RESUMEN
PURPOSE: DNA damage is one of the main consequences of exposure to ionizing irradiation (IR). Recent studies indicate that IR can modulate the expression of immune system-related genes. However, the effects of IR on the expression of genes and pathways of the B7-CD28 superfamily remain poorly defined. The aim of this study was to evaluate the modulation of genes and pathways related to the B7-CD28 superfamily in response to IR. MATERIALS AND METHODS: In this study, we used transcriptome data available from the Gene Expression Omnibus (GEO) database to investigate the modulation of the response of genes and pathways of samples of human peripheral blood irradiated with doses of 150, 300, and 600 cGy. The data were obtained at 6 and 24 h after irradiation. The relationship between genes and pathways was established through the Reactome database. The behavior of these pathways was analyzed using mathematical methods based on relative activity and diversity. Analysis of variance (ANOVA) followed by multiple comparisons tests (Bonferroni and Tamhanes) was used to identify differentially expressed genes. Data on transcriptomes were analyzed through ViaComplex V.1.0 and IBM SPSS Statistics 22. RESULTS: For the pathways investigated in this study, we observed that the effects produced by these doses significantly modified the behavior of five pathways associated with the immune system. Also, the dose of 300 cGy might trigger signaling for the activation of T cells through the negative regulation (p < .05) of the co-inhibitory PDCD1LG2 gene. Positive regulation caused by 300 cGy (p < .05) of the CD80 receptor was observed by us, which might be related to a stimulatory signal. According to our findings, this dose induced the production of cytokines and genes that are associated with the activation and differentiation of T cells. CONCLUSIONS: Our findings indicate that the irradiation modulated the organization of the biological system, suggesting that 300 cGy is more efficient in activating the immune system.
Asunto(s)
Antígenos B7/genética , Células Sanguíneas/efectos de la radiación , Antígenos CD28/genética , Antígenos B7/fisiología , Células Sanguíneas/inmunología , Antígenos CD28/fisiología , Femenino , Expresión Génica/efectos de la radiación , Humanos , Masculino , Transducción de Señal/efectos de la radiaciónRESUMEN
ABSTRACT Objective To establish hematotoxic alterations through clinical and paraclinical exploration in workers who are exposed to organophosphorus pesticides, carbamates and pyrethroids (OPCP) due to their work in production, packaging, distribution and fumigation processes in Cundinamarca-Colombia between 2016 and 2017. Materials and Methods A cross-sectional descriptive epidemiological study was carried out on a sample of 92 workers from six companies, mostly aged between 18 and 30 years, of which 61 % were males and 39 % females, and 71 % were workers in the operational area and 29 % in the administrative area. Univariate, bivariate and multivariate analyses were performed. Results Clinical exploration reported findings in 17 % of the sample group, of which only 2 % presented with erythrocyte cholinesterase outside the reference range. The values of hematological parameters such as peripheral blood smear (PBS) and complete blood count (CBC) were outside the range in 15 % and 47 % of the sample, respectively. Discussion The results suggest that there are hematological alterations in this group that could possibly be associated with chronic exposure to OPCP.
RESUMEN Objetivo Determinar las alteraciones hematotóxicas a través de una exploración clínica y paraclínica, en trabajadores que por su oficio se exponen a pesticidas organofosforados, carbamatos y piretroides (POCP), en procesos de producción, envase, distribución y fumigación, en el departamento de Cundinamarca Colombia. Metodología Se realizó un estudio epidemiológico descriptivo de corte transversal. Se realizó un análisis univariado, bivariado y multivariado. La muestra se conforma por 92 trabajadores de seis empresas, la mayoría entre los 18 y 30 años, de los cuales el 61 % son hombres y el 39 % mujeres, 71 % se desempeñan en el área operativa y 29 % en el área administrativa. Resultados Es de resaltar que se tienen hallazgos en la exploración clínica en el 17 % del grupo participante, solo el 2 % presenta la colinesterasa eritrocitaria por fuera del rango de referencia. Los parámetros hematológicos como el frotis de sangre periférica (FSP) presentan valores por fuera de los rangos en el 15 % y el cuadro hemático (CH) tiene valores por fuera de los rangos en el 47 % de las personas. Discusión Los resultados sugieren que existen alteraciones hematológicas en este grupo y que posiblemente podrían estar asociadas con la exposición crónica a POCP.
