe acute upper gastrointestinal bleeding and randomly assigned 461 of them to a restrictive strategy (transfusion when the hemoglobin level fell below 7 g per deciliter) and 460 to a liberal strategy (transfusion when the hemoglobin fell below 9 g per deciliter). Randomization was stratified according to the presence or absence of liver cirrhosis. RESULTS: A total of 225 patients assigned to the restrictive strategy (51%), as compared with 61 assigned to the liberal strategy (14%), did not receive transfusions (P<0.001) [corrected].The probability of survival at 6 weeks was higher in the restrictive-strategy group than in the liberal-strategy group (95% vs. 91%; hazard ratio for death with restrictive strategy, 0.55; 95% confidence interval [CI], 0.33 to 0.92; P=0.02). Further bleeding occurred in 10% of the patients in the restrictive-strategy group as compared with 16% of the patients in the liberal-strategy group (P=0.01), and adverse events occurred in 40% as compared with 48% (P=0.02). The probability of survival was slightly higher with the restrictive strategy than with the liberal strategy in the subgroup of patients who had bleeding associated with a peptic ulcer (hazard ratio, 0.70; 95% CI, 0.26 to 1.25) and was significantly higher in the subgroup of patients with cirrhosis and Child-Pugh class A or B disease (hazard ratio, 0.30; 95% CI, 0.11 to 0.85), but not in those with cirrhosis and Child-Pugh class C disease (hazard ratio, 1.04; 95% CI, 0.45 to 2.37). Within the first 5 days, the portal-pressure gradient increased significantly in patients assigned to the liberal strategy (P=0.03) but not in those assigned to the restrictive strategy. CONCLUSIONS: As compared with a liberal transfusion strategy, a restrictive strategy significantly improved outcomes in patients with acute upper gastrointestinal bleeding. (Funded by Fundació Investigació Sant Pau; ClinicalTrials.gov number, NCT00414713.).

Comprehensive management of diffuse leiomyomatosis in a patient with Alport syndrome.

Alport syndrome with diffuse leiomyomatosis (ASDL) is a complex combination that doesn't have a specific course of treatment. In this case report, we present a 44-year-old woman with ASDL and detail her treatment. The patient presented at the emergency room (ER) with symptoms of anemia, bronchial asthma, and abnormal uterine bleeding (AUB). The patient had diffuse myomas in different areas of her body, including the esophagus and genital tract. She was treated by a multidisciplinary team that included members from the hematology/oncology, pulmonary, interventional radiology, anesthesia, surgery, and gynecology services. A physician from interventional radiology performed an embolization of the uterine arteries to treat the patient's AUB. Surgery was done in May 2011 to remove the esophageal leiomyomas to improve her pulmonary function. Surgery included a distal esophagectomy, a proximal gastrostomy, and the resection of the leiomyomatous mass. In order to shrink the tumor in her genito pelvic region so that it could be extirpated with the highest likelihood of success, the patient was treated with gonadotropin-releasing hormone agonist (leuprolide acetate, 3.75 mg/month for 4 months). In May 2012, the patient had a total abdominal hysterectomy (TAH), with a bilateral salpingo-ophorectomy (BSO), the excision of a leiomyoma, and a posterior colporrhaphy.

Anticuerpos contra células del trofoblasto en el primer trimestre del embarazo / Antibodies against trophoblast cells in the first quarter of pregnancy

Las células del trofoblasto no expresan los antígenos HLA clásicos de clase I (A, B, C), pero sí los antígenos HLA G que pueden generar anticuerpos capaces de tener reacción cruzada con los primeros. Se estudiaron 24 mujeres en el primer trimestre del embarazo, sin antecedentes de embarazos o transfusiones de sangre, con anticuerpos reactivos contra leucocitos, plaquetas o ambos (9 antigranulocitarios y 15 anti-HLA), para determinar la presencia de anticuerpos antitrofoblasto, mediante técnica de inmunofluorescencia indirecta en lámina. El 54,16 por ciento presentó anticuerpos antitrofoblasto. El 86,66 por ciento de las embarazadas con anticuerpos anti-HLA, presentó anticuerpos contra trofoblasto, mientras que ninguno de los sueros con anticuerpos específicos de granulocitos reaccionó con las células trofoblásticas (p=0,00). Después de la adsorción con tejido trofoblástico, los sueros con anticuerpos con especificidad granulocitaria mantuvieron la reactividad con leucocitos de sangre periférica, y solo 2 de los que presentaban especificidad HLA. Los resultados sugieren que la mayoría de los anticuerpos anti-HLA, reactivos con leucocitos, plaquetas o ambos, pueden estar dirigidos contra antígenos HLA-G del trofoblasto y muestran reacción cruzada con los antígenos HLA leucocitarios, lo cual favorece el bloqueo de la respuesta de los leucocitos maternos contra las células fetales, lo que pudiera explicar, además, la alta prevalencia de anticuerpos anti-HLA en el embarazo temprano

Trophoblast cells do not express classical HLA class I antigens (A, B, C), but they do express HLA G antigens which may generate antibodies capable of cross-reacting with the former. A study was conducted of 24 women in the first quarter of pregnancy, with no previous pregnancies or blood transfusions, with reactive antibodies against leukocytes, platelets or both (9 antigranulocytary and 15 anti-HLA), to determine the presence of antitrophoblast antibodies, by plate indirect immunofluorescence technique. 54.16 percent had antitrophoblast antibodies. 86.66 percent of the pregnant women with anti-HLA antibodies had antibodies against the trophoblast, whereas none of the sera with granulocyte specific antibodies reacted with trophoblastic cells (p=0,00). Following adsorption with trophoblastic tissue, the sera with antibodies showing granulocyte specificity remained reactive with peripheral blood leukocytes, as opposed to just 2 of those showing HLA specificity. Results suggest that most anti-HLA antibodies reactive with leukocytes, platelets or both, may be aimed against trophoblast HLA-G antigens, and cross-react with leukocyte HLA antigens, which facilitates blockage of the response of maternal leukocytes against fetal cells. This may also explain the high prevalence of anti-HLA antibodies during early pregnancy

Actualización sobre la cardiogénesis y epidemiología de las cardiopatías congénitas / Update on cardiogenesis and congenital heart diseases epidemiology

Las Cardiopatías Congénitas representan la mitad de los defectos congénitos, con una prevalencia que oscila entre 8 y 12 por mil nacidos. Estas se producen por fallas en la embriogénesis cardiaca, fundamentalmente entre la quinta y décima semanas de vida prenatal, período considerado de máxima vulnerabilidad teratogénica. La etiología de estos defectos obedece a factores genéticos, ambientales y multifactoriales, otorgándosele importancia a factores provenientes del medio, como forma de prevención de alguno de ellos. Existen tres niveles de prevención: el primario o preconcepcional, el secundario o prenatal y terciario o postnatal, de ellos el más importante es el primero, a través de la promoción de estilos de vida y comportamientos saludables de la población femenina en edad fértil.

Congenital heart diseases represent half of the congenital defects, with prevalence between 8 and 12 per thousand born children. They are the result of heart embryogenesis failures, mainly between the 5 th and the 10 th weeks of prenatal life, period that is considered of maximal teratogenic vulnerability. The etiology of these defects is due to genetic, environmental and multifactorial factors, giving special attention to the environmental ones, as a form of preventing some of them. There are three prevention levels: the primary or pre-conceptional one, the secondary or prenatal and the tertiary or postnatal. The first one is the most important, promoting healthy behaviors and health stiles in fertile age women population.