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BACKGROUND: Otitis is characterised by inflammation of one or more of the structures of the ear. At present, to confirm or exclude otitis media (OM), it is most often necessary to perform a computed tomography (CT) scan or magnetic resonance imaging. Inflammation is an immune defence response found in many conditions that can be detected and tracked by measuring biological markers of inflammation as the Canine C-reactive protein (CRP). OBJECTIVES: The objective of this study was to determine whether CRP measurement is useful as an adjunctive diagnostic tool in dogs with otitis and whether elevated concentrations correlated with disease severity/presence of OM. ANIMALS: Twenty-four client-owned dogs were recruited over 1 year. MATERIALS AND METHODS: The dogs were divided into three groups: chronic or recurrent otitis externa (CO), otitis media (OM) and H (healthy). The dogs with otitis underwent a CT scan of the head, measurement of the plasma CRP concentration and evaluation of a 0-3 Otitis Index Score 3 (OTIS3 score). RESULTS: No dog (0%) in group H had an increased CRP value, compared to 20% in the CO group (one of five dogs) and 23% in the OM group (3 of 13 dogs). Plasma CRP concentrations show a statistically significant positive relationship with the OTIS3 score (p = 0.04). CONCLUSION AND CLINICAL RELEVANCE: Plasma CRP concentration is not reliable as a discriminatory tool in cases of otitis, although there is a trend for elevation in cases with more severe disease. However, a larger study may provide a statistically more reliable correlation between the severity of OM and CRP concentrations.
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Proteína C-Reactiva , Enfermedades de los Perros , Otitis Externa , Otitis Media , Animales , Perros , Proteína C-Reactiva/análisis , Proteína C-Reactiva/metabolismo , Otitis Media/veterinaria , Otitis Media/sangre , Enfermedades de los Perros/sangre , Enfermedades de los Perros/diagnóstico , Otitis Externa/veterinaria , Otitis Externa/sangre , Femenino , Masculino , Enfermedad Crónica/veterinaria , Biomarcadores/sangre , Tomografía Computarizada por Rayos X/veterinariaRESUMEN
Wegener's granulomatosis is an autoimmune disease where autoantibodies target human autoantigen PR3, a serine protease locates on the neutrophil membrane. This disease affects blood small vessels and could be deadly. The origin of these autoantibodies is unknown, but infections have been implicated with autoimmune disease. In this study, we explored potential molecular mimicry between human PR3 and homologous pathogens through in silico analysis. Thirteen serine proteases from human pathogens (Klebsiella pneumoniae, Acinetobacter baumannii, Salmonella sp., Streptococcus suis, Vibrio parahaemolyticus, Bacteroides fragilis, Enterobacter ludwigii, Vibrio alginolyticus, Staphylococcus haemolyticus, Enterobacter cloacae, Escherichia coli and Pseudomonas aeruginosa) shared structural homology and amino acid sequence identity with human PR3. Epitope prediction found an only conserved epitope IVGG, located between residues 59-74. However, multiple alignments showed conserved regions that could be involved in cross-reactivity between human and pathogens serine proteases (90-98, 101-108, 162-169, 267 and 262 residues positions). In conclusion, this is the first report providing in silico evidence about the existence of molecular mimicry between human and pathogens serine proteases, that could explain the origins of autoantibodies found in patients suffering from Wegener's granulomatosis.
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Different computational methods are employed to calculate excitation energies of the carbon atom. Explicitly correlated wave functions have been obtained in a Variational Monte Carlo calculation. Fixed node Diffusion Monte Carlo calculations for the lowest energy excited states of a given symmetry are reported. A systematic and quantitative analysis of the performance of the different schemes in the calculation of the excitation energy of up to 27 excited states of the carbon atom is carried out. The quality of the different methods have been studied in terms of the deviation with respect to the experimental excitation energies. A good agreement with the experimental values has been reached.
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The ground state and the LS terms coming from the ground-state configuration, [Ar]-3d(6)4s(2), of the iron atom are studied by carrying out an all electron Variational Monte Carlo calculation. Explicitly correlated trial functions including near degeneracy effects are used. The effect of electronic correlations and the importance of near degeneracy effects are systematically analyzed for the states here considered and compared with the experimental values. Correlations are important to reproduce, even qualitatively, the low-lying spectrum of this atom. A significant quantitative improvement when comparing with the experimental values is achieved when near degeneracy is considered along with dynamic correlations in the variational trial wave function. Finally, the effect of relativity on the results here reported is discussed.
