RESUMO
Carcinogenesis induced by high-risk human papillomavirus (HPV) involves inflammatory phenomena, partially mediated by cyclooxigenase-2. In pre-clinical models of HPV-induced cancer, cyclooxygenase-2 inhibitors have shown significant efficacy, but also considerable toxicity. This study addresses the chemopreventive effect and hepatic toxicity of a specific cyclooxigensase-2 inhibitor, parecoxib, in HPV16-transgenic mice. Forty-three 20 weeks-old female mice were divided into four groups: I (HPV16-/-, n = 10, parecoxib-treated); II (HPV16-/- n = 11, untreated); III (HPV16+/-, n = 11, parecoxib-treated) and IV (HPV16+/-, n = 11, untreated). Parecoxib (5.0 mg/kg once daily) or vehicle was administered intraperitoneally for 22 consecutive days. Skin lesions were classified histologically. Toxicological endpoints included genotoxic parameters, hepatic oxidative stress, transaminases and histology. Parecoxib completely prevented the onset of epidermal dysplasia in HPV16+/- treated animals (0% versus 64% in HPV16+/- untreated, p = 0.027). Parecoxib decreases lipid peroxidation (LPO) and superoxide dismutase (SOD) activity and increases the GSH:GSSG ratio in HPV16+/- treated animals meaning that oxidative stress is lower. Parecoxib increased genotoxic stress parameters in wild-type and HPV16-transgenic mice, but didn't modify histological or biochemical hepatic parameters. These results indicate that parecoxib has chemopreventive effects against HPV16-induced lesions while maintaining an acceptable toxicological profile in this model.
Assuntos
Anticarcinógenos/uso terapêutico , Inibidores de Ciclo-Oxigenase 2/uso terapêutico , Papillomavirus Humano 16/isolamento & purificação , Isoxazóis/uso terapêutico , Neoplasias Cutâneas/prevenção & controle , Neoplasias Cutâneas/virologia , Animais , Anticarcinógenos/efeitos adversos , Inibidores de Ciclo-Oxigenase 2/efeitos adversos , Feminino , Papillomavirus Humano 16/genética , Isoxazóis/efeitos adversos , Camundongos , Camundongos Transgênicos , Infecções por Papillomavirus/complicações , Infecções por Papillomavirus/patologia , Pele/efeitos dos fármacos , Pele/patologia , Pele/virologia , Neoplasias Cutâneas/patologiaRESUMO
Limiting cancer-induced cardiac damage has become an increasingly important issue to improve survival rates and quality of life. Exercise training has been shown to reduce cardiovascular complications in several diseases; however, its therapeutic role against cardiovascular consequences of cancer is in its infancy. In order to add new insights on the potential therapeutic effect of exercise training on cancer-related cardiac dysfunction, we used an animal model of urothelial carcinoma submitted to 13 weeks of treadmill exercise after 20 weeks of exposure to the carcinogenic N-butyl-N-(4-hydroxybutyl)-nitrosamine (BBN). Data showed that 13 weeks of treadmill exercise reverted cancer-induced cardiomyocytes atrophy and fibrosis, improved cardiac oxidative capacity given by citrate synthase activity and MnSOD content, and increased the levels of the mitochondrial biogenesis markers PGC-1α and mtTFA. Moreover, exercise training reverted cancer-induced decrease of cardiac c-kit levels suggesting enhanced regenerative ability of heart. These cardiac adaptations to exercise were related to a lower incidence of malignant urothelial lesions and less signs of inflammation. Taken together, data from the present study support the beneficial effect of exercise training when started after cancer diagnosis, envisioning the improvement of the cardiovascular function.
