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1.
Euro Surveill ; 19(48): 20978, 2014 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-25496572

RESUMEN

Toscana virus (TOSV), transmitted by phlebotomine sandflies, is recognised as one of the most important causes of viral meningitis in summer in Mediterranean countries. A surveillance plan based on both human and entomological surveys was started in 2010 in the Emilia-Romagna region, Italy. Clinical samples from patients with neurological manifestations were collected during 2010 to 2012. The surveillance protocol was improved during these years, allowing the detection of 65 human infections. Most of these infections were recorded in hilly areas, where sandflies reach the highest density. Entomological sampling around the homes of the patients resulted in a low number of captured sandflies, while later sampling in a hilly area with high number of human cases (n=21) resulted in a larger number of captured sandflies. Using this approach, 25,653 sandflies were sampled, of which there were 21,157 females, which were sorted into 287 pools. TOSV RNA was detected by real-time PCR in 33 of the pools. The results highlighted the role of Phlebotomus perfiliewi as the main vector of TOSV and a potential link between vector density and virus circulation. This integrated system shows that an interdisciplinary approach improves the sensitiveness and effectiveness of health surveillance.


Asunto(s)
Vigilancia de la Población , Psychodidae/virología , ARN Viral/genética , Virus de Nápoles de la Fiebre de la Mosca de los Arenales/aislamiento & purificación , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Animales , Femenino , Genotipo , Humanos , Inmunoglobulina G , Inmunoglobulina M , Insectos Vectores/virología , Italia/epidemiología , Masculino , Persona de Mediana Edad , Datos de Secuencia Molecular , ARN Viral/aislamiento & purificación , Reacción en Cadena en Tiempo Real de la Polimerasa , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Virus de Nápoles de la Fiebre de la Mosca de los Arenales/clasificación , Virus de Nápoles de la Fiebre de la Mosca de los Arenales/genética , Análisis de Secuencia de ADN , Distribución por Sexo , Adulto Joven
2.
Pol J Vet Sci ; 14(3): 343-51, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21957726

RESUMEN

During an 18 day test, we measured the cytokine mRNA expression (Interleukin-1beta [IL-1beta], Interleukin-8 [IL-8], Interferon-gamma [IFN-gamma], Tumor Necrosis Factor-alpha [TNF-alpha]) of cells from bronchoalveolar lavage fluid [BALF] in five horses previously diagnosed with RAO, before and during challenge exposure, and after the desensitization phase which involved dexamethasone treatment and environmental modification. Simultaneously, the same cytokine mRNA expression of cells from BALF in four asymptomatic RAO-affected horses maintained outdoors was analyzed. An evident respiratory distress was observed in the challenge group within 3 days, with a significant overexpression of IL-8 and TNF-alpha mRNA on the ninth day. The pharmacological and environmental desensitization provided a down regulation of all the cytokines. No statistical modification characterized the cytokine kinetics of the asymptomatic horses maintained outdoors. A comparison for each time point of the cytokines between the exposed and unexposed horses showed no significant differences. The study suggested that a standardized exposure protocol and sampling time in experimental studies of RAO is mandatory for a correct comparison of the results obtained by different Authors. However, the absence of significant changes between the exposed and unexposed horses could depend on the lack of the sample uniformity since the evolution of the disease represents a continuum from a healthy to a pathological condition.


Asunto(s)
Líquido del Lavado Bronquioalveolar/química , Citocinas/metabolismo , Enfermedades de los Caballos/inmunología , Enfermedades Pulmonares Obstructivas/veterinaria , ARN Mensajero/metabolismo , Animales , Citocinas/química , Citocinas/genética , Femenino , Enfermedades de los Caballos/patología , Caballos , Enfermedades Pulmonares Obstructivas/inmunología , Enfermedades Pulmonares Obstructivas/patología , Masculino , ARN Mensajero/genética , Recurrencia , Factores de Tiempo
3.
J Biomed Mater Res A ; 105(4): 1019-1033, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-27943619