Asunto(s)
Humanos , Plaguicidas/toxicidad , Células Sanguíneas/efectos de la radiación , Exposición Profesional , Carbamatos/efectos adversos , Estudios Epidemiológicos , Epidemiología Descriptiva , Estudios Transversales/instrumentación , Insecticidas Organofosforados/efectos adversosRESUMEN
Solar ultraviolet radiation B (UVB) is an important environmental stressor for amphibian populations due to its genotoxicity, especially in early developmental stages. Nonetheless, there is an absence of works focused on the UVB effects on tadpoles' food consumption efficiency. In this work, we investigated the effects of the exposure to a low environmental-simulated dose of UVB radiation on food consumption of tadpoles of the forest specialist Hypsiboas curupi [Hylidae, Anura] species. After UVB treatment tadpoles were divided and exposed to a visible light source or kept in the dark, in order to indirectly evaluate the efficiency of DNA repair performed by photolyases and nucleotide excision repair (NER), respectively. The body mass and the amount of food in tadpoles' guts were verified in both conditions and these data were complemented by the micronuclei frequency in blood cells. Furthermore, the keratinized labial tooth rows were analyzed in order to check for possible UVB-induced damage in this structure. Our results clearly show that the body weight decrease induced by UVB radiation occurs due to the reduction of tadpoles' food consumption. This behavior is directly correlated with the genotoxic impact of UVB light, since the micronuclei frequency significantly increased after treatments. Surprisingly, the results indicate that photoreactivation treatment was ineffective to restore the food consumption activity and body weight values, suggesting a low efficiency of photolyases enzymes in this species. In addition, UVB treatments induced a higher number of breaks in the keratinized labial tooth rows, which could be also associated with the decrease of food consumption. This work contributes to better understand the process of weight loss observed in tadpoles exposed to UVB radiation and emphasizes the susceptibility of forest specialist amphibian species to sunlight-induced genotoxicity.
Asunto(s)
Daño del ADN , Reparación del ADN , Ingestión de Alimentos/efectos de la radiación , Larva/efectos de la radiación , Luz Solar/efectos adversos , Rayos Ultravioleta/efectos adversos , Animales , Anuros , Células Sanguíneas/efectos de la radiación , Peso Corporal/efectos de la radiación , Relación Dosis-Respuesta en la Radiación , Monitoreo del Ambiente , Bosques , Micronúcleos con Defecto Cromosómico/efectos de la radiaciónRESUMEN
The increased incidence of solar ultraviolet B (UVB) radiation has been proposed as an environmental stressor, which may help to explain the enigmatic decline of amphibian populations worldwide. Despite growing knowledge regarding the UV-induced biological effects in several amphibian models, little is known about the efficacy of DNA repair pathways. In addition, little attention has been given to the interplay between these molecular mechanisms with other physiological strategies that avoid the damage induced by sunlight. Here, DNA lesions induced by environmental doses of solar UVB and UVA radiation were detected in genomic DNA samples of treefrog tadpoles (Hypsiboas pulchellus) and their DNA repair activity was evaluated. These data were complemented by monitoring the induction of apoptosis in blood cells and tadpole survival. Furthermore, the tadpoles' ability to perceive and escape from UV wavelengths was evaluated as an additional strategy of photoprotection. The results show that tadpoles are very sensitive to UVB light, which could be explained by the slow DNA repair rates for both cyclobutane pyrimidine dimers (CPDs) and pyrimidine (6,4) pyrimidone photoproducts (6,4PPs). However, they were resistant to UVA, probably as a result of the activation of photolyases during UVA irradiation. Surprisingly, a sensory mechanism that triggers their escape from UVB and UVA light avoids the generation of DNA damage and helps to maintain the genomic integrity. This work demonstrates the genotoxic impact of both UVB and UVA radiation on tadpoles and emphasizes the importance of the interplay between molecular and sensory mechanisms to minimize the damage caused by sunlight.
