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1.
J Toxicol Environ Health A ; 84(6): 261-271, 2021 03 19.
Artigo em Inglês | MEDLINE | ID: mdl-33372579

RESUMO

Azathioprine (Aza) is a purine antimetabolite immunosuppressant that is widely employed for immunosuppressive therapy in post-transplant recipients or patients with autoimmune diseases. Chronic use of immunosuppressants might produce several side effects, including a high rate of neoplasms in these patients. Considering that genotoxic effects are associated with an increased risk of developing cancer, the aim of this study was to examine the recombinogenic, genotoxic, and cytotoxic effects of Aza using Somatic Mutation and Recombination Test (SMART) in Drosophila melanogaster, as well as comet and micronucleus assays in mouse bone marrow cells. Further, the adverse effects of Aza were determined in mouse hepatic and renal tissues using histopathological analysis. Data demonstrated that Aza induced significant increased genotoxicity in D. melanogaster and mouse bone marrow cells at all concentrations tested. Homologous recombination was the predominant genotoxic event noted for the first time to be initiated by Aza in SMART. In histopathological analysis, Aza did not show any marked toxic activity in mouse hepatic and renal tissues. Therefore, the high rate of neoplasms reported in patients with long-term use of Aza may be attributed, at least partially, to the genotoxic action of this drug.


Assuntos
Azatioprina/toxicidade , Drosophila melanogaster/efeitos dos fármacos , Imunossupressores/toxicidade , Animais , Células da Medula Óssea/efeitos dos fármacos , Ensaio Cometa , Camundongos , Testes para Micronúcleos , Testes de Mutagenicidade
2.
Transfus Med ; 29(3): 149-161, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29845661

RESUMO

Transfusion therapy is a common practice in the treatment of anaemia and can cause erythrocyte alloimmunisation. To systematise data related to erythrocyte alloimmunisation in patients with sickle cell disease (SCD), a bibliographic search was carried out in September 2017 to search for studies in four electronic databases. (i) Referring to the original work, (ii) being cohort or case-control, (iii) having been developed with individuals with SCD and (iv) having evaluated the erythrocyte alloimmunisation. Two reviewers identified the articles for inclusion in the study, extracted the predetermined data and carried out the evaluation of the methodological quality of the work. 21 studies were selected; the studies included data on 20 636 individuals (children and adults), were mostly published in the last 10 years, were developed in the United States and had high methodological quality. The occurrence of erythrocyte alloimmunisation ranged from 4·4 to 76%, and there was a higher rate of alloimmunisation against antigens of the Rh system. The risk factors for alloimmunisation were age; gender (female); red blood cell (RBC) units received; presence of ≥1 autoantibodies, TNF-α, interleukin (IL1B), human leukocyte antigens (HLA)-DRB1 gene polymorphisms; first blood transfusion (BT) after 5 years of age, transfusion episodic, multiple or during inflammatory events, acute chest syndrome (ACS) and vase-occlusive crisis (VOC); increased percentage of CD41 T memory cells; and positive direct antiglobulin test. Transfusion policies should be developed to protect the patient and his or her health based on the main factors associated with its incidence.


Assuntos
Anemia Falciforme , Transfusão de Eritrócitos/efeitos adversos , Eritrócitos , Imunização , Anemia Falciforme/sangue , Anemia Falciforme/imunologia , Anemia Falciforme/terapia , Autoanticorpos/sangue , Autoanticorpos/imunologia , Eritrócitos/imunologia , Eritrócitos/metabolismo , Eritrócitos/patologia , Feminino , Humanos , Isoanticorpos/sangue , Isoanticorpos/imunologia , Masculino , Fatores de Risco , Fatores Sexuais
3.
Eur Ann Allergy Clin Immunol ; 50(3): 135-138, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29479928