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Nonrelativistic frozen nucleus all-electron Quantum Monte Carlo ground state energies of positive and negative ions Li(+) to Ar(+) and Li(-) to Cl(-), respectively, are reported. Explicitly correlated wave functions with a single configuration model function times a Jastrow factor are employed for all of the systems studied. The accuracy obtained for the ions in the third period is similar to that reached for the ions in the second one. For those ions with a stronger multiconfiguration nature a restricted multiconfiguration expansion has been employed. The ground state energy here obtained for the charged species shows a similar quality to that reached for neutral atoms. Starting from those results, ionization potentials and electron affinities are calculated.
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All-electron quantum Monte Carlo energies are reported for the ground state of the atoms Li to Ar. The present work is mainly focused on the atoms Na to Ar as well as in those that have a stronger multiconfiguration nature, i.e., Be, B, and C and Mg, Al, and Si. Explicitly correlated wave functions with a single configuration model function times a Jastrow factor are employed for all of the atoms studied. The accuracy obtained for the atoms Na to Ar is similar to that reached for the atoms Li to Ne. In addition, a restricted multiconfiguration expansion has been employed for the atoms Be, B, and C and Mg, Al, and Si obtaining accurate results. Near degeneracy and the effect of other configurations are systematically analyzed for these systems, at both variational and diffusion Monte Carlo levels.
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The domain Green's function Monte Carlo method has been used to calculate the ground-state energy of the atoms Sc through Zn. The fixed node approximation with single-configuration explicitly correlated wave functions is used. A comparison with variational Monte Carlo energies is carried out. The quality of the ground-state energies reported here is similar to that achieved for few-electron atoms using similar techniques.
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In the present report we have assessed the extent to which Ficoll-Paque separation and cryopreservation of mononuclear cells alter the measurement of lymphocyte subsets by flow cytometry. Standard Ficoll-Paque separation increased the percentage of CD4+, CD19+ and CD4+CD45RA+ cells, as well as decreasing that of CD8+, and CD4+CD29+ cells, compared to the fresh whole blood lysis technique. Moreover, cryopreservation caused a depletion of CD4+ p80+ cells, but normal whole blood values were restored following a short incubation.
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Citometría de Flujo/métodos , Inmunofenotipificación/métodos , Linfocitos/inmunología , Adulto , Antígenos CD/análisis , Criopreservación , Femenino , Ficoll/efectos adversos , Humanos , Masculino , Sensibilidad y EspecificidadRESUMEN
To assess the involvement of the immune system in Parkinson's disease we studied the phenotype of circulating lymphocytes in 30 untreated and 34 treated patients. We found a numeric decrease in helper T cells (higher in CD4(+)CD45RA(+) than in CD4(+)CD29(+)) and B cells, and a rise in activated, CD4(+)CD25(+) lymphocytes that was correlated with lymphocyte depletion. All these alterations were independent of levodopa treatment. In addition, we performed striatal dopamine depletion in rats with either MPP(+) or 6-OHDA, showing that MPP(+) but not 6-OHDA can increase CD4(+)CD25(+) lymphocytes. Thus, mechanisms other than dopamine deficit may explain the immune activation in Parkinson's disease.
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Linfocitos T CD4-Positivos/inmunología , Intoxicación por MPTP/inmunología , Enfermedad de Parkinson/inmunología , Anciano , Animales , Linfocitos T CD4-Positivos/química , Linfocitos T CD4-Positivos/citología , Modelos Animales de Enfermedad , Humanos , Antígenos Comunes de Leucocito/análisis , Antígenos Comunes de Leucocito/inmunología , Activación de Linfocitos/inmunología , Masculino , Persona de Mediana Edad , Oxidopamina , Ratas , Ratas Sprague-Dawley , Receptores de Interleucina-2/sangre , Receptores de Interleucina-2/inmunología , Solubilidad , SimpaticolíticosRESUMEN
The allergic reaction to a specific antigen is characterised by a series of complex immunological processes consisting of an early specific immune response and a late inflammatory reaction. The release of active substances (principally histamine) from cytoplasmic granules of mast cells and basophils in response to antigen challenge is responsible for many of the symptoms observed in the early phase of the allergic reaction. The late phase inflammatory reaction caused by the recruitment of inflammatory cells (mainly eosinophils) to the area of initial antigen challenge and the consequent release of soluble factors result in amplification and prolongation of allergic symptoms. Antihistamines are the most widely used drugs for the treatment of allergic conditions. These agents act on both the early immune response (by blocking the action of histamine at the H1 receptor) and also demonstrate anti-inflammatory effects. Second generation antihistamines are free of the sedative and anticholinergic effects characteristic of the first generation agents. Ebastine, the focus of this supplement, is a new second generation agent that has shown antihistamine activity in preclinical studies and clinical efficacy in providing relief from symptoms in patients with allergic disorders.
