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1.
Int J Tuberc Lung Dis ; 22(5): 504-509, 2018 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-29663954

RESUMO

BACKGROUND: As mentioned in the 'Action Strategy for TB Safe Korea' in March 2017, almost 2 million Koreans were screened for latent tuberculous infection (LTBI) in 2017. As a preliminary step, the Korean Institute of Tuberculosis (KIT) screened 23 824 individuals from various population groups. The present study aimed to characterise the data collected from the screening programme using the QuantiFERON®-TB Gold In-Tube (QFT) assay. METHODS: Interferon-gamma release assays were performed using the manual QFT or automated DS2 instruments. Statistical analyses were performed using Stata software. Turnaround time (TAT) was defined as the average time required from submission of whole blood samples by each regional laboratory to the reporting of results by the central laboratory. RESULTS: Seventeen individuals (0.1%) had indeterminate results on repeat testing, 4519 (18.98%) screened positive and 19 288 (81.0%) were screen-negative. The group of social welfare workers had the highest positivity rate, at 27.2%. Of the 11 regions in Korea, the Gyeonggi Region had the highest positivity rate, at 25.8%. The overall mean ± standard deviation for TAT was 3.05 ± 1.66. CONCLUSION: These findings provide information on LTBI prevalence in a Korean population, and will be helpful in implementing the LTBI screening strategy for those participating in the Action Strategy for TB Safe Korea.


Assuntos
Testes de Liberação de Interferon-gama , Tuberculose Latente/diagnóstico , Tuberculose Latente/epidemiologia , Programas de Rastreamento/métodos , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Interferon gama/análise , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , República da Coreia/epidemiologia , Distribuição por Sexo , Assistentes Sociais/estatística & dados numéricos , Fatores de Tempo , Adulto Jovem
2.
Nat Commun ; 9(1): 1476, 2018 04 16.
Artigo em Inglês | MEDLINE | ID: mdl-29662058

RESUMO

The Northern Hemisphere experienced dramatic changes during the last glacial, featuring vast ice sheets and abrupt climate events, while high northern latitudes during the last interglacial (Eemian) were warmer than today. Here we use high-resolution aerosol records from the Greenland NEEM ice core to reconstruct the environmental alterations in aerosol source regions accompanying these changes. Separating source and transport effects, we find strongly reduced terrestrial biogenic emissions during glacial times reflecting net loss of vegetated area in North America. Rapid climate changes during the glacial have little effect on terrestrial biogenic aerosol emissions. A strong increase in terrestrial dust emissions during the coldest intervals indicates higher aridity and dust storm activity in East Asian deserts. Glacial sea salt aerosol emissions in the North Atlantic region increase only moderately (50%), likely due to sea ice expansion. Lower aerosol concentrations in Eemian ice compared to the Holocene are mainly due to shortened atmospheric residence time, while emissions changed little.

4.
Diagn Interv Imaging ; 97(4): 443-9, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26896374

RESUMO

PURPOSE: To compare the radiation dose and image quality, focused mainly on cardiac pulsation artifact, between high-pitch low-dose chest computed tomography (HP-LDCT) and standard low-dose chest CT (LDCT). PATIENTS AND METHODS: One hundred patients underwent HP-LDCT (50 patients) or LDCT (50 patients). Scan parameters were the same except for the pitch and gantry rotation time: 3.0 vs. 1.2 and 0.28s vs. 0.5s, respectively. Objective image noise at five regions and subjective image quality, such as noise, artifacts, cardiac pulsation artifacts, and overall diagnostic acceptability, were evaluated using a five-point scale. The significance level for all tests was set at P<0.05. RESULTS: The dose-length products (DLPs) with HP-LDCT and LDCT were 90.2±4.3mGycm and 103.1±6.4mGycm, respectively (P<0.01). DLP of HP-LDCT showed a 13% reduction versus LDCT. Objective image noise was not significantly different. Cardiac pulsation artifacts showed a significant reduction on HP-LDCT (P<0.01). Other subjective image quality parameters of HP-LDCT were similar to those of LDCT. The overall diagnostic acceptability of HP-LDCT was better than that of LDCT (P<0.01). CONCLUSIONS: HP-LDCT showed a 13% mean radiation dose reduction with no deterioration in image quality due to cardiac pulsation artifacts.


