Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 191
Filtrar
Más filtros

Tipo del documento
Intervalo de año de publicación
1.
Br J Dermatol ; 191(1): 49-57, 2024 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-38446755

RESUMEN

BACKGROUND: In the general population randomized controlled trial PreventADALL, frequent emollient bath additives from 2 weeks of age did not prevent atopic dermatitis, while the effect on skin barrier function throughout infancy is not established. OBJECTIVES: The primary aim of this exploratory substudy was to assess the effect of mineral-based oil baths on transepidermal water loss (TEWL) and dry skin through infancy, and secondarily to explore if filaggrin (FLG) mutations modified the effect. METHODS: Overall, 2153 infants were included and randomized to either the 'Skin intervention' (SI) group (n = 995) (oil bath 4 times weekly from 2 weeks through 8 months) or 'No skin intervention' (NSI) group (n = 1158), with TEWL measurements at 3, 6 and/or 12 months of age. Information on FLG mutation status was available for 1683 of these infants. Effects of the skin intervention on TEWL and dry skin through infancy were assessed by mixed-effects regression modelling. Background characteristics and protocol adherence were collected from electronic questionnaires, birth records and weekly diaries. RESULTS: The TEWL (95% confidence interval) was on average 0.42 g m-2 h-1 (0.13-0.70, P = 0.004) higher in the SI group compared with the NSI group through the first year of life, with significantly higher levels at 3 months [8.6 (8.3-9.0) vs. 7.6 (7.3-7.9)], but similar at 6 and 12 months. Dry skin was observed significantly more often in the NSI group compared with the SI group at 3 months (59% vs. 51%) and at 6 months of age (63% vs. 53%), while at 12 months of age, the difference was no longer significant. At 3 months, the TEWL of FLG mutation carriers was similar to the TEWL in the SI group. No interaction between SI and FLG mutation was found in the first year of life. CONCLUSIONS: Infants given frequent oil baths from 2 weeks of age had reduced skin barrier function through infancy compared with controls, largely attributed to higher TEWL at 3 months of age, while the skin at 3 and 6 months appeared less dry in infants subjected to the skin intervention.


Atopic dermatitis (AD) affects approximately 20% of children in industrialized countries. AD causes dry, itchy skin and can increase the chance of infections. This study was a substudy of the large Scandinavian PreventADALL trial, including 2394 infants, recruited from the general population between 2014 and 2016. Children in this trial were allocated randomly to receive either a skin intervention, food intervention, combined intervention, or no intervention. Children were examined at 3, 6 and 12 months of age. The examinations involved an investigation of the skin, to evaluate dry skin and skin barrier function by transepidermal water loss (TEWL) in the outer layers of the skin (higher TEWL suggests decreased skin barrier function). The skin intervention consisted of oil baths at least 4 times per week from 2 weeks of age through 8 months of age, and have previously not been shown to prevent AD by 1 and 3 years of age. We aimed to investigate whether frequent oil baths had any effect on TEWL and dry skin. We found that the skin intervention increased TEWL in the first year of life, especially at 3 months of age. Dry skin was less common in the skin intervention groups compared with the groups with no skin intervention. Infants with mutations in the gene coding for a skin barrier protein, called filaggrin, were associated with increased TEWL; however, in the skin intervention group, TEWL was similar among the infants with or without filaggrin mutations. Our findings suggest that oil baths several times per week from early infancy transiently decreases skin barrier function.


Asunto(s)
Baños , Dermatitis Atópica , Emolientes , Proteínas Filagrina , Proteínas de Filamentos Intermediarios , Mutación , Pérdida Insensible de Agua , Humanos , Pérdida Insensible de Agua/efectos de los fármacos , Baños/métodos , Lactante , Femenino , Dermatitis Atópica/prevención & control , Dermatitis Atópica/genética , Masculino , Emolientes/administración & dosificación , Proteínas de Filamentos Intermediarios/genética , Recién Nacido , Aceite Mineral/administración & dosificación , Cuidado del Lactante/métodos , Cuidados de la Piel/métodos , Piel/efectos de los fármacos
2.
J Immunol ; 206(4): 686-699, 2021 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-33419770

RESUMEN

East Coast fever (ECF), caused by Theileria parva, is the most important tick-borne disease of cattle in sub-Saharan Africa. Practical disadvantages associated with the currently used live-parasite vaccine could be overcome by subunit vaccines. An 80-aa polypeptide derived from the C-terminal portion of p67, a sporozoite surface Ag and target of neutralizing Abs, was the focus of the efforts on subunit vaccines against ECF and subjected to several vaccine trials with very promising results. However, the vaccination regimen was far from optimized, involving three inoculations of 450 µg of soluble p67C (s-p67C) Ag formulated in the Seppic adjuvant Montanide ISA 206 VG. Hence, an improved formulation of this polypeptide Ag is needed. In this study, we report on two nanotechnologies that enhance the bovine immune responses to p67C. Individually, HBcAg-p67C (chimeric hepatitis B core Ag virus-like particles displaying p67C) and silica vesicle (SV)-p67C (s-p67C adsorbed to SV-140-C18, octadecyl-modified SVs) adjuvanted with ISA 206 VG primed strong Ab and T cell responses to p67C in cattle, respectively. Coimmunization of cattle (Bos taurus) with HBcAg-p67C and SV-p67C resulted in stimulation of both high Ab titers and CD4 T cell response to p67C, leading to the highest subunit vaccine efficacy we have achieved to date with the p67C immunogen. These results offer the much-needed research depth on the innovative platforms for developing effective novel protein-based bovine vaccines to further the advancement.


