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1.
Nat Mater ; 21(2): 188-194, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34857910

RESUMO

The Josephson effect results from the coupling of two superconductors across a spacer such as an insulator, a normal metal or a ferromagnet to yield a phase coherent quantum state. However, in junctions with ferromagnetic spacers, very long-range Josephson effects have remained elusive. Here we demonstrate extremely long-range (micrometric) high-temperature (tens of kelvins) Josephson coupling across the half-metallic manganite La0.7Sr0.3MnO3 combined with the superconducting cuprate YBa2Cu3O7. These planar junctions, in addition to large critical currents, display the hallmarks of Josephson physics, such as critical current oscillations driven by magnetic flux quantization and quantum phase locking effects under microwave excitation (Shapiro steps). The latter display an anomalous doubling of the Josephson frequency predicted by several theories. In addition to its fundamental interest, the marriage between high-temperature, dissipationless quantum coherent transport and full spin polarization brings opportunities for the practical realization of superconducting spintronics, and opens new perspectives for quantum computing.

2.
Nano Lett ; 19(2): 652-657, 2019 02 13.
Artigo em Inglês | MEDLINE | ID: mdl-30398889

RESUMO

Semiconductor nanowires featuring strong spin-orbit interactions (SOI), represent a promising platform for a broad range of novel technologies, such as spintronic applications or topological quantum computation. However, experimental studies into the nature and the orientation of the SOI vector in these wires remain limited despite being of upmost importance. Typical devices feature the nanowires placed on top of a substrate which modifies the SOI vector and spoils the intrinsic symmetries of the system. In this work, we report experimental results on suspended InAs nanowires, in which the wire symmetries are fully preserved and clearly visible in transport measurements. Using a vectorial magnet, the nontrivial evolution of weak antilocalization (WAL) is tracked through all 3D space, and both the spin-orbit length l SO and coherence length lφ are determined as a function of the magnetic field magnitude and direction. Studying the angular maps of the WAL signal, we demonstrate that the average SOI within the nanowire is isotropic and that our findings are consistent with a semiclassical quasi-1D model of WAL adapted to include the geometrical constraints of the nanostructure. Moreover, by acting on properly designed side gates, we apply an external electric field introducing an additional vectorial Rashba spin-orbit component whose strength can be controlled by external means. These results give important hints on the intrinsic nature of suspended nanowire and can be interesting for the field of spintronics as well as for the manipulation of Majorana bound states in devices based on hybrid semiconductors.

3.
Nano Lett ; 17(4): 2336-2341, 2017 04 12.
Artigo em Inglês | MEDLINE | ID: mdl-28231001

RESUMO

We investigate the metallic phases observed in hybrid metal-GaAs nanowire devices obtained by controlled thermal annealing of Ni/Au electrodes. Devices are fabricated onto a SiN membrane compatible with transmission electron microscopy studies. Energy dispersive X-ray spectroscopy allows us to show that the nanowire body includes two Ni-rich phases that thanks to an innovative use of electron diffraction tomography can be unambiguously identified as Ni3GaAs and Ni5As2 crystals. The mechanisms of Ni incorporation leading to the observed phenomenology are discussed.

4.
Nano Lett ; 16(12): 7950-7955, 2016 12 14.
Artigo em Inglês | MEDLINE | ID: mdl-27960509

RESUMO

We demonstrate tunable bistability and a strong negative differential resistance in InAs/GaSb core-shell nanowire devices embedding a radial broken-gap heterojunction. Nanostructures have been grown using a catalyst-free synthesis on a Si substrate. Current-voltage characteristics display a top peak-to-valley ratio of 4.8 at 4.2 K and 2.2 at room temperature. The Esaki effect can be modulated-or even completely quenched-by field effect, by controlling the band bending profile along the azimuthal angle of the radial heterostructure. Hysteretic behavior is also observed in the presence of a suitable resistive load. Our results indicate that high-quality broken-gap devices can be obtained using Au-free growth.

