Aspects Towards the Anastomotic Healing in Crohn's Disease: Clinical Approach and Current Gaps in Research.

Anastomotic leakage is a major complication in gastrointestinal and colorectal surgery and its occurrence increases morbidity and mortality. Its incidence is even higher in Crohn's disease surgeries. Several authors have identified factors involved in the pathophysiology of anastomotic leak in the literature, aiming to reduce its occurrence and, therefore, improve its surgical treatment. Surgical technique is the most discussed topic in studies on guiding the performance of side-to-side stapled anastomosis. Preoperative nutritional therapy also has been shown to reduce the risk of anastomotic leakage. Other factors remain controversial - immunomodulator use and biologic therapy, antibiotics, and gut microbiota - with studies showing a reduction in the risk of complication while other studies show no correlation. Although mesenteric adipose tissue has been related to disease recurrence, there is no evidence in the literature that it is related to a higher risk of anastomotic leakage. Further exploration on this topic is necessary, including prospective research, to support the development of techniques to prevent anastomotic leakage, in this way benefiting the inflammatory bowel disease patients who have to undergo a surgical procedure.

Evaluation of two heterologous recombinant antigens for the serological diagnosis of human polycystic echinococcosis.

Polycystic echinococcosis (PE) is a zoonosis endemic in the Neotropical region of the Americas. It is caused by the larval stage of the cestode Echinococcus vogeli, which develops as harmful cysts that slowly grow in the liver, lungs and other organs of humans and other host species. Human PE diagnosis is usually based on clinical and epidemiological aspects and imaging techniques, often requiring confirmation by immunological assays. The currently available serological tests for detecting antibodies against Echinococcus spp. are mostly based on complex, variable and poorly characterized mixtures of native parasite antigens, which impairs specificity and/or sensitivity. In this scenario, the evaluation of well-characterized alternative antigens is urgently needed for the improvement of PE diagnosis. Here, two subunits (AgB8/1 and AgB8/2) of the major secretory antigen from Echinococcus granulosus (antigen B (AgB)), of diagnostic value for cystic echinococcosis, were validated for PE diagnosis. These antigens, produced as pure recombinant proteins (rAgB8/1 and rAgB8/2) in Escherichia coli, allowed detecting specific immunoglobulin G antibodies in sera from PE patients in an enzyme-linked immunosorbent assay, with sensitivities of 83.72% and 81.40%, respectively, and specificities of 83.12% and 80.09%, respectively. The use of recombinant proteins overcomes difficulties to obtain parasite material and reduced non-specific reactions and costs. Our results demonstrated reproducibility and accuracy high enough to be considered valid according to the acceptance criteria for Food and Drug Administration assay validation. This qualifies rAgB8/1 and rAgB8/2 as potential substitutes for the currently used parasite crude or partially purified antigens.

Mechanisms responsible for the hypocholesterolaemic effect of regular consumption of probiotics.

CVD affect a large proportion of the world's population, with dyslipidaemia as the major risk factor. The regular consumption of both probiotic bacteria and yeast has been associated with improvement in the serum lipid profile. Thus, the present review aims to describe and discuss the potential mechanisms responsible for the hypocholesterolaemic effect of regular consumption of probiotic bacteria and yeast. Regarding the hypocholesterolaemic effect of probiotic bacteria, the potential mechanisms responsible include: deconjugation of bile salts; modulation of lipid metabolism; and decreased absorption of intestinal cholesterol through co-precipitation of intestinal cholesterol with the deconjugated bile salts, incorporation and assimilation of cholesterol in the cell membrane of the probiotics, intestinal conversion of cholesterol in coprostanol, and inhibition of the expression of the intestinal cholesterol transporter Niemann-Pick C1 like 1 (NPC1L1) in the enterocytes. The potential mechanisms responsible for the hypocholesterolaemic effect of probiotic yeasts include: deconjugation of bile salts; co-precipitation of intestinal cholesterol with the deconjugated bile salts; incorporation and assimilation of cholesterol in the cell membrane; and inhibition of hepatic cholesterol synthesis. The regular consumption of probiotic bacteria and yeast, as a non-pharmaceutical approach to help manage cardiovascular risk, holds promise, according to the beneficial hypocholesterolaemic effects described herein. However, the hypocholesterolaemic effects vary according to the strains used, the physiological state of the host, and the type of diet to which the probiotics are added. Further studies are necessary to fill the gaps with regard to the knowledge related to this topic.