Asunto(s)
Linfocitos T CD4-Positivos/inmunología , Nanotecnología/métodos , Vacunas Antiprotozoos/inmunología , Theileria parva/fisiología , Theileriosis/inmunología , Enfermedades por Picaduras de Garrapatas/inmunología , Animales , Anticuerpos Antiprotozoarios/sangre , Bovinos , Virus de la Hepatitis B/química , Virus de la Hepatitis B/genética , Ratones , Aceite Mineral/administración & dosificación , Nanopartículas/química , Proteínas Protozoarias/genética , Vacunas Antiprotozoos/genética , Células RAW 264.7 , Dióxido de Silicio/química , Garrapatas , Vacunación , Vacunas de Subunidad , Proteínas del Núcleo Viral/química , Proteínas del Núcleo Viral/genética
3.
J Allergy Clin Immunol ; 146(3): 652-666.e11, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32445838

RESUMEN

BACKGROUND: Effector functions of IgG Abs are regulated by their Fc N-glycosylation pattern. IgG Fc glycans that lack galactose and terminal sialic acid residues correlate with the severity of inflammatory (auto)immune disorders and have also been linked to protection against viral infection and discussed in the context of vaccine-induced protection. In contrast, sialylated IgG Abs have shown immunosuppressive effects. OBJECTIVE: We sought to investigate IgG glycosylation programming during the germinal center (GC) reaction following immunization of mice with a foreign protein antigen and different adjuvants. METHODS: Mice were analyzed for GC T-cell, B-cell, and plasma cell responses, as well as for antigen-specific serum IgG subclass titers and Fc glycosylation patterns. RESULTS: Different adjuvants induce distinct IgG+ GC B-cell responses with specific transcriptomes and expression levels of the α2,6-sialyltransferase responsible for IgG sialylation that correspond to distinct serum IgG Fc glycosylation patterns. Low IgG Fc sialylation programming in GC B cells was overall highly dependent on the Foxp3- follicular helper T (TFH) cell-inducing cytokine IL-6, here in particular induced by water-in-oil adjuvants and Mycobacterium tuberculosis. Furthermore, low IgG Fc sialylation programming was dependent on adjuvants that induced IL-27 receptor-dependent IFN-γ+ TFH1 cells, IL-6/IL-23-dependent IL-17A+ TFH17 cells, and high ratios of TFH cells to Foxp3+ follicular regulatory T cells. Here, the 2 latter were dependent on M tuberculosis and its cord factor. CONCLUSION: This study's findings regarding adjuvant-dependent GC responses and IgG glycosylation programming may aid in the development of novel vaccination strategies to induce IgG Abs with both high affinity and defined Fc glycosylation patterns in the GC.


Asunto(s)
Adyuvantes Inmunológicos/administración & dosificación , Antígenos/administración & dosificación , Centro Germinal/inmunología , Inmunoglobulina G/inmunología , Compuestos de Alumbre/administración & dosificación , Animales , Linfocitos B/efectos de los fármacos , Linfocitos B/inmunología , Citocinas/inmunología , Femenino , Adyuvante de Freund/administración & dosificación , Glicosilación , Lipopolisacáridos/administración & dosificación , Ratones Endogámicos C57BL , Ratones Noqueados , Aceite Mineral/administración & dosificación , Mycobacterium tuberculosis/inmunología , Ovalbúmina/administración & dosificación , Polisorbatos/administración & dosificación , Escualeno/administración & dosificación , Linfocitos T/efectos de los fármacos , Linfocitos T/inmunología , Vacunación
4.
AAPS PharmSciTech ; 22(4): 150, 2021 May 10.
Artículo en Inglés | MEDLINE | ID: mdl-33973096

RESUMEN

Suspension-based matrix transdermal delivery systems (TDSs) are specialized systems that maintain a continuous driving force for drug delivery over prolonged wear. The pressure-sensitive adhesive (PSA) is the most critical constituent of such systems. Our study aimed to determine the effect of different mixing methods on the performance of silicone PSA-based suspension TDSs. Lidocaine suspension TDSs were prepared using conventional slow rotary mixing, high-speed homogenization, bead-mill homogenization, vortex shaking, and by an unguator. Resultant TDSs were tested for tack, shear, and peel properties and correlated to coat weight, content uniformity, microstructure, and in vitro permeation across dermatomed human skin. Every mixing method tested caused a significant reduction in peel. However, bead-mill homogenization resulted in significant loss of all adhesive properties tested, while unguator-mixed TDSs retained most properties. Good linear correlation (R2 = 1.000) between the shear properties of the TDSs with the average cumulative amount of lidocaine permeated after 24 h was observed, with no significant difference between percutaneous delivery from slow rotary-mixed systems (1334 ± 59.21 µg/cm2) and unguator-mixed systems (1147 ± 108.3 µg/cm2). However, significantly lower delivery from bead-mill homogenized systems (821.1 ± 28.00 µg/cm2) was noted. While many factors affect TDS performance, careful consideration must also be given to the processing parameters during development as they have been shown to affect the resultant system's therapeutic efficacy. Extensive mixing with bead-mill homogenization demonstrated crystallization of drug, loss in adhesive properties, coat weight, and film thickness, with reduced transdermal delivery of lidocaine from the prepared system.


