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1.
Exp Neurol ; 327: 113221, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32027930

RESUMO

Mechanisms underlying affective and cognitive deficits in Parkinson's disease (PD) remain less studied than motor symptoms. Nucleus accumbens (NAc) is affected in PD and due to its well-known involvement in motivation is an interesting target in this context. Furthermore, PD is frequently asymmetrical, with side-specific deficits aligning with evidences of accumbal laterality. We therefore used a 6-hydroxydopamine (6-OHDA) model to study the role of left and right NAc dopamine depletion in a battery of behavioral tasks. 2 months old male rats were used in all experiments. Habitual-based and goal-directed decision-making, impulsivity, anxiety- and depressive-like behavior and motor performance were tested 3 weeks after left (6-OHDA L) or right (6-OHDA R) NAc lesion was induced. Upon contingency degradation, 6-OHDA R decrease their lever press rate less than Sham and 6-OHDA L, indicating an impairment in the shift from habit-based to goal-directed strategies. On the other hand, 6-OHDA L lesions lead to increased rates of premature responding when delays where increased in the variable delay-to-signal test. Importantly, in both paradigms task acquisition was similar between groups. In the same line we found no differences in the amount of sugared pellets eaten when freely available as well as in both general and fine motor behaviors. In conclusion, left and right NAc play distinct roles in the contingency degradation and impulsivity. More studies are needed to understand the mechanisms behind this functional lateralization and its implications for PD patients.


Assuntos
Comportamento Animal/fisiologia , Tomada de Decisões/fisiologia , Neurônios Dopaminérgicos/fisiologia , Núcleo Accumbens/fisiopatologia , Oxidopamina/toxicidade , Animais , Ansiedade/fisiopatologia , Comportamento Animal/efeitos dos fármacos , Tomada de Decisões/efeitos dos fármacos , Depressão/fisiopatologia , Neurônios Dopaminérgicos/efeitos dos fármacos , Comportamento Impulsivo/efeitos dos fármacos , Comportamento Impulsivo/fisiologia , Masculino , Atividade Motora/efeitos dos fármacos , Atividade Motora/fisiologia , Núcleo Accumbens/efeitos dos fármacos , Ratos
2.
Int J Tuberc Lung Dis ; 18(12): 1473-8, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25517814

RESUMO

SETTING: Human immunodeficiency virus (HIV) infected patients followed in a large cohort in Rio de Janeiro, Brazil. OBJECTIVE: To evaluate the association of tuberculosis (TB) and other covariables with non-TB-related (NTR) causes of death (CODs). DESIGN: Patients aged >18 years were followed from 1997 to 2009, until death or 31 December 2009, whichever was earlier. CODs were ascertained using a standardised algorithm. TB diagnosis and prophylaxis followed Brazilian guidelines. Poisson models were used to calculate adjusted rate ratios (aRRs). RESULTS: Of 2887 patients included in the study, 761 had TB (26.4%). NTR death rates were twice as high among patients with TB (4/100 vs. 2.09/100 patient-years). TB was associated with NTR deaths (aRR 1.4, 95%CI 1.05-1.86, P = 0.01). Highly active antiretroviral treatment (HAART) was protective against NTR (aRR 0.46, 95%CI 0.34-0.61, P < 0.001). Among patients who had never had active TB, prophylaxis was also protective against NTR (aRR 0.45, P = 0.04). The CD4 cell count increase was very modest for both TB and NTR CODs compared to those who did not die (0 vs. 249 cells, P < 0.001). CONCLUSIONS: TB was significantly associated with increased NTR CODs, indicating rapid progression of disease and increased long-term risk of mortality, probably related to persistent immunodeficiency or incomplete immune recovery. Our results confirm the benefits of HAART and TB prophylaxis.


