Análise do perfil de Rh e Kell em doadores de sangue em Porto Alegre, Rio Grande do Sul / Phenotypic profile analysis of Rh and Kell blood group systems among donors in Porto Alegre, Rio Grande do Sul

Introdução: A hemoterapia é uma prática terapêutica pelo meio de transfusão sanguínea. Devido ao baixo estoque de bolsas de sangue e o aumento de pacientes crônicos e emergenciais, se faz necessária a realização de testes imuno-hematológicos para minimizar os riscos de reações transfusionais e aloimunizações em doadores e receptores de sangue. Deste modo, no estudo foi avaliada a prevalência dos antígenos dos sistemas Rh e Kell em doadores de sangue de Porto Alegre ­ RS.Métodos: Estudo quantitativo, transversal e retrospectivo que foi realizado através da análise das informações dos doadores de sangue contidas no banco de dados do Hemocentro do Estado do Rio Grande do Sul, nos anos de 2018 e 2019.Resultados: Das 6.479 amostras fenotipadas, quanto ao sistema Rh, 44,6% são Rh positivo e 55,4% são Rh negativo. As frequências dos antígenos encontradas foram de, CC 10,1%, Cc 27%, cc 62,9%, EE 1,2%, Ee 13,9%, ee 84,9%. E, para o sistema Kell, K1 positivo 7,1% e K1 negativo 92,9%.Conclusões: Antígenos do sistema Rh e Kell exibem um grande nível de imunogenicidade e uma forte ligação com a Doença Hemolítica do Recém-nascido, podendo ocorrer a sensibilização em pacientes caso não haja a compatibilidade sanguínea. Este estudo ressalta a importância da implementação da fenotipagem eritrocitária em doadores de sangue, sugere-se mais estudos com períodos distintos para a pesquisa de resultados satisfatórios.

Introduction: Hemotherapy is a therapeutic practice consisting of blood transfusion. Low blood supply and an increase in chronic and emergency patients have made it necessary to conduct immunohematology tests to minimize the risks of adverse reactions and alloimmunization in donors and recipients. Therefore, this study aimed to assess the prevalence of Rh and Kell blood group antigens among blood donors in Porto Alegre, Rio Grande do Sul, Brazil.Methods: We conducted a quantitative, cross-sectional, retrospective study. Information from blood donors included in the Rio Grande do Sul's Blood Center database from 2018 to 2019 were analyzed.Results: A total of 6,479 samples were phenotyped, of which 44.6% were Rh-positive and 55.4% were Rh-negative. Antigen prevalence was CC (10.1%), Cc (27%), cc (62.9%), EE (1.2%), Ee (13.9%), and ee (84.9%). As for the Kell group, 7.1% were K1-positive and 92.9% were K1-negative.Conclusions: The Rh and Kell antigens are highly immunogenic and have a strong link with the hemolytic disease of the newborn. Sensitization may occur in patients if there is no blood compatibility. This study highlights the importance of implementing erythrocyte phenotyping in blood donors. Further studies should be conducted in different time frames to achieve satisfactory results.

Avaliação individual e correlação dos marcadores sorológicos e do teste de amplificação de ácido nucléico para o vírus da hepatite B e hepatite C na triagem de doadores de um banco de sangue de Porto Alegre, RS / Individual evaluation and correlation of serological markers and nucleic acid amplification testing for hepatitis B and hepatitis C viruses in donor screening at a blood bank in Porto Alegre, southern Brazil

