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1.
Nature ; 627(8004): 505-509, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38418881

RESUMO

The Double Asteroid Redirection Test (DART) had an impact with Dimorphos (a satellite of the asteroid Didymos) on 26 September 20221. Ground-based observations showed that the Didymos system brightened by a factor of 8.3 after the impact because of ejecta, returning to the pre-impact brightness 23.7 days afterwards2. Hubble Space Telescope observations made from 15 minutes after impact to 18.5 days after, with a spatial resolution of 2.1 kilometres per pixel, showed a complex evolution of the ejecta3, consistent with other asteroid impact events. The momentum enhancement factor, determined using the measured binary period change4, ranges between 2.2 and 4.9, depending on the assumptions about the mass and density of Dimorphos5. Here we report observations from the LUKE and LEIA instruments on the LICIACube cube satellite, which was deployed 15 days in advance of the impact of DART. Data were taken from 71 seconds before the impact until 320 seconds afterwards. The ejecta plume was a cone with an aperture angle of 140 ± 4 degrees. The inner region of the plume was blue, becoming redder with increasing distance from Dimorphos. The ejecta plume exhibited a complex and inhomogeneous structure, characterized by filaments, dust grains and single or clustered boulders. The ejecta velocities ranged from a few tens of metres per second to about 500 metres per second.

2.
Nutr Metab Cardiovasc Dis ; 33(7): 1308-1315, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37217433

RESUMO

AIMS: A comprehensive review comparing the effect of vegetarian (V) and non-vegetarian (NV) diets on the major cardiometabolic diseases' outcomes was performed. DATA SYNTHESIS: We performed literature research (up to December 31, 2022) of the evidence separately for vascular disease (VD), obesity (OB), dyslipidemia (Dysl), hypertension (HPT), type 2 diabetes (T2D), metabolic syndrome (MetS), analyzing only cohort studies and randomized controlled studies (RCTs) and comparing the effect of V and NV diets. Cohort studies showed advantages of V diets compared to NV diets on incidence and/or mortality risk for ischemic heart disease, overweight and OB risk. Most cohort studies showed V had lower risk of HPT and lower blood pressure (BP) than NV and V diets had positive effects on T2D risk or plasma parameters. The few cohort studies on the risk of MetS reported mixed results. In RCTs, V diets, mainly low-fat-vegan ones, led to greater weight loss and improved glycemic control than NV diets and in the only one RCT a partial regression of coronary atherosclerosis. In most RCTs, V diets significantly reduced LDL-C levels (but also decreased HDL-C levels) and BP. CONCLUSIONS: In this comprehensive review of the association between V diets and cardiometabolic outcomes, we found that following this type of diet may help to prevent most of these diseases. However, the non-uniformity of the studies, due to ethnic, cultural, and methodological differences, does not allow for generalizing the present results and drawing definitive conclusions. Further, well-designed studies are warranted to confirm the consistency of our conclusions.


Assuntos
Diabetes Mellitus Tipo 2 , Hipertensão , Síndrome Metabólica , Humanos , Dieta Vegetariana/efeitos adversos , Obesidade , Hipertensão/diagnóstico , Hipertensão/epidemiologia , Hipertensão/prevenção & controle , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/epidemiologia , Diabetes Mellitus Tipo 2/prevenção & controle , Dieta com Restrição de Gorduras
3.
Nutr Metab Cardiovasc Dis ; 27(12): 1037-1052, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29174030

RESUMO

BACKGROUND: Interest in vegetarian diets is growing in Italy and elsewhere, as government agencies and health/nutrition organizations are emphasizing that regular consumption of plant foods may provide health benefits and help prevent certain diseases. METHODS AND RESULTS: We conducted a Pubmed search, up to September, 2015, for studies on key nutrients (proteins, vitamin B12, iron, zinc, calcium, vitamin D, and n-3 fatty acids) in vegetarian diets. From 295 eligible publications the following emerged: Vegetarians should be encouraged to supplement their diets with a reliable source of vitamin B12 (vitamin-fortified foods or supplements). Since the plant protein digestibility is lower than that of animal proteins it may be appropriate for vegetarians to consume more proteins than recommended for the general population. Vegetarians should also be encouraged to habitually consume good sources of calcium, iron and zinc - particularly vegetables that are low in oxalate and phytate (e.g. Brassicaceae), nuts and seeds, and calcium-rich mineral water. Calcium, iron, and zinc bioavailability can be improved by soaking, germination, and sour-dough leavening that lower the phytate content of pulses and cereals. Vegetarians can ensure good n-3 fatty acid status by habitually consuming good sources of a-linolenic acid (walnuts, flaxseeds, chia seeds, and their oils) and limiting linoleic acid intake (corn and sunflower oils). CONCLUSIONS: Well-planned vegetarian diets that include a wide variety of plant foods, and a reliable source of vitamin B12, provide adequate nutrient intake. Government agencies and health/nutrition organizations should provide more educational resources to help Italians consume nutritionally adequate vegetarian diets.


Assuntos
Dieta Saudável/normas , Dieta Vegetariana/normas , Ciências da Nutrição/normas , Estado Nutricional , Valor Nutritivo , Adolescente , Adulto , Fatores Etários , Idoso , Criança , Pré-Escolar , Dieta Vegana/normas , Suplementos Nutricionais/normas , Feminino , Humanos , Lactente , Recém-Nascido , Itália , Masculino , Pessoa de Meia-Idade , Avaliação Nutricional , Gravidez , Recomendações Nutricionais , Sociedades Médicas , Adulto Jovem
4.
Science ; 355(6332): 1392-1395, 2017 03 31.
Artigo em Inglês | MEDLINE | ID: mdl-28325842

RESUMO

The Rosetta spacecraft spent ~2 years orbiting comet 67P/Churyumov-Gerasimenko, most of it at distances that allowed surface characterization and monitoring at submeter scales. From December 2014 to June 2016, numerous localized changes were observed, which we attribute to cometary-specific weathering, erosion, and transient events driven by exposure to sunlight and other processes. While the localized changes suggest compositional or physical heterogeneity, their scale has not resulted in substantial alterations to the comet's landscape. This suggests that most of the major landforms were created early in the comet's current orbital configuration. They may even date from earlier if the comet had a larger volatile inventory, particularly of CO or CO2 ices, or contained amorphous ice, which could have triggered activity at greater distances from the Sun.

5.
Science ; 354(6319): 1566-1570, 2016 12 23.
Artigo em Inglês | MEDLINE | ID: mdl-27856849

RESUMO

The Rosetta spacecraft has investigated comet 67P/Churyumov-Gerasimenko from large heliocentric distances to its perihelion passage and beyond. We trace the seasonal and diurnal evolution of the colors of the 67P nucleus, finding changes driven by sublimation and recondensation of water ice. The whole nucleus became relatively bluer near perihelion, as increasing activity removed the surface dust, implying that water ice is widespread underneath the surface. We identified large (1500 square meters) ice-rich patches appearing and then vanishing in about 10 days, indicating small-scale heterogeneities on the nucleus. Thin frosts sublimating in a few minutes are observed close to receding shadows, and rapid variations in color are seen on extended areas close to the terminator. These cyclic processes are widespread and lead to continuously, slightly varying surface properties.

6.
Science ; 334(6055): 487-90, 2011 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-22034428

RESUMO

Images obtained by the Optical, Spectroscopic, and Infrared Remote Imaging System (OSIRIS) cameras onboard the Rosetta spacecraft reveal that asteroid 21 Lutetia has a complex geology and one of the highest asteroid densities measured so far, 3.4 ± 0.3 grams per cubic centimeter. The north pole region is covered by a thick layer of regolith, which is seen to flow in major landslides associated with albedo variation. Its geologically complex surface, ancient surface age, and high density suggest that Lutetia is most likely a primordial planetesimal. This contrasts with smaller asteroids visited by previous spacecraft, which are probably shattered bodies, fragments of larger parents, or reaccumulated rubble piles.

