Cadmium exposure and risk of breast cancer: A meta-analysis.

BACKGROUND: Cadmium is a heavy metal with carcinogenic properties, highly prevalent in industrialized areas worldwide. Prior reviews evaluating whether cadmium influences breast cancer have been inconclusive and not reflected several recent studies. OBJECTIVE: To evaluate the association between cadmium exposure and female breast cancer incidence, with an emphasis on separately estimating dietary vs. airborne vs. biomarker measures of cadmium and studies published until October 2022. METHODS: We evaluated risk of bias using set criteria and excluded one study judged to have high risk based on self-report of breast cancer and insufficient adjustment. We conducted a random effects meta-analysis of epidemiological studies, including subgroups by exposure route and by menopausal status. RESULTS: A total of 17 studies were eligible for our meta-analysis. Only 2 studies addressed airborne cadmium directly. Breast cancer risk was elevated in women exposed to higher levels of cadmium across all studies - pooled odds ratio: 1.13 (95% confidence interval: 1.00, 1.28), with notable heterogeneity between studies (I2 = 77%). When examining separately by exposure route, dietary cadmium was not linked with an elevated risk - (OR: 1.05; 95%CI: 0.91, 1.21; I2 = 69%), consistent with prior reviews, but biomarker-based studies showed an elevated but non-significant pooled measure (OR: 1.37; 95%CI: 0.96, 1.94; I2 = 84%). We did not observe any clear patterns of different risk by menopausal status. CONCLUSION: Findings from our meta-analysis suggest that exposure to higher cadmium increases the risk of breast cancer in women, but with remaining questions about whether non-dietary exposure may be more risky or whether residual confounding by constituents of tobacco smoke may be at play.

Indications for and diagnostic yield of capsule endoscopy in the elderly. / Indicaciones y rendimiento diagnóstico de la cápsula endoscópica en el anciano.

INTRODUCTION AND AIMS: The growing elderly population and wide use of capsule endoscopy have led to a higher number of procedures in those patients. The aim of the present study was to assess the usefulness of capsule endoscopy in older patients. MATERIALS AND METHODS: All consecutive patients undergoing capsule endoscopy at our center within the time frame of 2004-2016 were classified as older (≥75 years of age) and younger. Findings and diagnostic yield were comparatively assessed. RESULTS: Of 2311 patients (mean age: 59.5 ± 19.23 years, 44.48% male), 648 were in the older group and 1663 in the younger group. Gastric transit time was shorter in the older patients (p=0.001), whereas small bowel transit time was shorter in the younger patients (p<0.001). Overall diagnostic yield in the elderly was higher (50.66% vs. 41.19%, p<0.001). Obscure gastrointestinal bleeding was the most frequent indication for capsule endoscopy in the elderly (90.4% vs. 53.77%, p<0.001), achieving a higher diagnostic yield than in the younger population (51.47% vs. 42.76%, p=0.002), whereas Crohn's disease, suspected or known neoplasms/polyps, malabsorption syndrome, and abdominal pain were the indications in the younger patient group. Such indications were rare in the older group. Vascular lesions and active bleeding were more frequently diagnosed in the older patients, whereas ulcers/erosions and mucosal atrophy were more common in the younger patients (p<0.001). CONCLUSIONS: Capsule endoscopy achieved a higher overall diagnostic yield in the elderly patients. Obscure gastrointestinal bleeding indication for capsule endoscopy was much more frequent in the advanced-age group and had a higher diagnostic yield.

Supercritical Fluid Extraction of Pyrrolidine Alkaloid from Leaves of Piper amalago L.

Supercritical fluid extraction was used to extract the alkaloid N-[7-(3',4'-methylenedioxyphenyl)-2(Z),4(Z)-heptadienoyl]pyrrolidine from leaves of Piper amalago L. A three-level orthogonal array design matrix, OAD OA9(34), was used for optimization of the parameters of supercritical extraction of the alkaloid, employing supercritical carbon dioxide: extraction time (20, 40, and 60 min), temperature (40, 50, and 60°C), pressure (150, 200, and 250 bar), and the use of cosolvents (ethanol, methanol, and propyleneglycol). All parameters had significant effect on the alkaloid yield. The alkaloid yield after 60 min of extraction without cosolvents at 9 different conditions (32) in terms of temperature (40, 50, and 60°C) and pressure (150, 200, and 250 bar) was also evaluated. The optimal yield (≈3.8 mg g-1) was obtained with supercritical CO2 + methanol (5% v : v) at 40°C and 200 bar for 60 min of extraction.

