Cognitive impairment in HTLV-1-associated myelopathy, proviral load and inflammatory markers.

OBJECTIVES: Myelopathy is a well-established long-term clinical manifestation of HTLV-1 infection. Besides motor dysfunction, cognitive impairment may be another consequence of HTLV-1 infection. Moreover, inflammatory markers may be associated with cognitive impairment in these patients. The present study compared the cognitive performance of HAM/TSP patients with healthy controls and investigated the associations between cognitive performance, proviral load and blood inflammatory markers. METHODS: Eighty-three patients fulfilling diagnostic criteria for HAM/TSP were submitted to a comprehensive clinical, cognitive and functional evaluation, brain magnetic resonance imaging and determination of levels of IL-1ß, IL-6, TNF-α, immunoglobulins and HTLV-1 proviral load in blood and cerebrospinal fluid. The control group was composed of 88 cognitively healthy subjects, matched for age, sex and educational level. RESULTS: Compared to healthy subjects, HAM/TSP patients displayed significant global cognitive impairment and executive function deficits. HAM/TSP cognitive impairment was significantly associated with altered levels of IgM, IgG, IL-6 and TNF-α in blood. There was no association between HAM/TSP cognitive impairment and HTLV-1 proviral load. CONCLUSIONS: This study suggests cognitive impairment may be a long-term clinical manifestation of HTLV-1 infection, which seems to be linked to the persistent inflammatory activity that is found in the disease.

Production of high-purity cellulose, cellulose acetate and cellulose-silica composite from babassu coconut shells.

Lignocellulosic biomass has been widely studied as a source of cellulose- and related products, attracting the great interest of researchers dealing with renewable energy sources, vegetable waste recycling and biomaterials. In this work, the babassu coconut shells (epicarp and endocarp) were used for the achievement of products such as cellulose, cellulose acetate and cellulose-silica composite, which were chemically and structurally characterized by solid-state 13C nuclear magnetic resonance spectroscopy and scanning electron microscopy, among other techniques. As this precursor also naturally contains a significant amount of silica, a composite containing cellulose fibers mixed with amorphous silica particles (with rosette-like shape) was also produced. Finally, the possibility of synthesis of cellulose acetate was also demonstrated, illustrating the plethora of potential applications of this important lignocellulosic residue for the production of cellulose-based materials of high technological interest.