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2.
Aquaculture ; 568: 739303, 2023 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38533126

RESUMO

Recent studies have reported on the importance of RBCs in fish responses to viral infections and DNA vaccines. Surface-displaying recombinant bacterins (spinycterins) are a safe and adaptable prototype for viral vaccination of fish and represent an alternative method of aquaculture prophylaxis, since have been reported to enhance fish immune response. We evaluated the innate immune response of rainbow trout (Oncorhynchus mykiss) red blood cells (RBCs), head kidney, and spleen to spinycterins expressing a fragment of the glycoprotein G of viral haemorrhagic septicemia virus (VHSV), one of the most devastating world-wide diseases in farmed salmonids. We first selected an immunorelevant downsized viral fragment of VHSV glycoprotein G (frg16252-450). Then, spinycterins expressing frg16252-450 fused to Nmistic anchor-motif (Nmistic+frg16252-450) were compared to spinycterins expressing frg16252-450 internally without the anchor motif. Nmistic+frg16252-450 spinycterins showed increased attachment to RBCs in vitro and modulated the expression of interferon- and antigen presentation-related genes in RBCs in vitro and in vivo, after intravenous injection. In contrast, the head kidney and spleen of fish injected with frg16252-450, but not Nmistic+frg16252-450, spinycterins demonstrated upregulation of interferon and antigen-presenting genes. Intravenous injection of Nmistic+frg16252-450 spinycterins resulted in a higher innate immune response in RBCs while frg16252-450 spinycterins increased the immune response in head kidney and spleen. Although more studies are required to evaluate the practicality of using spinycterins as fish viral vaccines, these results highlight the important contribution of RBCs to the fish innate immune response to antiviral prophylactics.

3.
J Therm Biol ; 100: 103048, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34503795

RESUMO

This manuscript aims to evaluate the influence of a novel passive heat acclimation program among human participants in the physical performance, as well as in several physiological parameters. 36 male football players were acclimated using a dry sauna bath to extreme hot (100 ± 3 °C), performing a total of nine sauna sessions with a weekly frequency of three sessions. The players were randomly into the sauna group (SG; n = 18; age: 20.69 ± 2.09 years) and the control group (CG; n = 18; age: 20.23 ± 1.98 years). All participants performed maximal effort test until exhaustion as well as hamstring flexibility test before and after the acclimation program. Anthropometric, respiratory, circulatory, hematological and physiological variables were evaluated at the beginning and at the end of the survey. Statistical analysis consisted of a Mann-Whitney U test to determine differences between groups at the beginning and at the end of the survey and a Wilcoxon test for paired samples to compare the differences for each group separately. Additionally, size effects of the pre-post acclimation changes were calculated. After the acclimation program SG participants experienced a diminution in body weight (p < 0.01), body mass index (p < 0.01), body fat (p < 0.05) and fat percentage (p < 0.05) decreased. Hamstring flexibility (p < 0.05) and work capacity (p < 0.05) increased. External basal temperature decreased (p < 0.05) as well as post-exercise systolic and diastolic blood pressures (p < 0.05). Finally, maximal oxygen uptake (ml Kg-1 min-1) (p < 0.05), maximal minute ventilation (p < 0.05) and maximal breath frequency (p < 0.05) increased at the end of the intervention. There were no significant changes in the CG in any variable. Favorable adaptations have been observed in this survey, suggesting a beneficial effect of extreme heat acclimation on physical performance. Several of the observed responses seem interesting for sport performance and health promotion as well. However, this is a novel, extreme protocol which requires further research.


Assuntos
Aclimatação , Desempenho Atlético , Futebol Americano/fisiologia , Banho a Vapor/métodos , Adolescente , Temperatura Corporal , Humanos , Masculino , Consumo de Oxigênio , Condicionamento Físico Humano/métodos , Adulto Jovem
5.
J Therm Biol ; 96: 102837, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33627275