RESUMO

Summary: Background. Microarray technique employing molecular allergens is pointed out as a new method to evaluate allergic patients. Objective. To evaluate if microarray technique (ImmunoCAP-ISAC®; I-ISAC®) is similar to fluorescence enzyme immunoassay (FEIA; ImmunoCAP®) in the diagnosis of latex allergy (specific IgE to latex plus symptoms) and latex sensitization (only antibody) in pediatric (9-mo to 14-yrs) patients with myelomeningocele undergone to surgical repair. Methods. Patients underwent skin prick testing (SPT) to latex and food (prick to prick), and dosage of serum specific IgE to latex and recombinant latex allergens (rHev b 1, rHev b 3, rHev b 5, rHev b 6.01, rHev b 6.02, rHev b 8, rHev b 9, and rHev b 11) by ImmunoCAP® and I-ISAC®. Results. The comparison between the two methods showed high level of concordance considering positive and negative results. A statistically significant correlation for rHev b 3 and rHev b 6.01 for the allergic patients, and for rHev b5 and rHev b6.01 for those sensitized to latex, was observed. I-ISAC® is limited to 5 recombinant latex allergens (rHev b 1, 3, 5, 6.01 and 8). Despite the presence of antibodies against pollens, LTP and profilins (I-ISAC®) in some patients, none of them reported symptoms related with intake of fruits and/or vegetables. Conclusion. Both methods are effective in assisting the diagnosis of latex allergy, but differ in the assessment of sensitized pediatric patients with myelomeningocele. The assessment of latex sensitized patients is more complete using the 8 recombinant latex fractions available for ImmunoCAP®, instead of I-ISAC®.


Assuntos
Fluorimunoensaio/métodos , Hipersensibilidade ao Látex/diagnóstico , Meningomielocele/cirurgia , Análise Serial de Proteínas/métodos , Adolescente , Criança , Pré-Escolar , Hipersensibilidade Alimentar/diagnóstico , Humanos , Imunoglobulina E/sangue , Lactente , Látex/imunologia , Meningomielocele/patologia
4.
J Helminthol ; 92(5): 612-617, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28974277

RESUMO

A new species of cestode of the genus Fuhrmannetta found in the small intestine of Cerradomys goytaca is described herein, named Fuhrmannetta jurubatensis n. sp. Rodents were collected from the sand-plains areas of the northern coast of the State of Rio de Janeiro, Brazil. Morphological analyses were conducted by light and scanning electron microscopy. From the morphological analysis and a comparison with the known species of the genus, F. jurubatensis n. sp. can be identified by a combination of morphological and morphometrical characteristics, including strobila length, number and length of rostellar hooks, position of the genital pore and the number of eggs per uterine capsule.


Assuntos
Cestoides/classificação , Cestoides/isolamento & purificação , Infecções por Cestoides/veterinária , Doenças dos Roedores/parasitologia , Sigmodontinae/parasitologia , Estruturas Animais/anatomia & histologia , Animais , Biometria , Brasil , Cestoides/anatomia & histologia , Infecções por Cestoides/parasitologia , Microscopia , Microscopia Eletrônica de Varredura
5.
Osteoporos Int ; 27(10): 2913-33, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27145947

RESUMO

UNLABELLED: This systematic review and meta-analysis of randomized controlled trials (RCTs) identified significant effects of whole body vibration (WBV) on bone mineral density (BMD) of the lumbar spine (in the sensitivity analysis and seven subgroup analyses), femoral neck (in one subgroup analysis), and trochanter (four subgroup analyses) in postmenopausal women, but not other measurements of BMD. INTRODUCTION: Interventions using WBV training have been conducted in postmenopausal women, aimed at increasing BMD; however, the results are contradictory. Our objective is to conduct a systematic review and meta-analysis of RCTs examining WBV effect on BMD. METHODS: RCTs were considered eligible, with follow-up ≥6 months, which verified the effects of WBV on the BMD of postmenopausal women. The calculations of the meta-analysis were performed through the weighted mean difference between the WBV and control groups, or the WBV and combined training, through the absolute change between pre- and post-intervention in the areal bone mineral density (aBMD) or trabecular volumetric bone mineral density (vBMDt). RESULTS: Fifteen RCTs were included in the meta-analysis. No differences were observed in the primary analysis. WBV was found to improve aBMD compared with the control group, after exclusion of studies with low quality methodological (lumbar spine), when excluding the studies which combined WBV with medication or combined training (lumbar spine), with the use of low frequency and high magnitude (lumbar spine and trochanter), high frequency and low magnitude (lumbar spine), high cumulative dose and low magnitude (lumbar spine), low cumulative dose and high magnitude (lumbar spine and trochanter), with semi-flexed knee (lumbar spine, femoral neck, and trochanter), and side-alternating type of vibration (lumbar spine and trochanter). CONCLUSIONS: Despite WBV presenting potential to act as a coadjuvant in the prevention or treatment of osteoporosis, especially for aBMD of the lumbar spine, the ideal intervention is not yet clear. Our subgroup analyses helped to demonstrate the various factors which appear to influence the effects of WBV on BMD, contributing to clinical practice and the definition of protocols for future interventions.