Asunto(s)
Anuros/genética , Daño del ADN/efectos de la radiación , Reparación del ADN , Luz Solar/efectos adversos , Animales , Anuros/crecimiento & desarrollo , Apoptosis/efectos de la radiación , Conducta Animal/efectos de la radiación , Células Sanguíneas/metabolismo , Células Sanguíneas/efectos de la radiación , Larva/genética , Larva/crecimiento & desarrollo , Larva/efectos de la radiación , Rayos Ultravioleta/efectos adversosRESUMEN
BACKGROUND AND OBJECTIVE: In regenerative medicine, there are increasing applications of low-level lasers in therapeutic protocols for treatment of diseases in soft and in bone tissues. However, there are doubts about effects on DNA, and an adequate dosimetry could improve the safety of clinical applications of these lasers. This work aimed to evaluate DNA damage in peripheral blood cells of Wistar rats induced by low-level red and infrared lasers at different fluences, powers, and emission modes according to therapeutic protocols. MATERIAL AND METHODS: Peripheral blood samples were exposed to lasers and DNA damage was accessed by comet assay. In other experiments, DNA damage was accessed in blood cells by modified comet assay using formamidopyrimidine DNA glycosylase (Fpg) and endonuclease III enzymes. RESULTS: Data show that exposure to low-level red and infrared lasers induce DNA damage depending on fluence, power and emission mode, which are targeted by Fpg and endonuclease III. CONCLUSION: Oxidative DNA damage should be considered for therapeutic efficacy and patient safety in clinical applications based on low-level red and infrared lasers.
Asunto(s)
Células Sanguíneas/efectos de la radiación , Daño del ADN/efectos de la radiación , Rayos Láser , Animales , Ensayo Cometa , ADN-Formamidopirimidina Glicosilasa/farmacología , Endodesoxirribonucleasas/farmacología , Ratas WistarRESUMEN
The aim of this study was to conduct an in vitro evaluation, by scanning electron microscopy (SEM), of the adhesion of blood components on root surfaces irradiated with Er,Cr:YSGG (2.78 µm) or Er:YAG (2.94 µm) laser, and of the irradiation effects on root surface morphology. Sixty samples of human teeth were previously scaled with manual instruments and divided into three groups of 20 samples each: G1 (control group) - no treatment; G2 - Er,Cr:YSGG laser irradiation; G3 - Er:YAG laser irradiation. After performing these treatments, blood tissue was applied to 10 samples of each group, whereas 10 samples received no blood tissue application. After performing the laboratory treatments, the samples were observed under SEM, and the resulting photomicrographs were classified according to a blood component adhesion scoring system and root morphology. The results were analyzed statistically (Kruskall-Wallis and Mann Whitney tests, α= 5%). The root surfaces irradiated with Er:YAG and Er,Cr:YSGG lasers presented greater roughness than those in the control group. Regarding blood component adhesion, the results showed a lower degree of adhesion in G2 than in G1 and G3 (G1 × G2: p = 0.002; G3 × G2: p = 0.017). The Er:YAG and Er,Cr:YSGG laser treatments caused more extensive root surface changes. The Er:YAG laser treatment promoted a greater degree of blood component adhesion to root surfaces, compared to the Er,Cr:YSGG treatment.
