Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 32
Filter
3.
Domest Anim Endocrinol ; 68: 126-134, 2019 07.
Article in English | MEDLINE | ID: mdl-31082784

ABSTRACT

Long-acting injectable progesterone (iP4) supplementation during early diestrus is a strategy to increase conception rates in cow-calf beef operations. However, iP4 treatment causes early functional and structural regression of the corpus luteum (CL) in a proportion of iP4-treated animals, resulting in pregnancy loss. The hypothesis evaluated was that iP4 accelerates downregulation of sex-steroid receptors (PGR, ESR1, ESR2) during early to mid-diestrus and the upregulation of genes controlling PGF2α secretion (OXTR, PTGS2, AKR1B1) during late diestrus in the endometrium. Ovulations of cyclic, multiparous Nelore (Bos indicus) cows were synchronized, and cows were divided to receive placebo or 300 mg iP4 3 d postovulation (D3). Growth and vascularization of luteal tissue were evaluated by ultrasonography. Blood samples were collected from 3 d postovulation to 3 d after luteolysis, and P4 plasma concentrations were measured by radioimmunoassay. On days 3, 5, 7, 9, 11, 13, and 16 luminal endometrial samples were taken using a cytologic brush. Transcript abundance was measured by qPCR. Structural luteolysis occurred 3 d earlier in cows receiving iP4 compared to the control group. Analyzing only cows that received iP4, those that presented early luteolysis (ie, ≤ D16) showed a decrease in CL area and P4 concentration after D5, compared to the control group. Cows that presented early luteolysis showed a reduced abundance of transcripts on D5 for the ESR2 gene and a greater abundance of transcripts for OXTR and ESR1 on D16, compared to cows that did not present early luteolysis. The iP4-induced early luteolysis can be explained by two nonexclusive possibilities: the activation of uterine mechanisms that trigger early secretion of endometrial PGF pulses and the formation of a subfunctional CL that is prone to early regression.


Subject(s)
Cattle/physiology , Corpus Luteum/drug effects , Endometrium/drug effects , Progesterone/pharmacology , Animals , Corpus Luteum/physiology , Endometrium/metabolism , Female , Gene Expression Regulation/drug effects , Gene Expression Regulation/physiology , Progesterone/administration & dosage , Time Factors
4.
Med Vet Entomol ; 33(3): 397-406, 2019 09.
Article in English | MEDLINE | ID: mdl-30887540

ABSTRACT

New species of insect-specific viruses (ISV) have been reported worldwide. In the present study, the complete genome of Culex flavivirus (CxFV) and partial sequences of other ISVs in Culex quinquefasciatus Say 1823 females (n = 3425) sampled in 200 urban areas census tracts of Cuiaba, state of Mato Grosso, were identified via reverse transcriptase-polymerase chain reaction for a NS5 region of flaviviruses, nucleotide and high-throughput sequencing, and viral isolation in C6/36 cells. CxFV was detected in 16 of 403 mosquito pools; sequences found in the study presented a high similarity with isolates from São Paulo, Brazil and other countries in Latin American that belong to genotype II, supporting the geographical influence on CxFV evolution. The monthly maximum likelihood estimation for CxFV ranged from 1.81 to 9.94 per 1000 mosquitoes. In addition to the CxFV complete genome, one pool contained an ORF1 sequence (756 bp) that belongs to a novel Negevirus from the Sandewavirus supergroup most similar to the Santana virus (77.1%) and another pool presented an RNA-dependent RNA polymerase sequence (1081 bp) of a novel Rhabdovirus most similar to Wuhan mosquito virus 9 (44%). After three passages in C6/36 cells, only CxFV was isolated from these co-infected pools. The importance of ISVs relies on their possible ability to interfere with arbovirus replication in competent vectors.


Subject(s)
Culex/virology , Flavivirus/genetics , Genome, Viral , Animals , Brazil , Female , Flavivirus/classification , Flavivirus/isolation & purification , Genotype , Phylogeny
5.
Domest Anim Endocrinol ; 68: 1-10, 2019 07.
Article in English | MEDLINE | ID: mdl-30772664