Asunto(s)
Adhesivos/administración & dosificación , Adhesivos/síntesis química , Sistemas de Liberación de Medicamentos/métodos , Absorción Cutánea/efectos de los fármacos , Parche Transdérmico , Adhesivos/farmacocinética , Administración Cutánea , Anestésicos Locales/administración & dosificación , Anestésicos Locales/síntesis química , Anestésicos Locales/farmacocinética , Humanos , Lidocaína/administración & dosificación , Lidocaína/síntesis química , Lidocaína/farmacocinética , Aceite Mineral/administración & dosificación , Aceite Mineral/síntesis química , Aceite Mineral/farmacocinética , Técnicas de Cultivo de Órganos , Siliconas/metabolismo , Siliconas/farmacología , Absorción Cutánea/fisiología , Suspensiones
5.
Parasite Immunol ; 42(12): e12780, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32738171

RESUMEN

AIMS: This study aimed to evaluate the toxicity and humoral and cellular immune response of three heterologous vaccines against Leishmania infantum, yet containing synthetic peptides from Leishmania major in the experimental model in hamsters. METHODS AND RESULTS: Through bioinformatics analyses, two Leishmania major Gp63 peptides were predicted and selected for vaccine formulations. Hamsters were divided into four groups, with each group receiving doses of three vaccine formulations containing HLA-DR1 or HLA-A2 peptides plus MontanideTM or both associated with the adjuvant. The animals received three vaccine doses and were evaluated for toxicity after each dose, in addition to being analysed for the production of antibodies and lymphoproliferation on day 211 after the last vaccine dose. Peptides predicted in association with oily adjuvant induced a humoral response and strong lymphoproliferation to Leishmania infantum antigen-specific stimulation.


Asunto(s)
Leishmania major/inmunología , Vacunas contra la Leishmaniasis/inmunología , Leishmaniasis/inmunología , Metaloendopeptidasas/inmunología , Péptidos/inmunología , Adyuvantes Inmunológicos/administración & dosificación , Animales , Protección Cruzada , Antígeno HLA-A2/inmunología , Antígeno HLA-DR1/inmunología , Inmunidad Celular , Inmunidad Humoral , Leishmania infantum/inmunología , Leishmaniasis/prevención & control , Vacunas contra la Leishmaniasis/administración & dosificación , Vacunas contra la Leishmaniasis/química , Mesocricetus , Metaloendopeptidasas/química , Aceite Mineral/administración & dosificación , Péptidos/administración & dosificación , Péptidos/química
6.
Skin Res Technol ; 25(4): 578-586, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30770595

RESUMEN

BACKGROUND/AIM: The scope of this study was to utilize confocal Raman spectroscopy in the evaluation of the degree of non-penetration into the viable skin layers of a paraffin and petrolatum-based product for use in the intimate areas of the skin. The formulation was purposely designed with properties to prevent undesirable skin penetration. METHODS: Product-The test product was a proprietary topical medical device comprising paraffinum liquidum, petrolatum, paraffin, and tocopheryl acetate. Volunteers-A total of 20 healthy volunteers were recruited onto the study-17 females and three males. Product Testing-Raman spectra were obtained at Baseline and 90 minutes after product application. Product Penetration-Skin penetration was calculated from Raman spectra taken at skin depths of -5, 0, 5, 10, 15, and 20 µm. RESULTS: Raman spectra of the investigated product could be clearly differentiated from the skin spectrum. The minimum measurable concentration of the test product was determined at a detection level of 0.5%. In this study, the test product did not penetrate down to skin depths of 10 to 20 µm. CONCLUSIONS: Within the precision range of the test method, the investigated product did not penetrate into the compact part of the stratum corneum. The study revealed Raman spectroscopy to be suitable to detect not only penetration but also non-penetration of substances into human skin.


Asunto(s)
Aceite Mineral/administración & dosificación , Absorción Cutánea/fisiología , Piel/metabolismo , Espectrometría Raman/métodos , Análisis Espectral/instrumentación , Administración Tópica , Adulto , Epidermis/metabolismo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Aceite Mineral/metabolismo
7.
J Eur Acad Dermatol Venereol ; 33 Suppl 7: 5-14, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31588613

RESUMEN

Mineral oils and waxes are mixtures of predominantly saturated hydrocarbons consisting of straight-chain, branched and ring structures with carbon chain lengths greater than C14. They have been used for many decades in skin and lip care cosmetic products due to their excellent skin tolerance as well as their high protecting and cleansing performance and broad viscosity options. In contrast to vegetable oils, mineral oils are non-allergenic since they are highly stable and not susceptible to oxidation or rancidity. They have a long history of safe use which is confirmed by clinical and epidemiological data. In Europe, mineral oils are only permitted in cosmetics if compliant with purity specifications on polycyclic aromatic hydrocarbons and safety requirements laid down in the European pharmacopoeia and the EU cosmetics regulation EC/1223/2009. The high quality of these mineral oils is assured by robust quality assurance and a refining/purification process designed to exclude substances with carcinogenic potential and to minimize the presence of mineral oil aromatic hydrocarbons. Given their highly lipophilic properties, mineral oils do not penetrate human skin and, thus, are not systemically bioavailable in the body. Moreover, no significant changes in the skin and no effects on any internal organ system have been reported and attributed to the topical application of refined mineral oils. Regarding potential oral exposure from cosmetic lip care products, Cosmetics Europe, the European trade association for the cosmetics and personal care industry, has advised cosmetic manufacturers to only use mineral oil fractions for which recognized food acceptable daily intake (ADI) values apply. The estimated dose of mineral oils ingested via lip care products contributes to <10% of the ADI value and should therefore be considered of no toxicological concern.