Asunto(s)
Humanos , Células Sanguíneas/efectos de la radiación , Láseres de Estado Sólido , Preparación del Conducto Radicular/instrumentación , Raíz del Diente/efectos de la radiación , Adhesión Celular/efectos de la radiación , Dentina/efectos de la radiación , Microscopía Electrónica de Rastreo , Preparación del Conducto Radicular/métodos , Capa de Barro Dentinario , Propiedades de Superficie/efectos de la radiación , Raíz del Diente/anatomía & histologíaRESUMEN
The aim of this study was to conduct an in vitro evaluation, by scanning electron microscopy (SEM), of the adhesion of blood components on root surfaces irradiated with Er,Cr:YSGG (2.78 µm) or Er:YAG (2.94 µm) laser, and of the irradiation effects on root surface morphology. Sixty samples of human teeth were previously scaled with manual instruments and divided into three groups of 20 samples each: G1 (control group) - no treatment; G2 - Er,Cr:YSGG laser irradiation; G3 - Er:YAG laser irradiation. After performing these treatments, blood tissue was applied to 10 samples of each group, whereas 10 samples received no blood tissue application. After performing the laboratory treatments, the samples were observed under SEM, and the resulting photomicrographs were classified according to a blood component adhesion scoring system and root morphology. The results were analyzed statistically (Kruskall-Wallis and Mann Whitney tests, α= 5%). The root surfaces irradiated with Er:YAG and Er,Cr:YSGG lasers presented greater roughness than those in the control group. Regarding blood component adhesion, the results showed a lower degree of adhesion in G2 than in G1 and G3 (G1 × G2: p = 0.002; G3 × G2: p = 0.017). The Er:YAG and Er,Cr:YSGG laser treatments caused more extensive root surface changes. The Er:YAG laser treatment promoted a greater degree of blood component adhesion to root surfaces, compared to the Er,Cr:YSGG treatment.
Asunto(s)
Células Sanguíneas/efectos de la radiación , Láseres de Estado Sólido , Preparación del Conducto Radicular/instrumentación , Raíz del Diente/efectos de la radiación , Adhesión Celular/efectos de la radiación , Dentina/efectos de la radiación , Humanos , Microscopía Electrónica de Rastreo , Preparación del Conducto Radicular/métodos , Capa de Barro Dentinario , Propiedades de Superficie/efectos de la radiación , Raíz del Diente/anatomía & histologíaRESUMEN
The aim of this study is testing black grape juice as a radiomodifier against whole body X-irradiation using an animal model. Sixteen male Wistar rats were divided into four groups where two were irradiated by X-rays from a 200 kV machine specially designed to biological samples. Animals were fed ad libitum and drank voluntarily 2-10 ml a day of grape juice or placebo (isocaloric glucose and fructose solution) for one week before and two weeks after 6 Gy X-irradiation when they were sacrificed. Results have shown a significant liver weight loss in irradiated placebo group only while grape juice one has presented no losses. Hematological analysis showed typical abnormalities for ionizing radiation exposure, including early leucopenia and anemia. The intake of grape juice induced an increase in granulocyte percent count.
Asunto(s)
Bebidas , Células Sanguíneas/efectos de los fármacos , Células Sanguíneas/efectos de la radiación , Suplementos Dietéticos , Tamaño de los Órganos/efectos de los fármacos , Tamaño de los Órganos/efectos de la radiación , Vitis , Irradiación Corporal Total , Animales , Masculino , Ratas , Ratas WistarRESUMEN
A transmissão transfusional (DCT) da doença de Chagas foi aventada nos anos 30 e comprovada nos anos 50. Inicialmente a sorologia pré-transfusional não era obrigatória e nas décadas seguintes os testes foram aperfeiçoados com técnicas mais adaptadas e fidedignas, chegando ao Elisa, mais utilizada atualmente. O presente trabalho se propõe a analisar o perfil sorológico para doença de Chagas dos doadores de sangue oriundos dos bancos de sangue atendidos pelo Laboratório de Sorologia da Universidade Luterana do Brasil - Hospital Independência (Ulbra-HI) em Porto Alegre, RS, Brasil com o objetivo de relacionar os índices encontrados com os disponíveis em nosso país. A população deste estudo foi composta por 36.720 doadores de sangue usuários dos serviços do Laboratório de Sorologia da Ulbra-HI durante o período de março de 2006 a maio de 2008. Foram consideradas sorologicamente inaptas para doença de Chagas 150 doações (0,41 por cento do total). Esta taxa é similar à encontrada na região Sul, indicando que a triagem realizada em nosso laboratório está de acordo com o observado em nosso país.
