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1.
ISA Trans ; 126: 203-212, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34446285

RESUMO

Diabetes Mellitus is a serious metabolic condition for global health associations. Recently, the number of adults, adolescents and children who have developed Type 1 Diabetes Mellitus (T1DM) has increased as well as the mortality statistics related to this disease. For this reason, the scientific community has directed research in developing technologies to reduce T1DM complications. This contribution is related to a feedback control strategy for blood glucose management in population samples of ten virtual adult subjects, adolescents and children. This scheme focuses on the development of an inverse optimal control (IOC) proposal which is integrated by neural identification, a multi-step prediction (MSP) strategy, and Takagi-Sugeno (T-S) fuzzy inference to shape the convenient insulin infusion in the treatment of T1DM patients. The MSP makes it possible to estimate the glucose dynamics 15 min in advance; therefore, this estimation allows the Neuro-Fuzzy-IOC (NF-IOC) controller to react in advance to prevent hypoglycemic and hyperglycemic events. The T-S fuzzy membership functions are defined in such a way that the respective inferences change basal infusion rates for each patient's condition. The results achieved for scenarios simulated in Uva/Padova virtual software illustrate that this proposal is suitable to maintain blood glucose levels within normoglycemic values (70-115 mg/dL); furthermore, this level remains less than 250 mg/dL during the postprandial event. A comparison between a simple neural IOC (NIOC) and the proposed NF-IOC is carried out using the analysis for control variability named CVGA chart included in the Uva/Padova software. This analysis highlights the improvement of the NF-IOC treatment, proposed in this article, on the NIOC approach because each subject is located inside safe zones for the entire duration of the simulation.


Assuntos
Diabetes Mellitus Tipo 1 , Adolescente , Adulto , Algoritmos , Glicemia/análise , Criança , Simulação por Computador , Diabetes Mellitus Tipo 1/tratamento farmacológico , Humanos , Hipoglicemiantes , Insulina/uso terapêutico
2.
Sci Rep ; 9(1): 13907, 2019 09 25.
Artigo em Inglês | MEDLINE | ID: mdl-31554862

RESUMO

Primary infection of legumes by rhizobia involves the controlled localized enzymatic breakdown of cell walls at root hair tips. Previous studies determined the role of rhizobial CelC2 cellulase in different steps of the symbiotic interaction Rhizobium leguminosarum-Trifolium repens. Recent findings also showed that CelC2 influences early signalling events in the Ensifer meliloti-Medicago truncatula interaction. Here, we have monitored the root hair phenotypes of two legume plants, T. repens and M. sativa, upon inoculation with strains of their cognate and non-cognate rhizobial species, R. leguminosarum bv trifolii and E. meliloti, (over)expressing the CelC2 coding gene, celC. Regardless of the host, CelC2 specifically elicited 'hole-on-the-tip' events (Hot phenotype) in the root hair apex, consistent with the role of this endoglucanase in eroding the noncrystalline cellulose found in polarly growing cell walls. Overproduction of CelC2 also increased root hair tip redirections (RaT phenotype) events in both cognate and non-cognate hosts. Interestingly, heterologous celC expression also induced non-canonical alterations in ROS (Reactive Oxygen Species) homeostasis at root hair tips of Trifolium and Medicago. These results suggest the concurrence of shared unspecific and host-related plant responses to CelC2 during early steps of symbiotic rhizobial infection. Our data thus identify CelC2 cellulase as an important determinant of events underlying early infection of the legume host by rhizobia.


Assuntos
Celulase/metabolismo , Fabaceae/metabolismo , Fabaceae/microbiologia , Interações Hospedeiro-Patógeno/fisiologia , Rhizobium leguminosarum/metabolismo , Simbiose/fisiologia , Parede Celular/metabolismo , Parede Celular/microbiologia , Infecções por Bactérias Gram-Negativas/microbiologia , Medicago truncatula/metabolismo , Medicago truncatula/microbiologia , Fenótipo , Raízes de Plantas/metabolismo , Raízes de Plantas/microbiologia , Nódulos Radiculares de Plantas/metabolismo , Nódulos Radiculares de Plantas/microbiologia , Trifolium/metabolismo , Trifolium/microbiologia
3.
Fish Shellfish Immunol ; 84: 756-767, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30368027

RESUMO

Gold nanoparticles (AuNP) stimulate immune responses in mammals but they have not been tested in species of relevance in aquaculture. In this study the immunostimulant and protective potential of orally administered AuNP against V. parahaemolyticus, the causative agent of Acute Hepatopancreatic Necrosis Disease, was determined in shrimp. Synthetized AuNP (18.57 ±â€¯4.37 nm) were moderately dispersed with a negative ζ potential of -10.3 ±â€¯0.208 mV (pH = 7). AuNP were administered (single dose) at 0.2, 2, and 20 µg/g feed in shrimp. Hemolymph samples were withdrawn daily for 6 days. Hemolymph or hemocytes were used to determine total hemocyte counts, immune-related enzymatic activities, and expression of immune-relevant genes. Hepatopancreas was sampled for the analysis of AuNP biodistribution and histological examination. Survival was recorded daily. No mortality or toxicity signs in hepatopancreas were found. AuNP were detected in hepatopancreas. Early (24-48 h) immunostimulation was mainly related to immune gene up-regulation. Upon a challenge with V. parahaemolyticus, survival was higher (80%) and histopathological damages were lower in shrimp treated with the 2 µg/g dose when compared to the control. Therefore orally administered AuNP are proposed as immunostimulants that protect shrimp against V. parahaemolyticus infection.