Asunto(s)
Cosméticos/efectos adversos , Cosméticos/química , Aceite Mineral/efectos adversos , Ceras/efectos adversos , Administración Cutánea , Administración Oral , Animales , Autoinmunidad/efectos de los fármacos , Carcinogénesis , Cosméticos/legislación & jurisprudencia , Unión Europea , Humanos , Absorción Intestinal , Aceite Mineral/administración & dosificación , Aceite Mineral/farmacocinética , Aceite Mineral/toxicidad , Mutagénesis , Reproducción/efectos de los fármacos , Absorción Cutánea , Ceras/farmacocinética , Ceras/toxicidad
8.
J Postgrad Med ; 65(1): 38-40, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-29943743

RESUMEN

Exogenous lipoid pneumonia is a rare alveolar-filling disorder characterized by foreign body reaction to inhaled/aspirated hydrocarbon that may be vegetable oil, animal fat, or mineral oil. It is vanishingly rare and often missed except in the classical clinical settings of acute aspiration of petroleum products. We present a toddler with iatrogenic exogenous lipoid pneumonia and highlight clinical and radiological clues that can prompt early recognition of this entity.


Asunto(s)
Fiebre/etiología , Pulmón/diagnóstico por imagen , Aceite Mineral/efectos adversos , Neumonía Lipoidea/diagnóstico , Neumonía Lipoidea/terapia , Aspiración Respiratoria , Lavado Broncoalveolar , Broncoscopía , Preescolar , Humanos , Aceite Mineral/administración & dosificación , Neumonía Lipoidea/diagnóstico por imagen , Radiografía , Tomografía Computarizada por Rayos X , Pérdida de Peso
9.
AAPS PharmSciTech ; 20(1): 31, 2019 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-30603786

RESUMEN

We prepared mineral oil-based emulsion adjuvants by employing simple self-emulsifying drug delivery system (SEDDS). Mineral oil emulsions (3%, 5%, and 7%) were prepared using deionized water and C-971P NF and C-940 grade carbomer solutions with concentrations 0.01% (w/v) and 0.02% (w/v). In total, 15 emulsions were prepared and mixed with a solution containing inactivated Mycoplasma hyopneumoniae (J101 strain) antigen and porcine circovirus type 2 antigen to prepare vaccines. Droplet sizes in the submicron range and zeta potential values between - 40 and 0 mV were maintained by most emulsion adjuvants for a period of 6 months. Emulsion adjuvants were regarded safe, and their M. hyopneumoniae-specific IgG, IgG1, and IgG2a titers were either better or comparable to those of aluminum gel.


Asunto(s)
Sistemas de Liberación de Medicamentos/métodos , Emulsionantes/toxicidad , Inmunoglobulina G/inmunología , Aceite Mineral/toxicidad , Mycoplasma hyopneumoniae/inmunología , Agua , Adyuvantes Inmunológicos/administración & dosificación , Adyuvantes Inmunológicos/toxicidad , Animales , Emulsionantes/administración & dosificación , Emulsiones/administración & dosificación , Emulsiones/toxicidad , Ratones , Ratones Endogámicos BALB C , Aceite Mineral/administración & dosificación , Mycoplasma hyopneumoniae/efectos de los fármacos , Porcinos , Agua/administración & dosificación
10.
Microb Pathog ; 117: 341-347, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29510207

RESUMEN

The predominant Staphylococcus aureus (S. aureus), an etiological agent of camel mastitis is becoming drug resistant that invites prevention and control strategies. Vaccine production would have a valuable impact on public health. Therefore, in present study, inactivated vaccine with different adjuvants was prepared and evaluated against S. aureus. The vaccinal isolate recovered from camel subclinical mastitis was coagulase positive (PCR based), having expressed pseudocapsule, holding alpha-beta hemolysin characteristics, and multiple drug resistant. Inactivated alum precipitated S. aureus vaccine (APSV) and oil adjuvant S. aureus vaccine (OASV) were prepared after confirming its antigenicity in rabbits. Three groups of rabbits were randomly inoculated with APSV, OASV, and placebo (Unvaccinated, UV). Each group was further divided into two groups based on single and booster dose inoculation. Booster dose of vaccines in rabbits at day 15th of primary inoculation was given. Serum samples were taken on 15, 30, 45 and 60 days of primary inoculation from all rabbits. Analysis of variance was applied to compare geometric mean titer (GMT) of three groups, while t-test was applied to estimate the difference between single and booster dose response. The study found 1010 CFU/mL S. aureus as standard bacterial load for vaccines with higher and sustained antigenicity. The vaccines were safe from morbidity and mortality, and proved effective and stable for 7 and 4 months at 25 °C and 37 °C, respectively. The OASV produced significantly (p < 0.05) higher immune response followed by APSV throughout trial. The highest GMT by APSV and OASV vaccines with single dose inoculation was 37.92 and 69.92 at day 45th post primary inoculation, respectively. Similarly, 59.20 and 142.40 GMTs were noted with booster dose in case of APSV and OASV, respectively. The booster dose presented significantly (p < 0.05) higher GMT than that of single dose inoculation of vaccines. The study concluded APSV and OASV safe, effective, and stable with significant immunogenic results in experimental rabbits.