Transfusional transmission of Chagas' disease was suggested in the 1930s and proven in the 1950s. Initially pre-transfusion serology tests were not compulsory but in the decades following their introduction, the tests were improved with more suitable and reliable techniques, which culminated with Elisa, currently the most commonly used test. This study aims at examining the serological profile of blood donors of blood banks attended by the serology laboratory of the Universidade Luterana do Brasil - Hospital Independência (Ulbra-HI) in Porto Alegre, Brazil in respect to Chagas' disease, with the aim of comparing the rates of this laboratory with those published for Brazil. The study sample was composed of 36,720 blood donors during the period from March 2006 to May 2008. One hundred and fifty donations (0.41 percent) were considered serologically unsuitable due to Chagas' disease. This incidence is similar to that found in the southern region of Brazil, indicating that the screening conducted in our laboratory is in line with other laboratories.
Asunto(s)
Donantes de Sangre , Enfermedad de Chagas , Células Sanguíneas/efectos de la radiación , Enfermedad de Chagas/transmisión , Estudios Seroepidemiológicos , Serología , Trypanosoma cruziRESUMEN
Intra-operative autologous blood recovery offers many advantages. However, blood salvage during cancer surgery is of limited use due to the potential presence of circulating tumour cells. It was the aim of this study to show that intra-operative salvage blood can be freed of cells and cellular DNA after leucoreduction by filtration and irradiation of washed blood. Known amounts of tissue culture derived from carcinoma, melanoma and osteosarcoma were added to whole blood bags. This mixture was then submitted to washing, leucoreduction and irradiation. Samples were studied stepwise in relation to the integrity and size of DNA by the polymerase chain reaction (PCR). After filtration and irradiation, PCR targeting the beta-globin gene (268 bp amplicon) was negative. Our results were corroborated by studying plasma samples added with tumoural cells. Using PCR methodology, we showed the absence of DNA from cells in experimentally contaminated blood and plasma bags after filtration and irradiation. This experimental study is an effort to ensure the safety of intra-operative autologous transfusion.
Asunto(s)
Células Sanguíneas/efectos de la radiación , Transfusión de Sangre Autóloga/normas , Procedimientos de Reducción del Leucocitos , Neoplasias/terapia , Células Neoplásicas Circulantes/patología , Células Sanguíneas/patología , Transfusión de Sangre Autóloga/métodos , ADN de Neoplasias/análisis , Filtración , Globinas/genética , Humanos , Modelos Biológicos , Neoplasias/patología , Células Neoplásicas Circulantes/efectos de la radiación , Reacción en Cadena de la PolimerasaRESUMEN
The purpose of this study was to evaluate the degree of cytological radiation damage to peripheral blood lymphocytes induced by 153Sm-EDTMP applied for palliation of metastatic bone pain. Blood samples from 16 patients (46-82 years old), 10 without previous radiotherapy and 6 with previous radiotherapy, were collected before and one hour after the administration of a mean activity of 41.7+/-5.8 MBq/kg of 153Sm-EDTMP. Then the lymphocytes were cultured for cytokinesis block micronucleus (MN) assay. The number of MNper binucleated cells (BC) in patients without previous radiotherapy before the treatment was of 0.030 (+/- 0.016) and after one hour 0.035 (+/- 0.013), although we could find inter individual differences. The basal MN/BC of the patients with no previous radiotherapy was similar to the controls. The increment in the percentage of BC with MN was similar in patients with and without previous radiotherapy. The observed mean of MN/BC is equivalent to a dose range of 0.05 to 0.10 Gy of 153Sm-EDTMP in vitro. The relatively low frequency of lymphocyte with micronuclei after the exposure to 153Sm-EDTMP supported the contention that radiation damage in lymphocytes of patients with painful bone metastases is minimal.