Assuntos
Adjuvantes Imunológicos/farmacologia , Ouro/farmacologia , Nanopartículas Metálicas , Penaeidae/imunologia , Substâncias Protetoras/farmacologia , Vibrio parahaemolyticus/efeitos dos fármacos , Adjuvantes Imunológicos/administração & dosagem , Animais , Ouro/administração & dosagem , Nanopartículas Metálicas/administração & dosagem , Penaeidae/efeitos dos fármacos , Substâncias Protetoras/administração & dosagem , Distribuição Tecidual , Vibrio parahaemolyticus/fisiologia
4.
J Physiol ; 596(9): 1747-1776, 2018 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-29451306

RESUMO

KEY POINTS: The state of central sensitization induced by the intradermic injection of capsaicin leads to structured (non-random) changes in functional connectivity between dorsal horn neuronal populations distributed along the spinal lumbar segments in anaesthetized cats. The capsaicin-induced changes in neuronal connectivity and the concurrent increase in secondary hyperalgesia are transiently reversed by the systemic administration of small doses of lidocaine, a clinically effective procedure to treat neuropathic pain. The effects of both capsaicin and lidocaine are greatly attenuated in spinalized preparations, showing that supraspinal influences play a significant role in the shaping of nociceptive-induced changes in dorsal horn functional neuronal connectivity. We conclude that changes in functional connectivity between segmental populations of dorsal horn neurones induced by capsaicin and lidocaine result from a cooperative adaptive interaction between supraspinal and spinal neuronal networks, a process that may have a relevant role in the pathogenesis of chronic pain and analgesia. ABSTRACT: Despite a profusion of information on the molecular and cellular mechanisms involved in the central sensitization produced by intense nociceptive stimulation, the changes in the patterns of functional connectivity between spinal neurones associated with the development of secondary hyperalgesia and allodynia remain largely unknown. Here we show that the state of central sensitization produced by the intradermal injection of capsaicin is associated with structured transformations in neuronal synchronization that lead to an enduring reorganization of the functional connectivity within a segmentally distributed ensemble of dorsal horn neurones. These changes are transiently reversed by the systemic administration of small doses of lidocaine, a clinically effective procedure to treat neuropathic pain. Lidocaine also reduces the capsaicin-induced facilitation of the spinal responses evoked by weak mechanical stimulation of the skin in the region of secondary but not primary hyperalgesia. The effects of both intradermic capsaicin and systemic lidocaine on the segmental correlation and coherence between ongoing cord dorsum potentials and on the responses evoked by tactile stimulation in the region of secondary hyperalgesia are greatly attenuated in spinalized preparations, showing that supraspinal influences are involved in the reorganization of the nociceptive-induced structured patterns of dorsal horn neuronal connectivity. We conclude that the structured reorganization of the functional connectivity between the dorsal horn neurones induced by capsaicin nociceptive stimulation results from cooperative interactions between supraspinal and spinal networks, a process that may have a relevant role in the shaping of the spinal state in the pathogenesis of chronic pain and analgesia.


Assuntos
Capsaicina/toxicidade , Hiperalgesia/fisiopatologia , Lidocaína/farmacologia , Rede Nervosa/fisiologia , Nociceptividade/fisiologia , Células do Corno Posterior/fisiologia , Anestésicos Locais/farmacologia , Animais , Capsaicina/administração & dosagem , Gatos , Feminino , Hiperalgesia/induzido quimicamente , Hiperalgesia/tratamento farmacológico , Masculino , Estimulação Física , Células do Corno Posterior/efeitos dos fármacos , Fármacos do Sistema Sensorial/administração & dosagem , Fármacos do Sistema Sensorial/toxicidade
5.
Am J Transplant ; 17(8): 2103-2116, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28188669

RESUMO

We performed orthogonal technology comparisons of concurrent peripheral blood and biopsy tissue samples from 69 kidney transplant recipients who underwent comprehensive algorithm-driven clinical phenotyping. The sample cohort included patients with normal protocol biopsies and stable transplant (sTx) function (n = 25), subclinical acute rejection (subAR, n = 23), and clinical acute rejection (cAR, n = 21). Comparisons between microarray and RNA sequencing (RNA-seq) signatures were performed and demonstrated a strong correlation between the blood and tissue compartments for both technology platforms. A number of shared differentially expressed genes and pathways between subAR and cAR in both platforms strongly suggest that these two clinical phenotypes form a continuum of alloimmune activation. SubAR is associated with fewer or less expressed genes than cAR in blood, whereas in biopsy tissues, this clinical phenotype demonstrates a more robust molecular signature for both platforms. The discovery work done in this study confirms a clear ability to detect gene expression profiles for sTx, subAR, and cAR in both blood and biopsy tissue, yielding equivalent predictive performance that is agnostic to both technology and platform. Our data also provide strong biological insights into the molecular mechanisms underlying these signatures, underscoring their logistical potential as molecular diagnostics to improve clinical outcomes following kidney transplantation.