RESUMO

Currently, the effect of passive heat acclimation on aerobic performance is still controversial. Therefore, this study aimed to observe the effect of passive and intervallic exposure to high temperatures (100 ± 2 °C) in untrained males. Forty healthy untrained men participated in this investigation. They were randomised into a Control Group (CG; n = 18) and an Experimental Group (EG; n = 22). Both groups performed maximum incremental tests until exhaustion in normothermia (GXT1; 22 ± 2 °C), and 48h afterwards, in hyperthermia (GXT2; 42 ± 2 °C). The EG performed 9 sessions of intervallic exposure to heat (100 ± 2 °C) over 3 weeks. Subsequently, both groups performed two maximal incremental trials in normothermia (GXT3; 22 ± 2 °C) and 48h later, in hyperthermia (GXT4; 42 ± 2 °C). In each test, the maximal ergospirometric parameters and the aerobic (VT1), anaerobic (VT2) and recovery ventilatory thresholds were recorded. The Wilcoxon Test was used for intra-group comparisons and the Mann-Whitney U for inter-group comparisons. There were improvements in absolute VO2max (p = 0.049), W (p = 0.005) and O2pulse (p = 0.006) in hyperthermia. In VT1 there was an increase in W (p = 0.046), in VO2 in absolute (p = 0.025) and relative (p = 0.013) values, O2pulse (p = 0.006) and VE (p = 0.028) in hyperthermia. While W increased in hyperthermia (p = 0.022) at VT2. The results suggest that passive and intervallic acclimation at high temperatures improves performance in hyperthermia. This protocol could be implemented in athletes when they have to compete in hot environments.


Assuntos
Aclimatação/fisiologia , Temperatura Alta , Adulto , Temperatura Corporal , Teste de Esforço , Humanos , Masculino , Espirometria , Banho a Vapor , Adulto Jovem
6.
Thromb Update ; 5: 100086, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38620810

RESUMO

Since the beginning of the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV-2) virus pandemic, several highly effective and safe vaccines have been produced at remarkable speed. Following global implementation of vaccination programmes, cases of thrombosis with thrombocytopenia following administration of adenoviral vector-based vaccines started being reported. In this review we discuss the known pathogenesis and epidemiology of so-called vaccine induced thrombocytopenia and thrombosis (VITT). We consider the available guidelines, diagnostic laboratory tests and management options for these patients. Finally, we discuss important unanswered questions and areas for future research in this novel pathoclinical entity.

7.
J Int Soc Sports Nutr ; 17(1): 35, 2020 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-32646441

RESUMO

BACKGROUND: The aim of the present study was to determine changes occurring in the erythrocyte concentrations of chromium (Cr), copper (Cu), manganese (Mn), molybdenum (Mo), selenium (Se) and zinc (Zn) in male subjects with different training levels living in the same region (Spain). METHODS: Thirty sedentary subjects (24.34 ± 3.02 years) formed the control group (CG); 24 moderately trained (4-7 h/week) subjects (23.53 ± 1.85 years) formed the group with a moderate degree of training (MTG) and 22 professional cyclists (23.29 ± 2.73 years), who performed more than 20 h/week of training, formed the high-level training group (HTG). Erythrocyte samples were collected from all subjects in fasting conditions, washed and frozen at - 80 °C until analysis. Erythrocyte analysis of trace elements was performed by inductively coupled plasma mass spectrometry (ICP-MS). RESULTS: The results showed that there was a statistically significant lower erythrocyte concentration of Cu, Mn, Mo and Zn in the MTG and HTG than CG. Se was only significantly lower in HTG than CG. The correlation analysis indicates that this change was correlated with training in the case of Cu, Mn, Se and Zn. All results are expressed in µg/g Hb. CONCLUSIONS: We can conclude that physical training produces a decrease in erythrocyte concentrations of Cu, Mn, Se and Zn, which can cause a decrement in athletes' performance given the importance of these elements. For this reason, erythrocyte monitoring during the season would seem to be advisable to avoid negative effects on performance.


Assuntos
Eritrócitos/química , Aptidão Física , Oligoelementos/sangue , Cromo/sangue , Cobre/sangue , Humanos , Masculino , Manganês/sangue , Molibdênio/sangue , Selênio/sangue , Espanha , Adulto Jovem , Zinco/sangue
8.
J Therm Biol ; 89: 102536, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32364981