RESUMEN

Demineralized bone matrix (DBM) is a natural, collagen-based, osteoinductive biomaterial. Nevertheless, there are conflicting reports on the efficacy of this product. The purpose of this study was to evaluate whether DBM collagen structure is affected by particle size and can influence DBM cytocompatibility and osteoinductivity. Sheep cortical bone was ground and particles were divided in three fractions with different sizes, defined as large (L, 1-2 mm), medium (M, 0.5-1 mm), and small (S, <0.5 mm). After demineralization, the chemical-physical analysis clearly showed a particle size-dependent alteration in collagen structure, with DBM-M being altered but not as much as DBM-S. DBM-M displayed a preferable trend in almost all biological characteristics tested, although all DBM particles revealed an optimal cytocompatibility. Subcutaneous implantation of DBM particles into immunocompromised mice resulted in bone induction only for DBM-M. When sheep MSC were seeded onto particles before implantation, all DBM particles were able to induce new bone formation with the best incidence for DBM-M and DBM-S. In conclusion, the collagen alteration in DBM-M is likely the best condition to promote bone induction in vivo. Furthermore, the choice of 0.5-1 mm particles may enable to obtain more efficient and consistent results among different research groups in bone tissue-engineering applications. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 105A: 1019-1033, 2017.


Asunto(s)
Matriz Ósea/citología , Colágeno/química , Células Madre Mesenquimatosas/metabolismo , Osteogénesis , Animales , Matriz Ósea/trasplante , Ratones , Ratones SCID , Ovinos
4.
J Thromb Haemost ; 4(4): 828-33, 2006 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-16634753

RESUMEN

BACKGROUND: the basic prerequisite of Factor VIII clotting assay (FVIII:C) by One-Stage Method is that all other than FVIII clotting factors are present in constant concentration in each dilution of both standard reference and patient's plasma curves. On the contrary, the plasma content of each dilution is decreasing as the dilution factor increases. OBJECTIVES AND METHODS: to keep exactly constant the plasma content in each mixture, we performed all dilutions of both standard reference and patient's plasma with FVIII deficient plasma and further with a fixed amount of buffer (method B). To show the discrepancies between this method and regular method A, using buffer to make dilutions, a comparative study was conducted on FVIII: C assay on samples at known FVIII concentration and in patients' plasma. Imidazole or Owren's buffers and five different aPTT reagents were employed, both in method A and B. RESULTS: a discrepancy between FVIII: C assays obtained by method A and B was observed, mainly when Pathrontin SL and Imidazole buffer were used. The assays derived from method B always better fit with the expected, calculated, values of FVIII:C concentrations. Furthermore, FVIII: C was assayed in 60 patients: the outcome of method A was always higher than values of method B. The discrepancy between the two methods was higher at FVIII concentrations below 50 U/dL but null at 100 U/dL. The A slope was steeper than B slope and the difference was statistically significant starting from the 1/10 dilution. Accordingly, FVIII: C of patients' plasma obtained by method A was always higher that those obtained by method B, even 2 or 3 times for FVIII level < or = 10 U/dL or 1.4-1.6 times for FVIII levels between 10 and 25 U/dL. CONCLUSIONS: only method B is able to give FVIII: C assays in agreement with the expected values. The dilution of reference standards and samples with FVIII deficient plasma is crucial to accurately evaluate the post-infusion FVIII concentrations in pharmacokinetic studies or the trough level during prophylactic therapy and to investigate the discrepancy among different FVIII: C assays. In addition, the assessment of severity and classification of hemophilia should be reviewed.


Asunto(s)
Pruebas de Coagulación Sanguínea/métodos , Factor VII/análisis , Coagulación Sanguínea , Pruebas de Coagulación Sanguínea/instrumentación , Tampones (Química) , Calibración , Química Clínica , Hemofilia A/sangre , Humanos , Imidazoles/farmacología , Plasma/metabolismo , Estándares de Referencia , Reproducibilidad de los Resultados , Resultado del Tratamiento , Enfermedades de von Willebrand/sangre
5.
Minerva Stomatol ; 54(1-2): 23-34, 2005.
Artículo en Inglés, Italiano | MEDLINE | ID: mdl-15902060

RESUMEN

AIM: Growth factors (GFs) as platelet derived growth factor (PDGF) and transforming growth factor (TGF-beta), found in platelet beta-granules also present in platelet-rich-plasma (PRP), accelerate bone revascularization and regeneration and for this reason they have been employed successfully in dental and maxillofacial surgery. Platelet concentrate is commonly used for this purpose as long as platelet release reaction and the consequent GFs loss are avoided. To reduce this phenomenon we set up an easy and fast procedure for preparing a satisfying clotted PRP by adding CaCl2 only (no exogenous thrombin). METHODS: ELISA essay has been used to measure PDGF and TGF-beta in plasma, platelets and serum and platelet GMP-140, with the cytofluorometric technique in order to quantify the degranulation entity. RESULTS: In the 13 examined patients receiving clotted PRP to enhance bone regeneration in post-extractive alveolar sockets, PRP showed no sign of platelet activation (degranulation) and short recalcification times (8-12 min). The autologous clotted PRPs specimen have been evaluated in laboratory in terms of GFs percent: 76% of initial GFs content could be recovered in clotted PRP. This result confirms the absence of platelet degranulation in our procedure. CONCLUSIONS: Significant clinical results in alveolar bone regeneration are reached only with a high percentage of GFs inserted in bone matrix, avoiding early platelet degranulation.


