Penetrance of the TP53 R337H Mutation and Pediatric Adrenocortical Carcinoma Incidence Associated with Environmental Influences in a 12-Year Observational Cohort in Southern Brazil.

The TP53 R337H mutation is associated with increased incidence of pediatric adrenocortical tumor (ACT). The different environmental conditions where R337H carriers live have not been systematically analyzed. Here, the R337H frequencies, ACT incidences, and R337H penetrance for ACT were calculated using the 2006 cohort with 4165 R337H carriers living in Paraná state (PR) subregions. The effectiveness of a second surveillance for R337H probands selected from 42,438 tested newborns in PR (2016 cohort) was tested to detect early stage I tumor among educated families without periodical exams. Estimation of R337H frequencies and ACT incidence in Santa Catarina state (SC) used data from 50,115 tested newborns without surveillance, ACT cases from a SC hospital, and a public cancer registry. R337H carrier frequencies in the population were 0.245% (SC) and 0.306% (PR), and 87% and 95% in ACTs, respectively. The ACT incidence was calculated as ~6.4/million children younger than 10 years per year in PR (95% CI: 5.28; 7.65) and 4.15/million in SC (CI 95%: 2.95; 5.67). The ACT penetrance in PR for probands followed from birth to 12 years was 3.9%. R337H carriers living in an agricultural subregion (C1) had a lower risk of developing pediatric ACT than those living in industrial and large urban subregion (relative risk = 2.4). One small ACT (21g) without recurrence (1/112) was detected by the parents in the 2016 cohort. ACT incidence follows R337H frequency in each population, but remarkably environmental factors modify these rates.

Variação química no óleo essencial das folhas de seis indivíduos de Duguetia furfuracea (Annonaceae) / Chemical variability of the essential oil of the leaves from six individuals of Duguetia furfuracea (Annonaceae)

Duguetia furfuracea, Annonaceae, uma invasora de pastagens, é também usada na medicina tradicional em diversos estados no Brasil. Devido à significante diferença de odor entre dois grupos de indivíduos desta planta em um remanescente de cerrado em Campo Grande, Mato Grosso do Sul, seis amostras foram selecionadas de acordo com a intensidade de odor em suas folhas: In-01, In-03 e In-05: odor pronunciado (Perfil A); In-02, In-04 e In-06: odor fraco ou ausência de odor (Perfil B). As folhas foram coletadas e submetidas a hidrodestilação para obtenção dos óleos essenciais, os quais foram analisados por CG/EM. Uma boa compatibilidade foi encontrada entre os resultados obtidos por CG/EM e a análise olfativa adotada para as amostras: espécimes odor pronunciado apresentaram uma alta porcentagem de monoterpenos e alguns sesquiterpenos: In-01 (β-felandreno, 42,2 por cento; mirceno, 6,8 por cento; α-felandreno, 4,6 por cento); In-03 (terpin-4-ol, 21,6 por cento; sabineno, 17,3 por cento; p-cimeno, 5,6 por cento); In-05 (sabineno, 25,1 por cento; terpin-4-ol, 16,2 por cento; p-cimeno, 8,3 por cento). Apenas sesquiterpenos foram encontrados nos espécimes que apresentaram odor fraco ou ausência do mesmo (com constituinte majoritário biciclogermacreno: 21,4 por cento, 24,0 por cento, and 29,1 por cento, respectivamente, para os In-02, In-04 e In-06).

Duguetia furfuracea, Annonaceae, a pasture weed, is also used in folk medicine in several Brazilian states. Because of the significant difference in odor between two groups of this plant in a remnant patch of savanna in Campo Grande county, Mato Grosso do Sul, six samples were selected according to the odor intensity in the leaves (In-01, In-03, and In-05: pronounced odor; In-02, In-04, and In-06: weak odor or its absence). The leaves were collected and subjected to steam distillation for extraction of essential oils, which were analyzed by GC-MS. A good agreement was found between CG/MS results and olfactory evaluation of the samples: specimens exhibiting leaf scent had a high percentage of monoterpenes and some sesquiterpenes, as follows: In-01 (β-phellandrene, 42.2 percent; myrcene, 6.8 percent; α-phellandrene, 4.6 percent); In-03 (terpin-4-ol, 21.6 percent; sabinene, 17.3 percent; p-cymene, 5.6 percent); In-05 (sabinene, 25.1 percent; terpin-4-ol, 16.2 percent; p-cymene, 8.3 percent). Only sesquiterpenes were found in the specimens having weakly scented or scentless leaves (main constituent bicyclogermacrene: 21.4 percent, 24.0 percent, and 29.1 percent, respectively, for In-02, In-04 and In-06).

Divisao em risco da leucemmia linfocitica aguda da infancia: criterios para classificacao conforme risco, seu valor pratico e prognostico / Division in risk of the acute lymphocytic leukemia in childhood: criteria for classification according to the risk, its practice value and prognosis

Este trabalho procura mostrar como o protocolo brasileiro para o tratamento da leucemia linfocitica aguda na infancia adota criterios para a classificacao da LLA, mostrando seu valor pratico, modo de tratamento e prognostico.