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1.
Fish Shellfish Immunol ; 134: 108574, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36731810

RESUMEN

A 70-day feeding trial was conducted to study the effects of dietary nucleotide, yeast cell wall (containing 20% ß -glucan) and their combination on growth performance, feed utilization and immune response of grass carp (Ctenopharyngodon idella) with 69.97 ± 0.05 g of initial body weight. Four isonitrogenous (about 38% crude protein) and isolipidic (about 5% crude lipid) diets were established. Based on the control diet (CD), the other three experimental diets were prepared by adding 0.01% of nucleotide (NT), 0.1% of yeast cell wall (YCW) and NT (0.01%) +YCW (0.1%), respectively. Results showed that no significant difference was found in survival of grass carp ranging from 94.44% to 97.78% among all the groups (P > 0.05). Compared with the control group, weight gain rate, muscle crude protein content, serum protein, trypsin and chymotrypsin activities in midgut, lysozyme and immunoglobulin M in serum significantly increased in fish fed the YCW diet (P < 0.05). The significantly highest weight gain rate, villus height and digestive enzyme activities in midgut and innate immune parameters in serum were found in fish fed the NT + YCW diet (P < 0.05). The gene expressions of ß-defensin, hepcidin, il-10 and tgf-ß1 in the midgut, and tor and s6k1 in liver significantly increased in fish fed the NT + YCW diet. Meanwhile, the gene expressions of il-1ß and tnf-α in the midgut decreased significantly (P < 0.05). The liver histology showed the better development in dietary NT and/or YCW supplemented groups than those in the control group. In conclusion, combination of dietary NT and YCW had significantly synergetic improvements on the growth, feed utilization, digestive enzymes, innate immunity and histology of midgut and liver of grass carp.


Asunto(s)
Carpas , Enfermedades de los Peces , Animales , Saccharomyces cerevisiae/metabolismo , Transducción de Señal , Carpas/metabolismo , Dieta , Suplementos Dietéticos , Inmunidad Innata , Pared Celular , Alimentación Animal/análisis , Proteínas de Peces/genética
2.
Br J Nutr ; 130(2): 185-201, 2023 Jul 28.
Artículo en Inglés | MEDLINE | ID: mdl-35508921

RESUMEN

To assess the role of dietary creatine on myofibre characteristics and protein synthesis in muscle, we fed grass carp (Ctenopharyngodon idellus, initial body weight: 88·47 ± 1·44 g) creatine-supplemented diets (1·84, 5·91, 8·48 and 15·44 g/kg diet) for 8 weeks. Creatine supplementation did not affect growth performance, but significantly increased creatine contents in muscle and liver. At 8·48 g/kg, creatine decreased the activities of alanine transaminase and aspartate aminotransferase in serum and improved hardness and chewiness of muscle due to shorter myofibre mean diameter, higher myofibre density and the frequencies of the diameters of classes I and III and collagen content, longer sarcomere length and upregulated mRNA levels of slow myosin heavy chains. Creatine supplementation upregulated the mRNA expressions of myogenic regulatory factors. The 8·48 g/kg creatine-supplemented diet significantly increased the contents of protein, total amino acids (AA), essential AA and free flavour AAs in muscle, the protein levels of insulin-like growth factor I, myogenic differentiation antigen and PPAR-γ coactlvator-1α in muscle and stimulated the phosphorylation of target of rapamycin (TOR) pathway in muscle. In summary, 8·48 mg/kg creatine improved fish health and skeletal muscle growth and increased hardness and protein synthesis in muscle of grass carp by affecting myofibre characteristics and the TOR signalling pathway. A second-order regression model revealed that the optimal dietary creatine supplementation of grass carp ranges between 8·48 and 12·04 g/kg.


