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BACKGROUND: Despite the global decline in the detection of leprosy cases, its incidence has remained unchanged in certain settings and requires the determination of the factors linked to its persistence. We examined the spatial and space-time distribution of leprosy and the influence of social vulnerability on the occurrence of the disease in an endemic area of Northeast Brazil. METHODS: We performed an ecological study of all leprosy cases reported by Sergipe state, Northeast Brazil from 2001 to 2015, to examine the association of the Social Vulnerability Index and the prevalence and persistence of leprosy among the State's municipalities. Socio-economic and leprosy surveillance information was collected from the Brazilian information systems, and a Bayesian empirical local model was used to identify fluctuations of the indicators. Spatial and space-time clusters were identified using scan spatial statistic tests and to measure the municipalities' relative risk of leprosy. RESULTS: Leprosy clusters and burden of disease had a strong statistical association with the municipalities' Social Vulnerability Index. Municipalities with a high social vulnerability had higher leprosy incidence, multibacillary leprosy and newly diagnosed cases with grade 2 disability than areas with low social vulnerability. CONCLUSION: Social vulnerability is strongly associated with leprosy transmission and maintenance of disease incidence. Leprosy control programmes should be targeted to the populations with high social vulnerability.
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Hanseníase/epidemiologia , Adolescente , Adulto , Teorema de Bayes , Brasil/epidemiologia , Humanos , Fatores de Risco , Adulto JovemRESUMO
Transparent conductive tin oxide materials have been a research topic extensively studied in recent years due to the great interest for many applications. However, in most of them, the pure form is rarely used, being usually modified by the incorporation of dopants. Selecting the most appropriate technique to develop nanocrystals of doped tin oxide and understanding the influence of dopant on the optical properties are the challenges that need to be addressed when envisaging devices. To fulfill this objective, the recently developed laser assisted flow deposition (LAFD) method is explored to grow SnO2 and SnO2:Eu nanocrystals. The morphology of these nanocrystals was investigated by scanning electron microscopy and well defined prismatic nanocrystals with sizes of â¼60 nm were identified. The crystalline quality assessed by X-ray diffraction measurements and Raman spectroscopy indicates that the produced nanocrystals are monophasic and crystallize in the tetragonal rutile structure. Steady state luminescence studies provide the information on the optical active centres in the SnO2 and SnO2:Eu nanocrystals. For the undoped samples only broad emission bands were observed by pumping the samples in the ultraviolet region. The broad emission was found to be an overlap of green and red optical centres as identified by temperature and excitation intensity dependent luminescence. The latter was found to exhibit an excitonic-related behaviour and the green emission was found to be of utmost importance to discuss the intraionic luminescence in the doped samples. For the SnO2:Eu nanocrystals the luminescence is dominated by the magnetic allowed (5)D0 â (7)F1 transition with the ions in almost undistorted centrosymmetric sites. The ion luminescence integrated intensity is found to increase with increasing temperatures being well accounted for a thermal population provided by the thermal quenching of the green band.
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The inherent scalability, low production cost and mechanical flexibility of laser-induced graphene (LIG) combined with its high electrical conductivity, hierarchical porosity and large surface area are appealing characteristics for many applications. Still, other materials can be combined with LIG to provide added functionalities and enhanced performance. This work exploits the most adequate electrodeposition parameters to produce LIG/ZnO nanocomposites. Low-temperature pulsed electrodeposition allowed the conformal and controlled deposition of ZnO rods deep inside the LIG pores whilst maintaining its inherent porosity, which constitute fundamental advances regarding other methods for LIG/ZnO composite production. Compared to bare LIG, the composites more than doubled electrode capacitance up to 1.41 mF cm-2 in 1 M KCl, while maintaining long-term cycle stability, low ohmic losses and swift electron transfer. The composites also display a luminescence band peaked at the orange/red spectral region, with the main excitation maxima at ~ 3.33 eV matching the expected for the ZnO bandgap at room temperature. A pronounced sub-bandgap tail of states with an onset absorption near 3.07 eV indicates a high amount of defect states, namely surface-related defects. This work shows that these environmentally sustainable multifunctional nanocomposites are valid alternatives for supercapacitors, electrochemical/optical biosensors and photocatalytic/photoelectrochemical devices.