Assuntos
Densidade Óssea , Osteoporose Pós-Menopausa/prevenção & controle , Vibração , Feminino , Colo do Fêmur , Humanos , Vértebras Lombares , Pós-Menopausa , Ensaios Clínicos Controlados Aleatórios como Assunto
6.
Transfus Med ; 26(4): 297-300, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27237104

RESUMO

OBJECTIVES: Evaluate whether poor mobilisers had delayed haematopoietic (neutrophil and platelet) recovery despite receiving similar cell dose as good mobilisers. BACKGROUND: Autologous haematopoietic progenitor cell (HPC) transplantation is indicated to treat some haematological malignancies. This procedure requires HPC mobilisation from bone marrow to peripheral blood. Cell dose is important for a fast haematological recovery. Despite being poor mobilisers, some patients can collect enough cell numbers for transplantation. RESULTS: Fifteen poor mobiliser patients (peak of CD34+ cells ≤10 µL(-1) in peripheral blood) were transplanted at our institution. Haematological recovery (neutrophil ≥ 500 µL(-1) ) in this group was compared to that observed in the group of 16 patients of good mobilisers (peak of CD34+ cells ≥20 µL(-1) in peripheral blood) who received similar cell dose (2·637 ± 0·1744 × 10(6) kg(-1) vs 2·727 ± 0·1746 × 10(6) kg(-1) ; P = 0·7177). The poor mobiliser group had neutrophil and platelet recovery later than the good mobiliser group (on day 12, range 9-14 vs day 10, range 9-22, P = 0·0381 for neutrophil, and on day 22·89 ± 11·16 and 14·08 ± 4·821, P = 0·0193 for platelet). Mortality rates and transfusion requirements were not different between the groups. CONCLUSION: Poor mobilisers have delayed neutrophil and platelet recovery after autologous HPC transplantation despite having received the same cell dose as good mobilisers.


Assuntos
Neoplasias Hematológicas/mortalidade , Neoplasias Hematológicas/terapia , Mobilização de Células-Tronco Hematopoéticas/métodos , Transplante de Células-Tronco Hematopoéticas , Adulto , Idoso , Autoenxertos , Intervalo Livre de Doença , Feminino , Neoplasias Hematológicas/sangue , Humanos , Masculino , Pessoa de Meia-Idade , Taxa de Sobrevida
7.
Genet Mol Res ; 14(2): 6625-34, 2015 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-26125870

RESUMO

Hypostomus is a group of fish with numerical and struc-tural karyotypic variability. Among them, only six species, three of which belong to the Amazon basin, show a sex chromosome. In this study, we present the karyotype structure of Hypostomus cf. plecos-tomus from the Teles Pires river basin in the municipality of Alta Flo-resta, MT. The species has 2n = 68 and the karyotype formula 14m+ 24sm+ 14st+ 16a [fundamental number (FN) = 120] in males and 15m+ 24sm+14st+15a (FN = 121) in females and sex chromosomes ZZ/ZW. Argyrophilic nucleolar organizer regions (AgNORs) were identified in two pairs of chromosomes at different positions: short arm of the pair 21and long arm of the pair 27, matching the signals displayed by 18S FISH and indicating multiple NORs. Analysis of band C detected few blocks of constitutive heterochromatin in the pericentromeric regions of most chromosomes and the telomeric regions of some pairs, includ-ing the nucleolar pair 21. However, large blocks on the long arm of the nucleolar pair 27 still stood out. GC-rich heterochromatin (CMA3) was visualized only coincidently with nucleolar sites. Mapping of 5S rDNA sites with FISH revealed markings in eight chromosomes, demonstrat-ing synteny between the 18S and 5S sites. The data obtained for H. cf. plecostomus are important for taxonomic studies of this Amazon com-plex "H. plecostomus group". The occurrence of sex chromosomes in Amazon species of Hypostomus suggests an evolutionary event that is independent of other species in the group.