Asunto(s)
Plaquetas , Regeneración Ósea , Maxilares/fisiología , Factor de Crecimiento Derivado de Plaquetas/análisis , Factor de Crecimiento Transformador beta/análisis , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Plasma/química
6.
J Thromb Haemost ; 1(11): 2283-9, 2003 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-14629459

RESUMEN

When the one-stage clotting assay is used in comparison with the chromogenic and immunological assays, plasma levels of factor (F)VIII are underestimated by 40-50% after infusion of B-domain deleted recombinant FVIII (BDD-rFVIII) in patients with hemophilia. A possible way to counteract the underestimation of FVIII levels by the one-stage assay is the adoption of a recombinant FVIII reference standard instead of a plasma standard. To evaluate the usefulness of such a standard [ReFacto Laboratory Standard (RLS)], the pharmacokinetic parameters of a single dose of BDD-rFVIII (25 U kg(-1)) were evaluated in a multicenter study carried out in 18 patients with severe hemophilia A. The very low in vivo recovery, obtained with the combination of the one-stage assay and plasma reference standard, was increased up to the values obtained by the chromogenic assay when the results were expressed in terms of RLS. When the plasma standard was used, the one-stage/chromogenic ratio was 0.82 +/- 0.12 for FVIII levels above 25 U dL(-1) and 1.42 +/- 0.99 for FVIII levels below 25 U dL(-1). Using the RLS, the one-stage/chromogenic ratio increased to 1.01 +/- 0.19 at FVIII levels above 25 U dL(-1), as a consequence of a complete overlap of the two decays; however, at FVIII levels below 25 U dL(-1), the one-stage/chromogenic ratio was still 1.6 +/- 0.85. After the twelfth hour, FVIII concentrations obtained by chromogenic assay were always lower than those resulting from the one-stage clotting assay, independently of the standard used. Results obtained by chromogenic assay were not affected by the type of standard used. Compared with those obtained by the one-stage assay, higher values of clearance, lower volume of distribution area and shorter plasma half-life or mean residence time were obtained by chromogenic assay because of a shape change of the decay curve due to a shift to higher values in the first part (time interval 0-12 h) and to lower values in the second part of the decay curve (time interval 12-48 h). As a consequence, the slope of the decay curve obtained by means of chromogenic assay was steeper. In conclusion, the more homogeneous results of in vivo recovery and pharmacokinetic analysis, due to the decrease of discrepancy between the two methods when RLS was used, make the cheaper and more widely used one-stage assay preferable to the more expensive chromogenic assay, on condition that the ReFacto specific standard has used.


Asunto(s)
Factor VIII/análisis , Factor VIII/farmacocinética , Factor VIII/normas , Hemofilia A/sangre , Fragmentos de Péptidos/farmacocinética , Adulto , Pruebas de Coagulación Sanguínea/métodos , Pruebas de Coagulación Sanguínea/normas , Compuestos Cromogénicos , Factor VIII/administración & dosificación , Semivida , Humanos , Métodos , Fragmentos de Péptidos/administración & dosificación , Farmacocinética , Estándares de Referencia
7.
Am J Med ; 84(2): 240-50, 1988 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-3261536