Assuntos
Remodelamento Atrial , Condicionamento Físico Animal , Neoplasias Urológicas/patologia , Animais , Modelos Animais de Doenças , Fibrose/prevenção & controle , Masculino , Atrofia Muscular/complicações , Atrofia Muscular/prevenção & controle , Miócitos Cardíacos/metabolismo , Miócitos Cardíacos/patologia , Ratos , Ratos Wistar , Regeneração , Neoplasias Urológicas/metabolismo , Neoplasias Urológicas/fisiopatologiaRESUMO
Despite the importance attributed to exercise training in the breast cancer (BC) continuum, the underlying mechanisms modulating tumor behavior are unknown. We evaluated the effects of long-term moderate-exercise in the development of mammary tumors, and studied the microenvironment of infiltrative lesions, the amount of connective tissue, and balance between cellular proliferation/death.Fifty Sprague-Dawley rats, randomly assigned into four groups: two control groups (sedentary and exercised) and two models of BC groups (sedentary and exercised) induced by N-methyl-N-nitrosoureia (MNU), were sacrificed after 35 weeks of moderate-exercise, and all perceptible tumors were removed for histological and immunohistochemistry analysis.The median number of infiltrative-lesions per animal was lower in the MNU exercised animals (p=0.02). More than one histological pattern was identified, and papillary carcinoma was the most frequent in both groups. Within infiltrative-lesions, the number of immunopositive cells per µm2 of Ki67 was lower in exercised animals (p=0.002). This presents increased cell death per µm2 (p=0.019). Tumors from sedentary animals had a higher expression of collagen deposition (p=0.027).Long-term moderate-exercise has beneficial effects in tumor development with a diminished prevalence of malignancy. Within infiltrative-lesions, moderate-exercise improves the balance between cell-proliferation and cell-death with decreased connective tissue that suggests lower tumor aggressiveness.
Assuntos
Neoplasias Mamárias Experimentais/terapia , Condicionamento Físico Animal , Microambiente Tumoral , Animais , Carcinoma Papilar/terapia , Morte Celular , Proliferação de Células , Feminino , Imuno-Histoquímica , Invasividade Neoplásica , Ratos , Ratos Sprague-DawleyRESUMO
Cancer is the first cause of death in developed countries and the second in developing countries. Concerning the most frequent worldwide-diagnosed cancer, primary liver cancer represents approximately 4% of all new cancer cases diagnosed globally. However, among primary liver cancer, hepatocellular carcinoma is by far the most common histological subtype. Notwithstanding the health promotion and disease prevention campaigns, more than half a million new hepatocellular carcinoma cases are reported yearly, being estimated to growth continuously until 2020. Taking this scenario under consideration and the fact that some aspects concerning hepatocellular carcinoma evolution and metastasize process are still unknown, animal models assume a crucial role to understand this disease. The animal models have also provided the opportunity to screen new therapeutic strategies. The present review was supported on research and review papers aiming the complexity and often neglected chemically induced animal models in hepatocarcinogenesis research. Despite the ongoing debate, chemically induced animal models, namely, mice and rat, can provide unique valuable information on the biotransformation mechanisms against xenobiotics and apprehend the deleterious effects on DNA and cell proteins leading to carcinogenic development. In addition, taking under consideration that no model achieves all hepatocellular carcinoma research purposes, criteria to define the " ideal" animal model, depending on the researchers' approach, are also discussed in this review.
Assuntos
Carcinoma Hepatocelular/tratamento farmacológico , Carcinoma Hepatocelular/genética , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Hepáticas/genética , Animais , Carcinoma Hepatocelular/patologia , Modelos Animais de Doenças , Humanos , Neoplasias Hepáticas/patologia , Neoplasias Hepáticas Experimentais/genética , Camundongos , RatosRESUMO
Background: Teratomas are rare types of germ cell neoplasms composed of various differentiated or undifferentiated tissues. Case Description: A 25-week-old female control FVB /n mouse in a 4-week toxicity study presented abdominal distension and poor body condition. It was euthanized, and the necropsy examination revealed a large mass connected to the tip of the right uterine horn, occupying the entire abdominal cavity. Microscopically, this mass showed areas of epidermal differentiation, with laminated keratin and sebaceous glands, differentiation into respiratory and digestive epithelium, cartilage, bone, and extensive areas of differentiation into the nervous tissue, being classified as an ovarian teratoma. Conclusion: As far as authors know, the occurrence of ovarian teratomas in the FVB/n mouse strain has never been previously described.