Asunto(s)
Carpas , Suplementos Dietéticos , Animales , Creatina , Proteínas Musculares , Carpas/metabolismo , Proteínas de Peces/genética , Proteínas de Peces/metabolismo , Dieta , ARN Mensajero/metabolismo , Músculos/metabolismo , Alimentación Animal/análisis
3.
Fish Shellfish Immunol ; 129: 231-242, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36067907

RESUMEN

The codon-optimized anti-lipopolysaccharide factor (ALF) sequence was introduced into pPICZαA vector and transformed into Pichia pastoris GS115. The recombinant ALF yeast supernatant (rALF-mix) was freeze-dried and evaluated as a feed additive for Litopenaeus vannamei. It was found by antibacterial activity test in vitro that the rALF-mix had antibacterial activity under different pH and temperature conditions. The 0, 0.00375%, 0.0075%, 0.015%, 0.03% and 0.06% of rALF-mix were added respectively to make the six experimental diets. After a 10-week feeding trial with shrimps (2.36 ± 0.02 g), it was found that the weight gain rate (WGR) and protein efficiency ratio (PER) of shrimp in the groups with 0.0075%, 0.015% and 0.03% of dietary rALF-mix supplementation were significantly higher than those in the control group (P < 0.05). Dietary rALF-mix supplementation significantly increased the total haemocyte count, respiratory burst, phagocytic activity, total anti-oxidative capacity (T-AOC), phenol oxidase activity, nitric oxide synthase activity, lysozyme (LYZ) activity, serum antibacterial capacity in the hemolymph and the T-AOC, LYZ in the hepatopancreas of shrimps (P < 0.05). The malondialdehyde contents in hemolymph and hepatopancreas were significantly decreased (P < 0.05). Meanwhile, the expression levels of toll, immune deficiency, heat shock protein 70, crustin and lipopolysaccharide-ß-glucan binding protein in the gill of shrimps were significantly increased (P < 0.05). After the challenge test, it was showed that dietary rALF-mix supplementation significantly improved the resistance of L. vannamei to Vibrio parahaemolyticus (P < 0.05). In conclusion, the rALF-mix can be used as a functional feed additive to improve the growth, immunity and disease resistance of shrimp. Based on the quadratic regression analysis for WGR, the optimal supplemental level of rALF-mix in diet for shrimp was estimated to be 0.02813%.


Asunto(s)
Alimentación Animal , Penaeidae , Alimentación Animal/análisis , Animales , Antibacterianos/farmacología , Dieta/veterinaria , Suplementos Dietéticos/análisis , Resistencia a la Enfermedad , Proteínas HSP70 de Choque Térmico , Inmunidad Innata/genética , Lipopolisacáridos/farmacología , Malondialdehído , Monofenol Monooxigenasa , Muramidasa/metabolismo , Óxido Nítrico Sintasa , Saccharomycetales
4.
Fish Shellfish Immunol ; 127: 797-803, 2022 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-35842112