ABSTRACT

The aims were to characterize follicular dynamics in response to supplemental progesterone (P4) and to investigate the relationships between follicular growth and onset of luteolysis in P4-treated cows, submitted or not to artificial insemination (AI). Nonsuckled beef cows detected in estrus were assigned to receive AI or to remain non-AI. Three days after ovulation (ie, D3), AI cows were injected with 150 mg of long-acting P4 (AI + injectable P4 formulation [iP4]; n = 22), and the non-AI cows were assigned to receive 150 mg iP4 (n = 19) or saline (control, n = 19). Between D3 and D21, growth dynamics of the dominant follicles (DFs) was monitored by ultrasonography. Plasma P4 concentrations were measured every other day from D9 to D19. Pregnancy status (ie, P: pregnant and NP: nonpregnant) was examined by ultrasound on D28 to D32. Injectable P4 formulation supplementation decreased average maximum diameter of first-wave DF (DF1). Neither day of emergence of DF2 or DF3 nor the proportion of two- or three-wave cycles were altered by supplemental P4. Daily mean diameter of DF2 and DF3 was also similar between control and iP4 groups. Consistently, daily mean diameter of DF1 in iP4-treated cows was smaller for cows that underwent luteolysis by D15 compared to a later onset. Progesterone concentrations between D9 and D19 decreased earliest in the iP4 group, latest in the control group and was intermediate for the NP-AI + iP4 group. In addition, three-wave cycles presented a delayed decrease on plasma P4 concentrations than two-wave cycles. Further analysis revealed that on two-wave cycles, P4 concentrations on D15 were lowest in the iP4 and NP-AI + iP4 animals compared to the control and P-AI + iP4 groups. Conversely, for three-wave cycles, on D15, P-AI + iP4, NP-AI + iP4, and controls had greater P4 concentrations than the iP4 group. In summary, our data indicate that impairment of first follicular growth was associated with P4-induced shortened luteal lifespan (D14-D15) and that three-wave cycles after AI can be more supportive for pregnancy maintenance in P4-treated cows. We speculate that such conditions play a critical role in the embryonic ability to inhibit iP4-induced early luteolysis reported in part I of this series.


Subject(s)
Cattle , Diestrus , Luteolysis/drug effects , Progesterone/administration & dosage , Animals , Drug Administration Schedule , Female , Insemination, Artificial/veterinary , Ovarian Follicle/drug effects , Ovarian Follicle/physiology
6.
Domest Anim Endocrinol ; 67: 63-70, 2019 04.
Article in English | MEDLINE | ID: mdl-30755339

ABSTRACT

Progesterone (P4) supplementation in early diestrus advances changes in the endometrial transcriptome, stimulating embryonic development. However, it also induces early onset of luteolysis. Occurrence of luteolysis before D16 postmating can be detrimental to fertility. A potential counteracting role of the elongating conceptus on early luteolysis is understood poorly. The aim of the study was to evaluate the effect of artificial insemination (AI; ie, pregnancy) on the temporal dynamics of luteolysis of cows supplemented with P4. Nonsuckled beef cows were inseminated at 12 h after estrus (D0: ovulation) or were not inseminated (no-AI). On D3, the AI cows were assigned to receive a single dose of 150 mg of injectable long-acting P4 via intramuscular injection (AI + iP4; n = 23), and the no-AI cows were assigned to receive iP4 (iP4; n = 21) or saline (control, n = 22). Corpus luteum (CL) development and regression were determined by ultrasonography (US) between D3 and D21. Plasma P4 concentrations were measured on D3 and every other day from D9 to D21. Pregnancy status was determined by US (D28‒D32). iP4 supplementation reduced luteal development (D5-D10) compared to the control group and increased incidence of luteolysis between D14 and D15. On D15, the proportion of cows that underwent luteolysis and plasma P4 concentrations differed between the iP4 group (47.6; 2.10 ± 0.47) and the control group (13.6; 4.40 ± 0.46) and was intermediate in the AI + iP4 group, respectively (26.1%; 3.70 ± 0.45 ng/mL; P < 0.05). The AI effects were due to the pregnant cows (n = 7). Considering nonpregnant cows only, the proportion of early luteolysis in the AI + iP4 group (37.5%) was similar to the iP4 group. Pregnancy was not established in cows having a shortened luteal lifespan. Indeed, interval to luteolysis in the AI + iP4 group (15.50 ± 0.66 d) was similar to the iP4 group (16.38 ± 0.46 d), but less than the control group (17.38 ± 0.40 d; P = 0.05). In conclusion, the effect of AI on extending luteal lifespan occurred exclusively in cows that maintained pregnancy.


Subject(s)
Cattle/physiology , Diestrus , Insemination, Artificial/veterinary , Luteolysis , Progesterone/administration & dosage , Animals , Brazil , Diestrus/blood , Female , Injections, Intramuscular/veterinary , Insemination, Artificial/methods , Pregnancy , Progesterone/blood , Red Meat , Time Factors
7.
Article in English | MEDLINE | ID: mdl-30555692