Assuntos
Neoplasias Ovarianas , Doenças dos Roedores , Teratoma , Camundongos , Feminino , Animais , Neoplasias Ovarianas/diagnóstico , Neoplasias Ovarianas/veterinária , Teratoma/diagnóstico , Teratoma/veterináriaRESUMO
Brassica by-products are a source of natural bioactive molecules such as glucosinolates and isothiocyanates, with potential applications in the nutraceutical and functional food industries. However, the effects of oral sub-chronic exposure to broccoli by-product flour (BF) have not yet been evaluated. The objective of this pilot study was to analyse the effects of BF intake in the physiological parameters of FVB/N mice fed a 6.7% BF-supplemented diet for 21 days. Glucosinolates and their derivatives were also quantified in plasma and urine. BF supplementation significantly decreased (p < 0.05) the accumulation of perirenal adipose tissue. Furthermore, mice supplemented with BF showed significantly lower (p < 0.01) microhematocrit values than control animals, but no impact on the general genotoxicological status nor relevant toxic effects on the liver and kidney were observed. Concerning hepatic and renal antioxidant response, BF supplementation induced a significant increase (p < 0.05) in the liver glutathione S-transferase (GST) levels. In BF-supplemented mice, plasma analysis revealed the presence of the glucosinolates glucobrassicin and glucoerucin, and the isothiocyanates sulforaphane and indole-3-carbinol. Overall, these results show that daily intake of a high dose of BF during three weeks is safe, and enables the bioavailability of beneficial glucosinolates and isothiocyanates. These results allow further testing of the benefits of this BF in animal models of disease, knowing that exposure of up to 6.7% BF does not present relevant toxicity.
RESUMO
BACKGROUND: The mannose-binding lectin (MBL) plays an important role in innate immunity. Genetically determined variations in serum levels of MBL may influence the susceptibility and clinical outcome of dengue infection in early life. METHODS: We investigated the MBL2 gene polymorphisms and serum levels of MBL (total and functional) in children with asymptomatic (n=17) and symptomatic (n=29) primary dengue infections and age-matched uninfected children (n=84) enrolled in a birth cohort with dengue in Brazil. Polymorphisms of the MBL2 gene were assessed by reverse transcription-polymerase chain reaction (RT-PCR), whereas the enzyme-linked immunosorbent assay (ELISA) was used to quantify serum levels of MBL. RESULTS: We found that the X allele and YX genotype in the MBL2 were more frequent in the dengue cases than in the control group. Likewise, the LXPA haplotype was exclusively found in dengue cases, thus probably related to dengue infection in our setting. Moreover, we found a higher frequency of the O allele and AO genotype in the control group. Serum levels of total and functional MBL were higher in dengue naïve infants than in dengue cases. CONCLUSIONS: MBL2 variants related to lower production of serum MBL were associated with dengue infection in infants, whereas intermediate to high levels of total and functional serum MBL were associated with protection against dengue infection. These findings highlight the role of MBL2 variants and serum levels of MBL in the susceptibility of children to dengue disease at early ages.
