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1.
Int J Mol Sci ; 25(8)2024 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-38673757

RESUMO

Chimeric antigen receptor T cell (CAR T cell) therapy has emerged as a prominent adoptive cell therapy and a therapeutic approach of great interest in the fight against cancer. This approach has shown notorious efficacy in refractory hematological neoplasm, which has bolstered its exploration in the field of solid cancers. However, successfully managing solid tumors presents considerable intrinsic challenges, which include the necessity of guiding the modified cells toward the tumoral region, assuring their penetration and survival in adverse microenvironments, and addressing the complexity of identifying the specific antigens for each type of cancer. This review focuses on outlining the challenges faced by CAR T cell therapy when used in the treatment of solid tumors, as well as presenting optimizations and emergent approaches directed at improving its efficacy in this particular context. From precise localization to the modulation of the tumoral microenvironment and the adaptation of antigen recognition strategies, diverse pathways will be examined to overcome the current limitations and buttress the therapeutic potential of CAR T cells in the fight against solid tumors.


Assuntos
Imunoterapia Adotiva , Neoplasias , Receptores de Antígenos Quiméricos , Linfócitos T , Microambiente Tumoral , Humanos , Neoplasias/terapia , Neoplasias/imunologia , Imunoterapia Adotiva/métodos , Microambiente Tumoral/imunologia , Receptores de Antígenos Quiméricos/imunologia , Receptores de Antígenos Quiméricos/metabolismo , Linfócitos T/imunologia , Animais , Antígenos de Neoplasias/imunologia , Receptores de Antígenos de Linfócitos T/imunologia , Receptores de Antígenos de Linfócitos T/metabolismo
2.
Front Microbiol ; 14: 1281058, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38075883

RESUMO

Metal(loid) salts were used to treat infectious diseases in the past due to their exceptional biocidal properties at low concentrations. However, the mechanism of their toxicity has yet to be fully elucidated. The production of reactive oxygen species (ROS) has been linked to the toxicity of soft metal(loid)s such as Ag(I), Au(III), As(III), Cd(II), Hg(II), and Te(IV). Nevertheless, few reports have described the direct, or ROS-independent, effects of some of these soft-metal(loid)s on bacteria, including the dismantling of iron-sulfur clusters [4Fe-4S] and the accumulation of porphyrin IX. Here, we used genome-wide genetic, proteomic, and biochemical approaches under anaerobic conditions to evaluate the direct mechanisms of toxicity of these metal(loid)s in Escherichia coli. We found that certain soft-metal(loid)s promote protein aggregation in a ROS-independent manner. This aggregation occurs during translation in the presence of Ag(I), Au(III), Hg(II), or Te(IV) and post-translationally in cells exposed to Cd(II) or As(III). We determined that aggregated proteins were involved in several essential biological processes that could lead to cell death. For instance, several enzymes involved in amino acid biosynthesis were aggregated after soft-metal(loid) exposure, disrupting intracellular amino acid concentration. We also propose a possible mechanism to explain how soft-metal(loid)s act as proteotoxic agents.

3.
Int J Mol Sci ; 24(16)2023 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-37628804

RESUMO

Cancer is a process involving cell mutation, increased proliferation, invasion, and metastasis. Over the years, this condition has represented one of the most concerning health problems worldwide due to its significant morbidity and mortality. At present, the incidence of cancer continues to grow exponentially. Thus, it is imperative to open new avenues in cancer research to understand the molecular changes driving DNA transformation, cell-to-cell interaction derangements, and immune system surveillance decay. In this regard, evidence supports the relationship between chronic inflammation and cancer. In light of this, a group of bioactive lipids derived from polyunsaturated fatty acids (PUFAs) may have a position as novel anti-inflammatory molecules known as the specialized pro-resolving mediators (SPMs), a group of pro-resolutive inflammation agents that could improve the anti-tumor immunity. These molecules have the potential role of chemopreventive and therapeutic agents for various cancer types, and their effects have been documented in the scientific literature. Thus, this review objective centers around understanding the effect of SPMs on carcinogenesis and their potential therapeutic effect.