RESUMEN

Abnormalities of coagulation are common in patients with acute nonlymphoblastic leukemia, although the mechanisms involved are unclear, except in a few cases. To investigate the pathogenesis of this coagulopathy, suspensions of purified leukemic cells were prepared and tested for procoagulant activity. Neither the leukemic cells nor their supernatants directly accelerated the clotting of plasma. Since the leukemic cells did not possess direct procoagulant activity, their ability or inability to elaborate a mediator of cellular coagulant properties, interleukin-1, was studied. Leukemic cells from patients with coagulopathy elaborated interleukin-1, and addition of phytohemagglutinin increased interleukin-1 release. In contrast, no interleukin-1 was released, before or after stimulation with phytohemagglutinin, from leukemic cells from patients without coagulopathy. Leukemic cells from another group of patients with abnormalities of coagulation released interleukin-1 only after phytohemagglutinin treatment. In terms of the coagulation mechanism, interleukin-1 containing supernatants from leukemic cell cultures induced the procoagulant receptor tissue factor, a co-factor in the initiation of coagulation, on the endothelial cell surface. There was coordinate suppression of the anticoagulant endothelial cell receptor thrombomodulin, a co-factor for the antithrombotic protein C pathway. Antibody to interleukin-1 prevented these changes in cellular coagulant properties. Taken together, these changes result in a shift in the balance of endothelial cell coagulant properties to an activated state in which mechanisms promoting procoagulant reactions on the vessel surface predominate. Synthesis and release of the mediator interleukin-1 by leukemic cells thus defines a new mechanism through which malignant cells can potentially activate the coagulation mechanism.


Asunto(s)
Coagulación Intravascular Diseminada/etiología , Interleucina-1/fisiología , Leucemia/sangre , Enfermedad Aguda , Adulto , Anciano , Endotelio Vascular/citología , Femenino , Humanos , Leucemia/patología , Leucocitos/metabolismo , Masculino , Persona de Mediana Edad , Células Tumorales Cultivadas , Factor de Necrosis Tumoral alfa/farmacología
8.
Semin Arthritis Rheum ; 32(5): 285-95, 2003 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-12701039

RESUMEN

OBJECTIVE: To evaluate the coagulative/fibrinolytic cascade and the circulating markers of the endothelial injury in systemic sclerosis (SSc). METHOD: Plasma was obtained from 29 patients with SSc and tested for thrombin-antithrombin (TAT), fragments 1+2 (F1+2), dermatansulphate (DS), thrombomodulin (TM), lipoprotein (a) [Lp(a)], von Willebrand factor (vWF), tissue type plasminogen activator (tPA), plasminogen activator inhibitor (PAI), D-dimers, intercellular adhesion molecole-1 (ICAM-1), vascular cell adhesion molecule (VCAM), and E-selectin. The data were correlated with lung (forced vital capacity, diffusing lung capacity for carbon monoxide, vital capacity) and skin (skin score) involvement. RESULTS: Coagulation was significantly activated (increase in F1+2, P <.001; TAT, P <.01; and Lp(a), P <.05). TM was not significantly different from controls. vWF was significantly increased (P <.01), and its supranormal multimers increased in more than 50% of patients. DS was significantly increased in diffuse cutaneous SSc (P <.01). Fibrinolysis was impaired as shown by reduced D-dimers (P <.01) and decreased levels of PAI (P < 0.01). The markers of endothelial injury were also significantly elevated. DS correlated significantly with forced vital capacity (P <.01) and forced vital capacity ratio (P <.01). CONCLUSION: Injury to the endothelium reduces endothelial function, as suggested by impairment of fibrinolysis and activation of the coagulative pathway. The loss of the balance between fibrinolysis and coagulation contributes to vessel engulfment with fibrin and breakdown of vessel patency. The increase of circulating DS suggests that this factor may be a new marker of endothelial injury.


Asunto(s)
Coagulación Sanguínea/fisiología , Fibrinólisis/fisiología , Esclerodermia Sistémica/fisiopatología , Adulto , Anciano , Biomarcadores/sangre , Femenino , Humanos , Masculino , Persona de Mediana Edad , Esclerodermia Sistémica/inmunología , Esclerodermia Sistémica/metabolismo
9.
Bone Marrow Transplant ; 8(3): 171-6, 1991 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-1835662

RESUMEN

The nature of the graft used for the rescue of patients undergoing autologous bone marrow transplantation is that of a complex mixture of pharmacological agents and cellular debris known to have a number of effects on the haemostatic system. The present study was undertaken to evaluate the occurrence and the degree of haemostatic alterations during and immediately following graft infusion in 24 patients suffering from haematological malignancies. On day 0, before graft infusion, the majority of patients appeared with laboratory signs of enhanced thrombin generation, platelet activation, and endothelial damage, most likely due to the conditioning regimen. However, the graft infusion per se was accompanied in the short term by a further increment of some parameters indicating a thrombotic risk (as thrombin-antithrombin complex, beta-thrombo globulin, platelet factor four, and von Willebrand factor antigen, together with a concomitant prolongation of partial thromboplastin time and a reduction of prothrombin time. In contrast there was no further modification of antithrombin III or protein C levels nor an increase in fibrinopeptide A levels. We hypothesize that complex interactions between agents contained in the graft mixture and host haemostatic system are involved in the pathogenesis of the haemostatic alterations which followed cryopreserved graft infusion; however, in our series, these were not accompanied by clinical signs of thrombotic or haemorrhagic events.