Introdução: A hemoterapia consiste no tratamento terapêutico através da transfusão sanguínea. Considerando à vasta quantidade de doenças infecciosas que podem ser transmitidas pelo sangue, se faz necessária a realização de exames laboratoriais de alta sensibilidade para minimizar os riscos transfusionais aos doadores e receptores. Assim, no estudo foi avaliada a prevalência de marcadores sorológicos para Hepatite B e C em um banco de sangue de Porto Alegre- RS, bem como a correlação entre a sorologia e o teste de amplificação de ácido nucléico (NAT). Métodos: Estudo quantitativo, descritivo e retrospectivo que foi realizado através da análise das informações de todos os doadores de sangue contidas em um banco de dados de um Banco de Sangue de Porto Alegre, Rio Grande do Sul, nos anos de 2017 e 2018, avaliando resultados da sorologia e o teste NAT para hepatite B e Hepatite C. Resultados: Das 17.181 doações de sangue, o total de bolsas sorologicamente reagentes foi 162 (0,94%) reagentes para o Anti-HBc, 20 (0,12%) amostras foram positivas para o HbsAg e 62 (0,36%) reagentes para o Anti-HCV. Apenas 4 (0,02%) amostras foram reagentes simultaneamente para o Anti-HBC e para o HbsAg, as quais foram também positivas no teste NAT. Já o teste NAT nas amostras reagente para Hepatite C, corresponderam a 18 (0,10%). Conclusões: A evolução da biotecnologia vem auxiliando a biossegurança nas transfusões de sangue. Considerando que a implementação do teste NAT é relativamente recente nos bancos de sangue, sugere-se mais estudos com períodos diferentes de tempo para a pesquisa de resultados satisfatórios, além disso, possibilitando elucidar ainda mais os resultados voltados à segurança transfusional e a associação dos testes sorológicos e o teste NAT nos bancos de sangue. (AU)

Introduction: Hemotherapy consists of therapeutic treatment using blood transfusion. Because of the vast amount of bloodborne infectious diseases, highly sensitive laboratory tests must be conducted to minimize the transfusion risks for donors and recipients. Thus, the present study aimed to evaluate the prevalence of hepatitis B and C serological markers in samples from a blood bank in Porto Alegre, southern Brazil, as well as the correlation between serology and nucleic acid amplification testing (NAT). Methods: A quantitative, descriptive, retrospective study was conducted to analyze blood donor information obtained from a blood bank database in Porto Alegre, southern Brazil, concerning 2017 and 2018. Serology and NAT results for hepatitis B and C were examined. Results: Of 17,181 blood donations, the total number of serologically reactive samples was 162 (0.94%) for anti-HBc, 20 (0.12%) for HbsAg, and 62 (0.36%) for anti-HCV. Only 4 (0.02%) samples were simultaneously reactive for anti-HBc and HbsAg, being also positive in NAT. The number of samples reactive to hepatitis C in NAT was 18 (0.10%). Conclusions: Biotechnological evolution has contributed to biosafety in blood transfusions. Considering that NAT is relatively recent in blood banks, further studies using different time periods are suggested for yielding satisfactory results for transfusion safety and elucidating the combination of serological testing and NAT at blood banks. (AU)

Avaliação da correlação de sorologia e teste de ácido nucleico em doadores de sangue reagentes para o Vírus da Imunodeficiência Humana / Evaluation of the correlation of serology and nucleic acid testing in Anti-HIV reagent blood donors

Introdução: As transfusões sanguíneas começaram a ser realizadas no Brasil no século XX como forma de tratamento terapêutico. Com a descoberta do vírus HIV, a segurança do sangue doado passou a ser prioritária. Assim, candidatos à doação de sangue são submetidos a uma triagem clínica e sorológica, além do teste de ácido nucleico (NAT), obrigatório desde 2014 nos bancos de sangue. Métodos: Estudo retrospectivo através da análise de dados dos doadores de sangue de um Serviço de Hemoterapia em Porto Alegre/RS, nos anos de 2015 a 2017. Avaliando resultados sorológicos e da técnica NAT para HIV. Resultados: Das 28.625 amostras de usuários do serviço de hemoterapia, 41 (0,14%) foram reagentes para o HIV e 21 (0,07%) foram reagente para o teste NAT. Estes dados demonstram uma reatividade duas vezes maior nas amostras de bolsas testadas sorologicamente quando comparadas com a metodologia utilizada no NAT. Conclusão: O avanço científico e tecnológico tem auxiliado no que se refere a redução dos riscos de transmissão de doenças infecto-contagiosa por transfusão sanguínea. O teste NAT teve um acréscimo significativo na pesquisa dos vírus para a segurança na liberação de hemocompoentes. O teste foi introduzido nas rotinas de banco de sangue no intuito de reduzir o período de janela imunológica quando comparado aos testes sorológicos, fato este não observado nos anos de coleta de dados no Serviço de Hemoterapia referido neste estudo. (AU)