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Antagonistas de los Receptores Histamínicos/uso terapéutico , Hipersensibilidad Inmediata/tratamiento farmacológico , Receptores Histamínicos/efectos de los fármacos , Humanos , Hipersensibilidad Inmediata/fisiopatología , Receptores Histamínicos/fisiologíaRESUMEN
SETTING: The immunological mechanisms that lead to the control of Mycobacterium tuberculosis infection are not well known. OBJECTIVE: To study the role of lymphocyte subsets and co-stimulatory molecules in M. tuberculosis infection. DESIGN: In 35 patients with pulmonary tuberculosis (PTB) and their contacts, 29 persons with tuberculin skin test conversion (TSTC) and 20 healthy individuals with negative tuberculin skin test (NTST), we studied T-lymphocyte subsets (CD3, CD4, CD8, alphabetaTCR and gammadeltaTCR), B-cells, monocytes and co-stimulatory molecules CD28 and CD86 in peripheral blood. The results were analysed at univariate and multivariate level through discriminant analysis. RESULTS: At univariate level, compared with TSTC and NTST, PTB patients presented a decrease in CD4+ T-cells (P = 0.002), and B-cells (P = 0.02 and 0.001, respectively). With regard to NTST subjects, PTB patients also showed a decrease in the percentage of CD86+ monocytes (P = 0.02) and an increase in the percentage of CD86+ B-lymphocytes (P = 0.02). At multivariate level, CD4+ T-lymphocytes showed statistical differences between PTB and TSTC subjects (P = 0.001). B-lymphocytes were discriminant between PTB and NTST (P < 0.001) and between TSTC and NTST individuals (P = 0.01). CONCLUSION: The number of total CD4+ T-cells is the best discriminant parameter for distinguishing between disease and infection, whereas the B-cell count is the best between healthy and infected individuals.
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Linfocitos B/inmunología , Líquido del Lavado Bronquioalveolar/inmunología , Subgrupos Linfocitarios/inmunología , Mycobacterium tuberculosis/inmunología , Tuberculosis/inmunología , Adulto , Antígenos CD/inmunología , Recuento de Linfocito CD4 , Linfocitos T CD4-Positivos/inmunología , Estudios de Casos y Controles , Estudios de Cohortes , Femenino , Humanos , Inmunidad Celular/fisiología , Modelos Lineales , Persona de Mediana Edad , Análisis Multivariante , Probabilidad , Valores de Referencia , Sensibilidad y Especificidad , España/epidemiología , Prueba de Tuberculina , Tuberculosis/epidemiologíaRESUMEN
Between April 1976 and February 1980, serum levels of angiotensin-converting enzyme were determined in 61 cases of sarcoidosis at different stages of evolution. Cases were divided in three groups on the basis of social determinations done every 3-6 months. In the group with 46 active cases the increase in mean value of the enzyme is statistically significant compared to the control group; 30 of these (65.2%) had values higher than + 2DS. In the second group with 24 cases of non-progressive or inactive sarcoidosis the mean value was slightly higher than the normal mean value, without being statistically significant; 21 patients (87.5%) showed normal values: in the third group with 19 patients who had been treated with corticosteroids, mean value was equal to normal values; after 12 months treatment values were normal in 17 cases (89.5%). In the control group of 80 patients with a variety of pulmonary diseases other than sarcoidosis (pulmonary tuberculosis, pneumonia, pulmonary thromboembolism and primary lung cancer) only 9 cases presented values higher than the normal + 2SD (11.2% false positive). Serial determination of angiotensin-converting enzyme is a useful diagnostic parameter in sarcoidosis; especially in evaluating progression of the disease as well as the efficacy of corticosteroid treatment.
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Peptidil-Dipeptidasa A , Sarcoidosis/diagnóstico , Adolescente , Corticoesteroides/uso terapéutico , Adulto , Anciano , Femenino , Humanos , Enfermedades Pulmonares/enzimología , Masculino , Persona de Mediana Edad , Peptidil-Dipeptidasa A/sangre , Pronóstico , Sarcoidosis/tratamiento farmacológico , Sarcoidosis/enzimología , Factores de TiempoRESUMEN
Shock is a specific reaction to a non specific severe injury. The organic reaction is a biphasic (excitation/depression) threefold response: haemodynamic, hemostatic and immunologic. The physiopathology is related with changes produced by injury on macrophages, neutrophils, platelets and endothelial cells. The release of enzymes and certain vasoactive compounds enhance activation of neutrophils, which produce great amounts of free oxygen radicals. Therapy must be basically substitutive, including immunologic substitution. Therapeutic trends are based on the use of substances which can avoid the overproduction or nocive effects of free oxygen radicals.