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The nanocarbon allotropes constitute valid alternatives when designing control and actuation devices for electrically assisted tissue regeneration purposes, gathering among them important characteristics such as chemical inertness, biocompatibility, extreme mechanical properties, and, importantly, low and tailorable electrical resistivity. In this work, coatings of thin (100 nm) vertically aligned nanoplatelets composed of diamond (5 nm) and graphite were produced via a microwave plasma chemical vapor deposition (MPCVD) technique and used as substrates for electrical stimulation of MC3T3-E1 preosteoblasts. Increasing the amount of N2 up to 14.5 vol % during growth lowers the coatings' electrical resistivity by over 1 order of magnitude, triggers the nanoplatelet vertical growth, and leads to the higher crystalline quality of the nanographite phase. When preosteoblasts were cultured on these substrates and subjected to two consecutive daily cycles of 3 µA direct current stimulation, enhanced cell proliferation and metabolism were observed accompanied by high cell viability. Furthermore, in the absence of DC stimulation, alkaline phosphatase (ALP) activity is increased significantly, denoting an up-regulating effect of preosteoblastic maturation intrinsically exerted by the nanoplatelet substrates.
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Nanoestruturas , Proliferação de Células , Sobrevivência Celular , Diamante , Estimulação Elétrica , GrafiteRESUMO
Crystalline carbon-based materials are intrinsically chemically inert and good heat conductors, allowing their applications in a great variety of devices. A technological step forward in heat dissipators production can be given by tailoring the carbon phase microstructure, tuning the CVD synthesis conditions. In this work, a rapid bottom-up synthesis of vertically aligned hybrid material comprising diamond thin platelets covered by a crystalline graphite layer was developed. A single run was designed in order to produce a high aspect ratio nanostructured carbon material favoring the thermal dissipation under convection-governed conditions. The produced material was characterized by multiwavelength Raman spectroscopy and electron microscopy (scanning and transmission), and the macroscopic heat flux was evaluated. The results obtained confirm the enhancement of heat dissipation rate in the developed hybrid structures, when compared to smooth nanocrystalline diamond films.
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Prolonged seizures in young children may precede the later development of focal or generalized seizures. To study the age-related susceptibility to the development of chronic epilepsy we used the pilocarpine model of epilepsy (PME). This model is well characterized in adult rats, and presents three distinct periods: (a) an acute period of status epilepticus (SE), (b) a silent period of a progressive normalization of EEG and behavior, (c) a chronic period of spontaneous recurrent seizures. Wistar rats aged 7-120 days received pilocarpine hydrochloride (170-380 mg/kg, i.p., according to age), 30 min after methylscopolamine (1 mg/kg, s.c.). All surviving animals were observed for 120 days. The results indicate that chronic seizures following pilocarpine-induced status epilepticus can be induced in rats if the status is induced after the 18th day of life. The age-related differences in the susceptibility of young rats to developed chronic epilepsy reflect the complexity of seizure activity in immature brain and provide for an apparent distinction between the mechanisms of epileptogenesis in the mature and developing nervous system.
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Encéfalo/efeitos dos fármacos , Encéfalo/crescimento & desenvolvimento , Epilepsia/induzido quimicamente , Pilocarpina , Fatores Etários , Animais , Comportamento Animal/efeitos dos fármacos , Modelos Animais de Doenças , Masculino , Pilocarpina/farmacologia , Ratos , Ratos Wistar , Estado Epiléptico/induzido quimicamenteRESUMO
Although the favorable effect of physical fitness on general health is unquestionable, physical exercise and fitness programs in patients with epilepsy are still a matter of controversy. Little objective evidence regarding the effect of exercise on seizure frequency and severity has been reported. One sought to clarify the relationship between exercise and epilepsy in an animal model of temporal lobe epilepsy (the pilocarpine model of epilepsy). To evaluate the effect of an aerobic physical program on seizure frequency, 29 epileptic animals were continuously monitored during 24 h for 135 days after the first spontaneous recurrent seizure (SRS) and divided into three groups. The first group (N = 14) was submitted to an aerobic exercise program (training group). The second group (N = 7) was maintained in the treadmill for the same time as the training group without being submitted to physical exercise (sham group). The third group (N = 8) served as control. The behavioral observation was divided in three periods of 45 days. The first period was used to determine the number of seizures before physical training program. The second period was utilized to determine the number of seizures during the physical training program. The third period was used to analyze the frequency of seizures after the physical training program. The mean frequency of seizures in the control and sham groups increased significantly from period 1 to period 2 and from period 1 to period 3. However, in the training group, the frequency of seizures did not change significantly between the three periods of 45 days of observation. When the same periods of the three groups were analyzed together, a significant reduction in seizure frequency was observed comparing the training group with the control and sham groups during the period of physical training. The data presented in this study suggest that physical exercise is not a seizure-inducing factor in this experimental model of epilepsy.
