Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 42
Filtrar
1.
Euro Surveill ; 19(48): 20978, 2014 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-25496572

RESUMO

Toscana virus (TOSV), transmitted by phlebotomine sandflies, is recognised as one of the most important causes of viral meningitis in summer in Mediterranean countries. A surveillance plan based on both human and entomological surveys was started in 2010 in the Emilia-Romagna region, Italy. Clinical samples from patients with neurological manifestations were collected during 2010 to 2012. The surveillance protocol was improved during these years, allowing the detection of 65 human infections. Most of these infections were recorded in hilly areas, where sandflies reach the highest density. Entomological sampling around the homes of the patients resulted in a low number of captured sandflies, while later sampling in a hilly area with high number of human cases (n=21) resulted in a larger number of captured sandflies. Using this approach, 25,653 sandflies were sampled, of which there were 21,157 females, which were sorted into 287 pools. TOSV RNA was detected by real-time PCR in 33 of the pools. The results highlighted the role of Phlebotomus perfiliewi as the main vector of TOSV and a potential link between vector density and virus circulation. This integrated system shows that an interdisciplinary approach improves the sensitiveness and effectiveness of health surveillance.


Assuntos
Vigilância da População , Psychodidae/virologia , RNA Viral/genética , Vírus da Febre do Flebótomo Napolitano/isolamento & purificação , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Animais , Feminino , Genótipo , Humanos , Imunoglobulina G , Imunoglobulina M , Insetos Vetores/virologia , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Dados de Sequência Molecular , RNA Viral/isolamento & purificação , Reação em Cadeia da Polimerase em Tempo Real , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Vírus da Febre do Flebótomo Napolitano/classificação , Vírus da Febre do Flebótomo Napolitano/genética , Análise de Sequência de DNA , Distribuição por Sexo , Adulto Jovem
2.
Pol J Vet Sci ; 14(3): 343-51, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21957726

RESUMO

During an 18 day test, we measured the cytokine mRNA expression (Interleukin-1beta [IL-1beta], Interleukin-8 [IL-8], Interferon-gamma [IFN-gamma], Tumor Necrosis Factor-alpha [TNF-alpha]) of cells from bronchoalveolar lavage fluid [BALF] in five horses previously diagnosed with RAO, before and during challenge exposure, and after the desensitization phase which involved dexamethasone treatment and environmental modification. Simultaneously, the same cytokine mRNA expression of cells from BALF in four asymptomatic RAO-affected horses maintained outdoors was analyzed. An evident respiratory distress was observed in the challenge group within 3 days, with a significant overexpression of IL-8 and TNF-alpha mRNA on the ninth day. The pharmacological and environmental desensitization provided a down regulation of all the cytokines. No statistical modification characterized the cytokine kinetics of the asymptomatic horses maintained outdoors. A comparison for each time point of the cytokines between the exposed and unexposed horses showed no significant differences. The study suggested that a standardized exposure protocol and sampling time in experimental studies of RAO is mandatory for a correct comparison of the results obtained by different Authors. However, the absence of significant changes between the exposed and unexposed horses could depend on the lack of the sample uniformity since the evolution of the disease represents a continuum from a healthy to a pathological condition.


Assuntos
Líquido da Lavagem Broncoalveolar/química , Citocinas/metabolismo , Doenças dos Cavalos/imunologia , Pneumopatias Obstrutivas/veterinária , RNA Mensageiro/metabolismo , Animais , Citocinas/química , Citocinas/genética , Feminino , Doenças dos Cavalos/patologia , Cavalos , Pneumopatias Obstrutivas/imunologia , Pneumopatias Obstrutivas/patologia , Masculino , RNA Mensageiro/genética , Recidiva , Fatores de Tempo
3.
J Biomed Mater Res A ; 105(4): 1019-1033, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-27943619