Asunto(s)
Inmunogenicidad Vacunal/inmunología , Infecciones Estafilocócicas/inmunología , Infecciones Estafilocócicas/prevención & control , Vacunas Estafilocócicas/inmunología , Staphylococcus aureus/inmunología , Vacunación , Vacunas de Productos Inactivados/inmunología , Adyuvantes Inmunológicos/administración & dosificación , Compuestos de Alumbre , Animales , Anticuerpos Antibacterianos/sangre , Antígenos Bacterianos/inmunología , Carga Bacteriana , Proteínas Bacterianas/inmunología , Camelus , Coagulasa , Modelos Animales de Enfermedad , Farmacorresistencia Bacteriana Múltiple , Femenino , Proteínas Hemolisinas , Inmunización Secundaria , Mastitis/inmunología , Mastitis/microbiología , Mastitis/prevención & control , Aceite Mineral/administración & dosificación , Conejos , Infecciones Estafilocócicas/microbiología , Vacunas Estafilocócicas/administración & dosificación , Staphylococcus aureus/patogenicidad , Factores de Tiempo , Vacunas de Productos Inactivados/administración & dosificación
11.
World J Urol ; 36(1): 135-143, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29080947

RESUMEN

OBJECTIVE: Penile implants and injection of foreign materials have been described in texts like Kama Sutra for more than 1500 years, and are still being practiced around the world. The extent of this practice is unknown, and the documentation available today only scratches the surface. This study investigates and documents the complications after penile self-injections at the Mae Tao Clinic. To our knowledge, this study represents the largest series of patients representing complications to penile self-injections. STUDY DESIGN: Retrospective study. METHODS: We investigated data on 680 patients admitted with penile self-injections during a 5-year period. Data were studied for general patient data, symptoms, time of injection, and treatment. RESULTS: Age at admittance ranged from 17 to 68 with a mean age of 32 years. Time between injection and presentation was registered with a mean of 36.7 months, over half presented with complications within 1 year. Most frequent complications were penile pain (84%), swelling (82.5%), induration (42.9%), purulent secretion (21.8%), and ulceration (12.8%). Of the 680 patients, 507 (74.6%) underwent surgical treatment (503 excision and 4 circumcision), while 173 (25.4%) were treated conservatively. CONCLUSION: Our data suggest that penile self-injections with mineral oil are more prevalent in certain areas than previously acknowledged. In 5 years, more than 680 patients presented with complications to penile self-injections, of which 75% needed surgical intervention, mainly in the form of radical excision of the lesions followed by skin grafting. Preventive measures to this physically and psychologically devastating problem are highly warranted.


Asunto(s)
Aceite Mineral/administración & dosificación , Enfermedades del Pene/etiología , Pene , Adolescente , Adulto , Anciano , Humanos , Inyecciones/efectos adversos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Autoadministración/efectos adversos , Adulto Joven
12.
Aesthet Surg J ; 38(7): 770-780, 2018 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-29126283

RESUMEN

BACKGROUND: To improve the penile contour, some men choose to undergo implantation or injection of nonbiological materials. Foreign body reactions in penile tissue may produce scarring, deformity, ulceration, necrosis, and even gangrene. Consensus is lacking regarding the most effective surgical procedure for reconstruction of these penile lesions. OBJECTIVES: The authors describe one case study and the first systematic review focusing on reconstructive surgical management for penile lesions secondary to foreign body reaction. METHODS: PubMed, Medline, and Cochrane databases were queried for publications written in English, French, Portuguese, and Spanish from 1951 to May 2017. Multiple search terms were applied. RESULTS: Of the 3304 articles identified, 51 were included in the systematic review. All were retrospective studies, case series, or case reports. A total of 260 patients underwent surgical procedures, and the complication rate was 37.3%. The scrotal flap technique was performed most frequently (43.4%) and resulted in 65.6% of the total complications observed. One Brazilian case study was also described with an extensive and circumferential ulcer after six mineral oil bolls implant in the penile subcutaneous tissue. CONCLUSIONS: Restoration of the penile shape preserving the functionality and maintaining a good physician-patient relationship may be a challenge. The scrotal pouch may be advantageous for patch grafting of penile soft-tissue lesions, owing to its skin laxity and good blood supply. A less aggressive surgical approach has the benefits of shorter healing time and fewer early complications. Penile injuries are best treated by experienced surgeons on a case-by-case basis with care given to identify the most appropriate treatment.