Asunto(s)
Trasplante de Médula Ósea/fisiología , Criopreservación/métodos , Hemostasis/fisiología , Antitrombina III/análisis , Trasplante de Médula Ósea/métodos , Trasplante de Médula Ósea/patología , Endotelio Vascular/patología , Fibrinopéptido A/análisis , Humanos , Factor Plaquetario 4/análisis , Proteína C/análisis , Trombina/metabolismo , Trasplante Autólogo , beta-Tromboglobulina/análisis , Factor de von Willebrand/análisis
10.
Thromb Res ; 61(3): 285-90, 1991 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-1902997

RESUMEN

Hemofil M, Monoclate HT, and Monoclate P are high-purity Factor VIII concentrates, obtained from plasma by immunoaffinity chromatography with monoclonal antibodies specific for Factor VIII (Hemofil M) or von Willebrand Factor (Monoclate HT and Monoclate P). The concentrates are subjected to virucidal treatments: a solvent/detergent method (TNBP/Na-cholate) for Hemofil M, heating in the lyophilized state and in solution (pasteurization) for Monoclate HT and Monoclate P, respectively. Since these differences in the manufacturing process might result in different in vivo characteristics of the concentrates, we compared their in vivo behavior in a cross-over, single-dose, pharmacokinetic study performed in 10 non-bleeding patients with severe hemophilia A. The experimental conditions (Factor VIII dose, number and timing of blood sampling, Factor VIII assay methods, calculation of pharmacokinetic parameters) were identical for the three products. The results showed that the clearance, the mean residence time, and the volume of distribution did not differ among the three products.


Asunto(s)
Factor VIII/farmacocinética , Hemofilia A/metabolismo , Semivida , Humanos , Tasa de Depuración Metabólica , Distribución Aleatoria
11.
Thromb Res ; 56(2): 169-78, 1989 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-2515605

RESUMEN

Replacement therapy with clotting factor concentrates may expose the recipients not only to virus contamination but also to continuous stimulation of the immune system by repeated infusions of allogenic proteins. Concentrate purity is now a very important prerequisite to be taken into account in choosing what product can better meet the patient's needs. We compared protein content (albumin, fibrinogen, fibronectin, immunoglobulins) and factor VIII:C/vWF:Ag complex in untreated, treated and monoclonal factor VIII concentrates. Protein content is dramatically decreased in new treated ultrapure concentrates. Improved traditional fractionation methods allowed to obtain very high Factor VIII specific activity. New fractionation methods with immunoaffinity chromatography by means of monoclonal antibodies can give highly pure concentrates even if deliberately added albumin decreases factor VIII specific activity in final formulation. Otherwise monoclonal concentrates show a very high specific activity in terms of fibrinogen and immunoglobulin content, which, unlike albumin, are affecting the immune system in hemophiliacs.


Asunto(s)
Factor VIII/aislamiento & purificación , Anticuerpos Monoclonales , Proteínas Sanguíneas/análisis , Contaminación de Medicamentos , Fibrinógeno/análisis , Fibronectinas/análisis , Humanos , Inmunoglobulinas/análisis , Albúmina Sérica/análisis , Factor de von Willebrand/análisis
12.
Thromb Res ; 71(3): 175-84, 1993 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-8211885

RESUMEN

The pharmacokinetic profile, the thrombogenicity and the virus safety of Preconativ, a PCC subjected both to virus removal procedure and dry-heat treatment were studied. Preconativ is produced from plasma pool, negative both for HBsAg and for antibodies to HIV. To further reduce the risk of virus transmission, the manufacturing process includes hydrophobic gel chromatography and dry-heat treatment at +68 degrees C for 48 hours. Nine patients with hemophilia B participated in a single dose, pharmacokinetic study. The decay curves of factor IX clotting activity were evaluated by model-independent methods. The Clearance and the Mean Residence Time were very similar to those previously reported for untreated PCC. The Volume of Distribution Area and In Vivo Recovery resulted inversely correlated and respectively larger and smaller than those of untreated PCC. A slight fall in platelet count and Antithrombin III level and an increase of Beta-Thromboglobulin and Fibrinopeptide A concentration were found, indicating a clear-cut activation of the coagulation process during the first hours following Preconativ administration. Seven patients (2 of the ones enrolled in the pharmacokinetic study) were completely fulfilling the SSC-ISTH criteria for virus safety prospective study. The follow up of these patients did not show any transaminases elevation or seroconversion against HBV, HCV or HIV. These findings did not change over a 3-5 year follow up in 3 out of 7 patients, repeatedly infused with Preconativ.