Assuntos
Evolução Biológica , Peixes-Gato/genética , Cariótipo , Cromossomos Sexuais/genética , Animais , Bandeamento Cromossômico , Feminino , Hibridização in Situ Fluorescente , Masculino , Rios
8.
Genet Mol Res ; 14(2): 4051-7, 2015 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-25966177

RESUMO

The Iguaçu River basin is a tributary to the upper Paraná River in southern Brazil, and is considered an important aquatic ecoregion that, although having few species of fish, 51-71% of these are apparently endemic. Ancistrus abilhoai is one of three recently described species for this basin and is currently considered endemic to the basin. In this study, we present the chromosomal structure of two populations of Ancistrus abilhoai one collected in the Iguaçu River, in Paraná State, and another collected in the Timbó River, a tributary of the Iguaçu River, in the State of Santa Catarina. Karyotype analyzes were performed in 11 specimens from the Iguaçu River (four females and seven males) and 12 specimens (all males) from Timbó River, revealing 2n = 48 chromosomes with a karyotype formula of 22m + 14sm + 6st + 6a in both populations. Analysis of active nucleolar organizer regions (Ag-NORs) and fluorescent in situ hybridization (FISH) with 18S rDNA probes revealed the submetacentric pair 13 bearing marks at terminal positions on the short arms. Considered as plesiomorphic chromosomal markers in Loricariidae, asynteny 18S and 5S rDNA, and small amounts of heterochromatin were observed. In this study, the first chromosomal data of A. abilhoai are presented with comments on karyotypic characteristics of the genus.


Assuntos
Peixes-Gato/genética , Cromossomos/genética , Cariótipo , Animais , Brasil , Citogenética , DNA Ribossômico/genética , Feminino , Heterocromatina/genética , Hibridização in Situ Fluorescente , Masculino , Rios
9.
Genet Mol Res ; 12(3): 2902-12, 2013 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-24065646

RESUMO

Streptococcus agalactiae (Lancefield group B; group B streptococci) is a major pathogen that causes meningoencephalitis in fish, mastitis in cows, and neonatal sepsis and meningitis in humans. The available prophylactic measures for conserving human and animal health are not totally effective and have limitations. Effective vaccines against the different serotypes or genotypes of pathogenic strains from the various hosts would be useful. We used an in silico strategy to identify conserved vaccine candidates in 15 genomes of group B streptococci strains isolated from human, bovine, and fish samples. The degree of conservation, subcellular localization, and immunogenic potential of S. agalactiae proteins were investigated. We identified 36 antigenic proteins that were conserved in all 15 genomes. Among these proteins, 5 and 23 were shared only by human or fish strains, respectively. These potential vaccine targets may help develop effective vaccines that will help prevent S. agalactiae infection.