5.
Sci Rep ; 6: 30621, 2016 07 28.
Artigo em Inglês | MEDLINE | ID: mdl-27466216

RESUMO

The control and measurement of local non-equilibrium configurations is of utmost importance in applications on energy harvesting, thermoelectrics and heat management in nano-electronics. This challenging task can be achieved with the help of various local probes, prominent examples including superconducting or quantum dot based tunnel junctions, classical and quantum resistors, and Raman thermography. Beyond time-averaged properties, valuable information can also be gained from spontaneous fluctuations of current (noise). From these perspective, however, a fundamental constraint is set by current conservation, which makes noise a characteristic of the whole conductor, rather than some part of it. Here we demonstrate how to remove this obstacle and pick up a local noise temperature of a current biased diffusive conductor with the help of a miniature noise probe. This approach is virtually noninvasive for the electronic energy distributions and extends primary local measurements towards strongly non-equilibrium regimes.

6.
Oral Implantol (Rome) ; 9(1): 11-16, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-28042426

RESUMO

OBJECTIVE: In this study we tested two different type of implant systems that were selected on the basis of differences in macrogeometry of platform switching in order to evaluate the behavior in term of BIC on the platform. MATERIAL AND METHOD: The patients were divided in two groups (Group I and II); group I was composed by 4 patients that each received in the posterior areas of mandible one type A implant (3,6 mm in diameter and 6,5 mm in length GTBPlan1Health Amaro (UD) Italy) one type B implant (4 mm in diameter and 8 mm in length OsseoSpeed Astra Tech, Dentsply Molndal, Sweden). Group II was composed by 3 patients that each received in the posterior areas of jawsbone one type A implant [3,6 mm in diameter and 6,5 mm in length GTB- Plan1Health Amaro, (UD), Italy] one type B implant (4 mm in diameter and 8 mm in length OsseoSpeed Astra Tech, Dentsply Molndal, Sweden). All the implants were placed, by the same operator, in equicrestal position using "one stage" technique with a healing abutment at an adequate gingival height. After 12 weeks of healing all the implants of both groups were harvested with the peri-implant bone tissues. BIC upon platform was calculated considering as implant surface the platform length. RESULTS: Our results showed that the mean percentage of BIC value related to platform surface placed in equicrestal position was higher in patients with type A implant than patients receiving type B implant independently from mandibular or maxillary positions. Moreover the mean percentage of BIC related to platform surface was significantly (p<0.05) higher in Group II/A than Group I/A. CONCLUSIONS: Our data highlights that the particular features of the Bioplatform of Type A implant systems guarantee a higher value of BIC even if the implants were placed equicrestally.

8.
Sci Rep ; 5: 17229, 2015 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-26673351

RESUMO

The blocking of ion transport at interfaces strongly limits the performance of electrochemical nanodevices for energy applications. The barrier is believed to arise from space-charge regions generated by mobile ions by analogy to semiconductor junctions. Here we show that something different is at play by studying ion transport in a bicrystal of yttria (9% mol) stabilized zirconia (YSZ), an emblematic oxide ion conductor. Aberration-corrected scanning transmission electron microscopy (STEM) provides structure and composition at atomic resolution, with the sensitivity to directly reveal the oxygen ion profile. We find that Y segregates to the grain boundary at Zr sites, together with a depletion of oxygen that is confined to a small length scale of around 0.5 nm. Contrary to the main thesis of the space-charge model, there exists no evidence of a long-range O vacancy depletion layer. Combining ion transport measurements across a single grain boundary by nanoscale electrochemical strain microscopy (ESM), broadband dielectric spectroscopy measurements, and density functional calculations, we show that grain-boundary-induced electronic states act as acceptors, resulting in a negatively charged core. Besides the possible effect of the modified chemical bonding, this negative charge gives rise to an additional barrier for ion transport at the grain boundary.