Introduction: Blood transfusions began to be performed in Brazil in the twentieth century as a form of therapeutic treatment. With the discovery of the HIV, the safety of donated blood became a priority. Therefore, candidates for blood donation are subjected to clinical and serological screening, in addition to the nucleic acid test (NAT), which has been mandatory since 2014 in blood banks. Methods: We conducted a retrospective study using data from blood donors at one hemotherapy service in Porto Alegre, state of Rio Grande do Sul, from 2015 to 2017. Serological and NAT results for HIV were evaluated. Results: Of the 28,625 samples of users of the hemotherapy service, 41 (0.14%) were HIV reagents and 21 (0.07%) had a reagent result for the NAT test. These data demonstrate a two-fold higher reactivity in the samples of serologically tested units as compared to the methodology used in NAT. Conclusions: Studies with different time periods are needed to further explain this association. The NAT test had a significant increase in the search for viruses and the safety in the release of blood components. The test was introduced in the blood bank routines in order to reduce the window period when compared to serological tests, a fact that was not observed in the years of data collection in the hemotherapy service referred to in this study. (AU)

Genotoxic and chemopreventive assessment of Cynara scolymus L. aqueous extract in a human-derived liver cell line.

Cynara scolymus L., popularly known as artichoke, is consumed as food and used as tea infusions for pharmacological purposes to treat liver dysfunctions and other conditions. Scientific data on the safety and protective effect of artichoke in human-derived liver cells is missing. This study investigated the genotoxic and modulatory effect of a liophilized extract suspended in water of C. scolymus L. leaves. Four extract concentrations (0.62, 1.25, 2.5 and 5.0 mg/mL) were evaluated using the comet assay on human hepatocyte cultures, HepG2 cells. Genotoxicity was assessed after two treatment periods, 1 and 24 h. Antigenotoxicity was evaluated against oxidative lesions induced by hydrogen peroxide in pre-, simultaneous and post-treatment protocols. Artichoke leaves aqueous extract induced genotoxic effects in HepG2 cells after 1- and 24-h treatments. In turn, extract concentrations of 0.62, 1.25 and 2.5 mg/mL, exhibited a protective effect in pretreatment, compared to hydrogen peroxide alone. However, in simultaneous and post-treatment protocols, only the lowest concentration reduced the frequency of DNA damage induced by hydrogen peroxide. In addition, in the simultaneous treatment protocol, the highest artichoke extract concentration increased hydrogen peroxide genotoxicity. It can be concluded that artichoke is genotoxic, in vitro, to HepG2 cells, but can also modulate hydrogen peroxide DNA damage.

Prevalence of HIV infection, syphilis, and syphilis/HIV coinfection in blood donors from a blood bank of Porto Alegre, Southern Brazil