Assuntos
Peixes/genética , Imunoterapia Ativa , Mastite Bovina/prevenção & controle , Infecções Estreptocócicas/prevenção & controle , Animais , Bovinos , Simulação por Computador , Feminino , Genoma Bacteriano , Humanos , Mastite Bovina/genética , Mastite Bovina/microbiologia , Terapia de Alvo Molecular , Infecções Estreptocócicas/genética , Infecções Estreptocócicas/imunologia , Infecções Estreptocócicas/veterinária , Streptococcus agalactiae/efeitos dos fármacos , Streptococcus agalactiae/genética , Streptococcus agalactiae/imunologia , Streptococcus agalactiae/patogenicidade
10.
Clin Exp Allergy ; 42(11): 1630-7, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23106663

RESUMO

BACKGROUND: Cow's milk allergy (CMA) is one of the most common causes of food allergy in the first years of life. Fortunately, the majority of children with CMA develop clinical tolerance with time. However, no good individual markers exist to predict whether this will occur. Therefore, a prognosis to identify children with persistent CMA at diagnosis would be helpful. OBJECTIVE: In this study, we sought to assess whether measurement of IgE to individual allergens of cow's milk (CM) would separate patients with persistent CMA from those who became clinically tolerant to CM over time. METHODS: A total of 52 patients ranging from 3 months to 114 months of age with proven CMA by DBPCFC were followed over time. From these 52 patients, 32 (61.5%) patients became tolerant in the analysed time period. All patients were rechallenged at least once, some were rechallenged two or three times. Serum was analysed prior to each challenge for specific IgE, IgG and IgG4 binding to crude CM protein as well as to individual allergens of CM. RESULTS: The individual likelihood of outgrowing CMA significantly correlates with a low level of CM-specific IgE as well as a low level of specific IgE to α-lactalbumin, ß-lactoglobulin (Bos d5.0102), κ-casein and α(s1) -casein. No significant correlation was found for IgE levels to total casein, lactoferrin, ß-casein and ß-lactoglobulin (Bos d5.0101) as well as IgG and IgG4 levels to α-lactalbumin, ß-lactoglobulin and total casein. CONCLUSIONS: CM-specific IgE is a good prognostic marker for persistence of CMA. In addition, component-resolved diagnostic showed similar results. However, in our view, the rising laboratory costs do not justify a measurement on a daily basis. Additional determination of specific IgG or IgG4 levels was not useful in predicting tolerance development in our study population.


Assuntos
Alérgenos/imunologia , Tolerância Imunológica , Hipersensibilidade a Leite/imunologia , Leite/imunologia , Animais , Biomarcadores/sangue , Criança , Pré-Escolar , Feminino , Humanos , Imunoglobulina E/sangue , Imunoglobulina E/imunologia , Imunoglobulina G/sangue , Imunoglobulina G/imunologia , Lactente , Masculino , Hipersensibilidade a Leite/sangue , Hipersensibilidade a Leite/diagnóstico , Prognóstico
11.
Allergol Immunopathol (Madr) ; 40(1): 25-30, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-21752525

RESUMO

BACKGROUND: The most reliable method to diagnose food allergy or to determine tolerance is the oral food challenge. OBJECTIVES: The aim of this study was to describe the open oral food challenge applied to children with suspicion of cow's milk allergy mediated by immunoglobulin E, and evaluate the relation between the clinical history and skin prick test with the challenge outcomes. PATIENTS AND METHODS: Forty-six children (median age 13.8 months), with clinical history of immediate reactions to cow's milk and positive skin prick test, underwent an open oral food challenge with cow's milk. RESULTS: The challenge was positive in 41.3%. Cutaneous reactions were the most common (73.7%), followed by respiratory (57.9%) and gastrointestinal reactions (36.8%). According to the severity of the reactions, 57.9%, 36.8% and 5.3% had mild, moderate and severe reactions, respectively. Oral antihistamine was sufficient as treatment in all positive cases. A higher frequency of positive skin prick test with total milk and casein was observed in children with positive oral food challenge. There was a significant agreement between the reactions reported by the family history and those observed during the challenge for 68.4% of children with positive results (Kappa = 0.728; p < 0.001). CONCLUSIONS: The method was considered suitable for children up to three years of age, and is safe and easy to perform. There was a significant correlation between the clinical history and the challenge outcomes. A positive skin prick test with total milk and casein was significantly associated with positive challenge results.