9.
Nano Lett ; 15(11): 7526-31, 2015 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-26441137

RESUMO

The design of artificial vortex pinning landscapes is a major goal toward large scale applications of cuprate superconductors. Although disordered nanometric inclusions have shown to modify their vortex phase diagram and to produce enhancements of the critical current ( MacManus-Driscoll , J. L. ; Foltyn , S. R. ; Jia , Q. X. ; Wang , H. ; Serquis , A. ; Civale , L. ; Maiorov , B. ; Hawley , M. E. ; Maley , M. P. ; Peterson , D. E. Nat. Mater. 2004 , 3 , 439 - 443 and Yamada , Y. ; Takahashi , K. ; Kobayashi , H. ; Konishi , M. ; Watanabe , T. ; Ibi , A. ; Muroga , T. ; Miyata , S. ; Kato , T. ; Hirayama , T. ; Shiohara , Y. Appl. Phys. Lett. 2005 , 87 , 1 - 3 ), the effect of ordered oxide nanostructures remains essentially unexplored. This is due to the very small nanostructure size imposed by the short coherence length, and to the technological difficulties in the nanofabrication process. Yet, the novel phenomena occurring at oxide interfaces open a wide spectrum of technological opportunities to interplay with the superconductivity in cuprates. Here, we show that the unusual long-range suppression of the superconductivity occurring at the interface between manganites and cuprates affects vortex nucleation and provides a novel vortex pinning mechanism. In particular, we show evidence of commensurate pinning in YBCO films with ordered arrays of LCMO ferromagnetic nanodots. Vortex pinning results from the proximity induced reduction of the condensation energy at the vicinity of the magnetic nanodots, and yields an enhanced friction between the nanodot array and the moving vortex lattice in the liquid phase. This result shows that all-oxide ordered nanostructures constitute a powerful, new route for the artificial manipulation of vortex matter in cuprates.

10.
Oral Implantol (Rome) ; 8(4): 87-95, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-28042421

RESUMO

OBJECTIVE: Many factors could affect the osseous healing of implants such as surface topography of biomaterial, the status of the bone/implant site, implant loading conditions, surgical technique and implant design. The aim of this study was to analyze the BIC of 2 different implants systems characterized by different micro and macrogeometry, that were placed in the posterior maxillary and mandibular jaws of humans, clinically unloaded and retrieved for histomorphometric analyses after 12 weeks. MATERIAL AND METHOD: The patients were divided in two groups (Group I and II); group I was composed by 4 patients that each received in the posterior areas of mandible one type A implant [GTB-Plan1Health Amaro (UD) Italy] one type B implant (OsseoSpeed Astra Tech, Dentsply Molndal, Sweden). Group II was composed by 3 patients that each received in the posterior areas of jawsbone one type A implant [GTB-Plan1Health Amaro (UD) Italy] one type B implant (OsseoSpeed Astra Tech, Dentsply Molndal, Sweden). After 12 weeks of healing all the implants of both groups were harvested with the peri-implant bone tissues. Osseointegration process was evaluated throughout measurements of BIC. RESULTS: No statistical significance differences were found among the mean percentage of BIC of Group I - type A were 66,51% versus 49,96% in Group I - type B, as well as among the mean percentage of BIC of Group II - type A were 43.7% versus 60.02% in Group II - type B. CONCLUSIONS: Our results highlight that the mean percentage of BIC after 12 weeks from the implants placement without functional loading is not influenced by the composition of the implant surface.