ABSTRACT

BACKGROUND: Insufficient production of anti-luteolytic signals by the pre-attachment embryo is considered a major cause of pregnancy failure in cattle. We tested the hypothesis that transfer of multiple blastocysts (n = 5/recipient) and progesterone (P4) supplementation amplify anti-luteolytic signaling and reduce embryonic losses in beef cattle. Cows detected in estrus (D0; n = 104) were assigned randomly to receive 150 mg of injectable long-acting P4 (iP4) or vehicle (non-iP4) on D4 and transcervical transfer of none or five, grade 1, not-frozen, in vitro-produced blastocysts, on D7. Luteal development and time of structural luteolysis were monitored by ultrasonography. Plasma P4 concentrations were determined on D4, D5 and D7, and daily between D14 and D20. Conceptus signaling was monitored by transcript abundance of interferon-stimulated gene 15 (ISG15) in peripheral blood mononuclear cells isolated on D14, D16, D18 and D20. Early embryonic mortality (EEM) was defined as the absence of ISG15 mRNA upregulation over time and/or luteal regression up to D20. Late embryonic mortality (LEM) was defined as the absence of a conceptus with a heartbeat on pregnancy diagnosis at D30 (PD30) after observing upregulation of ISG15 mRNA and extension of luteal lifespan. Pregnant cows presented conceptuses with heartbeat at PD30. RESULTS: On D5, iP4-treated cows had P4 concentrations 2.07-fold greater than non-iP4 treated (P < 0.001). On D7, P4 concentrations were similar. Pregnant and LEM animals showed a progressive increase in the abundance of ISG15 from D14 to D20. iP4-treated cows detected pregnant at PD30 had 1.53-fold greater abundance of ISG15 mRNA between D14 and D20 than non-iP4 treated cows (P = 0.05). iP4 doubled the frequency of EEM while it did not affect LEM. At PD30, embryonic survival was 37.0% vs. 55.6% for iP4-treated vs. control cows. Majority of pregnant cows (71%) presented only a single viable embryo. CONCLUSIONS: A substantial proportion of cows had EEM (31%) and LEM (20%) even after transferring multiple blastocysts. This argues that mortality was due to poor uterine receptivity that could not be reversed by supplemental P4 or overcome by transferring multiple blastocysts. Further, a given uterine environment was not necessarily adequate to all embryos.

8.
Reprod Domest Anim ; 52(6): 1153-1157, 2017 Dec.
Article in English | MEDLINE | ID: mdl-28755420

ABSTRACT

Aims were to (i) compare specific transcript abundance between endometrial samples collected by transcervical biopsy and cytobrush and (ii) measure the abundance of endometrial transcripts involved in PGF2α synthesis in samples collected by cytobrush. In Experiment 1, endometrial samples were taken transcervically by cytobrush and biopsy 10 days after ovulation. Compared to biopsy samples, abundance of transcripts for MSTN, AKR1C4 and PGR was similar, VIM, FLT1 and PTGES was lower (p < .05) and KRT18 and CD3D was greater in cytobrush samples (p < .05). Thus, there was an enrichment of epithelial and immune cells in the cytobrush samples. In Experiment 2, endometrial samples were collected by cytobrush on days 10, 13, 16 and 19 after ovulation. Abundance of PGR2 mRNA was maximum on day 10 then decreased (p < .05). Abundance of ESR1 decreased gradually from day 10 to day 16 then increased again on day 19. The greatest abundance of OXTR was noted on day 19. The sequential alterations in abundance of these transcripts are consistent with the release of PGF2α associated with luteolysis. In summary, cytobrush sampling provides representative, physiologically relevant samples of the luminal epithelium in cattle.


Subject(s)
Diagnostic Techniques, Obstetrical and Gynecological/veterinary , Dinoprost/biosynthesis , Endometrium/metabolism , Gene Expression , Animals , Biopsy , Cattle , Diagnostic Techniques, Obstetrical and Gynecological/instrumentation , Endometrium/cytology , Female , RNA, Messenger/analysis
9.
Genet Mol Res ; 15(4)2016 Oct 17.
Article in English | MEDLINE | ID: mdl-27813609

ABSTRACT

Pycnoporus sanguineus is a white-rot basidiomycete that produces laccase as the only oxidoreductase; enzyme synthesis depends on cultivation variables, and fungal species and strain. Laccases have wide substrate specificity, oxidize a broad range of compounds, and show potential for use in dye decolorization. We evaluated laccase production in a recently isolated strain of P. sanguineus cultivated with sugarcane molasses as the only carbon source, and urea or yeast extract as the nitrogen source [at various nitrogen concentrations (0.4, 1.4, 2.4, 3.4, and 4.4 g/L)], supplemented with copper (0, 150, 200, 250, and 300 µM), with or without agitation. The enzymatic extract produced at laccase peak activity was tested for dye decolorization capability on Remazol Brilliant Blue R, Reactive Black 5, Reactive Red 195, and Reactive Yellow 145. The nitrogen source did not affect enzyme production and the higher nitrogen concentration (3.4 g/L nitrogen as urea) increased enzymatic activity. The addition of up to 300 µM of Cu did not affect laccase production, whereas cultivation with agitation increased the activity peak by 17%. The highest laccase activity was ~50,000 U/L on the ninth day of cultivation. After 24 h, decolorization was 80% for Remazol Brilliant Blue R, 9% for Reactive Yellow 145, 6% for Reactive Red 195, and 2% for Reactive Black 5. The enzymatic extract of P. sanguineus provides a potential alternative to wastewater treatment. A better understanding of the behavior of this fungus under various culture conditions would allow improvement of the enzyme production bioprocess.