Prevalence of irritable bowel syndrome in caregivers of patients with chronic diseases.

BACKGROUND: Caregivers are an at-risk population for psychic and physical diseases such as irritable bowel syndrome (IBS). However, it is not known whether providing care for the chronically ill patient can be considered a risk factor for developing IBS. In this study, our aim was to evaluate the prevalence of IBS according to the Rome II criteria in a group of caregivers. METHODS: A cross-sectional study was conducted through an evaluation of caregivers of chronically ill patients. Subjects completed questionnaires including the Rome II Modular Questionnaire, the Hospital Anxiety and Depression Scale, the Zarit Caregiver Burden Interview (ZCBI) (an instrument for evaluating the burden experienced by caregivers), and the irritable bowel syndrome quality of life (IBS-QoL) questionnaire. KEY RESULTS: Ninety-six primary caregivers (mean age was 43.6 ± 13.7 years and 87% were women) were evaluated. The mean length of time providing care was 37.6 months (3-288 months). Forty-seven caregivers (49%) presented with IBS. The caregivers with IBS had higher scores in the global ZCBI score (47 ± 8 vs 28 ± 8, p = 0.001) and on the anxiety and depression scale (p = 0.001) than those that did not have IBS. A total of 72% were diagnosed with caregiver stress syndrome; 42 of them had IBS according to the Rome II questionnaire (60% vs 18%, p = 0.001, relative risk 3.28, 95% CI: 1.4-7.4). CONCLUSIONS & INFERENCES: Caregivers of chronically ill patients have a high prevalence of IBS, which is associated with depression, anxiety, and poor QoL.

Can Ayahuasca and sleep loss change sexual performance in male rats?

The ingestion of the beverage Ayahuasca usually occurs in religious ceremonies that are performed during the night leading to sleep deprivation. The purpose of the present study was to characterize the acute effects of Ayahuasca upon the sexual response of sleep deprived male rats. One group of sexually experienced male Wistar rats were submitted to a paradoxical sleep deprivation (PSD) protocol for 96h, while another group spent the same amount of time in the home cage (CTRL). After this period, either saline or Ayahuasca drink (250, 500 and 1000µgmL(-1)) was administered by gavage and sexual behavior and hormonal concentrations were measured. Ayahuasca alone significantly decreased sexual performance at all doses. However, in sleep deprived rats, the lower dose increased sexual performance while the intermediate dose produced a detrimental effect on sexual response compared to the CTRL rats at the same dose. Regarding the hormonal analyses, a lower testosterone concentration was observed in sleep-deprived saline rats in relation to the CTRL group. Progesterone was significantly lower only in PSD rats at the dose 500µgmL(-1) compared with CTRL-500µgmL(-1) group. Corticosterone was unchanged among the groups evaluated. Our results suggest that Ayahuasca intake markedly impaired sexual performance alone, but, when combined with sleep deprivation, had significant, but heterogeneous, effects on male sexual response.

Influência da adubação com nitrogênio e fósforo na produção de Jambu, Acmella oleracea (L) R. K. Jansen / Influence of the fertilization with nitrogen and phosphorus in the production of jambu (Acmella oleracea (L) R. K. Jansen)

Com o objetivo de avaliar a influência de doses de nitrogênio e fósforo na cultura do Jambu, foi instalado experimento na fazenda experimental da APTA Polo Vale do Ribeira utilizando-se sementes da cultivar Nazaré. Os tratamentos foram conduzidos em blocos casualizados em esquema fatorial 4 x 4, e quatro repetições dos seguintes tratamentos: quatro doses de nitrogênio, (0; 37,5; 75 e 112,5 kg ha-1 N), quatro doses de fósforo (0; 75; 150 e 300 Kg ha-1 de P2O5). O solo foi inicialmente preparado recebendo calagem e adubação de plantio conforme recomendação em função da analise de solo. Após essas operações foi feito o transplante das mudas no espaçamento de 0,50 x 0,50 m e aplicado os tratamentos. A área útil da parcela foi de 1,0 m x 1,0 m. Foram analisadas as massas frescas e secas de folhas e flores, e o número de flores. A produção de matéria fresca e seca das folhas e flores foi influenciada pela adubação. Houve efeito das doses de nitrogênio, que proporcionaram aumento linear em todas as variáveis analisadas e, para a adubação fosfatada, a dose com 75 Kg ha-1 de P2O5 proporcionou a maior produção do número de flores e na massa fresca e seca das flores.

The objective of this work was to evaluate the influence of the use of nitrogen and phosphorus in the culture of jambu. The experiment was initiated at the experimental farm of the agency APTA Polo Vale do Ribeira, using the Nazaré cultivar. The experimental design was complete randomized with fourlevelsof nitrogen (0, 37.5, 75 and 112.5 kg ha-1 N) and phosphorus (0, 75, 150 and 300 Kg ha-1P2O5),and four reapplications. After soil preparation, liming and fertilization, seedlings of jambu were transplanted at a spacing of 0.50 x 0.5 m. The experimental plot was 1.0 x 1.0 m. Fresh and dry mass of leaves and flowers and number of flowers were analyzed. The production of fresh and dry leaves and flowers were influenced by fertilization. Thelevelsof nitrogen affected the outcome, as theyprovided a linear increase in all variables, and the phosphorus level of 75 kgha-1 P2O5 caused the highest average production in the number of flowers and in the fresh and dried mass of flowers.

A survey of the entomofauna associated with the inflorescences of pejibaye (Arecaceae: Bactris gasipaes Kunth) in the Ribeira Valley, SP, Brazil / Levantamento da entomofauna associada às inflorescências de pupunheira (Arecaceae: Bactris gasipaes Kunth) no Vale do Ribeira, SP

The cultivation of pejibaye (Bactris gasipaes Kunth) has been expanding in Brazil, especially in the Vale do Ribeira, SP, where the edaphoclimatic condition is compatible with its production. With the purpose of learning about insects that visit the inflorescence of pejibaye, a survey was conducted at Polo Regional do Vale do Ribeira, located in the municipality of Pariquera-açu, SP, Brazil, and on a private property located in the municipality of Registro, SP, areas where selected pejibaye palm trees from Yurimaguas, Peru, are grown. During the month of January of 2006 and 2007, yellow sticky insect traps were placed at the inflorescences of different pejibaye matrices, soon after the bracts opened. The traps were kept throughout female and male anthesis, and removed at the end of the cycle, which lasted for about 72 hours. The 9,743 insects collected were then separated, counted, and identified according to their orders. It was observed that the most frequent insects on the inflorescence of pejibaye palms in the Vale do Ribeira, SP are Diptera, Coleoptera, and Hymenoptera.

Levantamento da entomofauna associada às inflorescências de pupenheira (Arecaceae: bactris gasipaes kunth) no vale do Ribeira, SP. A cultura da pupunheira (Bactris gasipaes Kunth) vem se expandindo no Brasil, especialmente no Vale do Ribeira, SP, onde encontra condição edafoclimática compatível à sua produção. Com o objetivo de conhecer os insetos visitantes da inflorescência da pupunheira, foi realizado levantamento em duas áreas de coleção de pupunheiras selecionadas originárias de Yurimaguas, Peru, no - Polo Regional do Vale do Ribeira – APTA/SAA-SP, localizado no Município de Pariquera-açu, SP, e em uma propriedade particular no Município de Registro, SP. Durante o mês de janeiro de 2006 e 2007, foram instaladas armadilhas adesivas entomológicas amarelas em inflorescências de diferentes matrizes de pupunheira logo após a abertura de suas brácteas, as quais foram mantidas durante a antese feminina e masculina e retiradas no término do ciclo, cerca de 72 horas. Efetuou-se a separação, contagem e identificação ao nível de ordem dos 9.743 insetos totais coletados. Verificou-se que os insetos mais frequentes na inflorescência da pupunheira no Vale do Ribeira, SP, pertencem às ordens Diptera, Coleoptera e Hymenoptera.

[Epidemiologic behavior of malignant digestive tract tumors over a five year period in Veracruz, Mexico]. / Comportamiento epidemiológico de las neoplasias malignas del tracto digestivo en un periodo de 5 años en Veracruz, Mexico.

INTRODUCTION: Tumors of the digestive system are considered to be a public health problem because of their elevated mortality rate. In Mexico, gastric cancer and colon cancer rank fourth and fifth, respectively, following tracheal, bronchial, and lung cancer, and there has been an increase in their frequency in the last few years. However, there are no specific studies that have evaluated their epidemiologic behavior in Veracruz. OBJECTIVE: To determine the frequency of digestive system cancer in five health institutions in the city of Veracruz and to describe its epidemiologic behavior over a five-year period. MATERIAL AND METHODS: Annual statistics from the following hospitals were reviewed: the Instituto Mexicano del Seguro Social, the Secretaría de Salud, the Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Petróleos Mexicanos, and the Secretaría de la Defensa Nacional within the time frame of January 2005 to December 2009. Diagnoses based on histopathology were recorded, along with patient age and sex. RESULTS: A total of 1803 cases of digestive tract cancers were detected: 52% were men and 48% were women. A yearly increase in the number of cases was observed with colon cancer being in first place, followed by stomach cancer and rectal cancer. CONCLUSIONS: The increase in digestive system cancer cases over the last five years in Veracruz underlines the need to evaluate the implementation of screening programs for the at-risk population and to study the different etiologic factors involved in its manifestation.

Germination and allometry of the native palm tree Euterpe edulis compared to the introduced E. oleracea and their hybrids in Atlantic rainforest.

Palms are distinctive plants of tropics and have peculiar allometric relations. Understanding such relations is useful in the case of introduced species because their ability to establish and invade must be clarified in terms of their responses in the new site. Our purpose was to assess the survival and invasive capacity of an introduced palm species in the Atlantic rainforest, Euterpe oleracea Mart., compared to the native Euterpe edulis Mart. and to the hybrids produced between the two species. Considering this, we compared the allometry in different ontogenetic stages, the germination rates, and aspects of the initial development. The ontogenetic stages proposed for both Euterpe illustrated the growth patterns described for palm trees. E. oleracea and hybrids adjusted to the geometric similarity allometric model, while E. edulis presented a slope greater than would be expected considering this model, indicating a greater height for a given diameter. E. oleracea showed the same amount of pulp per fruit as E. edulis and a similar initial development of seedlings. The main differences observed were a lower germination rate and a faster height gain of E. oleracea seedlings. We conclude that E. oleracea, which is similar to E. edulis in aspects of allometry, development, seed and seedling morphology, may be an important competitor of this native palm tree in the Atlantic Forest.

Memory impairment induced by brain iron overload is accompanied by reduced H3K9 acetylation and ameliorated by sodium butyrate.

Iron accumulation in the brain has been associated to the pathogenesis of neurodegenerative disorders. We have previously demonstrated that iron overload in the neonatal period results in severe and persistent memory deficits in adult rats. Alterations in histone acetylation have been associated with memory deficits in models of neurological disorders. Here we examine histone acetylation in the brain and the effects of the histone deacetylase inhibitor (HDACi) sodium butyrate (NaB) on memory in the neonatal iron overload model in rats. Rats received vehicle or 30.0-mg/kg Fe⁺² orally at postnatal days 12-14. When animals reached adulthood, they were given training in either novel object recognition or inhibitory avoidance. Histone acetylation in the dorsal hippocampus and the effects of NaB were examined in separate sets of rats. Iron overload led to a reduction in H3 lysine 9 acetylation in the hippocampus, without affecting the acetylation of other H3 and H4 lysine residues. A single systemic injection of NaB (1.2 g/kg) immediately after training ameliorated iron-induced memory impairments. The results suggest that a reduction in H3K9 acetylation might play a role in iron-induced memory impairment and support the view that HDACis can rescue memory dysfunction in models of brain disorders.

Algorithm for phase extraction from a set of interferograms with arbitrary phase shifts.

The generalized analytical quadrature filter from a set of interferograms with arbitrary phase shifts is obtained. Both symmetrical and non symmetrical algorithms for any order are reported. The analytic expression is obtained through the convolution of a set of two-frame algorithms and expressed in terms of the combinatorial theory. Finally, the solution is applied to obtain several generalized tunable quadrature filters.

Amelioration of recognition memory impairment associated with iron loading or aging by the type 4-specific phosphodiesterase inhibitor rolipram in rats.

Increasing evidence indicates that iron deposition in the brain might play a role in cognitive dysfunction associated with neurodegenerative disorders and aging. Previous studies have not examined whether iron-induced memory deficits can be attenuated by acute treatments with memory-enhancing agents. Phosphodiesterase type 4 (PDE4) inhibitors such as rolipram (ROL) ameliorate memory impairments in several rodent models of amnesia and have been proposed as candidate cognitive-enhancing drugs. Here we show that a single posttraining systemic injection of ROL dose-dependently attenuates the impairment of memory for novel object recognition (NOR) in rats given neonatal iron loading, a model of iron-induced cognitive impairment. Posttraining administration of ROL also recovered NOR deficits associated with aging in rats. These findings provide the first evidence that stimulation of an intracellular second messenger signaling pathway can attenuate iron-induced memory impairment, and support the view that PDE4 inhibitors might ameliorate cognitive dysfunction associated with aging and neurodegenerative disorders.

Memantine reduces oxidative damage and enhances long-term recognition memory in aged rats.

Many neurodegenerative diseases, including Alzheimer's (AD), Parkinson's (PD) and Huntington's diseases (HD), are caused by different mechanisms but may share a common pathway to neuronal injury as a result of the overstimulation of glutamate receptors. It has been suggested that this pathway can be involved in generation of cognitive deficits associated with normal aging. Previous studies performed in our laboratory have demonstrated that aged rats presented recognition memory deficits. The aim of the present study was to evaluate the effect of memantine, a low-affinity N-methyl-D-aspartate (NMDA) receptor antagonist, on age-induced recognition memory deficits. Additionally, parameters of oxidative damage in cerebral regions related to memory formation were evaluated. In order to do that, male Wistar rats (24 months old) received daily injections of saline solution or memantine (20 mg/kg i.p.) during 21 days. The animals were submitted to a novel object recognition task 1 week after the last injection. Memantine-treated rats showed normal recognition memory while the saline group showed long-term recognition memory deficits. The results show that memantine is able to reverse age-induced recognition memory deficits. We also demonstrated that memantine reduced the oxidative damage to proteins in cortex and hippocampus, two important brain regions involved in memory formation. Thus, the present findings suggest that, at least in part, age-induced cognitive deficits are related to oxidative damage promoted by NMDA receptor overactivation.

Impairments of social behavior and memory after neonatal gastrin-releasing peptide receptor blockade in rats: Implications for an animal model of neurodevelopmental disorders.

The gastrin-releasing peptide receptor (GRPR) has been implicated in central nervous system (CNS) diseases, including neurodevelopmental disorders associated with autism. In the present study we examined the effects of GRPR blockade during the neonatal period on behavioral measures relevant to animal models of neurodevelopmental disorders. Male Wistar rats were given an intraperitoneal (i.p.) injection of either saline (SAL) or the GRPR antagonist [D-Tpi(6), Leu(13) psi(CH(2)NH)-Leu(14)] bombesin (6-14) (RC-3095; 1 or 10mg/kg) twice daily for 10days from postnatal days (PN) 1 to 10. Animals treated with RC-3095 showed pronounced deficits in social interaction when tested at PN 30-35 and impaired 24-h retention of memory for both novel object recognition (NOR) and inhibitory avoidance (IA) tasks tested at PN 60-71. Neither short-term memory tested 1.5h posttraining nor open field behavior were affected by neonatal GRPR blockade. The implications of the findings for animal models of neurodevelopmental disorders are discussed.

La proteína del síndrome de Wiskott-Aldrich (WASp) y sus parientes: una familia polifacética / Wiskott-Aldrich syndrome protein (WASp) and relatives: a many-sided family

El síndrome de Wiskott-Aldrich (WAS) es una inmunodeficiencia primaria humana ligada al cromosoma X, caracterizada por inmunodeficiencia, microtrombocitopenia y eccema. El gen causante de WAS (WASP) codifica una proteína de 502 residuos llamada WASp. WASp da nombre a una familia de proteínas recientemente definida e involucrada en la transducción de señales desde la membrana celular al citoesqueleto de actina, así como en los procesos de desarrollo y activación celular. Además de su papel como organizador del citoesqueleto, WASp también es una proteína clave en la regulación de las señales procedentes de TCR/CD3 y que conducen a la activación transcripcional y proliferación de las células T. Además, WASp ha sido involucrada en la maduración de los timocitos. Así mismo, se ha mostrado que los miembros de la familia de WASp son importantes en el desarrollo de organismos multicelulares. Trabajos más recientes muestran que la familia WASp está involucrada también en diferentes enfermedades degenerativas. Esta revisión está centrada en la fisiología de la familia WASp, teniendo especial interés en la estructura de WASp, en la regulación intramolecular y en nuevos avances en terapia génica (AU)

An intracranial carcinoma in a Mexican woman with Bloom syndrome.

An intracranial cell squamous carcinoma was found in a 27-year-old Mexican woman with Bloom syndrome (BS), including growth retardation, sun-sensitive telangiectatic erythema, defective immunity, and increased number of mitotic chiasmata and sister chromatid exchanges. The tumour, probably originating from the inner or middle ear epithelium, was resected but the patient died a few days after surgery. There was no parental consanguinity nor Jewish or European ancestry for at least five generations; in fact, her parents were mostly indigenous people. This case represents an undescribed intracranial malignancy in BS and the third Mexican BS patient reported. The typical BS phenotype in a woman with pigmented skin challenges the contention that pigmented females are less severely affected.