Asunto(s)
Factor IX/uso terapéutico , Factor X/uso terapéutico , Hemofilia A/terapia , Protrombina/uso terapéutico , Esterilización/métodos , Adolescente , Adulto , Proteínas Sanguíneas/análisis , Cromatografía en Gel , Combinación de Medicamentos , Activación Enzimática , Factor IX/efectos adversos , Factor IX/farmacocinética , Factor X/efectos adversos , Factor X/farmacocinética , Infecciones por VIH/prevención & control , Hemofilia B/terapia , Hepatitis B/prevención & control , Hepatitis C/prevención & control , Calor , Humanos , Persona de Mediana Edad , Protrombina/efectos adversos , Protrombina/farmacocinética , Seguridad , Trombina/metabolismo
13.
Thromb Res ; 65(6): 699-708, 1992 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-1636162

RESUMEN

We assessed the pharmacokinetic characteristics of a new high-purity pasteurized FVIII concentrate in comparison with an intermediate purity pasteurized concentrate, produced by the same manufacturer. The study was designed as a cross-over single-dose pharmacokinetic investigation in 8 non-bleeding patients with severe hemophilia A. All patients were given 25 IU/kg of each of the two concentrates, with an interval of at least one week between the two administrations. Decay curves were assessed by collecting 10 serial blood samples over 36 hours following the end of infusion. The concentration of Factor VIII in blood samples was determined in triplicate in three different laboratories using each of the following assay methods: a one-stage clotting assay, a two-stage clotting assay, and a two-stage chromogenic-peptide substrate assay. All pharmacokinetic parameters were calculated by model-independent methods. The two products were found to differ significantly both in the clearance, which was on average 13.8% lower for Haemate P, and in the in-vivo recovery, which was 11.7% lower for Factor VIII:C P on the average. In comparison with previous pharmacokinetic data obtained from other heated Factor VIII concentrates, the clearance of Haemate P was found to be significantly slower, while the half-life of both products was longer. No differences were observed in the Vd-area. These findings indicate that the purification procedures to which both products are subjected do not increase the in-vivo rate of plasma disappearance of Factor VIII.


Asunto(s)
Factor VIII/farmacocinética , Adolescente , Adulto , Pruebas de Coagulación Sanguínea , Compuestos Cromogénicos , Hemofilia A/sangre , Calor , Humanos , Persona de Mediana Edad , Análisis Multivariante , Reproducibilidad de los Resultados , Esterilización/métodos
14.
Thromb Res ; 61(4): 385-93, 1991 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-1905848

RESUMEN

This study was aimed at assessing the reproducibility of Factor VIII assays between different laboratories using the same reagents. A total of 176 post-dose plasma samples were obtained from 8 Italian subjects with hemophilia-A treated with a single dose of Factor VIII concentrates. Three laboratories (in FRG, Italy, and Sweden) participated in the study. Frozen aliquots of each sample were dispatched to each of the laboratories, where the aliquots were assayed using the same one-stage, two-stage and chromogenic methods. The one-stage and the chromogenic methods were well reproducible between the three centers: pairwise correlation analyses yielded r-values ranging from 0.88 to 0.91 for the one-stage method and from 0.91 to 0.96 for the chromogenic method. The agreement between these two assays was less evident in samples with activity below 200 IU/L in which the one-stage gave, on average, higher Factor VIII concentrations than those provided by the chromogenic method. The two-stage method was not well reproducible, and the pairwise r-values ranged from 0.48 to 0.73. Our study emphasises the need to develop multi-center quality control programs to verify the reproducibility of Factor VIII assays.


