Production and characterization of rhamnolipids by Pseudomonas aeruginosa isolated in the Amazon region, and potential antiviral, antitumor, and antimicrobial activity.

Biosurfactants encompass structurally and chemically diverse molecules with surface active properties, and a broad industrial deployment, including pharmaceuticals. The interest is growing mainly for the low toxicity, biodegradability, and production from renewable sources. In this work, the optimized biosurfactant production by Pseudomonas aeruginosa BM02, isolated from the soil of a mining area in the Brazilian Amazon region was assessed, in addition to its antiviral, antitumor, and antimicrobial activities. The optimal conditions for biosurfactant production were determined using a factorial design, which showed the best yield (2.28 mg/mL) at 25 °C, pH 5, and 1% glycerol. The biosurfactant obtained was characterized as a mixture of rhamnolipids with virucidal properties against Herpes Simplex Virus, Coronavirus, and Respiratory Syncytial Virus, in addition to antimicrobial properties against Gram-positive bacteria (Staphylococcus aureus and Enterococcus faecium), at 50 µg/mL. The antitumor activity of BS (12.5 µg/mL) was also demonstrated, with potential selectivity in reducing the proliferation of breast tumor cells, after 1 min of exposure. These results demonstrate the importance of studying the interconnection between cultivation conditions and properties of industrially important compounds, such as rhamnolipid-type biosurfactant from P. aeruginosa BM02, a promising and sustainable alternative in the development of new antiviral, antitumor, and antimicrobial prototypes.

Evaluation of the efficacy of using indocyanine green associated with fluorescence in sentinel lymph node biopsy.

INTRODUCTION: Sentinel lymph node biopsy is the technique recommended for the axillary staging of patients with breast cancer in the initial stages without clinical axillary involvement. Three techniques are widely used globally to detect sentinel lymph nodes: patent blue, the radiopharmaceutical technetium 99 with gamma probe, and the combination of these two. OBJECTIVES: To evaluate the sentinel lymph node detection rate with an innovative technique: indocyanine green (ICG) associated with fluorescence in breast cancer patients, and compare it with patent blue and a combination of patent blue and indocyanine green. METHODS: 99 patients were sequentially (not randomly) allocated into 3 arms with 33 patients submitted to sentinel lymph node techniques. One arm underwent patent blue dying, the other indocyanine green, and the third received a combination of both. The detection rates between arms were compared. RESULTS: The detection rate in identifying the sentinel lymph node was 78.8% with patent blue, 93.9% with indocyanine green, and 100% with the combination. Indocyanine green identified two sentinel nodes in 48.5% of patients; the other groups more commonly had only one node identified. The mean time to sentinel lymph node identification was 20.6 ± 10.7 SD (standard deviation) minutes among patients submitted to the patent blue dye, 8.6 ± 6.6 minutes in the indocyanine green arm, and 10 ± 8.9 minutes in the combined group (P<0.001; Student's test). The mean surgery time was 69.4 ± 16.9; 55.1 ± 13.9; and 69.4 ± 19.3 minutes respectively (P<0.001; Student's test). CONCLUSIONS: The sentinel lymph node detection rate by fluorescence using indocyanine green was 93.9%, considered adequate. The rates using patent blue, indocyanine green, and patent blue plus indocyanine green (combined) were significantly different, and the indocyanine green alone is also acceptable, since it has a good performance in sentinel lymph node identification and it can avoid tattooing, with a 100% sentinel lymph node detection rate when combined with patent blue.

Production and Physiological Quality of Seeds of Mini Watermelon Grown in Substrates with a Saline Nutrient Solution Prepared with Reject Brine.

The economically profitable production of crops is related, among other factors, to seed quality, the production system, and the water used in irrigation or preparation of nutrient solutions. Therefore, the objective was to evaluate the phenology, production, and vigor of seeds of mini watermelons grown in saline nutrient solution and different substrates. In the fruit and seed production phase, the experiment occurred in a greenhouse with five electrical conductivities of water for nutrient solution preparation, ECw (0.5, 2.4, 4.0, 5.5, and 6.9 dS m-1), and two growing substrates (coconut fiber and sand). We evaluated the physiological quality of seeds previously produced under the five electrical conductivities of water and two substrates. High salinities for the hydroponic cultivation of the mini watermelon cultivar 'Sugar Baby' accelerated fruit maturation and crop cycle, decreasing fruit size. However, in both substrates, the seed production of mini watermelons, seed viability, and seed vigor occurred adequately with a reject brine of 6.9 dS m-1 in the hydroponic nutrient solution. The seed production of 'Sugar Baby' mini watermelons using reject brine in a hydroponic system with coconut fiber and sand substrates is viable in regions with water limitations.