Asunto(s)
Modificación del Cuerpo no Terapéutica/efectos adversos , Granuloma de Cuerpo Extraño/terapia , Aceite Mineral/efectos adversos , Pene/cirugía , Procedimientos de Cirugía Plástica/métodos , Úlcera Cutánea/terapia , Adulto , Brasil , Cloranfenicol/administración & dosificación , Colagenasas/administración & dosificación , Desbridamiento/métodos , Combinación de Medicamentos , Granuloma de Cuerpo Extraño/complicaciones , Granuloma de Cuerpo Extraño/patología , Humanos , Masculino , Aceite Mineral/administración & dosificación , Necrosis/patología , Necrosis/terapia , Pomadas , Pene/patología , Escroto/trasplante , Úlcera Cutánea/etiología , Úlcera Cutánea/patología , Colgajos Quirúrgicos/trasplante , Resultado del Tratamiento
13.
Int Wound J ; 14(3): 546-554, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27488810

RESUMEN

Foreign modelling agent reactions (FMAR) are the result of the injection of unapproved high-viscosity fluids with the purpose of cosmetic body modelling. Its consequences lead to ulceration, disfigurement and even death, and it has reached epidemic proportions in several regions of the world. We describe a series of patients treated for FMARs in a specialised wound care centre and a thorough review of the literature. A retrospective chart review was performed from January 1999 to September 2015 of patients who had been injected with non-medical foreign agents and who developed cutaneous ulceration needing treatment at the dermatology wound care centre. This study involved 23 patients whose ages ranged from 22 to 67 years with higher proportion of women and homosexual men. The most commonly injected sites were the buttocks (38·5%), legs (18%), thighs (15·4%) and breasts (11·8%). Mineral oil (39%) and other unknown substances (30·4%) were the most commonly injected. The latency period ranged from 1 week to 17 years. Complications included several skin changes such as sclerosis and ulceration as well as systemic complications. FMAR is a severe syndrome that may lead to deadly complications, and is still very common in Latin America.


Asunto(s)
Cosméticos/efectos adversos , Cuerpos Extraños/inmunología , Reacción a Cuerpo Extraño/complicaciones , Aceite Mineral/efectos adversos , Úlcera Cutánea/etiología , Úlcera Cutánea/terapia , Adulto , Anciano , Mama/fisiopatología , Nalgas/fisiopatología , Cosméticos/administración & dosificación , Femenino , Homosexualidad Masculina/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Aceite Mineral/administración & dosificación , Estudios Retrospectivos , Piel/fisiopatología , Adulto Joven
14.
Int J Cosmet Sci ; 38(2): 194-200, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26352930

RESUMEN

OBJECTIVE: Lipsticks and lip care products may contain saturated hydrocarbons which either stem from mineral oil saturated hydrocarbons (MOSH) or are synthetic, that is polyolefin oligomeric saturated hydrocarbons (POSH). Some of these hydrocarbons are strongly accumulated and form granulomas in human tissues, which prompted Cosmetics Europe (former Colipa) to issue a recommendation for their use in lip care and oral products. From 2012 to 2014, MOSH+POSH were determined in 175 cosmetic lip products taken from the Swiss market in order to estimate their contribution to human exposure. METHODS: Mineral oil saturated hydrocarbons and POSH were extracted and analysed by GC with FID. Areas were integrated as a total as well as by mass ranges with cuts at n-C25 and n-C34 to characterize the molecular mass distribution. RESULTS: About 68% of the products contained at least 5% MOSH+POSH (total concentration). For regular users, these products would be major contributors to their MOSH+POSH exposure. About 31% of the products contained more than 32% MOSH+POSH. Their regular usage would amount in an estimated MOSH+POSH exposure exceeding the highest estimated dietary exposure. The majority of the products contained hydrocarbons with a molecular mass range which was not in line with the recommendations of Cosmetics Europe. CONCLUSIONS: Taking into account that material applied to the lips largely ends up being ingested, MOSH and POSH levels should be reduced in the majority of cosmetic lip products. As the extensive evaluation of the data available on MOSH (EFSA J., 10, 2012, 2704) did not enable the specification of limits considered as safe, the present level of dietary exposure and its evaluation as 'of potential concern' provide the relevant bench mark, which means that lip products should contain clearly less than 5% MOSH+POSH.


Asunto(s)
Cosméticos/análisis , Hidrocarburos/administración & dosificación , Aceite Mineral/administración & dosificación , Cromatografía de Gases , Humanos
15.
BMC Immunol ; 16: 68, 2015 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-26572128

RESUMEN

BACKGROUND: Galectin-3 is known to be a lectin that plays an important role in inflammatory processes, acting as pro-inflammatory mediator in activation and migration of neutrophils and macrophages, as well as in the phagocytic function of these cells. The injection of mineral oils into the peritoneal cavity of mice, such as 2, 6, 10, 14-tetramethylpentadecane (pristane), induce a chronic granulomatous inflammatory reaction which is rich in macrophages, B cells and peritoneal plasma cells known as oil granuloma. In addition, this inflammatory microenvironment provided by oil granulomas is also an important site of plasmacytoma induction, which are dependent on cytokine production and cellular mobilization. Here, we have analyzed the role of galectin-3 in inflammatory cells mobilization and organization after pristane injection characterizing granulomatous reaction through the formation of oil granulomas. RESULTS: In galectin-3 deficient mice (gal-3(-/-)), the mobilization of inflammatory cells, between peritoneal cavity and bone marrow, was responsible for the formation of disorganized oil granulomas, which presented scattered cells, large necrotic areas and low amounts of extracellular matrix. The production of inflammatory cytokines partially explained the distribution of cells through peritoneal cavity, since high levels of IL-6 in gal-3(-/-) mice led to drastically reduction of B1 cells. The previous pro-inflammatory status of these animals also explains the excess of cell death and disruption of oil granulomas architecture. CONCLUSIONS: Our data indicate, for the first time, that the disruption in the inflammatory cells migration in the absence of galectin-3 is a crucial event in the formation and organization of oil granulomas.