Asunto(s)
Neoplasias Óseas/radioterapia , Linfocitos/efectos de la radiación , Micronúcleos con Defecto Cromosómico/efectos de la radiación , Compuestos Organometálicos/farmacología , Compuestos Organofosforados/farmacología , Adulto , Anciano , Anciano de 80 o más Años , Células Sanguíneas/efectos de la radiación , Neoplasias Óseas/sangre , Neoplasias Óseas/secundario , Estudios de Casos y Controles , Femenino , Humanos , Recuento de Leucocitos , Leucocitos Mononucleares/efectos de la radiación , Linfocitos/ultraestructura , Masculino , Persona de Mediana Edad , Compuestos Organometálicos/uso terapéutico , Compuestos Organofosforados/uso terapéutico , Dolor/etiología , Dolor/radioterapiaRESUMEN
153Sm-EDTMP is a radiopharmaceutical used in nuclear medicine for relief of metastatic bone pain with promising results, but there are few studies about the effects of 153Sm-EDTMP in human cells. This study was conducted for the evaluation of the cytogenetic effects of 153Sm-EDTMP in blood lymphocytes from patients with bone metastases (without previous radio or chemotherapy), using the chromosome aberration technique. The degree of cytological damage found in in vivo blood cells of patients was compared with those found in in vitro in an adjusted dose-response curve. Blood samples were collected before and 1 hr after the administration of 153Sm-EDTMP(about 42.31 MBq/kg). The frequency of structural chromosome aberration per cell observed in 1 hr samples (0.054+/-0.035 CA/cell) was higher than basal ones (0.031+/-0.026 CA/cell), although this difference was not statistically significant (p= 0.101). For in vitro assay, blood samples were exposed to different concentrations of 153Sm-EDTMP, during 1 hr (0.37-1.11 MBq/ml). An increase in the frequency of chromosome aberration per cell as a function of the radioactive concentration was found. The data were adjusted by linear regression model (Y= 3.52+/-2.24 x 10(-2) + 11.15+/-3.46 x 10(-2) X). The frequency of aberration/cell found in vivo was 0.054 and for the same activity in vitro was 0.098, this difference being statistically significant (p = 0.02). This result may be related to blood clearance, osteoblastic activity and individual variability. For a more accurate analysis, the study of more donors is necessary.
Asunto(s)
Neoplasias Óseas/radioterapia , Análisis Citogenético , Linfocitos/efectos de la radiación , Compuestos Organometálicos/farmacología , Compuestos Organofosforados/farmacología , Adulto , Anciano , Anciano de 80 o más Años , Células Sanguíneas/efectos de la radiación , Neoplasias Óseas/sangre , Neoplasias Óseas/secundario , Estudios de Casos y Controles , Aberraciones Cromosómicas/efectos de la radiación , Relación Dosis-Respuesta en la Radiación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dolor/etiología , Dolor/radioterapiaRESUMEN
Among various environmental genotoxins, ionizing radiation has received special attention because of its mutagenic, carcinogenic and teratogenic potential. In this context and considering the scarcity of literature data, the objective of the present study was to evaluate the effect of 90Sr beta-radiation on human cells. Blood cells from five healthy donors were irradiated in vitro with doses of 0.2-5.0Gy from a 90Sr source (0.2Gy/min) and processed for chromosome aberration analysis and for comet assay. The cytogenetic results showed that the most frequently found aberration types were acentric fragments, double minutes and dicentrics. The alpha and beta coefficients of the linear-quadratic model, that best fitted the data obtained, showed that 90Sr beta-radiation was less efficient in inducing chromosome aberrations than other types of low linear energy transfer (LET) radiation such as 3H beta-particles, 60Co gamma-rays, 137Cs and 192Ir and X-rays. Apparently, 90Sr beta-radiation in the dose range investigated had no effect on the modal chromosome number of irradiated cells or on cell cycle kinetics. Concerning the comet assay, there was an increase in DNA migration as a function of radiation dose as evaluated by an image analysis system (tail moment) or by visual classification (DNA damage). The dose-response relation adequately fitted the non-linear regression model. In contrast to the cytogenetic data, 90Sr beta-radiation induced more DNA damage than 60Co gamma-radiation when the material was analyzed immediately after exposures. A possible influence of selective death of cells damaged by radiation was suggested.