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Epilepsia do Lobo Temporal/fisiopatologia , Atividade Motora/fisiologia , Convulsões/epidemiologia , Animais , Epilepsia do Lobo Temporal/metabolismo , Incidência , Consumo de Oxigênio , Ratos , Ratos WistarRESUMO
Previous studies have shown that the susceptibility to pilocarpine-induced status epilepticus (SE) in female rats changes according to estrous cycle phases. These studies have also shown that following pilocarpine administration changes occur in gonadal, hypophyseal and hypothalamic hormones that could contribute for the sequence of the epileptic events. Accordingly, the present work aimed to investigate the role of sexual hormones withdrawal on the development of the pilocarpine model of epilepsy in female rats. With this purpose, castrated and non-castrated adult female Wistar rats were injected with pilocarpine and some characteristic parameters of the experimental model were observed. The results showed increased mortality after pilocarpine injection in the castrated rats when compared with non-castrated females. The latency period for SE onset and for the first spontaneous seizure was decreased in castrated when compared with non-castrated animals. The mossy fiber sprouting measured by neo-Timm scale during the chronic period, reached grade 3 for castrated epileptic rats while the non-castrated epileptic rats showed grade 2. Our results indicate that castration interferes with the epileptogenesis in the pilocarpine model of epilepsy suggesting that female sexual hormones could have protective effects against pilocarpine-induced SE.
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Modelos Animais de Doenças , Epilepsia/induzido quimicamente , Ovariectomia/efeitos adversos , Pilocarpina/efeitos adversos , Animais , Epilepsia/metabolismo , Epilepsia/prevenção & controle , Feminino , Hipocampo/metabolismo , Ratos , Ratos WistarRESUMO
Apoptotic cell death plays a critical role in immune system homeostasis, and c-myc protooncogene deregulated expression is a component of this programmed genomic response. Pharmacological intervention and modulation of peripheral lymphocytes apoptosis would have important implications. The present results indicate that ouabain, a specific inhibitor of Na+K(+)-ATPase, promotes an increased expression of c-myc mRNA, and induces apoptosis in PHA-stimulated lymphocytes. Furthermore, this ouabain-induced apoptosis cannot be counteracted by the addition of exogenous IL-2.
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Apoptose , Ativação Linfocitária , Linfócitos/efeitos dos fármacos , Ouabaína/farmacologia , Proteínas Proto-Oncogênicas c-myc/biossíntese , Divisão Celular , Citoplasma/metabolismo , Fragmentação do DNA , Inibidores Enzimáticos/farmacologia , Expressão Gênica , Humanos , Linfócitos/citologia , Linfócitos/metabolismo , Fito-Hemaglutininas/farmacologia , Proteínas Proto-Oncogênicas c-myc/genética , RNA MensageiroRESUMO
The present investigation introduces ricinine-elicited seizures as a novel chemical model of convulsive seizure. Ricinine, a neutral alkaloid obtained from the plant Ricinus communis, induces seizures when administered to mice at doses higher than 20 mg/kg. Animals presenting seizures showed a marked preconvulsive phase followed by short duration hind limb myoclonus, respiratory spasms, and death. The lethal nature of ricinine seizures is also pointed out as a good model to study the events causing death in clonic seizures, particularly those related to respiratory spasms, which are also observed in some types of human epilepsy. The behavioral signs of ricinine-elicited seizures are accompanied by electrographic alterations more evident during the preconvulsive phase in the cerebral cortex and more intense during the ictal phase both in the cortex and in the hippocampus. The ricinine-elicited seizures may be inhibited by diazepam but not by phenobarbital, phenytoin, or ethosuximide. Micromolar concentrations of ricinine cause a small decrease in the binding of [3H]-flunitrazepam to cerebral cortex membranes, but do not alter the binding of other radioligands to AMPA, 5-HT(1A), muscarinic, and alpha(1)-adrenergic receptors. Although ricinine presents a cyanide radical, only higher doses of ricinine (4 mM) caused a small impairment of mitochondrial respiration. These results suggest that the mechanism of action of ricinine probably involves the benzodiazepine site in the GABA(A) receptor. This may represent a new mechanism of drug-elicited seizures that may contribute to a better understanding of epilepsy and to new therapeutic approaches to this disease.