Introduction: Hemotherapy consists of therapeutic treatments performed through blood transfusion. Clinical and serological screening of donors is an essential strategy to avoid transmission of infectious agents in blood transfusion. The objective of this study is to assess the seroprevalence of HIV infection, syphilis and syphilis/HIV coinfection in blood donors from a blood bank in Porto Alegre from 2014 to 2016. Methods: Retrospective analysis of all blood donors registered on a software for managing hemotherapy services (Hemodot) of the Blood Bank in the Marques Pereira Laboratory, Porto Alegre / RS, from 2014 to 2016. Results: Of the 28,173 users of the hemotherapy service during the study period, 198 (0.70%) were positive for syphilis, HIV infection, or syphilis/HIV co infection. The prevalence of positive results for syphilis was 0.3%, 0.57% and 0.70% in 2014, 2015 and 2016, respectively, and for HIV infection was 0.18%, 0.14%, and 0.16% for the same period. However, the prevalence of syphilis/HIV coinfection was not statistically significant. Conclusions: The prevalence of syphilis increased significantly from 2014 to 2016. Hovever, this did not occur with HIV infection or with coinfection. This finding may reflect the requirement of the nucleic acid technique (NAT) for HIV screening in blood banks, a procedure that has been increasing transfusion safety and reducing the window period. Further studies may shed new light on the combined use of serological tests and NAT assays in blood banks to diagnose HIV cases and syphilis/HIV coinfection (AU)

A coinfecção sífilis/HIV e sua importância no rastreamento sorológico em bancos de sangue / Syphilis/HIV coinfection and its importance in serological screening in blood banks

Entre as principais doenças transmissíveis por transfusão estão a AIDS e a sífilis. O período de janela imunológica representa risco de transmissão dessas patologias, principalmente em bancos de sangue. Assim, a triagem deve ser capaz de identificar doadores com essas doenças. O presente estudo buscou apresentar uma revisão referente à coinfecção sífilis/HIV e sua importância no rastreamento em bancos de sangue. Foram revisadas as bases de dados PubMed, SciELO e LILACS dados da Organização Mundial de Saúde, e trabalhos para leitura suplementar. Os resultados demonstraram que a sífilis é um indicador para comportamentos sexuais de risco associados à transmissão do HIV. A importância da triagem em bancos de sangue e da análise da coinfecção sífilis/HIV tem sido demonstrada em diversos estudos. As duas doenças compartilham a mesma rota de transmissão e o período de janela imunológica da sífilis predispõe para o HIV, sendo que diversos fatores predispõem para a coinfecção, tais como o cancro da sífilis, que aumenta o número de células receptoras ao HIV, e de receptores expressos por essas células e a excreção de RNA do HIV-1 no sêmen. Grupos de alta prevalência desempenham papel relevante por possuírem risco aumentado durante o período de janela imunológica. Ensaios mais sensíveis têm sido utilizados para sífilis nos EUA e na Europa; assim, a triagem também pode auxiliar na exclusão de doadores que estão em grupos de alta prevalência para a infecção pelo HIV.(

Among the diseases transmitted by blood transfusion are AIDS and syphilis. The immunological window represents a risk of transmission of these diseases, especially in blood banks. Therefore, screening must be able to identify donors with these diseases. The aim of this study was to present a review related to syphilis/HIV coinfection and its importance in blood bank screening. Were reviewed the databases PubMed, SciELO, and LILACS, World Health Organization data, and supplementary studies. Our results showed that syphilis is an indicator of high-sexual risk behavior associated with HIV transmission. The importance of serological screening in blood banks and of the analysis of syphilis/HIV coinfection has been demonstrated in several studies. Both diseases share the same transmission route and the immunological window of syphilis predisposes to HIV. Additionally, different predisposing factors to coinfection, such as syphilis lesions, which increase the number of receptor cells to HIV and of receptors expressed by these cells and leading to increased excretion of HIV-1 RNA in semen. High prevalence groups play an important role because they have increased risk during the immunological window. More sensitive assays for syphilis have been used in the USA and Europe, and screening can also assist in the exclusion of donors who belong to groups with high prevalence of HIV infection.