Assuntos
Biomarcadores/metabolismo , Perfilação da Expressão Gênica , Rejeição de Enxerto/diagnóstico , Sequenciamento de Nucleotídeos em Larga Escala/métodos , Falência Renal Crônica/genética , Transplante de Rim/efeitos adversos , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Seguimentos , Rejeição de Enxerto/sangue , Rejeição de Enxerto/epidemiologia , Rejeição de Enxerto/genética , Sobrevivência de Enxerto , Humanos , Falência Renal Crônica/cirurgia , Masculino , Pessoa de Meia-Idade , Prevalência , Prognóstico , Estudos Prospectivos , Adulto Jovem
6.
Indoor Air ; 27(4): 737-745, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-27990700

RESUMO

While household air pollution from biomass fuel combustion has been linked to cardiovascular disease, the effects on cardiac structure and function have not been well described. We sought to determine the association between biomass fuel smoke exposure and cardiac structure and function by transthoracic echocardiography. We identified a random sample of urban and rural residents living in the high-altitude region of Puno, Peru. Daily biomass fuel use was self-reported. Participants underwent transthoracic echocardiography. Multivariable linear regression was used to examine the relationship of biomass fuel use with echocardiographic measures of cardiac structure and function, adjusting for age, sex, height, body mass index, diabetes, physical activity, and tobacco use. One hundred and eighty-seven participants (80 biomass fuel users and 107 non-users) were included in this analysis (mean age 59 years, 58% women). After adjustment, daily exposure to biomass fuel smoke was associated with increased left ventricular internal diastolic diameter (P=.004), left atrial diameter (P=.03), left atrial area (four-chamber) (P=.004) and (two-chamber) (P=.03), septal E' (P=.006), and lateral E' (P=.04). Exposure to biomass fuel smoke was also associated with worse global longitudinal strain in the two-chamber view (P=.01). Daily biomass fuel use was associated with increased left ventricular size and decreased left ventricular systolic function by global longitudinal strain.


Assuntos
Poluição do Ar em Ambientes Fechados/efeitos adversos , Átrios do Coração/fisiopatologia , Ventrículos do Coração/fisiopatologia , Fumaça/efeitos adversos , Disfunção Ventricular Esquerda/induzido quimicamente , Adulto , Idoso , Biomassa , Ecocardiografia Doppler , Feminino , Coração/fisiopatologia , Humanos , Modelos Lineares , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Peru , Fumar , Inquéritos e Questionários
7.
Allergol. immunopatol ; 44(3): 263-275, mayo-jun. 2016. tab
Artigo em Inglês | IBECS | ID: ibc-152083

RESUMO

Food allergy and respiratory allergy are two frequently associated diseases and with an increasing prevalence. Several reports show the presence of respiratory symptoms in patients with food allergy, while certain foods may be related to the development or exacerbation of allergic rhinitis and asthma. The present update focuses on this relationship, revealing a pathogenic and clinical association between food and respiratory allergy. This association is even more intense when the food hypersensitivity is persistent or starts in the early years of life. Food allergy usually precedes respiratory allergy and may be a risk factor for allergic rhinitis and asthma, becoming a relevant clinical marker for severe atopic asthma. Furthermore, the presence of co-existing asthma may enhance life-threatening symptoms occurring during a food allergic reaction. Recommendations for dietary restrictions during pregnancy and breastfeeding to prevent the development of respiratory allergy are controversial and not supported by consistent scientific data. Current recommendations from medical societies propose exclusive breastfeeding during the first four months of life, with the introduction of solid food in the fourth to the seventh month period of life. A delayed introduction of solid food after this period may increase the risk of developing subsequent allergic conditions. Further studies are encouraged to avoid unjustified recommendations involving useless dietary restrictions


No disponible


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Asma/dietoterapia , Asma/epidemiologia , Asma/genética , Rinite Alérgica/dietoterapia , Rinite Alérgica/epidemiologia , Rinite Alérgica/genética , Aleitamento Materno/instrumentação , Aleitamento Materno/métodos , Hipersensibilidade Alimentar/epidemiologia , Hipersensibilidade Alimentar/metabolismo , Hipersensibilidade Alimentar/patologia , Prevalência , Leite Humano/metabolismo , Leite Humano/fisiologia , Dietética/instrumentação , Dietética/métodos , Dietoterapia/instrumentação , Dietoterapia/métodos , Dietoterapia
8.
Allergol Immunopathol (Madr) ; 44(3): 263-75, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26316421