Asunto(s)
Partículas beta/efectos adversos , Células Sanguíneas/efectos de la radiación , Aberraciones Cromosómicas , Daño del ADN , Radioisótopos de Estroncio/toxicidad , Adulto , Radioisótopos de Cobalto/toxicidad , Ensayo Cometa , Análisis Mutacional de ADN , Femenino , Rayos gamma/efectos adversos , Humanos , Técnicas In Vitro , MutaciónRESUMEN
Transfusion-associated graft-versus-host disease (TA-GVHD) is a rare and usually fatal syndrome. Clinical manifestations are fever, maculopapular skin rash, nausea, vomiting, diarrhea, hepatitis and pancytopenia owing to bone marrow hypoplasia. It can occur in recipients with severe immunosuppression and in immunocompetent recipients after transfusion of cellular components from HLA homozygous donor to recipients heterozygous for that HLA haplotype. The diagnosis is made by clinical manifestation and skin biopsy. Antithymocyte globulin and high dose systemic corticosteroids are both the most used therapy. The back of knowledge about this syndrome, the rapid evolution and the absence of treatment response are related to patients bad evolution. Gamma irradiation of blood products has been the mainstay of TA-GVHD prevention. Dose of 2500 cGy is required to completely inactivate T cells. Irradiation damage red cells membrane and the red celis units can not be storage for long time after irradiation. High potassium levels is the mainly change in red cells units. White cell-reduction filters do not prevent TA-GVHD and gamma irradiation does not prevent alloimmunization or blood reactions. Only cellular components like whole blood, red cells, platelets and granulocytes need be irradiated. Ali blood components should be irradiated to: first or second-degree relatives, patients need HLA-matched platelets, recipients of allogeneic or autologous bone marrow transplantation, patients with Hodgkin's disease, patients treated with purine analogue drugs, intrauterine transfusion, pre-term infants and when congenítal immunodeficiency states is suspected. It is recommended irrradiated blood to patients with neoplastic disease when they receive intensive chemotherapy.
Asunto(s)
Células Sanguíneas/efectos de la radiación , Transfusión de Componentes Sanguíneos/efectos adversos , Rayos gamma , Enfermedad Injerto contra Huésped/etiología , Enfermedad Injerto contra Huésped/prevención & control , Adolescente , Adulto , Anciano , Niño , Preescolar , Protocolos Clínicos , Femenino , Enfermedad Injerto contra Huésped/diagnóstico , Enfermedad Injerto contra Huésped/tratamiento farmacológico , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , SíndromeRESUMEN
A doença enxerto contra hospedeiro transfusional (DECHT) é síndrome rara e geralmente fatal. É caracterizada por febre, eritema cutâneo, náuseas, vômitos, diarréia, hepatite e pancitopenia. Pode ocorrer em pacientes com imunossupressão severa e em pacientes com imunossupressão severa e em pacientes imunocompetentes após a transfusão de hemocomponente celular de doador homozigoto para proteínas HLA às quais o receptor é heterozigoto. O diagnóstico é feito pelo quadro clínico e exame histopatológico da pele. A gamaglobulina antitimocítica associada a altas doses de corticosteróides é a terapêutica mais empregada. O desconhecimento da síndrome, o retardo no diagnóstico, o curso rápido e a ausência de resposta ao tratamento estão relacionados à má evolução dos pacientes. A melhor forma de abordagem da DECHT é a prevenção através da irradiação gama dos hemocomponentes. A dose necessária para completa inativação dos linfócitos T é de 2500 cGy. A principal alteração decorrente da irradiação é o aumento da concentração de potassio nos concentrados de hemácias. Os filtros de leucócitos não previnem o desenvolvimento da DECHT e a irradiação não previne a aloimunização e as reações transfusionais. Apenas hemocomponentes celulares como sangue total, cencentrado de hemácias, concentrado de plaquetas e concentrado de granulócitos, necessitam ser irradiados. Devem ser irradiados os hemocomponentes para transfusão entre familiares, transfusões HLA compatíveis, pacientes submetidos a trasnplante de medula óssea, portadores de doença de Hodgkin, pacientes tratados com análogos da purina, transfusões intra-útero, recém nascidos pré-termo e pacientes com síndrome de imunodeficiência congênita. É recomendável a irradiação de hemocomponentes destinados a pacientes com doenças neoplásicas quando submetidos a protocolos de quimioterapia agressivos.
