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1.
Rev. argent. dermatol ; 100(3): 81-92, set. 2019. graf
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1057386

RESUMEN

Resumen El lentigo maligno (LM) es una variante de melanoma in situ que se desarrolla principalmente en áreas de exposición solar crónica en pacientes de etnia blanca, de edad media-avanzada. Sin tratamiento, del 5% hasta el35% de los LM pueden progresar a un melanoma lentigo maligno (LMM). Aunque el tratamiento de elección es quirúrgico, el imiquimod aparece como una opción no invasiva viable. Suele indicarseen pacientes con tumores de gran tamaño, personas de edad avanzada o con patología de base, o que simplemente rechazan la extirpación quirúrgica de la lesión, especialmente por ser desfigurante. Se presenta una paciente con LM tratada satisfactoriamente con imiquimod tópico.


Abstract Malignant lentigo (LM) is a variant of in situ melanoma that develops mainly in areas of chronic sun exposure in middle-aged patients. Without treatment, 5% to 50% of the LM can progress to a lentigo maligna melanoma (LMM). Although the treatment of choice is surgical, imiquimod seems to be a viable and non-invasive option in patients with large tumors, elderly or people with underlying disease, or who simply reject the surgical removal of the lesion. We present a case of LM satisfactorily treated with topical imiquimod.

2.
Nutr Metab Cardiovasc Dis ; 27(7): 601-608, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28511905

RESUMEN

BACKGROUND AND AIMS: A link between increased blood viscosity and type 2 diabetes has been previously reported. Herein, we investigated the association of blood viscosity with prediabetes, identified by glycated hemoglobin A1c (HbA1c) according to the new American Diabetes Association criteria, and subclinical atherosclerosis. METHODS AND RESULTS: The study cohort includes 1136 non-diabetic adults submitted to anthropometrical evaluation, an oral glucose tolerance test and ultrasound measurement of carotid intima-media thickness (IMT). Whole blood viscosity was estimated using a validated formula based on hematocrit and total plasma proteins. After adjusting for age, and gender, individuals with HbA1c-defined prediabetes (HbA1c 5.7-6.4% [39-47 mmol/mol]) exhibited significantly higher values of hematocrit, and predicted blood viscosity as compared with controls. Increased levels of IMT were observed in subjects with HbA1c-defined prediabetes in comparison to controls. Predicted blood viscosity was positively correlated with age, waist circumference, blood pressure, cholesterol, triglycerides, fibrinogen, white blood cell, HbA1c, fasting and 2-h post-load glucose levels, fasting insulin, IMT and inversely correlated with HDL and Matsuda index of insulin sensitivity. Of the three glycemic parameters, i.e. HbA1c, fasting and 2-h post-load glucose, only HbA1c showed a significant correlation with predicted blood viscosity (ß = 0.054, P = 0.04) in a multivariate regression analysis model including multiple atherosclerosis risk factors. CONCLUSION: The study shows that individuals with HbA1c-defined prediabetes have increased predicted blood viscosity and IMT. The HbA1c criterion may be helpful to capture individuals with an increased risk of diabetes and cardiovascular disease who may benefit from an intensive lifestyle intervention.


Asunto(s)
Viscosidad Sanguínea , Enfermedades Cardiovasculares/etiología , Hemoglobina Glucada/análisis , Hemorreología , Estado Prediabético/sangre , Estado Prediabético/fisiopatología , Adulto , Biomarcadores/sangre , Enfermedades Cardiovasculares/sangre , Enfermedades Cardiovasculares/diagnóstico por imagen , Enfermedades Cardiovasculares/fisiopatología , Grosor Intima-Media Carotídeo , Estudios de Casos y Controles , Estudios Transversales , Femenino , Prueba de Tolerancia a la Glucosa , Hematócrito , Humanos , Masculino , Persona de Mediana Edad , Estado Prediabético/complicaciones , Estado Prediabético/diagnóstico , Valor Predictivo de las Pruebas , Pronóstico , Factores de Riesgo
3.
Braz J Biol ; 75(1): 191-7, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25945637

RESUMEN

Suitability of degraded areas as breeding habitats can be tested through assessment of nest predation rates. In this study we estimated nest success in relation to several potential predictors of nest survival in the Stripe-tailed Yellow-finch (Sicalis citrina) breeding in abandoned mining pits at Brasília National Park. We monitored 73 nests during the 2007-breeding season. Predation was the main cause of nest failure (n = 48, 66%); while six nests were abandoned (8%) and 19 nests produced young (26%). Mayfield's daily survival rates and nest success were 0.94 and 23%, respectively. Our results from nest survival models on program MARK indicated that daily survival rates increase linearly towards the end of the breeding season and decrease as nests aged. None of the nest individual covariates we tested - nest height, nest size, nest substrate, and edge effect - were important predictors of nest survival; however, nests placed on the most common plant tended to have higher survival probabilities. Also, there was no observer effect on daily survival rates. Our study suggests that abandoned mining pits may be suitable alternative breeding habitats for Striped-tailed Yellow-finches since nest survival rates were similar to other studies in the central cerrado region.