Assuntos
Carcinogênese , Inflamação , Humanos , Comunicação Celular , Vigilância Imunológica , Lipídeos
4.
Heliyon ; 9(8): e18239, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37576279

RESUMO

Longevity has been a topic of interest since the beginnings of humanity, yet its aetiology and precise mechanisms remain to be elucidated. Aging is currently viewed as a physiological phenomenon characterized by the gradual degeneration of organic physiology and morphology due to the passage of time where both external and internal stimuli intervene. The influence of intrinsic factors, such as progressive telomere shortening, genome instability due to mutation buildup, the direct or indirect actions of age-related genes, and marked changes in epigenetic, metabolic, and mitochondrial patterns constitute a big part of its underlying endogenous mechanisms. On the other hand, several psychosocial and demographic factors, such as diet, physical activity, smoking, and drinking habits, may have an even more significant impact on shaping the aging process. Consequentially, implementing dietary and exercise patterns has been proposed as the most viable alternative strategy for attenuating the most typical degenerative aging changes, thus increasing the likelihood of prolonging lifespan and achieving successful aging.

5.
Artigo em Inglês | MEDLINE | ID: mdl-37239571

RESUMO

The gut microbiota (GM) has been the subject of intense research in recent years. Therefore, numerous factors affecting its composition have been thoroughly examined, and with them, their function and role in the individual's systems. The gut microbiota's taxonomical composition dramatically impacts older adults' health status. In this regard, it could either extend their life expectancy via the modulation of metabolic processes and the immune system or, in the case of dysbiosis, predispose them to age-related diseases, including bowel inflammatory and musculoskeletal diseases and metabolic and neurological disorders. In general, the microbiome of the elderly tends to present taxonomic and functional changes, which can function as a target to modulate the microbiota and improve the health of this population. The GM of centenarians is unique, with the faculty-promoting metabolic pathways capable of preventing and counteracting the different processes associated with age-related diseases. The molecular mechanisms by which the microbiota can exhibit anti-ageing properties are mainly based on anti-inflammatory and antioxidant actions. This review focuses on analysing the current knowledge of gut microbiota characteristics and modifiers, its relationship with ageing, and the GM-modulating approaches to increase life expectancy.


Assuntos
Microbioma Gastrointestinal , Microbiota , Idoso de 80 Anos ou mais , Humanos , Idoso , Envelhecimento
6.
Front Endocrinol (Lausanne) ; 12: 735070, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34603210

RESUMO

Adipose tissue (AT) biology is linked to cardiovascular health since obesity is associated with cardiovascular disease (CVD) and positively correlated with excessive visceral fat accumulation. AT signaling to myocardial cells through soluble factors known as adipokines, cardiokines, branched-chain amino acids and small molecules like microRNAs, undoubtedly influence myocardial cells and AT function via the endocrine-paracrine mechanisms of action. Unfortunately, abnormal total and visceral adiposity can alter this harmonious signaling network, resulting in tissue hypoxia and monocyte/macrophage adipose infiltration occurring alongside expanded intra-abdominal and epicardial fat depots seen in the human obese phenotype. These processes promote an abnormal adipocyte proteomic reprogramming, whereby these cells become a source of abnormal signals, affecting vascular and myocardial tissues, leading to meta-inflammation, atrial fibrillation, coronary artery disease, heart hypertrophy, heart failure and myocardial infarction. This review first discusses the pathophysiology and consequences of adipose tissue expansion, particularly their association with meta-inflammation and microbiota dysbiosis. We also explore the precise mechanisms involved in metabolic reprogramming in AT that represent plausible causative factors for CVD. Finally, we clarify how lifestyle changes could promote improvement in myocardiocyte function in the context of changes in AT proteomics and a better gut microbiome profile to develop effective, non-pharmacologic approaches to CVD.


