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1.
Heart Vessels ; 39(6): 563-570, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38381171

RESUMO

Cardiovascular diseases (CVD) are the leading cause of death globally. In recent years, follistatin-like protein 1 (FSTL1) has been proposed as an emerging potential clinical biomarker of CVD, since its concentration is upregulated in heart failure. The aim of the present study was to evaluate the association of FSTL1 levels and classic biomarkers with the risk of CVD in Mexican population. A case-control study was carried out in patients with cardiovascular diseases (CVD), arterial hypertension, but not CVD (cardiovascular risk factor-CRF), and healthy controls (control group) from the Mexican Institute of Social Security. Lipid profile, homocysteine (Hcys), serum amyloid A (SAA), FSTL1 concentration, PON1 concentration and activities [Arylesterase (ARE), and Lactonase (LAC)] were evaluated. High levels of FSTL1 were found in the CRF group and a positive association of FSTL1 (OR = 4.55; 95% CI 1.29-16.04, p = 0.02) with the presence of arterial hypertension, as well as Hcys (OR, 3.09; 95% CI 1.23-7.76, p = 0.02) and SAA (OR, 1.03; 95% CI 1.01-1.05, p < 0.01) with the presence of CVD. LAC activity (OR, 0.26; 95% CI 0.07-0.94, p = 0.04) and PON1 concentration (OR, 0.17; 95% CI 0.05-0.62, p = 0.01) were associated with a decrease in OR belonging to the group with CVD. Our results suggest that FSTL1 may be a useful biomarker for monitoring cardiovascular risk in clinical settings. However, longitudinal studies are needed to evaluate how FSTL1 could influence the association of PON1 activity and Hcys with CVD.


Assuntos
Biomarcadores , Doenças Cardiovasculares , Proteínas Relacionadas à Folistatina , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Arildialquilfosfatase/sangue , Biomarcadores/sangue , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/sangue , Estudos de Casos e Controles , Proteínas Relacionadas à Folistatina/sangue , Hipertensão/epidemiologia , Hipertensão/sangue , Hipertensão/diagnóstico , México/epidemiologia , Medição de Risco/métodos , Fatores de Risco
2.
Exp Parasitol ; 248: 108512, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36965594

RESUMO

To contribute of the knowledge of the immune mechanisms underlying the response to the immunization of goats with thiol-binding proteins fractions (PBS-TSBP) from Haemonchus contortus (H. contortus) adult worms, this study analyzed the degree of protection and the immune responses developed against the parasite after vaccination with this antigenic complex during the time-elapsing between challenge with L3 of the parasite and the development of adult worms, evidenced by the appearance of first faecal eggs (prepatent period or prepatency). Goat kids immunized with PBS-TBSP generated an immune response during the prepatency which translates into a reduction in the number of worms, as well as a lower reduction on packed cell volume and plasma protein levels in relation to the non-vaccinated animals. As previously described in other studies carried out after the prepatent period, this protection was associated with a systemic humoral response. At the local level, a specific humoral response was also observed, together with an immune-inflammatory infiltrate in the gastric mucosa of MCH-II + cells and CD4+ lymphocytes, whose number was associated with a reduction in the number of worms and an increase in plasma proteins. A high peripheral eosinophilia was detected, but no corresponding increased infiltration of the gastric mucosa by eosinophils or globular leukocytes was observed. In agreement with previous data on the immunolocalization of the antigens used here, the results obtained contribute to the idea that these may be excretion/secretion (E/S) products necessary for parasite survival, whose inactivation during the larval and/or pre-adult stages may have contributed to immunoprotection.