Asunto(s)
Ecosistema , Pinzones/fisiología , Comportamiento de Nidificación/fisiología , Reproducción/fisiología , Animales , Brasil , Femenino , Pinzones/clasificación , Masculino , Estaciones del Año
4.
Nutr Metab Cardiovasc Dis ; 24(12): 1365-72, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25149895

RESUMEN

BACKGROUND AND AIMS: Low insulin-like growth factor-1 (IGF-1) levels and high uric acid concentrations are associated with cardio-metabolic disorders. Acute IGF-1 infusion decreases uric acid concentration in healthy individuals. In this study, we aimed to examine the relationship between IGF-1 and uric acid levels. METHODS AND RESULTS: 1430 adult non diabetic subjects were stratified into quartiles according to their circulating IGF-1 values. Significant differences in uric acid concentration, measured by the URICASE/POD method were observed between low (quartile 1), intermediate (quartile 2 and 3), and high (quartile 4) IGF-1 levels groups after adjusting for age, gender, and body mass index (P = 0.02). These differences remained significant after adjustment for blood pressure, total cholesterol, high density lipoprotein, triglycerides, fasting and 2 h post-load glucose levels, HOMA-IR index (P = 0.005), liver enzymes (P = 0.03), glucose tolerance status (P = 0.02), growth hormone levels (GH) (P = 0.05), anti-hypertensive treatments (P = 0.04) or diuretics use (P = 0.04)). To clarify the molecular links between IGF-1 and uric acid, we performed an in vitro study, incubating human hepatoma cells with uric acid for 24 or 48 h in the presence of GH and observed a 21% and 26% decrease, respectively, in GH-stimulated IGF-1 mRNA expression (P = 0.02 and P = 0.012, respectively). This effect appears to be mediated by uric acid ability to down regulate GH intracellular signaling; in fact we observed a significant decrease of GH activated JAK2 and Stat5 phosphorylation. CONCLUSIONS: These data demonstrate an inverse relationship between IGF-1 and uric acid levels in adults and suggest that uric acid might affect hepatic IGF-1 synthesis.


Asunto(s)
Factor I del Crecimiento Similar a la Insulina/metabolismo , Ácido Úrico/sangre , Adulto , Anciano , Antropometría , Glucemia/metabolismo , Línea Celular Tumoral , Estudios de Cohortes , Femenino , Prueba de Tolerancia a la Glucosa , Hormona de Crecimiento Humana/sangre , Humanos , Lípidos/sangre , Hígado/metabolismo , Masculino , Persona de Mediana Edad , Factores de Riesgo
5.
Acta Diabetol ; 51(5): 705-13, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24619655

RESUMEN

Irisin, a novel myokine, was proposed to be able to regulate glucose homeostasis and obesity in mice. Whether irisin levels are associated with cardio-metabolic variables, insulin sensitivity, and vascular atherosclerosis in humans remain unsettled. To determine the associations between circulating irisin levels, cardio-metabolic variables, insulin sensitivity, and common carotid intima-media thickness (IMT), an indicator of vascular atherosclerosis, a cross-sectional evaluation of circulating irisin levels and cardio-metabolic variables in 192 White adults was conducted. Insulin sensitivity and insulin clearance were assessed by euglycemic-hyperinsulinemic clamp. Common carotid IMT was measured by ultrasound. After adjusting for age and gender, irisin levels were positively correlated with body fat mass (r = 0.12, P < 0.05), fasting (r = 0.17, P < 0.01), 2 h post-load insulin (r = 0.15, P < 0.02) levels, and IMT (r = 0.29, P < 0.0001) and were negatively correlated with insulin-stimulated glucose disposal (r = -0.18, P = 0.007), Matsuda index (r = -0.13, P < 0.04), disposition index (r = -0.278, P < 0.0001), and insulin clearance (r = -0.26, P < 0.0001). After adjusting for age, gender, and BMI, individuals in the highest tertile of irisin levels exhibited higher body fat mass (P < 0.01), fasting (P < 0.05), 2 h post-load (P < 0.01) insulin levels, carotid IMT (P < 0.001), lower insulin-stimulated glucose disposal (P < 0.001), Matsuda index (P < 0.01), disposition index (P < 0.01), and insulin clearance (P < 0.001) as compared with subjects in the lowest tertile of circulating irisin levels. Irisin is inversely associated with insulin sensitivity and positively associated with carotid IMT in humans, suggesting either increased release by adipose/muscle tissue in response to deterioration of insulin sensitivity or a compensatory increase in irisin to overcome an underlying irisin resistance.