Salmonella sp. em ovos e cloacas de galinhas e seu risco para asaúde pública / Salmonella sp. on eggs and chickens sewers and your risk for public health

Objetivo: Avaliar a presença de Salmonella sp. em ovos e cloacas de galinhas, provenientes de dois sítios no Rio Grande do Sul, sendo um para consumo próprio e o outro para comércio. Métodos: A amostra deste estudo foi constituída por 30 galinhase 17 ovos, sendo 22 galinhas e 10 ovos provenientes de um sítio que as utiliza para consumo próprio, localizado na cidade de Águas Claras, RS e 8 galinhas e 7 ovos oriundos de um sitio que as comercializa, localizado na cidade de Torres, RS. O isolamento da Salmonella foi feito em meios agar MacConkey e agar Salmonella/Shigella e suaidentificação e confirmação foi feita por série bioquímica. Resultados: Observou-se a presença de Salmonella sp. no sítio para consumo próprio em 13,6% das aves e 80% dos ovos, já no sítio que as comercializa, não houve contaminação tanto nas galinhas quanto nos ovos analisados. Conclusão: a Salmonella sp. é um agente frequentemente encontrado no ambiente e essas aves são portadoras naturais da bactéria, justificando sua presença no que as utiliza para próprio consumo, e, devido ao uso de antibiótico nas galinhas do sitio comercial, a ausência dela.

Effects of artichoke (Cynara scolymus) leaf and bloom head extracts on chemically induced DNA lesions in Drosophila melanogaster.

The genotoxicity of bloom head (BHE) and leaf (LE) extracts from artichoke (Cynara scolymus L.), and their ability to modulate the mutagenicity and recombinogenicity of two alkylating agents (ethyl methanesulfonate - EMS and mitomycin C - MMC) and the intercalating agent bleomycin (BLM), were examined using the somatic mutation and recombination test (SMART) in Drosophila melanogaster. Neither the mutagenicity nor the recombinogenicity of BLM or MMC was modified by co- or post-treatment with BHE or LE. In contrast, co-treatment with BHE significantly enhanced the EMS-induced genotoxicity involving mutagenic and/or recombinant events. Co-treatment with LE did not alter the genotoxicity of EMS whereas post-treatment with the highest dose of LE significantly increased this genotoxicity. This enhancement included a synergistic increase restricted to somatic recombination. These results show that artichoke extracts promote homologous recombination in proliferative cells of D. melanogaster.

Protective activity of Cynara scolymus L. leaf extract against chemically induced complex genomic alterations in CHO cells.

Cynara scolymus L., popularly known as artichoke, has been widely used in traditional medicine as an herbal medicament for therapeutic purposes. The study aimed at assessing the protective activity of Cynara scolymus leaf extract (LE) against DNA lesions induced by the alkylating agent ethylmethnesulphonate (EMS) in Chinese hamster ovary cells (CHO). The ability of C. scolymus L. LE to modulate the mutagenicity of EMS was examined using the cytokinesis block micronucleus (CBMN) cytome assay in three antigenotoxic protocols, pre- post- and simultaneous treatments. In the pre-treatment, C. scolymus L. LE reduced the frequencies of MNi and NBUDs induced by EMS in the lower concentration. In contrast, at the highest concentration (5 mg/ml) artichoke enhanced the frequency of MNi, potentiating EMS genotoxicity. In the simultaneous treatment only the induction of MNi was repressed by the exposure of cells to C. scolymus L. LE. No modification in genotoxicity was observed in LE post-treatment. The results obtained in this study suggest that lower concentrations of artichoke prevent chemically induced genomic damage in mammalian cells. In this context, the protective activity of C. scolymus L. could be associated to its constitutive antioxidants compounds.

Artichoke induces genetic toxicity in the cytokinesis-block micronucleus (CBMN) cytome assay.