RESUMO

Demineralized bone matrix (DBM) is a natural, collagen-based, osteoinductive biomaterial. Nevertheless, there are conflicting reports on the efficacy of this product. The purpose of this study was to evaluate whether DBM collagen structure is affected by particle size and can influence DBM cytocompatibility and osteoinductivity. Sheep cortical bone was ground and particles were divided in three fractions with different sizes, defined as large (L, 1-2 mm), medium (M, 0.5-1 mm), and small (S, <0.5 mm). After demineralization, the chemical-physical analysis clearly showed a particle size-dependent alteration in collagen structure, with DBM-M being altered but not as much as DBM-S. DBM-M displayed a preferable trend in almost all biological characteristics tested, although all DBM particles revealed an optimal cytocompatibility. Subcutaneous implantation of DBM particles into immunocompromised mice resulted in bone induction only for DBM-M. When sheep MSC were seeded onto particles before implantation, all DBM particles were able to induce new bone formation with the best incidence for DBM-M and DBM-S. In conclusion, the collagen alteration in DBM-M is likely the best condition to promote bone induction in vivo. Furthermore, the choice of 0.5-1 mm particles may enable to obtain more efficient and consistent results among different research groups in bone tissue-engineering applications. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 105A: 1019-1033, 2017.


Assuntos
Matriz Óssea/citologia , Colágeno/química , Células-Tronco Mesenquimais/metabolismo , Osteogênese , Animais , Matriz Óssea/transplante , Camundongos , Camundongos SCID , Ovinos
4.
J Thromb Haemost ; 4(4): 828-33, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16634753

RESUMO

BACKGROUND: the basic prerequisite of Factor VIII clotting assay (FVIII:C) by One-Stage Method is that all other than FVIII clotting factors are present in constant concentration in each dilution of both standard reference and patient's plasma curves. On the contrary, the plasma content of each dilution is decreasing as the dilution factor increases. OBJECTIVES AND METHODS: to keep exactly constant the plasma content in each mixture, we performed all dilutions of both standard reference and patient's plasma with FVIII deficient plasma and further with a fixed amount of buffer (method B). To show the discrepancies between this method and regular method A, using buffer to make dilutions, a comparative study was conducted on FVIII: C assay on samples at known FVIII concentration and in patients' plasma. Imidazole or Owren's buffers and five different aPTT reagents were employed, both in method A and B. RESULTS: a discrepancy between FVIII: C assays obtained by method A and B was observed, mainly when Pathrontin SL and Imidazole buffer were used. The assays derived from method B always better fit with the expected, calculated, values of FVIII:C concentrations. Furthermore, FVIII: C was assayed in 60 patients: the outcome of method A was always higher than values of method B. The discrepancy between the two methods was higher at FVIII concentrations below 50 U/dL but null at 100 U/dL. The A slope was steeper than B slope and the difference was statistically significant starting from the 1/10 dilution. Accordingly, FVIII: C of patients' plasma obtained by method A was always higher that those obtained by method B, even 2 or 3 times for FVIII level < or = 10 U/dL or 1.4-1.6 times for FVIII levels between 10 and 25 U/dL. CONCLUSIONS: only method B is able to give FVIII: C assays in agreement with the expected values. The dilution of reference standards and samples with FVIII deficient plasma is crucial to accurately evaluate the post-infusion FVIII concentrations in pharmacokinetic studies or the trough level during prophylactic therapy and to investigate the discrepancy among different FVIII: C assays. In addition, the assessment of severity and classification of hemophilia should be reviewed.


Assuntos
Testes de Coagulação Sanguínea/métodos , Fator VII/análise , Coagulação Sanguínea , Testes de Coagulação Sanguínea/instrumentação , Soluções Tampão , Calibragem , Química Clínica , Hemofilia A/sangue , Humanos , Imidazóis/farmacologia , Plasma/metabolismo , Padrões de Referência , Reprodutibilidade dos Testes , Resultado do Tratamento , Doenças de von Willebrand/sangue
5.
Minerva Stomatol ; 54(1-2): 23-34, 2005.
Artigo em Inglês, Italiano | MEDLINE | ID: mdl-15902060

RESUMO

AIM: Growth factors (GFs) as platelet derived growth factor (PDGF) and transforming growth factor (TGF-beta), found in platelet beta-granules also present in platelet-rich-plasma (PRP), accelerate bone revascularization and regeneration and for this reason they have been employed successfully in dental and maxillofacial surgery. Platelet concentrate is commonly used for this purpose as long as platelet release reaction and the consequent GFs loss are avoided. To reduce this phenomenon we set up an easy and fast procedure for preparing a satisfying clotted PRP by adding CaCl2 only (no exogenous thrombin). METHODS: ELISA essay has been used to measure PDGF and TGF-beta in plasma, platelets and serum and platelet GMP-140, with the cytofluorometric technique in order to quantify the degranulation entity. RESULTS: In the 13 examined patients receiving clotted PRP to enhance bone regeneration in post-extractive alveolar sockets, PRP showed no sign of platelet activation (degranulation) and short recalcification times (8-12 min). The autologous clotted PRPs specimen have been evaluated in laboratory in terms of GFs percent: 76% of initial GFs content could be recovered in clotted PRP. This result confirms the absence of platelet degranulation in our procedure. CONCLUSIONS: Significant clinical results in alveolar bone regeneration are reached only with a high percentage of GFs inserted in bone matrix, avoiding early platelet degranulation.