11.
G Ital Med Lav Ergon ; 32(4): 458-60, 2010.
Artigo em Italiano | MEDLINE | ID: mdl-21086704

RESUMO

INTRODUCTION: In the past the role of women was mainly that of wife and mother, over the centuries, this role has changed: women assert themselves in every social field and workplace. OBJECTIVES: Analyze the history of women's work, from prehistory to the present day highlighting the evolution of women's role over the centuries. Identify which may be the different occupational stressors, in particular the organizational and psycho-social ones, to which is submitted a working woman. MATERIALS AND METHODS: The authors have analyzed the most relevant data from literature, in particular on the issue of mental health. RESULTS: Provide the main forms of prevention that have to be implemented. DISCUSSION: The main challenge for women today, is to balance work outside the home and housework. This added to job stressors, may interfere with the psychological and physical wellbeing of the worker.


Assuntos
Saúde Ocupacional , Saúde da Mulher , Feminino , Humanos
12.
Oral Implantol (Rome) ; 2(1): 11-8, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23285353

RESUMO

Presentation of a clinical case characterized by an atrophic degeneration in the superior maxilla which is very common to observe in the daily routine and wants to demonstrate the excellent results achieved with bone regeneration procedures by using grafting material of a homologous derivation, in this case of a particulate type. In view of the results in here presented and of those achieved in more than 10 years of clinical experience with homologous material, it can be considered an excellent alternative to the autologous grating procedures; and this also thanks to the clinical and histologic behaviour that this material has previously showed in the orthopedic field. The simplicity of the surgical procedures, the reduced invasivity for the patient and the possibility for the clinician to regenerate even the smaller defects contestually to implants insertion, allow many clinicians to benefit of this technique in their own practices.

13.
Oral Implantol (Rome) ; 2(2): 28-33, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23285360

RESUMO

AIM OF THE WORK: Aim of this work is to evaluate the efficacy of the Partsch I surgical technique which is considered to be first choice in the treatment of cystic lesions according to the international literature and also to evaluate the regeneration capacity of the bone tissue without any grafting procedure. MATERIALS AND METHODS: The patient reported pain in the second quadrant. The objective intraoral examination showed a swelling which was of a hard-elastic consistency and, the x-ray, opt and ct scan exams showed an osteolitic lesion which expanded from the element 2.3 to the elment 2.6 involving the maxillary sinus, too. The lesion was removed by the Partsch I method after disinfecting and shaping the radicular canals of the 2.3 element. It was assessed that the maxillary sinus requested no treatment for the presence of a thin cortical layer residue. The removed neoformation was then sent to the Anatomy and Histology Pathology Service. RESULTS: The histologic test confirmed the radicular origin of the odontogenic neoformation containing a necrotic-hemorrhage. Clinically the post-operative course showed no complications, with a good healing of the bone tissue and there was no oral-antral communications. CONCLUSIONS: The clinical results obtained confirmed the validity of the enucleation technique in the treatment of cystic neoformations. Such approach has always to be preferred because it presents no intraoperative risks, especially for what it concerns the post-operative course. It has also been confirmed the great capacity for the bone tissue to regenerate following the organization of the hematic coagulum.

14.
Oral Implantol (Rome) ; 1(1): 34-42, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23285334

RESUMO

The aim of the present study was to compare two implant surfaces, the TiOblast (Astra Tech) surface, manufactured by blasting the surface and already present in literature and the Osseospeed (Astra Tech) surface, manufactured by blasting and treating the surface with fluoride ions and recently launched onto the market with the modified surfaces of the latest generation. This study is part of a more extensive research project whose protocol required the insertion of 10 couples of implants; thus in the present discussion partial data are being taken into consideration, with an eye at collecting more data in the future, regarding both microscopy and histomorphometric histological analysis on 5 couples of implants. The purpose of the study is to investigate how the modified surfaces of the latest generation can guarantee a greater osseointegration both from a qualitative and quantitative level compared to the surfaces presently used and that they may represent the first example of "bioactivity", that is, an active interaction with the processes of new bone formation and tissue healing.