7.
Ann Oncol ; 22(6): 1295-1301, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21199886

RESUMO

BACKGROUND: Prognostic tools in early breast cancer are inadequate. The evolving field of metabolomics may allow more accurate identification of patients with residual micrometastases. PATIENTS AND METHODS: Forty-four early breast cancer patients with pre- and postoperative serum samples had metabolomic assessment by nuclear magnetic resonance. Fifty-one metastatic patients served as control. Differential clustering was identified and used to calculate individual early patient 'metabolomic risk', calculated as inverse distance of each early patient from the metastatic cluster barycenter. Metabolomic risk was compared with Adjuvantionline 10-year mortality assessment. RESULTS: Innate serum metabolomic differences exist between early and metastatic patients. Preoperative patients were identified with 75% sensitivity, 69% specificity and 72% predictive accuracy. Comparison with Adjuvantionline revealed discordance. Of 21 patients assessed as high risk by Adjuvantionline, 10 (48%) and 6 (29%) were at high risk by metabolomics in pre- and postoperative settings, respectively. Of 23 low-risk patients by Adjuvantionline, 11 (48%) preoperative and 20 (87%) postoperative patients were at low risk by metabolomics. CONCLUSIONS: This study identifies metabolomic discrimination between early and metastatic breast cancer. Micrometastatic disease may account for metabolomic misclassification of some early patients as metastatic. Metabolomics identifies more patients as low relapse risk compared with Adjuvantionline. Further exploration of this metabolomic fingerprint is warranted.


Assuntos
Biomarcadores Tumorais/sangue , Neoplasias da Mama/sangue , Neoplasias da Mama/patologia , Metabolômica/métodos , Micrometástase de Neoplasia , Recidiva Local de Neoplasia/sangue , Adulto , Idoso , Idoso de 80 Anos ou mais , Detecção Precoce de Câncer , Feminino , Humanos , Pessoa de Meia-Idade , Prognóstico , Risco
8.
Science ; 327(5962): 190-3, 2010 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-20056887

RESUMO

The European Space Agency's Rosetta mission encountered the main-belt asteroid (2867) Steins while on its way to rendezvous with comet 67P/Churyumov-Gerasimenko. Images taken with the OSIRIS (optical, spectroscopic, and infrared remote( )imaging system) cameras on board Rosetta show that Steins is an oblate body with an effective spherical diameter of 5.3 kilometers. Its surface does not show color variations. The morphology of Steins is dominated by linear faults and a large 2.1-kilometer-diameter crater near its south pole. Crater counts reveal a distinct lack of small craters. Steins is not solid rock but a rubble pile and has a conical appearance that is probably the result of reshaping due to Yarkovsky-O'Keefe-Radzievskii-Paddack (YORP) spin-up. The OSIRIS images constitute direct evidence for the YORP effect on a main-belt asteroid.

9.
J Med Chem ; 52(15): 4838-43, 2009 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-19601647

RESUMO

The inhibition of a subgroup of human serine/threonine protein phosphatases is responsible for the cytotoxicity of cantharidin and norcantharidin against tumor cells. It is shown that the anhydride rings of cantharidin and norcantharidin are hydrolyzed when bound to the catalytic domain of the human serine/threonine protein phosphatases 5 (PP5c), and the high-resolution crystal structures of PP5c complexed with the corresponding dicarboxylic acid derivatives of the two molecules are reported. Norcantharidin shows a unique binding conformation with the catalytically active Mn2PP5c, while cantharidin is characterized by a double conformation in its binding mode to the protein. Different binding modes of norcantharidin are observed depending of whether the starting ligand is in the anhydride or in the dicarboxylic acid form. All these structures will provide the basis for the rational design of new cantharidin-based drugs.