Assuntos
Coinfecção , Infecções por HIV/mortalidade , Tuberculose/mortalidade , Saúde da População Urbana , Adulto , Fármacos Anti-HIV/uso terapêutico , Terapia Antirretroviral de Alta Atividade , Antituberculosos/uso terapêutico , Brasil/epidemiologia , Causas de Morte , Distribuição de Qui-Quadrado , Bases de Dados Factuais , Progressão da Doença , Feminino , Infecções por HIV/diagnóstico , Infecções por HIV/tratamento farmacológico , Infecções por HIV/imunologia , Humanos , Hospedeiro Imunocomprometido , Masculino , Pessoa de Meia-Idade , Razão de Chances , Medição de Risco , Fatores de Risco , Fatores de Tempo , Resultado do Tratamento , Tuberculose/diagnóstico , Tuberculose/imunologia , Tuberculose/prevenção & controle
3.
Neotrop Entomol ; 42(2): 191-9, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23949754

RESUMO

Cannibalism in the fall armyworm, Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae) (FAW), is a limiting factor in a baculovirus production system. To detect the impact of cannibalism, a two-step bioassay was conducted with different larval ages of FAW fed on two food sources (corn and castor bean leaves) contaminated with the S. frugiperda multiple-embedded nucleopolyhedrovirus. In a first bioassay, the food source affected the cannibalism, being higher for all larval ages tested (5-, 6- and 7-day-old larvae) in larvae fed on corn than on those fed on castor bean leaves. Larval mortality, weight equivalent and larval equivalents (LEs) per hectare decreased as the larval age increased. Larval weight, occlusion bodies (OBs)/larva and total OBs increased when the larval age increased. In a second bioassay, in which only 6- and 7-day-old larvae were used because of the performance in the first bioassay, the cannibalism rates were affected by the interaction between food sources and time of feeding (48 and 72 h), reaching the highest values for 6- and 7-day-old larvae fed on corn leaves for 72 h. Mortality of the FAW was affected by the interaction between food sources, larval age and time of feeding. The lowest mortalities were on 7-day-old larvae when they were fed on castor bean leaves for 48 and 72 h. Larval weight, OBs/larva, total OBs and LEs were affected by the interaction between food sources and larval age. A significant correlation was observed between larval weight and OBs/larva that fed on both food sources, suggesting that larval weight can be used to achieve a concentration to be sprayed in 1 ha.


Assuntos
Baculoviridae , Canibalismo , Lepidópteros/fisiologia , Lepidópteros/virologia , Animais , Alimentos , Larva/virologia , Folhas de Planta
4.
J Periodontal Res ; 46(2): 269-79, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21306385

RESUMO

BACKGROUND AND OBJECTIVE: Curcumin is a plant-derived dietary spice with various biological activities, including anticarcinogenic and anti-inflammatory effects. Its therapeutic applications have been studied in a variety of conditions, including rheumatoid arthritis, colon cancer and depression, but no studies have evaluated the effects of curcumin on periodontal disease in vivo. MATERIAL AND METHODS: Experimental periodontal disease was induced in rats by placing cotton ligatures around both lower first molars. Curcumin was given to the rats by the intragastric route daily at two dosages (30 and 100 mg/kg) for 15 d. Control animals received ligatures but only the corn oil vehicle by gavage, and no treatment-negative control animals were included. Bone resorption was assessed by micro-computed tomography, and the inflammatory status was evaluated by stereometric analysis. Both RT-qPCR and ELISA were used to determine the expression of interleukin-6, tumor necrosis factor-α and prostaglandin E(2) synthase in the gingival tissues. Modulation of p38 MAPK and nuclear factor-κB activation were assessed by western blotting. RESULTS: Bone resorption was effectively induced in the experimental period, but it was not affected by either dose of curcumin. Curcumin effectively inhibited cytokine gene expression at both the mRNA and the protein level and produced a dose-dependent inhibition of the activation of nuclear factor-κB in the gingival tissues. Activation of p38 MAPK was not inhibited by curcumin. Curcumin-treated animals also presented a marked reduction of the inflammatory cell infiltrate and increased collagen content and fibroblastic cell numbers. CONCLUSION: Curcumin did not prevent alveolar bone resorption, but its potent anti-inflammatory effect suggests that it may have a therapeutic potential in periodontal diseases.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Curcumina/uso terapêutico , Periodontite/prevenção & controle , Perda do Osso Alveolar/prevenção & controle , Processo Alveolar/efeitos dos fármacos , Processo Alveolar/patologia , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Contagem de Células , Colágeno/efeitos dos fármacos , Curcumina/administração & dosagem , Ciclo-Oxigenase 2/análise , Relação Dose-Resposta a Droga , Fibroblastos/efeitos dos fármacos , Gengiva/efeitos dos fármacos , Gengiva/patologia , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Inflamação , Interleucina-6/análise , Oxirredutases Intramoleculares/análise , Masculino , NF-kappa B/análise , NF-kappa B/efeitos dos fármacos , Prostaglandina-E Sintases , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Fator de Necrose Tumoral alfa/análise , Fator de Necrose Tumoral alfa/efeitos dos fármacos , Microtomografia por Raio-X/métodos , Proteínas Quinases p38 Ativadas por Mitógeno/análise , Proteínas Quinases p38 Ativadas por Mitógeno/efeitos dos fármacos
5.
Transplant Proc ; 41(5): 1871-4, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19545747