15.
Oral Implantol (Rome) ; 1(3-4): 116-23, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23285347

RESUMO

Implant supported rehabilitation of thin edentulous ridges with horizontal atrophy necessitates a regenerative approach. Within the procedures for horizontal bone defects augmentation, ridge expansion techniques permit dislocation of the buccal bone plate in a labial direction and simultaneous implant insertion in single-stage surgery, abbreviating overall treatment time.The piezoelectric ridge expansion technique permits to obtain the expansion of very mineralized bone crests without excessive traumas or the risk of ridge fractures. The case reported shows an implant treatment for partial edentulous lower arch rehabilitation. A full-split thickness flap was raised. The mucoperiosteal reflection permitted to identify alveolar crest contour where osteotomies had to be performed. Split thickness dissection allowed periosteal blood supply to be mainteined on the buccal bone plate. After horizontal and vertical osteotomies were performed with OT7 piezoelectric microsaw (Piezo-surgery, Mectron), a single-bevel scalpel was used to move the buccal bone plate to the labial. Two Straumann TE 3.3/4.8 mm wide implants were inserted in the lower right premolar area, and 1 Straumann 4.8 mm Wide Neck implant was inserted to replace lower right first molar. The amount of bone expansion was equal to the cervical diameter of the placed implants (4.8 mm) and residual bone gap was packed with Bio-Oss granules (Geistlich). Healing was uneventful and 3 months later final restorations with implant-supported porcelain-fused-to-metal crowns were cemented.

16.
Pharmacogenetics ; 11(4): 349-55, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11434513

RESUMO

Midazolam (MDZ) total clearance (ClT) is widely used for cytochrome P450 3A (CYP3A) phenotyping, but requires up to eight blood samples. This study was conducted to compare the use of midazolam ClT to use of a midazolam urinary metabolic ratio for CYP3A phenotyping. Ten male and 10 female subjects received i.v. midazolam 0.025 mg/kg eight times over a 4-month period at approximately 2-week intervals. The first six phenotyping measures were used to estimate baseline CYP3A activity, then subjects received the moderate CYP3A inhibitor fluvoxamine 150 mg/day for the last 4 weeks (two phenotyping visits) of the study. Serial blood samples were obtained for calculation of ClT. Urine was collected for 6 h following each midazolam dose. Midazolam, 1'-hydroxymidazolam (1-OHMDZ), and 4-hydroxymidazolam were measured in plasma and urine by liquid chromatography with tandem mass spectrometry (LC/MS/MS). Analysis of 148 samples from 20 subjects revealed a weak overall correlation between the urinary ratio of 1-OHMDZ/MDZ to midazolam ClT of r(s) = 0.372 (P = 0.0001). There was no correlation when examining either baseline samples or fluvoxamine-inhibited samples alone (r(s) = 0.101, P = 0.289 and r(s) = 0.266, P = 0.123, respectively). The median (range) urinary ratio decreased significantly with fluvoxamine [219 (141-409) versus 127 (50-464); P = 0.005] and to a similar extent to the midazolam ClT (-33.6% versus -42.4%, respectively; P > 0.05). Median urinary recovery of the i.v. midazolam dose varied between 1.4% and 53% and was significantly lower in samples collected while patients were receiving fluvoxamine (34.3% versus 23.1%; P= 0.0004). Based on these results, although this midazolam urinary ratio was not very reflective of baseline CYP3A activity, it may be a useful indicator of CYP3A inhibition.


Assuntos
Hidrocarboneto de Aril Hidroxilases , Sistema Enzimático do Citocromo P-450/genética , Sistema Enzimático do Citocromo P-450/metabolismo , Midazolam/urina , Oxirredutases N-Desmetilantes/genética , Oxirredutases N-Desmetilantes/metabolismo , Adulto , Citocromo P-450 CYP3A , Inibidores das Enzimas do Citocromo P-450 , Inibidores Enzimáticos/farmacologia , Feminino , Fluvoxamina/farmacologia , Humanos , Fígado/enzimologia , Masculino , Taxa de Depuração Metabólica , Midazolam/sangue , Midazolam/farmacocinética , Oxirredutases N-Desmetilantes/antagonistas & inibidores , Fenótipo
17.
Clin Pharmacol Ther ; 64(3): 257-68, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9757149