Asunto(s)
Aterosclerosis/sangre , Fibronectinas/sangre , Resistencia a la Insulina , Adulto , Aterosclerosis/diagnóstico , Glucemia/metabolismo , Grosor Intima-Media Carotídeo , Estudios de Cohortes , Estudios Transversales , Femenino , Humanos , Insulina/metabolismo , Masculino , Persona de Mediana Edad , Población Blanca
6.
Nutr Metab Cardiovasc Dis ; 24(1): 27-33, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23601331

RESUMEN

BACKGROUND AND AIMS: The A1C diagnostic criterion for identifying individuals at increased risk for diabetes, introduced by the American Diabetes Association in 2010, was not defined on the basis of the principal pathophysiological abnormalities responsible for the development and progression of type 2 diabetes; we therefore wished to gain a deeper insight into the metabolic abnormalities characterizing the group of at risk individuals with an A1C value of 5.7-6.4%. METHODS AND RESULTS: As many as 338 non-diabetic offspring of type 2 diabetic patients were consecutively recruited. Insulin secretion was assessed using both indexes derived from oral glucose tolerance test (OGTT), and intravenous glucose tolerance test (IVGTT). Insulin sensitivity was measured by hyperinsulinemic euglycemic clamp. As compared with subjects with A1C <5.7%, individuals with A1C of 5.7-6.4% exhibited lower insulin sensitivity after adjusting for age, gender and body mass index (BMI). Insulin secretion estimated from the OGTT, did not differ between the two groups. By contrast, as compared with subjects with A1C <5.7%, the acute insulin response (AIR) during an IVGTT and both IVGTT-derived and OGTT-derived disposition indexes were reduced in individuals with A1C of 5.7-6.4% after adjusting for age, gender and BMI. As A1C increased to ≥ 5.7%, a sharp decrease in insulin sensitivity and ß-cell function, measured as disposition index, was observed. CONCLUSIONS: Caucasian individuals with A1C ≥ 5.7% exhibit both core pathophysiological defects of type 2 diabetes i.e. insulin resistance and ß-cell dysfunction.


Asunto(s)
Diabetes Mellitus Tipo 2/diagnóstico , Hemoglobina Glucada/metabolismo , Resistencia a la Insulina/fisiología , Células Secretoras de Insulina/metabolismo , Adulto , Glucemia/metabolismo , Índice de Masa Corporal , Diabetes Mellitus Tipo 2/fisiopatología , Femenino , Técnica de Clampeo de la Glucosa , Prueba de Tolerancia a la Glucosa , Humanos , Insulina/metabolismo , Secreción de Insulina , Masculino , Persona de Mediana Edad
7.
Braz J Biol ; 74(4): 890-8, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25627600

RESUMEN

We tested the heterogeneity/productivity hypothesis with respect to the abundance and richness of birds and the vegetation density hypothesis with respect to birds' nest predation rates, and determined the relative importance of forested vegetation formations for the conservation of birds in the Pantanal. We estimated the apparent nesting success, and the abundance and richness of nesting birds' in four forest types, by monitoring nests during two reproductive seasons in four forested physiognomies (two high productivity/heterogeneity evergreen forests = Cambará and Landi; two low productivity/heterogeneity dry forests = Cordilheira and Carvoeiro) in the Pantanal wetland in Poconé, State of Mato Grosso, Brazil. We found 381 nests of 46 species (35 Passeriformes and 11 non-Passeriformes) in the four forest types. Of these, we monitored 220 active nests belonging to 44 species, 101 during the reproductive season of 2001 and 119 in 2002. We supported the productivity/heterogeneity hypothesis since the two evergreen forests had higher nest abundance and one of them (Cambará) had higher nesting species richness than the dry forests. The number of nests found in each habitat differed with most nests monitored in the Cambará forest (82%), followed by Landi (9%), Cordilheira (6%) and Carvoeiro (3%) forests. The total number of nests monitored was significantly higher in evergreen forests than in dry forests. Also, more species nested in evergreen (37 species) than in dry (16 species) forests. A Correspondence Analysis revealed that only Carvoeiros had a different nesting bird community. The overall apparent nesting success of 220 nests was 26.8%. We did not support the vegetation density hypothesis since nest predation rates were similar between evergreen (73.5%) and dry (70%) forests, and were higher in the Landi (85%) than in the other three forests (69.2 to 72.2%). Our data indicate that Cambará forests seem to be a key nesting habitat for many bird species of the Pantanal. If this local pattern also occurs in other regions of the Pantanal, the use and management of Cambará forests might prove to be important for the conservation of forest birds of this biome. However, conflicting results with other taxonomic groups show that conservation measures for these forests and land use policies should be based on a more complete biodiversity evaluation of the region.