RESUMO

Food allergy and respiratory allergy are two frequently associated diseases and with an increasing prevalence. Several reports show the presence of respiratory symptoms in patients with food allergy, while certain foods may be related to the development or exacerbation of allergic rhinitis and asthma. The present update focuses on this relationship, revealing a pathogenic and clinical association between food and respiratory allergy. This association is even more intense when the food hypersensitivity is persistent or starts in the early years of life. Food allergy usually precedes respiratory allergy and may be a risk factor for allergic rhinitis and asthma, becoming a relevant clinical marker for severe atopic asthma. Furthermore, the presence of co-existing asthma may enhance life-threatening symptoms occurring during a food allergic reaction. Recommendations for dietary restrictions during pregnancy and breastfeeding to prevent the development of respiratory allergy are controversial and not supported by consistent scientific data. Current recommendations from medical societies propose exclusive breastfeeding during the first four months of life, with the introduction of solid food in the fourth to the seventh month period of life. A delayed introduction of solid food after this period may increase the risk of developing subsequent allergic conditions. Further studies are encouraged to avoid unjustified recommendations involving useless dietary restrictions.


Assuntos
Asma/epidemiologia , Aleitamento Materno , Dieta Saudável/métodos , Hipersensibilidade Alimentar/epidemiologia , Rinite Alérgica/epidemiologia , Asma/etiologia , Asma/prevenção & controle , Comorbidade , Feminino , Hipersensibilidade Alimentar/etiologia , Hipersensibilidade Alimentar/prevenção & controle , Humanos , Gravidez , Prevalência , Rinite Alérgica/etiologia , Rinite Alérgica/prevenção & controle , Fatores de Risco
9.
PLoS One ; 10(7): e0133861, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26207373

RESUMO

Brevipalpus phoenicis s.l. is an economically important vector of the Citrus leprosis virus-C (CiLV-C), one of the most severe diseases attacking citrus orchards worldwide. Effective control strategies for this mite should be designed based on basic information including its population structure, and particularly the factors that influence its dynamics. We sampled sweet orange orchards extensively in eight locations in Brazil and 12 in Mexico. Population genetic structure and genetic variation between both countries, among locations and among sampling sites within locations were evaluated by analysing nucleotide sequence data from fragments of the mitochondrial cytochrome oxidase subunit I (COI). In both countries, B. yothersi was the most common species and was found in almost all locations. Individuals from B. papayensis were found in two locations in Brazil. Brevipalpus yothersi populations collected in Brazil were more genetically diverse (14 haplotypes) than Mexican populations (four haplotypes). Although geographical origin had a low but significant effect (ca. 25%) on the population structure, the greatest effect was from the within location comparison (37.02 %). Potential factors driving our results were discussed.


Assuntos
Citrus/virologia , Variação Genética , Insetos Vetores/genética , Ácaros/genética , Doenças das Plantas/virologia , Animais , Brasil , Haplótipos , México , Ácaros/virologia
10.
J Investig Allergol Clin Immunol ; 25(2): 94-106, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25997302

RESUMO

Allergic conjunctivitis (AC) is an inflammatory disease of the conjunctiva caused mainly by an IgE-mediated mechanism. It is the most common type of ocular allergy. Despite being the most benign form of conjunctivitis, AC has a considerable effect on patient quality of life, reduces work productivity, and increases health care costs. No consensus has been reached on its classification, diagnosis, or treatment. Consequently, the literature provides little information on its natural history, epidemiological data are scarce, and it is often difficult to ascertain its true morbidity. The main objective of the Consensus Document on Allergic Conjunctivitis (Documento dE Consenso sobre Conjuntivitis Alérgica [DECA]), which was drafted by an expert panel from the Spanish Society of Allergology and Spanish Society of Ophthalmology, was to reach agreement on basic criteria that could prove useful for both specialists and primary care physicians and facilitate the diagnosis, classification, and treatment of AC. This document is the first of its kind to describe and analyze aspects of AC that could make it possible to control symptoms.


Assuntos
Alergia e Imunologia/normas , Antialérgicos/uso terapêutico , Conjuntivite Alérgica/terapia , Imunoterapia/métodos , Antialérgicos/normas , Conjuntivite Alérgica/classificação , Conjuntivite Alérgica/diagnóstico , Conjuntivite Alérgica/imunologia , Consenso , Diagnóstico Diferencial , Humanos , Imunoterapia/normas , Valor Preditivo dos Testes , Índice de Gravidade de Doença , Resultado do Tratamento
11.
Br J Cancer ; 112(11): 1733-6, 2015 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-25950384

RESUMO

OBJECTIVE: The presence of human papillomavirus (HPV) infection in oropharyngeal squamous cell carcinoma (OPSCC) is a major determinant in prognostic risk modelling. Recently, a prognostic model was proposed in which HPV status, comorbidity and nodal stage were the most important prognostic factors to determine high-, intermediate- and low-risk survival groups. Here, we report on the validation of this model using an independent single-institutional cohort. METHODS: A total number of 235 patients curatively treated for OPSCC in the period 2000-2011 at the MUMC (Maastricht University Medical Center, The Netherlands) were included. The presence of an oncogenic HPV infection was determined by p16 immunostaining, followed by a high-risk HPV DNA PCR on the p16-positive cases. The model variables included were HPV status, comorbidity and nodal stage. As a measure of model performance, the Harrell's Concordance index (Harrell's C-index) was used. RESULTS: The 5-year overall survival (OS) estimates were 84.6%, 54.5% and 28.7% in the low-, intermediate- and high-risk group, respectively. The difference between the survival curves was highly significant (P<0.001). The Harrell's C-index was 0.69 (95% confidence interval (CI): 0.63-0.75). CONCLUSION: In this study a previously developed prognostic risk model was validated. This model will help to personalise treatment in OPSCC patients. This model is publicly available at www.predictcancer.org.