Assuntos
Dengue , Lectina de Ligação a Manose , Brasil/epidemiologia , Criança , Dengue/epidemiologia , Dengue/genética , Predisposição Genética para Doença , Genótipo , Haplótipos , Humanos , Lactente , Lectina de Ligação a Manose/genética , Polimorfismo de Nucleotídeo ÚnicoRESUMO
BACKGROUND/AIM: Obesity currently affects the whole world, with greater incidence in high-income countries, with vast economic and social costs. Broccoli harvest generates many by-products equally rich in bioactive compounds with potential anti-obesity effects. This study aimed to evaluate the anti-obesity effects of broccoli by-products flour (BF) in obese mice. MATERIALS AND METHODS: A commercial high-fat diet formulation (representing a Western diet) was used to induce obesity in mice. BF (0.67% or 1.34% weight/weight) was incorporated as a chemoprevention compound into a control and a hypercholesterolemic diet, at two different concentrations, and fed for 14 weeks to C57BL/6J mice. For a therapeutic approach, two groups were fed with the hypercholesterolemic diet for 10 weeks, and then fed with BF-supplemented diets in the last 4 weeks of the study. RESULTS: BF supplementation helped to maintain a lower body weight, reduced adipose tissue accumulation, and enhanced the basal activity of superoxide dismutase and glutathione S-transferase. Although BF supplementation tended to reduce the relative liver weight increased by the Western diet, the differences were not significant. CONCLUSION: BF appears to have a beneficial effect in preventing weight gain and fat accumulation induced by hypercholesterolemic diets.
Assuntos
Brassica , Animais , Dieta Hiperlipídica/efeitos adversos , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Obesos , Obesidade/tratamento farmacológico , Obesidade/etiologiaRESUMO
Chronic kidney disease (CKD) is a long-term condition in which the kidneys do not work correctly. It has a high prevalence and represents a serious hazard to human health and estimated to affects hundreds of millions of people. Diabetes and hypertension are the two principal causes of CKD. The progression of CKD is characterized by the loss of renal cells and their replacement by extracellular matrix (ECM), independently of the associated disease. Thus, one of the consequences of CKD is glomerulosclerosis and tubulointerstitial fibrosis caused by an imbalance between excessive synthesis and reduced breakdown of the ECM. There are many molecules and cells that are associated with progression of renal fibrosis e.g. angiotensin II (Ang II). Therefore, in order to understand the biopathology of renal fibrosis and for the evaluation of new treatments, the use of animal models is crucial such as: surgical, chemical and physical models, spontaneous models, genetic models and in vitro models. However, there are currently no effective treatments for preventing the progression of renal fibrosis. Therefore it is essential to improve our knowledge of the cellular and molecular mechanisms of the progress of renal fibrosis in order to achieve a reversion/elimination of renal fibrosis.
Assuntos
Modelos Animais de Doenças , Fibrose/fisiopatologia , Fibrose/terapia , Nefropatias/fisiopatologia , Nefropatias/terapia , Animais , HumanosRESUMO
Purpose. This study aimed to evaluate the effect of chronic treatment with chaetomellic acid A (CAA) on oxidative stress and renal function in a model of renal mass reduction. Methods. Male Wistar rats were subjected to 5/6 nephrectomy (RMR) or sham-operated (SO). One week after surgery, rats have been divided into four experimental groups: RMR: RMR rats without treatment (n = 14); RMR + CAA: RMR rats treated with CAA (n = 13); SO: SO rats without treatment (n = 13); and SO + CAA: SO rats treated with CAA (n = 13). CAA was intraperitoneally administered in a dose of 0.23 µg/Kg three times a week for six months. Results. RMR was accompanied by a significant reduction in catalase and glutathione reductase (GR) activity (p < 0.05) and a decrease in reduced glutathione (GSH)/oxidized glutathione (GSSG) ratio. CAA administration significantly increased catalase and GR activity (p < 0.05) and increased GSH/GSSG ratio, but no significant difference between the treated and nontreated groups was found in this ratio. No significant differences were found between the RMR groups in any of the parameters of renal function. However, CAA administration slightly improves some parameters of renal function. Conclusions. These data suggest that CAA could attenuate 5/6 RMR-induced oxidative stress.