Assuntos
Plaquetas , Regeneração Óssea , Arcada Osseodentária/fisiologia , Fator de Crescimento Derivado de Plaquetas/análise , Fator de Crescimento Transformador beta/análise , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Plasma/química
6.
J Thromb Haemost ; 1(11): 2283-9, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14629459

RESUMO

When the one-stage clotting assay is used in comparison with the chromogenic and immunological assays, plasma levels of factor (F)VIII are underestimated by 40-50% after infusion of B-domain deleted recombinant FVIII (BDD-rFVIII) in patients with hemophilia. A possible way to counteract the underestimation of FVIII levels by the one-stage assay is the adoption of a recombinant FVIII reference standard instead of a plasma standard. To evaluate the usefulness of such a standard [ReFacto Laboratory Standard (RLS)], the pharmacokinetic parameters of a single dose of BDD-rFVIII (25 U kg(-1)) were evaluated in a multicenter study carried out in 18 patients with severe hemophilia A. The very low in vivo recovery, obtained with the combination of the one-stage assay and plasma reference standard, was increased up to the values obtained by the chromogenic assay when the results were expressed in terms of RLS. When the plasma standard was used, the one-stage/chromogenic ratio was 0.82 +/- 0.12 for FVIII levels above 25 U dL(-1) and 1.42 +/- 0.99 for FVIII levels below 25 U dL(-1). Using the RLS, the one-stage/chromogenic ratio increased to 1.01 +/- 0.19 at FVIII levels above 25 U dL(-1), as a consequence of a complete overlap of the two decays; however, at FVIII levels below 25 U dL(-1), the one-stage/chromogenic ratio was still 1.6 +/- 0.85. After the twelfth hour, FVIII concentrations obtained by chromogenic assay were always lower than those resulting from the one-stage clotting assay, independently of the standard used. Results obtained by chromogenic assay were not affected by the type of standard used. Compared with those obtained by the one-stage assay, higher values of clearance, lower volume of distribution area and shorter plasma half-life or mean residence time were obtained by chromogenic assay because of a shape change of the decay curve due to a shift to higher values in the first part (time interval 0-12 h) and to lower values in the second part of the decay curve (time interval 12-48 h). As a consequence, the slope of the decay curve obtained by means of chromogenic assay was steeper. In conclusion, the more homogeneous results of in vivo recovery and pharmacokinetic analysis, due to the decrease of discrepancy between the two methods when RLS was used, make the cheaper and more widely used one-stage assay preferable to the more expensive chromogenic assay, on condition that the ReFacto specific standard has used.


Assuntos
Fator VIII/análise , Fator VIII/farmacocinética , Fator VIII/normas , Hemofilia A/sangue , Fragmentos de Peptídeos/farmacocinética , Adulto , Testes de Coagulação Sanguínea/métodos , Testes de Coagulação Sanguínea/normas , Compostos Cromogênicos , Fator VIII/administração & dosagem , Meia-Vida , Humanos , Métodos , Fragmentos de Peptídeos/administração & dosagem , Farmacocinética , Padrões de Referência
7.
Am J Med ; 84(2): 240-50, 1988 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3261536