Assuntos
Imunoglobulina E/imunologia , Hipersensibilidade a Leite/diagnóstico , Pré-Escolar , Feminino , Alimentos , Humanos , Lactente , Masculino , Testes Cutâneos
12.
Haemophilia ; 17(5): e936-43, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21649803

RESUMO

Hemophilia A is an X-linked, inherited, bleeding disorder caused by the partial or total inactivity of the coagulation factor VIII (FVIII). Due to difficulties in the direct recognition of the disease-associated mutation in the F8 gene, indirect diagnosis using polymorphic markers located inside or close to the gene is used as an alternative for determining the segregation of the mutant gene within families and thus for detecting carrier individuals and/or assisting in prenatal diagnosis. This study characterizes the allelic and haplotype frequencies, genetic diversity, population differentiation and linkage disequilibrium of five microsatellites (F8Int1, F8Int13, F8Int22, F8Int25.3 and IKBKG) in samples of healthy individuals from São Paulo, Rio Grande do Sul and Pernambuco and of patients from São Paulo with haemophilia A to determine the degree of informativeness of these microsatellites for diagnostic purposes. The interpopulational diversity parameters highlight the differences among the analyzed population samples. Regional differences in allelic frequencies must be taken into account when conducting indirect diagnosis of haemophilia A. With the exception of IKBKG, all of the microsatellites presented high heterozygosity levels. Using the markers described, diagnosis was possible in 10 of 11 families. The F8Int22, F8Int1, F8Int13, F8Int25.3 and IKBKG microsatellites were informative in seven, six, five and two of the cases, respectively, demonstrating the effectiveness of using these microsatellites in prenatal diagnosis and in carrier identification in the Brazilian population.


Assuntos
Triagem de Portadores Genéticos/métodos , Hemofilia A/genética , Repetições de Microssatélites/genética , Alelos , Brasil , Análise Mutacional de DNA , Feminino , Frequência do Gene , Marcadores Genéticos/genética , Genótipo , Haplótipos/genética , Hemofilia A/diagnóstico , Humanos , Desequilíbrio de Ligação , Masculino , Linhagem , Diagnóstico Pré-Natal/métodos
13.
Eur Arch Paediatr Dent ; 22(2): 247-255, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32880093

RESUMO

PURPOSE: To evaluate the microhardness, roughness, profilometry and cross-sectional hardness of single increment materials submitted to different challenges. METHODS: Thirty-six disks of each material, Filtek Supreme XTE (FT), Filtek One Bulk Fill (BK), Ketac Molar Easy Mix (KT) and Equia Forte + Coat (EQ) were immersed in saliva, pH cycling and Coke for 15 days. Half of each surface was used as its own control. Superficial microhardness, roughness, perfilometry analysis were performed. All samples were sectioned, embedded in acrylic resins, polished and cross-sectional hardness were made. Data were analyzed by ANOVA and Tukey's test (p < 0.05). RESULTS: The KT presented superficial microhardness superior than EQ. However, in depth, EQ showed superior values. FT, KT suffered the effects of challenges on microhardness values. The highest roughness and wear values were found for KT. RC do not suffer wear. All materials suffered the effects of Coke and pH challenges in depths 10 µm and 60 µm. CONCLUSION: The single increment restorative material that suffered less action on its surface was the bulk-fill resin. The coat present in the hybrid ionomer was able to resist to the immersion actions. In addition, Coke was the most aggressive challenge.


Assuntos
Resinas Compostas , Materiais Dentários , Resinas Acrílicas , Estudos Transversais , Cimentos de Ionômeros de Vidro , Dureza , Humanos , Teste de Materiais , Propriedades de Superfície
14.
Allergy ; 65(12): 1554-7, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20608920