Assuntos
Tecido Adiposo/metabolismo , Miocárdio/metabolismo , Transdução de Sinais/fisiologia , Humanos , Inflamação/metabolismo , Miócitos Cardíacos/metabolismo
7.
J Oral Microbiol ; 13(1): 1956219, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34434531

RESUMO

Background: Electrolytes, proteins, and other salivary molecules play an important role in tooth integrity and can serve as biomarkers associated with caries. Objective: To determine the concentration of potential biomarkers in children without caries (CF) and children with caries (CA). Methods: Unstimulated saliva was collected, and the biomarkers quantified in duplicate, using commercial Enzyme Linked Immunosorbent Assay (ELISA) kits to determine IgA, fibronectin, cathelicidin LL-37, and statherin levels, as well as colorimetric tests to detect formate and phosphate. Results: Significantly higher concentrations of statherin was detected in the CF group (Median: 94,734.6; IQR: 92,934.6-95,113.7) compared to the CA2 group (90,875.0; IQR: 83,580.2-94,633.4) (p = 0.03). Slightly higher median IgA (48,250.0; IQR: 31,461.9-67,418.8) and LL-37 levels (56.1; IQR 43.6-116.2) and a lower concentration of formate were detected in the CF group (0.02; IQR 0.0034-0.15) compared to the group with caries (IgA: 37,776.42; IQR: 33,383.9-44,128.5; LL-37: 46.3; IQR: 40.1011-67.7; formate: 0.10; IQR: 0.01-0.18), but these differences were not statistically significant. Conclusion: The fact that these compounds have been identified as good markers for caries among European adults highlights the difficulty of identifying universal biomarkers that are applicable to all ages or to different populations.

8.
Curr Pharm Des ; 27(44): 4434-4451, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34036919

RESUMO

Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease that involves a pathological inflammatory response against articular cartilage in multiple joints throughout the body. It is a complex disorder associated with comorbidities such as depression, lymphoma, osteoporosis, and cardiovascular disease (CVD), which significantly deteriorate patients' quality of life and prognosis. This has ignited a large initiative to elucidate the physiopathology of RA, aiming to identify new therapeutic targets and approaches in its multidisciplinary management. Recently, various lipid bioactive products have been proposed to have an essential role in this process, including eicosanoids, specialized pro-resolving mediators, phospholipids/sphingolipids, and endocannabinoids. Dietary interventions using omega-3 polyunsaturated fatty acids or treatment with synthetic endocannabinoid agonists have been shown to significantly ameliorate RA symptoms. Indeed, the modulation of lipid metabolism may be crucial in the pathophysiology and treatment of autoimmune diseases.


Assuntos
Artrite Reumatoide , Doenças Autoimunes , Ácidos Graxos Ômega-3 , Artrite Reumatoide/complicações , Doenças Autoimunes/tratamento farmacológico , Ácidos Graxos Ômega-3/uso terapêutico , Humanos , Inflamação/metabolismo , Metabolismo dos Lipídeos , Qualidade de Vida
9.
Int J Mol Sci ; 23(1)2021 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-35008857

RESUMO

The yes-associated protein (YAP) and the transcriptional coactivator with PDZ-binding motif (TAZ) are transcriptional coactivators, members of the Hippo signaling pathway, which play a critical role in cell growth regulation, embryonic development, regeneration, proliferation, and cancer origin and progression. The mechanism involves the nuclear binding of the un-phosphorylated YAP/TAZ complex to release the transcriptional enhanced associate domain (TEAD) from its repressors. The active ternary complex is responsible for the aforementioned biological effects. Overexpression of YAP/TAZ has been reported in cancer stem cells and tumor resistance. The resistance involves chemotherapy, targeted therapy, and immunotherapy. This review provides an overview of YAP/TAZ pathways' role in carcinogenesis and tumor microenvironment. Potential therapeutic alternatives are also discussed.