Assuntos
Artefatos , Coração/fisiologia , Doses de Radiação , Tomografia Computadorizada por Raios X/métodos , Estudos de Viabilidade , Feminino , Humanos , Pessoa de Meia-Idade
5.
Clin Radiol ; 70(8): 815-21, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25944645

RESUMO

AIM: To assess the prevalence and radiological findings of macronodules in patients with thoracic sarcoidosis. MATERIALS AND METHODS: Data was collected regarding 226 patients with pathologically proven thoracic sarcoidosis. Among them, macronodules defined as well-defined nodules greater than 5 mm were found in 58 patients. The macronodules were evaluated by their number, size, margin, shape, lobar location, distance from the pleura, and temporal change. Patients were classified into two groups, patients with macronodules (n = 58) and without macronodules (n = 168). The level of serum angiotensin-converting enzyme (ACE), systemic involvement, and the maximum standardized uptake value (maxSUV) on (18)F-fluoro-2-deoxy-d-glucose (FDG) positron emission tomography (PET) in both groups were then compared. RESULTS: A total of 216 macronodules were identified in 58 patients. The mean number of macronodules per patient was 3.3, and the mean size was 6.3 mm. Most of the macronodules were located in lower lobes (63.4%) and showed round-to-ovoid (95.8%) shape. The mean distance from the pleura was 5 mm. In 76% of the 63 nodules that were followed using CT scanning, any interval changes in size was also accompanied by the same change in mediastinal lymphadenopathy. On comparison of the two groups, the presence of lymphadenopathy, parenchymal involvement, and the maxSUV of thoracic lymphadenopathy were shown to be statistically different. CONCLUSION: Well-defined macronodules greater than 5 mm were not uncommonly seen in patients with thoracic sarcoidosis. The macronodules are usually located in the lower lobes near the pleura, and the interval changes in mediastinal lymphadenopathy may be associated with similar changes in the size of nodules.


Assuntos
Doenças Linfáticas/diagnóstico por imagem , Sarcoidose/diagnóstico por imagem , Doenças Torácicas/diagnóstico por imagem , Adulto , Feminino , Fluordesoxiglucose F18 , Humanos , Masculino , Pessoa de Meia-Idade , Peptidil Dipeptidase A/sangue , Tomografia por Emissão de Pósitrons/métodos , Compostos Radiofarmacêuticos , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodos
7.
Clin Radiol ; 69(6): e285-90, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24630134

RESUMO

AIM: To assess the relationship between chest computed tomography (CT) findings of patients with toxocariasis and levels of serological markers. MATERIALS AND METHODS: A total of 38 cases of patients diagnosed with toxocariasis by enzyme-linked immunosorbent assay (ELISA), CT, and serological markers were retrospectively reviewed. The presence of nodule with or without ground-glass opacity (GGO) halo, consolidation, focal GGO, pleural effusion, and lymphadenopathy at chest CT were evaluated. Statistical analysis was performed with the Fisher's exact test. RESULTS: The most common chest CT findings were nodule (n = 12, 31.6%) and focal GGO (n = 12, 31.6%). In patients with normal eosinophil levels, focal GGO (n = 9, 37.5%) was the most common finding. In contrast, nodule with a GGO halo (n = 7, 50%) was the most common finding in the eosinophilia group. Nodule with a GGO halo was more common in the eosinophilia group, with a statistically significant difference (p = 0.017). Nodule was more common in the eosinophilia group, and focal GGO was more common in the normal eosinophil group. CONCLUSION: The most common chest CT findings in toxocariasis were nodule with or without GGO halo, and focal GGO. In the eosinophilia group, nodule with a GGO halo was significantly more frequent. Other CT findings did not show a statistically significant relationship with serological markers.


Assuntos
Pneumopatias Parasitárias/diagnóstico por imagem , Toxocaríase/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Biomarcadores/sangue , Ensaio de Imunoadsorção Enzimática , Eosinófilos , Feminino , Humanos , Imunoglobulina E/sangue , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada Multidetectores , Estudos Retrospectivos , Nódulo Pulmonar Solitário , Adulto Jovem
8.
Transplant Proc ; 45(2): 591-6, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23498795

RESUMO

OBJECTIVE: The efficient transfer of genes into intact islets is difficult since islets exist as clusters of differentiated cells with little replication potential. Cell proliferation in response to growth factors is known to be accompanied by loosening of cell-to-cell contacts and increasing paracellular permeability. In this study, we investigated whether gene delivery into intact islet cells was facilitated by modulating ß-cell proliferation. METHODS: Isolated rat islets were pretreated with glucagon-like peptide (GLP)-1 or human growth hormone for 24 hours, or with 300 mg/dL of glucose for 48 hours before transduction with a suboptimal dose of recombinant adenoviral vector expressing green fluorescent protein (GFP) and ß-galactosidase (multiplicity of infection of 25). Transduction efficiency was assessed by measuring ß-galactosidase activity and GFP expression using enzyme-linked immunosorbent assay, flow cytometry, and fluorescence microscopy. The numbers of 7-aminoactinomycin D-positive dead cells and 5-ethynyl-2-deoxyuridine (EdU)-positive proliferating cells were also monitored using flow cytometry and fluorescence microscopy. RESULTS: The transduction efficiency of rat islet cells by a suboptimal dose of viral vector was significantly improved by GLP-1 pretreatment, accompanied by enhanced cell viability and cell proliferation. An increased GFP expression in islet cells after GLP-1 pretreatment was observed among the increased numbers of EdU-positive proliferating cells. CONCLUSION: Pretreatment of rat islets with GLP-1 enhanced the transduction efficiency of an adenoviral vector, reducing viral dose burden while improving islet cell viability. From a therapeutic standpoint, genetic modification of pancreatic islets combined with GLP-1 pretreatment may be a promising option for ex vivo gene therapy prior to islet transplantation.


