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1.
J Orthop Traumatol ; 25(1): 3, 2024 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-38282068

RESUMO

BACKGROUND: Adhesive capsulitis (AC) is a disease of the glenohumeral joint that is characterized by pain and both passive and active global stiffness with a slow and insidious onset. The disease can occur spontaneously (primary AC) or it can be secondary to other comorbidities, surgery, or trauma, such as fracture or dislocation. Multiple treatment approaches have been suggested: intra-articular steroid injection, physical therapy, manipulation under total anesthesia, and arthroscopic or open surgery. Shoulder manipulation under anesthesia is usually proposed to patients that suffer from severe AC and have already undergone several nonoperative treatments without benefit. Different techniques have been proposed. This study presents our manipulation technique and the clinical results we achieved after shoulder mobilization under brachial plexus block in patients with phase III primary AC. MATERIALS AND METHODS: A retrospective cohort study was performed on a sample of 110 patients with phase III AC who were treated with this manipulation and followed up for 1 year. Patients underwent two assessments-before the procedure (T0) and 4 months after it (T1)-based on the Numerical Rating Scale, Simple Shoulder Test, and joint range of motion to assess shoulder pain, function, and joint articulation, respectively. Furthermore, the patients had to express their degree of satisfaction with the procedure and the results achieved. RESULTS: Positive and statistically significant results were recorded in terms of pain reduction (ΔNPRS = - 5.4; p < 0.01) and improved functionality (Simple Shoulder Test Δ = 5; p < 0.01). Passive range of motion was statistically significantly increased for each movement at T1. Large increases were observed in extrarotation range of motion (ROM): R1 (Δ = 77.5°) and R2 (Δ = 70°), whereas little improvements were observed in intrarotation ROM. Patients achieved satisfying functional and articular recovery in all cases. Complications that needed further treatment occurred in three cases: a brachial plexus injury, a glenoid flake fracture, and persistent pain and stiffness. CONCLUSIONS: In this study, we proposed a standardized method of manipulation under brachial plexus block for patients affected by phase III adhesive capsulitis. The technique was applied among a large cohort of patients, who reported a high satisfaction rate and range-of-motion recovery after 4 months. This could represent an alternative treatment to surgery that has a shorter timeline and does not require patient hospitalization. LEVEL OF EVIDENCE: Level III, retrospective cohort study.


Assuntos
Bloqueio do Plexo Braquial , Bursite , Articulação do Ombro , Humanos , Estudos Retrospectivos , Vigília , Bursite/cirurgia , Bursite/tratamento farmacológico , Articulação do Ombro/cirurgia , Dor de Ombro/diagnóstico , Dor de Ombro/etiologia , Dor de Ombro/terapia , Amplitude de Movimento Articular , Resultado do Tratamento
2.
ESMO Open ; 8(6): 102039, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37879236

RESUMO

BACKGROUND: Tumor genotyping is becoming crucial to optimize the clinical management of patients with advanced differentiated thyroid cancer (DTC); however, its implementation in clinical practice remains undefined. We herein report our single-center experience on molecular advanced DTC testing by next-generation sequencing approach, to better define how and when tumor genotyping can assist clinical decision making. MATERIALS AND METHODS: We retrospectively collected data on all adult patients with advanced DTC who received molecular profiling at the IRCSS Sant'Orsola-Malpighi Hospital from 2008 to 2022. The genetic alterations were correlated with radioactive iodide refractory (RAI-R), RAI uptake/disease status, and time to RAI resistance (TTRR) development. RESULTS: A significant correlation was found between RAI-R development and genetic alterations (P = 0.0001). About 48.7% of RAI-R cases were positive for TERT/TP53 mutations (as both a single event and comutations with other driver gene alterations, such as BRAF mutations, RAS mutations, or gene fusions), while the great majority of RAI-sensitive cases carried gene fusions (41.9%) or were wild type (WT; 41.9%). RAI uptake/disease status and time to TTRR were significantly associated with genetic alterations (P = 0.0001). In particular, DTC with TERT/TP53 mutations as a single event or as comutations displayed a shorter median TTRR of 35.4 months (range 15.0-55.8 months), in comparison to the other molecular subgroups. TERT/TP53 mutations as a single event or as comutations remained independently associated with RAI-R after Cox multivariate analysis (hazard ratio 4.14, 95% CI 1.51-11.32; P = 0.006). CONCLUSIONS: Routine testing for genetic alterations should be included as part of the clinical workup, for identifying both the subset of more aggressive tumors and the subset of tumors harboring actionable gene fusions, thus ensuring the appropriate management for all patients with advanced DTC.