RESUMO

OBJECTIVE: To determine the effect of 150 mg/day fluvoxamine on the activities of CYP1A2, CYP2D6, CYP3A, N-acetyltransferase-2 (NAT2), and xanthine oxidase (XO) by phenotyping with caffeine, dextromethorphan, and midazolam. METHODS: Oral caffeine (2 mg/kg), oral dextromethorphan (30 mg), and intravenous midazolam (0.025 mg/kg) were administered to 10 white male volunteers every 14 days for 4 months and to 10 white premenopausal female volunteers during the midfollicular and midluteal phases of the menstrual cycle for 4 complete cycles (8 total phenotyping measures). The first 6 phenotyping measures were used to establish baseline activity. Subjects were given 150 mg/day fluvoxamine for the fourth month or cycle of the study. Enzyme activity for CYP1A2, CYP2D6, NAT2, and XO was expressed as urinary metabolite ratios. Midazolam plasma clearance was used to express CYP3A activity. RESULTS: No difference between baseline and weeks 2 and 4 of fluvoxamine therapy was observed for NAT2 or XO metabolite ratios. For CYP1A2, CYP2D6, and CYP3A phenotypes, significant differences existed between baseline and fluvoxamine therapy. For CYP1A2, the mean urinary metabolite ratio (+/-SD) was 7.53 +/- 7.44 at baseline and 4.30 +/- 2.82 with fluvoxamine ( P = .012). Mean CYP2D6 molar urinary dextromethorphan ratios before and after fluvoxamine therapy were 0.00780 +/- 0.00694 and 0.0153 +/- 0.0127, respectively (P = .011). Midazolam clearance decreased from 0.0081 +/ 0.0024 L/min/kg at baseline to 0.0054 +/- 0.0021 L/min/kg with therapy (P = .0091). For CYP1A2, CYP2D6, and CYP3A, fluvoxamine therapy changed the phenotyping measures by a median of -44.4%, 123.5%, and -34.4%, respectively. CONCLUSIONS: We concluded that fluvoxamine may cause significant inhibition of CYP1A2, CYP2D6, and CYP3A activity. This metabolic inhibition may have serious implications for a variety medications.


Assuntos
Acetiltransferases/efeitos dos fármacos , Ansiolíticos/farmacologia , Hidrocarboneto de Aril Hidroxilases , Inibidores das Enzimas do Citocromo P-450 , Fluvoxamina/farmacologia , Fenótipo , Inibidores Seletivos de Recaptação de Serotonina/farmacologia , Xantina Oxidase/efeitos dos fármacos , Adulto , Antitussígenos/metabolismo , Cafeína/metabolismo , Estimulantes do Sistema Nervoso Central/metabolismo , Inibidores do Citocromo P-450 CYP1A2 , Inibidores do Citocromo P-450 CYP2D6 , Citocromo P-450 CYP3A , Dextrometorfano/metabolismo , Feminino , Genótipo , Humanos , Hipnóticos e Sedativos/metabolismo , Masculino , Midazolam/metabolismo , Oxirredutases N-Desmetilantes/antagonistas & inibidores , Valores de Referência , Fatores de Tempo
18.
Clin Pharmacol Ther ; 64(3): 269-77, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9757150

