RESUMEN
Paracoccidioidomycosis (PCM) is a life-threatening systemic fungal infection acquired after inhalation of Paracoccidioides propagules from the environment. The main agents include members of the P. brasiliensis complex (phylogenetically-defined species S1, PS2, PS3, and PS4) and P. lutzii. DNA-sequencing of protein-coding loci (e.g., GP43, ARF, and TUB1) is the reference method for recognizing Paracoccidioides species due to a lack of robust phenotypic markers. Thus, developing new molecular markers that are informative and cost-effective is key to providing quality information to explore genetic diversity within Paracoccidioides. We report using new amplified fragment length polymorphism (AFLP) markers and mating-type analysis for genotyping Paracoccidioides species. The bioinformatic analysis generated 144 in silico AFLP profiles, highlighting two discriminatory primer pairs combinations (#1 EcoRI-AC/MseI-CT and #2 EcoRI-AT/MseI-CT). The combinations #1 and #2 were used in vitro to genotype 165 Paracoccidioides isolates recovered from across a vast area of South America. Considering the overall scored AFLP markers in vitro (67-87 fragments), the values of polymorphism information content (PIC = 0.3345-0.3456), marker index (MI = 0.0018), effective multiplex ratio (E = 44.6788-60.3818), resolving power (Rp = 22.3152-34.3152), discriminating power (D = 0.5183-0.5553), expected heterozygosity (H = 0.4247-0.4443), and mean heterozygosity (H avp = 0.00002-0.00004), demonstrated the utility of AFLP markers to speciate Paracoccidioides and to dissect both deep and fine-scale genetic structures. Analysis of molecular variance (AMOVA) revealed that the total genetic variance (65-66 %) was due to variability among P. brasiliensis complex and P. lutzii (PhiPT = 0.651-0.658, P < 0.0001), supporting a highly structured population. Heterothallism was the exclusive mating strategy, and the distributions of MAT1-1 or MAT1-2 idiomorphs were not significantly skewed (1:1 ratio) for P. brasiliensis s. str. (χ2 = 1.025; P = 0.3113), P. venezuelensis (χ2 = 0.692; P = 0.4054), and P. lutzii (χ2 = 0.027; P = 0.8694), supporting random mating within each species. In contrast, skewed distributions were found for P. americana (χ2 = 8.909; P = 0.0028) and P. restrepiensis (χ2 = 4.571; P = 0.0325) with a preponderance of MAT1-1. Geographical distributions confirmed that P. americana, P. restrepiensis, and P. lutzii are more widespread than previously thought. P. brasiliensis s. str. is by far the most widely occurring lineage in Latin America countries, occurring in all regions of Brazil. Our new DNA fingerprint assay proved to be rapid, reproducible, and highly discriminatory, to give insights into the taxonomy, ecology, and epidemiology of Paracoccidioides species, guiding disease-control strategies to mitigate PCM.
RESUMEN
Sporothrix (Ophiostomatales) comprises species that are pathogenic to humans and other mammals as well as environmental fungi. Developments in molecular phylogeny have changed our perceptions about the epidemiology, host-association, and virulence of Sporothrix. The classical agent of sporotrichosis, Sporothrix schenckii, now comprises several species nested in a clinical clade with S. brasiliensis, S. globosa, and S. luriei. To gain a more precise view of outbreaks dynamics, structure, and origin of genetic variation within and among populations of Sporothrix, we applied three sets of discriminatory AFLP markers (#3 EcoRI-GA/MseI-TT, #5 EcoRI-GA/MseI-AG, and #6 EcoRI-TA/MseI-AA) and mating-type analysis to a large collection of human, animal and environmental isolates spanning the major endemic areas. A total of 451 polymorphic loci were amplified in vitro from 188 samples, and revealed high polymorphism information content (PIC = 0.1765-0.2253), marker index (MI = 0.0001-0.0002), effective multiplex ratio (E = 15.1720-23.5591), resolving power (Rp = 26.1075-40.2795), discriminating power (D = 0.9766-0.9879), expected heterozygosity (H = 0.1957-0.2588), and mean heterozygosity (Havp = 0.000007-0.000009), demonstrating the effectiveness of AFLP markers to speciate Sporothrix. Analysis using the program structure indicated three genetic clusters matching S. brasiliensis (population 1), S. schenckii (population 2), and S. globosa (population 3), with the presence of patterns of admixture amongst all populations. AMOVA revealed highly structured clusters (PhiPT = 0.458-0.484, P < 0.0001), with roughly equivalent genetic variability within (46-48 %) and between (52-54 %) populations. Heterothallism was the exclusive mating strategy, and the distributions of MAT1-1 or MAT1-2 idiomorphs were not significantly skewed (1:1 ratio) for S. schenckii (χ2 = 2.522; P = 0.1122), supporting random mating. In contrast, skewed distributions were found for S. globosa (χ2 = 9.529; P = 0.0020) with a predominance of MAT1-1 isolates, and regional differences were highlighted for S. brasiliensis with the overwhelming occurrence of MAT1-2 in Rio de Janeiro (χ2 = 14.222; P = 0.0002) and Pernambuco (χ2 = 7.364; P = 0.0067), in comparison to a higher prevalence of MAT1-1 in the Rio Grande do Sul (χ2 = 7.364; P = 0.0067). Epidemiological trends reveal the geographic expansion of cat-transmitted sporotrichosis due to S. brasiliensis via founder effect. These data support Rio de Janeiro as the centre of origin that has led to the spread of this disease to other regions in Brazil. Our ability to reconstruct the source, spread, and evolution of the ongoing outbreaks from molecular data provides high-quality information for decision-making aimed at mitigating the progression of the disease. Other uses include surveillance, rapid diagnosis, case connectivity, and guiding access to appropriate antifungal treatment.