Assuntos
Doenças das Cabras , Hemoncose , Haemonchus , Animais , Cabras , Imunização , Vacinação/veterinária , Eosinófilos , Fezes/parasitologia , Hemoncose/prevenção & controle , Hemoncose/veterinária , Contagem de Ovos de Parasitas/veterinária , Doenças das Cabras/parasitologia
3.
Int J Environ Health Res ; 32(10): 2271-2285, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34348544

RESUMO

Mycotoxins have several toxicological implications. In the present study, we evaluate the presence of aflatoxin B1 (AFB1), ochratoxin A (OTA), and fumonisin (FB1) in paddy rice, polished rice, and maize from the fields and markets in Nayarit State (Mexico). The results indicated the presence of AFB1 in 21.21% of paddy rice samples and 11.11% of market maize samples. OTA was present in only 3.03% (one sample) of paddy rice samples. FB1 was detected in 87.50% and 88.88% of maize samples from field and market, respectively. The estimated human exposure was calculated for FB1 using the probable daily intake (PDI), which suggested that FB1 could contribute to the development of diseases through the consumption of contaminated maize. Positive samples indicated that some rice and maize samples were not suitable for human consumption. Further efforts are needed to continue monitoring mycotoxins and update national legislation on mycotoxins accordingly.


Assuntos
Fumonisinas , Micotoxinas , Oryza , Aflatoxina B1/análise , Grão Comestível/química , Contaminação de Alimentos/análise , Fumonisinas/análise , Humanos , México , Micotoxinas/análise , Zea mays
4.
Lupus ; 29(4): 371-378, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32041505

RESUMO

Angiotensin II type 1 receptor agonist antibodies (AT1R-AAs) have been associated with hypertension, atherosclerosis and vascular inflammation in human diseases. The aim of the study was to evaluate the prevalence of AT1R-AAs in active lupus nephritis (LN) patients and their association with vascular damage. One hundred and seven active LN patients underwent a complete clinical examination, measurement of AT1R-AAs, ambulatory blood pressure monitoring, carotid intima-media thickness measurement and morphometric analysis of subintimal fibrosis and medial hyperplasia of the vessels in the kidney tissue. Plasma AT1R-AAs were positive in 58 (54.2%) patients. The Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score, complement C3 and C4 levels and titers of anti-dsDNA antibodies were higher in the group with positive AT1R-AAs compared with those with negative AT1R-AAs. The AT1R-AA titers correlated with anti-dsDNA antibody titers and with complement C3 and C4 serum levels. In the kidney biopsy, the percentage of subintimal fibrosis and the area of medial hyperplasia were greater in the AT1R-AA-positive patients. No differences in arterial pressure, carotid intima-media thickness and response to therapy were detected. In conclusion, AT1R-AAs are prevalent in active LN patients and are associated with histologic features of microvascular damage.


Assuntos
Autoanticorpos/sangue , Rim/irrigação sanguínea , Nefrite Lúpica/imunologia , Receptor Tipo 1 de Angiotensina/agonistas , Adulto , Anticorpos Antinucleares/sangue , Monitorização Ambulatorial da Pressão Arterial/métodos , Espessura Intima-Media Carotídea , Estudos de Casos e Controles , Complemento C3/análise , Complemento C4/análise , Feminino , Fibrose/patologia , Humanos , Hiperplasia/patologia , Imunossupressores/uso terapêutico , Rim/patologia , Nefrite Lúpica/tratamento farmacológico , Nefrite Lúpica/patologia , Masculino , Microvasos/patologia , Prevalência
5.
Exp Lung Res ; 44(2): 113-126, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29565741

RESUMO

Tuberculosis (TB) has been declared the first cause of death by an infectious agent. Annually, 10.4 million people suffer active TB. Most infected individuals live in low-income countries, where social and economic conditions enhance the dissemination and progression of the disease. These countries have a high percentage of smokers. Thousands of studies have linked cigarette smoke (CS) with increased risk of many diseases, such as cancer and lung diseases. Numerous in vitro studies have been conducted to evaluate the general and specific toxic effects of CS in lung immune function. Smoke exposure increases the risk of TB development three-fold. However, until now, only few animal studies have been performed to analyze the association between smoke and TB. In the present work, we review in vitro and in vivo studies whose aim was to analyze the molecular basis of TB susceptibility caused by exposure to CS.