Artichoke leaves are used in traditional medicine as an herbal medicament for the treatment of hepatic related diseases, as well as choleretic and diuretic. The aim of the present study was to evaluate the capacity of Cynara scolymus L. leaves extract (LE) to cause chromosomal instability and cytotoxicity in Chinese hamster ovary cells (CHO) employing the cytokinesis-block micronucleus (CBMN) cytome assay. Cells were treated with four concentrations of C. scolymus for two exposure times: 1h and 24h. Our findings showed that LE did not increase the frequencies of nucleoplasmic bridges (NPBs) and nuclear bud (NBUD). However, all concentrations of the extract produced increments in micronuclei frequencies (MNi) in both exposure times, when compared to the negative control. No significant differences were observed in the nuclear division cytotoxicity index (NDCI), reflecting the absence of cytotoxic effects associated to LE. The results demonstrated the ability of C. scolymus LE to promote chromosomal mutations which are, probably, a result of the pro-oxidant activity of LE constituents such as flavonoids and chlorogenic acids. The data obtained in this study suggests that high concentrations of artichoke can pose a risk associated to its consumption.

Artichoke induces genetic toxicity and decreases ethyl methanesulfonate-related DNA damage in Chinese hamster ovary cells.

Cynara scolymus L. (Asteraceae), popularly known as artichoke, has been widely used in herbal medicine for the treatment of hepatic diseases. The genotoxicity of C. scolymus L. leaf extract (LE) and the ability to modulate the genetic toxicity of the alkylating agent ethyl methanesulfonate (EMS) were assessed using the comet assay on Chinese hamster ovary cells. Genotoxicity was evaluated after 1- and 24-h treatments using four different LE concentrations: 0.62, 1.25, 2.5, and 5.0 mg/mL. Antigenotoxicity was assessed for pretreatment, simultaneous treatment, and post-treatment. All doses used led to a significant increase in the frequency of DNA damage, after exposure for 1 and 24 h. In the antigenotoxicity experiments, LE reduced the frequency of DNA damage induced by EMS in the simultaneous treatment only. However, the lowest dose was more protective than higher concentrations. Flavonoids and phenolic compounds are, probably, the C. scolymus constituents responsible for its genotoxic and antigenotoxic effects.

Recombinagenic activity of water and sediment from Sinos River and Araçá and Garças Streams (Canoas, Brazil), in the Drosophila wing spot test.

This study characterizes the likely interaction of surface water and sediment samples with DNA to quantitatively and qualitatively establish their mutagenic and/or recombinagenic activity. Samples were collected at 5 different sites within the area of Araçá Stream and 2 different sites within the Sinos River mouth and Garças Stream in the municipality of Canoas, RS, Brazil. The area is impacted by untreated urban discharges (sites 1-7), agricultural pesticides (sites 5 and 7), hospital waste (site 3), animal dejects (site 5), small industries (sites 4, 5 and 6) and vehicular discharges (sites 2, 4, 5 and 6). The wing Somatic Mutation and Recombination Test (SMART) in Drosophila melanogaster was used. The test detects simultaneously mutations and recombination induced by the activity of genotoxins of direct and indirect action. All the samples displayed a massive recombinagenic response, but no mutagenic activity was detected in any of the evaluated samples. This study was done in D. melanogaster with unprocessed water and sediment samples attributing a massive and exclusive recombinagenic action associated to the induction of homologous recombination--a genetic phenomenon involved in the loss of heterozygosity.

Avaliação de infecção urinária em gestantes no primeiro trimestre de gravidez / Evaluation of non syntomatic urinary infection in pregnants in the first trimester of pregnancy

Objetivos: Avaliar a presença de infecção urinária assintomática em gestantes no primeiro trimestre de gravidez, uma vez que ela pode levar a complicações como o parto prematuro do bebê e hospitalização da gestante. Foi realizada urocultura de urina de 100 grávidas que estivessem no primeiro trimestre de gestação e que não apresentassem qualquer sintoma de infecção urinária. Naquelas em que o resultado foi positivo para infecção, foi feita a identificação da bactéria envolvida para dirigir o tratamento da infecção. Da população avaliada, 16 apresentou bacteriúria assintomática, sendo Escherichia coli o agente isolado com maior frequência.Deve-se submeter gestantes à exames de triagem para bacteriúria assintomática através da urocultura, a fim de se descobrir infecções e trata-las precocemente. Conclui-se também, que E. coli continua sendo o agente mais comumente isolado na urina.