Subject(s)
Coloring Agents/metabolism , Laccase/metabolism , Molasses/analysis , Pycnoporus/enzymology , Saccharum/chemistry , Anthraquinones/metabolism , Color
10.
Genet Mol Res ; 15(3)2016 Jul 29.
Article in English | MEDLINE | ID: mdl-27525894

ABSTRACT

Parsley [Petroselinum crispum (Mill.) Fuss] is regarded as an aromatic, culinary, and medicinal plant and is used in the cosmetic, food, and pharmaceutical industries. However, few studies with conflicting results have been conducted on the antimicrobial activity of parsley essential oil. In addition, there have been no reports of essential oil obtained from parsley aerial parts, except seeds, as an alternative natural antimicrobial agent. Also, microorganism resistance is still a challenge for health and food production. Based on the demand for natural products to control microorganisms, and the re-evaluation of potential medicinal plants for controlling diseases, the objective of this study was to determine the chemical composition and antibacterial and antifungal activities of parsley essential oil against foodborne diseases and opportunistic pathogens. Seven bacteria and eight fungi were tested. The essential oil major compounds were apiol, myristicin, and b-phellandrene. Parsley essential oil had bacteriostatic activity against all tested bacteria, mainly Staphylococcus aureus, Listeria monocytogenes, and Salmonella enterica, at similar or lower concentrations than at least one of the controls, and bactericidal activity against all tested bacteria, mainly S. aureus, at similar or lower concentrations than at least one of the controls. This essential oil also had fungistatic activity against all tested fungi, mainly, Penicillium ochrochloron and Trichoderma viride, at lower concentrations than the ketoconazole control and fungicidal activity against all tested fungi at higher concentrations than the controls. Parsley is used in cooking and medicine, and its essential oil is an effective antimicrobial agent.


Subject(s)
Anti-Bacterial Agents/pharmacology , Antifungal Agents/pharmacology , Petroselinum/chemistry , Plant Extracts/pharmacology , Plant Oils/pharmacology , Listeria monocytogenes/drug effects , Microbial Sensitivity Tests , Oils, Volatile/pharmacology , Penicillium/drug effects , Salmonella enterica/drug effects , Staphylococcus aureus/drug effects , Trichoderma/drug effects
11.
J Endocrinol Invest ; 38(10): 1065-74, 2015 Oct.
Article in English | MEDLINE | ID: mdl-25894865

ABSTRACT

PURPOSE: To analyze the impact of selenium supplementation on serum antiTPO levels and thyroid echogenicity in patients with CAT, evaluating the response in subgroups with different GPx1 genotypes. METHODS: CAT patients (n = 55) with positive antiTPO were randomized to selenomethionine (SeMet) 200 µg daily (n = 28) or placebo (n = 27) for 3 months. Assessments included GPx1 genotyping at baseline and serum levels of plasma selenium, erythrocyte GPx1 activity, antiTPO and thyroid echogenicity at baseline, and 3 and 6 months. RESULTS: In the SeMet group, the increase in plasma levels of selenium and erythrocyte GPx1 activity was similar among patients with different GPx1 genotypes. In the overall cohort, patients randomized to SeMet showed a 5 % decrease in antiTPO levels at 3 months (p = non-significant) and 20 % at 6 months (p < 0.001 versus 3 months). In contrast, patients in the placebo group did not show significant changes in antiTPO levels at any time point. Subgroup analysis showed that patients with different GPx1 genotypes presented comparable responses in antiTPO levels and echogenicity index to SeMet. CONCLUSIONS: Selenium supplementation decreased serum antiTPO levels in CAT patients, with similar response among patients with different GPx1 genotypes.