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Alcaloides/farmacologia , Antitireóideos/farmacologia , Convulsivantes/farmacologia , Piridonas , Convulsões/induzido quimicamente , Alcaloides/antagonistas & inibidores , Animais , Anticonvulsivantes/farmacologia , Comportamento Animal/efeitos dos fármacos , Química Encefálica/efeitos dos fármacos , Convulsivantes/antagonistas & inibidores , Relação Dose-Resposta a Droga , Eletroencefalografia/efeitos dos fármacos , Eletrofisiologia , Masculino , Camundongos , Mitocôndrias/efeitos dos fármacos , Mitocôndrias/metabolismo , Consumo de Oxigênio/efeitos dos fármacos , Ensaio Radioligante , Receptores de Neurotransmissores/efeitos dos fármacos , Convulsões/psicologiaRESUMO
Given the specific properties of each carbon allotrope such as high electrical/thermal conductivity of multiwall carbon nanotubes (MWCNT) and extreme hardness and high inertness of nanocrystalline diamond (NCD), the integration of both carbon phases is highly desirable. Therefore, in the present work, buckypapers were produced from MWCNT suspensions and were used as free-standing substrates to be coated with NCD by microwave plasma chemical vapor deposition (MPCVD). The integration of both allotropes was successfully achieved, the CNTs being preserved after diamond growth as confirmed by µ-Raman spectroscopy and scanning electron microscopy (SEM). Additionally, a good linkage was observed, the CNTs remaining embedded within the NCD matrix, thus reinforcing the interface of the resulting hybrid structure. This was corroborated by bending tests in a modified nanohardness tester. The increase of the Young's modulus from 0.3 to 300 GPa after NCD growth enables the use of this material in a wide range of applications including microelectromechanical systems (MEMS). Additionally, a highly anisotropic electrical resistivity behavior was confirmed: low in-plane values were found for the CNT layer (1.39 × 10(-2) Ω.cm), while high transverse ones were measured for both the NCD coated and uncoated CNT buckypapers (8.13 × 10(5) and 6.18 × 10(2) Ω.cm, respectively).
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OBJECTIVE: Congenital bilateral perisylvian syndrome (CBPS) is frequently caused by polymicrogyria (PMG). The aim of this study was to correlate the clinical and psycholinguistic aspects with neuroradiological data of patients with CBPS. METHODS: Thirty-one patients were studied. We performed a clinical investigation of the patients and their families, including MRI scanning, neuropsychological tests and language evaluation. RESULTS: The statistical analysis showed that: a) prenatal events are associated with the non-familial type of PMG; b) diffuse PMG is associated with pseudobulbar signs, as opposed to BPPP; c) motor deficit is associated with diffuse PMG; d) epilepsy is equally present in patients with both familial or non-familial PMG, but is more frequently seen in patients with diffuse PMG; e) dyslexia and SLI can be a feature of both the diffuse or BPPP, and either familial or sporadic cases of PMG. CONCLUSIONS: The severity of clinical manifestations in CBPS is correlated with the extent of cortical involvement. Most patients with CBPS have a history of speech delay or language difficulties and no epilepsy. Dyslexia can be found in patients with PMG.
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Córtex Cerebral/anormalidades , Malformações do Sistema Nervoso/diagnóstico , Psicolinguística/métodos , Adolescente , Adulto , Idoso , Córtex Cerebral/patologia , Córtex Cerebral/fisiopatologia , Criança , Dislexia/etiologia , Dislexia/patologia , Epilepsia/congênito , Epilepsia/etiologia , Epilepsia/patologia , Saúde da Família , Feminino , Humanos , Transtornos do Desenvolvimento da Linguagem/etiologia , Transtornos do Desenvolvimento da Linguagem/fisiopatologia , Testes de Linguagem/estatística & dados numéricos , Imageamento por Ressonância Magnética/métodos , Masculino , Malformações do Desenvolvimento Cortical/complicações , Malformações do Desenvolvimento Cortical/patologia , Malformações do Desenvolvimento Cortical/fisiopatologia , Pessoa de Meia-Idade , Malformações do Sistema Nervoso/classificação , Malformações do Sistema Nervoso/genética , Testes Neuropsicológicos/estatística & dados numéricos , Linhagem , Estudos Prospectivos , Fatores de Risco , Síndrome , Adulto JovemRESUMO
The silage quality of Brachiaria brizantha cultivars ensiled with different levels of millet meal was evaluated. The experimental design was a completely randomized with three replications in a factorial 3 x 4, with three cultivars of Brachiaria brizantha: marandu, xaraés, and piatã and four levels of millet meal 0, 5, 10, and 15 percent. The addition of millet meal improved the quality of B. brizantha silage. The inclusion of the additive at 15 percent provided the best nutritional values. The piatã silage had the lowest contents of neutral detergent fiber, acid detergent fiber, and lignin and the highest content of total digestible nutrients, being a better quality silage as compared to those of xaraés and marandu grasses.
Avaliou-se a qualidade de silagem de cultivares de Brachiaria brizantha ensilados com diferentes níveis de farelo de milheto. O delineamento experimental utilizado foi inteiramente ao acaso, com três repetições, em esquema fatorial 3 x 4, sendo, três cultivares de Brachiaria brizantha: marandu, xaraés e piatã e quatro níveis de farelo de milheto: 0, 5, 10 e 15 por cento. A adição de farelo de milheto melhorou a qualidade das silagens de cultivares de B. brizantha. A inclusão de 15 por cento do aditivo proporcionou os melhores valores nutritivos. A silagem de capim-piatã apresentou os menores teores de fibra em detergente neutro, de fibra em detergente ácido e de lignina, e o maior teor de nutrientes digestíveis totais, mostrando ser de melhor qualidade quando comparada com as silagens de capim-xaraés e capim-marandu.
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Brachiaria/classificação , Silagem , Fibras na Dieta , Nutrientes/análiseRESUMO
PURPOSE: To characterize the acute and chronic behavioral, electrographic and histologic effects of sustained seizures induced by pilocarpine in mice. METHODS: After status epilepticus, the surviving animals were continuously monitored for 24 h/day for < or = 120 days. The brains were processed by using neo-Timm and Nissl stains. RESULTS: The first spontaneous seizures occurred between 4 and 42 days after status epilepticus. The mean "seizure-silent period" lasted for 14.4 +/- 11.9 days. During the chronic phase, recurrent spontaneous seizures were observed 1-5 times per animal per week and were associated with sprouting in the supragranular layer of the dentate gyrus. CONCLUSIONS: Structural brain damage promoted by pilocarpine-induced status epilepticus may underlie or be associated with recurrent spontaneous seizures in mice.
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Modelos Animais de Doenças , Epilepsia/induzido quimicamente , Epilepsia/patologia , Pilocarpina , Animais , Corantes , Giro Denteado/patologia , Eletroencefalografia , Epilepsia do Lobo Temporal/induzido quimicamente , Epilepsia do Lobo Temporal/diagnóstico , Epilepsia do Lobo Temporal/patologia , Hipocampo/patologia , Masculino , Camundongos , Recidiva , Estado Epiléptico/induzido quimicamente , Estado Epiléptico/diagnóstico , Estado Epiléptico/patologia , Lobo Temporal/patologiaRESUMO
Strong evidences link status epilepticus (SE) in childhood with the later development of epilepsy. Pilocarpine-induced SE in developing rats leads to late appearance of spontaneous epileptic seizures only when SE is induced after the 18th day of life. We examined the possibility that 3 consecutive episodes of pilocarpine-induced SE on postnatal days 7, 8 and 9 could induce behavioral, electrographic and histological epileptic changes in adult life. The animals also underwent behavioral tests (inhibitory step-down avoidance, skinner box, rota-rod, open field and elevated plus-maze). EEG recordings made at the age of 30, 60 and 90 days showed the occurrence of several episodes of spikes and/or polyspikes appearing simultaneously in hippocampus and cortex. Only three isolated spontaneous seizures were observed during the whole period of observation (120 days). The long-term effects of three consecutive episodes of SE include increased spontaneous exploratory activity, learning impairment, and reduced anxiety when tested on P60. Our findings provide evidence for EEG changes and cognitive deficits in adult life following recurrent SE on postnatal days 7-9.