Assuntos
Carcinogênese/metabolismo , Carcinogênese/patologia , Proteínas com Motivo de Ligação a PDZ com Coativador Transcricional/metabolismo , Microambiente Tumoral , Proteínas de Sinalização YAP , Animais , Resistencia a Medicamentos Antineoplásicos , Humanos , Mecanotransdução Celular
10.
Curr Pharm Des ; 26(35): 4444-4460, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32611294

RESUMO

Lifestyle modifications such as energy restriction and increased physical activity are highly effective in the management of obesity. However, adherence to these therapeutic approaches is poor. On the other hand, synthetic drugs used for obesity control are plagued by adverse effects. Despite these failures, adipose tissue is still an attractive therapeutic target for novel molecules, and thus, the characterisation of new and safer anti-obesity drugs is of significant interest. For this reason, in recent years, phenolic constituents of diverse plants have drawn much attention due to their health-promoting properties, opening new research lines related to brown adipose tissue activation and white adipose tissue (WAT) browning. The goal is to increase energy expenditure levels through thermogenic activity activation by multiple factors, like polyphenols. The suggested mechanisms by which polyphenols can modulate thermogenesis include Nor-epinephrine/Catechol-O-Methyl-Transferase (NE/COMT) inhibition, PPARγ co-activator alpha (PGC-1α)-dependent pathways activation, and mitochondrial biogenesis, among others. Although polyphenols such as quercetin, catechins, chrysin, luteolin, curcumin, resveratrol, gallic acid, and lignans have shown a positive effect on Non-Shivering Thermogenesis and WAT browning, most of them have only been active in murine models or in vitro systems, and their reproducibility in humans has to be proved. Probably in the future, an approach that includes these compounds as part of the nutritional regimen in conjunction with physical exercise, pharmacological and surgical therapy, would allow modulating a pathophysiological mechanism that is still elusive.


Assuntos
Polifenóis , Termogênese , Tecido Adiposo Marrom/metabolismo , Tecido Adiposo Branco/metabolismo , Animais , Metabolismo Energético , Humanos , Camundongos , Polifenóis/metabolismo , Polifenóis/farmacologia , Reprodutibilidade dos Testes
11.
Clin Exp Dent Res ; 5(3): 184-190, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31249697

RESUMO

Streptococcus dentisani has been identified as an oral cavity probiotic due to its beneficial characteristics. One of its beneficial features is the production of bacteriocins, which inhibit the growth of cariogenic bacteria, and another is its buffering capacity through the production of ammonium from arginine. The purpose of this study was to determine the presence of S. dentisani in the dental plaque of Colombian children and whether the presence of this bacterium is related to oral health and other conditions. Dental plaque and information on diet and oral hygiene habits were collected from children between 6 and 12 years of age from four Colombian cities, divided into caries-free children (International Caries Detection and Assessment System [ICDAS] 0, Decayed Missing Filled Teeth index [DMFT] 0), children with ICDAS 1 and 2, and children with ICDAS >3. Plaque DNA was extracted and quantified, and real-time polymerase chain reaction was performed using specific primers. This bacterium was identified in all samples, with a median of 0.46 cells/ng DNA (interquartile range [IQR] 0.13-1.02), without finding significant differences between the groups (P > 0.05). In caries-free children, a median of 0.45 cells/ng DNA (IQR 0.14-1.23) was found. In children with ICDAS 1 and 2, the median was 0.49 cells/ng DNA (IQR 0.11-0.97), and in children with ICDAS >3, the median was 0.35 cells/ng DNA (IQR 0.12-1.07). However, statistically significant differences were found in the origin of children (P < 0.01), the use of fluoride-containing products (P < 0.01), and the frequency of food intake (P < 0.05). In conclusion, the presence of S. dentisani was quantified in children from four Colombian cities, without finding significant differences in oral health status. Nevertheless, three conditions showed a possible relationship with S. dentisani.


Assuntos
Cárie Dentária/microbiologia , Placa Dentária/microbiologia , Streptococcus/isolamento & purificação , Estudos de Casos e Controles , Criança , Cidades , Colômbia , Índice CPO , DNA Bacteriano/análise , Feminino , Humanos , Masculino , Microbiota , Saúde Bucal , Fatores de Proteção , Fatores de Risco , Streptococcus/genética
12.
BMC Med Genomics ; 11(1): 21, 2018 02 27.
Artigo em Inglês | MEDLINE | ID: mdl-29486764