Assuntos
Proliferação de Células/efeitos dos fármacos , Peptídeo 1 Semelhante ao Glucagon/farmacologia , Ilhotas Pancreáticas/efeitos dos fármacos , Transdução Genética , Transfecção , Adenoviridae/genética , Animais , Sobrevivência Celular/efeitos dos fármacos , Ensaio de Imunoadsorção Enzimática , Citometria de Fluxo , Vetores Genéticos , Glucose/metabolismo , Proteínas de Fluorescência Verde/genética , Proteínas de Fluorescência Verde/metabolismo , Hormônio do Crescimento Humano/farmacologia , Ilhotas Pancreáticas/metabolismo , Masculino , Microscopia de Fluorescência , Ratos , Ratos Sprague-Dawley , Técnicas de Cultura de Tecidos , beta-Galactosidase/genética , beta-Galactosidase/metabolismo
9.
Clin Radiol ; 67(12): 1179-86, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22766482

RESUMO

AIM: To assess initial and follow-up CT findings of invasive pulmonary aspergillosis (IPA) in solid organ transplant (SOT) recipients using new diagnostic criteria, and to compare initial CT findings of survivors with those of patients who died. MATERIALS AND METHODS: Forty-six adult SOT patients who met the 2008 EORTC/MSG criteria for proven or probable invasive pulmonary aspergillosis were assessed. Initial CT findings of the 21 survivors and 15 patients who died of IPA-related causes were compared using the internationally recognized thoracic glossary of terms. The extents of the largest lesions in each of 18 surviving were measured and changes of those lesions were recorded. RESULTS: Consolidation or mass was the most common finding, observed in 33 of 46 patients (72%), followed by large nodules (59%), ground-glass opacity (50%), and infarcted consolidation (48%). Consolidation or mass was significantly less frequent in survivors than in patients who died (62% versus 93%). Cavitation was more common (43% versus 13%), and significantly smaller (7.5 cm(2) versus 19 cm(2), p = 0.014) in survivors. Follow-up CT in survivors showed that the halo sign resolved rapidly within 4 weeks. The extent of consolidation, infarcted consolidation, and internal low-density area decreased gradually with time to reduce to half the size in 3 weeks. Large nodules persisted for the first 7 days (84%), followed by slow regression. CONCLUSION: Consolidation or mass is the most common CT finding of IPA in SOT recipients. Absence of consolidation or mass and presence of small cavities may be associated with better prognosis. The time for resolution of each pattern after treatment varies.


Assuntos
Aspergilose Pulmonar Invasiva/diagnóstico por imagem , Transplante de Órgãos , Complicações Pós-Operatórias/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Idoso , Biópsia , Distribuição de Qui-Quadrado , Meios de Contraste , Diagnóstico Diferencial , Feminino , Humanos , Hospedeiro Imunocomprometido , Aspergilose Pulmonar Invasiva/patologia , Masculino , Pessoa de Meia-Idade , Taxa de Sobrevida
10.
Water Sci Technol ; 64(12): 2389-94, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22170832

RESUMO

Odor emissions and sludge disposals have become most challenging issues in many sludge treatment plants, and separate chemical oxidation processes have been commonly employed for these problems. It is, therefore, necessary to develop a combined process that simultaneously reduces the odor emissions and the amount of waste sludge. In this study, a non-thermal plasma reactor using a dielectric barrier discharge type was employed to treat a gas stream contaminated with 10 ppm(v) of H(2)S, and then the ozone-laden gas stream was supplied to a sludge stabilizer to reduce the organic constituents. The specific energy input to the plasma was varied to investigate the performance of the combined process. When the specific energy inputs were 200, 260, and 360 J/L, the rates of ozone generation from the plasma reactor were 0.036, 0.070, 0.144 g-O(3)/h, respectively. At these experimental conditions, the removal efficiencies of H(2)S were 60, 75, and >99%, and total chemical oxygen demand (TCOD) reduction efficiencies of 33, 61 and 67% were observed. In addition, a soluble organic fraction of the sludge increased at ratios of 1.9, 8.9, and 10.7%, respectively. Consequently, the combined process effectively and simultaneously reduced the odor compounds as well as the organic constituents and particles in the waste sludge.


Assuntos
Gases em Plasma , Esgotos , Eliminação de Resíduos Líquidos/métodos , Purificação da Água/métodos , Sulfeto de Hidrogênio , Odorantes , Oxirredução , Poluentes Químicos da Água
11.
J Nanosci Nanotechnol ; 11(1): 256-61, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21446436

RESUMO

Si-based CMOS technology is facing a serious challenge in terms of power consumption and variability. The increasing costs associated with physical scaling have motivated a search for alternative approaches. Hybridization of nano-electromechanical (NEM)-switch and Si-based CMOS devices has shown a theoretical feasibility for power management, but a huge technical gap must be bridged before a nanoscale NEM switch can be realized due to insufficient material development and the limited understanding of its reliability characteristics. These authors propose the use of a multilayer graphene as a nanoscale cantilever material for a nanoscale NEM switchwith dimensions comparable to those of the state-of-the-art Si-based CMOS devices. The optimal thickness for the multilayer graphene (about five layers) is suggested based on an analytical model. Multilayer graphene can provide the highest Young's modulus among the known electrode materials and a yielding strength that allows more than 15% bending. Further research on material screening and device integration is needed, however, to realize the promises of the hybridization of NEM-switch and Si-based CMOS devices.


Assuntos
Grafite/química , Sistemas Microeletromecânicos/métodos , Nanotecnologia/métodos , Semicondutores , Metais/química , Óxidos/química
12.
Meat Sci ; 85(2): 368-72, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20374913

RESUMO

This study compared effects of gamma ray (GR) and electron beam (EB) irradiation on quality (TBARS value, hardness, color), sensory characteristics, and total bacterial populations in beef sausage patties during accelerated storage at 30 degrees C for 10days. Beef sausage patties were vacuum-packaged and irradiated by GR and EB at 0, 5, 10, 15, and 20kGy at room temperature. The results of quality evaluation showed that the effects of GR irradiation were similar (p0.05) to EB irradiation on lipid oxidation, hardness, color and sensory scores of the beef sausage patties. However, GR-irradiated samples had lower (p<0.05) total bacterial counts than EB-irradiated samples after irradiation, and during storage regardless of irradiation dose. The results indicate that use of GR irradiation up to 10kGy on patties should be useful in reducing bacterial populations with no adverse effect on quality and most of sensory characteristics (color, chewiness, and taste).


Assuntos
Microbiologia de Alimentos , Raios gama , Produtos da Carne/efeitos da radiação , Produtos da Carne/normas , Animais , Bactérias Aeróbias/efeitos da radiação , Bovinos
13.
Autoimmunity ; 43(4): 288-98, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20166880

RESUMO

Interleukin (IL)-15 and CD30 may be associated with the ongoing intestinal immunologic activation in celiac disease (CD). We studied duodenal biopsies and blood samples of patients with active CD (Cel) and controls in order to determine the regulatory role proposed for CD30(+) T cells in this Th1-driven disease and the potential influences of IL-15 on CD30 expression. We detected that a CD30(+) T-cell subpopulation persists longer in Cel after a 5 day incubation with anti-CD3 antibody than in controls (p = 0.0063). CD30 upregulation by IL-15 in T blasts was greater in Cel than in controls (p = 0.0062). At the mucosal compartment, the CD30 antigen was examined by immunohistochemistry and quantified on isolated lamina propria (LP) and epithelial T cells by flow cytometry. For Cel and controls, similar mean percentages of CD3(+)CD30(+) intraepithelial T cells (5.88 vs. 5.51, p = ns) and LP T cells (7.38 vs. 7.49, p = ns) were observed at baseline and after in vitro gliadin challenge of duodenal biopsy samples. Our study demonstrates the occurrence of potentially important alterations of the immune response at the peripheral compartment. Our findings also allow us to speculate that a negative effect of soluble mediators at the mucosal compartment might counteract the latent influence of IL-15 on CD30 expression precluding a more severe course of active CD.


Assuntos
Doença Celíaca/imunologia , Doença Celíaca/patologia , Regulação da Expressão Gênica , Interleucina-15/metabolismo , Antígeno Ki-1/metabolismo , Adulto , Idoso , Biópsia , Doença Celíaca/metabolismo , Duodeno/imunologia , Duodeno/metabolismo , Feminino , Humanos , Interleucina-15/genética , Mucosa Intestinal/citologia , Mucosa Intestinal/imunologia , Mucosa Intestinal/metabolismo , Antígeno Ki-1/genética , Ativação Linfocitária , Masculino , Pessoa de Meia-Idade , Linfócitos T/imunologia , Adulto Jovem
14.
Acta gastroenterol. latinoam ; 35(2): 94-98, jun. 2005. tab
Artigo em Espanhol | LILACS | ID: lil-443606

RESUMO

Anal cancers compromise only 1.5% of all digestive tumors. At present, concurrent radiochemotherapy (RT-CT) is the treatment of choice for most of these lesions. OBJECTIVE: To collect and analyze clinical data from the medical records of all consecutive patients with squamous cell carcinoma of the anal canal (SCCAC) treated by the Oncology Section in 20 years. PATIENTS AND METHODS: The medical records of 108 patients with SCCAC were reviewed: 64% were women, mean age was 57.6 years (27-85), only 1 patient was HIV(+). RESULTS: Initial treatment: 87 patients were treated with RT-CT (81%), 5 CT only, 2 RT only, 8 local resection and 6 abdominoperineal resection (APR). 1) Patients initially treated with RT-CT: cobalt therapy was given to 76% of pts and linear accelerator was used in 24% of patients. 24% of patients received Mitomycin C based CT (modified Nigro), 66% Cisplatin based CT and 10% 5FU alone; 66% had clinical complete response (CCR) (26% of them relapsed). Median follow up was 2.16 years (1 month-15.5 years), median time to progression was 11.8 months and overall survival was 76.7% at 3 years (CI 95%: 65.2-87.7). 2) Patients initially treated with local resection: 6 patients NED and 2 relapsed (1 had CCR after RT-CT). 3) Patients initially treated with APR: 5 with curative intent (4 had local recurrence), and 1 was palliative. 4) Surgical rescue after RT-CT in 6 patients with curative intent (4 APR and 2 local resections), and in 15 patients was palliative (2 APR and other surgeries in 13). CONCLUSIONS: Our group is pioneer in the use of Cisplatin based RT-CT for the treatment of patients with SCCAC. Complete response rate and overall survival at 3 years, were similar to those reported by international data. As this is probably one of the largest series of SCCAC in Argentina, we hope that this analysis of our data would be a starting point to develop prospective clinical trials.


El carcinoma epidermoide del canal anal (CCA) constituye el 1.5% de los cánceres del sistema digestivo. Lamayoría de los pacientes puede acceder a la cura a través de radioquimioterapia (RT-QT) concurrente. Objetivos:evaluar qué ocurrió con todos los pacientes con CCA registrados por la Sección Oncología en 20 años.Pacientes y métodos: se revisaron las fichas de 108 pacientes:64% eran mujeres y la edad media fue de 57.6 años (27-83), sólo 1 paciente tenía confirmación de HIV (+). Resultados: tratamiento inicial: 87 pacientes recibieron RT-QT (81%), 5 QT sola, 2 RT sola, 8 resecciónlocal y 6 resección abdominoperineal (RAP). 1) Grupo con RT-QT de inicio: 76% realizó telecobaltoterapiay 24% acelerador lineal, 24% de los pacientes recibió un esquema con Mitomicina (Nigro modificado),66% esquemas con Cisplatino y 10% 5FU solo; respuesta clínica completa 66% (26% de ellos recidivaron).La mediana de seguimiento fue de 2.16 años (1 mes-15.5 años), la mediana de tiempo a la progresión fue de 11.8 meses y la sobrevida global fue de76.7% a los 3 años (IC 95%: 65.2-87.7). 2) Grupo con resección local de inicio: 6 pacientes sin enfermedada largo plazo y 2 recidivas (1 de ellas rescatada con RT-QT con respuesta completa). 3) RAP de inicio: 5con intención curativa (4 recidivaron localmente) y 1 paliativa. 4) Cirugía luego de RT-QT: en 6 pacientescon intención curativa (4 RAP y 2 resecciones locales), y en 15 pacientes con intención paliativa (2 RAP y 13otras cirugías). Conclusiones: nuestro grupo es pionero en el empleo de RT-QT basada en Cisplatino para eltratamiento de pacientes con CCA. Las tasas de respuesta completa y la de pacientes vivos a 3 años fueronsimilares a las reportadas en la literatura internacional. Dado que esta es probablemente la experiencia actualizada en CCA más grande de nuestro país, confiamos en que la elaboración de los datos que aquí presentamos sea el punto de partida para desarrollar ensayos clínicos prospectivos.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Carcinoma de Células Escamosas/terapia , Neoplasias do Ânus/terapia , Dosagem Radioterapêutica , Estudos Retrospectivos , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Recidiva Local de Neoplasia , Resultado do Tratamento , Seguimentos , Intervalo Livre de Doença , Terapia Combinada
15.
Acta gastroenterol. latinoam ; 35(2): 94-98, jun. 2005. tab
Artigo em Espanhol | BINACIS | ID: bin-123312

RESUMO

Anal cancers compromise only 1.5% of all digestive tumors. At present, concurrent radiochemotherapy (RT-CT) is the treatment of choice for most of these lesions. OBJECTIVE: To collect and analyze clinical data from the medical records of all consecutive patients with squamous cell carcinoma of the anal canal (SCCAC) treated by the Oncology Section in 20 years. PATIENTS AND METHODS: The medical records of 108 patients with SCCAC were reviewed: 64% were women, mean age was 57.6 years (27-85), only 1 patient was HIV(+). RESULTS: Initial treatment: 87 patients were treated with RT-CT (81%), 5 CT only, 2 RT only, 8 local resection and 6 abdominoperineal resection (APR). 1) Patients initially treated with RT-CT: cobalt therapy was given to 76% of pts and linear accelerator was used in 24% of patients. 24% of patients received Mitomycin C based CT (modified Nigro), 66% Cisplatin based CT and 10% 5FU alone; 66% had clinical complete response (CCR) (26% of them relapsed). Median follow up was 2.16 years (1 month-15.5 years), median time to progression was 11.8 months and overall survival was 76.7% at 3 years (CI 95%: 65.2-87.7). 2) Patients initially treated with local resection: 6 patients NED and 2 relapsed (1 had CCR after RT-CT). 3) Patients initially treated with APR: 5 with curative intent (4 had local recurrence), and 1 was palliative. 4) Surgical rescue after RT-CT in 6 patients with curative intent (4 APR and 2 local resections), and in 15 patients was palliative (2 APR and other surgeries in 13). CONCLUSIONS: Our group is pioneer in the use of Cisplatin based RT-CT for the treatment of patients with SCCAC. Complete response rate and overall survival at 3 years, were similar to those reported by international data. As this is probably one of the largest series of SCCAC in Argentina, we hope that this analysis of our data would be a starting point to develop prospective clinical trials.(AU)


El carcinoma epidermoide del canal anal (CCA) constituye el 1.5% de los cánceres del sistema digestivo. Lamayoría de los pacientes puede acceder a la cura a través de radioquimioterapia (RT-QT) concurrente. Objetivos:evaluar qué ocurrió con todos los pacientes con CCA registrados por la Sección Oncología en 20 años.Pacientes y métodos: se revisaron las fichas de 108 pacientes:64% eran mujeres y la edad media fue de 57.6 años (27-83), sólo 1 paciente tenía confirmación de HIV (+). Resultados: tratamiento inicial: 87 pacientes recibieron RT-QT (81%), 5 QT sola, 2 RT sola, 8 resecciónlocal y 6 resección abdominoperineal (RAP). 1) Grupo con RT-QT de inicio: 76% realizó telecobaltoterapiay 24% acelerador lineal, 24% de los pacientes recibió un esquema con Mitomicina (Nigro modificado),66% esquemas con Cisplatino y 10% 5FU solo; respuesta clínica completa 66% (26% de ellos recidivaron).La mediana de seguimiento fue de 2.16 años (1 mes-15.5 años), la mediana de tiempo a la progresión fue de 11.8 meses y la sobrevida global fue de76.7% a los 3 años (IC 95%: 65.2-87.7). 2) Grupo con resección local de inicio: 6 pacientes sin enfermedada largo plazo y 2 recidivas (1 de ellas rescatada con RT-QT con respuesta completa). 3) RAP de inicio: 5con intención curativa (4 recidivaron localmente) y 1 paliativa. 4) Cirugía luego de RT-QT: en 6 pacientescon intención curativa (4 RAP y 2 resecciones locales), y en 15 pacientes con intención paliativa (2 RAP y 13otras cirugías). Conclusiones: nuestro grupo es pionero en el empleo de RT-QT basada en Cisplatino para eltratamiento de pacientes con CCA. Las tasas de respuesta completa y la de pacientes vivos a 3 años fueronsimilares a las reportadas en la literatura internacional. Dado que esta es probablemente la experiencia actualizada en CCA más grande de nuestro país, confiamos en que la elaboración de los datos que aquí presentamos sea el punto de partida para desarrollar ensayos clínicos prospectivos.(AU)


Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pessoa de Meia-Idade , Feminino , Neoplasias do Ânus/terapia , Carcinoma de Células Escamosas/terapia , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Terapia Combinada , Intervalo Livre de Doença , Seguimentos , Recidiva Local de Neoplasia , Dosagem Radioterapêutica , Estudos Retrospectivos , Resultado do Tratamento
16.
Bioresour Technol ; 96(10): 1175-82, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15683909