RESUMO

The objective of this research was to determine the acute effect of a maximum test until exhaustion in normothermia and hyperthermia, and after repeated exposure to heat at high temperatures on the homeostasis of Fe and Cu. The sample was composed of twenty-nine male university students. The participants were divided into a control group (CG) and an experimental group (EG). All of them underwent an incremental test until exhaustion in normothermia and hyperthermia before and after the repeated exposure of EG to heat at high temperatures, consisting of 9 heat acclimatisation sessions in the sauna. Samples of urine and blood were taken before and after each test. Additionally, sweat samples were collected in the hyperthermia test. The samples were frozen at -80 °C for further analysis by ICP-MS. None of the metal concentrations in serum were affected by hyperthermia or exposure to heat. Urinary Fe increased in CG in the hyperthermia test before Heat exposure at High Temperature (HEHT)(p < 0.05) and in both groups after HEHT (p < 0.05). In EG there was an increase in the urinary excretion of Cu after HEHT (p < 0.01) in both trials. Fe suffered a decrease in sweat in EG after exposure to heat (p < 0.05). The concentrations of Fe and Cu in serum were not affected by acute exercise and exposure to high temperatures. However, there was a decrease in excretion of Fe in sweat due to HEHT, and an increase in urinary excretion in both. Therefore, we think that in conditions of high temperatures for long periods of time, attention should be paid to the body levels of these metals.


Assuntos
Cobre/urina , Exercício Físico , Resposta ao Choque Térmico , Ferro/urina , Suor/metabolismo , Cobre/sangue , Cobre/metabolismo , Eliminação Cutânea , Humanos , Ferro/sangue , Ferro/metabolismo , Masculino , Eliminação Renal , Adulto Jovem
9.
J Therm Biol ; 89: 102545, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32364986

RESUMO

OBJECTIVE: This study aims to observe the effect on urine and sweat excretion levels of cadmium (Cd) and lead (Pb) in healthy men in a maximum incremental test until exhaustion and repeated exposure to heat. METHODS: twenty-nine adult men divided into control group (CG; n = 14) and experimental group (EG; n = 15) performing two maximum tests until exhaustion in normothermia (22 °C) and hyperthermia (42 °C). EG experienced 9 sessions of heat exposure at high temperatures (100 °C) (HEHT). After the nine sessions, the initial tests were repeated in both groups. Urine samples were collected before and after each test. After the hyperthermia tests, sweat samples were gathered. RESULTS: Urinary Cd increased after initial tests in GC and in hyperthermia in EG (p < 0.05). Urinary excretion of Pb rose after HEHT (p < 0.05). Pb in sweat was higher in EG than in CG after HEHT (p < 0.05). CONCLUSION: Heat exercise and constant exposure to heat can be a valid method to increase the excretion of toxic metals.


Assuntos
Cádmio/urina , Exercício Físico , Resposta ao Choque Térmico , Chumbo/urina , Cádmio/farmacocinética , Eliminação Cutânea , Humanos , Chumbo/farmacocinética , Masculino , Eliminação Renal , Suor/metabolismo , Adulto Jovem
10.
J Therm Biol ; 88: 102492, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32125980

RESUMO

INTRODUCTION: The effect of hyperthermia on the antioxidant system in the human organism is well known. AIM: The objective of this study was to observe the effects of heat on the concentration of Se and Zn, elements related to antioxidant systems. METHODS: Twenty-nine subjects voluntarily participated in this study. They were divided into a control group (CG; n = 14) and an experimental group (EG; n = 15). All of them underwent two incremental tests until exhaustion in normothermia (22 °C, 20-40%RH) and hyperthermia (42 °C, 20-40%RH). EG experienced nine sessions of repeated heat exposure at high temperatures (100 °C, 20%RH) for three weeks (HEHT). After the intervention, the initial measurements were repeated. Urine and blood samples were collected before and after each test. Additionally, sweat samples were collected after tests in hyperthermia. RESULTS: There were no significant changes in serum. An increase in the elimination of Zn and Se in EG was observed in urine after HEHT (p < .05). The elimination of Zn by sweating decreased after HEHT in EG (p < .05). CONCLUSIONS: Exposure to heat at high temperatures increases the urinary excretion of Se and Zn.


Assuntos
Febre/metabolismo , Selênio/análise , Suor/química , Zinco/análise , Adulto , Febre/sangue , Febre/urina , Temperatura Alta , Humanos , Masculino , Selênio/sangue , Selênio/urina , Adulto Jovem , Zinco/sangue , Zinco/urina
11.
J Therm Biol ; 86: 102425, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31789222

RESUMO

AIM: The aim of this study was to evaluate the effect of the performance of an incremental exercise test until exhaustion in normothermic and hyperthermic conditions on serum, erythrocyte and urine concentrations of Iron (Fe), Copper (Cu), Selenium (Se) and Zinc (Zn). METHODS: Nineteen adult males (age: 22.58 ±â€¯1.06 years) performed two maximum incremental exercise tests on a cycloergometer in normothermia (22 ±â€¯2 °C) and hyperthermia (42±2 °C) separated by 48 h. Urine, serum and erythrocyte samples were collected before and after each test. RESULTS: Serum Se (p < 0.01) and Cu (p < 0.05) levels were altered after each test, but the significance disappeared with the correction for haematocrit. The rest of the values did not undergo alterations in either condition. CONCLUSIONS: It seems that a higher stimulus is necessary to obtain changes in these minerals. The study reveals the need to correct serum concentrations concerning possible changes in these volumes after an acute effort.