RESUMO

Abnormalities of coagulation are common in patients with acute nonlymphoblastic leukemia, although the mechanisms involved are unclear, except in a few cases. To investigate the pathogenesis of this coagulopathy, suspensions of purified leukemic cells were prepared and tested for procoagulant activity. Neither the leukemic cells nor their supernatants directly accelerated the clotting of plasma. Since the leukemic cells did not possess direct procoagulant activity, their ability or inability to elaborate a mediator of cellular coagulant properties, interleukin-1, was studied. Leukemic cells from patients with coagulopathy elaborated interleukin-1, and addition of phytohemagglutinin increased interleukin-1 release. In contrast, no interleukin-1 was released, before or after stimulation with phytohemagglutinin, from leukemic cells from patients without coagulopathy. Leukemic cells from another group of patients with abnormalities of coagulation released interleukin-1 only after phytohemagglutinin treatment. In terms of the coagulation mechanism, interleukin-1 containing supernatants from leukemic cell cultures induced the procoagulant receptor tissue factor, a co-factor in the initiation of coagulation, on the endothelial cell surface. There was coordinate suppression of the anticoagulant endothelial cell receptor thrombomodulin, a co-factor for the antithrombotic protein C pathway. Antibody to interleukin-1 prevented these changes in cellular coagulant properties. Taken together, these changes result in a shift in the balance of endothelial cell coagulant properties to an activated state in which mechanisms promoting procoagulant reactions on the vessel surface predominate. Synthesis and release of the mediator interleukin-1 by leukemic cells thus defines a new mechanism through which malignant cells can potentially activate the coagulation mechanism.


Assuntos
Coagulação Intravascular Disseminada/etiologia , Interleucina-1/fisiologia , Leucemia/sangue , Doença Aguda , Adulto , Idoso , Endotélio Vascular/citologia , Feminino , Humanos , Leucemia/patologia , Leucócitos/metabolismo , Masculino , Pessoa de Meia-Idade , Células Tumorais Cultivadas , Fator de Necrose Tumoral alfa/farmacologia
8.
Semin Arthritis Rheum ; 32(5): 285-95, 2003 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12701039

RESUMO

OBJECTIVE: To evaluate the coagulative/fibrinolytic cascade and the circulating markers of the endothelial injury in systemic sclerosis (SSc). METHOD: Plasma was obtained from 29 patients with SSc and tested for thrombin-antithrombin (TAT), fragments 1+2 (F1+2), dermatansulphate (DS), thrombomodulin (TM), lipoprotein (a) [Lp(a)], von Willebrand factor (vWF), tissue type plasminogen activator (tPA), plasminogen activator inhibitor (PAI), D-dimers, intercellular adhesion molecole-1 (ICAM-1), vascular cell adhesion molecule (VCAM), and E-selectin. The data were correlated with lung (forced vital capacity, diffusing lung capacity for carbon monoxide, vital capacity) and skin (skin score) involvement. RESULTS: Coagulation was significantly activated (increase in F1+2, P <.001; TAT, P <.01; and Lp(a), P <.05). TM was not significantly different from controls. vWF was significantly increased (P <.01), and its supranormal multimers increased in more than 50% of patients. DS was significantly increased in diffuse cutaneous SSc (P <.01). Fibrinolysis was impaired as shown by reduced D-dimers (P <.01) and decreased levels of PAI (P < 0.01). The markers of endothelial injury were also significantly elevated. DS correlated significantly with forced vital capacity (P <.01) and forced vital capacity ratio (P <.01). CONCLUSION: Injury to the endothelium reduces endothelial function, as suggested by impairment of fibrinolysis and activation of the coagulative pathway. The loss of the balance between fibrinolysis and coagulation contributes to vessel engulfment with fibrin and breakdown of vessel patency. The increase of circulating DS suggests that this factor may be a new marker of endothelial injury.


Assuntos
Coagulação Sanguínea/fisiologia , Fibrinólise/fisiologia , Escleroderma Sistêmico/fisiopatologia , Adulto , Idoso , Biomarcadores/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escleroderma Sistêmico/imunologia , Escleroderma Sistêmico/metabolismo
9.
Bone Marrow Transplant ; 8(3): 171-6, 1991 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1835662

RESUMO

The nature of the graft used for the rescue of patients undergoing autologous bone marrow transplantation is that of a complex mixture of pharmacological agents and cellular debris known to have a number of effects on the haemostatic system. The present study was undertaken to evaluate the occurrence and the degree of haemostatic alterations during and immediately following graft infusion in 24 patients suffering from haematological malignancies. On day 0, before graft infusion, the majority of patients appeared with laboratory signs of enhanced thrombin generation, platelet activation, and endothelial damage, most likely due to the conditioning regimen. However, the graft infusion per se was accompanied in the short term by a further increment of some parameters indicating a thrombotic risk (as thrombin-antithrombin complex, beta-thrombo globulin, platelet factor four, and von Willebrand factor antigen, together with a concomitant prolongation of partial thromboplastin time and a reduction of prothrombin time. In contrast there was no further modification of antithrombin III or protein C levels nor an increase in fibrinopeptide A levels. We hypothesize that complex interactions between agents contained in the graft mixture and host haemostatic system are involved in the pathogenesis of the haemostatic alterations which followed cryopreserved graft infusion; however, in our series, these were not accompanied by clinical signs of thrombotic or haemorrhagic events.