Assuntos
Nefropatias/tratamento farmacológico , Rim/efeitos dos fármacos , Maleatos/administração & dosagem , Estresse Oxidativo/efeitos dos fármacos , Animais , Catalase/metabolismo , Glutationa/metabolismo , Humanos , Rim/fisiopatologia , Rim/cirurgia , Nefropatias/patologia , Nefropatias/cirurgia , Masculino , Nefrectomia/efeitos adversos , Ratos , Superóxido Dismutase/metabolismoRESUMO
The high prevalence of end-stage renal disease emphasizes the failure to provide therapies to effectively prevent and/or reverse renal fibrosis. Therefore, the aim of this study was to evaluate the effect of long-term treatment with chaethomellic acid A (CAA), which selectively blocks Ha-Ras farnesylation, on renal mass reduction-induced renal fibrosis. Male Wistar rats were sham-operated (SO) or subjected to 5/6 renal mass reduction (RMR). One week after surgery, rats were placed in four experimental groups: SO:SO rats without treatment (n=13); SO+CAA: SO rats treated with CAA (n=13); RMR:RMR rats without treatment (n=14); and RMR+CAA:RMR rats treated with CAA (n=13). CAA was intraperitoneally administered in a dose of 0.23µg/kg three times a week for six months. Renal fibrosis was evaluated by two-dimensional ultrasonography and histopathological analysis. The kidneys of the RMR animals treated with CAA showed a significantly decrease in the medullary echogenicity (p<0.05) compared with the RMR rats that received no treatment. Glomerulosclerosis and arteriolosclerosis scores were significantly lower (p<0.001) in the RMR+CAA group when compared with the RMR group. There were no significant differences in interstitial fibrosis, interstitial inflammation and tubular dilatation scores between the RMR+CAA and RMR groups. These data suggest that CAA can be a potential future drug to attenuate the progression of chronic kidney disease.
Assuntos
Arteriolosclerose/diagnóstico por imagem , Modelos Animais de Doenças , Glomerulosclerose Segmentar e Focal/diagnóstico por imagem , Fármacos Renais/uso terapêutico , Insuficiência Renal Crônica/diagnóstico por imagem , Animais , Arteriolosclerose/tratamento farmacológico , Arteriolosclerose/metabolismo , Esquema de Medicação , Genes ras/efeitos dos fármacos , Genes ras/fisiologia , Glomerulosclerose Segmentar e Focal/tratamento farmacológico , Glomerulosclerose Segmentar e Focal/metabolismo , Masculino , Prenilação de Proteína/efeitos dos fármacos , Prenilação de Proteína/fisiologia , Ratos , Ratos Wistar , Fármacos Renais/farmacologia , Insuficiência Renal Crônica/tratamento farmacológico , Insuficiência Renal Crônica/metabolismo , Fatores de Tempo , Resultado do TratamentoRESUMO
AIM: To characterize the kidney alterations associated with renal mass reduction by two-dimensional ultrasound and assess the correlation of the ultrasonographic parameters with the histological and biochemical findings. MATERIALS AND METHODS: Rats were divided into two groups: sham-operated animals (n=13), and animals which underwent renal mass reduction (RMR) through 5/6 nephrectomy (n=14). Renal length, renal thickness, cortical thickness, medullary length and echogenicity of the kidneys were evaluated by ultrasonography at 3 and 6 months after the RMR. RESULTS: Except for the renal length, the renal dimensions at 3 and 6 months were significantly higher in the RMR group when compared to the sham-operated group (p<0.05). Furthermore, the cortical and medullary echogenicity was significantly higher in the RMR group when compared to the sham-operated group (p<0.05). A significant correlation was observed between the plasma creatinine level and the renal length 3 months after RMR (r=-0.612, p=0.045). CONCLUSION: These data support future application of ultrasonography for monitoring the progression of renal damage in chronic studies with the 5/6 nephrectomy model.