Asunto(s)
Hipertensión/tratamiento farmacológico , Nifedipino/uso terapéutico , Prazosina/uso terapéutico , Adulto , Presión Sanguínea/efectos de los fármacos , Ensayos Clínicos como Asunto , Relación Dosis-Respuesta a Droga , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Humanos , Masculino , Persona de Mediana Edad , Nifedipino/administración & dosificación , Prazosina/administración & dosificación , Distribución AleatoriaRESUMEN
PIP: Demographic trends in Brazil over the period 1930 to 1970 are first reviewed using primarily official census data. The author then analyzes changes since 1970, with particular reference to the rapid decline in fertility. The effects of these trends on population distribution and growth are considered.^ieng
Asunto(s)
Demografía , Fertilidad , Crecimiento Demográfico , Américas , Brasil , Países en Desarrollo , Geografía , América Latina , Población , Dinámica Poblacional , América del SurRESUMEN
PIP: Alternative methods for the estimation of internal migration are described and applied to official Brazilian census data for 1970 and 1980. Consideration is given to the problems caused by the quality of the available data^ieng
Asunto(s)
Emigración e Inmigración , Dinámica Poblacional , Reproducibilidad de los Resultados , Proyectos de Investigación , Estadística como Asunto , Américas , Brasil , Demografía , Países Desarrollados , Países en Desarrollo , América Latina , Población , Investigación , América del SurRESUMEN
"The evolution of the Brazilian population size, its growth rate and relative age structure between 1940 and 1991 as well as its expected trajectory until 2020 are presented in this paper. After briefly considering the quasi-stability of the Brazilian population in the past, the role of fast fertility decline is emphasised in the current changing age structure."
Asunto(s)
Distribución por Edad , Tasa de Natalidad , Densidad de Población , Dinámica Poblacional , Crecimiento Demográfico , Factores de Edad , Américas , Brasil , Demografía , Países en Desarrollo , Fertilidad , América Latina , Población , Características de la Población , América del SurRESUMEN
PIP: This study defines the relationship among mortality, development planning, and economic growth in Brazil. The estimated life expectancy is a quantitative indication of socioeconomic differences according to region, social class, rural or urban residence. During the last 10 years of economic development there have been important changes in the amount of salaries: while the income of the upper classes, or 5% of the population, augmented 27.3-36.2%, the income of the lower classes, or 40% of the population, decreased 11.2-9.1%. This was the result of government policies designed to control inflation and to stimulate the economic development. Mortality rate in Brazil was strongly influenced by such changes, since a low salary tends to exclude the poor from many medical services, to reduce the quality and quantity of nutrition, and to relegate families to a generally inferior quality of life. Infant mortality was particularly sensible to changes in income, as surveys done in Sao Paulo and in Belo Horizonte amply demonstrated.^ieng
Asunto(s)
Economía , Mortalidad Infantil , Mortalidad , Población Rural , Cambio Social , Clase Social , Población Urbana , Américas , Brasil , Demografía , Países en Desarrollo , América Latina , Población , Características de la Población , Dinámica Poblacional , Factores Socioeconómicos , América del SurRESUMEN
PIP: The relationship between population growth and the distribution of income in Brazil is examined. Data taken from the 1970 census are used to analyze the relationships among income, fertility, and mortality. Projections of changes in these relationships up to the year 2000 are considered.^ieng