RESUMO

BACKGROUND: Hen's egg (HE) allergy is a common disease in childhood. HE-specific serum IgE has been correlated with the outcome of oral food challenge tests, and diagnostic decision points have been described as helpful but still not sufficient to reduce the requirement for oral food challenges. The aim of the study was to correlate HE-specific IgE, IgG and IgG4 levels with the outcome of double-blind, placebo-controlled food challenges (DBPCFC) in patients with suspected HE allergy to improve diagnostic procedures. METHODS: HE-specific IgE, IgG, and IgG4 levels were compared between 150 children with suspected HE allergy based on sensitization and/or patient's history who underwent DBPCFC. Sixty-six patients were HE-allergic (HE-sensitized with a positive DBPCFC), 48 HE-sensitized but tolerant (negative DBPCFC), and 36 patients were nonsensitized and tolerant (negative DBPCFC). Prior to food challenge HE-specific serum IgE, IgG, and IgG4 were measured with the Phadia CAP-system. RESULTS: HE-specific IgE was significantly higher in HE-allergic patients than in clinically tolerant ones. However, there was no difference in HE-specific IgG and IgG4 concentrations between the patient groups. CONCLUSION: A proposed cut-off level of 12 kU/l IgE would identify children above this level correctly as HE-allergic. The level of HE-specific IgG or IgG4 in serum of children with suspected HE allergy does not add any additional information in the diagnostic procedure of HE allergy. For diagnostic purposes, specific IgG or IgG4 should not routinely be tested.


Assuntos
Hipersensibilidade a Ovo/sangue , Hipersensibilidade a Ovo/diagnóstico , Imunoglobulina E/sangue , Imunoglobulina G/sangue , Adolescente , Animais , Criança , Pré-Escolar , Método Duplo-Cego , Hipersensibilidade a Ovo/imunologia , Humanos , Imunoglobulina E/imunologia , Imunoglobulina G/imunologia , Lactente , Ensaios Clínicos Controlados Aleatórios como Assunto , Estudos Retrospectivos
15.
Int J Androl ; 33(5): 736-44, 2010 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-20039972

RESUMO

The effects of weight loss on erectile function and hormones have not been well studied. The aim of this study was to measure the degree to which sexual function and in particular erectile function and hormonal environment change after substantial weight loss, surgically and non-surgically induced in the morbidly obese male in a prospective randomized long-term controlled trial. Furthermore, how surgery makes a difference when treating morbidly obese men was envisaged in this context. We prospectively studied 20 morbidly obese men for 24 months, divided into two groups: group A included 10 patients who underwent life style modifications (exercise and diet) for 4 months and subsequently gastric bypass, and another 10 patients in group B were kept on weekly follow-up. None of the men were taking phosphodiesterase type-5 inhibitors. All patients underwent International Index of Erectile Function (IIEF)-5 questionnaire, serum oestradiol, prolactin (PRL), luteinizing (LH) and follicle-stimulating (FSH) hormones, free and total testosterone (FT and TT) at baseline (time 0), surgery - 4 months latter baseline (time 1) and final evaluation - 24 months (time 2). From times 0 to 1, group A presented a mean body mass index (BMI) reduction of 12.6 (p < 0.0001), whereas group B, 2.1 (p > 0.05). The BMI reductions between times 0 and 2 were 24.7 (p < 0.0001) and 0.7 (p > 0.05) for groups A and B respectively. BMI average between the two groups was similar at time 0 (p = 0.2142), and different at times 1 (p = 0.0033) and 2 (p < 0.0006). Increase in IIEF-5 score (p = 0.0469), TT (p = 0.0349) and FSH levels (p = 0.0025), and reduction in PRL level (p < 0.0001) were observed in group A from times 0 to 2 and 1 to 2. There were no changes from times 0 to 1. Comparing groups A and B at time 2, IIEF-5, TT and FT increased significantly in group A (p = 0.0224, 0.0043 and 0.0149 respectively). Surgery-induced weight loss increased erectile function quality measured by IIEF-5 questionnaire, increased TT, FT and FSH and reduced PRL levels. The hormonal impact verified could justify the improvement in erectile function. Lifestyle modifications impacted BMI without hormonal or sexual impact in morbidly obese. New studies are warranted in the field to support our data.


