Selection of Annonaceae Species for the Control of Spodoptera frugiperda (Lepidoptera: Noctuidae) and Metabolic Profiling of Duguetia lanceolata Using Nuclear Magnetic Resonance Spectroscopy.

This study was performed to investigate the activity of 19 dichloromethane-soluble fractions obtained from the methanolic extracts of 10 Annonaceae species against the fall armyworm, Spodoptera frugiperda (J. E. Smith). The stem bark of Duguetia lanceolata A. St.-Hil. showed the highest insecticidal activity, with a median lethal time (LT50) of 61.4 h and a median lethal concentration (LC50) of 946.5 µg/ml of diet. The dichloromethane-soluble fractions from six D. lanceolata specimens were subjected to evaluation of their activities against S. frugiperda and metabolomic analysis using hydrogen (1H) nuclear magnetic resonance (NMR) spectroscopy. Although all of the samples affected S. frugiperda mortality, their insecticidal activities varied according to the sample used in the experiments. Using partial least squares regression of the results, the D. lanceolata specimens were grouped according to their metabolite profile and insecticidal activity. A detailed analysis via uni- and bidimensional NMR spectroscopy showed that the peaks in the 1H NMR spectra associated with increased insecticidal activity could be attributed to 2,4,5-trimethoxystyrene, which suggests that this substance is involved in the insecticidal activity of the stem bark fraction of D. lanceolata.

First Report of Curvularia eragrostidis Causing Postharvest Rot on Pineapple in Brazil.

Pineapple (Ananas comosus L. Merril.) is the main plant of the Bromeliaceae, cultivated economically for the fruits' appealing flavor and a refreshing sugar-acid balance. In 2013, fruits with no initially visible symptoms began to show a postharvest rot after 3 days in a market in the municipality of Viçosa, Minas Gerais, Brazil. The rot can rarely be detected from the outside of the fruit, but a longitudinal section allows observation of extension of the affected area toward the center of the fruit. The symptoms initially appear as a dark brown to black rot on surface of the fruits, which gradually enlarges in size, leading to increased rot and disposal of infected fruits. Until now, this disease occurred sporadically and caused small losses. A fungus was isolated from rot observed in fruits from cultivar Pérola and a single-spore culture was deposited in the culture collection of the Universidade Federal de Viçosa (Accession No. COAD 1588). After 7 days of incubation at 25°C, the strain displayed radial growth and gray-white to black colonies. Microscopic observations revealed brown to light brown conidiophores present singly or in groups. The septate, simple or rarely branched conidiophores are straight or curved, up to 245 µm long and 5 µm wide, and some have a geniculate growth pattern near the apex. The conidia are ellipsoidal or barrel-shaped and 22 to 25 µm long and 10 to 12.5 µm wide. The median septum appears as a black band and the cells at each end of the conidia are pale, whereas the intermediate cells are brown or dark brown. Based on morphological characteristics, the fungus was identified as Curvularia eragrostidis (4). To confirm this identification, DNA was extracted and sequences of the internal transcribed spacer (ITS), 28S and 18S rDNA regions were obtained and deposited in GenBank (Accession Nos. KJ541818 to KJ541820). The sequence of the ITS region exhibited 99% identity over 530 bp with other C. eragrostidis sequence in GenBank (JN943449) and Bayesian inference analysis placed our isolate in the same clade with others C. eragrostidis (study S15670 deposited in TreeBASE). Koch's postulates were conducted by inoculating six fruits of pineapple previously disinfected with 2% sodium hypochlorite and washed in sterile distilled water. For inoculation, the isolate was grown in potato dextrose agar (PDA) for 15 days at 25°C. Six millimeter diameter disks were removed from the surface of fruits with a sterile cork borer and replaced with PDA disks containing mycelia from the margins of the culture. An agar plug was deposited in three control fruits and all fruits were maintained at 25°C in plastic trays. Inoculated fruits showed symptoms 7 days after inoculation that were similar to those initially observed in the infected fruits, while control fruits showed no symptoms. C. eragrostidis is a cosmopolitan pathogen that infects hosts from several botanical families (2,4). In Brazil, this fungus causes leaf spot on A. comosus (3) and also infects Allium sativum, Dioscorea alata, D. cayenensis, Oryza sativa, Sorghum bicolor, Vigna unguiculata, and Zea mays (1). To our knowledge, this is the first report of C. eragrostidis causing postharvest rot disease in pineapple in Brazil. Because invasion of the fungus can occur through minute fractures, fruits should be carefully handled to avoid mechanical damage. References: (1) D. F. Farr and A. Y. Rossman. Fungal Databases. Systematic Mycology and Microbiology Laboratory, ARS, USDA. Retrieved from http://nt.ars-grin.gov/fungaldatabases , 18 February 2014. (2) D. S. Manamgoda et al. Fungal Divers. 51:3, 2011. (3) J. J. Ponte et al. Fitopatologia 10:21, 1975. (4) A. Sivanesan. Mycological Papers 158:113, 1987.