RESUMEN

Fish meal is increasingly being replaced by plant protein raw materials, meanwhile, it brings phytic acid, which combines with phosphorus to form phytate phosphorus and leads to a low utilization rate of phosphorus in shrimp. To solve this problem, this study investigated the effects of phytase supplementation on growth performance, phosphorus utilization, antioxidants, and digestion in red swamp crayfish (Procambarus clarkii). Crayfish (initial mean weight: 8.69 ± 0.15 g, N = 324) were randomly divided into six groups each with three replicates of 18 individuals each, and hand-fed for 8 weeks with one of six experimental diets (50 and 490 g kg-1 animal and plant protein raw material, respectively): negative control (NC; 11.0 g kg-1 phosphorus), positive control (PC; 15 g kg-1 NaH2PO4 added to NC; 14.7 g kg-1 phosphorus), and phytase supplementation diets (P1-P4: 0.1, 0.2, 0.4, and 0.6 g kg-1 phytase added to NC, respectively). The feeding trial was performed in a micro-flow water culture system. P2 showed a significantly higher weight gain rate (WGR), specific growth rate, protein efficiency ratio, and protein retention efficiency (PRE) but showed the lowest feed conversion ratio (FCR) than other groups. Broken-line regression analyses using WGR, FCR, and PRE as evaluation indices showed that the optimal dietary phytase supplementation level was 0.233, 0.244, and 0.303 g kg-1, respectively. P2 showed the highest crude protein content of whole crayfish and abdominal muscle, and phosphorus deposition rate, which was significantly higher than that in NC and PC. P3 showed the highest calcium and phosphorus contents in whole crayfish and phosphorus content in abdominal muscle, and calcium and inorganic phosphorus content in serum, which were significantly higher than those in NC. P3 showed significantly lowest serum alkaline phosphatase, alanine aminotransferase, aspartate transaminase activities, malondialdehyde content in hepatopancreas, and highest catalase activity, which were significantly lower and higher, respectively, than those in NC and PC. In summary, the addition of 0.2-0.4 g kg-1 phytase significantly improves the growth performance, feed utilization, digestive enzyme activity, and antioxidant of P. clarkii, which has a similar effect to the direct addition of NaH2PO4 at 15 g kg-1 to the feed.


Asunto(s)
6-Fitasa , Fósforo Dietético , 6-Fitasa/farmacología , Alimentación Animal/análisis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Antioxidantes/farmacología , Astacoidea/metabolismo , Calcio/metabolismo , Dieta/veterinaria , Suplementos Dietéticos/análisis , Digestión , Fósforo , Fósforo Dietético/farmacología , Ácido Fítico/metabolismo , Proteínas de Plantas
5.
Food Chem ; 354: 129498, 2021 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-33773482

RESUMEN

Creatine improves flesh quality on mammalian but studies on crustaceans are scarce. In the present study, diets with six levels of creatine (1.23, 2.58, 5.12, 8.28, 14.12, 24.49 g kg-1 diet) were hand-fed to juvenile Litopenaeus vannamei (IBW: 1.50 ± 0.02 g) reared in freshwater for 46 days. Results showed creatine supplementation did not affect the growth performance (FBW: 17.04 ± 1.28 g) or the content of guanidinoacetic acid in muscle and hepatopancreas whereas significantly increased muscular creatine content. Diet with 8.28 g kg-1 creatine significantly increased muscular hardness and chewiness by decreasing myofiber diameter and increasing myofiber density. Additionally, creatine downregulated the mRNA expression of fast sMyHC1, sMyHC2, sMyHC6a and upregulated slow sMyHC5 and sMyHC15 mRNA expression. Muscular protein, collagen, total amino acid and flavor amino acid contents increased with creatine supplementation. In conclusion, the diet with 8.28 g kg-1 creatine improved the flesh quality of L. vannamei.


Asunto(s)
Creatina/metabolismo , Penaeidae/metabolismo , Aminoácidos/análisis , Aminoácidos/metabolismo , Animales , Colágeno/metabolismo , Creatina/administración & dosificación , Creatina/farmacología , Suplementos Dietéticos , Regulación hacia Abajo , Agua Dulce/química , Glicina/análogos & derivados , Glicina/metabolismo , Hepatopáncreas/metabolismo , Proteínas Musculares/metabolismo , Músculos/metabolismo , Músculos/fisiología , Cadenas Pesadas de Miosina/genética , Cadenas Pesadas de Miosina/metabolismo , Penaeidae/crecimiento & desarrollo , ARN Mensajero/metabolismo , Regulación hacia Arriba
6.
Mater Sci Eng C Mater Biol Appl ; 117: 111371, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32919699