Assuntos
Carcinoma de Células Escamosas/epidemiologia , Neoplasias de Cabeça e Pescoço/epidemiologia , Neoplasias Orofaríngeas/epidemiologia , Infecções por Papillomavirus/epidemiologia , Idoso , Biomarcadores Tumorais , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/virologia , Europa (Continente) , Feminino , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Cabeça e Pescoço/virologia , Papillomavirus Humano 16/patogenicidade , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Orofaríngeas/patologia , Neoplasias Orofaríngeas/virologia , Infecções por Papillomavirus/patologia , Infecções por Papillomavirus/virologia , Prognóstico , Análise de Sobrevida
12.
Acta pediatr. esp ; 73(1): 10-13, ene. 2015. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-132654

RESUMO

Introducción y objetivo: La tos ferina, lejos de estar en proceso de erradicación, presenta una incidencia cada vez más elevada en nuestro medio. Si bien la mortalidad es menor del 1%, la morbilidad es elevada y supone un coste considerable para la sociedad. El objetivo de este trabajo es analizar la incidencia de las hospitalizaciones relacionadas con la tos ferina en niños en un área periférica de Madrid. Métodos: Estudio retrospectivo mediante revisión de la historia clínica electrónica de los pacientes ingresados en el servicio de pediatría con diagnóstico de síndrome pertusoide, desde enero de 2008 hasta diciembre de 2012. Se calcula la tasa de incidencia de hospitalización por síndrome pertusoide y el tiempo medio de la estancia. Resultados: La incidencia de hospitalización fue de 34 casos/100.000 menores de 5 años/año. En 2011 se concentraron más del 25% de los casos, con una incidencia de 68/100.000 menores de 5 años. El 100% de los casos se produjo en menores de 1 año. Más de la mitad de los pacientes tenía historia familiar de la enfermedad. La media (± desviación estándar) de la estancia fue de 6,1 (± 3,5 días). El 6,2% de los pacientes requirió el ingreso en una unidad de cuidados intensivos. No detectamos casos de mortalidad. Conclusiones: La incidencia de hospitalización por tos ferina en menores de 5 años presenta una tendencia ascendente (AU)


Title: Pertussis: an increasing preventable disease. Hospital admissions in children in a second level Hospital (period 2008-2012) Background and aim: Pertussis or whooping cough is far from eradication, and the incidence is increasing in our environment. Although mortality rate is less than 1%, the morbidity is high, and involves a high cost to society. The aim of this study is to estimate the rate of hospital admissions in children due to whooping-cough in a peripheral area in Madrid. Methods: We carried out a retrospective epidemiological survey. Data were obtained by review of clinical electronic history. All hospital discharges in children under 5 (ICD-9-CM 033) between January 2008 and December 2012 were analyzed. We estimated the annual incidence of hospitalization for pertussis and average length of stay. Results: The annual incidence during the period of the study was 34 per 100,000 children under 5. Up to 25% of the cases occurred at 2011. 100% of children were less than 1 year of age; average age: 3.1 months (SD= 1.6). More than half (56%) concerned symptoms in the near-family. Average length of stay was 6.1 days (SD= 3.5). 6.2% of patients needed critical care assistance. There were no mortality cases. Conclusion: Rate of hospital admissions in children under 5 years due to whooping-cough is increasing (AU)


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Coqueluche/complicações , Coqueluche/genética , Coqueluche/epidemiologia , Vacinação/métodos , Estudos Retrospectivos , Hospitalização , Incidência , Morbidade , Espanha
13.
J Investig Allergol Clin Immunol ; 25(6): 396-407, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26817136

RESUMO

Nasal hyperreactivity is the abnormal reaction of nasal tissue to a stimulus that is innocuous to most people. This response is caused by dysregulation of the autonomic nervous system at various levels of the nasal autonomic reflex arc. Various stimuli (methacholine, histamine, adenosine 5'-monophosphate, cold air, mannitol, rapsaicin, phentolamine, and distilled water) have been used in an attempt to find the test that most reliably differentiates between healthy individuals and patients and also between different types of rhinitis. Despite the small number of publications available, in the present review, we provide an update on current nonspecific nasal provocation techniques. The studies published to date are not comparable: the stimuli applied act through different mechanisms and are used to assess different pathways, and the methodologies differ in terms of selection of participants, concentrations used, and assessment of response (criteria for positivity). Given the limited use of nonspecific nasal provocation tests in routine clinical practice, we believe that more studies are warranted to address the research issues we present at the end of the present review, for example, the need to standardize the methodology for each test or even the clinical benefits of knowing whether or not a patient has nasal hyperreactivity.