RESUMO

BACKGROUND: Asthma exacerbations are an important cause of morbidity in asthma. Respiratory infections are often involved in asthma exacerbations in both children and adults. Some individuals with asthma have increased susceptibility to viral infections and as a result increased rates of asthma exacerbations. We sought to identify a transcriptomic signature in the blood associated with asthma exacerbations triggered by respiratory infections (AETRI) and determine its association with increased risk for asthma exacerbations. METHODS: We conducted a two-step study using publicly available, previously generated transcriptomic signatures in peripheral blood mononuclear cells (PBMCs) from asthmatics to identify novel markers of increased risk for asthma exacerbations. In the 1st step, we identified an in vitro PBMC signature in response to rhinovirus. In the 2nd step, we used the in vitro signature to filter PBMC transcripts in response to asthma exacerbations in an independent in vivo cohort. Three different subgroups were identified and studied in the in vivo cohort: 1. Single AETRI; 2. Multiple AETRIs; and 3. Single non-infectious asthma exacerbations. We performed pathway and network analyses in all independent comparisons. We also performed an immunologic gene set enrichment analysis (GSEA) of the comparison between single AETRI and non-infectious asthma exacerbations. RESULTS: The in vitro signature identified 4354 differentially expressed genes (DEGs) with a fold change (FC) ≥ 1.2, false discovery rate (FDR) < 0.05. Subsequent analyses filtered by this in vitro signature on an independent cohort of adult asthma identified 238 DEGs (FC≥1.1, FDR < 0.1) in subjects with a single AETRI and no DEGs in single non-infectious asthma exacerbations. A comparison between the response in subjects with single and multiple AETRIs identified two discordant gene subsets. In the largest discordant subset (n = 63 genes) we identified an impaired type I interferon and STAT1 response in multiple AETRIs during the acute phase of the exacerbation and an upregulated STAT1 response at baseline. The STAT1 upregulation at baseline in subjects with multiple AETRIs was accompanied by upregulation of pro-inflammatory molecules including IL-15, interferon-stimulated genes (ISGs), several toll-like receptors 2, - 4, - 5 and - 8 and a triggering receptor expressed on myeloid cells 1 (TREM1) network. CONCLUSIONS: Subjects with asthma and multiple AETRIs display a pro-inflammatory signature at baseline, associated with elevated STAT, IL-15 and ISGs, and an impaired STAT1 response during acute asthma exacerbations.


Assuntos
Asma/sangue , Asma/genética , Interferon Tipo I/metabolismo , Transcriptoma , Adolescente , Asma/metabolismo , Asma/virologia , Criança , Feminino , Regulação da Expressão Gênica , Humanos , Interferon Tipo I/genética , Leucócitos Mononucleares/metabolismo , Leucócitos Mononucleares/virologia , Masculino , Recidiva , Rhinovirus/fisiologia , Fator de Transcrição STAT1/genética
13.
Enferm. infecc. microbiol. clín. (Ed. impr.) ; 36(2): 84-90, feb. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-170695

RESUMO

Introducción: Es preciso desarrollar nuevas estrategias que permitan una identificación precoz y una inmediata instauración de medidas efectivas en el abordaje de la sepsis. La unidad multidisciplinar de sepsis (UMS) desarrolló una herramienta: el Protocolo Informático de Manejo Integral de la Sepsis (PIMIS). El objetivo de este estudio es evaluar la intervención de la UMS y la utilidad del PIMIS. Métodos: Se analizaron las intervenciones según fueran realizadas por consulta directamente solicitada (activación de PIMIS o consulta telefónica) o no solicitada (aislamientos microbiológicos y el Sistema Informático de Detección de Constantes Vitales [SIDCV]), los servicios, el tipo de infección, la recomendación de cambio de antibiótico y el grado de aceptación. Resultados: De las 1.581 consultas, el 65,1% se solicitaron directamente: un 84,1% por activación del PIMIS por el médico responsable y un 15,9% por contacto telefónico directo. Entre las consultas no solicitadas, el 95,2% procedían de microbiología y el 4,8% del SIDCV. Las consultas directamente solicitadas se realizaron más precozmente que las no solicitadas (5,63días vs. 8,47días; p<0,001) y la frecuencia fue mayor en los servicios médicos frente a los quirúrgicos (73,0% vs. 39,1%; p<0,001). Se recomendó un cambio de antibiótico en el 32% de las primeras consultas y se aceptó en el 78,1% de los casos. Conclusiones: La elevada proporción de consultas directamente solicitadas y aceptación de las recomendaciones demuestra que la intervención de la UMS es valorada y respetada. El PIMIS es el principal mecanismo de consulta, lo que lo convierte en una herramienta útil y conveniente para la identificación precoz y el abordaje de la sepsis (AU)