Asunto(s)
Galectina 3/deficiencia , Granuloma/etiología , Terpenos/administración & dosificación , Animales , Citocinas/biosíntesis , Modelos Animales de Enfermedad , Matriz Extracelular , Granulocitos/inmunología , Granulocitos/metabolismo , Granulocitos/patología , Granuloma/metabolismo , Granuloma/patología , Mediadores de Inflamación/metabolismo , Inyecciones , Subgrupos Linfocitarios/inmunología , Subgrupos Linfocitarios/metabolismo , Subgrupos Linfocitarios/patología , Macrófagos Peritoneales/inmunología , Macrófagos Peritoneales/metabolismo , Ratones , Ratones Noqueados , Aceite Mineral/administración & dosificación
16.
Dermatol Online J ; 21(11)2015 Nov 18.
Artículo en Inglés | MEDLINE | ID: mdl-26632943

RESUMEN

Cutaneous myiasis is a parasitic disease secondary to the presence of the larvae of certain insects, particularly diptera, in the skin of man or vertebrates [1]. Human myiasis is a rare clinical condition, but more frequently seen in tropical and subtropical areas. Hot humid climate with inadequate sanitary conditions favor the development of this condition. Dermatitis, psychiatric illnesses, leprosy, and diabetes are some contributory factors [2]. Treatment of myiasis, once diagnosed, is simple and rapid recovery is anticipated.


Asunto(s)
Moscas Domésticas , Miasis/diagnóstico , Miasis/terapia , Dermatosis del Cuero Cabelludo/diagnóstico , Dermatosis del Cuero Cabelludo/terapia , Úlcera/diagnóstico , Úlcera/terapia , Adolescente , Animales , Antibacterianos/uso terapéutico , Femenino , Humanos , Aceite Mineral/administración & dosificación , Dermatosis del Cuero Cabelludo/parasitología , Infecciones Cutáneas Estafilocócicas/diagnóstico , Infecciones Cutáneas Estafilocócicas/tratamiento farmacológico , Úlcera/parasitología
17.
G Ital Dermatol Venereol ; 150(3): 297-302, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25946673

RESUMEN

AIM: Xerosis cutis is a frequent condition in the elderly and the topical treatments are aimed to maintain a balance between the physiological components of the epidermis and an optimal moisturization. The aim was to evaluate the efficacy of a dermoprotective cream, glycerol and paraffin-based, in the treatment of individuals affected by senile xerosis. METHODS: The patients were recruited at the Professional Dermatology and Allergology Outpatient Clinic of the San Gallicano Dermatological Institute of Rome, between 1st January 2013 and 30th September 2014. To assess the efficacy of the cream, two different areas of treatment were identified in each patient upper the limbs. All patients were staged at baseline (T0) and evaluated after 14 days (T1) and 28 days (T2) of topical treatment, using five clinical parameters: scaling, sensation of skin tightness, presence of fissuring and excoriations from scratching and erythema. The itching degree was also evaluated using a 10-steps analogical scale. RESULTS: Fifty patients with xerosis, 25 with a severe and 25 with a moderate form, over 60 were recruited and evaluated. Median age was 65 years (IQR=61-70). After 28 day of topical administration of the cream, the 54.0% of patients showed the absence of signs of xerosis, the 44.0% a mild form and the 2.0% (one patient) a moderate form. Consistently, a progressive and significative reduction of itching and transepidermal water loss (TEWL), and an improvement in skin hydration was also measured. A good profile of tolerability and no episodes of undesirable side effects, was also observed. CONCLUSION: The topical daily use of a cream glycerol and paraffin-based, seem to able to control the xerosis in elderly patients, with a significant reduction of all associated signs and symptoms. Further additional data should be collected to better confirm the role of the topical treatment in the control of disease.


Asunto(s)
Emolientes/uso terapéutico , Crema para la Piel/uso terapéutico , Enfermedades de la Piel/tratamiento farmacológico , Anciano , Anciano de 80 o más Años , Emolientes/administración & dosificación , Eritema/tratamiento farmacológico , Femenino , Glicerol/administración & dosificación , Glicerol/uso terapéutico , Humanos , Masculino , Persona de Mediana Edad , Aceite Mineral/administración & dosificación , Aceite Mineral/uso terapéutico , Vaselina/administración & dosificación , Vaselina/uso terapéutico , Prurito/tratamiento farmacológico , Índice de Severidad de la Enfermedad , Crema para la Piel/administración & dosificación , Resultado del Tratamiento
18.
Am J Physiol Gastrointest Liver Physiol ; 307(3): G381-9, 2014 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-24924750

RESUMEN

Fatty acids that vary in chain length and degree of unsaturation have different effects on metabolism and human health. As evidence for a "taste" of nonesterified fatty acids (NEFA) accumulates, it may be hypothesized that fatty acid structures will also influence oral sensations. The present study examined oral sensitivity to caproic (C6), lauric (C12), and oleic (C18:1) acids over repeated visits. Analyses were also conducted on textural properties of NEFA emulsions and blank solutions. Oral thresholds for caproic acid were lower compared with oleic acid. Lauric acid thresholds were intermediate but not significantly different from either, likely due to lingering irritating sensations that prevented accurate discrimination. From particle size analysis, larger droplets were observed in blank solutions when mineral oil was used, leading to instability of the emulsion, which was not observed when emulsions contained NEFA or when mineral oil was removed from the blank. Rheological data showed no differences in viscosity among samples except for a slightly higher viscosity with oleic acid concentrations above 58 mM. Thus, texture was unlikely to be the property used to distinguish between the samples. Differences in oral detection and sensation of caproic, lauric, and oleic acids may be due to different properties of the fatty acid alkyl chains.