First Report of Leaf Spot Disease Caused by Cercosporella pfaffiae on Brazilian Ginseng (Pfaffia glomerata) in Brazil.

Pfaffia glomerata (Spreng) Pedersen (Amaranthaceae) and other species in this genus, popularly known as "Brazilian ginseng," have been marketed and used for many years in folk medicine for the treatment of various diseases (1). In January 2012, samples of P. glomerata with leaf spots were collected in the city of Viçosa, state of Minas Gerais, Brazil. Two samples were deposited in the herbarium at the Universidade Federal de Viçosa (VIC31849 and VIC31851). The diseased leaves were examined using a stereomicroscope (75×). The fungal structures were scraped with a scalpel from the plant surface and mounted in lactophenol. Thirty measurements of all of the relevant morphological characters were obtained using light microscopy for the identification of the species. To confirm the identification, fungal DNA from single-spore pure culture was isolated from the diseased leaves on PDA, and the DNA was amplified using primers ITS1 and ITS4 for the ITS region (GenBank Accession No. JQ990331) and LR0R and LR5 for partial 28S rDNA (Accession No. JQ990330). Sequencing was performed by Macrogen, Korea. The symptoms observed were leaf spots, subcircular, usually up to 6 mm diameter, initially yellowish becoming brown to reddish, margin indefinite, with the formation of fungal structures, hypophyllous, white, scattered, or grouped. Conidiophores were very numerous in dense subsynnematal fascicles, moderately brown at the base but for most of the length subhyaline, 42.5 to 350 × 2.5 to 3.5 µm, showing conidial scars. Conidia formed singly, 22.5 to 77.5 × 5 to 6 µm, hyaline, hilum slightly thickened, and refractive. These characteristics show that the fungus found on P. glomerata matched well with the description of Cercosporella pfaffiae (2). Koch's postulates were fulfilled by inoculation of 6-mm-diameter PDA plugs with the isolate mycelia on leaves of P. glomerata. Six plants were inoculated with the isolate and six plants were inoculated with an isolate-free agar plug. Inoculated plants were maintained in a moist chamber for 24 hours and subsequently in a greenhouse at 26°C. Leaf spot was observed in inoculated plants 15 days after inoculation, and symptoms were similar to those in the field. All non-inoculated plants remained healthy. A Megablast search of the NCBI GenBank nucleotide sequence database using the ITS sequence retrieved C. virgaureae as the closest match [GenBank GU214658; Identity = 458/476 (96%), Gaps = 2/476 (0%)]. To confirm the identification, Bayesian inference analyses were employed, and the tree was deposited in TreeBASE (Study S12680). The analysis placed our isolate in the same clade with the type species of Cercosporella. Molecular studies and morphological characteristics confirm our identification. C. pfaffiae has been previously reported in P. iresinoides (H.B.K.) Spreng. in Trinidad and Gomphrena glomerata L. in Argentina (2). To our knowledge, this is the first report of C. pfaffiae causing disease in P. glomerata in Brazil and it may become a serious problem for some medicinal plant growers, due to the severity of the disease and the lack of chemical products for this pathogen. References: (1) Neto et al. J. Ethnopharmacol. 96:87, 2005. (2) U. Braun. A Monograph of Cercosporella, Ramularia and Allied Genera (Phytopathogenic Hyphomycetes). Eching bei Müchen, IHW-Verlage. Vol. 1, p. 68, 1995.