RESUMO

Cyclosporine (CsA) and tacrolimus (FK 506) exert complex, incompletely understood actions on bone. The objective of the study was to evaluate the effects of long-term tacrolimus therapy on the periodontium. Rats were treated for 60, 120, 180, and 240 days with daily subcutaneous injections of 1 mg/kg body weight of FK 506. After the experimental period, we obtained serum levels of calcium and alkaline phosphatase (ALP). After histological processing, the alveolar bone and cementum, as well as volume densities of bone (V(b)) and osteoclasts (V(o)), were assessed at the regions of the lower first molar. There was a tendency toward a statistically significant decrease in ALP levels with FK 506; however, serum calcium levels increased during the long periods. At 60, 180, and 240 days of treatment with FK 506, we did not observe V(b) and V(o) alterations. At 120 days of treatment, there was an evident decrease in V(b), but it did not show alveolar bone loss. We did not observe any alterations of cementum among rats treated with FK 506. It may be concluded that FK 506 administration did not induce side effects on the periodontium.


Assuntos
Cimentos Ósseos/uso terapêutico , Densidade Óssea/efeitos dos fármacos , Osso e Ossos/patologia , Imunossupressores/uso terapêutico , Tacrolimo/uso terapêutico , Animais , Osso e Ossos/efeitos dos fármacos , Ciclosporina/uso terapêutico , Masculino , Mandíbula/efeitos dos fármacos , Mandíbula/fisiologia , Ratos
6.
J Periodontal Res ; 44(4): 479-88, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19076990

RESUMO

BACKGROUND AND OBJECTIVE: Cyclosporine A treatment is important in the therapy of a number of medical conditions; however, alveolar bone loss is an important negative side-effect of this drug. As such, we evaluated whether concomitant administration of simvastatin would minimize cyclosporine A-associated alveolar bone loss in rats subjected, or not, to experimental periodontal disease. MATERIAL AND METHODS: Groups of 10 rats each were treated with cyclosporine A (10 mg/kg/day), simvastatin (20 mg/kg/day), cyclosporine A and simvastatin concurrently (cyclosporine A/simvastatin) or vehicle for 30 days. Four other groups of 10 rats each received a cotton ligature around the lower first molar and were treated similarly with cyclosporine A, simvastatin, cyclosporine A/simvastatin or vehicle. Calcium (Ca(2+)), phosphorus and alkaline phosphatase levels were evaluated in serum. Expression levels of interleukin-1beta, prostaglandin E(2) and inducible nitric oxide synthase were evaluated in the gingivomucosal tissues. Bone volume and numbers of osteoblasts and osteoclasts were also analyzed. RESULTS: Treatment with cyclosporine A in rats, with or without ligature, was associated with bone loss, represented by a lower bone volume and an increase in the number of osteoclasts. Treatment with cyclosporine A was associated with bone resorption, whereas simvastatin treatment improved cyclosporine A-associated alveolar bone loss in all parameters studied. In addition, simvastatin, in the presence of inflammation, can act as an anti-inflammatory agent. CONCLUSION: This study shows that simvastatin therapy leads to a reversal of the cyclosporine A-induced bone loss, which may be mediated by downregulation of interleukin-1beta and prostaglandin E(2) production.