Asunto(s)
Biodiversidad , Aves/fisiología , Bosques , Comportamiento de Nidificación/fisiología , Reproducción/fisiología , Animales , Aves/clasificación , Brasil , Densidad de Población , Dinámica Poblacional , Estaciones del Año
8.
Mucosal Immunol ; 6(4): 718-27, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23149666

RESUMEN

The C-C motif chemokine ligand 5 (CCL5), CCL11, and CCL24 are involved in the pathogenesis of asthma, and their function is mainly associated with the airway recruitment of eosinophils. This study tested their ability to induce the migration of circulating fibrocytes, which may contribute to the development of irreversible airflow obstruction in severe asthma. The sputum fluid phase (SFP) from patients with severe/treatment-refractory asthma (PwSA) contained elevated concentrations of CCL5, CCL11, and CCL24 in comparison with the SFP from patients with non-severe/treatment-responsive asthma (PwNSA). The circulating fibrocytes from PwSA expressed the receptors for these chemokines at increased levels and migrated in response to recombinant CCL5, CCL11, and CCL24. The SFP from PwSA induced the migration of autologous fibrocytes, and its activity was significantly attenuated by neutralization of endogenous CCL5, CCL11, and CCL24. These findings suggest that CCL5, CCL11, and CCL24 may contribute to the airway recruitment of fibrocytes in severe asthma.


Asunto(s)
Asma/inmunología , Movimiento Celular/efectos de los fármacos , Quimiocina CCL11/farmacología , Quimiocina CCL24/farmacología , Quimiocina CCL5/farmacología , Células Madre Mesenquimatosas/efectos de los fármacos , Actinas/metabolismo , Adulto , Asma/metabolismo , Células de la Médula Ósea/efectos de los fármacos , Células de la Médula Ósea/inmunología , Movimiento Celular/inmunología , Quimiotaxis/efectos de los fármacos , Quimiotaxis/inmunología , Colágeno Tipo III/metabolismo , Femenino , Humanos , Masculino , Células Madre Mesenquimatosas/inmunología , Persona de Mediana Edad , Receptores CCR3/metabolismo , Receptores CCR5/metabolismo , Esputo/inmunología
9.
Nutr Metab Cardiovasc Dis ; 22(7): 561-6, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21944738

RESUMEN

BACKGROUND AND AIMS: The American Diabetes Association (ADA) has revised criteria for diagnosis of type 2 diabetes recommending an A1C cut point of ≥6.5% in addition to criteria based on glucose levels. We compared A1C, fasting plasma glucose (FPG) or 2-h post-challenge glucose (2-hPG) criteria for the diagnosis of diabetes in a cohort of Italian Caucasians. METHODS AND RESULTS: A total of 1019 individuals without known diabetes completed an oral glucose tolerance test (OGTT) and had A1C measured. Moderate agreement existed for A1C and FPG criteria for diagnosis of type 2 diabetes (κ coefficient = 0.522), with 85.5% of individuals classified as not having diabetes by both A1C and FPG criteria, and 5.8% classified as having diabetes by both A1C and FPG criteria. Discordant classifications occurred for 5.5% of individuals who had an A1C ≥ 6.5% and FPG <126 mg dl(-1), and for 3.2% who had an A1C <6.5% and FPG ≥126 mg dl(-1). Modest agreement existed for A1C and 2-hPG criteria for diagnosis of type 2 diabetes (κ coefficient = 0.427), with 81.8% of individuals classified as not having diabetes by both A1C and 2-hPG criteria, and 6.0% classified as having diabetes by both A1C and 2-hPG criteria. The area under the receiver operating characteristic curve of A1C for identifying subjects with diabetes according to FPG or 2-hPG criteria was 0.856 and 0.794, respectively. Modest agreement existed for A1C and FPG and/or 2-hPG criteria for diagnosis of type 2 diabetes (κ coefficient = 0.446). CONCLUSIONS: A1C ≥ 6.5% demonstrates a moderate agreement with fasting glucose and 2-hPG for diagnosing diabetes among adult Italian Caucasians subjects.


Asunto(s)
Glucemia/análisis , Diabetes Mellitus Tipo 2/diagnóstico , Hemoglobina Glucada/análisis , Población Blanca , Adulto , Cromatografía Líquida de Alta Presión , Estudios de Cohortes , Diabetes Mellitus Tipo 2/sangre , Ayuno , Femenino , Prueba de Tolerancia a la Glucosa , Humanos , Italia/epidemiología , Masculino , Persona de Mediana Edad , Curva ROC , Factores de Riesgo
10.
Mucosal Immunol ; 5(2): 140-9, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22189956

RESUMEN

Fibrocytes contribute to the fibrotic changes most frequently observed in forms of asthma where inflammation is driven by T helper type 2 (Th2) cells. The mechanisms that regulate the profibrotic function of asthmatic fibrocytes are largely unknown. We isolated circulating fibrocytes from patients with allergen-exacerbated asthma, who showed the presence of fibrocytes, together with elevated concentrations of interleukin (IL)-4 and IL-13 and slightly increased concentrations of the Th17 cell-derived IL-17A, in induced sputum. Fibrocytes stimulated with IL-4 and IL-13 produced high levels of collagenous and non-collagenous matrix components and low levels of proinflammatory cytokines. Conversely, fibrocytes stimulated with IL-17A proliferated and released proinflammatory factors that may promote neutrophil recruitment and airway hyperresponsiveness. IL-17A also indirectly increased α-smooth muscle actin but not collagen expression in fibrocytes. Thus, fibrocytes may proliferate and express a predominant profibrotic or proinflammatory phenotype in asthmatic airways depending on the local concentrations of Th2- and Th17-derived cytokines.