Asunto(s)
Factor VIII/análisis , Hemofilia A/sangre , Laboratorios/normas , Adolescente , Adulto , Pruebas de Coagulación Sanguínea/normas , Compuestos Cromogénicos , Factor VIII/administración & dosificación , Factor VIII/uso terapéutico , Hemofilia A/tratamiento farmacológico , Humanos , Persona de Mediana Edad , Análisis Multivariante , Reproducibilidad de los Resultados
15.
Clin Cardiol ; 12(5): 255-8, 1989 May.
Artículo en Inglés | MEDLINE | ID: mdl-2721039

RESUMEN

A regularly scheduled physical training program seems to have antithrombotic effects. Moreover, the hemostatic changes occurring in patients with coronary artery disease during acute exercise have not been clearly elucidated. Since stress testing is routinely performed in clinical cardiology, it would be helpful to assess whether patients with coronary artery disease are exposed to acute coronary thrombosis during or soon after sustained physical exercise. This study was designed to evaluate the effect of acute physical exercise (stress test by bicycle ergometer) on blood coagulation in a group of patients with previous myocardial infarction, and to determine whether the antithrombotic therapy commonly administered favorably influences hemostatic equilibrium. Our results suggest that exercise testing is not harmful to patients with previous myocardial infarction in regard to hemostasis and fibrinolysis and that antithrombotic therapy reduces postexercise increase in platelets.


Asunto(s)
Coagulación Sanguínea , Prueba de Esfuerzo , Infarto del Miocardio/sangre , Anciano , Anticoagulantes/farmacología , Anticoagulantes/uso terapéutico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/tratamiento farmacológico
16.
Int J Artif Organs ; 15(10): 590-4, 1992 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-1428206

RESUMEN

In a crossover study conducted with eight uremic patients maintained on hemodialysis, the Authors compared the effects of heparin (100 IU/kg at the start of dialysis) and defibrotide (400 mg at the start, repeated at 2 hours of ongoing dialysis) on the parameters of blood coagulation (VIII:C, AT III, TAT, PC antigen and activity, PS, and FPA), each being assessed before dialysis and at 2, 3 and 4 hours of the ongoing procedure. Heparin-assisted dialysis resulted in a significant rise of VIII:C and AT III; with defibrotide, instead, there was evidence of thrombin activation (increased FPA and TAT). PC levels were raised with both dialysis modalities; however, PC activity and PS levels were increased only in defibrotide-assisted dialysis. There were no adverse reactions or evidence of fibrin formation. These results confirm the antithrombotic activity of defibrotide in the course of dialysis and indicate that this action is independent of thrombin neutralization.


Asunto(s)
Coagulación Sanguínea/efectos de los fármacos , Fibrinolíticos/farmacología , Polidesoxirribonucleótidos/farmacología , Diálisis Renal/métodos , Antitrombina III/análisis , Factor VIII/análisis , Fibrinopéptido A/análisis , Heparina/farmacología , Humanos , Péptido Hidrolasas/análisis , Proteína C/análisis , Proteína S/análisis
17.
Int J Artif Organs ; 12(12): 749-54, 1989 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-2613355

RESUMEN

Defibrotide, a partially depolymerized DNA fraction obtained from mammalian lung, was found to have significant antithrombotic and fibrinolytic activities. On the basis of this evidence defibrotide could be of clinical value during hemoperfusive treatment. The present study was designed to evaluate the biological tolerance of this technique in a model of extracorporeal circulation, using an original Silastic apparatus, with defibrotide (0.83 mg/kg-1/min-1 after a 50 mg/kg-1 bolus injection) and heparin (0.66 IU/kg-1/min-1 after a 400 IU/kg-1 bolus injection) in ten rabbits (Group 1) and heparin only in ten others (Group 2, control group). In this study defibrotide produced a significantly lower pressure inside the circuit compared to the control group and gave a protective effect against those pathological changes which appeared during extracorporeal circulation and that may be considered omens of a state of shock. However the use of defibrotide in addition to heparin seemed to have a poor effect on platelet and leukocyte count alterations during application of this technique.