Assuntos
Testes de Provocação Nasal/métodos , Rinite Alérgica/diagnóstico , Histamina/farmacologia , Humanos , Cloreto de Metacolina/farmacologia
14.
J. investig. allergol. clin. immunol ; 25(2): 94-106, 2015. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-135498

RESUMO

Allergic conjunctivitis (AC) is an inflammatory disease of the conjunctiva caused mainly by an IgE-mediated mechanism. It is the most common type of ocular allergy. Despite being the most benign form of conjunctivitis, AC has a considerable effect on patient quality of life, reduces work productivity, and increases health care costs. No consensus has been reached on its classification, diagnosis, or treatment. Consequently, the literature provides little information on its natural history, epidemiological data are scarce, and it is often difficult to ascertain its true morbidity. The main objective of the Consensus Document on Allergic Conjunctivitis (Documento dE Consenso sobre Conjuntivitis Alérgica [DECA]), which was drafted by an expert panel from the Spanish Society of Allergology and Spanish Society of Ophthalmology, was to reach agreement on basic criteria that could prove useful for both specialists and primary care physicians and facilitate the diagnosis, classification, and treatment of AC. This document is the first of its kind to describe and analyze aspects of AC that could make it possible to control symptoms (AU)


La conjuntivitis alérgica (CA), es una enfermedad inflamatoria que se produce en la conjuntiva ocular mediada predominantemente, por un mecanismo IgE. En la alergia ocular, la CA se considera la entidad más frecuente y, a pesar de ser la forma más benigna, supone para los pacientes una importante afectación en su calidad de vida, una disminución de su productividad laboral y un elevado gasto sanitario. En la actualidad, no existen criterios consensuados acerca de su clasificación, diagnóstico y tratamiento de tal manera que por los trabajos publicados es difícil conocer su historia natural, existen escasos datos sobre su epidemiologia y, a veces es complejo identificar su morbilidad real. El objetivo principal del Documento de Consenso sobre Conjuntivitis Alérgica (DECA) realizado por un grupo de expertos de las Sociedades Españolas de Alergología y Oftalmología, ha sido establecer de forma consensuada unos criterios básicos que puedan ser útiles tanto para los especialistas, como para los médicos de atención primaria y que faciliten el diagnóstico, la clasificación y el tratamiento de los pacientes con CA. Por primera vez se describen y analizan distintos aspectos que pueden servir de herramientas para establecer el control de los síntomas de la CA (AU)


Assuntos
Humanos , Conjuntivite Alérgica/diagnóstico , Hipersensibilidade Imediata/complicações , Conjuntivite Alérgica/tratamento farmacológico , Oftalmopatias/imunologia , Conjuntivite Alérgica/classificação , Diagnóstico Diferencial
15.
J. investig. allergol. clin. immunol ; 25(6): 396-407, 2015. tab
Artigo em Inglês | IBECS | ID: ibc-146911

RESUMO

Nasal hyperreactivity is the abnormal reaction of nasal tissue to a stimulus that is innocuous to most people. This response is caused by dysregulation of the autonomic nervous system at various levels of the nasal autonomic reflex arc. Various stimuli (methacholine, histamine, adenosine 5´-monophosphate, cold air, mannitol, capsaicin, phentolamine, and distilled water) have been used in an attempt to find the test that most reliably differentiates between healthy individuals and patients and also between different types of rhinitis. Despite the small number of publications available, in the present review, we provide an update on current nonspecific nasal provocation techniques. The studies published to date are not comparable: the stimuli applied act through different mechanisms and are used to assess different pathways, and the methodologies differ in terms of selection of participants, concentrations used, and assessment of response (criteria for positivity). Given the limited use of nonspecific nasal provocation tests in routine clinical practice, we believe that more studies are warranted to address the research issues we present at the end of the present review, for example, the need to standardize the methodology for each test or even the clinical benefits of knowing whether or not a patient has nasal hyperreactivity (AU)


La hiperreactividad nasal es la reacción anormal del tejido nasal frente a un estímulo inocuo en la mayoría de las personas. La respuesta nasal es un mecanismo de defensa fisiológico que puede verse híper-regulado cuando existe inflamación, como en la rinitis alérgica, pero también en ausencia de ésta. Mecanismos inmunes inflamatorios y neurogénicos se interrelacionan generando cambios inflamatorios y diferentes tipos clínicos. Metacolina, histamina, manitol, AMP, capsaicina, fentolamina así como aire frío o agua destilada, se han usado para medir la hiperreactividad nasal. Los estudios publicados hasta la fecha no son comparables; difieren en la selección de pacientes, las concentraciones usadas para la provocación y la valoración de la respuesta en cuanto a métodos y criterios de positividad. La falta de estandarización de estas pruebas, y la dificultad que han mostrado en discriminar entre sujetos con rinitis de sujetos sanos, y entre los diferentes tipos de rinitis, hacen escasa su utilidad en la práctica clínica diaria y actualmente su uso está limitado al campo de la investigación. En esta revisión hacemos una puesta al día de las técnicas de provocación nasal no específica de que disponemos en la actualidad (AU)