Fertigation with fish farming effluent at the adequate phenological stages improves physiological responses, production and quality of cherry tomato fruit.

The use of effluent from fish farming in the greenhouse increases the availability of water and reduces the risk of environmental contamination due to improper disposal. Therefore, a study in a greenhouse was carried out to evaluate the effects of fertigation utilizing fish farming effluent at different phenological stages of cherry tomato. Plants of cherry tomato were fertigated with fish farming effluent (E) alternated with tap water (W) at the four phenological stages of the crop (growth, flowering, fruit formation and ripening). The growth, gas exchange, chlorophyll a fluorescence, chloroplast pigments, electrolyte leakage, production and postharvest quality were evaluated. The fertigation with fish farming effluents did not reduce the growth of tomato plants. The fertirrigated plants with fish farming effluents obtained photosynthetic rates and photochemical efficiency similar or superior to the control. There was no interference on photochemical quenching when the plants were fertigated with fish farming effluents. When applied at the flowering stage, fish farming effluent reduces the average fruit weight and increases acidity. For greenhouse cultivation, each application of fish farming effluents, two successive applications of tap water are required.Novelty statement: Use of fish farming effluent did not compromise the growth and photosynthetic activity of cherry tomato plants. Cherry tomato production was compromised when the effluent was applied during growth, flowering and, beginning of fruit set. The fish farming effluent can be used in irrigation without yield losses if alternating with tap water.

Physiological responses and production of mini-watermelon irrigated with reject brine in hydroponic cultivation with substrates.

The scarce availability of good quality water for irrigation in semi-arid regions leads to the reuse of waters, such as reject brine. Associated with this, the use of alternatives, such as hydroponic cultivation in substrates suitable for the development of profitable crops, such as watermelon, a species considered moderately sensitive to salinity, will allow new opportunities for communities assisted by desalination plants. An experiment was conducted in a plastic greenhouse to evaluate the growth, physiological responses, yield, and fruit quality of 'Sugar Baby' mini-watermelon cultivated in a hydroponic system with reject brine from desalination plants and different substrates. The experimental design was randomized blocks, with treatments arranged in a 5 × 4 factorial scheme, corresponding to five mixtures of reject brine (9.50 dS m-1) and tap water (0.54 dS m-1) applied to mini-watermelon plants, in an open hydroponic system, with four types of substrate and four replicates, with two plants per plot. Mini-watermelon plants grown in coconut fiber substrate showed the best growth and production. On the other hand, washed sand was the substrate that most hampered the development of plants in all mixtures. The use of reject brine to prepare the nutrient solution reduced the growth and production of mini-watermelon, mainly in mixtures with salinity above 4.00 dS m-1. The changes in gas exchange caused by salt stress in mini-watermelon were of stomatal nature. Mini-watermelon has high energy stability under conditions of salt stress.

Coumarin (2H-1-Benzopyran-2-one) act against planktonic and biofilm forms of Staphylococcus aureus, Klebsiellapneumoniae and Pseudomonas aeruginosa

SUMMARY Introduction: biofilm-related infections caused by Staphylococcus aureus, Klebsiella pneumoniae and Pseudomonas aeruginosa are difficult to treat and few effective pharmacological options are currently available for this purpose. In this context, coumarin (2H-1-Benzopyran-2-one) has been reported to have antibacterial and antibiofilm activity, but this potential remains poorly understood. Aim: to investigate the action of coumarin on planktonic and biofilm forms of S. aureus, K. pneumoniae and P. aeruginosa. Results: a minimum inhibitory concentration (MIC) of coumarin ranging from 256 to 1024 fig/mL was observed, with a remarkable ability to inhibit the formation of biofilms and to act on mature biofilms in concentrations close to MIC. Conclusion: coumarin has strong activity against planktonic and biofilm forms on the three species of great relevance in the clinical scenario. These results are interesting to enable a pharmacological alternative for the treatment of these infections.