Asunto(s)
Fibrinolíticos/uso terapéutico , Hemoperfusión , Polidesoxirribonucleótidos/uso terapéutico , Animales , Presión Sanguínea/efectos de los fármacos , Femenino , Heparina/uso terapéutico , Recuento de Leucocitos/efectos de los fármacos , Recuento de Plaquetas/efectos de los fármacos , Conejos , Elastómeros de Silicona
18.
New Microbiol ; 25(2): 231-4, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-12019730

RESUMEN

Several non-human primate species are used as laboratory animals for research purposes. Non human primates represent a potential hazard for laboratory animal handlers as they exceed all other species in importance as potentiators of disease in laboratory personnel (Quist K.D., 1972). Hepatitis viruses cause some of the prevalent diseases in man which constitute an important public health problem. The first outbreak of the infection was related to non human primates and occurred in 1958-1960 in USA, with more then 200 human cases. Chimpanzee is the main species that has been implicated but others have also been involved. We report a case of seropositivity to HCV antigens in Macaca fascicularis using a third generation RIBA assay. The nature of reactivity of the positive samples could not be resolved as no animal in the breeder colony had been exposed to an HCV source. Furthermore, Macaca spp. did not appear to be a susceptible species in previous studies.


Asunto(s)
Hepacivirus/inmunología , Anticuerpos Antihepatitis/análisis , Antígenos de la Hepatitis C/análisis , Hepatitis C/veterinaria , Macaca fascicularis , Enfermedades de los Monos/virología , Animales , Modelos Animales de Enfermedad , Hepatitis C/inmunología
19.
Vet Rec ; 147(22): 627-9, 2000 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-11128076

RESUMEN

The viscosity of the mucus, its DNA concentration and the size range of the DNA were determined on tracheobronchial samples from 11 horses with lower airway diseases before and after incubation with recombinant human deoxyribonuclease (rhDNase). The horses were divided into two groups on the basis of the cytology of the samples: group A (five horses) with more than 60 per cent neutrophils and group B (six horses) with fewer than 50 per cent neutrophils. The mean mucus viscosity and DNA concentration in the preincubation samples were significantly higher in group A than in group B, and there was a correlation between DNA concentration and mucus viscosity in the preincubation samples from group A. Incubation with rhDNase significantly reduced the viscosity of the samples only in group A.


Asunto(s)
Bronquitis/veterinaria , Desoxirribonucleasas/farmacología , Enfermedades de los Caballos/metabolismo , Moco/efectos de los fármacos , Mucosa Respiratoria/efectos de los fármacos , Animales , Bronquitis/genética , Bronquitis/metabolismo , Recuento de Células/veterinaria , ADN/análisis , Electroforesis en Gel de Agar , Femenino , Caballos , Humanos , Modelos Lineales , Masculino , Moco/citología , Mucosa Respiratoria/citología , Viscosidad
20.
Transbound Emerg Dis ; 61(4): 334-40, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23331342

RESUMEN

In this study, we undertook the genomic characterization of 54 pseudorabies virus (PRV) strains isolated in Italy during 1984-2010. The characterization was based on partial sequencing of the UL44 (gC) and US8 (gE) genes; 44 strains (38 for gene gE and 36 for gC) were isolated on pig farms; 9 originated from dogs and 1 from cattle. These porcine PRV strains, which were closely related to those isolated in Europe and America in the last 20 years, and the bovine strain bovine/It/2441/1992 belong to cluster B in both phylogenetic trees. Six porcine strains that do not belong to cluster B are related in both gE and gC phylogenetic trees to the 'old' porcine PRV strains isolated in the 1970s and 1980s. In the last two decades, the presence of these strains in domestic pig populations has been reduced drastically, whereas they are prevalent in wild boar. The two remaining strains have an interesting genomic profile, characterized by the gC gene being closely related to the old porcine PRV strains, and the gE gene being similar to that of recently isolated strains. Three strains originating from working dogs on pig farms are located in cluster B in both phylogenetic trees. Five strains isolated from hunting dogs have a high degree of correlation with PRV strains circulating in wild boar. The last isolate has a gC gene similar to that in the two porcine strains mentioned previously, and the gE gene is correlated with the strains isolated from hunting dogs. These results provide interesting insight into the genomic characterization of PRV strains and reveal a clear differentiation between the strains isolated from hunting dogs that are related to the wild boar strains and those originating from domestic pigs.


Asunto(s)
Genómica , Herpesvirus Suido 1/genética , Seudorrabia/virología , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Bovinos , Enfermedades de los Bovinos/epidemiología , Enfermedades de los Bovinos/virología , Enfermedades de los Perros/epidemiología , Enfermedades de los Perros/virología , Perros , Herpesvirus Suido 1/clasificación , Italia/epidemiología , Datos de Secuencia Molecular , Filogenia , Seudorrabia/epidemiología , Alineación de Secuencia/veterinaria , Sus scrofa , Porcinos , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/virología , Proteínas del Envoltorio Viral/genética
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