RESUMO

The optimization of submerged culture conditions and nutritional requirements was studied for the production of exopolysaccharide (EPS) from Agrocybe cylindracea ASI-9002 using the statistically based experimental design in a shake flask culture. Both maximum mycelial biomass and EPS were observed at 25 degrees C. The optimal initial pH for the production of mycelial biomass and EPS were found to be pH 4.0 and pH 6.0, respectively. Subsequently, optimum concentration of each medium component was determined using the orthogonal matrix method. The optimal combination of the media constituents for mycelial growth was as follows: maltose 80 g/l, Martone A-1 6 g/l, MgSO4 x 7H2O 1.4 g/l, and CaCl2 1.1 g/l; for EPS production: maltose 60 g/l, Martone A-1 6 g/l, MgSO4 x 7H2O 0.9 g/l, and CaCl2 1.1 g/l. Under the optimal culture condition, the maximum EPS concentration achieved in a 5-l stirred-tank bioreactor indicated 3.0 g/l, which is about three times higher than that at the basal medium.


Assuntos
Agaricales/crescimento & desenvolvimento , Biomassa , Reatores Biológicos , Micélio/crescimento & desenvolvimento , Polissacarídeos/biossíntese , Agricultura/métodos , Técnicas de Cultura , Concentração de Íons de Hidrogênio
17.
Eur J Cancer Prev ; 13(5): 419-24, 2004 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15452455

RESUMO

Since nitric oxide (NO) produced by inducible nitric oxide synthase (iNOS) has been found to be involved in various pathophysiological processes, including inflammation and carcinogenesis, the modulators of NO synthesis or expression have been considered as potential anti-inflammatory and cancer chemopreventive agents. In this study, to procure the iNOS inhibitors from natural products, we evaluated 57 methanol extracts of natural products including Korean indigenous plants for the inhibition of NO formation on lipopolysaccharide (LPS)-activated mouse macrophage-like RAW 264.7 cells. As a result, several extracts including those from Actinodaphne lancifolia, Calystegia soldanella, Caryratia japonica, Citrus dachibana, Dystaenia takeshimana, Erysimum aurantiacum, Hovenia undulata, Stewartia koreana and Viburnum awabuki showed potent inhibitory activities of NO production (>70% inhibition at the test concentration of 40 microg/ml). In particular, the extract of Calystegia soldanella showed a potential inhibition of NO production in a dose-dependent manner (IC50=4.3 microg/ml). Subsequent study also exhibited that the extract of Calystegia soldanella significantly suppressed iNOS protein and gene expression in a dose-dependent manner. These results suggest that Calystegia soldanella might be a new potential candidate for developing an iNOS inhibitor from natural products and also could be warranted for further elucidation of active principles for the development of new anti-inflammatory and/or cancer chemopreventive agents.


Assuntos
Calystegia/química , Óxido Nítrico Sintase/biossíntese , Óxido Nítrico/metabolismo , Extratos Vegetais/farmacologia , Animais , Técnicas de Cultura de Células , Relação Dose-Resposta a Droga , Regulação da Expressão Gênica/efeitos dos fármacos , Inflamação , Lipopolissacarídeos/toxicidade , Macrófagos , Camundongos , Óxido Nítrico Sintase/farmacologia
18.
J Appl Microbiol ; 96(6): 1296-305, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15139922

RESUMO

AIMS: The objective of this work was to investigate the morphological and rheological properties in submerged culture of the three different basidiomycetes Phellinus (P. baumii, P. gilvus and P. linteus) that produce pharmacologically important exopolysaccharides (EPS). METHODS AND RESULTS: In flask cultures, pH proved to be a critical factor affecting mycelial growth, morphological change and EPS production. The macroscopic morphologies observed under different pHs in flask cultures were also comparable: i.e. starfish-like pellets with a lesser extent of free mycelium appeared in P. baumii, whereas smooth pellets with higher amounts of free mycelium were observed in P. gilvus and P. linteus. The pelleted fermentations were further characterized in a 5-l stirred-tank fermenter by image analysis with respect to mean diameter, core area and pellet circularity. Phellinus baumii showed the largest pellet size (5.2 mm in diameter), whereas P. linteus had extremely small and spherical pellets. The culture broth of P. baumii and P. gilvus yielded extremely high apparent viscosities, ranging from 5 to 7 Pa s. CONCLUSIONS: Three important species of Phellinus showed significantly different morphological and rheological properties. The morphological variation of the three Phellinus species was closely linked to EPS productivity and the apparent viscosity of the whole broth. SIGNIFICANCE AND IMPACT OF THE STUDY: The morphological change in the three species of Phellinus was a good indicator for identifying cell activity for EPS production. Our finding may be beneficial for further optimization of other fungal fermentation processes for large-scale production of EPS.