Assuntos
Adenocarcinoma , Neoplasias da Glândula Tireoide , Adulto , Humanos , Estudos Retrospectivos , Relevância Clínica , Neoplasias da Glândula Tireoide/genética , Mutação
3.
J Water Health ; 20(5): 863-870, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35635778

RESUMO

This paper evaluates the performance of a low-cost technology in rural Benin (West Africa) that locally produces chlorine (sodium hypochlorite) and then injects it into the community water tanks. Thirty-one water tanks were selected in cooperation with local authorities to receive electro-chlorinator devices (WATA™). Water samples were tested at two points: before chlorination and at the most distant terminal after chlorination. Residual chlorine control tests and microbiology control tests were performed. Water samples that tested positive for the presence of microorganisms were analyzed at a laboratory when possible. The water provided to the community was not always chlorinated, and over half of the tanks lacked access to chlorine powder. Among the sites using the technology, 30% (9/31) of them had structural problems that prevented the existing system from performing adequately. Furthermore, 60% of the water samples collected before chlorination were positive for microbiological contamination. All samples collected from systems where proper chlorination was taking place tested negative for microbiological contamination. However, the water from six tanks presenting structural problems continued to be distributed to the population despite contamination. The average residual chlorine level analyzed at the most distant terminal fountain was 0.29±0.2 mg/L, which is within the country's reference level 0.1-0.8 mg/L. The installation of water-chlorinator devices (WATA™) produces water without microbiological contamination and with chlorine levels within the WHO's recommended values. However, the success of the technology depends on the pre-existing structure of the water tank.


Assuntos
Cloro , Purificação da Água , Halogenação , Hipoclorito de Sódio
4.
ESMO Open ; 6(4): 100222, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34352702

RESUMO

BACKGROUND: Despite its proven activity as third-line treatment in gastrointestinal stromal tumors (GIST), regorafenib can present a poor tolerability profile which often leads to treatment modifications and transient or permanent discontinuation; thus, in clinical practice physicians usually adopt various dosing and interval schedules to counteract regorafenib-related adverse events and avoid treatment interruption. The aim of this real-world study was to investigate the efficacy and safety of personalized schedules of regorafenib in patients with metastatic GIST, in comparison with the standard schedule (160 mg daily, 3-weeks-on, 1-week-off). PATIENTS AND METHODS: Institutional registries across seven Italian reference centers were retrospectively reviewed and data of interest retrieved to identify patients with GIST who had received regorafenib from February 2013 to January 2021. The Kaplan-Meier method was used to estimate survival and the log-rank test to make comparisons. RESULTS: Of a total of 152 patients with GIST, 49 were treated with standard dose, while 103 received personalized schedules. At a median follow-up of 36.5 months, median progression-free survival was 5.6 months [95% confidence interval (CI) 3.73-11.0 months] versus 9.7 months (95% CI 7.9-14.5 months) in the standard-dose and the personalized schedule groups, respectively [hazard ratio (HR) 0.51; 95% CI 0.34-0.75; P = 0.00052]. Median overall survival was 16.6 months (95% CI 14.1-21.8 months) versus 20.5 months (95% CI 15.0-25.4 months), respectively (HR 0.75; 95% CI 0.49-1.22; P = 0.16). CONCLUSIONS: Regorafenib-personalized schedules are commonly adopted in daily clinical practice of high-volume GIST expert centers and correlate with significant improvement of therapeutic outcomes. Therefore, regorafenib treatment optimization in patients with GIST may represent the best strategy to maximize long-term therapy.


Assuntos
Tumores do Estroma Gastrointestinal , Tumores do Estroma Gastrointestinal/tratamento farmacológico , Humanos , Compostos de Fenilureia/uso terapêutico , Piridinas/uso terapêutico , Estudos Retrospectivos
5.
Mol Psychiatry ; 26(4): 1272-1285, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-31492942

RESUMO

The dopamine D2 and D3 receptors are implicated in schizophrenia and its pharmacological treatments. These receptors undergo intracellular trafficking processes that are modulated by dysbindin-1 (Dys). Indeed, Dys variants alter cognitive responses to antipsychotic drugs through D2-mediated mechanisms. However, the mechanism by which Dys might selectively interfere with the D3 receptor subtype is unknown. Here, we revealed an interaction between functional genetic variants altering Dys and D3. Specifically, both in patients with schizophrenia and in genetically modified mice, concomitant reduction in D3 and Dys functionality was associated with improved executive and working memory abilities. This D3/Dys interaction produced a D2/D3 imbalance favoring increased D2 signaling in the prefrontal cortex (PFC) but not in the striatum. No epistatic effects on the clinical positive and negative syndrome scale (PANSS) scores were evident, while only marginal effects on sensorimotor gating, locomotor functions, and social behavior were observed in mice. This genetic interaction between D3 and Dys suggests the D2/D3 imbalance in the PFC as a target for patient stratification and procognitive treatments in schizophrenia.