RESUMEN

Photothermal therapy (PTT) can take advantage of the photothermal effects of photothermal agents to acquire the energy from laser irradiation and convert it into heat. This can intensively elevate the temperature of the surrounding environment to directly destroy the cancer cells. It is expected that PAs with strong absorption in near infrared (NIR) range might possess the ideal tissue-transparent feature and minimal damage to surrounding healthy tissues, beneficial to the practical application. Herein, well-dispersed L-cysteine modified MoS2 (MoS2-Cys) nanospheres with the average diameter of about 422 nm and strong NIR adsorption were successfully synthesized through a facile method. The as-prepared MoS2-Cys nanospheres are composed of nanosheets with the average thickness of about 13.7 nm. The photothermal conversion efficiency of the as-prepared MoS2-Cys nanospheres with the very low concentration of 50 µg/mL was determined to be 35% when exposed to 808 NIR laser at the power density of 0.8 W/cm2, much higher than those of the previous reports with same dose and power density. MoS2-Cys nanospheres possessed the good photothermal ablation effect to significantly inhibit the growth of tumor in vivo. Furthermore, MoS2-Cys nanospheres did not exhibit detectable side effects, suggesting their good in vitro and in vivo biocompatibility.


Asunto(s)
Hipertermia Inducida , Nanosferas , Neoplasias , Línea Celular Tumoral , Cisteína , Humanos , Molibdeno , Neoplasias/terapia , Fototerapia , Terapia Fototérmica
7.
J Aquat Anim Health ; 32(3): 109-115, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-31804744

RESUMEN

The present study was conducted to investigate the effects of supplementing the practical diet with yeast autolysate (YA) on the growth performance, immunity, and disease resistance of Pacific white shrimp Litopenaeus vannamei. Four isonitrogenous and isolipidic practical diets were formulated. The relatively high-fish-meal control diet contained 25% fish meal without YA supplementation (E1). The other control diet contained 20% fish meal without YA (E2). With the E2 diet as the basis, two additional experimental diets were created by further supplementation with 1% YA (E3) and 2% YA (E4). The shrimp (initial weight: 0.30 ± 0.02 g) were fed with the four experimental diets for 8 weeks and then challenged with Vibrio parahaemolyticus. The results indicated that there were no significant differences in survival rate (SR) or feed intake (FI) among these groups. The weight gain rate (WGR) of group E1 was not significantly different from that of groups E3 and E4. The feed conversion ratio (FCR) in group E4 was lower than that of group E2, and group E4 had the highest protein efficiency ratio (PER). The total hemocyte counts (THC) and lysozyme activities in group E3 and group E4 were significantly higher than those of the other groups. Group E3 had the highest respiratory burst (RB). After V. parahaemolyticus administration, group E3 and group E4 had significantly lower cumulative mortalities than group E1 did. In conclusion, the 20% fish meal diet without YA supplementation (E2) yielded a significantly lower growth rate than the 25% fish meal diet without YA supplementation (E1) did. Furthermore, the Pacific white shrimp that received dietary supplementation with 1% YA demonstrated improved growth rate, immune response, and resistance to the V. parahaemolyticus challenge compared with those that were fed the 20% fish meal diet without YA supplementation (E2).


Asunto(s)
Alimentación Animal/análisis , Inmunidad Innata , Penaeidae/crecimiento & desarrollo , Penaeidae/inmunología , Levadura Seca/metabolismo , Animales , Dieta/veterinaria , Suplementos Dietéticos/análisis , Relación Dosis-Respuesta a Droga , Inmunidad Innata/efectos de los fármacos , Distribución Aleatoria , Saccharomyces cerevisiae/química , Levadura Seca/administración & dosificación
8.
Fish Shellfish Immunol ; 73: 152-157, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29183813