Subject(s)
Autoimmunity/drug effects , Dietary Supplements , Glutathione Peroxidase/genetics , Iodide Peroxidase/immunology , Selenomethionine/therapeutic use , Thyroid Gland/drug effects , Thyroiditis, Autoimmune/drug therapy , Adult , Double-Blind Method , Female , Genotype , Humans , Inflammation/drug therapy , Inflammation/genetics , Inflammation/immunology , Male , Middle Aged , Selenomethionine/administration & dosage , Thyroid Gland/immunology , Thyroiditis, Autoimmune/genetics , Thyroiditis, Autoimmune/immunology , Treatment Outcome , Young Adult , Glutathione Peroxidase GPX1
12.
Rev. bras. reumatol ; Rev. bras. reumatol;54(5): 366-370, Sep-Oct/2014. tab
Article in Portuguese | LILACS | ID: lil-725694

ABSTRACT

Introdução: Estudos recentes mostram associação entre tireoidites autoimunes e esclerose sistêmica (ES), e sugerem que essa condição pode interferir no fenótipo da ES. Entretanto, esses estudos avaliam as tireoidites autoimunes como um todo e nenhum deles aborda especificamente a tireoidite de Hashimoto (TH) na ES. Objetivo: Investigar a presença de TH em pacientes com ES e sua possível associação com as manifestações da doença. Casuística e métodos: Manifestações clínicas de hipotireoidismo, TSH, T4 livre e anticorpos antitireoidanos (anti-TPO, anti TBG e TRAb) foram pesquisados em 56 pacientes com ES. Pacientes com ES e TH foram comparados com pacientes com ES sem tireoidite. Resultados: TH foi observada em 19,64% dos pacientes com ES. Não foi encontrada associação entre a TH e as diferentes formas de doença ou com o perfil de autoanticorpos. Da mesma forma, não houve diferença entre a média do escore de Rodnan modificado e entre a presença de fenômeno de Raynaud, cicatrizes estelares, necrose digital, miosite, artrite, sintomas sicca, dismotilidade esofágica ou crise renal esclerodérmica quando os grupos foram comparados. Por outro lado, pacientes com TH apresentaram maior frequência de hipertensão pulmonar quando comparados a pacientes sem TH (66,6% vs 22,5%; p = 0,016). Conclusões: Na amostra de ES estudada, a TH está associada a uma maior prevalência de hipertensão pulmonar. Estudos de seguimento a longo prazo, englobando um número maior de pacientes com ES e TH, são necessários para confirmar esses dados. .


Introduction: Recent studies show an association between autoimmune thyroiditis and systemic sclerosis (SSc) and suggest that this condition may interfere with the ES phenotype. However these studies evaluate the autoimmune thyroiditis as a whole and none of them specifically addresses Hashimoto's thyroiditis (HT) in SSc. Objective: To investigate the presence of HT in SSc patients and its possible association with disease manifestations. Methods: Clinical manifestations of hypothyroidism, TSH and anti-thyroid auto antibodies (anti-TPO. anti TBG and TRAb) were studied in 56 patients with SSc. SSc patients with HT were compared with SSc patients without thyroiditis. Results: HT was observed in 19.64% of patients with SSc. No association was observed between HT and the different forms of disease or profile of autoantibodies. Likewise, there was no difference between the mean modified Rodnan score and presence of Raynaud's phenomenon, scars, digital necrosis, myositis, arthritis, sicca symptoms, esophageal dysmotility and scleroderma renal crisis when the groups were compared. On the other hand, patients with HT had higher frequency of pulmonary hypertension in relation to patients without HT (66.6% vs 22.5%, p = 0.016). Conclusions: In the studied sample patients with ES and HT had higher prevalence of pulmonary hypertension. Long-term follow-up studies with a larger number of TH and SSc patients are needed to confirm these data. .


Subject(s)
Humans , Male , Female , Adult , Aged , Aged, 80 and over , Young Adult , Scleroderma, Systemic/complications , Hashimoto Disease/complications , Hypertension, Pulmonary/etiology , Cross-Sectional Studies , Hypertension, Pulmonary/epidemiology , Middle Aged
13.
Rev Bras Reumatol ; 54(5): 366-70, 2014.
Article in Portuguese | MEDLINE | ID: mdl-25627300

ABSTRACT

INTRODUCTION: Recent studies show an association between autoimmune thyroiditis and systemic sclerosis (SSc) and suggest that this condition may interfere with the ES phenotype. However these studies evaluate the autoimmune thyroiditis as a whole and none of them specifically addresses Hashimoto's thyroiditis (HT) in SSc. OBJECTIVE: To investigate the presence of HT in SSc patients and its possible association with disease manifestations. METHODS: Clinical manifestations of hypothyroidism, TSH and anti-thyroid auto antibodies (anti-TPO. anti TBG and TRAb) were studied in 56 patients with SSc. SSc patients with HT were compared with SSc patients without thyroiditis. RESULTS: HT was observed in 19.64% of patients with SSc. No association was observed between HT and the different forms of disease or profile of autoantibodies. Likewise, there was no difference between the mean modified Rodnan score and presence of Raynaud's phenomenon, scars, digital necrosis, myositis, arthritis, sicca symptoms, esophageal dysmotility and scleroderma renal crisis when the groups were compared. On the other hand, patients with HT had higher frequency of pulmonary hypertension in relation to patients without HT (66.6% vs 22.5%, p=0.016). CONCLUSIONS: In the studied sample patients with ES and HT had higher prevalence of pulmonary hypertension. Long-term follow-up studies with a larger number of TH and SSc patients are needed to confirm these data.


Subject(s)
Hashimoto Disease/complications , Hypertension, Pulmonary/etiology , Scleroderma, Systemic/complications , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Hypertension, Pulmonary/epidemiology , Male , Middle Aged , Young Adult
14.
Transplant Proc ; 42(2): 475-8, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20304169

ABSTRACT

INTRODUCTION: Posttransplant diabetes mellitus (PTDM) is considered to be a serious complication of kidney transplantation that may reduce patient and graft survival. The immunosuppressant tacrolimus (TAC) increases the risk of developing PTDM. PURPOSE: We sought to estimate the risk of PTDM among renal transplant recipients treated with TAC, to identify other risk factors for PTDM, and to describe its consequences. METHODS: We retrospectively analyzed 413 recipients of ages >or=18 years who were free of diabetes before kidney transplantation. They were treated with TAC, cyclosporine (CyA), or sirolimus (SIR) plus steroid therapy with a minimum follow-up posttransplant of 6 months. PTDM was diagnosed according to American Diabetes Association guidelines. RESULTS: The mean age was 42.3 years and 230 (55.7%) were male. The initial immunosuppression for 171 (41.4%) patients was TAC; 221 (53.5%), CyA; and 21 (5.1%), SIR. PTDM occurred in 85/413 (20.6%) of patients. The median time to PTDM development was 54 days posttransplant. The cumulative incidence of PTDM was 24.6% and 17.2% for TAC and CyA treatment groups, respectively. In the intention-to-treat analysis, the proportion of patients receiving TAC who developed PTDM was significantly higher than that of CyA (HR = 1.6 [1.01-2.42]; P = .04). The Kaplan-Meier method showed that 78.5% patients taking TAC were free of PTDM at 6 months compared with 88.8% taking CyA (P = .003). The other independent risk factors were body mass index (BMI; P < .0001); recipient age (P < .0001) and acute rejection episodes (AE; P = .01). Three-year actuarial graft survivals were 85.5% for PTDM patients compared with 93.3% for those without diabetes (P = .021); patient survivals, 88.9% and 96.7%, respectively (P = .017). CONCLUSION: The incidence of PTDM is associated with TAC use, recipient age, BMI, and ARE. Therefore, PTDM is an important risk factor for graft loss and mortality.


Subject(s)
Diabetes Mellitus/etiology , Immunosuppressive Agents/adverse effects , Kidney Transplantation/adverse effects , Tacrolimus/adverse effects , Adolescent , Adult , Body Mass Index , Cyclosporine/adverse effects , Cyclosporine/therapeutic use , Diabetes Mellitus/epidemiology , Diabetes Mellitus/immunology , Female , Graft Rejection/epidemiology , Humans , Immunosuppressive Agents/therapeutic use , Incidence , Living Donors/statistics & numerical data , Male , Postoperative Complications/epidemiology , Postoperative Complications/immunology , Retrospective Studies , Risk Factors , Sirolimus/adverse effects , Sirolimus/therapeutic use , Tacrolimus/therapeutic use , Tissue Donors/statistics & numerical data
15.
Rev. paul. pediatr ; 26(2): 170-175, jun. 2008. tab
Article in Portuguese | LILACS | ID: lil-487572

ABSTRACT

OBJETIVO: Revisar os conhecimentos existentes em relação ao uso de fatores de crescimento epidérmico e estimulador de colônias de granulócitos na prevenção e/ou no tratamento da enterocolite necrosante (ECN) durante o período neonatal. FONTES DE DADOS: Revisão da literatura, nas bases de dados Medline, Lilacs, SciELO e PubMed, utilizando os unitermos "recém-nascidos", "enterocolite" e "fatores de crescimento", no período de 2003 a 2007. Nesta busca, 49 artigos foram encontrados, sendo 17 pertinentes ao tema. Também foram utilizados outros artigos, independente do ano de publicação, relacionados a aspectos definidores da ECN no recém-nascido. SÍNTESE DOS DADOS: A ECN continua sendo responsável por uma elevada morbimortalidade neonatal. Os mecanismos fisiopatológicos vêm sendo elucidados e, a partir deles, são discutidas novas terapias, como o uso de fatores de crescimento, destacando-se o fator de crescimento epidérmico e o fator estimulador de colônias de granulócitos. CONCLUSÕES: O uso de fatores de crescimento no tratamento e prevenção da ECN neonatal parece promissor. É necessário maior número de ensaios clínicos para comprovar sua eficácia e segurança. Enquanto isso, a melhor prática médica continua sendo a prevenção da doença.