Introducción: las infecciones relacionadas con la biopelícula causadas por Staphylococcus aureus, Klebsiella pneumoniae y Pseudomonas aeruginosa son difíciles de tratar y actualmente existen pocas opciones farmacológicas eficaces para este propósito. En este contexto, se ha informado que la cumarina (2H-1-Benzopiran-2-ona) tiene actividad antibacteriana y antibiofilm, pero este potencial sigue siendo poco conocido. Objetivo: investigar la acción de la cumarina sobre formas planctónicas y de biopelículas de S. aureus, K. pneumoniae y P. aeruginosa. Resultados: se observó una concentración inhibitoria mínima (CMI) de cumarina en el rango de 256 a 1024 µg/mL, con una notable capacidad para inhibir la formación de biofilms y actuar sobre biofilms maduros en concentraciones cercanas a la CMI. Conclusión: la cumarina tiene una fuerte actividad contra las formas planctónicas y biofilm sobre las tres especies de gran relevancia en el escenario clínico. Estos resultados son interesantes para habilitar una alternativa farmacológica para el tratamiento de estas infecciones.

Introdução: as infecções relacionadas ao biofilme causadas por Staphylococcus aureus, Klebsiella pneumoniae e Pseudomonas aeruginosa são difíceis de tratar e poucas opções farmacológicas eficazes estão disponíveis atualmente para esse propósito. Nesse contexto, foi relatado que a cumarina (2H-1-benzopirano-2-ona) tem atividade antibacteriana e antibiofilme, mas esse potencial permanece pouco conhecido. Objetivo: investigar a ação da cumarina sobre as formas planctónicas e de biofilme de S. aureus, K. pneumoniae e P. aeruginosa. Resultados: observou-se uma concentração inibitória mínima (CIM) de cumarina variando de 256 a 1024 µg/mL, com notável capacidade de inibir a formação de biofilmes e de atuar sobre biofilmes maduros em concentrações próximas à CIM. Conclusão: a cumarina possui forte atividade contra as formas planctónicas e de biofilme sobre as três espécies de grande relevância no cenário clínico. Esses resultados são interessantes para possibilitar uma alternativa farmacológica para o tratamento dessas infecções.

Modulating effect of DL-kavain on the mutagenicity and carcinogenicity induced by doxorubicin in Drosophila melanogaster.

Kavain, kavalactone, present in Piper methysticum exhibits anticonvulsive, analgesic, anxiolytic, antiepileptic, antithrombotic, anti-inflammatory and antioxidant properties. Given its importance, the aim of the present study was to assess (1) the mutagenic and carcinogenicity of kavain administered alone and (2) the antimutagenic and anticarcinogenic potential when administered simultaneously with the chemotherapeutic drug doxorubicin (DXR) using the Somatic Mutation and Recombination Test (SMART) and Epithelial Tumor Test (ETT) using Drosophila melanogaster as a model system. Third-stage larvae from a standard (ST) and high metabolic bioactivation (HB) crosses were treated with different kavain concentrations (32, 64 or 128 µg/ml), alone or in conjunction with DXR (0.125 mg/ml). In ST descendants, kavain produced no significant mutagenic or recombinogenic effects. In the HB cross, mutagenic activity was observed at kavain concentrations of 64 and 128 µg/ml. In the DXR and kavain co-treatment, a modulating effect of the DXR-mediated mutagenic response dependent upon the concentration was detected in both crosses. In ETT, no marked carcinogenic or anticarcinogenic activity was noted for kavain. However, when kavain was combined with DXR synergistic induction of tumors by the chemotherapeutic drug occurred indicating that kavain enhanced the carcinogenic action of DXR.

Transfusion profile, clinical characteristics, comorbidities and outcomes of 3014 hospitalized patients diagnosed with COVID-19 in Brazil.