Introduction: New strategies need to be developed for the early recognition and rapid response for the management of sepsis. To achieve this purpose, the Multidisciplinary Sepsis Team (MST) developed the Computerised Sepsis Protocol Management (PIMIS). The aim of this study was to evaluate the convenience of using PIMIS, as well as the activity of the MST. Methods: An analysis was performed on the data collected from solicited MST consultations (direct activation of PIMIS by attending physician or telephone request) and unsolicited ones (by referral from the microbiology laboratory or an automatic referral via the hospital vital signs recording software [SIDCV]), as well as the hospital department, source of infection, treatment recommendation, and acceptance of this. Results: Of the 1,581 first consultations, 65.1% were solicited consultations (84.1% activation of PIMIS and 15.9% by telephone). The majority of unsolicited consultations were generated by the microbiology laboratory (95.2%), and 4.8% from the SIDCV. Referral from solicited consultations were generated sooner (5.63days vs 8.47days; P<.001) and came from clinical specialties rather than from the surgical ward (73.0% vs 39.1%; P<.001). A recommendation was made for antimicrobial prescription change in 32% of first consultations. The treating physician accepted 78.1% of recommendations. Conclusions: The high rate of solicited consultations and acceptance of recommended prescription changes suggest that a MST is seen as a helpful resource, and that PIMIS software is perceived to be useful and convenient to use, as it is the main source of referral (AU)


Assuntos
Humanos , Sepse/epidemiologia , Software/normas , Assistência Integral à Saúde/métodos , Diagnóstico Precoce , Estudos Retrospectivos , Choque Séptico/terapia , Análise de Variância
14.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28087145

RESUMO

INTRODUCTION: New strategies need to be developed for the early recognition and rapid response for the management of sepsis. To achieve this purpose, the Multidisciplinary Sepsis Team (MST) developed the Computerised Sepsis Protocol Management (PIMIS). The aim of this study was to evaluate the convenience of using PIMIS, as well as the activity of the MST. METHODS: An analysis was performed on the data collected from solicited MST consultations (direct activation of PIMIS by attending physician or telephone request) and unsolicited ones (by referral from the microbiology laboratory or an automatic referral via the hospital vital signs recording software [SIDCV]), as well as the hospital department, source of infection, treatment recommendation, and acceptance of this. RESULTS: Of the 1,581 first consultations, 65.1% were solicited consultations (84.1% activation of PIMIS and 15.9% by telephone). The majority of unsolicited consultations were generated by the microbiology laboratory (95.2%), and 4.8% from the SIDCV. Referral from solicited consultations were generated sooner (5.63days vs 8.47days; P<.001) and came from clinical specialties rather than from the surgical ward (73.0% vs 39.1%; P<.001). A recommendation was made for antimicrobial prescription change in 32% of first consultations. The treating physician accepted 78.1% of recommendations. CONCLUSIONS: The high rate of solicited consultations and acceptance of recommended prescription changes suggest that a MST is seen as a helpful resource, and that PIMIS software is perceived to be useful and convenient to use, as it is the main source of referral.


Assuntos
Protocolos Clínicos , Infecção Hospitalar/diagnóstico , Diagnóstico por Computador , Diagnóstico Precoce , Sistemas de Informação Hospitalar/organização & administração , Sepse/diagnóstico , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Lista de Checagem , Infecção Hospitalar/tratamento farmacológico , Gerenciamento Clínico , Substituição de Medicamentos , Departamentos Hospitalares , Humanos , Comunicação Interdisciplinar , Insuficiência de Múltiplos Órgãos/diagnóstico , Guias de Prática Clínica como Assunto , Encaminhamento e Consulta , Sepse/tratamento farmacológico , Software , Síndrome de Resposta Inflamatória Sistêmica/diagnóstico , Telefone
15.
J Nurs Care Qual ; 26(4): 371-6, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21407090

RESUMO

The type of dressing selected for intravascular catheters may influence costs and complications. We carried out a clinical trial to compare the safety and costs of transparent and gauze dressings. We did not find differences in complication rates between transparent (34.1%) and gauze (26.5%) dressings (P = .62). The total cost per patient was $24.82 for transparent and $38.85 for gauze. The results indicate similar safety but increased cost associated with gauze dressings.


Assuntos
Cateterismo Periférico/métodos , Curativos Oclusivos/efeitos adversos , Curativos Oclusivos/economia , Adulto , Idoso , Custos e Análise de Custo , Humanos , Pessoa de Meia-Idade , Segurança do Paciente , Resultado do Tratamento
16.
Rev. Esc. Salud Pública ; 13(2): 15-21, dez. 2009. tab
Artigo em Espanhol | BINACIS | ID: bin-124645

RESUMO

La presencia de RNA-HCV y la distribución de genotipos se detectaron mediante técnicas moleculares (RT-nested PCR y RFLP) en 310 muestras de individuos de la región centro de Argentina. Se halló 11,8% de coinfección HCV/HIV, con mayor prevalencia de genotipo 1 (73%). La distribución de los genotipos 1 y 2 entre individuos monoinfectados fue de 49,4% y 43,9%, respectivamente. El análisis de regresión logística multivariado mostró que la edad y el uso de drogas endovenosas (UDEV) condicionó la distribución de genotipos. El genotipo 2 se halló frecuentemente entre adultos mayores y su diseminación no se pudo asociar a ninguna vía de transmisión. El genotipo 1 se lo halló principalmente en adultos jóvenes y asociados al UDEV. El notable incremento de genotipo 1, homogéneamente distribuido en todas las edades posee importantes implicancias en las decisiones terapéuticas, considerando que posee baja respuesta a laterapia antiviral.(AU)


Assuntos
Vírus de Hepatite , Hepatite C , Epidemiologia Molecular
17.
Rev. salud pública (Córdoba) ; 13(2): 15-21, dez. 2009. tab
Artigo em Espanhol | LILACS | ID: lil-542113

RESUMO

La presencia de RNA-HCV y la distribución de genotipos se detectaron mediante técnicas moleculares (RT-nested PCR y RFLP) en 310 muestras de individuos de la región centro de Argentina. Se halló 11,8% de coinfección HCV/HIV, con mayor prevalencia de genotipo 1 (73%). La distribución de los genotipos 1 y 2 entre individuos monoinfectados fue de 49,4% y 43,9%, respectivamente. El análisis de regresión logística multivariado mostró que la edad y el uso de drogas endovenosas (UDEV) condicionó la distribución de genotipos. El genotipo 2 se halló frecuentemente entre adultos mayores y su diseminación no se pudo asociar a ninguna vía de transmisión. El genotipo 1 se lo halló principalmente en adultos jóvenes y asociados al UDEV. El notable incremento de genotipo 1, homogéneamente distribuido en todas las edades posee importantes implicancias en las decisiones terapéuticas, considerando que posee baja respuesta a laterapia antiviral.


Assuntos
Epidemiologia Molecular , Hepatite C , Vírus de Hepatite
18.
J Agric Food Chem ; 57(16): 7409-16, 2009 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-19645479

RESUMO

We report the effect of vine variety on the absorption of metals from soil and follow the variety from wine through juice, verifying which metals could be used to assess wine provenance. Eleven metals were determined by atomic absorption spectroscopy in 32 soils, 16 grapes juices, and 18 wines sampled from a single vineyard having four red grape varieties (Cabernet Sauvignon, Bonarda, Malbec, and Syrah). The K nearest neighbor method allows us to distinguish among different soils, juices, and wines. Linear discriminant analysis affords descriptors to point out differences, mainly Mg, Mn, Ca, K, and Na. Data analysis evidenced that some elements have equivalent concentrations in soil, juice, and wine, while others did not. Canonical analysis shows good correlation between grape juice and wine with their provenance soil. We suggest using Mg as a marker of wine provenance, while Mn could be used to evaluate differences between wine varieties associated with plant physiology.