OBJECTIVE: To review the literature regarding the use of hematopoietic and epidermic growth factors for prevention or treatment of neonatal necrotizing enterocolitis (NEC). DATA SOURCES: Literature review of Medline, Lilacs, SciELO and Pubmed databases, using the key-words "newborn", "enterocolitis" and "growth factors", from 2003 to 2007. Fourty-nine papers were retrieved, but only 17 related to the subject. Other studies that described some clinical aspects of enterocolitis were also included, regardless of the year of publication. DATA SYNTHESIS: Necrotizing and enterocolitis has been an important cause of morbidity and mortality in the neonatal period. As the knowledge about the pathophysiology of this disease improves, new therapies, such as the administration of epidermal growth factor and granulocyte colony-stimulating factor, are being discussed. CONCLUSIONS: The use of growth factors for treatment and prevention of NEC seems promising. However, further clinics assays are needed to evaluate the effectiveness and the safety of these growth factors. At this moment, the best clinical practice is the prevention of the disease.


Subject(s)
Humans , Infant, Newborn , Enterocolitis, Necrotizing/diet therapy , Enterocolitis, Necrotizing/prevention & control , Enterocolitis, Necrotizing/drug therapy , Granulocyte Colony-Stimulating Factor/therapeutic use , Epidermal Growth Factor/therapeutic use
16.
Braz J Med Biol Res ; 41(5): 344-50, 2008 May.
Article in English | MEDLINE | ID: mdl-18488097

ABSTRACT

T-cell acute lymphoblastic leukemia (T-ALL) is a biologically heterogeneous disease with respect to phenotype, gene expression profile and activation of particular intracellular signaling pathways. Despite very significant improvements, current therapeutic regimens still fail to cure a portion of the patients and frequently implicate the use of aggressive protocols with long-term side effects. In this review, we focused on how deregulation of critical signaling pathways, in particular Notch, PI3K/Akt, MAPK, Jak/STAT and TGF-beta, may contribute to T-ALL. Identifying the alterations that affect intracellular pathways that regulate cell cycle and apoptosis is essential to understanding the biology of this malignancy, to define more effective markers for the correct stratification of patients into appropriate therapeutic regimens and to identify novel targets for the development of specific, less detrimental therapies for T-ALL.


Subject(s)
Cell Differentiation , Leukemia-Lymphoma, Adult T-Cell , Phosphotransferases/physiology , Signal Transduction/physiology , T-Lymphocytes/cytology , Humans , Janus Kinases/physiology , Leukemia-Lymphoma, Adult T-Cell/etiology , Leukemia-Lymphoma, Adult T-Cell/physiopathology , Leukemia-Lymphoma, Adult T-Cell/therapy , Mitogen-Activated Protein Kinases/physiology , Phosphatidylinositol 3-Kinases/physiology , Phosphorylation , Proto-Oncogene Proteins c-akt/physiology , Receptors, Notch/physiology , Transforming Growth Factor beta/physiology
17.
Rev. bras. pesqui. méd. biol ; Braz. j. med. biol. res;41(5): 344-350, May 2008. ilus
Article in English | LILACS | ID: lil-484442

ABSTRACT

T-cell acute lymphoblastic leukemia (T-ALL) is a biologically heterogeneous disease with respect to phenotype, gene expression profile and activation of particular intracellular signaling pathways. Despite very significant improvements, current therapeutic regimens still fail to cure a portion of the patients and frequently implicate the use of aggressive protocols with long-term side effects. In this review, we focused on how deregulation of critical signaling pathways, in particular Notch, PI3K/Akt, MAPK, Jak/STAT and TGF-ß, may contribute to T-ALL. Identifying the alterations that affect intracellular pathways that regulate cell cycle and apoptosis is essential to understanding the biology of this malignancy, to define more effective markers for the correct stratification of patients into appropriate therapeutic regimens and to identify novel targets for the development of specific, less detrimental therapies for T-ALL.


Subject(s)
Humans , Cell Differentiation , Leukemia-Lymphoma, Adult T-Cell , Phosphotransferases/physiology , Signal Transduction/physiology , T-Lymphocytes/cytology , /physiology , Janus Kinases/physiology , Leukemia-Lymphoma, Adult T-Cell/etiology , Leukemia-Lymphoma, Adult T-Cell/physiopathology , Leukemia-Lymphoma, Adult T-Cell/therapy , Mitogen-Activated Protein Kinases/physiology , Phosphorylation , Proto-Oncogene Proteins c-akt/physiology , Receptors, Notch/physiology , Transforming Growth Factor beta/physiology
18.
Rev. colomb. anestesiol ; 35(2): 167-170, abr.-jun. 2007. ilus
Article in Spanish | LILACS | ID: lil-491005

ABSTRACT

Reporte de de un caso de edema pulmonar en el postoperatorio inmediato de uan cirugia laparascópica ginecológica. La etiología del edema pulmonar en este caso no pudo ser determinada con precisión, pero se plantea con precisión, pero se plantearon dos posibles causas que lo explicaran. La primera sería un aumento súbito del retorno venoso luego de la remoción del CO2 de la cavidad peritoneal, lo que a su vez producira una sobre carga de liquidos. La segunda sería un aumento en la permeabilidad capilar pulmonar que podria resultar...