BACKGROUND: The novel coronavirus disease-2019 (COVID-19) caused a sudden and unexpected increase in the number of hospital admissions and deaths worldwide. The impact of social distancing on blood stocks was significant. Data on the use of blood products by patients with COVID-19 are scarce. MATERIAL AND METHODS: A retrospective observational study was conducted by analysing the medical records of 3014 hospitalized COVID-19 patients in 16 Brazilian hospitals. Individual data related to clinical, laboratory and transfusion characteristics and outcomes of these patients were collected. Patients characteristics association with mortality and transfusion need were tested independently by logistic regression models. RESULTS: Patients mean age was 57·6 years. In 2298 (76·2%) patients, there was an underlying clinical comorbidity. A total of 1657 (55%) patients required admission to intensive care unit (ICU), and 943 (31%) patients required ventilatory support and orotracheal intubation (OTI). There was a total of 471 (15·6%) deaths among all patients. 325 patients (10·7%) required blood transfusion; 3187 blood products were transfused: 1364 red blood cells in 303 patients, 1092 platelet units in 78 patients, 303 fresh frozen plasma in 49 patients and 423 cryoprecipitates in 21 patients. The mortality among patients who received transfusion was substantially higher than that among the total study population. CONCLUSION: Need for transfusion was low in COVID-19 patients, but significantly higher in patients admitted to ICU and in those who needed OTI. Knowledge of the transfusion profile of these patients allows better strategies for maintaining the blood stocks of hospitals during the pandemic.

Óleos encapsulados: perfil de ácidos graxos e contaminação por hidrocarbonetos policíclicos aromáticos / Encapsulated oils: fatty acid profile and contamination by polycyclic aromatic hydrocarbons

Os óleos vegetais encapsulados podem ser extraídos a frio e ter como origem fontes não convencionais, reconhecidos por preservarem compostos bioativos característicos e, alguns deles, serem fontes de ácidos graxos essenciais. No entanto, são produtos geralmente onerosos e por este motivo, passíveis de adulteração com óleos de menor qualidade. O objetivo deste trabalho foi avaliar a identidade e a contaminação por hidrocarbonetos policíclicos aromáticos (HPAs) de óleos encapsulados. Foram avaliadas catorze amostras, de diferentes tipos e marcas, comercializadas na cidade de São Paulo. Os ensaios realizados incluíram perfil de ácidos graxos e HPAs [benzo(a)antraceno, criseno, benzo(b)fluoranteno e benzo(a)pireno]. Duas amostras (14%) foram consideradas insatisfatórias quanto aos perfis de ácidos graxos, incluindo óleos de coco e borragem. Quanto aos HPAs, as concentrações parao benzo(a)pireno variaram de

Validação de metodologia analítica para quantificação de desoxinivalenol em amostras de trigo e produtos a base de trigo por CLAE-UV / Validation of analytical methodology for quantification of deoxynivalenol in samples of wheat and wheat-based products by HPLC-UV

O desoxinivalenol (DON), principal micotoxina encontrada em trigo e derivados, tem sido associado a surtos de gastroenterite, distúrbios gastrointestinais e diarreia em humanos e animais. Para controle das micotoxinas em alimentos há a necessidade de métodos confiáveis e precisos. Desta forma, o presente trabalho teve como objetivo validar metodologia analítica para análise de DON em amostras de trigo e produtos comercializados na cidade de São Paulo. O método foi validado de acordo com os parâmetros linearidade, recuperação, precisão, limites de detecção (LD) e quantificação (LQ). A extração do DON foi realizada por homogeneização com água deionizada, seguida de centrifugação, filtração e purificação em coluna de imunoafinidade. A separação e quantificação foram conduzidas por cromatografia líquida com detecção por ultravioleta (CLAE-UV). A curva analítica, obtida pelo método dos mínimos quadrados, foi linear com coeficiente de correlação de 0,9995. A recuperação média foi de 102% e o coeficiente de variação de 2,4% para a concentração de 877 µg/kg. Os LD e LQ foram de 60 e 200 µg/kg, respectivamente. Os cromatogramas obtidos não apresentaram interferências na região do tempo de retenção do DON (9,7 min), sendo o método proposto considerado adequado para a quantificação de desoxinivalenol em trigo e produtos a base de trigo

Phytochemical Analysis and Antimicrobial Activity of Myrcia tomentosa (Aubl.) DC. Leaves.