Morphometric characteristics of the metacestode Echinococcus vogeli Rausch & Bernstein, 1972 in human infections from the northern region of Brazil.

Polycystic echinococcosis, caused by the larval stage (metacestode) of the small-sized tapeworm, Echinococcus vogeli, is an emerging parasitic zoonosis of great public health concern in the humid tropical rainforests of South and Central America. Because morphological and morphometric characteristics of the metacestode are not well known, hydatid cysts from the liver and the mesentery were examined from patients following surgical procedures. Whole mounts of protoscoleces with rostellar hooks were examined under light and confocal laser scanning microscopy. Measurements were made of both large and small hooks, including the total area, total length, total width, blade area, blade length, blade width, handle area, handle length and handle width. The results confirmed the 1:1 arrangement of hooks in the rostellar pad and indicated, for the first time, that the morphometry of large and small rostellar hooks varies depending upon the site of infection. Light and confocal microscopy images displayed clusters of calcareous corpuscles in the protoscoleces. In conclusion, morphological features of large and small rostellar hooks of E. vogeli are adapted to a varied environment within the vertebrate host and such morphological changes in calcareous corpuscles occur at different stages in the maturation of metacestodes.

Co-infections of the cestode Echinococcus vogeli and the nematode Calodium hepaticum in the hystricomorphic rodent Agouti paca from a forest reserve in Acre, Brazil.

The helminth fauna of Agouti paca (Linnaeus, 1766) has seldom been studied. In this paper, we report an unusual mixed infection of Echinococcus vogeli Rausch & Bernstein, 1972 and Calodium hepaticum (syn. Capillaria hepatica Bancroft, 1863) in free-ranging paca from a forested region in Acre (Brazil). Gross morphological examination revealed that paca liver contained multiple spherical to subspherical white or translucent lesions, which were isolated or frequently contiguous and partially covered by Glisson's capsule. Microscopic examination revealed unilocular cystic structures that contained abundant brood capsules in which numerous protoscolices budded from the inner surface. The protoscolices possessed rostellar hooks (33-41 µm in length), a morphological characteristic of the blade and calcareous corpuscles that is consistent with the metacestode E. vogeli. The diagnosis of C. hepaticum infection was based on the morphology and morphometry of the egg-shaped ellipsoids with bipolar plugs (44.8 ± 1.9 µm (length) × 24.4 ± 2.0 µm (width)) and liver histopathology. This finding expands the known range of C. hepaticum hosts in South America and, to the best of our knowledge, it is the first case of a mixed infection of E. vogeli and C. hepaticum. Furthermore, our data provide evidence that wild animal meat may be a source of C. hepaticum infection.

Innovative sunscreen formulation based on benzophenone-3-loaded chitosan-coated polymeric nanocapsules.

AIM: To evaluate the effect of cationic coating of polymeric nanocapsules in sunscreen formulations on the in vitro skin penetration of benzophenone-3. METHODS: Benzophenone-3-loaded nanocapsules were prepared by the interfacial deposition of poly(ε-caprolactone) and coated by using a chitosan solution. The nanoparticles were characterized and incorporated in hydrogels. The presence of nanoparticles in hydroxyethyl cellulose gels was observed by transmission electron microscopy and photon correlation spectroscopy. Penetration studies were carried out using Franz cells with porcine skin membranes. RESULTS: Benzophenone-3-loaded chitosan-coated nanocapsules presented a mean size of 202 ± 7 nm and positive zeta potential (+21 ± 1 mV), while these values for the uncoated nanocapsules were 175 ± 1 nm and -8 ± 1 mV. Penetration profiles showed that a higher amount of benzophenone-3 remained at the skin surface and a lower amount was found in the receptor compartment after the application of the formulation containing chitosan-coated nanocapsules compared to a formulation containing its free form. CONCLUSIONS: Hydrogel containing benzophenone-3 chitosan-coated nanocapsules represents an innovative formulation to overcome limitations of sunscreen daily use.

Effects of hydrological regime and connectivity on the interannual variation in taxonomic similarity of periphytic algae.

The aim of this study was to analyze the effects of flood pulses (intensity) on the richness and composition of periphytic algae in lentic environments of the Upper Paraná River floodplain, over a six-year period. Other factors, such as connectivity of the environments with the main channel of the river and the availability of substrate for the periphyton, were also evaluated. For qualitative analyses, periphyton community was sampled from adult petioles of Eichhornia azurea Kunth taken from the littoral regions of the lakes studied. A total of 457 taxa of periphytic algae, distributed within 141 genera and 10 classes, were registered in the four environments. The greatest richness of periphytic algae was observed in connected floodplain lakes, especially in 2007 and during high water periods. In both connected and disconnected lakes, richness correlated positively with water levels of the Paraná River. Richness was also positively correlated with the number of taxa of aquatic macrophytes. The specific composition of periphytic algae differed between high and low water periods, and between connected and disconnected lakes. Therefore, among the considered variables, it is evident that flood pulse constitutes the principal force acting on periphytic algae communities of the floodplain, followed by the degree of connectivity and the presence of aquatic macrophytes.

Effects of hydrological regime and connectivity on the interannual variation in taxonomic similarity of periphytic algae / Efeito do regime hidrológico e da conectividade na similaridade taxonômica de algas perifíticas: variação interanual

The aim of this study was to analyze the effects of flood pulses (intensity) on the richness and composition of periphytic algae in lentic environments of the Upper Paraná River floodplain, over a six-year period. Other factors, such as connectivity of the environments with the main channel of the river and the availability of substrate for the periphyton, were also evaluated. For qualitative analyses, periphyton community was sampled from adult petioles of Eichhornia azurea Kunth taken from the littoral regions of the lakes studied. A total of 457 taxa of periphytic algae, distributed within 141 genera and 10 classes, were registered in the four environments. The greatest richness of periphytic algae was observed in connected floodplain lakes, especially in 2007 and during high water periods. In both connected and disconnected lakes, richness correlated positively with water levels of the Paraná River. Richness was also positively correlated with the number of taxa of aquatic macrophytes. The specific composition of periphytic algae differed between high and low water periods, and between connected and disconnected lakes. Therefore, among the considered variables, it is evident that flood pulse constitutes the principal force acting on periphytic algae communities of the floodplain, followed by the degree of connectivity and the presence of aquatic macrophytes.

Este trabalho visou analisar o efeito do pulso de inundação (intensidade) sobre a riqueza e composição de algas perifíticas, ao longo de seis anos, em ambientes lênticos da planície de inundação do Alto Rio Paraná. A influência da conectividade dos ambientes com a calha principal do rio e disponibilidade de substratos para a comunidade de algas perifíticas também foi avaliada. Para análise, a comunidade perifítica foi amostrada de pecíolos adultos de Eichhornia azurea Kunth, retirados da região litorânea das lagoas estudadas. Considerando os quatro ambientes, foram registrados 457 táxons de algas, distribuídos em 141 gêneros e 10 classes. A maior riqueza de algas perifíticas foi observada em lagoas conectadas, com destaque para o ano de 2007 e para o período de águas altas. A riqueza apresentou correlação positiva, nas lagoas conectadas e não conectadas, com nível hidrométrico do Rio Paraná. Também esteve correlacionada positivamente com o número de táxons de macrófitas aquáticas. A composição de algas perifíticas diferiu entre os períodos de águas altas e águas baixas e entre lagoas conectadas e não conectadas. Ficou evidente que, dentre as variáveis consideradas, o pulso de inundação constitui a principal função de força atuando sobre a comunidade de algas perifíticas na planície, seguido pelo grau de conectividade e presença de macrófitas aquáticas.