First Report of Collar and Root Rot of Physic Nut (Jatropha curcas) Caused by Neoscytalidium dimidiatum in Brazil.

Physic nut (Jatropha curcas L.; Euphorbiaeae) has become important in Brazil due to its potential as a feedstock for biodiesel production. In October 2010, during routine monitoring of fields in the state of Piauí, several plants were observed with symptoms of collar and root rot. Initially, plants appeared withered and chlorotic, and later became defoliated. Roots and collars of affected plants also appeared rotten with black fungal structures directly observed. Symptomatic tissue fragments of 5 mm diameter were washed with 70% ethanol, 1% sodium hypochlorite, and sterilized water, before being placed in petri dishes containing potato dextrose agar (PDA) and incubated at 25°C. Pure cultures were then obtained by single-spore isolation. The fungus isolated was grown on plates containing 2% water agar overlaid with sterilized corn straw or pine twigs and incubated at 25°C under a photoperiod of 12 h for 4 weeks to induce the formation of fruiting bodies. Thirty measurements of all of the relevant morphological characters were made using a light microscope for the identification of the species. On PDA, isolates initially appeared white and became dark after 7 days. The aerial mycelia formed chains of zero- to one-septate arthroconidia, oblong to globose, initially hyaline that became brown and with a thick wall with age. The dimensions of arthroconidia were 4 to 12 × 2.5 to 8 µm. The formation of pycnidia was observed on the plates with corn straw and pines twigs. These were dark, with a globose base up to 250 µm and a neck up to 810 µm. Conidiogenous cells were holoblastic, lageniform to ampulliform, hyaline, and 6 to 10 × 1.5 to 2.5 µm. Conidia were hyaline, ellipsoid to nearly fusiform, and 8 to 12 × 4 to 5 µm. Septate and dark conidia were not observed. DNA was extracted from one isolate following Wizard Genomic DNA Purification Kit procedures and amplified using primers ITS1 and ITS4. Products were directly sequencing by Macrogen, Korea. The 856-bp sequence obtained was deposited in GenBank (Accession No. JQ927342). The sequence was 99% similar to Neoscytalidium dimidiatum (Penz.) Crous & Slippers, further supporting the identification by morphology. Pathogenicity tests were conducted by using 6 mm disks removed from the outer bark of the collar region of healthy plants using a sterile cork borer, and 6-mm diameter plugs were placed in each wound. Five plants were inoculated with the isolate and five plants inoculated with an isolate-free agar plug. Below these, pieces of moistened cotton were placed and covered with Parafilm. After 60 days, all inoculated plants reproduced the symptoms observed in the field, and the pathogen was successfully reisolated. All non-inoculated plants remained healthy. The genus Neoscytalidium includes species having Scytalidium-like synanamorphs in the aerial mycelia and Fusicoccum-like conidia in the pycnidia (1). Currently, this species is reported to cause diseases in fig, mango, and orange (2,3). To our knowledge, this is the first report of collar and rot root caused by N. dimidiatum in J. curcas and of this fungus in Brazil. It seems likely the disease exists in areas beyond Piauí and could cause important losses for biodiesel production. References: (1) P. W. Crous et al. Stud. Mycol. 55:235, 2006. (2) G. Polizzi et al. Plant Dis. 93:1215, 2009. (3) J. D. Ray et al. Austral. Plant Dis. Notes 5:48, 2010.

Cytotoxic, genotoxic, and oxidative stress-inducing effect of an l-amino acid oxidase isolated from Bothrops jararacussu venom in a co-culture model of HepG2 and HUVEC cells.