This work describes the isolation and structural elucidation of compounds from the leaves of Myrcia tomentosa (Aubl.) DC. (goiaba-brava) and evaluates the antimicrobial activity of the crude extract, fractions and isolated compounds against bacteria and fungi. Column chromatography was used to fractionate and purify the extract of the M. tomentosa leaves and the chemical structures of the compounds were determined using spectroscopic techniques. The antibacterial and antifungal activities were assessed using the broth microdilution method. The phytochemical investigation isolated 11 compounds: α-bisabolol, α-bisabolol oxide B, α-cadinol, ß-sitosterol, n-pentacosane, n-tetracosane, quercetin, kaempferol, avicularin, juglanin and guaijaverin. The crude ethanolic extract and its fractions were tested against 15 bacteria and 9 yeasts. The crude extract inhibited the in vitro growth of yeasts at concentration of 4 to 32 µg/mL. The hexane, dichloromethane, ethyl acetate and aqueous fractions inhibited Candida sp. at concentrations of 4 to 256 µg/mL, whereas the Cryptococcus sp. isolates were inhibited only by the hexane and dichloromethane fractions in minimal inhibitory concentrations (MICs) at 16 to 64 µg/mL. The flavonoid quercetin-3-O-α-arabinofuranose (avicularin) was the most active compound, inhibiting Candida species in concentrations of 2 to 32 µg/mL. The MIC values suggest potential activity of this plant species against yeast.

Pulmonary hypertension due to acute respiratory distress syndrome

Our aims were to describe the prevalence of pulmonary hypertension in patients with acute respiratory distress syndrome (ARDS), to characterize their hemodynamic cardiopulmonary profiles, and to correlate these parameters with outcome. All consecutive patients over 16 years of age who were in the intensive care unit with a diagnosis of ARDS and an in situ pulmonary artery catheter for hemodynamic monitoring were studied. Pulmonary hypertension was diagnosed when the mean pulmonary artery pressure was >25 mmHg at rest with a pulmonary artery occlusion pressure or left atrial pressure <15 mmHg. During the study period, 30 of 402 critically ill patients (7.46%) who were admitted to the ICU fulfilled the criteria for ARDS. Of the 30 patients with ARDS, 14 met the criteria for pulmonary hypertension, a prevalence of 46.6% (95% CI; 28-66%). The most common cause of ARDS was pneumonia (56.3%). The overall mortality was 36.6% and was similar in patients with and without pulmonary hypertension. Differences in patients' hemodynamic profiles were influenced by the presence of pulmonary hypertension. The levels of positive end-expiratory pressure and peak pressure were higher in patients with pulmonary hypertension, and the PaCO2 was higher in those who died. The level of airway pressure seemed to influence the onset of pulmonary hypertension. Survival was determined by the severity of organ failure at admission to the intensive care unit.

Subdoses of 17DD yellow fever vaccine elicit equivalent virological/immunological kinetics timeline.

BACKGROUND: The live attenuated 17DD Yellow Fever vaccine is one of the most successful prophylactic interventions for controlling disease expansion ever designed and utilized in larger scale. However, increase on worldwide vaccine demands and manufacturing restrictions urge for more detailed dose sparing studies. The establishment of complementary biomarkers in addition to PRNT and Viremia could support a secure decision-making regarding the use of 17DD YF vaccine subdoses. The present work aimed at comparing the serum chemokine and cytokine kinetics triggered by five subdoses of 17DD YF Vaccine. METHODS: Neutralizing antibody titers, viremia, cytokines and chemokines were tested on blood samples obtained from eligible primary vaccinees. RESULTS AND DISCUSSION: The results demonstrated that a fifty-fold lower dose of 17DD-YF vaccine (587 IU) is able to trigger similar immunogenicity, as evidenced by significant titers of anti-YF PRNT. However, only subdoses as low as 3,013 IU elicit viremia kinetics with an early peak at five days after primary vaccination equivalent to the current dose (27,476 IU), while other subdoses show a distinct, lower in magnitude and later peak at day 6 post-vaccination. Although the subdose of 587 IU is able to trigger equivalent kinetics of IL-8/CXCL-8 and MCP-1/CCL-2, only the subdose of 3,013 IU is able to trigger similar kinetics of MIG/CXCL-9, pro-inflammatory (TNF, IFN-γ and IL-2) and modulatory cytokines (IL-5 and IL-10). CONCLUSIONS: The analysis of serum biomarkers IFN-γ and IL-10, in association to PRNT and viremia, support the recommendation of use of a ten-fold lower subdose (3,013 IU) of 17DD-YF vaccine.

Estado nutricio en pacientes de primer ingreso a hospitalización del Servicio de Hematología del Instituto Nacional de Cancerología / Nutritional status in patients first hospital admissions Service Hematology National Cancer Institute

OBJECTIVES: To determine the nutritional status of patients admitted to hospital for the first time the hematology service and who have not received treatment for cancer, to know if the nutritional status assessed by the EGS-GP and serum albumin related mortality of patients METHODS: A longitudinal, prospective, analytical. EGS-Through GP assessed the nutritional status of patients, we used SPSS 19.0 for data analysis. RESULTS: Evaluaron 119 patients, 52.1% female and 47.9% male. The most common diagnosis was non-Hodgkin lymphoma in 43.7%. According to the EGS-GP 50.4% of patients had some degree of malnutrition or was at risk of suffering of which: 31.1% had moderate and 19.3% had severe malnutrition. The 49.6% of patients had an adequate nutritional status. 30.3% of the patients who died, 37% had severe malnutrition and 50% severe decrease in albumin concentration. CONCLUSIONS: The prevalence of malnutrition in hematological patients treated at the National Cancer Institute of Mexico that have not received medical treatment was high. There is an association between nutritional status and mortality in this patient group. (AU)

Objetivos: Determinar el estado de nutrición de los pacientes que ingresan por primera vez a hospitalización del servicio de hematología y que no han recibido tratamiento oncológico, conocer si el estado de nutrición evaluado por medio de la EGS-GP y por concentración sérica de Albúmina se relaciona con la mortalidad de los pacientes. Métodos: Estudio longitudinal, prospectivo, analítico. Por medio de EGS-GP se evaluó el estado nutricional de los pacientes, Se utilizó el paquete estadístico SPSS 19.0 para el análisis de datos. Resultados: Se evaluaron 119 pacientes, 52,1% mujeres y 47,9% hombres. El diagnóstico más común fue Linfoma no Hodgkin en el 43,7%. De acuerdo a la EGSGP el 50,4% de los pacientes presentaba algún grado de desnutrición o estaba en riesgo de padecerla de los cuales: el 31,1% tenía desnutrición moderada y el 19,3% presentaba desnutrición severa. El 49,6% de los pacientes presentaba un adecuado estado nutricio. Del 30,3% de los pacientes que fallecieron el 37% tenía desnutrición severa y el 50% disminución severa de la concentración de albúmina. Conclusiones: La prevalencia de desnutrición en los pacientes hematológicos atendidos en el Instituto Nacional de Cancerología de México que aún no reciben tratamiento médico fue elevada. Existe una asociación entre el Estado Nutricio y la mortalidad de éste grupo de pacientes (AU)

Application of a modified sequential organ failure assessment score to critically ill patients

The purpose of the present study was to explore the usefulness of the Mexican sequential organ failure assessment (MEXSOFA) score for assessing the risk of mortality for critically ill patients in the ICU. A total of 232 consecutive patients admitted to an ICU were included in the study. The MEXSOFA was calculated using the original SOFA scoring system with two modifications: the PaO2/FiO2 ratio was replaced with the SpO2/FiO2 ratio, and the evaluation of neurologic dysfunction was excluded. The ICU mortality rate was 20.2%. Patients with an initial MEXSOFA score of 9 points or less calculated during the first 24 h after admission to the ICU had a mortality rate of 14.8%, while those with an initial MEXSOFA score of 10 points or more had a mortality rate of 40%. The MEXSOFA score at 48 h was also associated with mortality: patients with a score of 9 points or less had a mortality rate of 14.1%, while those with a score of 10 points or more had a mortality rate of 50%. In a multivariate analysis, only the MEXSOFA score at 48 h was an independent predictor for in-ICU death with an OR = 1.35 (95%CI = 1.14-1.59, P < 0.001). The SOFA and MEXSOFA scores calculated 24 h after admission to the ICU demonstrated a good level of discrimination for predicting the in-ICU mortality risk in critically ill patients. The MEXSOFA score at 48 h was an independent predictor of death; with each 1-point increase, the odds of death increased by 35%.