Assuntos
Compostos Bicíclicos Heterocíclicos com Pontes/farmacologia , Cantaridina/farmacologia , Inibidores Enzimáticos/farmacologia , Fosfoproteínas Fosfatases/antagonistas & inibidores , Sítios de Ligação , Compostos Bicíclicos Heterocíclicos com Pontes/química , Cantaridina/química , Interações Hidrofóbicas e Hidrofílicas , Fosfoproteínas Fosfatases/química , Conformação Proteica , Relação Estrutura-Atividade
10.
Cell Mol Life Sci ; 65(1): 89-91, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17989919

RESUMO

Menkes disease is caused by mutations in the copper-transporting P(1B)-type ATPase ATP7A. ATP7A has a dual function: it serves to incorporate copper into copper-dependent enzymes, and it maintains intracellular copper levels by removing excess copper from the cytosol. To accomplish both functions, the protein traffics between different cellular locations depending on copper levels. The mechanism for sensing the concentration of copper, for trafficking, as well as the details of the mechanism of copper translocation across the membrane are unknown.


Assuntos
Adenosina Trifosfatases/fisiologia , Proteínas de Transporte de Cátions/fisiologia , Síndrome dos Cabelos Torcidos/genética , Adenosina Trifosfatases/genética , Adenosina Trifosfatases/metabolismo , Proteínas de Transporte de Cátions/genética , Proteínas de Transporte de Cátions/metabolismo , Cobre/metabolismo , ATPases Transportadoras de Cobre , Humanos , Síndrome dos Cabelos Torcidos/enzimologia , Mutação
11.
Acta Crystallogr D Biol Crystallogr ; 62(Pt 10): 1150-61, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17001092

RESUMO

This paper describes the developments, role and contributions of the NMR spectroscopy groups in the Structural Proteomics In Europe (SPINE) consortium. Focusing on the development of high-throughput (HTP) pipelines for NMR structure determinations of proteins, all aspects from sample preparation, data acquisition, data processing, data analysis to structure determination have been improved with respect to sensitivity, automation, speed, robustness and validation. Specific highlights are protonless (13)C-direct detection methods and inferential structure determinations (ISD). In addition to technological improvements, these methods have been applied to deliver over 60 NMR structures of proteins, among which are five that failed to crystallize. The inclusion of NMR spectroscopy in structural proteomics pipelines improves the success rate for protein structure determinations.


Assuntos
Espectroscopia de Ressonância Magnética/métodos , Proteômica/métodos , Algoritmos , Interpretação Estatística de Dados , Modelos Moleculares , Proteínas/química
12.
Acta Crystallogr D Biol Crystallogr ; 62(Pt 10): 1196-207, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17001096

RESUMO

The Structural Proteomics In Europe (SPINE) programme is aimed at the development and implementation of high-throughput technologies for the efficient structure determination of proteins of biomedical importance, such as those of bacterial and viral pathogens linked to human health. Despite the challenging nature of some of these targets, 175 novel pathogen protein structures (approximately 220 including complexes) have been determined to date. Here the impact of several technologies on the structural determination of proteins from human pathogens is illustrated with selected examples, including the parallel expression of multiple constructs, the use of standardized refolding protocols and optimized crystallization screens.


Assuntos
Infecções Bacterianas/metabolismo , Proteínas de Bactérias/química , Proteômica/métodos , Proteínas Virais/química , Viroses/metabolismo , Animais , Infecções Bacterianas/microbiologia , Humanos , Dobramento de Proteína , Viroses/virologia
13.
Acta Crystallogr D Biol Crystallogr ; 62(Pt 10): 1208-17, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17001097

RESUMO

The EC 'Structural Proteomics In Europe' contract is aimed specifically at the atomic resolution structure determination of human protein targets closely linked to health, with a focus on cancer (kinesins, kinases, proteins from the ubiquitin pathway), neurological development and neurodegenerative diseases and immune recognition. Despite the challenging nature of the analysis of such targets, approximately 170 structures have been determined to date. Here, the impact of high-throughput technologies, such as parallel expression of multiple constructs, the use of standardized refolding protocols and optimized crystallization screens or the use of mass spectrometry to assist sample preparation, on the structural biology of mammalian protein targets is illustrated through selected examples.


Assuntos
Proteínas/química , Proteômica/tendências , Animais , Células Eucarióticas , Expressão Gênica , Pesquisa em Genética , Humanos , Sistema Imunitário/fisiologia , Espectrometria de Massas , Neoplasias/genética , Doenças do Sistema Nervoso/genética
14.
Acta Crystallogr D Biol Crystallogr ; 62(Pt 10): 1184-95, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17001095

RESUMO

SPINE (Structural Proteomics In Europe) was established in 2002 as an integrated research project to develop new methods and technologies for high-throughput structural biology. Development areas were broken down into workpackages and this article gives an overview of ongoing activity in the bioinformatics workpackage. Developments cover target selection, target registration, wet and dry laboratory data management and structure annotation as they pertain to high-throughput studies. Some individual projects and developments are discussed in detail, while those that are covered elsewhere in this issue are treated more briefly. In particular, this overview focuses on the infrastructure of the software that allows the experimentalist to move projects through different areas that are crucial to high-throughput studies, leading to the collation of large data sets which are managed and eventually archived and/or deposited.


Assuntos
Biologia Computacional/estatística & dados numéricos , Proteômica/estatística & dados numéricos , Cristalização , Interpretação Estatística de Dados , Gestão da Informação , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Software
15.
Ann Ig ; 17(3): 243-52, 2005.
Artigo em Italiano | MEDLINE | ID: mdl-16041926

RESUMO

Food service establishments are recognized as a critical sector concerning foodborne diseases occurrence, that is associated to contributing factors such as the anticipated preparation of meals that are often highly handled, and long-time distributed. A survey has been planned to evaluate the application of HACCP plan, in order to select a statistically representative sample of food services (restaurant, pizza-shop, bar, ..) in two Milan area' Public Health Units (PHU). During the inspections a proper check-list has been filled up in order to give a conformity evaluation about the global situation and about three specific sections: hygiene of food-handlers, procedures control, temperatures management. The food services have been found satisfactory in 9/106 and 5/54 cases in Milan City and in hinterland, respectively; among the two areas, highly significant differences have been revealed about temperatures management (68% and 28% unsatisfactory, respectively). In Milan City restaurants provided with HACCP plan scores are significantly different from unprovided restaurants scores (global and the three sections' evaluation); in Milan hinterland differences between provided and unprovided HACCP plan restaurants regard temperature management scores only. Useful suggestions to improve the quality of surveillance activity come from complex and heterogeneous findings shown in this study.


Assuntos
Monitoramento Ambiental/métodos , Serviços de Alimentação/organização & administração , Setor Público , Restaurantes , Conformidade Social , Estudos de Casos e Controles , Área Programática de Saúde , Serviços de Alimentação/legislação & jurisprudência , Humanos , Itália
16.
Ann Ig ; 17(3): 253-60, 2005.
Artigo em Italiano | MEDLINE | ID: mdl-16041927

RESUMO

The prevention and control of foodborne diseases play an important role in public health and the responsibility of food-handlers is of great concern: their training on food safety is particularly required in the critical sector of public food service establishments. The food-handlers knowledge has been evaluated by a questionnaire filled up in two Public Health Units (PHU) in Milan City and Milan hinterland. Only 11.5% of food-handlers turned at to be good trained; the wrong answers are concentrated on the section titled "temperatures management" (68 and 59% in Milan City and in Milan hinterland, respectively). Only for 31.4% of food-handlers the attendance to training courses is well documented, although the knowledge level seems to be partially influenced by training activity: exclusively in Milan City food-handlers an highly significant difference has been found among "trained" and "no-trained" workers in correct answers about temperatures management (p= 0.0046). The frequency of exact answers isn't associated to the satisfaction level revealed during inspection of restaurants. Focusing the attention on the insufficient efficacy of training courses and the lacking connection between knowledge and behaviour, a critical revision of training activity quality seems to be necessary. In future some professional training activities in the field should be promoted.


Assuntos
Manipulação de Alimentos/normas , Indústria Alimentícia/educação , Serviços de Alimentação/normas , Doenças Transmitidas por Alimentos/prevenção & controle , Setor Público , Área Programática de Saúde , Humanos , Itália , Ensino
17.
J Mol Biol ; 336(3): 707-16, 2004 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-15095982

RESUMO

The catalytic domain of matrix metalloproteinase-10 (MMP-10) has been expressed in Escherichia coli and its crystal structure solved at 2.1 A resolution. The availability of this structure allowed us to critically examine the small differences existing between the catalytic domains of MMP-3 and MMP-10, which show the highest sequence identity among all MMPs. Furthermore, the binding mode of N-isobutyl-N-[4-methoxyphenylsulfonyl]glycyl hydroxamic acid (NNGH), which is one of the most known commercial inhibitors of MMPs, is described for the first time.


Assuntos
Metaloendopeptidases/química , Estrutura Terciária de Proteína , Sequência de Aminoácidos , Domínio Catalítico , Cristalografia por Raios X , Humanos , Metaloproteinase 10 da Matriz , Metaloendopeptidases/genética , Metaloendopeptidases/metabolismo , Modelos Moleculares , Dados de Sequência Molecular , Estrutura Molecular , Alinhamento de Sequência
18.
Acta Diabetol ; 40 Suppl 1: S142-4, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14618455

RESUMO

We monitored body composition variations in nine elite karateists during a 3-year period (T(1), T(2), T(3)). Arm circumference (AC) and six skinfolds were measured. Arm muscle circumference (AMC) and area (AMA) were then calculated. Fat mass (FM) was calculated using the Durnin-Womersley, Sloan-Weir (S-W), Katch-McArdle and Lohman equations. The only significant increase regarded the AC, AMC and AMA measurements between T(1) and T(2). The time course of the predicted FM amount using the different equations was the same. In particular, the S-W equation did not seem to reflect the modifications in the amount of FM as evidenced by the total sum of the six skinfolds. Our subjects were characterized by a substantial uniformity in body composition parameters measured in this 3-year follow-up study.


Assuntos
Composição Corporal/fisiologia , Constituição Corporal/fisiologia , Artes Marciais/fisiologia , Adulto , Seguimentos , Humanos , Masculino , Dobras Cutâneas
19.
Acta Diabetol ; 40 Suppl 1: S145-8, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14618456

RESUMO

The aim of the study was to examine the anthropometric features and body composition of athletes practising karate at a high and medium competitive level. Our study was carried out on a sample of 35 subjects practising karate and aged from 16.0 to 32.5 years. This sample was divided into two groups: group 1 ( n=14 elite athletes) and group 2 ( n=21 amateur athletes). Various anthropometric measurements were taken (weight, height both standing and sitting, diameters, circumferences and skinfold thickness) from which different anthropometric indices were calculated (body mass index, Scelic and Grant indices, arm muscle circumference and area), and the somatotype was then determined. The body composition of each subject was assessed using the skinfold technique and the Jackson-Pollock (J-P) and Sloan-Weir (S-W) equations. The two groups of athletes showed very similar measurements regarding anthropometric characteristics. Only the Scelix index presented a significantly different value in the two groups (49.6+/-1.3 for group 1 vs. 51.1+/-1.3 for group 2; p<0.01). Group 1 showed a mesomorphic-ectomorphic somatotype, while the amateur athletes presented a balanced mesomorphic type. Moreover, a lower percentage of fat mass was more frequent in the first group (J-P=8.1+/-2.4%; S-W=8.9+/-3.3%) than in the second one (J-P=9.8+/-1.6%; S-W=11.2+/-3.7%), although the differences between the two groups were not significant. We conclude that group 1 is characterized by a slightly prominent vertical development of the skeletal frame. This could be an anthropometric characteristic that is best suited to meet the specific functional requirements of this sport. Moreover, both groups of athletes are characterized by a low percentage of fat mass, particularly the elite group.


Assuntos
Antropometria/métodos , Composição Corporal/fisiologia , Índice de Massa Corporal , Artes Marciais , Esportes/fisiologia , Adulto , Estatura , Peso Corporal , Humanos , Reprodutibilidade dos Testes , Dobras Cutâneas , Somatotipos/fisiologia
20.
Clin Exp Rheumatol ; 20(4): 565-8, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12175117

RESUMO

OBJECTIVE: The aim of our study was to investigate the coexistence of autoimmune diseases (autoimmune thyroid disease and type 1 diabetes mellitus, T1DM) in patients affected by Juvenile Chronic Arthritis (JCA). METHODS: We studied 66 patients affected by JCA, 42 females and 24 males: 42/66 patients had a pauciarticular form of JCA, 13/66 had a polyarticular form and 11/66 had a systemic form. All the patients underwent autoimmune thyroid screening through determination of anti-thyroglobulin (TgA) and anti-peroxidase (TPOA) autoantibodies. Patients with TgA and/ or TPOA, underwent thyroid sonography. T1DM screening included determination of anti-glutamic acid decarboxylase (GADA), anti-insulin (IAA), anti-tyrosine phosphatase-like protein (IA-2A) and anti-islet cell (ICA) autoantibodies. Oral glucose tolerance test (OGTT) was performed only in patients with autoantibody positive values. HLA typing for risk of T1DM was performed in 43 patients. RESULTS: Nine female patients (14%) showed anti-thyroid autoantibodies, in particular: TgA in 3 cases, TPOA in 5, TgA and TPOA in only 1. In 3 of these patients, ultrasound examinations showed thyroid abnormal pattern, suggesting Hashimoto's thyroiditis. As regards T1DM, only 2 patients showed positive levels of GADA. As regards HLA typing, one or more T1DM susceptibility heterodimers were detected in 20 patients (46%) (13 with 1 heterodimer, 7 with 2 heterodimers). CONCLUSION: Our study showed that anti-thyroid autoantibody frequency (9/66, 14%) was higher in JCA than in the general population, while T1DM markers (islet autoantibodies and genetic markers) were not frequent. These results suggest to investigate specific markers of thyroid autoimmunity in patients with JCA, in particular in females with JCA pauciarticular form.


Assuntos
Artrite Juvenil/imunologia , Diabetes Mellitus Tipo 1/imunologia , Tireoidite Autoimune/imunologia , Adolescente , Artrite Juvenil/sangue , Artrite Juvenil/complicações , Autoanticorpos/sangue , Autoimunidade , Criança , Pré-Escolar , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/complicações , Feminino , Teste de Tolerância a Glucose , Glutamato Descarboxilase/imunologia , Teste de Histocompatibilidade , Humanos , Lactente , Anticorpos Anti-Insulina/sangue , Ilhotas Pancreáticas/imunologia , Masculino , Peroxidase/imunologia , Proteína Tirosina Fosfatase não Receptora Tipo 1 , Proteínas Tirosina Fosfatases/imunologia , Tireoglobulina/imunologia , Glândula Tireoide/diagnóstico por imagem , Tireoidite Autoimune/sangue , Tireoidite Autoimune/complicações , Ultrassonografia
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