Hepatocellular carcinoma incidence rates have increased worldwide, which encouraged the development of new chemotherapeutic drugs. l-Amino acid oxidases from snake venoms are cytotoxic towards human tumor cells in in vitro monoculture systems, which do not simulate the tumor microenvironment. We examined the antitumor potential of BjussuLAAO-II, an l-amino acid oxidase from Bothrops jararacussu venom, in hepatocarcinoma cells (HepG2) in monoculture and co-culture with human umbilical vein endothelial cells (HUVEC) in vitro. All the concentrations tested (0.25-5.00 µg/mL) were cytotoxic (MTT and clonogenic survival assays) towards HepG2 and HUVEC cells in monoculture, and increased oxidative stress by 2',7'-dichlorofluorescin diacetate fluorescence assay. Only 1.00 and 5.00 µg/mL exerted these effects in HepG2 cells co-cultured with HUVEC cells, and were genotoxic (comet assay) to HUVEC cells in monoculture. BjussuLAAO-II at 5.00 µg/mL induced DNA, but not chromosomal damage (micronucleus assay) in HepG2 cells in mono- and co-culture. The cytotoxicity and genotoxicity was more pronounced in monoculture, indicating that the tumor microenvironment influences the cellular response. BjussuLAAO-II caused cell death and DNA damage in HepG2 cells in vitro by inducing oxidative stress. Therefore, BjussuLAAO-II is a promising molecule for the development of new antitumor drugs.

The toxin BjussuLAAO-II induces oxidative stress and DNA damage, upregulates the inflammatory cytokine genes TNF and IL6, and downregulates the apoptotic-related genes BAX, BCL2 and RELA in human Caco-2 cells.

Colorectal carcinoma is one of the most common cancers in adults. As chemotherapy, the first-choice treatment for colorectal carcinoma, is often infeasible due to acquired tumor resistance and several adverse effects, it is important to discover and explore new molecules with better therapeutic action. Snake venom toxins have shown promising results with high cytotoxicity against tumor cells, but their mechanisms of action remain unclear. Here we examined how BjussuLAAO-II, an L-amino acid oxidase isolated from Bothrops jararacussu snake venom, exerts cytotoxicity towards colorectal adenocarcinoma human cells (Caco-2) and human umbilical vein endothelial cell line (HUVEC). A 24-h treatment with BjussuLAAO-II at 0.25 - 5.00 µg/mL diminished cell viability by decreasing (i) mitochondrial activity, assessed by reduction of 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide and resazurin; (ii) the activity of acid phosphatases; and (iii) lysosomal function, assessed by neutral red uptake. BjussuLAAO-II also increased intracellular levels of reactive oxygen species and DNA damage, as assessed by fluorescence and the comet assay, respectively. BjussuLAAO-II altered the expression of cell proliferation-related genes, as determined by RT-qPCR: it elevated the expression of the inflammatory cytokine genes TNF and IL6, and lowered the expression of the apoptotic-related genes BAX, BCL2, and RELA. Therefore, BjussuLAAO-II induces Caco-2 cells death by acting on multiple intracellular targets, providing important data for further studies to assess whether these effects are seen in both tumor and normal cells, with the aim of selecting this drug for possible therapeutic purposes in the future.

Enterococcus gallinarum carrying the vanA gene cluster: first report in Brazil.

In 2000, Enterococcus faecalis resistant to vancomycin was first reported at a tertiary hospital in Porto Alegre, southern Brazil. The resistance spread to other hospitals and surveillance programs were established by hospital infection committees to prevent the spread of vancomycin-resistant enterococci. In February 2002, an isolate initially identified at the genus level as Enterococcus was obtained by surveillance culture (rectal swab) from a patient admitted to a hospital for treatment of septic arthritis in the shoulder. The isolate proved to be resistant to vancomycin by the disc diffusion method and confirmed by an E-test resulting in a minimal inhibitory concentration of > or = 256 microg/ml. This isolate was sent to a reference laboratory (Laboratorio Especial de Bacteriologia e Epidemiologia Molecular, Faculdade de Ciencias Farmaceuticas de Ribeirao Preto, USP) for further study and proved to be an E. gallinarum by the polymerase chain reaction (PCR) using specific primers for the species. Due to the phenotype of unusually high vancomycin resistance, the isolate presumably had the resistance genes (vanA and vanB) and this was confirmed by PCR, which indicated the presence of the vanA gene. A 10.8-kb Tn1546-related transposon was also identified by long-PCR. Interspecies transfer of the vancomycin-resistance gene from the donor E. gallinarum was performed in a successful conjugation experiment in vitro, using E. faecium GE-1 and E. faecalis JH22 as receptors. This is the first report of the detection of a vanA determinant naturally acquired by E. gallinarum in Brazil, indicating the importance of characterizing VRE by both phenotype and genotype methods.

[AIDS in childhood: basic guidance for attending]. / AIDS na infância: orientação básica no atendimento.

The pandemic expansion of AIDS demands that all health care staff and institutions are prepared to diagnose and control this disease. The HIV virus destroys the immune response and causes a series of other organ and system dysfunctions, leading to diverse clinical manifestations. This article reviews the pathophysiology, clinical manifestations, diagnosis, treatment and prevention of HIV infection. The role of the health care worker as an educator is also reviewed.

Reduction of aflatoxins by Rhizopus oryzae and Trichoderma reesei.

This study evaluated the ability of the microorganisms Rhizopus oryzae (CCT7560) and Trichoderma reesei (QM9414), producers of generally recognized as safe (GRAS) enzymes, to reduce the level of aflatoxins B1, B2, G1, G2, and M1. The variables considered to the screening were the initial number of spores in the inoculum and the culture time. The culture was conducted in contaminated 4 % potato dextrose agar (PDA) medium, and the residual mycotoxins were determined every 24 h by HPLC-FL. The fungus R. oryzae has reduced aflatoxins B1, B2, and G1 in the 96 h and aflatoxins M1 and G2 in the range of 120 h of culture by approximately 100 %. The fungus T. reesei has reduced aflatoxins B1, B2, and M1 in the 96 h and aflatoxin G1 in the range of 120 h of culture by approximately 100 %. The highest reduction occurred in the middle of R. oryzae culture.

On the use of evoked potentials for quantification of pain.

Pain is a subjective and individual sensation causing major discomfort. So, it is necessary to put into practice methods to objectively quantify it. Several studies indicate that evoked potentials (EP) generate responses which may reflect painful processes. This study reports the results of the application of two different protocols by using biopotentials to objectively measure pain. The first (protocol 1) evaluates the relation between pain, induced by electrical stimulation, and subjective perception and also with nociceptive flexion reflex (NFR) represented by muscle activity (electromyography) detected on the femoral biceps after sural nerve stimulation. The second protocol (protocol 2) verifies whether there is some correlation between M-wave parameters and subjective pain sensation. The results obtained from protocol 1 suggest that the area of the EMG envelope and entropy estimated from the EMG activity are correlated with subjective sensation of pain. The analysis of data obtained from protocol 2 shows a correlation between the global minimum of the M-wave and pain increase. These results contribute to studies which seek to objective measures for pain quantification based on the analysis of biopotentials.

Miopericardite tuberculosa associado a QT longo e torsades de pointes: relato de caso / Tuberculous myopericarditis associated with long QT and torsades de pointes: case report