Assuntos
Poluição por Fumaça de Tabaco/efeitos adversos , Tuberculose/etiologia , Animais , Fumar Cigarros/efeitos adversos , Humanos
6.
J Acoust Soc Am ; 144(1): 222, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30075687

RESUMO

Experimental data on ultrasonic atomization of distilled water in a frequency range from 5 to 50 kHz are presented. A good agreement was found with the predictions of Rajan and Pandit [Ultrasonics 39, 235-255 (2001)] for the atomized primary drop size as a function of frequency. The correlation of atomization drop size for different frequencies is useful when producing nanoparticles, spray drying of suspensions, and covering of surfaces using different liquid products. Determining the displacement amplitude threshold for atomization at different frequencies is valuable in designing ultrasonic atomization systems. It is essential to measure the displacement amplitude of the atomizing surface rather that power applied to the transducer because the former is absolute while the latter depends on the efficiency of the transducer and other design parameters. As previous predictions for atomization threshold proved inaccurate, an empirical expression is proposed (based on the authors' measurements) to predict the amplitude atomization threshold for the studied frequency range.

7.
Nanotechnology ; 27(27): 275702, 2016 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-27232390

RESUMO

High surface area graphene sheets were obtained by electrochemical exfoliation of graphite in an acid medium under constant potential conditions. Filtration and centrifugation processes played an important role in order to obtain stable dispersions in water. Scanning electron microscopy and transmission electron microscopy imaging revealed highly exfoliated crystalline samples of ∼5 µm. Raman, Fourier transform infrared and x-ray photoelectron spectroscopy further confirmed the high quality of the exfoliated material. The electrochemically exfoliated graphene (EEG) was decorated with gold nanoparticles (AuNPs) using sodium cholate as a buffer layer. This approach allowed for a non-covalent functionalization without altering the desirable electronic properties of the EEG. The AuNP-EEG samples were characterized with various techniques including absorbance and fluorescence spectroscopy. These samples displayed a fluorescence signal using an excitation wavelength of 290 nm. The calculated quantum yield (Φ) for these samples was 40.04%, a high efficiency compared to previous studies using solution processable graphene.

8.
Immunol Invest ; 45(5): 450-70, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27245510

RESUMO

The central dogma of gene therapy relies on the application of novel therapeutic genes to treat or prevent diseases. The main types of vectors used for gene transfer are adenovirus, retrovirus, lentivirus, liposome, and adeno-associated virus vectors. Gene therapy has emerged as a promising alternative for the treatment of inflammatory diseases. The main targets are cytokines, co-stimulatory molecules, and different types of cells from hematological and mesenchymal sources. In this review, we focus on molecules with anti-inflammatory effects used for in vivo gene therapy mediated by adenoviral gene transfer in the treatment of immune-mediated inflammatory diseases, with particular emphasis on autoinflammatory and autoimmune diseases.


Assuntos
Adenoviridae/imunologia , Anti-Inflamatórios/uso terapêutico , Doenças Autoimunes/terapia , Modelos Animais de Doenças , Terapia Genética/métodos , Vetores Genéticos , Inflamação/terapia , Animais , Doenças Autoimunes/imunologia , Produtos Biológicos/uso terapêutico , Inflamação/imunologia , Camundongos , Coelhos , Ratos
9.
J Appl Microbiol ; 121(6): 1485-1497, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27718305

RESUMO

An adequate and effective tuberculosis (TB) diagnosis system has been identified by the World Health Organization as a priority in the fight against this disease. Over the years, several methods have been developed to identify the bacillus, but bacterial culture remains one of the most affordable methods for most countries. For rapid and accurate identification, however, it is more feasible to implement molecular techniques, taking advantage of the availability of public databases containing protein sequences. Mass spectrometry (MS) has become an interesting technique for the identification of TB. Here, we review some of the most widely employed methods for identifying Mycobacterium tuberculosis and present an update on MS applied for the identification of mycobacterial species.