Assuntos
Basidiomycota/ultraestrutura , Basidiomycota/metabolismo , Basidiomycota/fisiologia , Biomassa , Reatores Biológicos , Fermentação , Concentração de Íons de Hidrogênio , Polissacarídeos/biossíntese , Reologia , Especificidade da Espécie
19.
Cell Death Differ ; 11(9): 1009-16, 2004 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-15131590

RESUMO

Apoptosis induced by nonsteroidal anti-inflammatory drugs (NSAIDs) is involved not only in the production of NSAID-induced gastric lesions but also in the antitumor activity of these drugs. The endoplasmic reticulum (ER) stress response is a cellular mechanism that aids in protecting the ER against ER stressors and is involved in ER stressor-induced apoptosis. Here, we examine the relationship between this response and NSAID-induced apoptosis in cultured guinea-pig gastric mucosal cells. Exposure of cells to indomethacin, a commonly used NSAID, induced GRP78 as well as CHOP, a transcription factor involved in apoptosis. Three factors that positively regulate CHOP expression (ATF6, ATF4 and XBP-1) were activated and/or induced by indomethacin. NSAIDs other than indomethacin (diclofenac, ibuprofen and celecoxib) also induced CHOP. Monitoring of the transcriptional activities of ATF6 and CHOP by luciferase assay revealed that both were stimulated in the presence of indomethacin. Furthermore, indomethacin-induced apoptosis was suppressed in cultured guinea-pig gastric mucosal cells by expression of the dominant-negative form of CHOP, or in peritoneal macrophages from CHOP-deficient mice. These results suggest that ER stress response-related proteins, particularly CHOP, are involved in NSAID-induced apoptosis.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Apoptose , Retículo Endoplasmático/efeitos dos fármacos , Retículo Endoplasmático/patologia , Fator 4 Ativador da Transcrição , Animais , Northern Blotting , Celecoxib , Linhagem Celular , Sobrevivência Celular , Células Cultivadas , Proteínas de Ligação a DNA/metabolismo , Diclofenaco/farmacologia , Relação Dose-Resposta a Droga , Chaperona BiP do Retículo Endoplasmático , Ativação Enzimática , Mucosa Gástrica/patologia , Genes Reporter , Cobaias , Proteínas de Choque Térmico/metabolismo , Peróxido de Hidrogênio/farmacologia , Ibuprofeno/farmacologia , Immunoblotting , Indometacina/farmacologia , Luciferases/metabolismo , Macrófagos/metabolismo , Microscopia de Fluorescência , Chaperonas Moleculares/metabolismo , Plasmídeos/metabolismo , Pirazóis/farmacologia , RNA Mensageiro/metabolismo , Fatores de Transcrição de Fator Regulador X , Sulfonamidas/farmacologia , Fatores de Tempo , Fatores de Transcrição/metabolismo , Transcrição Gênica , Transfecção , Proteína 1 de Ligação a X-Box
20.
Lett Appl Microbiol ; 36(5): 321-6, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12680946

RESUMO

AIMS: The objective of the present study was to investigate the influence of aeration rate and agitation intensity on the production of mycelial biomass and exopolysaccharide (EPS) in Paecilomyces sinclairii. METHODS AND RESULTS: The P. sinclairii was cultivated under various aeration and agitation conditions in a 5 l stirred-tank bioreactor. The highest mycelial biomass (30.5 g l-1) and EPS production (11.5 g l-1) were obtained at a high aeration rate (3.5 v.v.m.) and at a high agitation speed (250 rev min-1). The apparent viscosities (6000-8000 cP) of fermentation broth increased rapidly towards the end of fermentations at high aeration and agitation conditions. CONCLUSIONS: The high level of dissolved oxygen achieved at a high aeration rate (3.5 v.v.m.) associated with higher hyphal density eventually resulted in enhanced EPS production. Agitation intensity was also proved to be a critical factor influencing on both the mycelial biomass and EPS production: high agitation speeds up to 250 rev min-1 were preferred to the yields of biomass and EPS production. SIGNIFICANCE AND IMPACT OF THE STUDY: The critical effects of aeration and agitation in the culture process of P. sinclairii were found, which is widely applicable to other kinds of basidiomycetes or ascomycetes in their submerged culture processes.


Assuntos
Paecilomyces/metabolismo , Polissacarídeos/biossíntese , Aerobiose , Biomassa , Meios de Cultura/química , Fermentação/fisiologia , Fungos/crescimento & desenvolvimento , Fungos/metabolismo , Movimento , Micélio/crescimento & desenvolvimento , Paecilomyces/classificação , Paecilomyces/crescimento & desenvolvimento , Fatores de Tempo
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