Assuntos
Perda do Osso Alveolar/induzido quimicamente , Ciclosporina/efeitos adversos , Inibidores de Hidroximetilglutaril-CoA Redutases/farmacologia , Imunossupressores/efeitos adversos , Sinvastatina/farmacologia , Fosfatase Alcalina/sangue , Perda do Osso Alveolar/fisiopatologia , Processo Alveolar/efeitos dos fármacos , Processo Alveolar/patologia , Animais , Anti-Inflamatórios/farmacologia , Densidade Óssea/efeitos dos fármacos , Cálcio/sangue , Contagem de Células , Dinoprostona/análise , Regulação para Baixo , Gengiva/efeitos dos fármacos , Gengiva/patologia , Interleucina-1beta/análise , Masculino , Mucosa Bucal/efeitos dos fármacos , Mucosa Bucal/patologia , Óxido Nítrico Sintase Tipo II/análise , Osteoblastos/efeitos dos fármacos , Osteoblastos/patologia , Osteoclastos/efeitos dos fármacos , Osteoclastos/patologia , Fósforo/sangue , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley
7.
Histol Histopathol ; 23(10): 1177-84, 2008 10.
Artigo em Inglês | MEDLINE | ID: mdl-18712669

RESUMO

Recent studies have suggested that tacrolimus monotherapy is a beneficial therapeutic alternative for the normalization of cyclosporin-induced bone loss in animal models and humans. The mechanism accounting for this action is unclear at present. In the present study, we attempted to determine the effect of tacrolimus monotherapy on alveolar bone using histological, histomorphometric and transmission electron microscopy (TEM). Groups of rats (n=10 each) were treated with either tacrolimus (1mg/kg/day, s.c.) or drug vehicle for 60 days. Fragments containing maxillary molars were processed for light microscopy to investigate the alveolar bone volume, trabecular separation, number of osteoclasts and osteoblasts, and transmission electron microscopy to investigate their ultrastructural basic phenotype. Treatment with tacrolimus monotherapy during 60 days may induce increases in alveolar bone volume (BV/TV,%; P<0.05) and a non-significant decrease in trabecular separation (Tb.Sp,mm; P>0.05), represented by a decrease in osteoclast number (N.Oc/BS; P<0.05) and maintenance of osteoblast number (N.Ob/BS; P>0.05). Osteoblasts were often observed as a continuous layer of active cells on the bone surface. Osteoclasts appeared to be detached from the resorbed bone surface, which was often filled by active osteoblasts and collagen-rich matrix. Moreover, osteoclasts in the treated group were frequently observed as inactive cells (without ruffled border, clear zone and detached from the bone surface). Within the limits of the present study, we conclude that tacrolimus leads to an increase in alveolar bone formation, which probably exerts action on osteoclasts. Tacrolimus could, therefore, play a crucial role in the control of both early osteoclast differentiations from precursors, as well as in functional activation.


Assuntos
Perda do Osso Alveolar/fisiopatologia , Imunossupressores/farmacologia , Maxila/efeitos dos fármacos , Doenças Maxilares/fisiopatologia , Osteoclastos/efeitos dos fármacos , Osteogênese/efeitos dos fármacos , Tacrolimo/farmacologia , Perda do Osso Alveolar/patologia , Animais , Imunossupressores/administração & dosagem , Injeções Subcutâneas , Masculino , Maxila/fisiopatologia , Maxila/ultraestrutura , Doenças Maxilares/patologia , Microscopia Eletrônica de Transmissão , Osteoblastos/efeitos dos fármacos , Osteoblastos/ultraestrutura , Osteoclastos/ultraestrutura , Ratos , Ratos Sprague-Dawley , Tacrolimo/administração & dosagem , Fatores de Tempo
8.
Neuropharmacology ; 55(5): 788-92, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18619476