Assuntos
Disbindina , Receptores de Dopamina D3 , Esquizofrenia , Animais , Cognição , Humanos , Camundongos , Receptores de Dopamina D2/genética , Receptores de Dopamina D3/genética , Esquizofrenia/genética
6.
Psychol Med ; 48(6): 952-960, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-28847330

RESUMO

BACKGROUND: Childhood trauma is a non specific risk factor for adult eating disorders (ED), and the hypothalamic-pituitary-adrenal (HPA) axis seems to mediate such a risk. Here we explored the impact of different types of childhood trauma and of traumatic load on the cortisol awakening response (CAR) of women with anorexia nervosa (AN) or bulimia nervosa (BN). METHODS: Saliva samples were collected at awakening and after 15, 30, 60 min to measure cortisol levels by 121 women (44 AN patients, 36 BN patients and 41 healthy women). Participants filled in the Childhood Trauma Questionnaire. RESULTS: AN and BN patients with childhood maltreatment exhibited an attenuated CAR compared with non-maltreated ones. In the whole ED patient group, the CAR showed a progressive impairment with the increasing number of reported trauma types. Although significant negative correlations emerged between the type or the number of traumas and the CAR, only the number of traumas remained significantly associated with the CAR in a stepwise multiple regression analysis. CONCLUSIONS: Present findings confirm that childhood trauma is associated with an impaired CAR in adult AN and BN patients and demonstrate for the first time a negative dose-dependent effect of the traumatic load on HPA axis activity.


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis , Anorexia Nervosa/fisiopatologia , Bulimia Nervosa/fisiopatologia , Hidrocortisona/análise , Saliva/química , Sono , Adolescente , Adulto , Estudos de Casos e Controles , Feminino , Humanos , Sistema Hipotálamo-Hipofisário/fisiologia , Itália , Sistema Hipófise-Suprarrenal/fisiologia , Inquéritos e Questionários , Adulto Jovem
7.
Spinal Cord ; 54(12): 1114-1120, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27241452

RESUMO

STUDY DESIGN: To review prospective and randomized trials studying anticholinergic therapy for neurogenic bladder in SCI to identify whether trials included standardized clinical evaluation tools and reporting measures now recognized to enhance clinical trial data. METHODS: A systematic search via EMBASE, MEDLINE, CENTRAL, CINAHL (Cumulative Index to Nursing and Allied Health Literature), HTA (Health Technology Assessment), CMR (Comprehensive Microbial Resource), HAPI (Health and Psychosocial Instruments) and PsycINFO using the key term spinal cord injury crossed with oxybutynin, tolterodine, darifenacin, solifenacin, fesoterodine, trospium chloride, propiverine, propantheline and anticholinergic(s) for 1946-2015 inclusive. We then collated whether standardized clinical tools, measures and descriptors were used within each study identified: American Spine Injury Association (ASIA) impairment scale; symptom scores validated in SCI; technical methodology for urodynamics/video urodynamics; urinary diaries; and standardized urologic terminology. RESULTS: A total of 1225 entries with 610 unique articles were identified, 14 randomized and 16 prospective studies. In 6/30 the population comprised SCI patients with neurogenic bladder alone; the remainder included mixed neurogenic etiologies. Classification using the ASIA impairment scale was used in <10% of studies; none used symptom scores validated in SCI; <50% reported urodynamic test methodology fully, incorporated urinary diaries or used International Continence Society Standardization Subcommittee urinary tract terminology. CONCLUSION: Integrative review of trials from 1946 to 2015 identified infrequent use of standardized clinical evaluation tools and reporting measures. Data from future trials evaluating therapies for neurogenic bladder would likely be more applicable to specific SCI patients if current standardized classification and descriptors now available were used consistently: for example, the ASIA scale, symptom scores validated in SCI, standardized urodynamic methodology, urinary diaries and urinary tract terminology. Studies recruiting SCI patients exclusively would also provide additional benefit.