Asunto(s)
Asma/inmunología , Hiperreactividad Bronquial/inmunología , Fibroblastos/metabolismo , Fibrosis Pulmonar/inmunología , Adulto , Remodelación de las Vías Aéreas (Respiratorias)/efectos de los fármacos , Asma/complicaciones , Asma/terapia , Hiperreactividad Bronquial/etiología , Hiperreactividad Bronquial/terapia , Proliferación Celular , Células Cultivadas , Colágeno/genética , Colágeno/metabolismo , Femenino , Fibroblastos/efectos de los fármacos , Fibroblastos/inmunología , Fibroblastos/patología , Humanos , Mediadores de Inflamación/inmunología , Mediadores de Inflamación/metabolismo , Interleucina-13/análisis , Interleucina-13/farmacología , Interleucina-17/análisis , Interleucina-17/farmacología , Interleucina-4/análisis , Interleucina-4/farmacología , Masculino , Fibrosis Pulmonar/etiología , Fibrosis Pulmonar/terapia , Esputo/química , Adulto Joven
11.
Diabetologia ; 54(4): 795-802, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21234743

RESUMEN

AIMS/HYPOTHESIS: The aim of this study was to investigate the association of the rs10811661 polymorphism near the CDKN2B/CDKN2A genes with glucose tolerance, insulin sensitivity and insulin release in three samples of white people with European ancestry. METHODS: Sample 1 comprised 845 non-diabetic offspring of type 2 diabetes patients recruited in five European centres participating in the EUGENE2 study. Samples 2 and 3 comprised, respectively, 864 and 524 Italian non-diabetic participants. All individuals underwent an OGTT. Screening for the rs10811661 polymorphism was performed using a TaqMan allelic discrimination assay. RESULTS: The rs10811661 polymorphism did not show a significant association with age, BMI and insulin sensitivity. Participants carrying the TT genotype showed a significant reduction in insulin release, measured by an OGTT-derived index, compared with carriers of the C allele, in the three samples. When these results were pooled with those of three published studies, and meta-analysed with a random-effects model, the T allele was significantly associated with reduced insulin secretion (-35.09 [95% CI 14.68-55.52], p = 0.0008 for CC+CT vs TT; and -29.45 [95% CI 9.51-49.38], p = 0.0038, for the additive model). In addition, in our three samples, participants carrying the TT genotype exhibited an increased risk for impaired glucose tolerance (IGT) compared with carriers of the C allele (OR 1.55 [95% CI 1.20-1.95] for the meta-analysis of the three samples). CONCLUSIONS/INTERPRETATION: Our data, together with the meta-analysis of previously published studies, show that the rs10811661 polymorphism is associated with impaired insulin release and IGT, suggesting that this variant may contribute to type 2 diabetes by affecting beta cell function.


Asunto(s)
Inhibidor p15 de las Quinasas Dependientes de la Ciclina/genética , Inhibidor p16 de la Quinasa Dependiente de Ciclina/genética , Resistencia a la Insulina/genética , Insulina/metabolismo , Polimorfismo Genético/genética , Adulto , Diabetes Mellitus Tipo 2/genética , Femenino , Predisposición Genética a la Enfermedad/genética , Humanos , Secreción de Insulina , Masculino , Persona de Mediana Edad , Análisis de Secuencia de ADN
12.
Atherosclerosis ; 207(1): 245-9, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19410252

RESUMEN

OBJECTIVE: To examine whether individuals with normal glucose tolerance (NGT), whose 1-h post-load plasma glucose is >or=155 mg/dl, or with impaired glucose tolerance (IGT) have an increased carotid intima-media thickness (IMT), as compared with NGT individuals with 1-h post-load plasma <155 mg/dl. METHODS: Atherosclerosis risk factors, oral glucose tolerance test (OGTT), and ultrasound manual measurement of IMT were analyzed in 400 non-diabetic Caucasians. RESULTS: As compared with individuals with a 1-h post-load plasma glucose <155 mg/dl, NGT individuals with a 1-h post-load plasma glucose >or=155 mg/dl exhibited higher hsCRP (2.0+/-1.5 vs. 1.5+/-1.0, P=0.008), and IMT (0.82+/-0.20 vs. 0.71+/-0.16; P=0.006), and lower insulin sensitivity (71+/-39 vs. 105+/-57; P<0.0001), and IGF-1 levels (214+/-88 vs. 176+/-49; P<0.03). No significant differences were observed in metabolic and cardiovascular risk factors between IGT and NGT subjects with a 1-h post-load glucose >or=155 mg/dl. Of the three glycemic parameters, 1-h and 2-h post-load glucose, but not fasting glucose, were significantly correlated with IMT. In a stepwise multivariate regression analysis in a model including age, gender, and a variety of atherosclerosis risk factors, the three variables that remained significantly associated with IMT were age (P<0.0001), BMI (P<0.0001), and 1-h post-load glucose (P=0.02) accounting for 20.2% of its variation. CONCLUSIONS: NGT subjects with a 1-h post-load glucose >or=155 mg/dl have an atherogenic profile similar to IGT individuals. These data suggest that a cutoff point of 155 mg/dl for the 1-h post-load glucose during OGTT may be helpful in the identification of NGT subjects at increased risk for cardiovascular disease.