RESUMO

Increasing evidence indicates that iron deposition in the brain might play a role in cognitive dysfunction associated with neurodegenerative disorders and aging. Previous studies have not examined whether iron-induced memory deficits can be attenuated by acute treatments with memory-enhancing agents. Phosphodiesterase type 4 (PDE4) inhibitors such as rolipram (ROL) ameliorate memory impairments in several rodent models of amnesia and have been proposed as candidate cognitive-enhancing drugs. Here we show that a single posttraining systemic injection of ROL dose-dependently attenuates the impairment of memory for novel object recognition (NOR) in rats given neonatal iron loading, a model of iron-induced cognitive impairment. Posttraining administration of ROL also recovered NOR deficits associated with aging in rats. These findings provide the first evidence that stimulation of an intracellular second messenger signaling pathway can attenuate iron-induced memory impairment, and support the view that PDE4 inhibitors might ameliorate cognitive dysfunction associated with aging and neurodegenerative disorders.


Assuntos
Envelhecimento/efeitos dos fármacos , Ferro/efeitos adversos , Transtornos da Memória/etiologia , Reconhecimento Visual de Modelos/efeitos dos fármacos , Inibidores de Fosfodiesterase/farmacologia , Rolipram/farmacologia , Fatores Etários , Animais , Animais Recém-Nascidos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Interações Medicamentosas , Masculino , Transtornos da Memória/tratamento farmacológico , Ratos , Ratos Wistar , Estatísticas não Paramétricas , Fatores de Tempo
9.
Oral Dis ; 14(1): 67-72, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18173451

RESUMO

BACKGROUND: Tacrolimus, an immunosuppressive drug used in organ transplantation, has been reported not to induce gingival overgrowth. However, prevalence studies are limited, and the methods used for assessing gingival overgrowth varies among studies. OBJECTIVE: The purpose of this study was to evaluate the effects of up to 240 days of tacrolimus therapy on gingival tissues of rats. MATERIALS AND METHODS: Rats were treated for 60, 120, 180 and 240 days with daily subcutaneous injections of 1 mg/kg body weight of tacrolimus. After histological processing, the oral and connective tissue, volume densities of fibroblasts (Vf), collagen fibers (Vcf) and other structures (Vo) were assessed in the region of the lower first molar. RESULTS: After 60 and 120 days of treatment with tacrolimus, gingival overgrowth was not observed. The gingival epithelium, connective tissue, as well as the values for Vf, Vcf, and Vo were similar to those of the control rats (P>0.05). After 180 and 240 days of the treatment, gingival overgrowth was associated with a significant increase in the gingival epithelium and connective tissue as well as an increase in the Vf and Vcf (P<0.05). CONCLUSIONS: Within the limits of the experimental study, it may be concluded that the deleterious side effects of tacrolimus on the gingival tissues of rats may be time-related.


Assuntos
Gengiva/efeitos dos fármacos , Imunossupressores/uso terapêutico , Tacrolimo/uso terapêutico , Animais , Contagem de Células , Colágeno/efeitos dos fármacos , Tecido Conjuntivo/efeitos dos fármacos , Tecido Conjuntivo/patologia , Epitélio/efeitos dos fármacos , Epitélio/patologia , Fibroblastos/efeitos dos fármacos , Gengiva/patologia , Hiperplasia Gengival/induzido quimicamente , Hiperplasia Gengival/patologia , Crescimento Excessivo da Gengiva/induzido quimicamente , Crescimento Excessivo da Gengiva/patologia , Imunossupressores/administração & dosagem , Injeções Subcutâneas , Masculino , Mucosa Bucal/efeitos dos fármacos , Mucosa Bucal/patologia , Distribuição Aleatória , Ratos , Ratos Sprague-Dawley , Tacrolimo/administração & dosagem , Fatores de Tempo
10.
Arch Oral Biol ; 52(9): 882-8, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17367747