Assuntos
Antagonistas Colinérgicos/uso terapêutico , Traumatismos da Medula Espinal/complicações , Bexiga Urinaria Neurogênica/tratamento farmacológico , Bexiga Urinaria Neurogênica/etiologia , Humanos , Fármacos Neuromusculares/uso terapêutico , Ensaios Clínicos Controlados Aleatórios como Assunto , Traumatismos da Medula Espinal/tratamento farmacológico , Traumatismos da Medula Espinal/fisiopatologia , Bexiga Urinaria Neurogênica/fisiopatologia
8.
Neurourol Urodyn ; 35(3): 354-64, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25620137

RESUMO

AIMS: Validated questionnaires are increasingly the preferred method used to obtain historical information. Specialized questionnaires exist validated for patients with neurogenic disease including neurogenic bladder. Those currently available are systematically reviewed and their potential for clinical and research use are described. METHODS: A systematic search via Medline and PubMed using the key terms questionnaire(s) crossed with Multiple Sclerosis (MS) and Spinal Cord Injury (SCI) for the years 1946 to January 22, 2014 inclusive. Additional articles were selected from review of references in the publications identified. Only peer reviewed articles published in English were included. RESULTS: 18 questionnaires exist validated for patients with neurogenic bladder; 14 related to MS, 3 for SCI, and 1 for neurogenic bladder in general; with 4 cross-validated in both MS and SCI. All 18 are validated for both male and female patients; 59% are available only in English. The domains of psychological impact and physical function are represented in 71% and 76% of questionnaires, respectively. None for the female population included elements to measure symptoms of prolapse. CONCLUSION: The last decade has seen an expansion of validated questionnaires to document bladder symptoms in neurogenic disease. Disease specific instruments are available for incorporation into the clinical setting for MS and SCI patients with neurogenic bladder. The availability of caregiver and interview options enhances suitability in clinical practice as they can be adapted to various extents of disability. Future developments should include expanded language validation to the top 10 global languages reported by the World Health Organization.


Assuntos
Esclerose Múltipla/diagnóstico , Traumatismos da Medula Espinal/diagnóstico , Inquéritos e Questionários , Bexiga Urinaria Neurogênica/diagnóstico , Bexiga Urinária/inervação , Atividades Cotidianas , Adulto , Idoso , Idoso de 80 Anos ou mais , Efeitos Psicossociais da Doença , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Esclerose Múltipla/fisiopatologia , Esclerose Múltipla/psicologia , Esclerose Múltipla/terapia , Valor Preditivo dos Testes , Prognóstico , Qualidade de Vida , Reprodutibilidade dos Testes , Traumatismos da Medula Espinal/complicações , Traumatismos da Medula Espinal/fisiopatologia , Traumatismos da Medula Espinal/psicologia , Traumatismos da Medula Espinal/terapia , Bexiga Urinaria Neurogênica/etiologia , Bexiga Urinaria Neurogênica/fisiopatologia , Bexiga Urinaria Neurogênica/psicologia , Bexiga Urinaria Neurogênica/terapia , Urodinâmica , Adulto Jovem
9.
Aquat Toxicol ; 168: 72-7, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26448269

RESUMO

Due to the large production and growing use of titanium dioxide nanoparticles (n-TiO2), their release in the marine environment and their potential interaction with existing toxic contaminants represent a growing concern for biota. Different end-points of genotoxicity were investigated in the European sea bass Dicentrarchus labrax exposed to n-TiO2 (1mgL(-1)) either alone and combined with CdCl2 (0.1mgL(-1)) for 7 days. DNA primary damage (comet assay), apoptotic cells (diffusion assay), occurrence of micronuclei and nuclear abnormalities (cytome assay) were assessed in peripheral erythrocytes and genomic stability (random amplified polymorphism DNA-PCR, RAPD assay) in muscle tissue. Results showed that genome template stability was reduced after CdCl2 and n-TiO2 exposure. Exposure to n-TiO2 alone was responsible for chromosomal alteration but ineffective in terms of DNA damage; while the opposite was observed in CdCl2 exposed specimens. Co-exposure apparently prevents the chromosomal damage and leads to a partial recovery of the genome template stability.