RESUMEN

The present study was conducted to investigate the effects of reduced glutathione (GSH) supplementation in practical diet on growth performance, anti-oxidative response, disease resistance and intestine morphology of shrimp Litopenaeus vannamei. Two control diets based on the commercial formulation were designed with high level (27%) and low level (22%) of fish meal, respectively. Based on the control diet with low level of fish meal, 75, 150 and 225 mg/kg of GSH were added, respectively, to make the other three experimental diets. The five formulated diets were named as C1, C2, G1, G2 and G3, respectively. The shrimp (initial body weight: 0.30 ± 0.02 g) were fed with the five experimental diets for 8 weeks followed by a challenge test with Vibrio parahaemolyticus. The results showed that the specific growth rate (SGR) of shrimp in the C2 group was significantly lower than that in C1. The SGRs in G1 and G2 had no significant difference with those in C1 and C2. However, the SGR in G3 was significantly lower than that in C1. The serum GSH concentration in C2 was significantly lower than the other groups, but the malondialdehyde concentration was significantly higher. The supplementation of dietary GSH significantly improved the total anti-oxidative capacity and activities of glutathione S-transferase and glutathione peroxidase in serum. The villus height of intestine in the GSH supplemented groups had no significant difference with C1, but was significantly higher than C2. The jejunum wall thickness of intestine in G2 and G3 was significantly higher than those in the other groups. After the challenge test, the cumulative mortalities in G1 and G2 were significantly lower than C1 and C2. However, there was no significant difference in cumulative mortalities among G3, C1 and C2. In conclusion, based on the present experimental conditions, 75-150 mg/kg of GSH was suggested to be supplemented into the practical diet to improve the growth, anti-oxidative capacity, disease resistance and gut health of shrimp L. vannamei.


Asunto(s)
Antioxidantes/metabolismo , Resistencia a la Enfermedad/efectos de los fármacos , Glutatión/metabolismo , Inmunidad Innata/efectos de los fármacos , Penaeidae/efectos de los fármacos , Penaeidae/fisiología , Alimentación Animal/análisis , Animales , Dieta/veterinaria , Suplementos Dietéticos/análisis , Glutatión/administración & dosificación , Intestinos/anatomía & histología , Intestinos/efectos de los fármacos , Penaeidae/crecimiento & desarrollo , Penaeidae/inmunología , Distribución Aleatoria
9.
JAMA ; 310(2): 170-8, 2013 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-23839751

RESUMEN

IMPORTANCE: Soy consumption has been suggested to reduce risk or recurrence of prostate cancer, but this has not been tested in a randomized trial with prostate cancer as the end point. OBJECTIVE: To determine whether daily consumption of a soy protein isolate supplement for 2 years reduces the rate of biochemical recurrence of prostate cancer after radical prostatectomy or delays such recurrence. DESIGN, SETTING, AND PARTICIPANTS: Randomized, double-blind trial conducted from July 1997 to May 2010 at 7 US centers comparing daily consumption of a soy protein supplement vs placebo in 177 men at high risk of recurrence after radical prostatectomy for prostate cancer. Supplement intervention was started within 4 months after surgery and continued for up to 2 years, with prostate-specific antigen (PSA) measurements made at 2-month intervals in the first year and every 3 months thereafter. INTERVENTION: Participants were randomized to receive a daily serving of a beverage powder containing 20 g of protein in the form of either soy protein isolate (n=87) or, as placebo, calcium caseinate (n=90). MAIN OUTCOMES AND MEASURES: Biochemical recurrence rate of prostate cancer (defined as development of a PSA level of ≥0.07 ng/mL) over the first 2 years following randomization and time to recurrence. RESULTS: The trial was stopped early for lack of treatment effects at a planned interim analysis with 81 evaluable participants in the intervention group and 78 in the placebo group. Overall, 28.3% of participants developed biochemical recurrence within 2 years of entering the trial (close to the a priori predicted recurrence rate of 30%). Among these, 22 (27.2%) occurred in the intervention group and 23 (29.5%) in the placebo group. The resulting hazard ratio for active treatment was 0.96 (95% CI, 0.53-1.72; log-rank P = .89). Adherence was greater than 90% and there were no apparent adverse events related to supplementation. CONCLUSION AND RELEVANCE: Daily consumption of a beverage powder supplement containing soy protein isolate for 2 years following radical prostatectomy did not reduce biochemical recurrence of prostate cancer in men at high risk of PSA failure. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00765479.


Asunto(s)
Suplementos Dietéticos , Recurrencia Local de Neoplasia/prevención & control , Neoplasias de la Próstata/prevención & control , Neoplasias de la Próstata/cirugía , Proteínas de Soja/uso terapéutico , Anciano , Bebidas , Método Doble Ciego , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Antígeno Prostático Específico/sangre , Prostatectomía , Neoplasias de la Próstata/sangre , Riesgo , Resultado del Tratamiento
10.
JAMA Ophthalmol ; 131(5): 595-600, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23519403

RESUMEN

IMPORTANCE: The significant antiacanthamoebal effect of benzalkonium chloride, at or below concentrations used for preservation of common ophthalmic preparations, should be understood both when choosing empiric antibiotic therapy for infectious keratitis and when assessing the persistent rise in Acanthamoeba cases in the United States since 2003. OBJECTIVE: To characterize the antiacanthamoebal efficacy of low concentrations of benzalkonium chloride (BAK) for drug preservation and therapeutic effect against Acanthamoeba. DESIGN: Experimental study with a review of the literature. SETTING: Laboratory. EXPOSURES: A concentration of 10(4) trophozoites of 3 well-characterized clinical strains of Acanthamoeba were exposed at 0.5, 2.0, 3.5, 5.0, and 6.5 hours to BAK (0.001%, 0.002%, and 0.003%), moxifloxacin hydrochloride (0.5%), and moxifloxacin (0.5%) + BAK (0.001% and 0.003%) with hydrogen peroxide (3%) and amoeba saline controls. MAIN OUTCOMES AND MEASURES: Amoeba survival was calculated using the most probable number method recorded as log kill values. The relationship of BAK concentration and exposure time as well as the relative effect of BAK and moxifloxacin on acanthamoebal survival were analyzed. RESULTS: Amoebicidal activity of BAK is both time dependent and concentration dependent in pooled and strain-stratified analyses (P < .001). Moxifloxacin demonstrated no significant independent inhibitory effect or additive effect to BAK efficacy on acanthamoebal survival. The profound antiacanthamoebal effect of BAK, 0.003%, was similar to that of hydrogen peroxide for certain strains. CONCLUSIONS AND RELEVANCE: Low concentrations of BAK, previously demonstrated to concentrate and persist in ocular surface epithelium, exhibit significant antiacanthamoebal activity in vitro at or below concentrations found in commercially available ophthalmic anti-infectives. The unexplained persistence of the Acanthamoeba keratitis outbreak in the United States, clusters abroad, and clinical studies reporting resolution or modification of Acanthamoeba keratitis without specific antiacanthamoebal therapy suggests that other contributing factors should be considered, including changes in the formulations used for empirical therapy of presumed infectious keratitis occurring in the same period.


Asunto(s)
Queratitis por Acanthamoeba/tratamiento farmacológico , Acanthamoeba/efectos de los fármacos , Acanthamoeba/crecimiento & desarrollo , Antiprotozoarios/administración & dosificación , Compuestos de Benzalconio/administración & dosificación , Queratitis por Acanthamoeba/parasitología , Compuestos Aza/administración & dosificación , Quimioterapia Combinada , Fluoroquinolonas , Interacciones Huésped-Parásitos , Humanos , Peróxido de Hidrógeno/administración & dosificación , Moxifloxacino , Pruebas de Sensibilidad Parasitaria , Quinolinas/administración & dosificación
11.
Prostate ; 71(11): 1231-8, 2011 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-21271612

