Frequency and factors associated with Toxoplasma gondii infection in pregnant women and their pets in Ilhéus, Bahia, Brazil.

INTRODUCTION: Toxoplasmosis is an asymptomatic disease that can lead to systemic disease in the fetus of pregnant women with primary infection. This study aimed to determine the prevalence of toxoplasmosis, associated factors, and correlation between the serology of pregnant women and their pets, in the municipality of Ilhéus, Bahia, Brazil. METHODS: This cross-sectional study was conducted in 196 pregnant women and their cats or dogs (n=89). Semi-structured interviews were conducted and serum samples from the pregnant women were tested to detect IgM and IgG antibodies against Toxoplasma gondii, and avidity tests were performed for IgM-positive samples. The serum collected from pets were tested for IgG antibodies, and IgM antibodies in cats. A non-conditional logistic regression analysis was performed to identify infection-associated factors. RESULTS: IgG and IgM antibodies were detected in 67.9% (133/196) and 1.5% (3/196) samples, respectively, for women with an avidity of over 60%. Age ≥ 25 and the presence of cats in the vicinity were found to be associated with infection, while the level of education and previous orientation toward prevention of toxoplasmosis were protective factors in pregnant women. IgG antibodies were detected in 46.1% (41/89) of the animals, and cats were found to be negative for IgM. For the animals, age ≥ 1 year was a factor associated with infection. There was no correlation between serology of the pregnant women and the animals (p=0.15). CONCLUSIONS: An elevated prevalence of toxoplasmosis was detected in the region. Therefore, the adoption of preventive measures by public healthcare bodies is recommended.

Seroepidemiology of hepatitis B in individuals born between 1945-1985 on a Brazilian regional metropolis / Soroepidemiologia da hepatite B em indivíduos nascidos entre 1945-1985 em uma metrópole regional Brasileira

Background: hepatitis B prevalence can be influenced by social/cultural behavior and the Baby Boomer (BB) generation(1945-1964) may have been more susceptible to this infection. Objectives: We investigated the seroprevalence of markers for HBV infection and vaccination and its association with main risk factors. Methodology: a random sample of individuals aged 30-70 years old in a public clinical laboratory from a metropolitan area of Bahia/Brazil were tested for HBsAg/Total Anti-HBc/Anti-HBs/Anti-HBc-IgM and a socio-demographic questionnaire was applied. Results: of the650 participants, 349 were 51-70 yo (BB) and 301 were non-BB. The prevalences were HBsAg (2.3%), Total Anti-HBc (17.1%) and Anti-HBs (27.4%). Anti-HBcIgM (2.7%) was performed in 112 participants sera who had contact/infection with HBV. The laboratory profiles were characterized as susceptibility (68%), vaccine response (14.8%) and contact/infection with HBV (17.2%). BB participants were more susceptible and less vaccinated than non-BB. The higher frequency of contact/infection status was observed in the BB generation. Statistically significant differences were found for the contact/infection status in males(50,9%) illicit drug use (11,6%), syringe/needle sharing (7,1%), and blood transfusion (10,7%). Non-BB with contact/ infection profile reported more tattoo/piercing and BB reported higher use of glass syringes. Conclusion: the majority of the study population was susceptible to infection but participants older than 50 years showed both, a higher frequency of this profile and also a higher frequency of contact/infection status, thus suggesting the need for greater health care attention for this age group.

Introdução: a prevalência de hepatite B pode ser influenciada pelo comportamento sociocultural e a geração Baby Boomer (BB) (1945-1964) pode ter sido mais suscetível a esta infecção. Objetivos: Investigar a soroprevalência de marcadores para a infecção pelo VHB e resposta vacinal e associação com fatores de risco. Metodologia: soro de indivíduos de 30 a 70 anos randomicamente selecionados em um laboratório publico de análises clínicas na área metropolitana do Brasil foram testados para AgHBs/ Anti-HBc Total /Anti-HBs/Anti-HBc-IgM. Todos responderam questionário sociodemográfico contendo perguntas sobre fatores de risco para hepatite B. Resultados: dos 650 participantes, 349 eram BB (51-70 anos) e 301 eram não-BB (30-50 anos). As prevalências estimadas foram: HBsAg (2,3%), Anti-HBs (27,4%). Entre os Anti-HBc Total (17,1%) apenas 2,7% foram Anti-HBc IgM. Os perfis laboratoriais foram caracterizados como suscetibilidade (68%), resposta vacinal (14,8%) e contato com VHB (17,2%). Na distribuição por idade, os BB foram mais susceptíveis, menos vacinados e apresentaram maior frequência de contato/infecção que os não-BB. Diferenças estatisticamente significantes foram encontradas no status contato/infecção e as seguintes variáveis: sexo masculino, uso de drogas ilícitas, compartilhamento de seringas de vidro/agulhas e transfusão de sangue. Não-BB com status contato/infecção relataram ter mais tatuagem/piercing e BB relataram maior uso de seringas de vidro. Conclusão: a maioria da população estudada era suscetível ao VHB, mas os participantes com mais de 50 anos apresentaram tanto uma maior frequência desse status quanto do status contato/ infecção, sugerindo a necessidade de maior atenção à saúde para indivíduos desta faixa etária.

Frequency and factors associated with Toxoplasma gondii infection in pregnant women and their pets in Ilhéus, Bahia, Brazil

Abstract INTRODUCTION: Toxoplasmosis is an asymptomatic disease that can lead to systemic disease in the fetus of pregnant women with primary infection. This study aimed to determine the prevalence of toxoplasmosis, associated factors, and correlation between the serology of pregnant women and their pets, in the municipality of Ilhéus, Bahia, Brazil. METHODS: This cross-sectional study was conducted in 196 pregnant women and their cats or dogs (n=89). Semi-structured interviews were conducted and serum samples from the pregnant women were tested to detect IgM and IgG antibodies against Toxoplasma gondii, and avidity tests were performed for IgM-positive samples. The serum collected from pets were tested for IgG antibodies, and IgM antibodies in cats. A non-conditional logistic regression analysis was performed to identify infection-associated factors. RESULTS: IgG and IgM antibodies were detected in 67.9% (133/196) and 1.5% (3/196) samples, respectively, for women with an avidity of over 60%. Age ≥ 25 and the presence of cats in the vicinity were found to be associated with infection, while the level of education and previous orientation toward prevention of toxoplasmosis were protective factors in pregnant women. IgG antibodies were detected in 46.1% (41/89) of the animals, and cats were found to be negative for IgM. For the animals, age ≥ 1 year was a factor associated with infection. There was no correlation between serology of the pregnant women and the animals (p=0.15). CONCLUSIONS: An elevated prevalence of toxoplasmosis was detected in the region. Therefore, the adoption of preventive measures by public healthcare bodies is recommended.

MAPK involvement in cytokine production in response to Corynebacterium pseudotuberculosis infection.

BACKGROUND: Caseous lymphadenitis (CL) is a contagious infectious disease of small ruminants caused by Corynebacterium pseudotuberculosis. Is characterized by the formation of abscesses in the lymph nodes and intestines of infected animals, induced by inflammatory cytokines. The production of cytokines, such as IL-10, TNF-α, IL-4 and IFN-γ, is regulated by mitogen-activated protein kinase (MAPK) pathway activation. The present study investigated the involvement of MAPK pathways (MAPK p38, ERK 1 and ERK 2) with respect to the production of cytokines induced by antigens secreted by C. pseudotuberculosis over a 60-day course of infection. CBA mice (n = 25) were divided into three groups and infected with 102 colony forming units (CFU) of attenuated strain T1, 102 CFU of virulent strain VD57 or sterile saline solution and euthanized after 30 or 60 days. Murine splenocytes were treated with specific inhibitors (MAPK p38 inhibitor, ERK 1/2 inhibitor or ERK 2 inhibitor) and cultured with secreted antigens obtained from pathogenic bacteria (SeT1 or SeVD57). RESULTS: The MAPK pathways evaluated were observed to be involved in the production of IL-10, under stimulation by secreted antigens, while the MAPK p38 and ERK 1 pathways were shown to be primarily involved in TNF-α production. By contrast, no involvement of the MAPK p38 and ERK 1 and 2 pathways was observed in IFN-γ production, while the ERK 2 pathway demonstrated involvement in IL-4 production only in the mouse splenocytes infected with VD57 under stimulation by SeT1. CONCLUSION: The authors hypothesize that MAPK p38 and ERK 1 pathways with respect to TNF-α production, as well as the MAPK p38 and ERK 1 and 2 pathways in relation to IL-10 production under infection by C. pseudotuberculosis are important regulators of cellular response. Additionally, the lack of the MAPK p38 and ERK 1/2 pathways in IFN-γ production in infected CBA murine cells stimulated with the two secreted/excreted antigens, in IL-4 production showing involvement only via the ERK 2 pathway under stimulation by SeT1 antigen during 60-day infection period with the virulent strain, suggests that these pathways regulated the production of pro-inflammatory and regulatory cytokines in the splenic cells of CBA mice.

Hepatitis B virus prevalence and vaccination response in health care workers and students at the Federal University of Bahia, Brazil.

UNLABELLED: BACKGROUND AND RATIONALE FOR THE STUDY: Hepatitis B (HB) is one of the most prevalent occupational infections in health attendance environments. According to the Brazil Ministry of Health, health professionals must be vaccinated against the hepatitis B virus (HBV) and provide laboratory proof of immunization. AIMS: To evaluate the seroprevalence of HBV infection and to analyze the response to vaccine by measuring serum antibodies against HBV surface antigen (anti-HBs) levels in a sample of students and health professionals at the Federal University of Bahia. RESULTS: As part of this cross-sectional study, a campaign against occupational HB was launched in 2007 and vaccination and blood samples were collected for analysis of the following serological markers: HBV surface antigen (HBsAg) and anti-HBs (measured by enzyme-linked immunoassay) and total antibodies against HBV core antigen (anti-HBc). The study sample comprised 766 people. Global seropositivity for HBV was 1.7%: 0.5% in the students and 8.8% in the professionals. In a group of volunteers, a serological profile compatible with postvaccine immunity was shown by 95% of volunteers with proof of vaccination and by 81.8% of volunteers without proof of vaccination. CONCLUSIONS: In conclusion, this study shows that it is important to promote vaccination campaigns and improve knowledge and awareness about HB among health care workers and higher education students.

Flavonoids inhibit angiogenic cytokine production by human glioma cells.

VEGF and TGF-ß1 are cytokines that stimulate tissue invasion and angiogenesis. These factors are considered as molecular targets for the therapy of glioblastoma. Bevacizumab, a recombinant humanized monoclonal antibody developed against VEGF, inhibits endothelial cell proliferation and vessel formation. Flavonoids obtained from Dimorphandra mollis and Croton betulaster have been described as proliferation inhibitors of a human glioblastoma derived cell line. VEGF and TGF-ß1 levels were dosed by ELISA in a GL-15 cell line treated with bevacizumab and also with the flavonoids rutin, 5-hydroxy-7,4'-dimethoxyflavone, casticin, apigenin and penduletin. Rutin reduced the VEGF and TGF-ß1 levels after 24 h but not after 72 h. The other flavonoids significantly reduced TGF-ß1 production. Bevacizumab reduced only the VEGF levels in the supernatant from GL-15 cultures. These results suggest that the flavonoids studied, and commonly used in popular medicine, present an interesting subject of study due to their potential effect as angiogenic factor inhibitors.

The flavonoid rutin but not the alkaloid arborinine induces apoptosis in a B-cell hybridoma cell line.

The effects of arborinine, an alkaloid extracted from Erthela bahiensis and of rutin, a flavonoid obtained from Dimorphandra mollis (Benth.), Brazilian medicinal plants, on the viability and function of a murine B-cell hybridoma as a tumor model were investigated. The flavonoid rutin at 50 microM induced an increase in the number of apoptotic cells of one- to fivefold and reductions in cellular proliferation and monoclonal antibody production. Less but still significant necrosis was also induced by rutin under the same experimental conditions. On the other hand, the alkaloid arborinine exerted no significant effects on the studied parameters.

Existe correlação entre níveis séricos de anticorpos reativos a porphyromonas gingivalis e a condição periodontal clínica? / Is there any correlation between serum antibody levels reactive to porphyromonas gingivalis and clinical periodontal status?

Porphyromonasgingivalis has been shown to be shown to be one of the most important pathogen in chronic periodontitis development. The aim of this study was to evaluate the correlation among IgA, IgG and IgC and IgG isotype serum levels reactive Porphyromonas gingivalis ATTCC33277 and the clinical periodontal status. Twenty nine periodontitis patients were evaluated according to clinical parameters: probing depth, bleeding on probing, and clinical attachment loss measurements. Humoral immune response was assayed by enzyme linked immunosorbent assay (ELISA). There was no correlation between bleeding on probing (criterion 1) and the evaluated antibodies. Significant positive correlations were found between IgA levels and percentual of sites with clinical attachment loss (CAL) >3mm (criterion 2), percentual of sites with CAL > 5 mm (criterion 3), and percentual of sites with CAL > 3mm associated to probing depth > 4mm and bleeding on probing at the same site (criterion 4) (r=0,311; r=0,336; r=0,358, respectively; p<0,05). There were significant positive correlations between IgG serum levels and criteria 3 and 4 (r=0,400 and r=0,372, respectively; p<0,05), and between IgG1 and criteria 2, 3 and 4 (r=0,333, r=0,323 and r=0,340, respectively; p<0,05). The findings indicate that the antibody response to Porphyromonas gingivalis depends on the periodontal status, determined by clinical parameters

Diagnosis of canine brucellosis by ELISA using an antigen obtained from wild Brucella canis.

An indirect ELISA test was developed for the diagnosis of Brucella canis infection in dogs. A bacterial whole cell extract was used as a solid phase antigen, using B. canis isolated from an infected animal. Sera from culture-positive and healthy negative animals were used as internal reference controls. The cut-off point was determined by a mathematical formula for a statistically valid value, which defined the upper prediction limit, based on the upper tail of the t-distribution of 21 negative control sera readings, for the confidence level of 99.5%. The sensitivity and specificity of the ELISA test were 95% and 91%, respectively. The ELISA test showed a significant concordance index (K=0.84) with the agar gel immunodiffusion test. The reliability of the ELISA for the detection of infected animals was established by a double blind study testing 280 sera provided by serum banks from different diagnostic and research institutions and analyzed by ROC Curve.

Produção de sonda de DNA diretamente biotinilada com N-hidroxisuccinimida biotina ester (BNHS) / Labeling DNA probes directly coupled with biotinyl-N -hydroxysuccinimide ester (BNHS)

A utilização de sondas de DNA para análise genômica em fase sólida tem se expandido e ultrapassado as áreas da pesquisa, estendendo-se ao terreno do diagnóstico de rotina nas áreas de medicina humana e animal, bem como nas ciências forenses. Estas sondas têm sido utilizadas desde o surgimento da primeira técnica de hibridização descrita com o southern blotting, que envolve a imobilização, em filtros de papel, de fragmentos de DNA separados eletroforeticamente. Outra técnica descrita como o dot-hibridização é menos complexa do que o southern convencional por não requerer o passo prévio de eletroforese e por ser menos exigente quanto à qualidade do DNA, já que dispensa a digestão com enzima de restrição. A marcação mais comum para estas sondas é o fósforo radioisótopo (32P), que, apesar de sua alta sensibilidade, apresenta os inconvenientes de risco físico, necessidade de autorização para manipulação de radioisótopos, alto custo e uma vida média muito curta. Uma série de alternativas para o 32P têm sido utilizadas, com marcas diretas ou secundárias, entre elas a biotina, que tem mostrado grandes vantagens e tem sido usada também em laboratórios especializados e bem equipados. Este trabalho descreve uma modificação do método clássico descrito para sondas de DNA acopladas por biotina hidrazida. Utilizamos a N-hidroxisuccinimida biotina (BNHS) em dimetilformamida, para marcar resíduos de citosina disponíveis em segmentos de fita simples de DNA extraído de Corynebacterium pseudotuberculosis. A variação da proporção de biotina e de DNA, bem como sua especificidade e sensibilidade, foram cuidadosamente testadas e criteriosamente analisadas através de ensaios de hibridização, adsorvendo-se DNA cromossômico do C. pseudotuberculosis e outros DNAs em papel de nitrocelulose, seguindo-se a incubação com as sondas biotiniladas descritas,avidina-peroxidase e revelação com 4-cloro-1-naftol. Os resultados mostraram que a sonda de DNA produzida tem as características favoráveis...

Avaliação da resposta imune humoral em caprinos inoculados com uma vacina viva atenuada liofilizada contra Corynebacterium pseudotuberculosis / Evaluation of the goats humoral immune response induced by the Corynebacterium psudotuberculosis lyophilized live vaccine

A linfadenite caseosa (LC), comumente chamada de mal-do-caroço, é uma doença que acomete ovinos e caprinos e tem como agente etiológico Corynebacterium pseudotuberculosis. É um patógeno intracelular facultativo de macrófagos e é filogeneticamente relacionado com Mycobacterium tuberculosis. É uma doença de ocorrência mundial, caracterizada por formação de lesões necróticas encapsuladas caseosas, localizada principalmente nos linfonodos externos e pulmões. A transmissão se dá provavelmente através da pele, pelo contato de animais sadios com animais portadores de abscessos que evoluem a supuração. Eventualmente, tem sido encontrada em bovinos, porém é em ovinos e em caprinos que assume importância econômica e sanitária. Machos e fêmeas podem apresentar a doença em qualquer estação, porém encontram-se mais doentes com o desenvolver da idade, principalmente após um a dois anos de vida. A enfermidade causa sérios prejuízos a essas espécies, constituindo uma limitação zoopatológica às suas explorações. Com cerca de 80 por cento do rebanho nacional, a região Nordeste é a maior detentora de caprinos do Brasil, onde esses animais são essenciais ao sustento do pequeno agricultor. Corynebacterium pseudotuberculosis causa consideráveis prejuízos econômicos à região, que vão desde a condenação de pele e carcaças em razão de abscessos, até perdas em eficiência na reprodução ou na produção de carne e leite. O presente trabalho teve como objetivo avaliar em caprinos a resposta imune humoral induzida pela vacina viva liofilizada, elaborada com a cepa 1002, da Empresa Baiana de Desenvolvimento Agrícola (EBDA). Os resultados evidenciaram que o referido preparado liofilizado promove a produção de anticorpos específicos em doses iguais ou maiores do que 109 CFU e que o tratamento ministrado não provocou lesões nos animais vacinados.

Estudo da prevalência de anticorpos anti-Toxoplasma gondii em mulheres grávidas no Estado da Bahia / Study of prevalence of antibodies anti-Toxoplasma gondii in pregnant women in Bahia

A toxoplasmose é uma infecção causada pelo Toxoplasma gondii, que pode contaminar vários tipos celulares. A toxoplasmose congênita é considerada importante causa de mortalidade e morbidade infantis. No presente trabalho, foi avaliada a presença de anticorpos das classes IgM e IgG no soro de pacientes grávidas, correlacionando-se com o trimestre de gestação. Foram analisadas 5.946 amostras, sendo que 3.159 foram positivas para IgG, 42 para IgM e 2.745 foram soronegativas. A maioria das pacientes só foi encaminhada para a realização da sorologia a partir do segundo trimestre de gestação.

Avaliaçäo do efeito imunoprotetor de diferentes vacinas contra Corynebacterium pseudotuberculosis em caprinos / Levels of immunoprotection induced in goats against Corynebacterium pseudotuberculosis using several types of vaccines

Com o objetivo de observar a imunoproteçäo desenvolvida em caprinos contra Corynebacterium pseudotuberculosis esses animais foram submetidos a diferentes esquemas de imunizaçäo, sendo utilizados inóculos de diferentes preparados antigênicos desta bactéria em intervalos de tempo variados e com diversos adjuvantes. Os resultados revelaram que o percentual de imunoproteçäo nos animais imunizados e desafiados 180 dias após estava abaixo de 60%. Já os animais desafiados dez meses após a primeira inoculaçäo apresentaram níveis de imunoproteçäo entre 44,5 e 22,3%. O menor índice da doença foi observado nos animais desafiados entre 30 e 60 dias após a última inoculaçäo do preparado antigênico