Asunto(s)
Ácidos Grasos/administración & dosificación , Boca/inervación , Umbral Gustativo , Administración Oral , Adulto , Caproatos/administración & dosificación , Estudios Cruzados , Emulsiones , Ácidos Grasos/química , Femenino , Humanos , Ácidos Láuricos/administración & dosificación , Masculino , Aceite Mineral/administración & dosificación , Estructura Molecular , Ácido Oléico/administración & dosificación , Tamaño de la Partícula , Reología , Relación Estructura-Actividad , Viscosidad , Adulto Joven
19.
Biosci Biotechnol Biochem ; 77(11): 2175-80, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24200795

RESUMEN

Changes in the extracellular concentration of dopamine (DA) in the nucleus accumbens (NAc) shell and the basolateral amygdala (BLA) resulting from the voluntary ingestion of either corn oil, mineral oil, or 1% linoleic acid diluted with mineral oil as a vehicle were measured in rats by using in vivo microdialysis after they had been trained to establish a preference for corn oil. Ingesting the mineral oil caused no significant change in DA level in the NAc shell, whereas corn oil ingestion significantly increased the DA level during 0-15 min of the test session, reaching the maximum level of 129.8 ± 6.2% compared with the baseline after 10 min. Ingesting linoleic acid also resulted in a significant increase in DA level during 0-20 min, reaching 125.9 ± 9.0% after 10 min. Similar results were obtained in the BLA. Despite its very low calorie content, a low concentration of non-esterified fatty acid increased the DA levels equivalent to those resulting from corn oil in the brain's reward system.


Asunto(s)
Amígdala del Cerebelo/efectos de los fármacos , Aceite de Maíz/administración & dosificación , Dopamina/metabolismo , Ácido Linoleico/administración & dosificación , Núcleo Accumbens/efectos de los fármacos , Administración Oral , Amígdala del Cerebelo/metabolismo , Animales , Aceite de Maíz/metabolismo , Ingestión de Alimentos , Espacio Extracelular/química , Espacio Extracelular/metabolismo , Ácido Linoleico/metabolismo , Masculino , Microdiálisis , Microelectrodos , Aceite Mineral/administración & dosificación , Aceite Mineral/metabolismo , Núcleo Accumbens/metabolismo , Ratas , Ratas Wistar , Recompensa , Técnicas Estereotáxicas
20.
Lipids Health Dis ; 11: 158, 2012 Nov 16.
Artículo en Inglés | MEDLINE | ID: mdl-23158555

RESUMEN

BACKGROUND: The babassu palm tree is native to Brazil and is most densely distributed in the Cocais region of the state of Maranhão, in northeastern Brazil. In addition to the industrial use of refined babassu oil, the milk, the unrefined oil and the nuts in natura are used by families from several communities of African descendants as one of the principal sources of food energy. The objective of this study was to evaluate the effects of babassu oil on microvascular permeability and leukocyte-endothelial interactions induced by ischemia/reperfusion using the hamster cheek pouch microcirculation as experimental model. METHODS: Twice a day for 14 days, male hamsters received unrefined babassu oil (0.02 ml/dose [BO-2 group], 0.06 ml/dose [BO-6 group], 0.18 ml/dose [BO-18 group]) or mineral oil (0.18 ml/dose [MO group]). Observations were made in the cheek pouch and macromolecular permeability increase induced by ischemia/reperfusion (I/R) or topical application of histamine, as well as leukocyte-endothelial interaction after I/R were evaluated. RESULTS: The mean value of I/R-induced microvascular leakage, determined during reperfusion, was significantly lower in the BO-6 and BO-18 groups than in the MO one (P < 0.001). In addition, histamine-induced increase of microvascular permeability was significantly less pronounced in BO groups compared to MO one. No significant differences among groups in terms of leukocyte adhesion, concentrations of tumor necrosis factor alpha, interleukin 1, and interleukin 6 were found. CONCLUSIONS: Our findings suggest that unrefined babassu oil reduced microvascular leakage and protected against histamine-induced effects in postcapillary venules and highlights that these almost unexploited nut and its oil might be secure sources of food energy.


Asunto(s)
Permeabilidad Capilar/efectos de los fármacos , Adhesión Celular/efectos de los fármacos , Leucocitos , Aceites de Plantas/administración & dosificación , Animales , Brasil , Mejilla/lesiones , Mejilla/patología , Cricetinae , Histamina/toxicidad , Humanos , Leucocitos/efectos de los fármacos , Leucocitos/metabolismo , Leucocitos/patología , Masculino , Microcirculación/efectos de los fármacos , Aceite Mineral/administración & dosificación , Nueces/química , Aceite de Palma , Sustancias Protectoras/administración & dosificación , Daño por Reperfusión/inducido químicamente , Daño por Reperfusión/tratamiento farmacológico
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA