Oral Kaposi sarcoma development is associated with HIV viral load, CD4+ count and CD4+/CD8+ ratio.

BACKGROUND: Kaposi's sarcoma (KS) is an uncommon, multifocal and angioproliferative lesion, which demonstrates a poor prognosis. The aim of the present research was to explore the association of HIV viral load, CD4+ and CD8+ counts and the CD4+/CD8+ ratio on the risk of oral Kaposi's sarcoma (KS) development. MATERIAL AND METHODS: A total of 62 patients were retrieved from March 2008 to October 2020 from the files of two oral pathology centres. Clinical, laboratory and follow-up data were retrieved from their medical files. Poisson regression was used to explore the role of history of immunosuppression and its association with oral KS development. A P-value <0.05 was considered significant. RESULTS: Sixty-two patients were included in the present study (32 with oral KS and 30 with no presentation of lesions anywhere on the body). Patients with oral KS presented a mean age of 32.6 years, and male patients were more affected. The hard palate (15 cases; 46.8%) was the main anatomical site affected. The lesions were mostly presented as swellings (13 cases; 40.6%) and nodules (12 cases; 37.5%). Systemic manifestations were also observed, including candidiasis (4 cases; 12.5%), bacterial infection (3 cases; 9.3%), tuberculosis (3 cases; 9.3%), herpes simplex (3 cases; 9.3%) and pneumonia (3 cases; 9.3%). A significant correlation was observed between HIV viral load, CD4+ count and the CD4+/CD8+ ratio with oral KS development. CONCLUSIONS: HIV viral load, CD4+ count and the CD4+/CD8+ ratio are associated with oral KS development.

Antioxidant properties of species from the Brazilian cerrado by different assays / Avaliação da propriedade antioxidante de espécies do cerrado no Brasil detectada por diferentes ensaios

The purpose of this study was to screen the antioxidant activity of medicinal plant extracts from the Brazilian cerrado, through other methods than the total phenolic content and its correlation with the antioxidant activity. Ethanolic extracts of ten species were evaluated through three antioxidant assays, in vitro, including 2,2-diphenyl-1-picrylhydrazyl (DPPH), total antioxidant activity and reducing power; and by using the Folin-Ciocalteu method the total phenolic content was determined. Ethanolic extracts of Stryphnodendron obovatum, Cecropia pachystachya and Duguetia furfuraceae showed strong antioxidant activity (IC50<5 µg mL-1) in the DPPH free radical scavenging assay; the species Vernonia phosphorea, Hymenaea stignocarpa and Jacaranda ulei may also be highlighted. These results were confirmed in the assays of total antioxidant capacity and reducing power. The extracts of S. obovatum and V. phosphorea showed an abundant phenolic content; therefore, the phenolic content may play a role in the antioxidant activity. These two species, traditionally used in Brazil, showed great power in these assay systems and may be a promising source for the development of natural antioxidants and future candidates for phytochemical and pharmacological studies in related diseases.

O objetivo desse trabalho foi triar a atividade antioxidante de extratos de plantas medicinais do cerrado do Brasil, por outros métodos além do conteúdo de fenóis totais e sua correlação com a atividade antioxidante. Assim, o extrato etanólico de dez espécies vegetais do cerrado brasileiro foi avaliado por três ensaios de atividade antioxidante, in vitro: 2,2-difenil-1-picrilhidrazil (DPPH); atividade antioxidante total e poder redutor; e o teor de fenóis determinado pelo reagente de Folin-Ciocalteu. O extrato etanólico de Stryphnodendron obovatum, Cecropia pachystachya e Duguetia furfuraceae apresentaram forte atividade antioxidante (CI50<5 mg mL-1) no ensaio com o DPPH, tendo destaque também as espécies Vernonia phosphorea, Hymenaea stignocarpa e Jacaranda ulei. Os extratos de S. obovatum e V. phosphorea demonstraram maiores teores de fenóis, indicando que esse grupo de substâncias possa ser a responsável pela atividade antioxidante. Essas duas espécies, usadas tradicionalmente no Brasil, representam fontes promissoras para o desenvolvimento de antioxidantes naturais e futuros estudos fitoquímicos e farmacológicos em doenças relacionadas.