Assuntos
Bass/fisiologia , Cromossomos/efeitos dos fármacos , Dano ao DNA , DNA/efeitos dos fármacos , Genoma/efeitos dos fármacos , Nanopartículas/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Bass/genética , Cádmio/toxicidade , Cloreto de Cádmio/toxicidade , Ensaio Cometa , Genômica , Técnica de Amplificação ao Acaso de DNA Polimórfico , Titânio/toxicidade
10.
Artigo em Inglês | MEDLINE | ID: mdl-26433261

RESUMO

Crystalline silica inhaled from occupational sources has been classified by IARC as carcinogenic to humans; in contrast, for amorphous silica, epidemiological and experimental evidence remains insufficient. The genotoxicity of crystalline silica is still debated because of the inconsistency of experimental results ("variability of silica hazard"), often related to the features of the particle surfaces. We have assessed the role of crystal habit in the genotoxicity of silica powders. Pure quartz (crystalline) and vitreous silica (amorphous), sharing the same surface features, were used in an in vitro study with human pulmonary epithelial (A549) and murine macrophage (RAW264.7) cell lines, representative of occupational and environmental exposures. Genotoxicity was evaluated by the comet and micronucleus assays, and cytotoxicity by the trypan blue method. Cells were treated with silica powders for 4 and 24h. Quartz but not vitreous silica caused cell death and DNA damage in RAW264.7 cells. A549 cells were relatively resistant to both powders. Our results support the view that crystal habit per se plays a pivotal role in modulating the biological responses to silica particles.


Assuntos
Ensaio Cometa , Células Epiteliais/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Testes para Micronúcleos , Dióxido de Silício/toxicidade , Animais , Carcinógenos/química , Linhagem Celular , Linhagem Celular Tumoral , Sobrevivência Celular , Dano ao DNA , Células Epiteliais/citologia , Humanos , Pulmão/patologia , Macrófagos/citologia , Camundongos , Microscopia Eletrônica de Transmissão , Tamanho da Partícula , Pós , Quartzo/toxicidade , Células RAW 264.7 , Azul Tripano/química
11.
Mar Environ Res ; 111: 144-8, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26392349

RESUMO

Titanium dioxide nanoparticles (TiO2-NPs) continuously released into waters, may cause harmful effects to marine organisms and their potential interaction with conventional toxic contaminants represents a growing concern for biota. We investigated the genotoxic potential of nanosized titanium dioxide (n-TiO2) (100 µg L(-1)) alone and in combination with CdCl2 (100 µg L(-1)) in Mytilus galloprovincialis after 4 days of in vivo exposure. RAPD-PCR technique and Micronucleus test were used to study genotoxicity. The results showed genome template stability (GTS) being markedly reduced after single exposure to n-TiO2 and CdCl2. Otherwise, co-exposure resulted in a milder reduction of GTS. Exposure to n-TiO2 was responsible for a significant increase of micronucleated cell frequency in gill tissue, while no chromosomal damage was observed after CdCl2 exposure as well as after combined exposure to both substances.


Assuntos
Cloreto de Cádmio/toxicidade , Nanopartículas Metálicas/toxicidade , Mutagênicos/toxicidade , Mytilus/efeitos dos fármacos , Titânio/toxicidade , Animais , Testes para Micronúcleos , Técnica de Amplificação ao Acaso de DNA Polimórfico
12.
Spinal Cord ; 51(11): 863-7, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24060768

RESUMO

STUDY DESIGN: Retrospective chart review. OBJECTIVE: To compare autonomic dysreflexia (AD) severity during urodynamics and cystoscopy in individuals with spinal cord injury (SCI). SETTING: Outpatient urological clinic. METHODS: Demographic and clinical data were collected from charts of individuals with SCI who had blood pressure (BP) monitoring during urological procedures. Cardiovascular parameters were collected at baseline and during the various stages of two examinations. RESULTS: A total of 21 SCI individuals (mean age 49.4 years) who underwent both procedures developed episodes of AD. The majority of individuals had cervical SCI (85.7%). The median duration of injury was 183 months (ranging from 3 to 530 months). There was statistically more of an increase (P=0.039) in systolic BP during cystoscopy (67.1±33.8 mm Hg) in comparison with urodynamics (51.8±21.8 mm Hg). The BP response during episodes of AD was more pronounced in individuals with more than 2 years post SCI than with less than 2 years post SCI during both urodynamics and cystoscopy (P=0.047 and P=0.010, respectively). CONCLUSION: Even though cystoscopy filled the bladder to lesser volumes than did urodynamics (150 ml vs 500 ml), during cystoscopy the individuals developed greater changes in systolic BP, indicating that stimulation of the urethra/prostate/internal sphincter region probably is a more potent stimulus of AD than just the filling of the bladder. The severity of AD also increased with time post SCI during both procedures. Considering the high incidence of silent episodes of AD during the urological procedures, it is recommended that monitoring of cardiovascular parameters during these procedures be routinely performed.