Assuntos
Exercício Físico/fisiologia , Metais Pesados/sangue , Metais Pesados/urina , Selênio/sangue , Selênio/urina , Temperatura , Adulto , Eritrócitos , Teste de Esforço , Fadiga/sangue , Fadiga/urina , Resposta ao Choque Térmico , Humanos , Masculino , Adulto Jovem
12.
Anim Reprod Sci ; 211: 106207, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31785626

RESUMO

The aim with this study was to compare cervical (CAI; 3 × 109 spermatozoa/90 mL) and post-cervical (PCAI; 1.5 × 109 spermatozoa/45 mL) artificial insemination (AI) techniques for frequency of incidences (unsuccessful or difficult probe passage, backflow, metritis and bleeding), values for reproductive variables and duration of the procedure in gilts. There were 644 gilts (255-270 days old, weighing 150 ±â€¯5 kg) randomly assigned to PCAI (n = 320) and CAI (n = 324) groups. In total, there were 957 and 958 artificial inseminations performed in the CAI and PCAI groups, respectively (2-4 AIs/gilt). The frequency of unsuccessful or difficult PCAI probe passage/AI was 14.6% (140/958), therefore, there was a 85.7% probe passage success/AI rate (818/958). The semen backflow frequency/AI was less with PCAI than CAI (4.3% compared with 8.2%, P <  0.001). With the PCAI group, there were only a few cases of bleeding (11/958: 1.1% /AI) with no difference between the CAI and PCAI groups (P = 0.224). In gilts (n = 72) where there was not passage of the PCAI probe (72/320; 22.5%) there was use of CAI, (M, mixed group). For the CAI, PCAI and M groups, there were similar values for positive pregnancy diagnosis, farrowing rates and prolificacy (P > 0.05). The average duration for AI was shorter in the PCAI (2.34 ± 0.809 min) than CAI (4.77 ± 1.059 min) group, and it was longer in the M group (7.48 ± 2.454 min; P < 0.050). The PCAI procedure, therefore, is recommended for AI of gilts.


Assuntos
Colo do Útero , Inseminação Artificial/veterinária , Suínos/fisiologia , Animais , Feminino , Inseminação Artificial/métodos , Gravidez , Resultado da Gravidez
13.
J Therm Biol ; 84: 176-184, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31466751

RESUMO

AIM: The aim of this survey was to ascertain the difference in the levels of Magnesium (Mg) and Phosphorus (P) after an exercise test in normothermia and hyperthermia before and after heat acclimation in comparison to their respective pre-test values. METHODS: Twenty-nine male university students were divided into an Experimental Group (EG) (n = 15) and a Control Group (CG) (n = 14). All of them voluntarily participated in this investigation. Both groups performed an incremental test until exhaustion on a cycloergometer in normothermia (22 °C) and hyperthermia (42 °C). EG underwent 9 sessions of heat acclimation (100 °C) in a sauna (Harvia C105S Logix Combi Control; 3-15 W; Finland). Once the experimental period was completed, all initial measurements were carried out again under identical conditions. Urine and blood samples were obtained before and after each trial. Sweat samples were collected at the end of every test performed in hyperthermia. The samples were frozen at -80 °C until further analysis by ICP-MS. RESULTS: Lower seric Mg levels were observed in both groups at the end of pre-acclimation tests. After acclimation, only EG experimented a decrease of Mg in serum after testing (p < .01). The urinary excretion was unaffected in the pre-acclimated period, but EG experimented an increase in Mg after trials in the post-acclimation evaluation (p < .01). Mg sweat loss decreased significantly after heat acclimation (p < .05). P did not undergo changes, except in its urinary excretion, which was elevated after the normothermia trial in the post-acclimation period (p < .05). CONCLUSIONS: It seems that exercise in hyperthermia altered Mg status but not P homeostasis. Additionally, heat acclimation reduces Mg losses in sweat while increasing its loss in urine. Thus, Mg supplementation should be considered in unacclimated and acclimated subjects if physical exercise is going to be performed in hyperthermic conditions.