Assuntos
Espectrometria de Massas , Mycobacterium tuberculosis/isolamento & purificação , Biomarcadores/análise , Humanos , Tuberculose/diagnóstico , Tuberculose/microbiologia
10.
Microrna ; 2024 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-38204280

RESUMO

INTRODUCTION: Numerous genetic and biological processes have been linked to the func-tion of microRNAs (miRNAs), which regulate gene expression by targeting messenger RNA (mRNA). It is commonly acknowledged that miRNAs play a role in the development of disease and the embryology of mammals. METHOD: To further understand its function in the oncogenic process, the expression of the miRNA profile in cancer has been investigated. Despite being referred to as a noteworthy miRNA in cancer, it is unknown whether hsa-miR-1225-5p plays a part in the in vitro progression of the luminal A and luminal B subtypes of breast cancer. We proposed that a synthetic hsa-miR-1225-5p molecule be expressed in breast cancer cell lines and its activity be evaluated with the aim of studying its function in the development of luminal breast cancer. In terms of the typical cancer progression stages, such as proliferation, survival, migration, and invasion, we investigated the role of hsa-miR-1225-5p in luminal A and B breast cancer cell lines. RESULTS: Additionally, using bioinformatics databases, we thoroughly explored the target score-based prediction of miRNA-mRNA interaction. Our study showed that the expression of miR-1225-5p significantly inhibited the in vitro growth of luminal A and B breast cancer cell lines. CONCLUSION: The results were supported by a bioinformatic analysis and a detailed gene network that boosts the activation of signaling pathways required for cancer progression.

11.
Phytother Res ; 27(5): 721-4, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-22807273

RESUMO

In order to investigate the potential use of Boldoa purpurascens against diabetes, the antihyperglycemic effect of an ethanol extract obtained from its leaves was evaluated at doses of 50, 100 and 200 mg/kg in rats after induction of hyperglycemia by alloxan. Insulin 5 IU/kg was used as positive control and NaCl 0.9% as negative control. A similar experiment was performed with the aqueous extract used at doses of 50 and 100 mg/kg using metformin at a dose of 50mg/kg as positive control. Statistical analysis was carried using the Kruskal-Wallis test with an interval of trust of 99%. The ethanolic and aqueous extract of B. purpurascens showed a significant decrease of blood glucose levels 72 h after administration. Phytochemical analysis of the ethanol extract showed the presence of D-pinitol, a compound known for its hypoglycemic properties. In conclusion, ethanolic as well as aqueous extracts of B. purpurascens leaves show antihyperglycemic activity, possibly due to the presence of D-pinitol and flavonoids.


Assuntos
Diabetes Mellitus Experimental/tratamento farmacológico , Hipoglicemiantes/farmacologia , Nyctaginaceae/química , Extratos Vegetais/farmacologia , Animais , Glicemia/análise , Inositol/análogos & derivados , Inositol/química , Inositol/farmacologia , Masculino , Metformina/uso terapêutico , Extratos Vegetais/química , Folhas de Planta/química , Ratos , Ratos Wistar
12.
Natl Med J India ; 26(4): 216-7, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24758445

RESUMO

Cryptococcosis is a common opportunistic systemic disease in immunocompromised patients. Pulmonary or brain cryptococcosis is the most common clinical presentation. Immunocompetent patients can also be affected, especially in tropical and subtropical zones where the life cycle of the causal agent, Cryptococcus gattii, is completed. We present a previously healthy man with progressive intracranial hypertension and a right paraventricular mass on CT scan and MRI. Cryptococcus gattii yeasts were isolated from the cerebrospinal fluid. A ventriculoperitoneal shunt was placed and the patient was treated with amphotericin B, fluconazole and dexamethasone. The patient died due to severe intracranial hypertension.


Assuntos
Cryptococcus gattii , Hipertensão Intracraniana/microbiologia , Meningite Criptocócica/diagnóstico , Adulto , Evolução Fatal , Humanos , Imunocompetência , Hipertensão Intracraniana/cirurgia , Imageamento por Ressonância Magnética , Masculino , Meningite Criptocócica/complicações , Meningite Criptocócica/tratamento farmacológico , Tomografia Computadorizada por Raios X , Derivação Ventriculoperitoneal
13.
Ultrason Sonochem ; 101: 106705, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38029567

RESUMO

The acoustic levitation of a drop is a complex process that needs a high-intensity non-linear acoustic field; the sound pressure level has to be sufficient to raise the drop but not too large to avoid its atomization, limiting the maximum size of a levitated drop. In this paper, we present an experimental study of big drops levitation with a volume up to 166±2µl and with an effective diameter 6.82±0.03mm, figures one magnitude order larger than the maximum drop volume reported in the literature. Our acoustic levitator produces an acoustic field with a different shape than the field produced by a typical levitator. Our measurements and simulations of the acoustic field and drop dynamics suggest that the levitation of big drops is possible because the distribution of radiation pressure over the drop surface in our system differs from that in a typical acoustic levitator; its maximum value appears on the top surface of the drop and not in its equator. In addition, we determined the upper and lower limits of sound pressure necessary for the levitation of drops of various sizes that allow our system.

14.
Opt Express ; 20(10): 10750-60, 2012 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-22565699

RESUMO

We experimentally and numerically investigated the impact of input pump pulse duration on the near-infrared bandwidth of supercontinuum generation in a photonic crystal fiber. We continuously stretched the temporal duration of the input pump laser (centered at 1030 nm) pulses from 500 fs up to 10 ps, while keeping fixed the pump peak power. We observed that the long-wavelength edge of the supercontinuum spectrum is increased by 200 nm as the pump pulse duration grows from 500 fs to 10 ps. We provide a quantitative fit of the experimental results by means of numerical simulations. Moreover, we have explained the observed spectral broadening enhancement induced by pump pulse energy by developing an approximate yet fully analytical model for soliton energy exchange through a series of collisions in the presence of stimulated Raman scattering.


Assuntos
Espectroscopia de Luz Próxima ao Infravermelho , Análise Espectral Raman/métodos , Cristalização , Desenho de Equipamento , Tecnologia de Fibra Óptica , Raios Infravermelhos , Lasers , Modelos Estatísticos , Fibras Ópticas , Fótons , Espalhamento de Radiação , Fatores de Tempo
15.
Med Intensiva ; 36(6): 434-44, 2012.
Artigo em Espanhol | MEDLINE | ID: mdl-22743144

RESUMO

The pulmonary artery catheter has been a key tool for monitoring hemodynamic status in the intensive care unit for nearly 40 years. During this period of time, it has been the hemodynamic monitoring technique most commonly used for the diagnosis of many clinical situations, allowing clinicians to understand the underlying cardiovascular physiopathology, and helping to guide treatment interventions. However, in recent years, the usefulness of pulmonary artery catheterization has been questioned. Technological advances have introduced new and less invasive hemodynamic monitoring techniques. This review provides a systematic update on the hemodynamic variables offered by cardiac output monitoring devices, taking into consideration their clinical usefulness and their inherent limitations, with a view to using the supplied information in an efficient way.


Assuntos
Cuidados Críticos/métodos , Hemodinâmica , Monitorização Fisiológica/métodos , Velocidade do Fluxo Sanguíneo , Cardiografia de Impedância , Cateterismo Venoso Central , Cateterismo de Swan-Ganz , Ecocardiografia Doppler , Ecocardiografia Transesofagiana , Humanos , Cloreto de Lítio/sangue , Cloreto de Lítio/farmacocinética , Oximetria , Oxigênio/sangue , Pressão Propulsora Pulmonar , Termodiluição/instrumentação , Dispositivos de Acesso Vascular
16.
PLoS One ; 17(9): e0275220, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36174027

RESUMO

The acquisition of sensory information about the world is a dynamic and interactive experience, yet the majority of sensory research focuses on perception without action and is conducted with participants who are passive observers with very limited control over their environment. This approach allows for highly controlled, repeatable experiments and has led to major advances in our understanding of basic sensory processing. Typical human perceptual experiences, however, are far more complex than conventional action-perception experiments and often involve bi-directional interactions between perception and action. Innovations in virtual reality (VR) technology offer an approach to close this notable disconnect between perceptual experiences and experiments. VR experiments can be conducted with a high level of empirical control while also allowing for movement and agency as well as controlled naturalistic environments. New VR technology also permits tracking of fine hand movements, allowing for seamless empirical integration of perception and action. Here, we used VR to assess how multisensory information and cognitive demands affect hand movements while reaching for virtual targets. First, we manipulated the visibility of the reaching hand to uncouple vision and proprioception in a task measuring accuracy while reaching toward a virtual target (n = 20, healthy young adults). The results, which as expected revealed multisensory facilitation, provided a rapid and a highly sensitive measure of isolated proprioceptive accuracy. In the second experiment, we presented the virtual target only briefly and showed that VR can be used as an efficient and robust measurement of spatial memory (n = 18, healthy young adults). Finally, to assess the feasibility of using VR to study perception and action in populations with physical disabilities, we showed that the results from the visual-proprioceptive task generalize to two patients with recent cerebellar stroke. Overall, we show that VR coupled with hand-tracking offers an efficient and adaptable way to study human perception and action.


Assuntos
Acidente Vascular Cerebral , Realidade Virtual , Mãos , Humanos , Propriocepção , Extremidade Superior , Adulto Jovem
17.
Micron ; 154: 103201, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34998137

RESUMO

Calcium oxalate crystals were observed on the leaf epidermis of Agave potatorum surrounding the stomatal complex. Their morphology corresponded to the styloid type, and the chemical composition using EDS spectrum confirms calcium oxalate. A significantly higher abundance of crystals was observed on the adaxial leaf side in comparison with the abaxial side (p < 0.05). Crystals grew up in bundles in a range of 6-8 elements into idioblasts. A light microscope reveals that these crystals reflect part of the incident light. Cuticle from the abaxial leaf side was thicker and had a special structure formed by six papillae surrounding a larger central papilla, which was observed as star-like. This could be related to the evolutionary adaptation of this Agave species to drought stress conditions.


Assuntos
Agave , Fotossíntese , Epiderme , Folhas de Planta
18.
Biomed Pharmacother ; 149: 112872, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35364381

RESUMO

INTRODUCTION: Identifying effective drugs for Coronavirus disease 2019 (COVID-19) is urgently needed. An efficient approach is to evaluate whether existing approved drugs have anti-SARS-CoV-2 effects. The antiviral properties of lithium salts have been studied for many years. Their anti-inflammatory and immune-potentiating effects result from the inhibition of glycogen synthase kinase-3. AIMS: To obtain pre-clinical evidence on the safety and therapeutic effects of lithium salts in the treatment of COVID-19. RESULTS: Six different concentrations of lithium, ranging 2-12 mmol/L, were evaluated. Lithium inhibited the replication of SARS-CoV-2 virus in a dose-dependent manner with an IC50 value of 4 mmol/L. Lithium-treated wells showed a significantly higher percentage of monolayer conservation than viral control, particularly at concentrations higher than 6 mmol/L, verified through microscopic observation, the neutral red assay, and the determination of N protein in the supernatants of treated wells. Hamsters treated with lithium showed less intense disease with fewer signs. No lithium-related mortality or overt signs of toxicity were observed during the experiment. A trend of decreasing viral load in nasopharyngeal swabs and lungs was observed in treated hamsters compared to controls. CONCLUSIONS: These results provide pre-clinical evidence of the antiviral and immunotherapeutic effects of lithium against SARS-CoV-2, which supports an advance to clinical trials on COVID-19's patients.


Assuntos
Tratamento Farmacológico da COVID-19 , Animais , Antivirais/farmacologia , Antivirais/uso terapêutico , Cricetinae , Humanos , Lítio , SARS-CoV-2 , Sais
19.
Rev Neurol ; 74(10): 340-342, 2022 05 16.
Artigo em Espanhol | MEDLINE | ID: mdl-35548915

RESUMO

INTRODUCTION: Relapsing-remitting multiple sclerosis (RRMS) treatment has significantly changed in recent years because of the discovery of new molecules that have shown efficacy as maintenance treatment. However, the classical treatment for acute attacks is based on corticosteroids administration, being the periodical plasmapheresis the alternative treatment in the case of refractory patients. We introduce a case of relapsing-remitting multiple sclerosis treated with a classical acute attacks therapy: plasmapheresis. CASE REPORT: The case of a 39-year-old patient who was diagnosed with relapsing-remitting multiple sclerosis, postpartum debut and aggresive course, who, after suboptimal response to disease modifying therapies (alemtuzumab and ocrelizumab), receives combination treatment with outpatient periodic plasmapheresis every 3 weeks as maintenance therapy. Good tolerance and response. Clinical stability with this treatment. She has not required new hospital admissions for acute attacks of multiple sclerosis from February 2020 to March 2021. CONCLUSION: Although more specific studies are needed, this case provides information on a potential new maintenance treatment for patients with relapsing-remitting multiple sclerosis refractory to disease-modifying drug therapies.


TITLE: Plasmaféresis periódica como tratamiento de mantenimiento en la esclerosis múltiple remitente-recurrente, ¿nueva línea terapéutica? A propósito de un caso.Introducción. El tratamiento de la esclerosis múltiple remitente-recurrente ha evolucionado significativamente en los últimos años con el descubrimiento de nuevas moléculas eficaces como tratamiento de mantenimiento. Por otro lado, el tratamiento de los brotes de esta enfermedad se basa clásicamente en corticoides, y en los casos refractarios a esta terapia se utiliza plasmaféresis. Presentamos un caso de esclerosis múltiple remitente-recurrente tratada periódicamente con una terapia que se ha utilizado clásicamente para los brotes: plasmaféresis. Caso clínico. Mujer de 39 años con esclerosis múltiple remitente-recurrente de inicio en el posparto, gran carga lesional y curso agresivo, en quien, ante una respuesta subóptima a terapias modificadoras de la enfermedad (alemtuzumab y ocrelizumab), se decide iniciar un tratamiento combinado junto con plasmaféresis periódicas ambulatorias cada tres semanas como tratamiento de mantenimiento. Se constata una buena tolerancia a esta terapia y evolución, y se produce estabilidad clínica. No ha requerido nuevos ingresos hospitalarios por brotes desde febrero de 2020 a marzo de 2021. Conclusión. Aunque es necesario que se realicen más estudios, este caso ofrece información sobre un potencial tratamiento de mantenimiento para pacientes con esclerosis múltiple remitente-recurrente refractaria a terapias con fármacos modificadores de la enfermedad.


Assuntos
Esclerose Múltipla Recidivante-Remitente , Esclerose Múltipla , Adulto , Alemtuzumab/uso terapêutico , Feminino , Humanos , Esclerose Múltipla Recidivante-Remitente/tratamento farmacológico , Plasmaferese
20.
Regul Toxicol Pharmacol ; 59(1): 184-90, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20946931

RESUMO

During the last decades, efforts are being made to develop microbial insecticides as biological control agents. Bacillus thuringiensis has been one of the most consistent and significant biopesticides for using on crops as an insecticidal spray. The aim of this study was to assess and to compare the pathogenicity of a new formulation of B.thuringiensis var israelensis SH-14 in rats through oral, intranasal and intravenous single dosing. Through 21 days after administration, clinical examinations were performed daily, and body weight gain was evaluated. Clearance was estimated by means of collection of feces or examination of lungs and blood, and infectivity was evaluated enumerating microorganisms from organs of Bti SH-14 treated animals sacrificed at intervals. Gross necropsy of animals was performed at interim or final sacrifice. There were no treatment-related mortalities, and no evidence of pathogenicity or treatment related toxicity, although in the intravenous study, the microorganism was capable of achieving persistence in organs after administration, and the Bti SH-14 treated animals developed skin ulcerations and hemorrhages at the injection site. It could be concluded that the tested microorganism was not toxic or pathogenic to rats via oral or intranasal route, although it was capable of achieving persistence in organs after intravenous administration, eliciting local effects at the injection site.


Assuntos
Bacillus thuringiensis/patogenicidade , Controle Biológico de Vetores/métodos , Testes de Toxicidade Aguda , Administração por Inalação , Administração Oral , Animais , Bacillus thuringiensis/crescimento & desenvolvimento , Sangue/microbiologia , Peso Corporal , Encéfalo/microbiologia , Contagem de Colônia Microbiana , Fezes/microbiologia , Feminino , Injeções Intravenosas , Masculino , Ratos , Ratos Sprague-Dawley , Medição de Risco , Pele/microbiologia , Pele/patologia , Fatores de Tempo , Vísceras/microbiologia
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