Subject(s)
Humans , Anesthesia, Inhalation , Anesthesia, Obstetrical , Blood Pressure , Insufflation , Laparoscopy , Pneumoperitoneum/pathology , Pulmonary Edema
19.
Arq. bras. med. vet. zootec ; Arq. bras. med. vet. zootec. (Online);59(2): 501-507, abr. 2007. tab, graf
Article in Portuguese | LILACS | ID: lil-455766

ABSTRACT

Estudou-se a rentabilidade da atividade bovina leiteira em uma fazenda no município de Jaboticatubas-MG, durante cinco anos - 1996, 2000, 2001, 2002 e 2003. Os dados foram processados no Sistema de Administração Rural e Projetos Agropecuários da EMATER-MG. No cômputo global, conforme valores de dezembro de 2003, a margem líquida negativa atingiu R$ -201.091,89, embora a margem bruta fosse positiva (R$ 130.003,54). O custo da mão-de-obra foi o que mais onerou a produção (29,6 por cento) e o que mais forçou a elevação dos custos fixos (47,8 por cento). O custo unitário do litro de leite alcançou R$ 0,71, enquanto o preço recebido pelo produtor atingiu apenas R$ 0,50. Isso significa que durante o período analisado houve prejuízo de R$ 0,21 em cada litro de leite produzido.


The profitability of a dairy farm, in Jaboticatubas-MG, was studied during five years - 1996, 2000, 2001, 2002 e 2003. The collected data were processed using the EMATER-MG Rural Administration System and Agricultural Projects. In general, the damages were R$ -201,091.89, although the incomes were enough to pay the variable costs and to be left out R$ 130,003.54. Employees payment was the highest cost of the production (29.6 percent) and it forced the fixed costs to high (47.8 percent) The unitarian cost of the liter of milk reached R$ 0.71, while the farmer sold it for R$ 0.50. That means losses of R$ 0.21 for each liter during all the time of the study. Global results showed R$ 0.71 for the cost of a liter of milk, although it was paid just R$ 0.50. That means damages about R$ 0.21 for each liter of milk produced for such long time.


Subject(s)
Cattle , Economic Indexes , Livestock Industry/analysis , Livestock Industry/economics , Milk/economics
20.
Arq. bras. med. vet. zootec ; 59(2): 501-507, abr. 2007. tab, graf
Article in Portuguese | VETINDEX | ID: vti-7383

ABSTRACT

Estudou-se a rentabilidade da atividade bovina leiteira em uma fazenda no município de Jaboticatubas-MG, durante cinco anos - 1996, 2000, 2001, 2002 e 2003. Os dados foram processados no Sistema de Administração Rural e Projetos Agropecuários da EMATER-MG. No cômputo global, conforme valores de dezembro de 2003, a margem líquida negativa atingiu R$ -201.091,89, embora a margem bruta fosse positiva (R$ 130.003,54). O custo da mão-de-obra foi o que mais onerou a produção (29,6 por cento) e o que mais forçou a elevação dos custos fixos (47,8 por cento). O custo unitário do litro de leite alcançou R$ 0,71, enquanto o preço recebido pelo produtor atingiu apenas R$ 0,50. Isso significa que durante o período analisado houve prejuízo de R$ 0,21 em cada litro de leite produzido.(AU)


The profitability of a dairy farm, in Jaboticatubas-MG, was studied during five years - 1996, 2000, 2001, 2002 e 2003. The collected data were processed using the EMATER-MG Rural Administration System and Agricultural Projects. In general, the damages were R$ -201,091.89, although the incomes were enough to pay the variable costs and to be left out R$ 130,003.54. Employees payment was the highest cost of the production (29.6 percent) and it forced the fixed costs to high (47.8 percent) The unitarian cost of the liter of milk reached R$ 0.71, while the farmer sold it for R$ 0.50. That means losses of R$ 0.21 for each liter during all the time of the study. Global results showed R$ 0.71 for the cost of a liter of milk, although it was paid just R$ 0.50. That means damages about R$ 0.21 for each liter of milk produced for such long time.(AU)


Subject(s)
Livestock Industry/analysis , Livestock Industry/economics , Milk/economics , Economic Indexes , Cattle
SELECTION OF CITATIONS
SEARCH DETAIL