Assuntos
Rim/diagnóstico por imagem , Rim/cirurgia , Nefrectomia/métodos , Ultrassonografia/métodos , Animais , Progressão da Doença , Rim/patologia , Córtex Renal/diagnóstico por imagem , Córtex Renal/patologia , Córtex Renal/cirurgia , Medula Renal/diagnóstico por imagem , Medula Renal/patologia , Medula Renal/cirurgia , Masculino , Ratos Wistar , Insuficiência Renal Crônica/diagnóstico , Insuficiência Renal Crônica/diagnóstico por imagem , Insuficiência Renal Crônica/cirurgia , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
BACKGROUND: Schwannoma is a tumor of the nervous system composed by Schwann cells. It can occur naturally in several tissues of the body in both humans and animals. Diaphragmatic hernia can be congenital or acquired and is defined as a protrusion of abdominal viscera into the thoracic cavity. MATERIALS AND METHODS: The animal was a female rat from an experiment of mammary tumor chemically induced. It was injected with N-methyl-N-nitrosourea (MNU) and died spontaneously at 22 weeks of age. RESULTS: The animal had a diaphragmatic hernia and a hemorrhagic and multicystic mass in the liver herniated lobule. Microscopically the liver displayed a well circumscribed mass that was a tumor with hemorrhagic areas, necrosis and Antoni A and Antoni B patterns. It also displayed occasional positivity to vimentin and diffuse positivity to S-100 and NSE. CONCLUSION: The tumor was a schwannoma with the origin in the Glisson's capsule.
Assuntos
Hérnia Diafragmática/complicações , Neoplasias Hepáticas Experimentais/induzido quimicamente , Metilnitrosoureia/toxicidade , Neurilemoma/induzido quimicamente , Animais , Feminino , Hérnia Diafragmática/patologia , Neoplasias Hepáticas Experimentais/complicações , Neoplasias Hepáticas Experimentais/patologia , Neurilemoma/complicações , Neurilemoma/patologia , Ratos , Ratos Sprague-DawleyRESUMO
AIM: To study the effect of nebivolol on liver fibrosis induced by common bile duct ligation (BDL) in rats. MATERIALS AND METHODS: After BDL, Wistar rats were divided into three groups (n=24): SO, sham-operated animals; BDL, BDL rats without treatment; BDL+N, BDL rats treated with nebivolol for five weeks. Alanine aminotransferase, aspartate aminotransferase, gamma glutamyltransferase, total bilirubin and albumin levels were assessed. Liver samples collected were stained with hematoxylin-eosin, Masson's trichrom and reticulin. RESULTS: Mortality reached 37.5% in the BDL group, whereas no deaths were observed in the SO and BDL+N groups. The BDL group showed hepatic damage as evidenced by elevation in serum biochemical parameters and fibrosis scores. These pathophysiological changes were attenuated in the BDL+N group. However, there was no significant difference between these two groups. CONCLUSION: Nebivolol improved the survival rate of animals with BDL, but was unable to significantly improve liver function or reduce liver fibrosis.
Assuntos
Benzopiranos/administração & dosagem , Benzopiranos/farmacologia , Ductos Biliares/cirurgia , Etanolaminas/administração & dosagem , Etanolaminas/farmacologia , Cirrose Hepática/tratamento farmacológico , Cirrose Hepática/etiologia , Animais , Pressão Arterial/efeitos dos fármacos , Frequência Cardíaca/efeitos dos fármacos , Ligadura , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Cirrose Hepática/sangue , Cirrose Hepática/patologia , Masculino , Nebivolol , Ratos , Ratos WistarRESUMO
BACKGROUND: A mouse model in which N-diethylnitrosamine (DEN) induces Hepatocellular carcinoma (HCC) has histological and genetic resemblance to human tumours. MATERIAL AND METHODS: Male ICR mice were divided into control (n=10) and DEN-treated (n=10) groups. DEN was administered via intraperitoneal injection, once a week, for eight consecutive weeks. Animals were euthanized seven weeks after the last administration of DEN and their livers were collected. Plasma albumin, total bilirubin, alanine transaminase and aspartate aminotransferase activity were all measured and liver mitochondrial bioenergetics and oxidative stress were also evaluated. RESULTS: Histologically, pre-neoplastic lesions were identified in the livers of mice from the DEN group. Total plasma bilirubin increased significantly in the group exposed to DEN and mitochondrial complex I and IV were significantly inhibited (p=0.0403 and p=0.0053, respectively). CONCLUSION: DEN induced changes in liver bioenergetics and antioxidant capacity towards reactive oxygen species, seven weeks after administration. At this stage, liver tissues in mice exposed to DEN still had the ability to counteract the oxidative effects of DEN by increasing the activity of antioxidant enzymes.