Assuntos
Disreflexia Autonômica/fisiopatologia , Pressão Sanguínea/fisiologia , Cistoscopia/efeitos adversos , Traumatismos da Medula Espinal/fisiopatologia , Urodinâmica/fisiologia , Adulto , Disreflexia Autonômica/diagnóstico , Cistoscopia/métodos , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Traumatismos da Medula Espinal/complicações , Bexiga Urinária/fisiopatologia , Adulto Jovem
13.
Horm Metab Res ; 44(11): 797-803, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22815055

RESUMO

Ovariectomy leads to significant increase in body weight, but the possible peripheral mechanisms involved in weight gain are still unknown. Since exercise and thyroid hormones modulate energy balance, we aimed to study the effect of swimming training on body weight gain and brown adipose tissue (BAT) type 2 iodothyronine deiodinase responses in ovariectomized (Ox) or sham-operated (Sh) rats. Rats were submitted to a period of 8-week training, 5 days per week with progressive higher duration of exercise protocol. Swimming training program did not totally prevent the higher body mass gain that follows ovariectomy in rats (16.5% decrease in body mass gain in Ox trained rats compared to 22% decrease in sham operated trained animals, in relation to the respective sedentary groups), but training of Ox animals impaired the accumulation of subcutaneous fat pads. Interestingly, swimming training upregulates pituitary type 1 (p<0.001 vs. all groups) and BAT type 2 iodothyronine deiodinases (p<0.05 vs. ShS and OxS) in sham operated but not in Ox rats, indicating an impaired pituitary and peripheral response to exercise in Ox rats. However, BAT mitochondrial O2 consumption significantly increased by swimming training in both sham and Ox groups, indicating that Ox BAT mitochondria responds normally to exercise stimulus, but does not result in a significant reduction of body weight. In conclusion, increased body mass gain produced by Ox is not completely impaired by 8 weeks of high intensity physical training, showing that these animals sustain higher rate of body mass gain independent of being submitted to higher energy expenditure.


Assuntos
Tecido Adiposo Marrom/enzimologia , Iodeto Peroxidase/metabolismo , Obesidade/enzimologia , Hipófise/enzimologia , Animais , Peso Corporal , Metabolismo Energético , Feminino , Humanos , Obesidade/etiologia , Obesidade/metabolismo , Ovariectomia/efeitos adversos , Ratos , Ratos Wistar , Gordura Subcutânea/metabolismo , Natação , Hormônios Tireóideos/sangue
14.
Ultrastruct Pathol ; 34(6): 344-50, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21070166

RESUMO

Nanobacteria are controversial infectious agents with nanometric size, the capacity to nucleate hydroxyapatite and grow in culture, and present in human diseases associated with calcification and psammoma bodies. The authors report a case of pathological placental calcifications associated with nanobacteria. Electron microscopy and electron energy loss spectroscopy imaging were used to recognize 160-nm-sized calcium-free bodies mainly presenting as extracellular fibrillary tangles and 500-nm-sized calcified bodies; they encrusted the syncito-trophoblast basal membrane and aggregated into miniaturized psammoma bodies. Nanobacteria may be composed of a prionoid protein with self-assembling and self-propagating abilities whose growth is associated with the formation of psammoma bodies.


Assuntos
Bactérias/ultraestrutura , Calcinose/patologia , Vilosidades Coriônicas/ultraestrutura , Corpos de Inclusão/ultraestrutura , Placenta Retida/patologia , Adulto , Bactérias/isolamento & purificação , Calcinose/metabolismo , Vilosidades Coriônicas/metabolismo , Vilosidades Coriônicas/microbiologia , Feminino , Humanos , Corpos de Inclusão/microbiologia , Nanopartículas , Placenta Retida/metabolismo , Placenta Retida/microbiologia , Gravidez
15.
Mutat Res ; 681(1): 80-92, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-18439870

RESUMO

This review considers the potential of the Comet assay (or Single Cell Gel Electrophoresis, SCGE) to evaluate the environmental impact of genotoxins in aquatic environments. It focuses on in vivo and in situ studies that have been carried out in various marine and freshwater sentinel species, published in the last 5 years. A large number of the studies reviewed report that the Comet assay is more sensitive when compared with other biomarkers commonly used in genetic ecotoxicology, such as sister chromatid exchanges or micronucleus test. Due to its high sensitivity, the Comet assay is widely influenced by laboratory procedures suggesting that standard protocols are required for both fish and mussel cells. However, there are still a wide variety of personalised Comet procedures evident in the literature reviewed, making comparison between published results often very difficult. Standardization and inter-laboratory calibration of the Comet assay as applied to aquatic species will be required if the Comet assay is to be used routinely by national bodies charged with monitoring water quality.


Assuntos
Ensaio Cometa/métodos , Ecotoxicologia/métodos , Testes de Mutagenicidade/métodos , Animais , Apoptose/efeitos dos fármacos , Ensaio Cometa/estatística & dados numéricos , Dano ao DNA , Ecossistema , Água Doce , Invertebrados , Biologia Marinha , Mutagênicos/toxicidade , Sensibilidade e Especificidade , Vertebrados
16.
J Neurol Neurosurg Psychiatry ; 79(12): 1395-8, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19010951

RESUMO

A young man, presenting with early onset of personality and behavioural changes followed by slowly progressive cognitive impairment associated with marked bi-parietal cerebral atrophy, was found to carry a novel seven extra-repeat insertional mutation in the prion protein gene (PRNP). In vitro, the mutated recombinant prion protein (PrP) showed biochemical properties that were consistent with pathological PrP variants. Our results further underline the heterogeneity of neurological pictures associated with insertional mutations of PRNP, indicating the diagnostic difficulties of sporadic cases with early-onset atypical dementia.


Assuntos
Transtornos Cognitivos/genética , Mutação , Príons/genética , Adulto , Encéfalo/patologia , Clonagem Molecular , Demência/genética , Fluordesoxiglucose F18/farmacologia , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Modelos Genéticos , Doenças Neurodegenerativas/genética , Proteínas Priônicas , Compostos Radiofarmacêuticos/farmacologia , Proteínas Recombinantes/química
17.
Aquat Toxicol ; 89(3): 188-96, 2008 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-18691772

RESUMO

The response of wild chubs (Leuciscus cephalus) to chemical pollution was assessed in a metal contaminated river (Cecina River, Italy) through a wide battery of biomarkers which included: Comet assay detecting DNA strand breaks; diffusion assay for apoptosis induction; micronucleus test assessing chromosomal alterations; ethoxyresorufin O-deethylase (EROD) activity for the induction of cytochrome P 4501A; acetylcholinesterase (AChE) activity responsive to pesticide exposure; vitellogenin gene expression in males revealing estrogenic effects. Bioaccumulation of mercury, chromium and polycyclic aromatic hydrocarbons (PAHs) was also determined. Levels of mercury and PAHs were higher in tissues of chubs sampled from the most downstream station, reflecting an anthropogenic pollution of industrial origin. Otherwise, accumulation of Cr was quite similar in fish along the entire course of Cecina River confirming a natural origin due to local geochemical features. Biomarker responses revealed a significant increase of apoptotic cells, DNA stand breaks and micronucleus frequency in chubs from the more impacted sites. A slight EROD induction and AChE inhibition were only seen at the most downstream station demonstrating a limited impact due to PAHs and pesticides. On the other hand, the induction of vitellogenin gene in male chubs was measured in all the sites, suggesting a diffuse estrogenic effect. This study confirmed the utility of large batteries of biomarkers in biomonitoring studies and the suitability of wild chub as bioindicator organism for river basins.


Assuntos
Cyprinidae , Monitoramento Ambiental/métodos , Doenças dos Peixes/induzido quimicamente , Poluentes Químicos da Água/envenenamento , Acetilcolinesterase/metabolismo , Animais , Apoptose , Biomarcadores/análise , Cromo/metabolismo , Cromo/envenenamento , Aberrações Cromossômicas/induzido quimicamente , Ensaio Cometa , Citocromo P-450 CYP1A1/metabolismo , Citocromos/metabolismo , Dano ao DNA , Feminino , Doenças dos Peixes/patologia , Imunodifusão , Masculino , Intoxicação por Mercúrio/metabolismo , Intoxicação por Mercúrio/patologia , Testes para Micronúcleos , Hidrocarbonetos Policíclicos Aromáticos/metabolismo , Hidrocarbonetos Policíclicos Aromáticos/envenenamento , Rios , Vitelogeninas/análise , Poluentes Químicos da Água/metabolismo
18.
Toxicol Lett ; 180(1): 46-52, 2008 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-18582545