RESUMEN

BACKGROUND: There are several studies examining prostate cancer and exposure to cadmium, iron, selenium, and zinc. Less data are available on the possible influence of these metal ions on prostate cancer outcome. This study measured levels of these ions in prostatectomy samples in order to examine possible associations between metal concentrations and disease outcome. METHODS: We obtained formalin fixed paraffin embedded tissue blocks of prostatectomy samples of 40 patients with PSA recurrence, matched 1:1 (for year of surgery, race, age, Gleason grading, and pathology TNM classification) with tissue blocks from 40 patients without recurrence (n = 80). Case-control pairs were compared for the levels of metals in areas adjacent to tumors. Inductively coupled plasma-mass spectrometry (ICP-MS) was used for quantification of Cd, Fe, Zn, and Se. RESULTS: Patients with biochemical (PSA) recurrence of disease had 12% lower median iron (95 µg/g vs. 111 µg/g; P = 0.04) and 21% lower zinc (279 µg/g vs. 346 µg/g; P = 0.04) concentrations in the normal-appearing tissue immediately adjacent to cancer areas. Differences in cadmium (0.489 µg/g vs. 0.439 µg/g; 4% higher) and selenium (1.68 µg/g vs. 1.58 µg/g; 5% higher) levels were not statistically significant in recurrence cases, when compared to non-recurrences (P = 0.40 and 0.21, respectively). CONCLUSIONS: There is an association between low zinc and low iron prostate tissue levels and biochemical recurrence in prostate cancer. Whether these novel findings are a cause or effect of more aggressive tumors, or whether low zinc and iron prostatic levels raise implications for therapy, remains to be investigated.


Asunto(s)
Cadmio/análisis , Hierro/análisis , Neoplasias de la Próstata/metabolismo , Neoplasias de la Próstata/patología , Selenio/análisis , Zinc/análisis , Estudios de Casos y Controles , Exposición a Riesgos Ambientales/efectos adversos , Estudios de Seguimiento , Humanos , Iones , Masculino , Próstata/metabolismo , Próstata/patología , Resultado del Tratamiento
12.
J Reprod Med ; 53(3): 207-12, 2008 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-18441727

RESUMEN

OBJECTIVE: To assess the potential role of folic acid in early pregnancy loss by measuring homocysteine (hcy) levels in healthy, pregnant women who present with a current first-trimester miscarriage. STUDY DESIGN: This was a cross-sectional analysis comprising 13 patients aged 18-31 years old who had a scheduled dilatation and curettage for a first-trimester miscarriage. The controls were 15 patients of similar maternal age presenting for a first-trimester prenatal care visit. Following completion of a 21-item, structured questionnaire, patients were excluded from the study if they had any known risk factors for a first-trimester miscarriage. The remaining patients provided blood samples for measurement of homocysteine and red blood cell folate. Cases and controls were compared using a standard 2-sample t test. In order to detect a clinically relevant 2.3 micromol/L difference in homocysteine levels, 11 cases and 8 controls were needed. RESULTS: The mean hcy level in cases (5.8 umolmol/L) vs. controls (5.7 micromol/L) was not significantly different (p = 0.83), and all individual values fell within the normal range expected in pregnant women. Red blood cell folate levels (cases=586 ng/mL, controls=611 ng/mL) were also not significantly different (p = 0.72), and no cases of folate deficiency were detected. Maternal age (cases=26, controls=25) and gestational age (cases = 8.8 weeks, controls = 8.4 weeks) were similar between the 2 groups. CONCLUSION: In this community-based pilot study, abnormal folate metabolism was not an apparent risk factor for spontaneous first-trimester pregnancy loss.


Asunto(s)
Aborto Espontáneo/epidemiología , Deficiencia de Ácido Fólico/complicaciones , Ácido Fólico/metabolismo , Homocisteína/sangre , Aborto Espontáneo/etiología , Adolescente , Adulto , Estudios Transversales , Suplementos Dietéticos , Femenino , Ácido Fólico/sangre , Deficiencia de Ácido Fólico/sangre , Edad Gestacional , Humanos , Proyectos Piloto , Embarazo , Primer Trimestre del Embarazo , Factores de Riesgo
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