RESUMO

OBJECTIVE: Intraindividual variability and the effects of sex and menstrual cycle phase on CYP3A activity were evaluated by phenotyping with use of midazolam as the probe drug. METHODS: Midazolam (0.025 mg/kg) was administered intravenously to 10 white male volunteers every 14 days for 3 months and to 10 white premenopausal female volunteers during the midfollicular and midluteal phases of the menstrual cycle for 3 complete cycles. Serum was collected for a 6-hour period, and enzyme activity was represented by midazolam plasma clearance. RESULTS: No difference in clearance was observed during the menstrual cycle phases. Mean +/- SD midazolam clearance was 0.00816 +/- 0.00252 L/min/kg during the midfollicular phase and 0.00818 +/- 0.00224 during the midluteal phase (P = .96). When the menstrual cycle phases were combined, mean midazolam clearance in women was 0.00817 +/- 0.00235 L/min/kg. Mean male midazolam clearance was 0.00766 +/ 0.00167 L/min/kg. There was no difference in midazolam clearance between men and women (P = .68). Coefficients of variation (CV%) for the 6 phenotyping visits were calculated and the median midazolam clearance CV% (25th to 75th percentile) was 9.75% (8.40% to 11.5%). CONCLUSIONS: Because no significant differences in midazolam clearance were noted between menstrual cycle phases or between sexes, pharmacokinetic and clinical investigations of CYP3A activity in adults may not require stratification on the basis of menstrual cycle phase or sex.


Assuntos
Hidrocarboneto de Aril Hidroxilases , Sistema Enzimático do Citocromo P-450/metabolismo , Hipnóticos e Sedativos/sangue , Ciclo Menstrual/fisiologia , Midazolam/sangue , Oxirredutases N-Desmetilantes/metabolismo , Adulto , Citocromo P-450 CYP3A , Feminino , Fase Folicular/fisiologia , Humanos , Hidroxilação , Infusões Intravenosas , Fase Luteal/fisiologia , Masculino , Pessoa de Meia-Idade , Fenótipo , Valores de Referência , Caracteres Sexuais , Fatores de Tempo
19.
Transplantation ; 61(7): 1072-5, 1996 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-8623188

RESUMO

The presence of human cytomegalovirus DNA was investigated in 103 unfixed endomyocardial biopsies, performed during the first 4 months in 17 heart transplant recipients by polymerase chain reaction. Results were correlated with human cytomegalovirus systemic infection, as detected by the test for the viral lower matrix phosphoprotein pp65 (antigenemia) and by polymerase chain reaction for viral DNA in blood leukocytes (DNAemia). Three patients out of 17 did not develop cytomegalovirus infection and 14 did: 5 had symptomatic disease treated with ganciclovir and 9 developed asymptomatic infection and were not treated. Viral DNA was detected in 24 out of 103 biopsies (23%) from 13 patients: 5 with symptomatic infection during the acute phase of disease (mean levels of pp65: 125+/-232 pp65 positive leukocytes/200,000 examined cells) and 8 patients with asymptomatic infection when the mean antigenemia was 5+/-15/200,000 (4 patients) or when DNAnemia was present in the blood (4 patients). No histological evidence of myocarditis was shown in viral DNA-positive biopsies. No difference in acute rejection was found in viral DNA-positive and DNA-negative biopsy specimens in symptomatic and asymptomatic infected patients. Our experience suggests that during systemic symptomatic and asymptomatic cytomegalovirus infection, polymerase chain reaction can detect a relatively frequent myocardial involvement, but this involvement is not associated with myocarditis or with a higher incidence of acute rejection. THe presence of viral DNA in myocardial biopsies can be a result of high viremia, but it also can be due to low level of viral DNA in circulating infected leukocytes. Polymerase chain reaction is the most sensitive method for cytomegalovirus DNA detection in biopsies, but its results need to be evaluated together with morphology-preserving methods and systemic markers of infection in order to make a correct diagnosis.


Assuntos
Antígenos Virais/sangue , Infecções por Citomegalovirus/diagnóstico , DNA Viral/sangue , Transplante de Coração/efeitos adversos , Coração/virologia , Fosfoproteínas/sangue , Reação em Cadeia da Polimerase , Proteínas da Matriz Viral/sangue , Animais , Sequência de Bases , Citomegalovirus/genética , Citomegalovirus/imunologia , Humanos , Dados de Sequência Molecular , Coelhos
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