Assuntos
Carcinoma Hepatocelular , Dietilnitrosamina/toxicidade , Neoplasias Hepáticas Experimentais , Neoplasias Hepáticas , Animais , Antioxidantes/administração & dosagem , Carcinógenos/toxicidade , Carcinoma Hepatocelular/metabolismo , Carcinoma Hepatocelular/patologia , Humanos , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Neoplasias Hepáticas/metabolismo , Neoplasias Hepáticas/patologia , Neoplasias Hepáticas Experimentais/metabolismo , Neoplasias Hepáticas Experimentais/patologia , Masculino , Camundongos , Camundongos Endogâmicos ICR , Estresse Oxidativo/efeitos dos fármacos , Espécies Reativas de Oxigênio/metabolismoRESUMO
Este trabalho descreve o perfil epidemiológico dos pacientes atendidos no ambulatório do Serviçode Referência Nacional em Filarioses (SRNF), onde são desenvolvidas atividades clínicas,epidemiológicas e laboratoriais relacionadas à pesquisa e assistência aos pacientes acometidos porfilarioses. As informações foram obtidas de 1.109 prontuários de pacientes atendidos no período deseis anos. Do total de prontuários analisados, foi observado que 62,8 por cento dos indivíduos atendidoseram do gênero masculino e que 85,4 por cento eram residentes na Região Metropolitana do Recife (RMR).A frequência de indivíduos encaminhados ao SRNF que se apresentavam microfilarêmicos e/ouantígenos positivos para filariose bancroftiana foi de 55 por cento. Tal resultado foi considerado baixo umavez que esses indivíduos apresentavam forte indicativo clínico ou epidemiológico para infecçãofilarial. Esta informação evidencia a necessidade de um esforço maior no estabelecimento deparâmetros que determinem o fluxo de encaminhamento dos pacientes ao SRNF, de modo que seevite demanda desnecessária e sejam otimizados os recursos.
This paper describes the epidemiological profile of patients attending the outpatient clinic of theDepartment of the National Reference Service for Filariasis (SRNF), where clinical, epidemiological and laboratory activities are carried out relating to research, care, investigation and monitoring of patients suffering from filariasis. Information was obtained from the medical records of 1,109patients treated over a six year period. It was observed that most of the subjects attending came fromof the Metropolitan Region of Recife (RMR) - 85.4 per cent, most of whom (62.8 per cent.) were male. A lowfrequency of individuals referred to SRNF showed microfilariae or antigen positivity for lymphaticfilariasis (55 per cent), although these patients represent strong evidence for clinical or epidemiologicalfilarial infection. This information makes clear the need for a greater effort to establish parameters that determine the flow of referral of patients to SRNF, avoiding unnecessary demand and allowing optimization of resources.
Assuntos
Humanos , Atenção à Saúde , Filariose Linfática/diagnóstico , HelmintosRESUMO
A Filariose Linfática, também conhecida como elefantíase em sua fase crônica, é uma doença endêmica de regiões tropicais e subtropicais que possui como agente etiológico helmintos da espécie Wuchereria bancrofti. Enfermidade debilitante, de grave impacto sócio-econômico, acomete cerca de 120 milhões de pessoas em todo mundo. No Brasil, estima-se em 49 mil o número de indivíduos infectados, sendo estes encontrados principalmente no município de Maceió-AL e Região Metropolitana do Recife-PE. A dificuldade na realização do diagnóstico, a falta de saneamento básico e a alta densidade populacional de vetores fazem desta infecção uma endemia de difícil controle e erradicação, sendo, por esse motivo, alvo de inúmeros programas propostos pela OMS e OPAS. Associadas a esses programas, pesquisas têm sido realizadas com a finalidade de avaliar as técnicas atualmente disponíveis, bem comodesenvolver novos métodos de diagnóstico mais sensíveis e mais específicos, possibilitando assim uma redução no número de indivíduoscom formas mórbidas da doença. O objetivo do presente trabalho é fornecer informações relevantes acerca das técnicas disponíveis para o diagnóstico da Filariose Linfática, contribuindo assim para otimização dos laboratórios de análises clínicas.