Combined exposure to nicotine and ethanol in adolescent mice: effects on the central cholinergic systems during short and long term withdrawal.

Relapse to drug use is a major public health problem. In this sense, understanding the biological substrates that are affected during withdrawal may provide information to prevent relapse. Both smoking and alcoholic beverage consumption usually begin during adolescence, however, little is known about the basic neurobiology of the combined adolescent exposure, particularly during withdrawal. Since nicotine is a cholinergic agonist and it has been shown that ethanol interferes with nicotinic acetylcholine receptors (nAChRs), the current study focused on the effects of drug withdrawal on the central cholinergic system. From the 30th to the 45th postnatal day (PN), C57BL/6 male and female mice were exposed to nicotine free base (NIC) and/or ethanol (ETOH). Four groups were analyzed: (1) concomitant NIC (50 microg/ml in 2% saccharin to drink) and ETOH (25%, 2 g/kg i.p. injected every other day) exposure; (2) NIC exposure; (3) ETOH exposure; (4) vehicle. We assessed nAChR binding, choline acetyltransferase (ChAT) activity and [(3)H]hemicholinium-3 (HC-3) binding in the cerebral cortex and midbrain of mice at short (PN50) and long term (PN75) withdrawal. NIC and NIC+ETOH promoted nAChR upregulation during a short-term withdrawal. NIC short-term withdrawal elicited an increase in ChAT activity that was reversed by ETOH withdrawal. In addition, NIC+ETOH elicited a decrease in ChAT activity at long term withdrawal. Regarding HC-3, ETOH and NIC+ETOH promoted a decrease that persisted at long-term withdrawal. The present study provides experimental evidence that nicotine and ethanol during adolescence interact resulting in cholinergic system alterations during withdrawal.

Screening of plants used in south Brazilian folk medicine.

Thirty-seven species of medicinal plants used in folk phytotherapy were chemically screened for alkaloids, coumarins, flavonoids, anthraquinones, saponins, sterols and/or triterpenes and tannins. Seven of these were also screened for the presence of mutagenic activity using the Ames test (Salmonella/microsome).

[Constituents of Aristolochia triangularis]. / Inhaltsstoffe von Aristolochia triangularis.

The roots and stems of Aristolochia triangularis Chamisso, a woody climber growing in Brasil, contain fatty acids as well as (-)-kaur-16-en-18-acid, but no aristolochic acids. The following stigmastane type triterpenes have been isolated: stigmast-4-en-3-on, stigmastan-3,6-dion and stigmast -4-en-3,6-dion as well as kaurane diterpenes: (-)-kaur-16-en, (-), kaur-16-en-18-al, (-)-kauran-16alpha-ol-18-al, (-)-16alpha, 17-epoxykauran, (-)-kaur- 16 - en-18-ol and (-)-kaur-15-en-17-ol. In addition sesquiterpenes have been found: (-)-alpha-ylangen, (-)-alpha-copaen, (E)-beta-elemen, gamma-elemen, (E)-(R)-Nerolidol. The lignanes isolated from A. TRIANGULARIS include cubebin, found so far only in Piper cubeba, and galbacin. The new lignans 3,4-dimethoxy-3,4-desmethylendioxycubebin and 3',4'-dimethoxy-3',4'-desmethylendioxycubebin have been identified. For better interpretation of the (1)H-NMR-spectra in relation to the stereochemistry, the 6,6'-dinitro derivates are suitable.