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1.
Dev Cell ; 58(10): 836-846.e6, 2023 05 22.
Article in English | MEDLINE | ID: mdl-37084728

ABSTRACT

Glioblastoma is thought to originate from neural stem cells (NSCs) of the subventricular zone that acquire genetic alterations. In the adult brain, NSCs are largely quiescent, suggesting that deregulation of quiescence maintenance may be a prerequisite for tumor initiation. Although inactivation of the tumor suppressor p53 is a frequent event in gliomagenesis, whether or how it affects quiescent NSCs (qNSCs) remains unclear. Here, we show that p53 maintains quiescence by inducing fatty-acid oxidation (FAO) and that acute p53 deletion in qNSCs results in their premature activation to a proliferative state. Mechanistically, this occurs through direct transcriptional induction of PPARGC1a, which in turn activates PPARα to upregulate FAO genes. Dietary supplementation with fish oil containing omega-3 fatty acids, natural PPARα ligands, fully restores quiescence of p53-deficient NSCs and delays tumor initiation in a glioblastoma mouse model. Thus, diet can silence glioblastoma driver mutations, with important implications for cancer prevention.


Subject(s)
Glioblastoma , Neural Stem Cells , Mice , Animals , Tumor Suppressor Protein p53 , PPAR alpha , Diet , Mutation
2.
Nat Commun ; 13(1): 7338, 2022 11 28.
Article in English | MEDLINE | ID: mdl-36443305

ABSTRACT

Transient lysosomal damage after infection with cytosolic pathogens or silica crystals uptake results in protease leakage. Whether limited leakage of lysosomal contents into the cytosol affects the function of cytoplasmic organelles is unknown. Here, we show that sterile and non-sterile lysosomal damage triggers a cell death independent proteolytic remodelling of the mitochondrial proteome in macrophages. Mitochondrial metabolic reprogramming required leakage of lysosomal cathepsins and was independent of mitophagy, mitoproteases and proteasome degradation. In an in vivo mouse model of endomembrane damage, live lung macrophages that internalised crystals displayed impaired mitochondrial function. Single-cell RNA-sequencing revealed that lysosomal damage skewed metabolic and immune responses in alveolar macrophages subsets with increased lysosomal content. Functionally, drug modulation of macrophage metabolism impacted host responses to Mycobacterium tuberculosis infection in an endomembrane damage dependent way. This work uncovers an inter-organelle communication pathway, providing a general mechanism by which macrophages undergo mitochondrial metabolic reprograming after endomembrane damage.


Subject(s)
Mitochondria , Proteome , Animals , Mice , Macrophages , Mitophagy , Peptide Hydrolases , Lysosomes
4.
Commun Biol ; 5(1): 877, 2022 08 26.
Article in English | MEDLINE | ID: mdl-36028752

ABSTRACT

α-ketoglutarate (αKG) is a central metabolic node with a broad influence on cellular physiology. The αKG analogue N-oxalylglycine (NOG) and its membrane-permeable pro-drug derivative dimethyl-oxalylglycine (DMOG) have been extensively used as tools to study prolyl hydroxylases (PHDs) and other αKG-dependent processes. In cell culture media, DMOG is rapidly converted to MOG, which enters cells through monocarboxylate transporter MCT2, leading to intracellular NOG concentrations that are sufficiently high to inhibit glutaminolysis enzymes and cause cytotoxicity. Therefore, the degree of (D)MOG instability together with MCT2 expression levels determine the intracellular targets NOG engages with and, ultimately, its effects on cell viability. Here we designed and characterised a series of MOG analogues with the aims of improving compound stability and exploring the functional requirements for interaction with MCT2, a relatively understudied member of the SLC16 family. We report MOG analogues that maintain ability to enter cells via MCT2, and identify compounds that do not inhibit glutaminolysis or cause cytotoxicity but can still inhibit PHDs. We use these analogues to show that, under our experimental conditions, glutaminolysis-induced activation of mTORC1 can be uncoupled from PHD activity. Therefore, these new compounds can help deconvolute cellular effects that result from the polypharmacological action of NOG.


Subject(s)
Amino Acids, Dicarboxylic , Ketoglutaric Acids , Biology , Mechanistic Target of Rapamycin Complex 1
5.
J Biol Chem ; 297(5): 101294, 2021 11.
Article in English | MEDLINE | ID: mdl-34634303

ABSTRACT

Tandem mass spectrometry (MS/MS) is an accurate tool to assess modified ribonucleosides and their dynamics in mammalian cells. However, MS/MS quantification of lowly abundant modifications in non-ribosomal RNAs is unreliable, and the dynamic features of various modifications are poorly understood. Here, we developed a 13C labeling approach, called 13C-dynamods, to quantify the turnover of base modifications in newly transcribed RNA. This turnover-based approach helped to resolve mRNA from ncRNA modifications in purified RNA or free ribonucleoside samples and showed the distinct kinetics of the N6-methyladenosine (m6A) versus 7-methylguanosine (m7G) modification in polyA+-purified RNA. We uncovered that N6,N6-dimethyladenosine (m62A) exhibits distinct turnover in small RNAs and free ribonucleosides when compared to known m62A-modified large rRNAs. Finally, combined measurements of turnover and abundance of these modifications informed on the transcriptional versus posttranscriptional sensitivity of modified ncRNAs and mRNAs, respectively, to stress conditions. Thus, 13C-dynamods enables studies of the origin of modified RNAs at steady-state and subsequent dynamics under nonstationary conditions. These results open new directions to probe the presence and biological regulation of modifications in particular RNAs.


Subject(s)
Adenosine , Carbon Isotopes , Guanosine/analogs & derivatives , RNA Processing, Post-Transcriptional , RNA , Adenosine/chemistry , Adenosine/metabolism , Adenosine/pharmacology , Carbon Isotopes/chemistry , Carbon Isotopes/pharmacology , Guanosine/chemistry , Guanosine/metabolism , Guanosine/pharmacology , Isotope Labeling , RNA/chemistry , RNA/metabolism , Tandem Mass Spectrometry
6.
Front Pharmacol ; 12: 702032, 2021.
Article in English | MEDLINE | ID: mdl-34276385

ABSTRACT

Objective: The aim of the current study is to investigate the chemical composition, cytotoxic effect, and leishmanicidal activity of propolis collected in the semi-arid region of Bahia, Brazil. Methods: EtOH extract, hexane, EtOAc and MeOH fractions from propolis were analyzed by ultra-performance liquid chromatography coupled with diode array detector and quadrupole time-of-flight mass spectrometry. The identification was based on the exact mass, general fragmentation behaviors and UV absorption of the flavonoids. The in vitro cytotoxic effect and leishmanicidal activity of ethanolic extract, hexane, ethyl acetate, and methanolic fractions of propolis were evaluated. Results: Five triterpenes and twenty-four flavonoids were identified. The propolis did not present toxicity to the host cell up to the maximum concentration tested. In addition, all tested samples showed statistically significant activity against promastigotes of Leishmania chagasi and Leishmania amazonensis. Regarding the activity against amastigote forms of L. amazonensis, the hexane fraction, presented statistically significant activity with IC50 of 1.3 ± 0.1 µg/ml. Conclusion: The results support the idea that propolis can be used for future antileishmania studies.

7.
Sci Adv ; 7(22)2021 05.
Article in English | MEDLINE | ID: mdl-33888467

ABSTRACT

The coronaviral spike is the dominant viral antigen and the target of neutralizing antibodies. We show that SARS-CoV-2 spike binds biliverdin and bilirubin, the tetrapyrrole products of heme metabolism, with nanomolar affinity. Using cryo-electron microscopy and x-ray crystallography, we mapped the tetrapyrrole interaction pocket to a deep cleft on the spike N-terminal domain (NTD). At physiological concentrations, biliverdin significantly dampened the reactivity of SARS-CoV-2 spike with immune sera and inhibited a subset of neutralizing antibodies. Access to the tetrapyrrole-sensitive epitope is gated by a flexible loop on the distal face of the NTD. Accompanied by profound conformational changes in the NTD, antibody binding requires relocation of the gating loop, which folds into the cleft vacated by the metabolite. Our results indicate that SARS-CoV-2 spike NTD harbors a dominant epitope, access to which can be controlled by an allosteric mechanism that is regulated through recruitment of a metabolite.


Subject(s)
COVID-19/immunology , Heme/metabolism , Spike Glycoprotein, Coronavirus/chemistry , Spike Glycoprotein, Coronavirus/immunology , Spike Glycoprotein, Coronavirus/metabolism , Antibodies, Monoclonal/immunology , Antibodies, Monoclonal/metabolism , Antibodies, Neutralizing/immunology , Bilirubin/metabolism , Biliverdine/metabolism , Cryoelectron Microscopy , Crystallography, X-Ray , Epitopes , Humans , Immune Sera , SARS-CoV-2/immunology , SARS-CoV-2/pathogenicity
8.
medRxiv ; 2021 Jan 26.
Article in English | MEDLINE | ID: mdl-33532784

ABSTRACT

The coronaviral spike is the dominant viral antigen and the target of neutralizing antibodies. We show that SARS-CoV-2 spike binds biliverdin and bilirubin, the tetrapyrrole products of haem metabolism, with nanomolar affinity. Using cryo-electron microscopy and X-ray crystallography we mapped the tetrapyrrole interaction pocket to a deep cleft on the spike N-terminal domain (NTD). At physiological concentrations, biliverdin significantly dampened the reactivity of SARS-CoV-2 spike with immune sera and inhibited a subset of neutralizing antibodies. Access to the tetrapyrrole-sensitive epitope is gated by a flexible loop on the distal face of the NTD. Accompanied by profound conformational changes in the NTD, antibody binding requires relocation of the gating loop, which folds into the cleft vacated by the metabolite. Our results indicate that the virus co-opts the haem metabolite for the evasion of humoral immunity via allosteric shielding of a sensitive epitope and demonstrate the remarkable structural plasticity of the NTD.

9.
Nat Commun ; 12(1): 377, 2021 01 15.
Article in English | MEDLINE | ID: mdl-33452240

ABSTRACT

Circadian clocks coordinate mammalian behavior and physiology enabling organisms to anticipate 24-hour cycles. Transcription-translation feedback loops are thought to drive these clocks in most of mammalian cells. However, red blood cells (RBCs), which do not contain a nucleus, and cannot perform transcription or translation, nonetheless exhibit circadian redox rhythms. Here we show human RBCs display circadian regulation of glucose metabolism, which is required to sustain daily redox oscillations. We found daily rhythms of metabolite levels and flux through glycolysis and the pentose phosphate pathway (PPP). We show that inhibition of critical enzymes in either pathway abolished 24-hour rhythms in metabolic flux and redox oscillations, and determined that metabolic oscillations are necessary for redox rhythmicity. Furthermore, metabolic flux rhythms also occur in nucleated cells, and persist when the core transcriptional circadian clockwork is absent in Bmal1 knockouts. Thus, we propose that rhythmic glucose metabolism is an integral process in circadian rhythms.


Subject(s)
Circadian Clocks/physiology , Circadian Rhythm/physiology , Erythrocytes/metabolism , Glycolysis/physiology , Pentose Phosphate Pathway/physiology , ARNTL Transcription Factors/genetics , ARNTL Transcription Factors/metabolism , Animals , Cells, Cultured , Fibroblasts , Gene Knockout Techniques , Healthy Volunteers , Humans , Male , Metabolomics , Mice , Oxidation-Reduction , Primary Cell Culture
11.
Science ; 364(6447): 1279-1282, 2019 06 28.
Article in English | MEDLINE | ID: mdl-31249058

ABSTRACT

Tuberculosis, caused by the intracellular pathogen Mycobacterium tuberculosis, remains the world's deadliest infectious disease. Sterilizing chemotherapy requires at least 6 months of multidrug therapy. Difficulty visualizing the subcellular localization of antibiotics in infected host cells means that it is unclear whether antibiotics penetrate all mycobacteria-containing compartments in the cell. Here, we combined correlated light, electron, and ion microscopy to image the distribution of bedaquiline in infected human macrophages at submicrometer resolution. Bedaquiline accumulated primarily in host cell lipid droplets, but heterogeneously in mycobacteria within a variety of intracellular compartments. Furthermore, lipid droplets did not sequester antibiotic but constituted a transferable reservoir that enhanced antibacterial efficacy. Thus, strong lipid binding facilitated drug trafficking by host organelles to an intracellular target during antimicrobial treatment.


Subject(s)
Antitubercular Agents/pharmacokinetics , Diarylquinolines/pharmacokinetics , Macrophages/metabolism , Macrophages/microbiology , Antitubercular Agents/analysis , Antitubercular Agents/pharmacology , Diarylquinolines/analysis , Diarylquinolines/pharmacology , Humans , Lipid Droplets/chemistry , Lipid Droplets/metabolism , Macrophages/chemistry , Microscopy, Electron , Mycobacterium tuberculosis
12.
Mol Neurobiol ; 54(8): 6261-6272, 2017 10.
Article in English | MEDLINE | ID: mdl-27714633

ABSTRACT

Glioblastoma (GBM) is the most common and aggressive primary malignant brain tumor in adults. Hypoxia is a distinct feature in GBM and plays a significant role in tumor progression, resistance to treatment, and poor outcome. However, there is lack of studies relating type of cell death, status of Akt phosphorylation on Ser473, mitochondrial membrane potential, and morphological changes of tumor cells after hypoxia and reoxygenation. The rat glioma C6 cell line was exposed to oxygen deprivation (OD) in 5 % fetal bovine serum (FBS) or serum-free media followed by reoxygenation (RO). OD induced apoptosis on both 5 % FBS and serum-free groups. Overall, cells on serum-free media showed more profound morphological changes than cells on 5 % FBS. Moreover, our results suggest that OD combined with absence of serum provided a favorable environment for glioblastoma dedifferentiation to cancer stem cells, since nestin, and CD133 levels increased. Reoxygenation is present in hypoxic tumors through microvessel formation and cell migration to oxygenated areas. However, few studies approach these phenomena when analyzing hypoxia. We show that RO caused morphological alterations characteristic of cells undergoing a differentiation process due to increased GFAP. In the present study, we characterized an in vitro hypoxic microenvironment associated with GBM tumors, therefore contributing with new insights for the development of therapeutics for resistant glioblastoma.


Subject(s)
Brain Neoplasms/pathology , Glioblastoma/pathology , Hypoxia/pathology , Neoplastic Stem Cells/pathology , Neurons/pathology , Tumor Microenvironment , Animals , Apoptosis/physiology , Brain Neoplasms/metabolism , Cell Line, Tumor , Glioblastoma/metabolism , Hypoxia/metabolism , Membrane Potential, Mitochondrial/physiology , Neoplastic Stem Cells/metabolism , Neurons/metabolism , Oxygen/metabolism , Phosphorylation , Proto-Oncogene Proteins c-akt/metabolism , Rats
13.
Zootaxa ; 4040(4): 483-8, 2015 Nov 12.
Article in English | MEDLINE | ID: mdl-26624684

ABSTRACT

Epistylis smalli n. sp., a freshwater colonial peritrich, was collected in Guaíba Lake, Southern Brazil. Its morphology was investigated using in vivo observations and protargol stained specimens. E. smalli possess an elongate zooid that measures in vivo, on average, 173 µm in length and 50 µm in width. A C-shaped macronucleus that surrounds the infundibulum and a single contractile vacuole could be easily observed in the living cell. The oral infraciliature observed in silver-stained specimens was typical of peritrich ciliates, with three infundibular polykinetids bearing three rows of kinetosomes. A detailed description of the live and stained zooids is given.


Subject(s)
Ciliophora/classification , Animal Structures/anatomy & histology , Animal Structures/growth & development , Animals , Body Size , Brazil , Ciliophora/growth & development , Lakes/parasitology , Organ Size
14.
Eur J Med Chem ; 101: 1-12, 2015 Aug 28.
Article in English | MEDLINE | ID: mdl-26107111

ABSTRACT

As part of a program to develop new drugs for the treatment of neglected diseases, new dialkylphosphorylhydrazones were synthesized and evaluated against the trypanosomatid parasites Leishmania braziliensis and Leishmania amazonensis. The synthesis of these compounds proved satisfactory with yields ranging from moderate to good. The most active compounds against L. braziliensis presented IC50 values in the 10(-2) µM range, similar to that of the reference drug pentamidine. Two compounds, 4m and 4n, showed a significant dose dependent decrease in the infection index of L. amazonensis infected macrophages and caused a complete healing of nodules and ulcers when tested in vivo against L. amazonensis-infected mice, but the control of parasite burden at the inoculation site was statistically significant only in the case of treatment with 4n. A target fishing (reverse docking) approach using molecular docking with 15 enzymes of L. braziliensis indicated that the probable target of the active compounds was hexokinase, the first enzyme of the glycolytic pathway.


Subject(s)
Hydrazones/chemistry , Hydrazones/pharmacology , Leishmania/drug effects , Trypanocidal Agents/chemical synthesis , Trypanocidal Agents/pharmacology , Animals , Dose-Response Relationship, Drug , Hexokinase/metabolism , Hydrazones/chemical synthesis , Leishmania/enzymology , Leishmania/metabolism , Macrophages/drug effects , Macrophages/parasitology , Mice , Molecular Docking Simulation , Molecular Structure , Parasitic Sensitivity Tests , Structure-Activity Relationship , Trypanocidal Agents/chemistry
15.
Vet Parasitol ; 204(3-4): 169-76, 2014 Aug 29.
Article in English | MEDLINE | ID: mdl-24863572

ABSTRACT

Zoonotic visceral leishmaniasis (VL) is a widespread disease, and dogs are the main reservoirs for human parasite transmission. Hence, development of an effective vaccine that prevents disease and reduces the transmission of VL is required. As euthanasia of seropositive dogs is recommended in Brazil for VL epidemiological control, to include anti-VL canine vaccines as a mass control measure it is necessary to characterize the humoral responses induced by vaccination and if they interfere with the reactivity of vaccinated dogs in serological diagnostic tests. Leish-Tec(®) is an amastigote-specific A2 recombinant protein vaccine against canine visceral leishmaniasis (CVL) that is commercially available in Brazil. Here, we tested the immunogenicity of Leish-Tec(®) in a heterogeneous dog population by measuring A2-specific antibody responses. Healthy dogs (n=140) of various breeds were allocated to two groups: one group received Leish-Tec(®) (n=70), and the other group received a placebo (n=70). Anti-A2 or anti-Leishmania promastigote antigen (LPA) antibody levels were measured by ELISA in serum samples collected before and after vaccination. An immunochromatographic test (DPP) based on the recombinant K28 antigen was also used for serodiagnosis of CVL. Vaccinated animals, except one, remained seronegative for anti-LPA total IgG and anti-K28 antibodies. Conversely, seropositivity for anti-A2 total IgG antibodies was found in 98% of animals after vaccination. This value decreased to 81.13% at 6 months before rising again (98%), after the vaccination boost. Anti-A2 IgG2 and IgG1 titers were also increased in vaccinated animals relative to control animals. These data indicate that Leish-Tec(®) is immunogenic for dogs of different genetic backgrounds and that humoral responses induced by vaccination can be detected by A2-ELISA, but do not interfere with the LPA-ELISA and DPP diagnostic tests for CVL.


Subject(s)
Antibodies, Protozoan/blood , Antigens, Protozoan/immunology , Dog Diseases/prevention & control , Leishmania donovani/immunology , Leishmaniasis Vaccines/immunology , Leishmaniasis, Visceral/prevention & control , Animals , Dog Diseases/parasitology , Dogs , Enzyme-Linked Immunosorbent Assay/veterinary , Immunoglobulin G/blood , Leishmaniasis, Visceral/parasitology , Serologic Tests/veterinary , Vaccination/veterinary , Vaccines, Synthetic
16.
PLoS Negl Trop Dis ; 6(5): e1622, 2012.
Article in English | MEDLINE | ID: mdl-22629475

ABSTRACT

BACKGROUND: Zoonotic visceral leishmaniasis (VL) is a severe infectious disease caused by protozoan parasites of the genus Leishmania and the domestic dogs are the main urban parasite reservoir hosts. In Brazil, indirect fluorescence antibody tests (IFAT) and indirect enzyme linked immunosorbent assay (ELISA) using promastigote extracts are widely used in epidemiological surveys. However, their sensitivity and specificity have often been compromised by the use of complex mixtures of antigens, which reduces their accuracy allowing the maintenance of infected animals that favors transmission to humans. In this context, the use of combinations of defined peptides appears favorable. Therefore, they were tested by combinations of five peptides derived from the previously described Leishmania diagnostic antigens A2, NH, LACK and K39. METHODOLOGY/PRINCIPAL FINDINGS: Combinations of peptides derived A2, NH, LACK and K39 antigens were used in ELISA with sera from 44 human patients and 106 dogs. Improved sensitivities and specificities, close to 100%, were obtained for both sera of patients and dogs. Moreover, high sensitivity and specificity were observed even for canine sera presenting low IFAT anti-Leishmania antibody titers or from asymptomatic animals. CONCLUSIONS/SIGNIFICANCE: The use of combinations of B cell predicted synthetic peptides derived from antigens A2, NH, LACK and K39 may provide an alternative for improved sensitivities and specificities for immunodiagnostic assays of VL.


Subject(s)
Clinical Laboratory Techniques/methods , Dog Diseases/diagnosis , Leishmaniasis, Visceral/diagnosis , Leishmaniasis, Visceral/veterinary , Peptides , Animals , Brazil , Dogs , Enzyme-Linked Immunosorbent Assay/methods , Humans , Immunologic Tests/methods , Sensitivity and Specificity
17.
Menopause ; 19(3): 339-45, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22089178

ABSTRACT

OBJECTIVE: The aim of this study was to investigate the effect of postmenopausal hormone therapy on coagulation and whether this effect differs according to ABO blood groups. METHODS: This was a prospective observational study to evaluate factor VIII (FVIII) activity, factor von Willebrand (vWF), and D-dimer (D-Di) levels and ABO blood groups in 61 postmenopausal women using oral estrogen plus progestogen therapy (EPT; 2 mg estradiol + 1 mg norethisterone acetate) for 3 months and in 101 women not using EPT. After 3 months, all eligible women who had completed the treatment scheme proposed for the EPT group or those who opted to participate but had not undergone EPT had a blood sample collected for analysis. RESULTS: Significant differences were observed in FVIII activity and vWF levels in the control group between those carrying group O and non-group O blood. For EPT users, significant differences were observed for FVIII activity, vWF, and D-Di levels. After a multivariate regression analysis, FVIII activity and ABO blood groups were independently associated with vWF levels, whereas interaction between ABO blood groups and EPT were independently associated with FVIII activity. Besides diabetes, the ABO × EPT interaction was also noted to be independently associated with D-Di levels. CONCLUSIONS: These findings suggest an interactive effect between oral EPT and non-O blood groups, contributing to the mechanism by which estrogen triggers the hypercoagulability state and increased risk for venous thrombosis in women undergoing oral EPT.


Subject(s)
ABO Blood-Group System/physiology , Blood Coagulation/drug effects , Estrogens/adverse effects , Hormone Replacement Therapy/adverse effects , Progestins/adverse effects , Thrombophilia/chemically induced , Estrogens/therapeutic use , Factor VIII/analysis , Female , Fibrin Fibrinogen Degradation Products/analysis , Humans , Middle Aged , Progestins/therapeutic use , Prospective Studies , von Willebrand Factor/analysis
18.
Enferm. foco (Brasília) ; 2(4): 248-250, nov. 2011.
Article in Portuguese | BDENF - Nursing | ID: biblio-1028148

ABSTRACT

Estudo tipo série histórica acerca do tempo médio de atuação dos enfermeiros que por algum motivo cancelaram sua inscrição no Conselho Regional de Enfermagem de Minas Gerais (COREN-MG) entre 1995 e 2006. As variáveis incluem tempo e local de atuação profissional, sexo, faixa etária e motivo do cancelamento. O cancelamento das inscrições foi de 1.035 enfermeiros: destes, 92,2% do sexo feminino. O tempo de atuação do enfermeiro no mercado de trabalho aproxima-se de 50% nos dez primeiros anos e 25% entre 11 a 20 anos. No primeiro ano de atuação, há uma evasão de 10%...


A time series study on average time of nurse practice before cancelling their Regional Council of Nursing of Minas Gerais (MG-COREN) was conducted using data from 1995 to 2006. Variables included time and location of professional activity, gender, age and reason for cancellation. Cancellation of entries was 1,035 nurses of which 92.2% were female. The operating time of the nurse in the labor market was approaching 50% in the first ten years and 25% from 11 to 20 years. In the first year of work, there was a 10% drop out...


Estudio del tipo serie histórica relacionado al tiempo medio de actuación de los enfermeros que por algún motivo cancelaron su inscripción en el Consejo Regional de Enfermería, Minas Gerais (COREN-MG), entre 1995 y 2006. Las variables incluyen tiempo y local de actuación profesional, sexo, grupo etario y motivo de la cancelación. La cancelación de las inscripciones fue de 1.035 enfermeros, siendo 92.2% del sexo femenino. El tiempo de actuación del enfermero se aproxima de 50% en los diez primeros años y 25% entre 11 a 20 años. En el primer año de actuación hay una evasión de 10%...


Subject(s)
Male , Female , Humans , Nursing , Professional Practice , Job Satisfaction , Nursing Research
19.
Mol Biol Rep ; 38(8): 5355-60, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21373825

ABSTRACT

The 4G/5G polymorphism in the plasminogen activator inhibitor-1 (PAI-1) gene, has been associated with arterial disease. In this study, we investigated the association of IS in young patients with CRP and PAI-1 levels and frequency of insertion-deletion polymorphism of PAI-1 gene. The plasma levels of PAI-1 and CRP and the frequency of 4G/5G polymorphism were analyzed in 127 Brazilian young patients that presented IS and in 201 healthy and unrelated control subjects. The levels of CRP (P < 0.001) and PAI-1 (P < 0.001) were significantly higher in patients when compared with control group. Only PAI-1 plasma levels were independently associated with risk of IS (OR 3.40; 95% CI 1.49-7.74; P = 0.001) after adjustments for lifestyles covariates. The 4G/4G genotype was significantly more frequent among control subjects as compared to patients (OR 0.41; 95% CI 0.24-0.68; P < 0.001). Although increased PAI-1 plasma levels are associated with development of IS in Brazilian young patients, they are not influenced by the 4G/5G PAI-1 polymorphism.


Subject(s)
Brain Ischemia/complications , Genetic Predisposition to Disease , Plasminogen Activator Inhibitor 1/blood , Plasminogen Activator Inhibitor 1/genetics , Polymorphism, Single Nucleotide/genetics , Promoter Regions, Genetic , Stroke/complications , Adolescent , Adult , Brain Ischemia/blood , Brain Ischemia/genetics , C-Reactive Protein/metabolism , Case-Control Studies , Female , Humans , Male , Middle Aged , Multivariate Analysis , Regression Analysis , Stroke/blood , Stroke/genetics , Young Adult
20.
J Phys Act Health ; 8(1): 126-32, 2011 Jan.
Article in English | MEDLINE | ID: mdl-21297193

ABSTRACT

BACKGROUND: The aim of this study was to identify barriers to physical activity among elderly Brazilian women of different socioeconomic status (SES). METHODS: A focus-group approach was employed. Subjects were aged, on average, 69.9 years (±6.9; n = 25). SES was measured based on a structured interview and women were grouped according to SES classification. Content analysis was used to categorize mentions of barriers to physical activities followed by descriptive analysis of absolute and relative frequencies of similar reports. RESULTS: Most common barriers among high-SES elderly women were those within "psychological, cognitive, and emotional" dimensions (33.8%) and "environmental" (29.2%). Among women from lower SES, barriers were inversely ranked, the highest prevalence was verified for environmental (33.8%) and "psychological, cognitive, and emotional" dimensions (25%). CONCLUSIONS: The results highlight that barriers perception varies according to women's SES, indicating that physical activity promotion strategies must address such differences.


Subject(s)
Environment Design , Exercise/psychology , Health Status Disparities , Social Class , Women's Health , Aged , Brazil , Data Interpretation, Statistical , Female , Focus Groups , Humans , Male , Physical Fitness/psychology , Qualitative Research , Social Environment , Surveys and Questionnaires
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