Assuntos
Humanos , Rinite Alérgica/imunologia , Testes de Provocação Nasal , Cloreto de Metacolina , Manitol , Histamina , Inflamação/fisiopatologia
16.
N Engl J Med ; 373(14): 1295-1306, 2015. tab
Artigo em Inglês | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1064855

RESUMO

BACKGROUND:The role of trypanocidal therapy in patients with established Chagas' cardiomyopathy is unproven.METHODS:We conducted a prospective, multicenter, randomized study involving 2854 patients with Chagas' cardiomyopathy who received benznidazole or placebo for up to 80 days and were followed for a mean of 5.4 years. The primary outcome in the time-to-event analysis was the first event of any of the components of the composite outcome of death, resuscitated cardiac arrest, sustained ventricular tachycardia, insertion of a pacemaker or implantable cardioverter-defibrillator, cardiac transplantation, new heart failure, stroke, or other thromboembolic event.RESULTS:The primary outcome occurred in 394 patients (27.5%) in the benznidazole group and in 414 (29.1%) in the placebo group (hazard ratio, 0.93; 95% confidence interval [CI], 0.81 to 1.07; P=0.31). At baseline, a polymerase-chain-reaction (PCR) assay was performed on blood samples obtained from 1896 patients; 60.5% had positive results for Trypanosoma cruzi on PCR. The rates of conversion to negative PCR results (PCR conversion) were 66.2% in the benznidazole group and 33.5% in the placebo group at the end of treatment, 55.4% and 35.3%, respectively, at 2 years, and 46.7% and 33.1%, respectively, at 5 years or more (P<0.001 for all comparisons)...


Assuntos
Cardiomiopatia Chagásica , Doença de Chagas
17.
Behav Brain Res ; 241: 222-7, 2013 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-23266327

RESUMO

In previous studies we described that perinatal protein deprivation facilitates the development and expression of behavioral sensitization to cocaine. In this research, we explored whether the increased reactivity observed in deprived (D) versus control (C) rats is also evident during drug-free withdrawal periods. Considering that activation of the extracellular signal-regulated protein kinase (ERK) is suggested to be involved in cocaine-induced behavioral sensitization, we study the effects of perinatal protein deprivation on phosphorylated ERK2 (pERK2) protein levels in the NAc (core and shell) during different drug-free withdrawal periods. To induce behavioral sensitization, C- and D-rats received a daily injection of cocaine (5-10 mg/kg, i.p.) for 7 days and locomotor activity was performed on days 1 and 7. Cocaine-sensitized animals were left drug-free and pERK2 was assessed on withdrawal days (WD) 1, 4, 7 and 21. In the NAc core, cocaine induced ERK signaling pathway activation in a dose-dependent manner, and only D-rats showed a significant increase in pERK2 protein levels with the lowest dose of cocaine (5 mg/kg). Moreover, sensitized C-rats with 10 mg/kg showed an increase in pERK2 levels from WD7 while D-rats showed this activation on WD4, which remained increased on WD7 and 21. In contrast, in the NAc shell, only sensitized D-rats with cocaine 10 mg/kg showed ERK2 activation on WD21. These results suggest that perinatal protein deprivation facilitates the molecular processes involved in neuronal plasticity occurring during withdrawal.


Assuntos
Cocaína/farmacologia , MAP Quinases Reguladas por Sinal Extracelular/metabolismo , Desnutrição/metabolismo , Núcleo Accumbens/metabolismo , Síndrome de Abstinência a Substâncias/metabolismo , Animais , Atividade Motora/efeitos dos fármacos , Atividade Motora/fisiologia , Núcleo Accumbens/efeitos dos fármacos , Fosforilação/efeitos dos fármacos , Fosforilação/fisiologia , Ratos , Ratos Wistar
18.
Microb Cell Fact ; 11: 125, 2012 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-22970813

RESUMO

BACKGROUND: The synthesis of cellulose is among the most important but poorly understood biochemical processes, especially in bacteria, due to its complexity and high degree of regulation. In this study, we analyzed both the production of cellulose by all known members of the Rhizobiaceae and the diversity of Rhizobium celABC operon predicted to be involved in cellulose biosynthesis. We also investigated the involvement in cellulose production and biofilm formation of celC gene encoding an endoglucanase (CelC2) that is required for canonical symbiotic root hair infection by Rhizobium leguminosarum bv. trifolii. RESULTS: ANU843 celC mutants lacking (ANU843ΔC2) or overproducing cellulase (ANU843C2+) produced greatly increased or reduced amounts of external cellulose micro fibrils, respectively. Calcofluor-stained cellulose micro fibrils were considerably longer when formed by ANU843ΔC2 bacteria rather than by the wild-type strain, in correlation with a significant increase in their flocculation in batch culture. In contrast, neither calcofluor-stained extracellular micro fibrils nor flocculation was detectable in ANU843C2+ cells. To clarify the role of cellulose synthesis in Rhizobium cell aggregation and attachment, we analyzed the ability of these mutants to produce biofilms on different surfaces. Alteration of wild-type CelC2 levels resulted in a reduced ability of bacteria to form biofilms both in abiotic surfaces and in planta. CONCLUSIONS: Our results support a key role of the CelC2 cellulase in cellulose biosynthesis by modulating the length of the cellulose fibrils that mediate firm adhesion among Rhizobium bacteria leading to biofilm formation. Rhizobium cellulose is an essential component of the biofilm polysaccharidic matrix architecture and either an excess or a defect of this "building material" seem to collapse the biofilm structure. These results position cellulose hydrolytic enzymes as excellent anti-biofilm candidates.