Asunto(s)
Humanos , Femenino , Adulto , Niño , Preescolar , Lactante , Persona de Mediana Edad , Recién Nacido , Adolescente , Células Sanguíneas/efectos de la radiación , Transfusión de Componentes Sanguíneos/efectos adversos , Rayos gamma , Enfermedad Injerto contra Huésped/prevención & control , Enfermedad Injerto contra Huésped/diagnóstico , Enfermedad Injerto contra Huésped/etiología , Enfermedad Injerto contra Huésped/fisiopatología , Enfermedad Injerto contra Huésped/tratamiento farmacológico , SíndromeRESUMEN
Since the introduction of technetium-99m (99mTc) and its rapid acceptance as a tool in nuclear medicine, very little information is available about is biological action as 99mTc-radiopharmaceuticals. We have determined if cyclophosphamide, an alkylating agent, used in oncology as a chemotherapeutic drug, modifies the binding of 99mTCO-4 and 99mTc-MDP (99mTc-metylenediphosphonic acid) to blood cells and to plasma proteins. The radiopharmaceuticals were injected intravenously (iv) into SW-55 mice (male and female, weight 25 g) and samples of plasma and blood cells were separated. Cyclophosphamide (50 µg) was injected iv 1 h before the radipharmaceuticals. Samples of plasma and blood cells were also precipitated with 5 per cent trichloroacetic acid and soluble and insoluble fractions were isolated. The following results were obtained: 1) cyclophosphamide did not alter (0.25 to 8h) percent radioactivity of 99m TcO04 in plasma or blood cells but increased the binding of 99m Tc-MDP to blood cells; 2) cyclophosphamide did not alter (o.25 to 8h) 6the binding of 99m TcO-4 in insoluble fraction of plasma and decreasde (1 to 4h) percent radioactivity of 99mTc-MDP in the insoluble fraction of plasma; 3) cyclophosphamide increased (0.25 to 4h) percent radioactivity of 99mTcO-4 in the insoluble fraction of blood cells but did not alter the binding of 99m Tc-MDP. Cyclophosphamide and/ or its methabolities modified the effective half-life of these radiopharmaceuticals (to 99TcO-4 was increased 2.3 to 3.4h and to 99mTc-MDP was decreased 3.3 to 2.1 h) and possibly increased the permeability of blood cells to 99m TcO-4
Asunto(s)
Animales , Femenino , Ratones , Células Sanguíneas/efectos de la radiación , Ciclofosfamida/farmacología , Plasma/efectos de la radiaciónRESUMEN
A random sample of 276 people representing control, direct exposure, and probable indirect exposure in the Goiânia, Brazil radiological accident was examined using micronuclei as indicators of cytogenetic damage. The Goiânia subjects were analyzed for interactions of age, lifestyle, and ionizing radiation dose. Increases in micronucleus frequencies were most strongly correlated with the dose of ionizing radiation, but age, alcohol consumption, and smoking habits also affected micronucleus frequencies. Despite these additional influences, micronucleus frequencies can be useful as biological dosimeters.