Asunto(s)
Glucemia/metabolismo , Arterias Carótidas/diagnóstico por imagen , Enfermedades de las Arterias Carótidas/sangre , Prueba de Tolerancia a la Glucosa , Adulto , Factores de Edad , Anciano , Biomarcadores/sangre , Índice de Masa Corporal , Proteína C-Reactiva/metabolismo , Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Enfermedades de las Arterias Carótidas/etiología , Estudios Transversales , Femenino , Humanos , Insulina/sangre , Modelos Lineales , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Medición de Riesgo , Factores de Riesgo , Factores de Tiempo , Túnica Íntima/diagnóstico por imagen , Túnica Media/diagnóstico por imagen , Ultrasonografía , Regulación hacia Arriba , Población Blanca , Adulto Joven
13.
Nutr Metab Cardiovasc Dis ; 19(10): 713-9, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19346116

RESUMEN

BACKGROUND AND AIM: Weight gain is associated with a decline in insulin sensitivity and a compensatory increase in insulin secretion. IGF-1 is a plausible candidate to explain these divergent phenomena. In this cross-sectional study, we analyzed the relationship between IGF-1 levels, insulin sensitivity and secretion in 110 nondiabetic subjects with a wide range of BMI to verify this hypothesis. METHODS AND RESULTS: Subjects underwent OGTT, IVGTT and euglycemic-hyperinsulinemic clamp. HOMA-beta, IVGTT-derived and OGTT-derived indexes for first-phase and second-phase insulin secretion were higher in obese as compared with overweight and normal-weight groups, while glucose disposal was lower. IGF-1 levels were negatively correlated with IVGTT-derived and OGTT-derived indexes first-phase and second-phase insulin secretion, and positively correlated with glucose disposal. These correlations were no longer significant after adjustment for BMI. In a multivariate analysis, the variables associated with glucose disposal were IGF-1, age, triglycerides, and 2-h post-load glucose accounting for 23.4% of its variation. When BMI was entered into the model, the variables associated with glucose disposal were triglycerides, 2-h post-load glucose and BMI accounting for 27.2% of variation. In a multivariate analysis, the only variable associated with IVGTT-derived first-phase and second-phase insulin secretion was IGF-1 accounting for 10.4% and 15.1% of variation, respectively. When BMI was entered into the model, it became the only variable associated with both first-phase and second-phase insulin secretion accounting for 25.7% and 37.6% of variation, respectively. CONCLUSION: These data suggest that progressive reduction in IGF-1 levels may be involved in obesity-related changes in both insulin sensitivity and secretion.


Asunto(s)
Adiposidad , Resistencia a la Insulina , Factor I del Crecimiento Similar a la Insulina/análisis , Insulina/metabolismo , Adulto , Anciano , Envejecimiento , Glucemia/análisis , Índice de Masa Corporal , Estudios Transversales , Femenino , Técnica de Clampeo de la Glucosa , Prueba de Tolerancia a la Glucosa , Humanos , Insulina/sangre , Secreción de Insulina , Masculino , Persona de Mediana Edad , Obesidad/sangre , Obesidad/complicaciones , Sobrepeso/sangre , Sobrepeso/complicaciones , Triglicéridos/sangre , Población Blanca , Adulto Joven
15.
Braz J Biol ; 67(3): 537-40, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-18094838

RESUMEN

Nest and or nest site reuse within and between breeding seasons was reported by the Euler's Flycatcher (Lathrotriccus euleri), the Sepia-capped Flycatcher (Leptopogon amaurocephalus) and the Gray-hooded Flycatcher (Mionectes -rufiventris) in forest fragments from southeastern Brazil. Nest and or nest site reuse between some years was frequent within a single breeding season by the Sepia-capped Flycatcher. Nest reuse, however, was not related to nesting success in the previous breeding attempt. Nest turnover rates (movement to a new site between years) were low for L. amaurocephalus, intermediate for L. euleri and high for M. rufiventris.