RESUMO

Tinidazole (TNZ), a second-generation 5-nitroimidazole compound chemically related to metronidazole (MTZ), has been widely used throughout Europe and developing countries for the treatment of amoebic and parasitic infections. Despite TNZ's increasing use in therapeutics, scarce experimental reports are available in literature on its potential genotoxicity in human cells. Therefore, the aim of the present study was to achieve a precise characterization of the cytotoxic and genotoxic activities of this nitroimidazole in cultured human lymphocytes at therapeutic concentrations (0.1, 1, 10 and 50 microg/ml of culture) and evaluate the possible cell death mechanism associated with it. The endpoints analyzed included: mitotic index (MI), replication index (RI), sister chromatid exchange (SCE) and chromosomal aberrations (CA). A significant decrease (p<0.0001) in MI as well as an increase in SCE (p<0.0001) and CA (p<0.0001) frequencies were observed. No modifications in RI were found. The results suggest a genotoxic and cytotoxic effect of TNZ related with cell death process. Therefore, we evaluated this mechanism by DNA fragmentation (laddering), fluorescence microscopy using acridine orange/ethidium bromide (AO/EB) staining and flow cytometry propidium iodide (PI). DNA extracts of TNZ-treated cells resulted in nucleosomal DNA ladder pattern after 48 h of cell treatment; meanwhile no differences were detected in untreated cells. This pattern correlated with the observed decrease in cellular viability (p<0.05), morphological evidence of apoptosis and increase in the percentage of nuclei with hypodiploid DNA content of TNZ exposed cultures compared with control (p<0.05). We concluded that TNZ is genotoxic, cytotoxic and is able to modulate cell death through apoptotic mechanisms in the experimental design employed.


Assuntos
Alquilantes/toxicidade , Linfócitos/efeitos dos fármacos , Mutagênicos/toxicidade , Tinidazol/toxicidade , Adulto , Apoptose/efeitos dos fármacos , Divisão Celular/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Aberrações Cromossômicas/induzido quimicamente , DNA/efeitos dos fármacos , Fragmentação do DNA , Relação Dose-Resposta a Droga , Feminino , Humanos , Linfócitos/patologia , Masculino , Microscopia de Fluorescência , Índice Mitótico , Troca de Cromátide Irmã/efeitos dos fármacos
19.
J Phys Condens Matter ; 20(26): 265009, 2008 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-21694358

RESUMO

We have investigated the laser induced ablation-oxidation process on porous silicon layers having different porosities and thicknesses by non-destructive optical techniques. In particular, the interaction between a low power blue light laser and the porous silicon surfaces has been characterized by variable angle spectroscopic ellipsometry and Fourier transform infrared spectroscopy. The oxidation profiles etched on the porous samples can be tuned as functions of the layer porosity and laser fluence. Oxide stripes of width less than 2 µm and with thicknesses between 100 nm and 5 µm have been produced, depending on the porosity of the porous silicon, by using a 40 × focusing objective.

20.
Mar Environ Res ; 62 Suppl: S283-6, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16697459

RESUMO

The genotoxicity of algal extracts (Polysiphonia fucoides) was investigated in erythrocytes of rainbow trout (Oncorhynchus mykiss). Trout were exposed to 0.5% of the algal extract for 7 days. Comet assay (alkaline and neutral versions) and Micronucleus test were used to assess DNA damage, and Diffusion Assay to detect apoptotic cells. EROD activities and oxidative stress parameters in rainbow trout liver were also measured. A significant induction of DNA single strand breaks comparable to the ones induced by the in vivo exposure to 20 mg/kg B[a]P was observed at the end of the treatment, while increases of double strand breaks and apoptotic cells were not observed. The absence of activation of antioxidant responses seems to underline a mechanism of action of the genotoxic algal extract which does not involve oxidative stress.


Assuntos
Misturas Complexas/toxicidade , Eritrócitos/efeitos dos fármacos , Oncorhynchus mykiss/genética , Rodófitas/química , Animais , Apoptose , Benzo(a)pireno/toxicidade , Ensaio Cometa/métodos , Citocromo P-450 CYP1A1/análise , Dano ao DNA , Fígado/enzimologia , Fígado/metabolismo , Testes para Micronúcleos/métodos , Oncorhynchus mykiss/metabolismo , Estresse Oxidativo/efeitos dos fármacos
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