RESUMO

OBJECTIVE: Periodontitis is a well-appreciated example of leukocyte-mediated bone loss and inflammation with pathogenic features similar to those observed in other inflammatory diseases, such as arthritis. Since Tacrolimus, is an immunomodulatory drug used for the treatment of some cases of arthritis, we hypothesized that it may modulate periodontal disease. DESIGN: Using a murine model of ligature-induced periodontal disease, we assessed the effects of daily administrations of Tacrolimus (1mg/kg body weight) on bone loss, enzymatic (myeloperoxidase) analysis, differential white blood cells counts, airpouch exudate and cytokine expression for 5-30 days. RESULTS: Radiographic, enzymatic (myeloperoxidase) and histological analysis revealed that Tacrolimus reduced the severity of periodontitis. More specifically, Tacrolimus suppressed the expression of serum interleukin (IL-1beta), tumour necrosis factor (TNF-alpha), IL-6, airpouch exudate PGE(2) and leukocytosis usually observed after the induction of periodontitis. Tacrolimus treatment in periodontitis-induced rats conferred protection against the inflammation-induced tissue and bone loss associated with periodontitis, through a mechanism involving IL-1beta, TNF-alpha and IL-6. CONCLUSIONS: The effects of Tacrolimus on periodontal disease pathogenesis may provide clues to a novel approach to host modulation therapy in destructive periodontal disease.


Assuntos
Inibidores de Calcineurina , Imunossupressores/uso terapêutico , Periodontite/prevenção & controle , Tacrolimo/uso terapêutico , Perda do Osso Alveolar/prevenção & controle , Animais , Dinoprostona/análise , Modelos Animais de Doenças , Gengiva/efeitos dos fármacos , Gengiva/enzimologia , Fatores Imunológicos/uso terapêutico , Interleucina-1beta/sangue , Interleucina-1beta/efeitos dos fármacos , Interleucina-6/sangue , Contagem de Leucócitos , Leucocitose/prevenção & controle , Masculino , Periodontite/enzimologia , Peroxidase/análise , Ratos , Ratos Wistar , Fatores de Tempo , Fator de Necrose Tumoral alfa/análise , Fator de Necrose Tumoral alfa/efeitos dos fármacos
11.
Neuropharmacology ; 52(3): 724-32, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17097693

RESUMO

The gastrin-releasing peptide receptor (GRPR) has been implicated in central nervous system (CNS) diseases, including neurodevelopmental disorders associated with autism. In the present study we examined the effects of GRPR blockade during the neonatal period on behavioral measures relevant to animal models of neurodevelopmental disorders. Male Wistar rats were given an intraperitoneal (i.p.) injection of either saline (SAL) or the GRPR antagonist [D-Tpi(6), Leu(13) psi(CH(2)NH)-Leu(14)] bombesin (6-14) (RC-3095; 1 or 10mg/kg) twice daily for 10days from postnatal days (PN) 1 to 10. Animals treated with RC-3095 showed pronounced deficits in social interaction when tested at PN 30-35 and impaired 24-h retention of memory for both novel object recognition (NOR) and inhibitory avoidance (IA) tasks tested at PN 60-71. Neither short-term memory tested 1.5h posttraining nor open field behavior were affected by neonatal GRPR blockade. The implications of the findings for animal models of neurodevelopmental disorders are discussed.


Assuntos
Bombesina/análogos & derivados , Transtornos da Memória/induzido quimicamente , Fragmentos de Peptídeos , Receptores da Bombesina/antagonistas & inibidores , Receptores da Bombesina/fisiologia , Transtornos do Comportamento Social/induzido quimicamente , Fatores Etários , Animais , Animais Recém-Nascidos , Aprendizagem da Esquiva/efeitos dos fármacos , Peso Corporal/efeitos dos fármacos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Comportamento Exploratório/efeitos dos fármacos , Feminino , Inibição Psicológica , Injeções Intraperitoneais/métodos , Locomoção/efeitos dos fármacos , Masculino , Transtornos da Memória/fisiopatologia , Atividade Motora/efeitos dos fármacos , Gravidez , Ratos , Ratos Wistar , Transtornos do Comportamento Social/fisiopatologia
13.
Mem. Inst. Oswaldo Cruz ; 93(3): 391-8, May-Jun. 1998. tab, graf
Artigo em Inglês | LILACS | ID: lil-209963