Assuntos
Exercício Físico/fisiologia , Temperatura Alta/efeitos adversos , Magnésio/metabolismo , Fósforo/metabolismo , Adulto , Temperatura Corporal , Fadiga/metabolismo , Humanos , Magnésio/sangue , Magnésio/urina , Masculino , Fósforo/sangue , Fósforo/urina , Suor/metabolismo , Adulto Jovem
14.
J Therm Biol ; 80: 1-6, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30784472

RESUMO

AIM: The aim of this study was to evaluate the effect of the performance of a maximal exercise test until exhaustion in normothermic and hyperthermic conditions on body concentrations of magnesium (Mg) and phosphorus (P). METHODS: 19 adult males (age: 22.58 ±â€¯1.05 years) performed two maximum incremental exercise tests on a cycloergometer separated by 48 h. The first was performed in normothermia (22 ±â€¯2 °C) and the second in hyperthermic conditions induced with a sauna (42 ±â€¯2 °C). Blood and urine samples were taken before and after each test. RESULTS: The tests in hyperthermia did not produce ergospirometric alterations or a noticeable cardiovascular drift. Serum Mg concentrations underwent a reduction after the stress test in hyperthermia (p > 0.05) but not in normothermia. Nevertheless, urinary and erythrocyte concentrations of Mg, and urinary, erythrocyte and serum concentrations of P did not undergo alterations in either conditions. CONCLUSIONS: It seems that exercise in hyperthermic conditions induces a tissue redistribution of Mg in the body, a fact which was not observed in normothermic conditions.


Assuntos
Exercício Físico/fisiologia , Fadiga/sangue , Fadiga/urina , Adulto , Eritrócitos/fisiologia , Teste de Esforço , Fadiga/fisiopatologia , Hematócrito , Humanos , Magnésio/urina , Masculino , Fósforo/urina , Temperatura Cutânea , Temperatura , Adulto Jovem
16.
Mar Environ Res ; 142: 21-31, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30253919

RESUMO

Describing the spatial patterns of benthic coastal habitats and investigating how those patterns affect the ecology of inhabiting species is a main objective of seascape ecology. Within this emerging discipline spatial scale is a principal topic. Different spatial scales inform on different characteristics of the habitat and therefore the relation between species and their habitats would be better defined when observed at multiple levels of spatial scale. Here we apply a multiscale seascape approach to investigate the habitat preferences of juvenile and adult individuals of dusky grouper (Epinephelus marginatus) in a Mediterranean marine protected area. Results show that the information obtained at different spatial scales is complementary, improving our capability to identify the preferred habitats and how it changes throughout ontogeny. These results show the relevance of implementing multiscale seascape ecology approaches to investigate the species-habitat relationships and to improve management and conservation of necto-benthic endangered top predators.


Assuntos
Bass , Biodiversidade , Ecossistema , Animais , Conservação dos Recursos Naturais , Mar Mediterrâneo
18.
Allergy ; 73(1): 77-92, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28600902

RESUMO

The overarching goals of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) are to enable European citizens to lead healthy, active and independent lives whilst ageing. The EIP on AHA includes 74 Reference Sites. The aim of this study was to transfer innovation from an app developed by the MACVIA-France EIP on AHA reference site (Allergy Diary) to other reference sites. The phenotypic characteristics of rhinitis and asthma multimorbidity in adults and the elderly will be compared using validated information and communication technology (ICT) tools (i.e. the Allergy Diary and CARAT: Control of Allergic Rhinitis and Asthma Test) in 22 Reference Sites or regions across Europe. This will improve the understanding, assessment of burden, diagnosis and management of rhinitis in the elderly by comparison with an adult population. Specific objectives will be: (i) to assess the percentage of adults and elderly who are able to use the Allergy Diary, (ii) to study the phenotypic characteristics and treatment over a 1-year period of rhinitis and asthma multimorbidity at baseline (cross-sectional study) and (iii) to follow-up using visual analogue scale (VAS). This part of the study may provide some insight into the differences between the elderly and adults in terms of response to treatment and practice. Finally (iv) work productivity will be examined in adults.