Asunto(s)
Comportamiento de Nidificación/fisiología , Pájaros Cantores/fisiología , Animales , Femenino , Estaciones del Año
16.
Braz. j. biol ; 67(4,supl): 859-865, Dec. 2007. ilus, graf, tab
Artículo en Inglés | LILACS | ID: lil-474224

RESUMEN

Forest fragmentation affects bird populations in many ways, modifying the composition of communities and favouring open country species. The Atlantic Forest is considered one of the most important biomes in the world, due to its great biodiversity, accelerated rates of deforestation, and high endemism. Despite these characteristics, few studies have evaluated the effects of forest fragmentation in the genetic structure of Atlantic forest bird populations. So, this study aims to verify the effects of forest fragmentation in the genetic population structure of Conopophaga lineata, through RAPD markers. To achieve this goal, 89 C. lineata individuals were captured in nine Atlantic Forest fragments in Minas Gerais State. The RAPD data indicate that forest fragmentation has not affected the genetic variation of C. lineata populations (Mann-Whitney U = 3.50; p = 0.11). Great part of the genetic variability of this species is found within populations and it was not observed a correlation between genetic and geographic distance (Mantel test t = 0.6250; p = 073). UPGMA analyses did not show defined clades and all branches showed low statistical support. The low population differentiation observed in this species can be due to a high gene flow among populations or a recent fragmentation. Thus, the current diversity status of C. lineata populations indicates that this species is not significantly affected by fragmentation. However, more genetic studies are essential to improve conservation strategies of Brazilian Atlantic Forest birds.


A fragmentação florestal afeta populações de aves de muitas maneiras, modificando a composição das comunidades e favorecendo espécies de áreas abertas. A Mata Atlântica é considerada um dos biomas mais importantes do mundo, devido à sua grande biodiversidade, aos altos níveis endemismo e de desmatamento. Apesar destas características, poucos estudos avaliaram os efeitos da fragmentação florestal na estrutura genética de populações de aves desse ecossistema. Dessa forma, este estudo visa verificar os efeitos da fragmentação florestal na variabilidade genética de Conopophaga lineata, através de marcadores RAPD. Assim, foram capturados 89 indivíduos de C. lineata em nove fragmentos florestais da Mata Atlântica do Estado de Minas Gerais. Os dados de RAPD indicam que a fragmentação florestal não afetou a variabilidade genética de Conopophaga lineata (Mann-Whitney U = 3,50; p = 0,11). Grande parte da variabilidade dessa espécie se encontra dentro das populações e não foi observada correlação entre a distância geográfica e a distância genética (Teste de Mantel t = 0,6250; p = 0.73). A análise UPGMA não mostrou clados definidos e todos os ramos apresentaram baixo suporte estatístico. A reduzida diferenciação populacional observada nessa espécie pode ser devida a intenso fluxo gênico entre as populações ou à recente fragmentação na região. Assim, a situação atual das populações de C. lineata indica que essa espécie não é significativamente afetada pela fragmentação. Entretanto, futuros estudos genéticos são essenciais para melhorar as estratégias de conservação da avifauna da Mata Atlântica do Brasil.


Asunto(s)
Animales , Variación Genética , Passeriformes/genética , Árboles , Análisis de Varianza , Brasil , Reacción en Cadena de la Polimerasa , Passeriformes/clasificación , Técnica del ADN Polimorfo Amplificado Aleatorio
17.
Braz. j. biol ; 67(4,supl): 873-882, Dec. 2007. ilus, tab
Artículo en Inglés | LILACS | ID: lil-474226

RESUMEN

The Thamnophilus punctatus complex has been recently reviewed on the basis of morphological and vocal characters, and is divided in six different species. Two of the new species, although well defined on the basis of morphological differences, could not be unambiguously distinguished through their loudsongs. The Planalto Slaty-antshrike (Thamnophilus pelzelni) and the Sooretama Slaty-antshrike (T. ambiguus) are most easily distinguished by subtle and localized changes in plumage colors of males and females. In the present study we used sequences of the control region, Cytochrome b, and ND2 genes, of the mitochondrial DNA (mtDNA) to evaluate the levels of molecular differentiation between these two species. The mean pairwise distance between the two species was 3.8 percent, while it varied from 2.7 percent to 4.9 percent for each mtDNA region. Although extensive variation was also detected among haplotypes within species, especially for T. ambiguus, we suggest that the genetic divergence found between T. ambiguus and T. pelzelni is high enough to corroborate the separate species status of these two antbird taxa.


O complexo Thamnophilus punctatus foi recentemente revisado, com base em caracteres morfológicos e vocais, sendo dividido em seis diferentes espécies. Duas dessas novas espécies, embora bem definidas com base em distinções morfológicas, não puderam ser definitivamente diferenciadas por seus cantos. Thamnophilus pelzelni (choca-do-planalto) e T. ambiguus (choca-de-sooretama) são mais facilmente diferenciadas por sutis e localizadas mudanças de coloração da plumagem de machos e fêmeas. Neste estudo, foram utilizadas seqüências de DNA mitocondrial (região controle, Citocromo b e ND2) a fim de avaliar os níveis de diferenciação molecular entre estas duas espécies. A divergência genética média entre as duas espécies foi de 3,8 por cento, enquanto para cada região mitocondrial esta variou entre 2,7 por cento e 4,9 por cento. Embora tenha sido observada grande variabilidade entre haplótipos dentro das espécies, especialmente para T. ambiguus, os resultados sugerem que a divergência genética observada entre T. ambiguus e T. pelzelni é suficientemente elevada para corroborar o status de espécies separadas destes dois Thamnophilidae.