Assuntos
Transplante de Medula Óssea/fisiologia , Criopreservação/métodos , Hemostasia/fisiologia , Antitrombina III/análise , Transplante de Medula Óssea/métodos , Transplante de Medula Óssea/patologia , Endotélio Vascular/patologia , Fibrinopeptídeo A/análise , Humanos , Fator Plaquetário 4/análise , Proteína C/análise , Trombina/metabolismo , Transplante Autólogo , beta-Tromboglobulina/análise , Fator de von Willebrand/análise
10.
Thromb Res ; 61(3): 285-90, 1991 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-1902997

RESUMO

Hemofil M, Monoclate HT, and Monoclate P are high-purity Factor VIII concentrates, obtained from plasma by immunoaffinity chromatography with monoclonal antibodies specific for Factor VIII (Hemofil M) or von Willebrand Factor (Monoclate HT and Monoclate P). The concentrates are subjected to virucidal treatments: a solvent/detergent method (TNBP/Na-cholate) for Hemofil M, heating in the lyophilized state and in solution (pasteurization) for Monoclate HT and Monoclate P, respectively. Since these differences in the manufacturing process might result in different in vivo characteristics of the concentrates, we compared their in vivo behavior in a cross-over, single-dose, pharmacokinetic study performed in 10 non-bleeding patients with severe hemophilia A. The experimental conditions (Factor VIII dose, number and timing of blood sampling, Factor VIII assay methods, calculation of pharmacokinetic parameters) were identical for the three products. The results showed that the clearance, the mean residence time, and the volume of distribution did not differ among the three products.


Assuntos
Fator VIII/farmacocinética , Hemofilia A/metabolismo , Meia-Vida , Humanos , Taxa de Depuração Metabólica , Distribuição Aleatória
11.
Thromb Res ; 56(2): 169-78, 1989 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-2515605

RESUMO

Replacement therapy with clotting factor concentrates may expose the recipients not only to virus contamination but also to continuous stimulation of the immune system by repeated infusions of allogenic proteins. Concentrate purity is now a very important prerequisite to be taken into account in choosing what product can better meet the patient's needs. We compared protein content (albumin, fibrinogen, fibronectin, immunoglobulins) and factor VIII:C/vWF:Ag complex in untreated, treated and monoclonal factor VIII concentrates. Protein content is dramatically decreased in new treated ultrapure concentrates. Improved traditional fractionation methods allowed to obtain very high Factor VIII specific activity. New fractionation methods with immunoaffinity chromatography by means of monoclonal antibodies can give highly pure concentrates even if deliberately added albumin decreases factor VIII specific activity in final formulation. Otherwise monoclonal concentrates show a very high specific activity in terms of fibrinogen and immunoglobulin content, which, unlike albumin, are affecting the immune system in hemophiliacs.


Assuntos
Fator VIII/isolamento & purificação , Anticorpos Monoclonais , Proteínas Sanguíneas/análise , Contaminação de Medicamentos , Fibrinogênio/análise , Fibronectinas/análise , Humanos , Imunoglobulinas/análise , Albumina Sérica/análise , Fator de von Willebrand/análise
12.
Thromb Res ; 71(3): 175-84, 1993 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-8211885

RESUMO

The pharmacokinetic profile, the thrombogenicity and the virus safety of Preconativ, a PCC subjected both to virus removal procedure and dry-heat treatment were studied. Preconativ is produced from plasma pool, negative both for HBsAg and for antibodies to HIV. To further reduce the risk of virus transmission, the manufacturing process includes hydrophobic gel chromatography and dry-heat treatment at +68 degrees C for 48 hours. Nine patients with hemophilia B participated in a single dose, pharmacokinetic study. The decay curves of factor IX clotting activity were evaluated by model-independent methods. The Clearance and the Mean Residence Time were very similar to those previously reported for untreated PCC. The Volume of Distribution Area and In Vivo Recovery resulted inversely correlated and respectively larger and smaller than those of untreated PCC. A slight fall in platelet count and Antithrombin III level and an increase of Beta-Thromboglobulin and Fibrinopeptide A concentration were found, indicating a clear-cut activation of the coagulation process during the first hours following Preconativ administration. Seven patients (2 of the ones enrolled in the pharmacokinetic study) were completely fulfilling the SSC-ISTH criteria for virus safety prospective study. The follow up of these patients did not show any transaminases elevation or seroconversion against HBV, HCV or HIV. These findings did not change over a 3-5 year follow up in 3 out of 7 patients, repeatedly infused with Preconativ.