RESUMO

Efforts to characterize HIV-1 polymorphism and anti-HIV immune response are being made in areas where anti-HIV/AIDS vaccines are to be employed. Anti-HIV-1 humoral immune response is being studied in infected individuals resident in Rio de Janeiro, in distinct cohorts involving recent seroconvertors, pregnant women or intravenous drug users (IDU). Comparative analysis of specificity of antibody response towards epitopes important for anti-HIV-1 immune response indicate quantitative differences between cohorts, with an exceptionally strong response in IDUs and weakest response in pregnant women. However, a comparative analysis between pregnant women cohorts from Rio de Janeiro and Rio Grande do Sul indicated an even lower response (with exception of the anti-V3-C clade peptide recognition) for the southern cohort. Studied analysing the immune function of the humoral response indicate a quite elevated occurrence of antibodies capable of neutralizing heterologous primary HIV-1 isolates from Rio de Janeiro. Attempts to correlate seroreactivity with HIV-1 neutralization with respect to HIV-1 polymorphism were not very successfull: while the Brazilian B clade B" variant could be recognized by binding assays, no significant distinction of HIV-1 clades/variants was observed in viral neutralization assays.


Assuntos
Humanos , Formação de Anticorpos , Especificidade de Anticorpos/imunologia , Genótipo , HIV-1/imunologia , Brasil , Estudos de Coortes , Soropositividade para HIV/imunologia
15.
Am J Trop Med Hyg ; 48(5): 626-9, 1993 May.
Artigo em Inglês | MEDLINE | ID: mdl-8390794

RESUMO

In endemic areas, the systemic mycosis paracoccidioidomycosis (PCM) is the most frequent etiology of Addison's disease. Paracoccidioides brasiliensis, the causative agent of PCM, exhibits a high tropism for the adrenal glands, which results in a low hormone reserve and in more severe cases, in symptoms of primary adrenal insufficiency. In these cases, the hormone deficit is usually treated with replacement corticoid therapy for the rest of the patient's life. Recently, we identified three patients with disseminated PCM who had adrenal insufficiency; one of them had Addison's disease. All showed complete recovery of adrenal function after a 1-2-year period of specific therapy with ketoconazole or sulfonamides. Plasma cortisol levels were determined by radioimmunoassay of baseline blood samples, as well as those taken after the rapid stimulation test with synthetic adrenocorticotrophic hormone, and before and after the antifungal therapy.


Assuntos
Doença de Addison/etiologia , Glândulas Suprarrenais/fisiopatologia , Paracoccidioidomicose/fisiopatologia , Hormônio Adrenocorticotrópico , Adulto , Quimioterapia Combinada , Feminino , Humanos , Hidrocortisona/sangue , Hidrocortisona/uso terapêutico , Cetoconazol/uso terapêutico , Masculino , Pessoa de Meia-Idade , Paracoccidioidomicose/complicações , Paracoccidioidomicose/tratamento farmacológico , Sulfonamidas/uso terapêutico
16.
Rev Inst Med Trop Sao Paulo ; 33(5): 407-11, 1991.
Artigo em Português | MEDLINE | ID: mdl-1844970

RESUMO

The Authors report a case of paracoccidioidomycosis in a Surui Indian patient from the state of Rondonia, Brazilian Amazon. The subject is an adult male, having been diagnosed on the basis of mycologic, serologic, and radiographic exams. The prescribed therapy was sulphamethoxazole 800 mg associated with trimethoprim 160 mg every 12 hours. A reevaluation of the patient conducted six months after the beginning of chemotherapy indicated overall improvement of his physical condition and of the radiologic picture, negativeness of the test of precipitin in capillary tube, and positiveness of the skin test with paracoccidioidin. The Authors also reviewed the cases of paracoccidioidomycosis described in the region, especially among the Surui Indian population.


Assuntos
Indígenas Sul-Americanos , Paracoccidioidomicose/diagnóstico , Brasil/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Paracoccidioidomicose/epidemiologia
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