INTRODUÇÃO: A tuberculose cardíaca é uma doença rara Estima-se que 1% de todos os casos de tuberculose têm envolvimento cardíaco produzido por disseminação linfática, contígua do pericárdio ou por via hematogênica. Miocardite tuberculosa pode permanecer clinicamente assintomática (com diagnóstico feito em autópsia), ou pode se apresentar com morte, arritmias ventriculares intratáveis, síndrome do QT longo, bloqueio cardíaco ou insuficiência cardíaca. Complicações cardíacas, como taquiarritmias ventriculares, são ainda mais raras, mas são potencialmente tratáveis se reconhecimento imediato. RELATO DE CASO: S.A.F.R., 55 anos, sexo feminino, com dispneia e palpitações há cerca de três meses da admissão no pronto socorro. ECG evidenciando QT longo (figura 1) Ecocardiograma mostrou derrame pericárdico com repercussão hemodinâmica. Realizada drenagem de Marfan de urgência. No 2 dia de pós-operatório, apresentou Taquicardia Ventricular (TV) Sustentada Monomórfica Instável. Após cardioversão elétrica, evoluiu com múltiplos episódios de TV com Torsades de Pointes. A arritmia ventricular foi atribuída a QT longo congênito. Medicada com lidocaína EV, passado fio de marcapasso provisório com persistência da arritmia. Análise do líquido pericárdico evidenciou adenosina deaminase de 110 U/l e ressonância magnética (figura 2) apresentando edema miocárdico e sinais de processo inflamatório. Feito diagnóstico de Miopericardite tuberculósica e iniciado esquema RIPE. Após 15 dias, observou-se normalização do intervalo QT e desaparecimento dos sintomas e das arritmias ventriculares, sem recidiva de derrame pericárdico. Evoluiu na sequência com quadro séptico, por endocardite infecciosa, trombo em fio de marcapasso e insuficiência tricúspide. Foi submetida a cirurgia para retirada de fio de marca-passo provisório e troca valvar tricúspide de urgência, evoluindo a óbito no pós-operatório. CONCLUSÃO: O QT longo, inicialmente pensado como congênito, foi considerado a causa das arritmias. O papel da inflamação na gênese do QT longo tem sido descrito e foi comprovado neste caso, pela normalização do intervalo e desaparecimento das arritmias com o tratamento específico da tuberculose. Alto grau de suspeição é importante para diagnóstico precoce, já que alguns casos de miocardite tuberculosa foram relatados no último anos na literatura inglesa, francesa e espanhola, todos eles diagnosticados na necropsia. A terapia antituberculose pode resultar em sucesso com regressão da doença e resolução de arritmias malignas. (AU)

Critical steps in fluoroquinolones and carbapenems prescriptions: results from a prospective clinical audit.

Antibiotic misuse is associated with emergence of resistance and high expenditures. Fluoroquinolones (FQ) and carbapenems (CP) are drugs with considerable potential of resistance development and its disseminated use is a concern. We undertook a prospective clinical audit to evaluate prescriptions of FQ and CP in a multistep process. Each prescription was unfolded in the following steps: indication for antimicrobial therapy; adequacy of initial prescription, dosage and route; previous cultures; and parenteral-oral transition. There was no antibiotics indication in 8.9% of FQ and 1.5% of CP group (p = 0.07). In CP 25.8% of initial schemes were inappropriate (21% in FQ). Lack of switch to oral therapy comprised 25% of monthly costs of FQ. Inadequacy in initial choice accounted for 13.6% of CP expenses. We concluded that, in spite of infection control restrictive policies, inappropriateness of antibiotic usage is worrisome. Clinical audit in a multistep approach may identify possible flaws in this process.

Enterococcus gallinarum carrying the vanA gene cluster: first report in Brazil

In 2000, Enterococcus faecalis resistant to vancomycin was first reported at a tertiary hospital in Porto Alegre, southern Brazil. The resistance spread to other hospitals and surveillance programs were established by hospital infection committees to prevent the spread of vancomycin-resistant enterococci. In February 2002, an isolate initially identified at the genus level as Enterococcus was obtained by surveillance culture (rectal swab) from a patient admitted to a hospital for treatment of septic arthritis in the shoulder. The isolate proved to be resistant to vancomycin by the disc diffusion method and confirmed by an E-test resulting in a minimal inhibitory concentration of > ou = 256 µg/ml. This isolate was sent to a reference laboratory (Laboratório Especial de Bacteriologia e Epidemiologia Molecular, Faculdade de Ciências Farmacêuticas de Ribeirão Preto, USP) for further study and proved to be an E. gallinarum by the polymerase chain reaction (PCR) using specific primers for the species. Due to the phenotype of unusually high vancomycin resistance, the isolate presumably had the resistance genes (vanA and vanB) and this was confirmed by PCR, which indicated the presence of the vanA gene. A 10.8-kb Tn1546-related transposon was also identified by long-PCR. Interspecies transfer of the vancomycin-resistance gene from the donor E. gallinarum was performed in a successful conjugation experiment in vitro, using E. faecium GE-1 and E. faecalis JH22 as receptors. This is the first report of the detection of a vanA determinant naturally acquired by E. gallinarum in Brazil, indicating the importance of characterizing VRE by both phenotype and genotype methods.