Assuntos
Fator IX/uso terapêutico , Fator X/uso terapêutico , Hemofilia A/terapia , Protrombina/uso terapêutico , Esterilização/métodos , Adolescente , Adulto , Proteínas Sanguíneas/análise , Cromatografia em Gel , Combinação de Medicamentos , Ativação Enzimática , Fator IX/efeitos adversos , Fator IX/farmacocinética , Fator X/efeitos adversos , Fator X/farmacocinética , Infecções por HIV/prevenção & controle , Hemofilia B/terapia , Hepatite B/prevenção & controle , Hepatite C/prevenção & controle , Temperatura Alta , Humanos , Pessoa de Meia-Idade , Protrombina/efeitos adversos , Protrombina/farmacocinética , Segurança , Trombina/metabolismo
13.
Thromb Res ; 65(6): 699-708, 1992 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-1636162

RESUMO

We assessed the pharmacokinetic characteristics of a new high-purity pasteurized FVIII concentrate in comparison with an intermediate purity pasteurized concentrate, produced by the same manufacturer. The study was designed as a cross-over single-dose pharmacokinetic investigation in 8 non-bleeding patients with severe hemophilia A. All patients were given 25 IU/kg of each of the two concentrates, with an interval of at least one week between the two administrations. Decay curves were assessed by collecting 10 serial blood samples over 36 hours following the end of infusion. The concentration of Factor VIII in blood samples was determined in triplicate in three different laboratories using each of the following assay methods: a one-stage clotting assay, a two-stage clotting assay, and a two-stage chromogenic-peptide substrate assay. All pharmacokinetic parameters were calculated by model-independent methods. The two products were found to differ significantly both in the clearance, which was on average 13.8% lower for Haemate P, and in the in-vivo recovery, which was 11.7% lower for Factor VIII:C P on the average. In comparison with previous pharmacokinetic data obtained from other heated Factor VIII concentrates, the clearance of Haemate P was found to be significantly slower, while the half-life of both products was longer. No differences were observed in the Vd-area. These findings indicate that the purification procedures to which both products are subjected do not increase the in-vivo rate of plasma disappearance of Factor VIII.


Assuntos
Fator VIII/farmacocinética , Adolescente , Adulto , Testes de Coagulação Sanguínea , Compostos Cromogênicos , Hemofilia A/sangue , Temperatura Alta , Humanos , Pessoa de Meia-Idade , Análise Multivariada , Reprodutibilidade dos Testes , Esterilização/métodos
14.
Thromb Res ; 61(4): 385-93, 1991 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-1905848

RESUMO

This study was aimed at assessing the reproducibility of Factor VIII assays between different laboratories using the same reagents. A total of 176 post-dose plasma samples were obtained from 8 Italian subjects with hemophilia-A treated with a single dose of Factor VIII concentrates. Three laboratories (in FRG, Italy, and Sweden) participated in the study. Frozen aliquots of each sample were dispatched to each of the laboratories, where the aliquots were assayed using the same one-stage, two-stage and chromogenic methods. The one-stage and the chromogenic methods were well reproducible between the three centers: pairwise correlation analyses yielded r-values ranging from 0.88 to 0.91 for the one-stage method and from 0.91 to 0.96 for the chromogenic method. The agreement between these two assays was less evident in samples with activity below 200 IU/L in which the one-stage gave, on average, higher Factor VIII concentrations than those provided by the chromogenic method. The two-stage method was not well reproducible, and the pairwise r-values ranged from 0.48 to 0.73. Our study emphasises the need to develop multi-center quality control programs to verify the reproducibility of Factor VIII assays.


Assuntos
Fator VIII/análise , Hemofilia A/sangue , Laboratórios/normas , Adolescente , Adulto , Testes de Coagulação Sanguínea/normas , Compostos Cromogênicos , Fator VIII/administração & dosagem , Fator VIII/uso terapêutico , Hemofilia A/tratamento farmacológico , Humanos , Pessoa de Meia-Idade , Análise Multivariada , Reprodutibilidade dos Testes
15.
Clin Cardiol ; 12(5): 255-8, 1989 May.
Artigo em Inglês | MEDLINE | ID: mdl-2721039

RESUMO

A regularly scheduled physical training program seems to have antithrombotic effects. Moreover, the hemostatic changes occurring in patients with coronary artery disease during acute exercise have not been clearly elucidated. Since stress testing is routinely performed in clinical cardiology, it would be helpful to assess whether patients with coronary artery disease are exposed to acute coronary thrombosis during or soon after sustained physical exercise. This study was designed to evaluate the effect of acute physical exercise (stress test by bicycle ergometer) on blood coagulation in a group of patients with previous myocardial infarction, and to determine whether the antithrombotic therapy commonly administered favorably influences hemostatic equilibrium. Our results suggest that exercise testing is not harmful to patients with previous myocardial infarction in regard to hemostasis and fibrinolysis and that antithrombotic therapy reduces postexercise increase in platelets.


Assuntos
Coagulação Sanguínea , Teste de Esforço , Infarto do Miocárdio/sangue , Idoso , Anticoagulantes/farmacologia , Anticoagulantes/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/tratamento farmacológico
16.
Int J Artif Organs ; 15(10): 590-4, 1992 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1428206

RESUMO

In a crossover study conducted with eight uremic patients maintained on hemodialysis, the Authors compared the effects of heparin (100 IU/kg at the start of dialysis) and defibrotide (400 mg at the start, repeated at 2 hours of ongoing dialysis) on the parameters of blood coagulation (VIII:C, AT III, TAT, PC antigen and activity, PS, and FPA), each being assessed before dialysis and at 2, 3 and 4 hours of the ongoing procedure. Heparin-assisted dialysis resulted in a significant rise of VIII:C and AT III; with defibrotide, instead, there was evidence of thrombin activation (increased FPA and TAT). PC levels were raised with both dialysis modalities; however, PC activity and PS levels were increased only in defibrotide-assisted dialysis. There were no adverse reactions or evidence of fibrin formation. These results confirm the antithrombotic activity of defibrotide in the course of dialysis and indicate that this action is independent of thrombin neutralization.


Assuntos
Coagulação Sanguínea/efeitos dos fármacos , Fibrinolíticos/farmacologia , Polidesoxirribonucleotídeos/farmacologia , Diálise Renal/métodos , Antitrombina III/análise , Fator VIII/análise , Fibrinopeptídeo A/análise , Heparina/farmacologia , Humanos , Peptídeo Hidrolases/análise , Proteína C/análise , Proteína S/análise
17.
Int J Artif Organs ; 12(12): 749-54, 1989 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-2613355

RESUMO

Defibrotide, a partially depolymerized DNA fraction obtained from mammalian lung, was found to have significant antithrombotic and fibrinolytic activities. On the basis of this evidence defibrotide could be of clinical value during hemoperfusive treatment. The present study was designed to evaluate the biological tolerance of this technique in a model of extracorporeal circulation, using an original Silastic apparatus, with defibrotide (0.83 mg/kg-1/min-1 after a 50 mg/kg-1 bolus injection) and heparin (0.66 IU/kg-1/min-1 after a 400 IU/kg-1 bolus injection) in ten rabbits (Group 1) and heparin only in ten others (Group 2, control group). In this study defibrotide produced a significantly lower pressure inside the circuit compared to the control group and gave a protective effect against those pathological changes which appeared during extracorporeal circulation and that may be considered omens of a state of shock. However the use of defibrotide in addition to heparin seemed to have a poor effect on platelet and leukocyte count alterations during application of this technique.


Assuntos
Fibrinolíticos/uso terapêutico , Hemoperfusão , Polidesoxirribonucleotídeos/uso terapêutico , Animais , Pressão Sanguínea/efeitos dos fármacos , Feminino , Heparina/uso terapêutico , Contagem de Leucócitos/efeitos dos fármacos , Contagem de Plaquetas/efeitos dos fármacos , Coelhos , Elastômeros de Silicone
18.
New Microbiol ; 25(2): 231-4, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12019730

RESUMO

Several non-human primate species are used as laboratory animals for research purposes. Non human primates represent a potential hazard for laboratory animal handlers as they exceed all other species in importance as potentiators of disease in laboratory personnel (Quist K.D., 1972). Hepatitis viruses cause some of the prevalent diseases in man which constitute an important public health problem. The first outbreak of the infection was related to non human primates and occurred in 1958-1960 in USA, with more then 200 human cases. Chimpanzee is the main species that has been implicated but others have also been involved. We report a case of seropositivity to HCV antigens in Macaca fascicularis using a third generation RIBA assay. The nature of reactivity of the positive samples could not be resolved as no animal in the breeder colony had been exposed to an HCV source. Furthermore, Macaca spp. did not appear to be a susceptible species in previous studies.


Assuntos
Hepacivirus/imunologia , Anticorpos Anti-Hepatite/análise , Antígenos da Hepatite C/análise , Hepatite C/veterinária , Macaca fascicularis , Doenças dos Macacos/virologia , Animais , Modelos Animais de Doenças , Hepatite C/imunologia
19.
Vet Rec ; 147(22): 627-9, 2000 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-11128076

RESUMO

The viscosity of the mucus, its DNA concentration and the size range of the DNA were determined on tracheobronchial samples from 11 horses with lower airway diseases before and after incubation with recombinant human deoxyribonuclease (rhDNase). The horses were divided into two groups on the basis of the cytology of the samples: group A (five horses) with more than 60 per cent neutrophils and group B (six horses) with fewer than 50 per cent neutrophils. The mean mucus viscosity and DNA concentration in the preincubation samples were significantly higher in group A than in group B, and there was a correlation between DNA concentration and mucus viscosity in the preincubation samples from group A. Incubation with rhDNase significantly reduced the viscosity of the samples only in group A.


Assuntos
Bronquite/veterinária , Desoxirribonucleases/farmacologia , Doenças dos Cavalos/metabolismo , Muco/efeitos dos fármacos , Mucosa Respiratória/efeitos dos fármacos , Animais , Bronquite/genética , Bronquite/metabolismo , Contagem de Células/veterinária , DNA/análise , Eletroforese em Gel de Ágar , Feminino , Cavalos , Humanos , Modelos Lineares , Masculino , Muco/citologia , Mucosa Respiratória/citologia , Viscosidade
20.
Transbound Emerg Dis ; 61(4): 334-40, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23331342

RESUMO

In this study, we undertook the genomic characterization of 54 pseudorabies virus (PRV) strains isolated in Italy during 1984-2010. The characterization was based on partial sequencing of the UL44 (gC) and US8 (gE) genes; 44 strains (38 for gene gE and 36 for gC) were isolated on pig farms; 9 originated from dogs and 1 from cattle. These porcine PRV strains, which were closely related to those isolated in Europe and America in the last 20 years, and the bovine strain bovine/It/2441/1992 belong to cluster B in both phylogenetic trees. Six porcine strains that do not belong to cluster B are related in both gE and gC phylogenetic trees to the 'old' porcine PRV strains isolated in the 1970s and 1980s. In the last two decades, the presence of these strains in domestic pig populations has been reduced drastically, whereas they are prevalent in wild boar. The two remaining strains have an interesting genomic profile, characterized by the gC gene being closely related to the old porcine PRV strains, and the gE gene being similar to that of recently isolated strains. Three strains originating from working dogs on pig farms are located in cluster B in both phylogenetic trees. Five strains isolated from hunting dogs have a high degree of correlation with PRV strains circulating in wild boar. The last isolate has a gC gene similar to that in the two porcine strains mentioned previously, and the gE gene is correlated with the strains isolated from hunting dogs. These results provide interesting insight into the genomic characterization of PRV strains and reveal a clear differentiation between the strains isolated from hunting dogs that are related to the wild boar strains and those originating from domestic pigs.


Assuntos
Genômica , Herpesvirus Suídeo 1/genética , Pseudorraiva/virologia , Sequência de Aminoácidos , Animais , Sequência de Bases , Bovinos , Doenças dos Bovinos/epidemiologia , Doenças dos Bovinos/virologia , Doenças do Cão/epidemiologia , Doenças do Cão/virologia , Cães , Herpesvirus Suídeo 1/classificação , Itália/epidemiologia , Dados de Sequência Molecular , Filogenia , Pseudorraiva/epidemiologia , Alinhamento de Sequência/veterinária , Sus scrofa , Suínos , Doenças dos Suínos/epidemiologia , Doenças dos Suínos/virologia , Proteínas do Envelope Viral/genética
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA