The influence of the S19W SNP of the APOA5 gene on triglyceride levels in southern Brazil: interactions with the APOE gene, sex and menopause status.

BACKGROUND AND AIMS: Hypertriglyceridemia is an important independent risk factor for coronary artery diseases and is determined by a wide range of factors, both genetic and exogenous. The A5 apolipoprotein, which is associated with the synthesis and removal of triglycerides (TG), is encoded by the APOA5 gene. One of the polymorphisms of this gene that has been the focus of a large number of studies, and which appears to be associated with increased TG, is S19W (rs 3135506). In this study, we examined the influence of this single nucleotide polymorphism (SNP) on TG levels of a sample of southern Brazilians. METHODS AND RESULTS: Samples obtained from 567 people of European descent were genotyped; interactions between this variant and anthropometric variables were analyzed, and the effects of lifestyle, sex, menopause, and variations of the APOE gene were evaluated. We found that the 19W allele is associated with increased TG (p = 0.025) and that this influence was modulated by sex (p = 0.003), menopause (p = 0.022) and the presence of the E*4 allele (p = 0.027). CONCLUSION: Our data showed, for the first time, the importance and magnitude of the influence of the S19W variant in a southern Brazilian population.

Shoulder mobility after axillary sentinel node biopsy for early infiltrating breast cancer treatment.

It is known that complete axillary lymph node dissection for breast cancer treatment causes more frequent sensitive and motor alterations in the homolateral shoulder and upper limb than sentinel lymph node (SLN) biopsy. However, it is not clear how often patients treated by SLN biopsy suffer from shoulder mobility (SM) restriction, as well as its severity and duration. This study was done aiming to evaluate SM in 38 patients with early infiltrating breast cancer treated by SLN biopsy in whom shoulder movements were assessed before surgery and repeated at one, two and three months later. Shoulder-arm mobility was evaluated by goniometry considering flexion, abduction, aduction, extension, internal rotation and external rotation. An abnormal result for each movement was defined by restriction greater than ten degrees compared to preoperative findings. Significant abnormal results for flexion and abduction were found in all of the patients at the first month evaluation. At the third month assessment no women showed any kind of SM impairment. The average restriction evolution for each of the parameters is presented. It is concluded that there is frequently a slight and transient SM limitation in patients undergoing SLN biopsy. Early postoperative physiotherapeutical assistance should thus be advisable to relieve and shorten disability symptomatology.

Effect of hydrogen peroxide concentration on enamel color and microhardness.

OBJECTIVES: The aim of this study was to investigate the effect of hydrogen peroxide gels with different concentrations (20%, 25%, 30%, and 35%) on enamel Knoop microhardness (KNH) as well as on changes in dental color (C). METHODS: Cylindrical specimens of enamel/dentin (3-mm diameter and 2-mm thickness) were obtained from bovine incisors and randomly divided into six groups (n=20), according to the concentration of the whitening gel (20%, 25%, 30%, 35%, control, thickener). After polishing, initial values of KNH0 and color measurement, assessed by spectrophotometry using the CIE L*a*b* system, were taken from the enamel surface. The gels were applied on the enamel surface for 30 minutes, and immediate values of KNHi were taken. After seven days of being stored in artificial saliva, new measures of KNH7 and color (L7* a7* b7*, for calculating ΔE, ΔL, and Δb) were made. Data were submitted to statistical analysis of variance, followed by Tukey test (p<0.05). RESULTS: Differences in gel concentration and time did not influence the microhardness (p=0.54 and p=0.29, respectively). In relation to color changes, ΔE data showed that the 35% gel presented a higher color alteration than the 20% gel did (p=0.006). CONCLUSION: Bleaching with 35% hydrogen peroxide gel was more effective than with the 20% gel, without promoting significant adverse effects on enamel surface microhardness.

Intratumoral heterogeneity of ADAM23 promotes tumor growth and metastasis through LGI4 and nitric oxide signals.

Intratumoral heterogeneity (ITH) represents an obstacle for cancer diagnosis and treatment, but little is known about its functional role in cancer progression. The A Desintegrin And Metalloproteinase 23 (ADAM23) gene is epigenetically silenced in different types of tumors, and silencing is often associated with advanced disease and metastasis. Here, we show that invasive breast tumors exhibit significant ADAM23-ITH and that this heterogeneity is critical for tumor growth and metastasis. We demonstrate that while loss of ADAM23 expression enhances invasion, it causes a severe proliferative deficiency and is not itself sufficient to trigger metastasis. Rather, we observed that, in ADAM23-heterotypic environments, ADAM23-negative cells promote tumor growth and metastasis by enhancing the proliferation and invasion of adjacent A23-positive cells through the production of LGI4 (Leucine-rich Glioma Inactivated 4) and nitric oxide (NO). Ablation of LGI4 and NO in A23-negative cells significantly attenuates A23-positive cell proliferation and invasion. Our work denotes a driving role of ADAM23-ITH during disease progression, shifting the malignant phenotype from the cellular to the tissue level. Our findings also provide insights for therapeutic intervention, enforcing the need to ascertain ITH to improve cancer diagnosis and therapy.

Absence of thyroid hormone receptor beta-retinoid X receptor interactions in auditory function and in the pituitary-thyroid axis.

THYROID hormone receptor beta-deficient (TRbeta-/-) mice have defective auditory-evoked brain stem responses (ABR). Since in vitro, TRbeta binds to DNA as homodimers or as heterodimers with retinoid X receptors (RXRs), we investigated whether the TRbeta-/- phenotype may reflect loss of RXR-TRbeta heterodimer or TRbeta homodimer function. Normal ABR thresholds were recorded in RXRbeta-/-, RXRgamma-/-, RXRalpha-/+ and RXR compound mutant mice. When RXR mutations were introduced onto TRbeta-/+ or TRbeta-/- backgrounds, thresholds were dictated solely by TRbeta and not RXR genotype. TRbeta-/-mice also over-produce thyroid hormones and thyroid stimulating hormone; however, levels of these hormones were unaltered by RXR mutations. This suggests that, contrary to in vitro models, RXRs may be dispensable and that TRbeta may function in vivo by an RXR-independent mechanism in the auditory system and pituitary-thyroid axis.

Local effects induced by venoms from five species of genus Micrurus sp. (coral snakes).

Venoms from five species of Micrurus (coral snakes) from Brazil (Amazonas State) were tested for the following effects: edematogenic, myotoxic, coagulant, hemorrhagic and phospholipase A2 (PLA2) detection. None of the venoms tested presented coagulant activity. The presence of PLA2 was detected by ELISA in the venoms of M. spixii, M. averyi and M. lemniscatus. The myotoxicity was estimated by the increase in the serum creatine kinase level and by histological analysis. All venoms, except that from M. surinamensis, induced intense edematogenic and myotoxic effects. The venom of M. averyi showed hemorrhagic activity which was confirmed by histopathological analysis. This is the first evidence of such an effect by coral snake venom.

Experience with CA 15.3 as a tumor marker in breast cancer.

CA 15.3, a new tumor marker, is a glycoprotein antigen produced in greater amounts by breast tumor cells. It can be quantitatively detected, circulating in human serum or plasma, using an immunoradiometric assay with monoclonal antibodies. In order to evaluate the usefulness of the method and to determine the cut-off for metastatic disease, the CA 15.3 levels were determined in 78 patients (5 patients with breast fibroadenoma and 73 patients with breast cancer). The conclusions of the study are that the CA 15.3 is a useful parameter in the management of patients in different stages of the disease: levels above 36 U/ml are suggestive of metastasis, and above 86 U/ml are indicative of them. On the other hand, CA 15.3 does not seem to be helpful in the pre-operative differential diagnosis of breast lumps.

Breast cancer control programme in developing countries.

Breast cancer is a very important health problem in developing countries, where its incidence has increased in the last decades. Mortality rates due to breast cancer have also increased, and the main reason for this is late diagnosis. The authors demonstrate that organizing programmes for early breast cancer detection is possible by making use of simple resources. A set of tiered interventions is proposed, stratified in levels of complexity: Level 1--Identification of abnormal breast by health professionals; Level 2--Medical assistance to women whose breast is considered abnormal, in order to diagnose and treat benign diseases and recognize suspect cases of cancer; Level 3--Management of the women with suspected or diagnosed breast cancer by a multidisciplinary team. Therefore, a proposal for wide action for breast cancer control in developing countries is presented.

PIP: The incidence of breast cancer is increasing and is a major cause of death in women worldwide. This may be explained, in part, by the growing percentage of older women who constitute the main age group with increased risk for breast cancer development. This article reports on the authors' efforts to correct two misconceptions about breast cancer and to address the public health issues in developing countries. The misconceptions are that breast cancer is not a relevant public health problem and that a health program would require high technology and be very costly. In developing countries, the female mortality rates are increasing, as is the incidence of breast cancer. Late diagnosis is believed to be a significant mortality factor. Existing diagnostic techniques used are clinical examinations, either physical or self-exam, and instrumental examination. Clinical methods are reasonably sensitive, inexpensive, and simple. Cultural aspects and taboos can be a problem. Choice of what methods or combination of methods to use in a health care program is determined by the level of medical experience, local economy, and cultural constraints. Health education plays an important role in any prevention program. Three levels are suggested in a program. Level 1 aims to educate the entire population serviced. Level 2 tries to assist women during diagnosis and treatment of benign nodules. Level 3 is for the care of suspected or confirmed cancer patients. The authors make seven recommendations for establishing a breast cancer preventive program.

Enraizamento de manjericão em diferentes substratos e doses de cinzas / Stem rooting of basil in different substrates and doses of ash

O trabalho teve como objetivo avaliar a influência de doses de cinzas em diferentes substratos no enraizamento de estacas de manjericão (Ocimum basilicum). O experimento foi conduzido em área do Núcleo de Capacitação e Pesquisa da Universidade Federal Rural da Amazônia, em Belém. Foi utilizado o delineamento experimental inteiramente casualizado, em esquema fatorial 2 x 5, constituído pelas combinações entre os fatores substratos (casca de arroz carbonizada e casca de castanha triturada) e acréscimo de cinzas (5 mL e 10 mL de cinza de casca de arroz, 5 mL e 10 mL de cinza de casca de castanha e sem cinza) com 4 repetições. Cada unidade experimental foi constituída por 10 estacas, num total de 400 estacas. Foram avaliadas as características percentual de enraizamento de estacas, número e comprimento de raízes. Não houve interações significativas entre os fatores avaliados (substrato e cinzas). Entre as características avaliadas o substrato casca de arroz carbonizada apresentou diferenças apenas no comprimento da raiz e no número de raízes, enquanto as dosagens de cinzas apresentaram diferenças apenas no percentual de enraizamento. O trabalho permitiu concluir que as dosagens de cinzas apresentaram efeito positivo sobre o enraizamento das estacas de manjericão, assim como o substrato a base de casca de arroz carbonizada propiciou melhores condições para o desenvolvimento das raízes. Assim, a casca de arroz é uma alternativa totalmente viável, pois além de apresentar características apropriadas para o enraizamento também possui baixo custo de aquisição, estando ao alcance de muitos produtores.

The study aimed to evaluate the influence of ash doses on different substrates on the stem rooting of basil (Ocimum basilicum). The experiment was conducted in the area of core training and research at the Universidade Federal Rural da Amazônia, in Belém, used a completely randomized design, factorial scheme 2 x 5 consisting of the combinations of the factors substrate (carbonized rice husk and bark brown ground) and increase ash (5 mL and 10 mL of rice husk ash 5 mL and 10 mL of husk ash and brown bark no gray) with four repetitions. Each experimental unit consisted of 10 cuttings, a total of 400 cuttings. Was evaluated the characteristics percentage of rooting, number and length of roots. There was no significant interaction between the factors evaluated (substrate and ash). Among the characteristics evaluated the carbonized rice showed only differences in root length and root number, while the levels of ash showed only differences in rooting percentage. The study revealed that the dosages of ash had a positive effect on rooting of cuttings of basil, as well as the substrate prepared with rice hulls provided the best conditions for root development. Thus, the rice husk is an alternative, as well as presenting features suitable for rooting also has a low cost of acquisition, being within reach of many producers.

Zeólita na dieta de bovinos de corte / Zeolite in the diet of beef cattle

Avaliou-se o efeito da inclusão de zeólita na dieta de bovinos de corte sobre os parâmetros ruminais, as digestibilidades total e parcial, a produção de nitrogênio, a eficiência microbiana e as características do sangue. Os tratamentos, com base na matéria seca (MS) da dieta, foram: 0; 0,75; 1,5; 2,25 e 3,0% de zeólita. Utilizaram-se cinco bovinos machos mestiços, fistulados no rúmen e abomaso, alimentados com silagem de milho e concentrado, representando 65% de volumoso e 35% de concentrado. O delineamento utilizado foi em quadrado latino 5×5, com cinco períodos de 15 dias. Os animais receberam 15g de dióxido de titânio (TiO2) do terceiro ao 12º dia de cada período. Houve efeito (P<0,05) sobre o consumo diário (kg/dia) de proteína bruta (PB) e efeito (P<0,05) sobre o consumo de MS e de fibra em detergente neutro corrigida para cinza e proteína, expresso em g/kg de peso. A digestibilidade total dos nutrientes digestíveis totais (NDT) foi influenciada pelos tratamentos (P<0,05). A digestibilidade ruminal dos carboidratos não fibrosos (CNF) foi afetada quadraticamente (P<0,05), assim como a intestinal da PB e dos CNF. A ingestão e a excreção fecal de nitrogênio (g/dia) foram influenciadas linearmente (P<0,05) pela inclusão de zeólita. Concluiu-se que a adição de zeólita na dieta, embora tenha aumentado os consumos de MS e de FDN, não melhorou a utilização da ureia em dietas de bovinos de corte.

We evaluated the effect of the inclusion of zeolite in the diet of beef cattle on the ruminal digestibility, total and partial production of nitrogen, microbial efficiency and blood characteristics. Treatments based on the dietary dry matter (DM) were: 0%, 0.75%, 1.5%, 2.25% and 3.0% of zeolite. We used five crossbred steers fistulated in the rumen and abomasum, fed corn silage and concentrate, representing 65% forage and 35% concentrate. The design was a 5x5 latin square with five periods of 15 days. The animals received 15g of titanium dioxide (TiO2) from the third to the 12th day of each period. A significant effect (P<0.05) on the daily consumption (kg/day) of crude protein (CP) was observed (P<0.05) for DM intake and neutral detergent fiber corrected for ash and protein (NDFap) expressed in g/kg. The total digestibility of total digestible nutrients (TDN) was influenced by treatments (P<0.05). Ruminal digestibility of non-fiber carbohydrates (NFC) was affected quadratically (P<0.05) as well as intestinal CP and NFC. Intake and fecal excretion of nitrogen (g/day) were affected linearly (P<0.05) by adding zeolite. It was concluded that the addition of zeolite in the diet, while increasing the intake of DM and NDF, did not improve the use of urea in the diet of beef cattle.

Isolation and characterization of a lectin from the seeds of Dioclea grandiflora (Mart.).

By a combination of solubility fractionation, affinity and molecular-sieve chromatography, a lectin preparation containing several closely related lectin components of different isoelectric point was isolated from the seeds of Dioclea grandiflora Mart. The lectins showed a carbohydrate specificty for D-mannose (D-glucose)-binding and had a requirement for the presence of Ca(2+) and Mn(2+). The results of preliminary characterization studies showed that the D. grandiflora lectins had similar properties to those of concanavalin A, the lectin from the seeds of Canavalia ensiformis, a plant also belonging to the tribe Diocleae. Thus the D. grandiflora lectins contained no covalently bound carbohydrate and had an amino-acid composition characterized by a low content of methionine and the virtual absence of cysteine. Above pH 4.8 they had molecular weight of about 100,000, while below pH 3.1 they were dissociated to half-molecules. Between these two pH values there was a fast association-dissociation equilibrium for the two species. In dissociating solvents, three subunits were obtained of the approximate size of 25-26,000, 13-14,000 and 8-9,000. The lectins from C. grandiflora similar to concanavalin A were more distantly related to the lectins obtained from the members of the tribe Vicieae although these were also specific for D-mannose (D-glucose)-binding.

Abruptio placentae following snake bite.

A case in which, besides the clinical complications that commonly follow snake biting, abruptio placentae occurred is reported here. None of the factors that are frequently associated with abruptio placentae were present. The laboratory tests performed showed that renal function was impaired and that a dramatic hypercoagulability was present. The relationship of the latter to the abruptio placentae is discussed.

Mice devoid of all known thyroid hormone receptors are viable but exhibit disorders of the pituitary-thyroid axis, growth, and bone maturation.

Thyroid hormone (T3) has widespread functions in development and homeostasis, although the receptor pathways by which this diversity arises are unclear. Deletion of the T3 receptors TRalpha1 or TRbeta individually reveals only a small proportion of the phenotypes that arise in hypothyroidism, implying that additional pathways must exist. Here, we demonstrate that mice lacking both TRalpha1 and TRbeta (TRalpha1(-/-)beta-/-) display a novel array of phenotypes not found in single receptor-deficient mice, including an extremely hyperactive pituitary-thyroid axis, poor female fertility and retarded growth and bone maturation. These results establish that major T3 actions are mediated by common pathways in which TRalpha1 and TRbeta cooperate with or substitute for each other. Thus, varying the balance of use of TRalpha1 and TRbeta individually or in combination facilitates control of an extended spectrum of T3 actions. There was no evidence for any previously unidentified T3 receptors in TRalpha1(-/-)beta-/- mouse tissues. Compared to the debilitating symptoms of severe hypothyroidism, the milder overall phenotype of TRalpha1(-/-)beta-/- mice, lacking all known T3 receptors, indicates divergent consequences for hormone versus receptor deficiency. These distinctions suggest that T3-independent actions of T3 receptors, demonstrated previously in vitro, may be a significant function in vivo.

[The management of acute pancreatitis in pregnancy--the coadjuvant role of parenteral feeding]. / Manejo da pancreatite aguda da gravidez--o papel coadjuvante da nutrição parenteral.

Acute pancreatitis in pregnancy is not a frequent condition: only a few hundred cases have been published in the literature. Its diagnosis can be misguided by clinical manifestations of the pregnancy itself, and by the delay in ordering the required diagnostic tests. These facts may contribute to the serious prognosis of this disease, which in the past had a mortality of up to 20%. The treatment recommended is conservative. A surgical intervention in the event of biliary lithiasis is best to be postponed till after delivery. Parenteral alimentation can be helpful because of its effects in the promotion of pancreatic rest with simultaneous improvement of the nutritional conditions of the mother and the fetus.