Lymphatic Filariasis, also known as elephantiasis in your chronic phase, it is an endemic disease of tropical and subtropical areas that has the Wuchereria bancrofti helminthes which agent etiologic. Illness weakling of serious socioeconomic impact attacks about 120 million people in all the word. In Brazil, is possible that 49 thousand of individuals are infected, whose the majority live in the municipal district of Maceió and Recife Metropolitan Area. The difficulty in the development of the diagnosis, the lack of basic sanitation and the great population density of vectors they do of this infection an endemic disease of difficult control and eradication. Therefore this illness is target diverse WHO and OPAS programs. Together with the those programs, researches have been accomplished with the purpose of evaluating the techniques available in the moment, as well as to develop more sensitive and specific diagnosis methods, making possible a reduction in the number of individuals with morbid forms of the disease. The purpose of the present article is to supply important information about the available techniques for the diagnosis of Lymphatic Filariasis, contributing to optimization of the analyses clinical laboratories.
Assuntos
Humanos , Antígenos , Parasitologia/métodos , Diagnóstico por Imagem , Filariose Linfática , Filariose Linfática/diagnóstico , Técnicas Imunológicas , Biologia Molecular , Literatura de Revisão como Assunto , Wuchereria bancroftiRESUMO
Apesar de a filariose linfática (FL) ser considerada uma doença de adultos, estima-se que 22 milhões de crianças 15 anos de idade estejam infectadas no mundo. A Organização Mundial da Saúde tem recomendado o monitoramento da infecção nessa população. Este estudo teve como objetivo comparar a acurácia dos métodos parasitológicos e imunológicos no diagnóstico da filariose bancroftiana em escolares. O estudo foi desenvolvido em escolares, com idade entre 4 e 15 anos, residentes em três bairros do município de Olinda - Pernambuco, Brasil. As amostras de sangue capilar e venoso foram coletadas entre 23:00 e 1:00 hora da manhã. Em seguida, as amostras de sangue venoso foram guardadas para posterior realização das técnicas de filtração, concentração de Knott, Og4C3 - ELISA. Amostras de sangue capilar foram obtidas para confecção das lâminas de gota espessa e realização do teste rápido de imunocromatografia (ICT). As médias de densidade de microfilaremia foram calculadas em escala logarítmica. A acurácia dos testes foi avaliada em relação ao padrão-ouro (filtração). A especificidade do Og4C3 e ICT foi estimada utilizando a equação de Staquet et al. (1981). Um total de 805 escolares foi examinado. As médias de antigenemia filarial foram mais elevadas entre as crianças residentes nos bairros de alto da conquista e alto da bondade. As cargas parasitárias e os níveis de antigenemia não variaram com idade e sexo. A prevalência de microfilaremia pela técnica de filtração, de 5,2 por cento, foi a mais elevada em relação às demais técnicas parasitológicas. A prevalência de antigenemia filarial pelo teste Og4C3 foi de 17,4 por cento. Na comparação da acurácia dos testes em relação ao padrão-ouro, as técnicas de gota espessa e Knott apresentaram valores de sensibilidade de 85,2 por cento, inferiores aos testes ICT e Og4C3, que foi de 100 por cento. Conclui-se que as técnicas de filtração e Og4C3 são as mais apropriadas para a avaliação de transmissão em áreas com programas de eliminação em andamento.