Assuntos
Proteínas de Bactérias/metabolismo , Biofilmes/crescimento & desenvolvimento , Celulase/metabolismo , Celulose/biossíntese , Raízes de Plantas/microbiologia , Rhizobium leguminosarum/enzimologia , Proteínas de Bactérias/genética , Celulase/genética , Mutação , Rhizobium leguminosarum/genética , Rhizobium leguminosarum/fisiologia , Simbiose , Trifolium/microbiologia
19.
Syst Appl Microbiol ; 35(3): 156-64, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22429391

RESUMO

Salinity is an increasing problem in Africa affecting rhizobia-legume symbioses. In Morocco, Phaseolus vulgaris is cultivated in saline soils and its symbiosis with rhizobia depends on the presence of osmotolerant strains in these soils. In this study, 32 osmotolerant rhizobial strains nodulating P. vulgaris were identified at the species and symbiovar levels by analysing core and symbiotic genes, respectively. The most abundant strains were closely related to Rhizobium etli and R. phaseoli and belonged to symbiovar phaseoli. A second group of strains was identified as R. gallicum sv gallicum. The remaining strains, identified as R. tropici, belonged to the CIAT 899(T) nodC group, which has not yet been described as a symbiovar. In representative strains, the otsA gene involved in the accumulation of trehalose and putatively in osmotolerance was analysed. The results showed that the phylogeny of this gene was not completely congruent with those of other core genes, since the genus Ensifer was more closely related to some Rhizobium species than others. Although the role of the otsA gene in osmotolerance is not well established, it can be a useful protein-coding gene for phylogenetic studies in the genus Rhizobium, since the phylogenies of otsA and other core genes are coincident at the species level.


Assuntos
Biodiversidade , Glucosiltransferases/genética , Phaseolus/microbiologia , Nodulação , Rhizobium/classificação , Rhizobium/isolamento & purificação , Microbiologia do Solo , Análise por Conglomerados , DNA Bacteriano/química , DNA Bacteriano/genética , DNA Ribossômico/química , DNA Ribossômico/genética , Genótipo , Dados de Sequência Molecular , Tipagem Molecular , Marrocos , Pressão Osmótica , Filogenia , Raízes de Plantas/microbiologia , RNA Ribossômico 16S/genética , Técnica de Amplificação ao Acaso de DNA Polimórfico , Rhizobium/enzimologia , Rhizobium/genética , Análise de Sequência de DNA , Trealose/metabolismo
20.
Parasitology ; 139(4): 516-21, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22309735

RESUMO

Genetic diversity of Trypanosoma cruzi may play a role in pathogenesis of Chagas disease forms. Natural populations are classified into 6 Discrete Typing Units (DTUs) Tc I-VI with taxonomical status. This study aimed to identify T. cruzi DTUs in bloodstream and tissue samples of Argentinean patients with Chagas disease. PCR-based strategies allowed DTU identification in 256 clinical samples from 239 Argentinean patients. Tc V prevailed in blood from both asymptomatic and symptomatic cases and Tc I was more frequent in bloodstream, cardiac tissues and chagoma samples from immunosuppressed patients. Tc II and VI were identified in a minority of cases, while Tc III and Tc IV were not detected in the studied population. Interestingly, Tc I and Tc II/VI sequences were amplified from the same skin biopsy slice from a kidney transplant patient suffering Chagas disease reactivation. Further data also revealed the occurrence of mixed DTU populations in the human chronic infection. In conclusion, our findings provide evidence of the complexity of the dynamics of T. cruzi diversity in the natural history of human Chagas disease and allege the pathogenic role of DTUs I, II, V and VI in the studied population.


Assuntos
Doença de Chagas/epidemiologia , Doença de Chagas/parasitologia , Doenças Endêmicas , Trypanosoma cruzi/classificação , Trypanosoma cruzi/genética , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Argentina/epidemiologia , Cardiomiopatia Chagásica/epidemiologia , Cardiomiopatia Chagásica/parasitologia , Cardiomiopatia Chagásica/fisiopatologia , Doença de Chagas/fisiopatologia , Criança , Pré-Escolar , DNA de Protozoário/análise , DNA de Protozoário/genética , Feminino , Variação Genética , Genótipo , Coração/parasitologia , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Filogenia , Reação em Cadeia da Polimerase , Trypanosoma cruzi/isolamento & purificação , Adulto Jovem
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