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Encéfalo/crescimento & desenvolvimento , Encéfalo/fisiopatologia , Junções Comunicantes/fisiologia , Estado Epiléptico/fisiopatologia , Fatores Etários , Animais , Ansiedade/fisiopatologia , Aprendizagem da Esquiva/fisiologia , Eletroencefalografia , Comportamento Exploratório/fisiologia , Locomoção/fisiologia , Masculino , Aprendizagem em Labirinto/fisiologia , Memória/fisiologia , Agonistas Muscarínicos , Pilocarpina , Ratos , Ratos Wistar , Recidiva , Estado Epiléptico/induzido quimicamenteRESUMO
PURPOSE: Animal models are useful for the study of status epilepticus (SE)-induced epileptogenesis and neurological sequelae, especially during early brain development. Here, we show several permanent abnormalities in animals subjected to multiple SE during early development. METHODS: Wistar pup rats (7 to 9 days old) were subjected to three consecutive episodes of SE induced by systemic pilocarpine injections. To study the long-lasting consequences of early-induced SE. chronic electroencephalographic recordings were made from the hippocampus and cortex and several behavioral tests (inhibitory step-down avoidance, rota-rod, open field, elevated plus-maze, and Skinner box) were performed at postnatal days 30 to 90. We also investigated in vitro electrophysiological responses of the CA1 area using extracellular recordings in hippocampal slices. A histological analysis was done using cresyl violet staining 24 hours and several months after SE induction. Apoptotic cell death was evaluated by terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL staining) 24 hours after the last SE episode. RESULTS: Electroencephalographic recordings from 30- to 90-day-old rats that had been subjected to multiple SE episodes in early life showed marked changes compared with those from nontreated controls. These included frequent episodes of continuous complex spiking activity and high-voltage ictal discharges, with a small percentage of these rats presenting spontaneous behavioral seizures. These animals also presented evidence of severe cognitive deficit in adulthood. In vitro, a persistent hyperexcitability of the CA1 area was detected in experimental animals. Histological analysis of the brains did not reveal any major long-term pathological changes. Nevertheless, an increased number of TUNEL-positive nuclei were present in some animals in both the hippocampus and the thalamus. CONCLUSIONS: These data show persistent abnormalities in animals subjected to multiple SE episodes during early postnatal development. SE may result in important plastic changes in critical periods of brain maturation leading to long-lasting epileptogenesis, as manifested by electrographic epileptiform discharges, behavioral deficits, and in vitro hyperexcitability of hippocampal networks.
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Encéfalo/crescimento & desenvolvimento , Encéfalo/fisiopatologia , Plasticidade Neuronal/fisiologia , Pilocarpina , Estado Epiléptico/induzido quimicamente , Estado Epiléptico/fisiopatologia , Fatores Etários , Animais , Apoptose/fisiologia , Comportamento Animal/fisiologia , Encéfalo/patologia , Córtex Cerebral/crescimento & desenvolvimento , Córtex Cerebral/patologia , Córtex Cerebral/fisiopatologia , Modelos Animais de Doenças , Eletroencefalografia/estatística & dados numéricos , Hipocampo/crescimento & desenvolvimento , Hipocampo/patologia , Hipocampo/fisiopatologia , Marcação In Situ das Extremidades Cortadas , Masculino , Ratos , Ratos Wistar , Estado Epiléptico/patologiaRESUMO
PURPOSE: Familial forms of temporal lobe epilepsy have been described recently. A locus on ch 10q has been linked to partial epilepsy with auditory symptoms. We investigated the proportion of families segregating temporal lobe epilepsy (TLE) linked to ch 10q and sought to establish genotype-phenotype correlations. METHODS: We studied 15 unrelated families segregating TLE. A total of 153 individuals, including 79 patients, were analyzed in this study. Family members were genotyped for four polymorphic dinucleotide repeat markers: D10S185, D10S574, D10S577, and D10S192, which flank the 15-cM candidate interval on ch 10q. Two-point lod scores were calculated for each family separately. RESULTS: Fourteen of our families had ictal semiology of mesial temporal onset of seizures and magnetic resonance imaging (MRI) abnormalities in the mesial structures; only one family, with seven affected individuals, reported auditory symptoms and had normal MRIs. Pedigree analysis showed an autosomal dominant transmission with 0.75 penetrance. Only two families had informative lod scores. A large family, with 22 affected individuals segregating mesial TLE, had negative lod scores for all four markers genotyped. The lod scores were significantly negative (less than -2.00) up to 0.05 for D10S185, 0.10 for D10S574, 0.25 for D10S577, and 0.15 for D10S192. The single family with auditory symptoms had positive lod scores for all markers genotyped, with a Z max of 1.52 at 0.0 for D10S574. CONCLUSIONS: We identified two different clinical groups of families segregating TLE. Most families identified in this study had mesial TLE. Only one single family segregating lateral TLE was found. We significantly excluded linkage between familial mesial TLE and the locus on ch 10q. In addition, we showed evidence for linkage between one family with lateral TLE and markers on ch 10q. This is strong evidence for clinical and genetic heterogeneity among familial forms of TLE.