Assuntos
Metais/química , Solo/análise , Vitis/química , Vinho/análise , Absorção , Argentina , Metais/metabolismo , Controle de Qualidade , Vitis/metabolismo , Vinho/normas
19.
Phytochemistry ; 69(5): 1150-7, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18179806

RESUMO

Endosulfan (1) is a chlorinated insecticide still in use in both developed and emerging countries. Although its toxicity on animals has been studied in the last years, scarce information is available on its effects on plants. In this study, we exposed the aquatic macrophyte Myriophyllum quitense to environmentally relevant concentrations of endosulfan (microg/L) (1) for a short time, simulating exposures that might occur after either accidental spills or toxic run-off from agricultural areas. The main goal was to evaluate changes in both detoxication and antioxidant enzymatic systems of this plant upon exposure to endosulfan (1). Thus, we measured the activities of catalase (CAT), soluble and membrane associated glutathione-S-transferases (s- and m-GSTs) and glutathione reductase (GR), as well as the hydrogen peroxide (H2O2) content. Results showed that endosulfan (1) exerts oxidative stress on M. quitense, which was evidenced by the increase of CAT activity and the H2O2 content in exposed plants. At 5 microg/L endosulfan (1), we found a generalized induction of activities of tested enzymes, indicating that this xenobiotic activates the protection system of this plant, increasing its capacity to scavenge reactive oxygen species. On the other hand, we did not find significant changes at 0.02 microg/L endosulfan (1), which is the maximal concentration allowed for freshwater. We conclude that runoff events, which can produce significant amounts of endosulfan (1) in aquatic environments during short time, can result in oxidative stress on M. quitense, and probably on similar macrophytes.


Assuntos
Catalase/efeitos dos fármacos , Endossulfano/farmacologia , Magnoliopsida/efeitos dos fármacos , Estresse Oxidativo/efeitos dos fármacos , Catalase/análise , Relação Dose-Resposta a Droga , Endossulfano/química , Ativação Enzimática/efeitos dos fármacos , Glutationa Redutase/análise , Glutationa Redutase/efeitos dos fármacos , Glutationa Transferase/análise , Glutationa Transferase/efeitos dos fármacos , Peróxido de Hidrogênio/análise , Peróxido de Hidrogênio/metabolismo , Magnoliopsida/metabolismo , Estrutura Molecular , Estereoisomerismo , Água/química
20.
Water Res ; 42(4-5): 1299-307, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17959219

RESUMO

We report the effects of sublethal doses of microcystin-RR (MC-RR) on the swimming activity of Jenynsia multidentata as well as the simultaneous response of its detoxication system by measuring glutathion S-transferase (GST) activities in the liver and brain of fish. MC-RR was applied on the food pellets at doses of 0.01, 0.1 and 1 microg g(-1). Swimming activity was recorded 10 min each hour over 24h by using a computer-based image processing system, which facilitates quantification of two measures of fish swimming behaviour (average velocity, movement percentage). Results show that low levels of cyanotoxin increased the swimming activity, while the highest dose used produced significant changes with respect to control group only since approximately 20 h of exposure, when the swimming activity was decreased. On the other hand, GST activity was significantly increased only in the liver and brain of fish fed with the highest MC-RR dose. Both results suggest that fish are reacting to the stress caused by low doses of MC-RR by increasing their swimming activity, raising further questions on the probable neurotoxicity of MCs, and presenting the behavioural change as a good biomarker of early toxic stress. On the other hand, fish reduced their swimming speed at the highest MC-RR dose, when the detoxication activity began, which can be hypothesized to be a reallocation of their energy, favouring detoxication over swimming activity.


Assuntos
Toxinas Bacterianas/toxicidade , Ciprinodontiformes/fisiologia , Glutationa Transferase/metabolismo , Microcistinas/toxicidade , Natação , Animais , Encéfalo/efeitos dos fármacos , Encéfalo/enzimologia , Fígado/efeitos dos fármacos , Fígado/enzimologia , Toxinas Marinhas
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