Assuntos
Asma/epidemiologia , Rinite Alérgica/epidemiologia , Fatores Etários , Idoso , Tomada de Decisão Clínica , Comorbidade , Avaliação Geriátrica , Humanos , Avaliação de Resultados em Cuidados de Saúde , Vigilância da População
19.
Clin Microbiol Infect ; 24(5): 540-545, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-28843621

RESUMO

OBJECTIVE: To provide data on incidence of early diagnosis of HIV infections and define prevalence and incidence of asymptomatic sexually transmitted infections (STI) in men who have sex with men (MSM). METHODS: We assessed a prospective cohort study of HIV-uninfected MSM at high risk for HIV infection. Participants were selected through a risk-assessment questionnaire, and they were screened for HIV infection (quarterly) and for other STI (yearly): syphilis, and hepatitis A, B and C (serology); Chlamydia trachomatis and Neisseria gonorrhoeae in penis and rectum; and human papillomavirus in anus and mouth (PCR). RESULTS: Between November 2009 and October 2012, a total of 258 HIV-uninfected MSM at high risk for HIV infection were included and followed up for a median of 2 years (interquartile range 1.4, 2.5). Nineteen acute HIV infections were diagnosed (incidence, 3.9 per 100 person-years). Prevalence of STI at baseline was follows: syphilis 8.4% (95% confidence interval (CI) 5.4-12.7); hepatitis C virus (HCV) 2.0% (95% CI 0.7-4.8); C. trachomatis in penis 3.2% (95% CI 1.5-6.5) and in rectum 6.5% (95% CI 3.9-10.5); N. gonorrhoeae in penis 2.0% (95% CI 0.8-5.0) and in rectum 6.1% (95% CI 3.6-10.1); human papillomavirus in anal canal 75.7% (95% CI 68.8-81.5) and in mouth 3.8% (95% CI 1.8-7.7). CONCLUSIONS: The implementation of the Check-Ear Project in a MSM community centre allowed for the identification of early HIV infections and asymptomatic STI among MSM. The high incidence of HIV infections and the high prevalence of STI strongly support the recommendation of periodic screenings among sexually active MSM.


Assuntos
Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Homossexualidade Masculina , Infecções Sexualmente Transmissíveis/diagnóstico , Infecções Sexualmente Transmissíveis/epidemiologia , Adulto , Diagnóstico Precoce , Infecções por HIV/virologia , Humanos , Incidência , Masculino , Prevalência , Vigilância em Saúde Pública , Fatores de Risco , Infecções Sexualmente Transmissíveis/etiologia , Inquéritos e Questionários
20.
Pathol Oncol Res ; 24(4): 881-884, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28891017

RESUMO

Expression of the ER and PR receptors is routinely quantified in breast cancer as a predictive marker of response to hormonal therapy. Accurate determination of ER and PR status is critical to the optimal selection of patients for targeted therapy. The existence of an ER-/PR+ subtype is controversial, with debate centred on whether this represents a true phenotype or a technical artefact on immunohistochemistry (IHC). The aim of this study was to investigate the true incidence and clinico-pathological features of ER-/PR+ breast cancers in a tertiary referral symptomatic breast unit. Clinico-pathological data were collected on invasive breast cancers diagnosed between 1995 and 2005. IHC for ER and PR receptors was repeated on all cases which were ER-/PR+, with the same paraffin block used for the initial diagnostic testing. Concordance between the diagnostic and repeat IHC was determined using validated testing. Complete data, including ER and PR status were available for 697 patients diagnosed during the study period. On diagnostic IHC, the immunophenotype of the breast tumours was: ER+/PR+ in 396 (57%), ER-/PR- in 157 (23%), ER+/PR- in 88 (12%) and ER-/PR+ in 56 (8.6%) patients. On repeat IHC of 48/56 ER-/PR+ tumours 45.8% were ER+/PR+, 6% were ER+/PR- and 43.7% were ER-/PR- None of the cases were confirmed to be ER-/PR+. The ER-/PR+ phenotypic breast cancer is likely to be the result of technical artefact. Prompt reassessment of patients originally assigned to this subtype who re-present with symptoms should be considered to ensure appropriate clinical management.


Assuntos
Artefatos , Biomarcadores Tumorais/análise , Neoplasias da Mama/metabolismo , Imuno-Histoquímica , Receptores de Estrogênio/biossíntese , Receptores de Progesterona/biossíntese , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Fenótipo
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