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1.
J Endod ; 50(7): 962-965, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38615826

ABSTRACT

INTRODUCTION: Various strategies have been researched to enhance the susceptibility of biofilms, given their tolerance to antibiotics. This study evaluated the effect of the anti-microbial peptide nisin in association with antibiotics used in regenerative endodontics, exploring different treatment times and biofilm growth conditions. METHODS: A mixture of 10 bacterial species was cultivated on dentin specimens anaerobically for 21 days. Biofilms were treated with 1 mL of high-purity nisin Z (nisin ZP, 200 µg/mL) and a triple antibiotic mixture (TAP: ciprofloxacin + metronidazole + minocycline, 5 mg/mL), alone or in combination. The effectiveness of antimicrobial agents was assessed after 1 and 7 days. During the 7-day period, biofilms were treated under 2 conditions: a single dose in a nutrient-depleted setting (ie, no replenishment of growth medium) and multiple doses in a nutrient-rich environment (ie, renewal of medium and antimicrobial agents every 48 h). After treatments, biofilm cells were dispersed, and total colony-forming units were counted. RESULTS: After 1 d-treatment, nisin ZP + TAP resulted in 2-log cell reduction compared to TAP alone (P < .05). After 7 d-treatment with a single dose, nisin ZP + TAP and TAP reduced bacteria to nonculturable levels (P < .05), whereas repeated antimicrobial doses did not eliminate bacteria in a nutrient-rich environment. No bacterial reduction was observed with nisin ZP alone in any treatment time. CONCLUSIONS: The additional use of nisin improved the TAP activity only after a short exposure time. Longer exposure to TAP or nisin + TAP in a nutrient-deprived environment effectively eliminated biofilms.


Subject(s)
Anti-Bacterial Agents , Biofilms , Ciprofloxacin , Metronidazole , Nisin , Regenerative Endodontics , Biofilms/drug effects , Anti-Bacterial Agents/pharmacology , Regenerative Endodontics/methods , Nisin/pharmacology , Metronidazole/pharmacology , Humans , Ciprofloxacin/pharmacology , Minocycline/pharmacology , Microbial Sensitivity Tests , Drug Combinations
2.
Front Oncol ; 13: 1257003, 2023.
Article in English | MEDLINE | ID: mdl-37920156

ABSTRACT

Non-small cell lung cancer (NSCLC) is still diagnosed at late stages in Brazil. The availability of newer treatment options has changed patient management, however, few real-world data have been published since then. This is a population-based retrospective cohort study that aims to evaluate the characteristics of stage III/IV NSCLC patients and their journey in the Brazilian private healthcare system. Patients aged ≥18 years, residing in Brazil who had their first medical appointment between 2016 and 2018 were included in the study. The sociodemographic and clinical characteristics of the patients and time intervals of interest were described. A total of 10,394 patients were analyzed. The majority of the patients were male (58.5%) with a median age of 64.0 (IQR = 58.0 - 71.0) years. In relation to characteristics of the disease, most of the tumors were characterized as adenocarcinomas (52.3%) and diagnosed at stage IV (72.2%). Most patients arrived at the hospital with an established NSCLC diagnosis, while 45.7% were diagnosed at the first medical appointment in the hospital or later. For patients who were diagnosed at the first medical appointment or later, a median interval of 15.0 (IQR = 6.0 - 33.0) days was observed between the first medical appointment and the diagnosis. The first treatment was given after a median of 25.0 (IQR = 6.0 - 49.0) days after diagnosis for patients without a prior diagnosis, and 57.0 (IQR: 33.0 - 98.0) days for patients with a prior diagnosis. The most common treatments were chemotherapy alone (33.8%), chemotherapy combined with radiotherapy (21.5%), radiotherapy alone (13.1%), adjuvant or neoadjuvant treatment (9.3%), surgery (3.3%), and immunotherapy (0.7%; alone or combined). At the end of follow-up (September, 2020), 52.3% of the patients had died. Despite having more treatment options in the private sector, data show that there is a need to improve access to technologies.

3.
Life (Basel) ; 12(11)2022 Oct 24.
Article in English | MEDLINE | ID: mdl-36362840

ABSTRACT

The antimicrobial peptide LL-37 and D-amino acids (D-AAs) have been proposed as antibiofilm agents. Therefore, this study aimed to test the antimicrobial effect of antibiofilm agents associated with antibiotics used in regenerative endodontic procedures (the triple antibiotic paste­TAP: ciprofloxacin + metronidazole + minocycline). An endodontic-like biofilm model grown on bovine dentin discs was used in this study. After 21-day growth, the biofilms were treated with 1 mg/mL TAP, 10 µM LL-37, an association of LL-37 + TAP, 40 mM D-AAs solution, an association of D-AAs + TAP, and phosphate-buffered saline (negative control). Colony forming unit (CFU) data were analyzed by two-way ANOVA and Tukey's multiple comparison test (p < 0.05). LL-37 + TAP showed the best antibacterial activity (7-log10 CFU/mL ± 0.5), reaching a 1 log reduction of cells in relation to the negative control (8-log10 CFU/mL ± 0.7) (p < 0.05). In turn, no significant reduction in bacterial cells was observed with TAP, LL-37, D-AAs, and D-AAs + TAP compared to the negative control. In conclusion, the combination of antibiotics and LL-37 peptide showed mild antibacterial activity, while the combination of antibiotics and D-AAs showed no activity against complex biofilms.

4.
Rev. colomb. cardiol ; 29(5): 568-575, jul.-set. 2022. tab, graf
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1423783

ABSTRACT

Resumen Introducción: La rehabilitación cardíaca de fase I es un programa hospitalario que tiene como objetivo reducir los efectos que se pueden derivar del reposo prolongado en cama e instruir al paciente para el ingreso a la fase ambulatoria de rehabilitación. Objetivo: Analizar los efectos de la rehabilitación cardíaca de fase I en pacientes sometidos a revascularización miocárdica y cambios valvulares, mediante una revisión sistemática de la literatura. Método: La revisión incluyó ensayos clínicos controlados aleatorizados que analizaran los efectos de la rehabilitación cardíaca de fase I. Se emplearon las bases de datos Scopus, ScienceDirect, Embase y Embase classic OVID. La búsqueda se limitó a los artículos publicados entre los años 2000 y 2017, en inglés, portugués y español. Los estudios que cumplieron los criterios de inclusión recibieron un análisis de la calidad metodológica, el nivel de evidencia y el grado de recomendación según las escalas PEDro y Scottish. Resultados: Fueron elegibles 298 artículos, de los cuales cuatro fueron seleccionados y analizados; todos estos incluyeron población que había sido sometida a revascularización quirúrgica cardíaca y dos a población con reparación o reemplazo valvular quirúrgico. En cuanto a la calidad metodológica, dos fueron categorizados como de buena calidad con un nivel de evidencia 1+ y 1++ y un grado de recomendación A y B. Los protocolos de tratamiento utilizados fueron las técnicas respiratorias, los ejercicios activos de extremidades y la deambulación. Conclusiones: La literatura analizada sugiere incluir los procesos de rehabilitación cardíaca de fase I, lo cual puede mejorar la función pulmonar y disminuir la ansiedad, variable que se asoció de manera directa con la estancia hospitalaria en los pacientes posquirúrgicos cardíacos.


Abstract Introduction: The phase I of cardiac rehabilitation have the proposed decrease the effects on the bed rest and better adherence at the phase II. Objective: To analyze the effects of phase I CR in patients undergoing myocardial revascularization and valve changes, through a systematic review of the literature. Method: The review includes randomized clinical trials looking at the effects of phase I. The base date Scopus, Science Direct, Embase & Embase classic OVID. The search was limited between 2000 and 2017, in English Portuguese and Spanish. Results: 298 articles were were eligible, and only four were selected and analyzed. The articles included a population with bypass coronary and two articles with surgery to valve replacement or repair. Regarding quality methodology, Two were rated to be good quality with an evidence level of 1+ and 1++ and a degree of recommendation A y B. The protocols used for treatment include breathing techniques, upper and lower limps exercise and ambulation. Conclusions: The phase I cardiac rehabilitation, could improve lung function and reduce anxiety, this is associated directly with stay hospital post-surgical cardiac patients

5.
Appl. cancer res ; 39: 1-4, 2019.
Article in English | LILACS, Inca | ID: biblio-1254174

ABSTRACT

Gastric cancer (GC) is the fifth most common type of cancer worldwide with high incidences in Asia, Central, and South American countries. This patchy distribution means that GC studies are neglected by large research centers from developed countries. The need for further understanding of this complex disease, including the local importance of epidemiological factors and the rich ancestral admixture found in Brazil, stimulated the implementation of the GE4GAC project. GE4GAC aims to embrace epidemiological, clinical, molecular and microbiological data from Brazilian controls and patients with malignant and pre-malignant gastric disease. In this letter, we summarize the main goals of the project, including subject and sample accrual and current findings


Subject(s)
Humans , Adult , Middle Aged , Aged , Stomach Neoplasms/epidemiology , Brazil , Adenocarcinoma , Projects
6.
Chem Biodivers ; 14(1)2017 Jan.
Article in English | MEDLINE | ID: mdl-27546206

ABSTRACT

This article reports on the in vitro activity of the hydroalcoholic extract of Pfaffia glomerata roots, its hydrolyzed fractions, and pfaffic acid against Trypanosoma cruzi. The hydroalcoholic extract obtained from dried, milled P. glomerata roots was submitted to acid hydrolysis followed by partition with CHCl3 . The concentrated CHCl3 fraction was suspended in MeOH/H2 O and partitioned with hexane (F1), CHCl3 (F2), and AcOEt (F3), in this sequence. The trypanocidal activity of the hydrolyzed extract and its fractions was evaluated in vitro. The hydroalcoholic extract displayed low activity, but fraction F1 was active against trypomastigotes of the Y strain of T. cruzi, with IC50 = 47.89 µg/ml. The steroids campesterol (7.7%), stigmasterol (18.7%), ß-sitosterol (16.8%), Δ7 -stigmastenol (4.6%), and Δ7 -spinasterol (7.5%) were the major constituents of F1, along with fatty acid esters (7.6%) and eight aliphatic hydrocarbons (30.1%). Fractions F2 and F3 exhibited moderate activity, and pfaffic acid, one of the main chemical constituents of these fractions, displayed IC50 = 44.78 µm (21.06 µg/ml). On the other hand, the hydroalcoholic extract of P. glomerata roots, which is rich in pfaffosides, was inactive. Therefore, the main aglycone of pfaffosides, pfaffic acid, is much more active against trypomastigotes of the Y strain of T. cruzi than its corresponding glycosides and should be further investigated.


Subject(s)
Amaranthaceae/chemistry , Plant Extracts/pharmacology , Triterpenes/pharmacology , Trypanocidal Agents/pharmacology , Trypanosoma cruzi/drug effects , Chemical Fractionation , Hydrolysis , Plant Extracts/isolation & purification , Plant Roots/chemistry , Triterpenes/isolation & purification , Trypanocidal Agents/isolation & purification
7.
J Photochem Photobiol B ; 162: 402-411, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27434699

ABSTRACT

The increasing tolerance to currently used fungicides and the need for environmentally friendly antimicrobial approaches have stimulated the development of novel strategies to control plant-pathogenic fungi such as antimicrobial phototreatment (APT). We investigated the in vitro APT of the plant-pathogenic fungus Colletotrichum acutatum with furocoumarins and coumarins and solar radiation. The compounds used were: furocoumarins 8-methoxypsoralen (8-MOP) and 5,8-dimethoxypsoralen (isopimpinellin), coumarins 2H-chromen-2-one (coumarin), 7-hydroxycoumarin, 5,7-dimethoxycoumarin (citropten) and a mixture (3:1) of 7-methoxycoumarin and 5,7-dimethoxycoumarin. APT of conidia with crude extracts from 'Tahiti' acid lime, red and white grapefruit were also performed. Pure compounds were tested at 50µM concentration and mixtures and extracts at 12.5mgL(-1). The C. acutatum conidia suspension with or without the compounds was exposed to solar radiation for 1h. In addition, the effects of APT on the leaves of the plant host Citrus sinensis were determined. APT with 8-MOP was the most effective treatment, killing 100% of the conidia followed by the mixture of two coumarins and isopimpinellin that killed 99% and 64% of the conidia, respectively. APT with the extracts killed from 20% to 70% of the conidia, and the extract from 'Tahiti' lime was the most effective. No damage to sweet orange leaves was observed after APT with any of the compounds or extracts.


Subject(s)
Citrus sinensis/microbiology , Colletotrichum/drug effects , Colletotrichum/radiation effects , Furocoumarins/pharmacology , Microbial Viability/drug effects , Microbial Viability/radiation effects , Photosensitizing Agents/pharmacology , Citrus sinensis/chemistry , Colletotrichum/physiology , Drug Stability , Furocoumarins/chemistry , Furocoumarins/isolation & purification , Photosensitizing Agents/chemistry , Photosensitizing Agents/isolation & purification
8.
Acta Trop ; 149: 195-201, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26071648

ABSTRACT

The chemotherapy of schistosomiasis relies on the use of praziquantel. However, concerns over drug resistance have encouraged the search for new drug leads. This paper is the first report on the in vitro and in vivo activity of (-)-6,6'-dinitrohinokinin (DNK) against Schistosoma mansoni. In vitro, the lethal concentrations for 50% of parasites (LC50) of DNK against adult worms were 103.9±3.6 and 102.5±4.8µM at 24 and 72h, respectively. Scanning electron microscopy images showed extensive tegumental alterations such as peeling and smaller numbers of tubercles in the spine of adult worms. DNK also elicited high mortality of schistosomula, with LC50 values of 57.4±2.3, 32.5±0.9, and 20.4±1.2µM at 24, 48, and 72h, respectively. DNK displayed moderate activity against the juvenile liver parasite, with an LC50 value of 179.5±2.3 µM at 72h. This compound reduced the total number of eggs by over 83%, and it affected the development of eggs produced by adult worms. The selectivity index showed that at 24h, DNK was 8.5 and 15.4 times more toxic to the adult worms and schistosomula than to Chinese hamster lung fibroblast cells, respectively. Treatment of infected mice with DNK moderately decreased worm burden (33.8-52.3%), egg production (40.7-60.0%), and spleen and liver weights. Together, our results indicated that DNK presents moderate in vitro and in vivo activities against S. mansoni, and it might therefore be interesting to explore the structure-activity relationship of the antischistosomal activity of this compound.


Subject(s)
4-Butyrolactone/analogs & derivatives , Anthelmintics/pharmacology , Benzodioxoles/pharmacology , Fibroblasts/drug effects , Lignans/pharmacology , Liver/parasitology , Schistosoma mansoni/drug effects , 4-Butyrolactone/pharmacology , Animals , Cricetinae , Cricetulus , Female , In Vitro Techniques , Liver/drug effects , Lung/cytology , Mice , Mice, Inbred BALB C , Microscopy, Electron, Scanning , Schistosoma mansoni/growth & development , Schistosoma mansoni/ultrastructure , Schistosomiasis mansoni
9.
J Photochem Photobiol B ; 131: 74-83, 2014 Feb 05.
Article in English | MEDLINE | ID: mdl-24509069

ABSTRACT

The increasing tolerance to currently-used fungicides is a major problem both in clinical and agricultural areas leading to an urgent need for the development of novel antifungal strategies. This study investigated the in vitro antimicrobial photo treatment (APT) of conidia of the plant-pathogenic fungus Colletotrichum acutatum and the ascomycete Aspergillus nidulans with the furocoumarins 8-methoxypsoralen (8-MOP) and isopimpinellin, and a mixture of two coumarins (7-methoxy coumarin and citropten). Subcellular localization of the photosensitizer 8-MOP was also determined in C. acutatum conidia. Additionally, the effects of APT on the leaves of the plant host Citrus sinensis were determined. APT with 8-MOP (50µM) led to a reduction of approximately 4 logs in the survival of the conidia of both species, and the mixture of the two coumarins (12.5mgL(-1)) resulted in a reduction of approximately 4 logs for A. nidulans and 3 logs for C. acutatum. Isopimpinellin (50µM) displayed a reduction of 4 logs for A. nidulans but less than 2 logs for C. acutatum. Washing the conidia to remove unbound photosensitizers before light exposure reduced the photodynamic inactivation of C. acutatum both with 8-MOP and the mixture of the two coumarins. The reduction was smaller for A. nidulans. 8-MOP spread throughout the cytoplasm and accumulated in structures such as lipid bodies of C. acutatum conidia. No damage to orange tree leaves was observed after APT with any of the photosensitizers.


Subject(s)
Antifungal Agents/pharmacology , Aspergillus nidulans/drug effects , Colletotrichum/drug effects , Coumarins/pharmacology , Furocoumarins/pharmacology , Methoxsalen/pharmacology , Citrus/chemistry , Citrus/microbiology , Colletotrichum/pathogenicity , Coumarins/chemistry , Coumarins/isolation & purification , Furocoumarins/isolation & purification , Methoxsalen/isolation & purification , Molecular Structure , Photosensitizing Agents/pharmacology , Plant Leaves/drug effects , Plant Leaves/microbiology , Spores, Fungal/drug effects , Sunlight
10.
Cytotechnology ; 62(6): 547-555, 2010.
Article in English | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP, SESSP-IBACERVO | ID: biblio-1062337

ABSTRACT

Apoptosis is a major problem in animalcell culture during production of biopharmaceuticals, such as recombinant proteins or viral particles. In the present work baculovirus-insect cell expression system (BEVS/IC) is used as model to produce rotaviruslike-particles, composed by three layers of three different viral proteins (VP2, VP6 and VP7). In this model baculovirus infection also induces host celldeath. Herein a new strategy to enhance cell life span and to increase recombinant rotavirus protein productionof BEVS/IC system was developed. This strategy relies on hemolymph from Lonomia oblique (total extracts or a semi-purified fraction) medium supplementation. The total extract and a purified fraction from hemolymph of Lonomia obliqua were able toprotect Sf-9 cell culture against apoptosis triggered by oxidative stress (using the pro-oxidant agents tert butylhydroperoxide and hydrogen peroxide) and by baculovirus infection. Furthermore, hemolymph enhance final recombinant protein production, as it was observed by the increased amounts of VP6 and VP7, which were measured by the semi-quantitative western blot method. In conclusion, hemolymph medium supplementation can be a promising strategy to improve cell viability and productivity of recombinantprotein in BEVS/IC system.


Subject(s)
Animals , Apoptosis/immunology , Lepidoptera/classification , Inhibitor of Apoptosis Proteins , Baculoviridae/immunology , Hemolymph/immunology , Recombinant Proteins/antagonists & inhibitors , Recombinant Proteins/classification
11.
Z Naturforsch C J Biosci ; 64(11-12): 779-84, 2009.
Article in English | MEDLINE | ID: mdl-20158145

ABSTRACT

The antimycobacterial activity of (-)-cubebin (1), hinokinin (2), and some of their semisynthetic derivatives, namely (-)-O-acetyl-cubebin (3), (-)-O-methyl-cubebin (4), (-)-O-(N,N-dimethylamine-ethyl)-cubebin (5) and (-)-6,6'-dinitrohinokinin (6), was evaluated against Mycobacterium tuberculosis (ATCC 27294), M. kansasii (ATCC 12478), and M. avium (ATCC 15769). The MIC values ranged from 31.25 to 2000 microg/mL. Among the evaluated compounds, 2 displayed a MIC value of 62.5 microg/mL against M. tuberculosis, while 3 and 4 displayed MIC values of 62.5 and 31.25 microg/mL, respectively, against M. avium. All compounds were inactive against M. kansasii. These are promising results concerning the search for biologically active natural products, highlighting that new approaches to the prevention, treatment, and cure of tuberculosis are extremely important.


Subject(s)
Anti-Bacterial Agents/pharmacology , Lignans/pharmacology , Mycobacterium avium/drug effects , Mycobacterium bovis/drug effects , Mycobacterium kansasii/drug effects , Mycobacterium tuberculosis/drug effects , Anti-Bacterial Agents/chemical synthesis , Lignans/chemical synthesis , Magnetic Resonance Spectroscopy , Microbial Sensitivity Tests , Models, Molecular
12.
Br J Nutr ; 101(1): 79-85, 2009 Jan.
Article in English | MEDLINE | ID: mdl-18634709

ABSTRACT

Marine algae are easily produced and are good sources of Fe. If this Fe is bioavailable, algae consumption could help to combat Fe deficiency and anaemia worldwide. The objective of the present study was to evaluate Fe bioavailability, polyphenol content and antioxidant capacity from three species of marine algae distributed worldwide. A total of eighty-three subjects received maize- or wheat-based meals containing marine algae (Ulva sp., Sargassum sp. and Porphyra sp.) in different proportions (2.5, 5.0 and 7.5 g) added to the water to prepare the dough. All meals administered contained radioactive Fe. Absorption was evaluated calculating radioactive Fe incorporation in subjects' blood. The three species of marine algae were analysed for polyphenol content and reducing power. Algae significantly increased Fe absorption in maize- or wheat-based meals, especially Sargassum sp., due to its high Fe content. Increases in absorption were dose-dependent and higher in wheat- than in maize-based meals. Total polyphenol content was 10.84, 18.43 and 80.39 gallic acid equivalents/g for Ulva sp., Porphyra sp. and Sargassum sp., respectively. The antioxidant capacity was also significantly higher in Sargassum sp. compared with the other two species analysed. Ulva sp., Sargassum sp. and Porphyra sp. are good sources of bioavailable Fe. Sargassum sp. resulted in the highest Fe intake due to its high Fe content, and a bread containing 7.5 g Sargassum sp. covers daily Fe needs. The high polyphenol content found in Sargassum sp. could be partly responsible for the antioxidant power reported here, and apparently did not affect Fe absorption.


Subject(s)
Antioxidants/analysis , Eukaryota/chemistry , Flavonoids/analysis , Food, Fortified/analysis , Iron, Dietary/pharmacokinetics , Phenols/analysis , Adult , Anthropometry/methods , Biological Availability , Bread/analysis , Female , Flour/analysis , Humans , Iron, Dietary/analysis , Male , Middle Aged , Polyphenols , Porphyra/chemistry , Sargassum/chemistry , Ulva/chemistry , Young Adult
13.
J Nutr ; 137(12): 2691-5, 2007 Dec.
Article in English | MEDLINE | ID: mdl-18029485

ABSTRACT

Searching for economical, nonconventional sources of iron is important in underdeveloped countries to combat iron deficiency and anemia. Our objective was to study iron, vitamin C, and phytic acid composition and also iron bioavailability from 4 species of marine algae included in a rice-based meal. Marine algae (Ulva sp, Sargassum sp, Porphyra sp, and Gracilariopsis sp) were analyzed for monthly variations in iron and for ascorbic acid and phytic acid concentrations. A total of 96 subjects received rice-based meals containing the 4 species of marine algae in different proportions, raw or cooked. All meals contained radioactive iron. Absorption was evaluated by calculating the radioactive iron incorporation in subjects' blood. Iron concentrations in algae were high and varied widely, depending on the species and time of year. The highest iron concentrations were found in Sargassum (157 mg/100 g) and Gracilariopsis (196 mg/100 g). Phytates were not detected in the algae and ascorbic acid concentration fluctuated between 38 microg/g dry weight (Ulva) and 362 microg/g dry weight (Sargassum). Algae significantly increased iron absorption in rice-based meals. Cooking did not affect iron absorption compared with raw algae. Results indicate that Ulva sp, Sargassum sp, Porphyra sp, and Gracilariopsis sp are good sources of ascorbic acid and bioavailable iron. The percentage of iron absorption was similar among all algae tested, although Sargassum sp resulted in the highest iron intake. Based on these results, and on the high reproduction rates of algae during certain seasons, promoting algae consumption in some countries could help to improve iron nutrition.


Subject(s)
Dietary Supplements , Eukaryota/chemistry , Eukaryota/metabolism , Iron/analysis , Iron/pharmacokinetics , Adolescent , Adult , Ascorbic Acid/analysis , Ascorbic Acid/metabolism , Biological Availability , Cooking , Eukaryota/classification , Female , Humans , Male , Middle Aged , Oryza , Phytic Acid/analysis , Phytic Acid/metabolism , Seasons , Venezuela
14.
Curr Med Res Opin ; 23(4): 683-9, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17407624

ABSTRACT

PURPOSE: To evaluate the efficacy of fixed combination brimonidine-timolol (FCBT) versus fixed combination dorzolamide-timolol (FCDT) given twice daily in patients with primary open angle glaucoma (POAG) or ocular hypertension (OH). DESIGN: Prospective, multicentre, masked-observer, crossover comparison. PARTICIPANTS: Sixteen patients with POAG and 14 with OH. METHODS: The participants of the study were washed out from their previous medication and randomized to fixed FCBT or FCDT for the first 4-week treatment period. Subjects then were washed for 4 weeks and started on the opposite medication for the second 4-week period. Intraocular pressure (IOP) was measured with a Goldmann applanation tonometer at 8:00 a.m., 12:00 noon and 4:00 p.m. at each baseline and at the end of each treatment period. Unsolicited ocular adverse events were also recorded. MAIN OUTCOME MEASURES: Comparison of the IOP lowering effect of FCBT and FCDT. RESULTS: The baseline mean diurnal IOP for all 30 subjects (30 eyes) was 22.9 +/- 1.6 mmHg. Both fixed combinations significantly reduced IOP compared with baseline (p < 0.00001). The mean diurnal IOP following 4 weeks of therapy was 15.0 +/- 2.1 mmHg for FCBT and 15.4 +/- 2.1 mmHg for FCDT (p = 0.510). The mean diurnal IOP reduction was 7.8 +/- 1.9 mmHg for FCBT and 7.4 +/- 1.8 mmHg for FCDT (p = 0.430). Overall, 14 subjects complained about ocular adverse events: two only for FCBT, seven only for FCDT and five for both drugs. Although there was no significant difference between the number of subjects that reported ocular adverse events with FCBT (n = 7) and FCDT (n = 12) (p = 0.359), FCDT caused more ocular stinging upon instillation (n = 9) than FCBT (n = 1) (p = 0.027). CONCLUSION: This study suggests that FCBT and FCDT, each given twice daily, have similar efficacy in patients with POAG or OH.


Subject(s)
Ocular Hypertension/drug therapy , Quinoxalines/administration & dosage , Sulfonamides/administration & dosage , Thiophenes/administration & dosage , Timolol/administration & dosage , Aged , Brimonidine Tartrate , Cross-Over Studies , Drug Therapy, Combination , Female , Humans , Instillation, Drug , Intraocular Pressure/drug effects , Male , Middle Aged , Quinoxalines/adverse effects , Sulfonamides/adverse effects , Thiophenes/adverse effects , Timolol/adverse effects
16.
Mem. Inst. Oswaldo Cruz ; 101(supl.1): 279-282, Oct. 2006. ilus
Article in English | LILACS | ID: lil-441259

ABSTRACT

Abdominal ultrasound (US) has been widely used in the evaluation of patients with schistosomiasis mansoni. It represents an important indirect method of diagnosis and classification of the disease, and it has also been used as a tool in the evaluation of therapeutic response and regression of fibrosis. We describe the case of a man in whom US showed solid evidence of schistosomal periportal fibrosis and magnetic resonance imaging revealed that periportal signal alteration corresponded to adipose tissue which entered the liver togheter with the portal vein.


Subject(s)
Animals , Humans , Male , Middle Aged , Liver Cirrhosis , Liver Diseases, Parasitic , Portal Vein , Schistosomiasis mansoni , Liver Cirrhosis/parasitology , Liver Cirrhosis/pathology , Liver Cirrhosis , Liver Diseases, Parasitic/parasitology , Liver Diseases, Parasitic/pathology , Liver Diseases, Parasitic , Magnetic Resonance Imaging , Portal Vein/parasitology , Portal Vein/pathology , Portal Vein , Severity of Illness Index , Schistosomiasis mansoni/complications , Schistosomiasis mansoni/pathology , Schistosomiasis mansoni
17.
Mem Inst Oswaldo Cruz ; 101 Suppl 1: 279-82, 2006 Sep.
Article in English | MEDLINE | ID: mdl-17308782

ABSTRACT

Abdominal ultrasound (US) has been widely used in the evaluation of patients with schistosomiasis mansoni. It represents an important indirect method of diagnosis and classification of the disease, and it has also been used as a tool in the evaluation of therapeutic response and regression of fibrosis. We describe the case of a man in whom US showed solid evidence of schistosomal periportal fibrosis and magnetic resonance imaging revealed that periportal signal alteration corresponded to adipose tissue which entered the liver together with the portal vein.


Subject(s)
Liver Cirrhosis , Liver Diseases, Parasitic , Portal Vein , Schistosomiasis mansoni , Animals , Humans , Liver Cirrhosis/diagnostic imaging , Liver Cirrhosis/parasitology , Liver Cirrhosis/pathology , Liver Diseases, Parasitic/diagnostic imaging , Liver Diseases, Parasitic/parasitology , Liver Diseases, Parasitic/pathology , Magnetic Resonance Imaging , Male , Middle Aged , Portal Vein/diagnostic imaging , Portal Vein/parasitology , Portal Vein/pathology , Schistosomiasis mansoni/complications , Schistosomiasis mansoni/diagnostic imaging , Schistosomiasis mansoni/pathology , Severity of Illness Index , Ultrasonography
18.
Bioorg Med Chem Lett ; 15(4): 1033-7, 2005 Feb 15.
Article in English | MEDLINE | ID: mdl-15686907

ABSTRACT

The anti-inflammatory and analgesic effects of three dibenzylbutyrolactone lignans, (-)-hinokinin (2), (-)-6,6'-dinitrohinokinin (3), and (-)-6,6'-diaminohinokinin (4), obtained by partial synthesis from (-)-cubebin (1), were investigated using different animal models. It was observed that compounds (1) and (2) inhibited the edema formation in the rat paw edema assay at the same level and that all responses were dose dependent. Also, at the dose of 30 mg/kg, compounds 1, 2, 3, and 4 inhibited the edema formation by 53%, 63%, 54%, and 82%, respectively, at the third hour of the experiment. In the acetic acid-induced writhing test in mice, compounds 2 and 4 produced inhibition levels of 97% and 92%, respectively, while 3 displayed lower effect (75%), which was still higher than 1. The assayed compounds neither displayed activity in the cell migration test nor in the hot plate test.


Subject(s)
Lactones/chemical synthesis , Lignans/chemistry , Lignans/chemical synthesis , Analgesics/chemical synthesis , Analgesics/pharmacology , Animals , Anti-Inflammatory Agents/chemical synthesis , Anti-Inflammatory Agents/pharmacology , Dose-Response Relationship, Drug , Edema/drug therapy , Lactones/pharmacology , Lignans/pharmacology , Pain Threshold/drug effects , Rats
19.
J Comp Neurol ; 482(2): 166-75, 2005 Feb 07.
Article in English | MEDLINE | ID: mdl-15611990

ABSTRACT

The transcription factors c-Fos and Zif268 have been used as markers of neuronal activity, and they also have been implicated in neuronal plasticity. In this study, we investigated the expression of c-Fos and Zif268 proteins in the lateral geniculate nucleus (LGN) and in the cortical primary visual area (V1) of normal adult Cebus apella monkeys and in animals with monocular lesions. In the LGN, the reaction for c-Fos showed immunopositive cells in both magnocellular (M) and parvocellular (P) layers; however, the label was heavier in P layers. In animals that suffered monocular lesions, the immunocytochemistry for c-Fos showed more labeling in layers related to the normal eye compared with those of the lesioned eye. No specific label was observed after the reaction for Zif268 in the LGN. In V1, the reaction for both Zif268 and c-Fos showed a pattern of lamination in which heavier labeling was found in layers 2/3, 4A, 4C, and 6. After monocular lesions, we observed a clear pattern of ocular dominance columns in V1 for both c-Fos and Zif268, in which the columns related to the normal eye are more heavily labeled than those related to the lesioned eye. This pattern is more evident in layer 4C after c-Fos reaction, whereas, after Zif268, it is more clearly observed in layers 2/3. These results suggest that, in addition to be regulated by functional activity, these transcription factors are involved in different processes during cortical reorganization.


Subject(s)
DNA-Binding Proteins/metabolism , Dominance, Ocular/physiology , Geniculate Bodies/metabolism , Immediate-Early Proteins/metabolism , Proto-Oncogene Proteins c-fos/metabolism , Transcription Factors/metabolism , Visual Cortex/metabolism , Animals , DNA-Binding Proteins/genetics , Early Growth Response Protein 1 , Female , Geniculate Bodies/cytology , Immediate-Early Proteins/genetics , Male , Neuronal Plasticity/physiology , Proto-Oncogene Proteins c-fos/genetics , Retina/injuries , Transcription Factors/genetics , Vision, Monocular/physiology , Visual Cortex/cytology
20.
Bioorg Med Chem Lett ; 15(2): 303-7, 2005 Jan 17.
Article in English | MEDLINE | ID: mdl-15603944

ABSTRACT

Five (-)-cubebin derivative compounds, (-)-O-acetyl cubebin (3), (-)-O-benzyl cubebin (4), (-)-O-(N,N-dimethylaminoethyl)-cubebin (5), (-)-hinokinin (6) and (-)-6,6'-dinitrohinokinin (7), previously synthesised by our research group, were evaluated on in vitro assay against free amastigote forms of Trypanosoma cruzi, the asogic agent of Chagas' disease. It was observed that 6 was the most active compound (IC(50)=0.7 microM), and that 4 and 5 displayed moderate activity against the parasite, giving IC(50) values of 5.7 and 4.7 microM, respectively. In contrast, it was observed that compound 3 was inactive and that 7 displayed low activity with IC(50) values of congruent with 1.5 x 10(4) and 95.3 microM, respectively.


Subject(s)
4-Butyrolactone/analogs & derivatives , Benzodioxoles/pharmacology , Lignans/pharmacology , Membrane Glycoproteins/chemistry , Protozoan Proteins/chemistry , Trypanocidal Agents/pharmacology , Trypanosoma cruzi/drug effects , 4-Butyrolactone/chemistry , 4-Butyrolactone/pharmacology , 4-Butyrolactone/therapeutic use , Animals , Benzodioxoles/chemistry , Benzodioxoles/therapeutic use , Chagas Disease/drug therapy , Inhibitory Concentration 50 , Lignans/chemistry , Lignans/therapeutic use , Parasitic Sensitivity Tests , Structure-Activity Relationship , Trypanocidal Agents/chemistry , Trypanocidal Agents/therapeutic use
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