Asunto(s)
Animales , Femenino , Masculino , ADN Mitocondrial/genética , Variación Genética , Passeriformes/genética , Secuencia de Bases , Marcadores Genéticos/genética , Datos de Secuencia Molecular , Passeriformes/clasificación , Análisis de Secuencia de ADN
18.
Braz. j. biol ; 67(3): 537-540, Aug. 2007.
Artículo en Inglés | LILACS | ID: lil-470171

RESUMEN

Nest and or nest site reuse within and between breeding seasons was reported by the Euler's Flycatcher (Lathrotriccus euleri), the Sepia-capped Flycatcher (Leptopogon amaurocephalus) and the Gray-hooded Flycatcher (Mionectes -rufiventris) in forest fragments from southeastern Brazil. Nest and or nest site reuse between some years was frequent within a single breeding season by the Sepia-capped Flycatcher. Nest reuse, however, was not related to nesting success in the previous breeding attempt. Nest turnover rates (movement to a new site between years) were low for L. amaurocephalus, intermediate for L. euleri and high for M. rufiventris.


Foram registrados vários eventos de reutilização de ninho ou do sítio de nidificação dentro e entre estações reprodutivas por Lathrotriccus euleri, Leptopogon amaurocephalus e Mionectes rufiventris em fragmentos de floresta do sudeste do Brasil. A reutilização do ninho ou do sítio de nidificação ocorreu entre estes tiranídeos e foi freqüente dentro de uma única estação reprodutiva para L. amaurocephalus. A reutilização do ninho, contudo, não foi relacionada ao sucesso das tentativas anteriores. As taxas de retorno ao ninho foram baixas para L. amaurocephalus, intermediárias para L. euleri e altas para M. rufiventris.


Asunto(s)
Animales , Femenino , Comportamiento de Nidificación/fisiología , Pájaros Cantores/fisiología , Estaciones del Año
19.
Braz J Biol ; 67(4 Suppl): 859-65, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18278352

RESUMEN

Forest fragmentation affects bird populations in many ways, modifying the composition of communities and favouring open country species. The Atlantic Forest is considered one of the most important biomes in the world, due to its great biodiversity, accelerated rates of deforestation, and high endemism. Despite these characteristics, few studies have evaluated the effects of forest fragmentation in the genetic structure of Atlantic forest bird populations. So, this study aims to verify the effects of forest fragmentation in the genetic population structure of Conopophaga lineata, through RAPD markers. To achieve this goal, 89 C. lineata individuals were captured in nine Atlantic Forest fragments in Minas Gerais State. The RAPD data indicate that forest fragmentation has not affected the genetic variation of C. lineata populations (Mann-Whitney U=3.50; p=0.11). Great part of the genetic variability of this species is found within populations and it was not observed a correlation between genetic and geographic distance (Mantel test t=0.6250; p=073). UPGMA analyses did not show defined clades and all branches showed low statistical support. The low population differentiation observed in this species can be due to a high gene flow among populations or a recent fragmentation. Thus, the current diversity status of C. lineata populations indicates that this species is not significantly affected by fragmentation. However, more genetic studies are essential to improve conservation strategies of Brazilian Atlantic Forest birds.


Asunto(s)
Variación Genética/genética , Passeriformes/genética , Árboles , Análisis de Varianza , Animales , Brasil , Passeriformes/clasificación , Reacción en Cadena de la Polimerasa , Técnica del ADN Polimorfo Amplificado Aleatorio
20.
Braz J Biol ; 67(4 Suppl): 873-82, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18278354

RESUMEN

The Thamnophilus punctatus complex has been recently reviewed on the basis of morphological and vocal characters, and is divided in six different species. Two of the new species, although well defined on the basis of morphological differences, could not be unambiguously distinguished through their loud songs. The Planalto Slaty-antshrike (Thamnophilus pelzelni) and the Sooretama Slaty-antshrike (T. ambiguus) are most easily distinguished by subtle and localized changes in plumage colors of males and females. In the present study we used sequences of the control region, Cytochrome b, and ND2 genes, of the mitochondrial DNA (mtDNA) to evaluate the levels of molecular differentiation between these two species. The mean pairwise distance between the two species was 3.8%, while it varied from 2.7% to 4.9% for each mtDNA region. Although extensive variation was also detected among haplotypes within species, especially for T. ambiguus, we suggest that the genetic divergence found between T. ambiguus and T. pelzelni is high enough to corroborate the separate species status of these two antbird taxa.


Asunto(s)
ADN Mitocondrial/genética , Variación Genética/genética , Passeriformes/genética , Animales , Secuencia de Bases , Femenino , Marcadores Genéticos/genética , Masculino , Datos de Secuencia Molecular , Passeriformes/clasificación , Análisis de Secuencia de ADN
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