Assuntos
Disfunção Erétil/cirurgia , Derivação Gástrica/estatística & dados numéricos , Obesidade Mórbida/fisiopatologia , Obesidade Mórbida/cirurgia , Adulto , Estradiol/sangue , Hormônio Foliculoestimulante/sangue , Humanos , Estilo de Vida , Hormônio Luteinizante/sangue , Masculino , Pessoa de Meia-Idade , Ereção Peniana , Prolactina/sangue , Redução de Peso
17.
Life Sci ; 251: 117640, 2020 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-32259603

RESUMO

AIM: To evaluate the effects of P2X7 receptor blockade on renin-angiotensin system (RAS) in rats with diabetic nephropathy (DN). MAIN METHODS: Wistar rats were unilaterally nephrectomized and received streptozotocin for diabetes mellitus (DM) induction; control animals (CTL) received the drug vehicle. The animals were submitted to P2X7 receptor silencing, forming the group (DM + siRNA). The animals were placed in metabolic cages for data collection and evaluation of renal function; at the end of the protocol, the kidney was removed for analysis of P2X7, renin, angiotensin-converting enzyme (ACE), ACE2, angiotensin, thiobarbituric acid reactive substance levels (TBARS), nitric oxide (NO) and qualitative histological. KEY FINDINGS: The metabolic profile was attenuated in DM + siRNA vs. DM and there was a significant improvement in creatinine, urea and proteinuria levels in the same group. Renin expression was significantly decreased in DM + siRNA vs. DM. ACE and ACE2 were significantly reduced in DM + siRNA vs. DM. TBARS levels were decreased and NO showed an increase in DM + siRNA vs. DM, both significant. All histological alterations were improved in DM + siRNA vs. DM. SIGNIFICANCE: Data have shown that although silencing of the P2X7 receptor did not decrease fasting glucose, it promoted an improvement in the metabolic profile and a significant recovery of renal function, revealing a protective action by the inhibition of this receptor. This effect must have occurred due to the inhibition of RAS and the increase of NO, suggesting that the use of P2X7 receptors inhibitors could be used as adjuvant therapy against DN progression.


Assuntos
Diabetes Mellitus Experimental/terapia , Nefropatias Diabéticas/terapia , Inativação Gênica , Receptores Purinérgicos P2X7/genética , Sistema Renina-Angiotensina/genética , Animais , Diabetes Mellitus Experimental/complicações , Diabetes Mellitus Experimental/genética , Nefropatias Diabéticas/genética , Nefropatias Diabéticas/fisiopatologia , Masculino , Óxido Nítrico/metabolismo , RNA Interferente Pequeno/administração & dosagem , Ratos , Ratos Wistar , Estreptozocina
19.
Radiat Prot Dosimetry ; 133(3): 136-43, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19287013

RESUMO

The aim of this work was to evaluate the distribution of the entrance surface air kerma (ESAK) and the average glandular dose (D(G)) in four mammography facilities located in the city of Rio de Janeiro. The ESAK values were estimated from the X-ray tube output rate (mGy/mAs) parameters. The image quality was evaluated by the radiologists in each clinic. The ESAK values obtained for a breast thickness of 45 mm were 5.58 mGy in Clinic A, 10.07 mGy in Clinic B, 13.89 mGy in Clinic C and 7.21 mGy in Clinic D. For D(G), it can be seen that, for the same compressed breast thickness (50 mm), the value varied from 0.20 to 3.60 mGy, with a mean value of 1.50 mGy for all the clinics. In image quality evaluation, Clinic D was the only one that presented a very low acceptability for quality criteria and inadequacies in relation to specks, masses and optical density.


Assuntos
Algoritmos , Mamografia/métodos , Modelos Biológicos , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Ar , Brasil , Simulação por Computador , Doses de Radiação , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
20.
Ecohealth ; 15(4): 777-791, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30117001

RESUMO

From 2006 through 2014, we conducted seroepidemiological surveys on non-human primates and sloths to investigate the possible circulation of arboviruses in Bahia Atlantic Forest, Brazil. We collected a total of 196 samples from 103 Leontopithecus chrysomelas, 7 Sapajus xanthosternos, 22 Bradypus torquatus and 7 Bradypus variegatus. Serum samples were tested using neutralization test and hemagglutination inhibition test to detect total antibodies against 26 different arboviruses. The overall prevalence of arboviruses was 36.6% (51/139), with the genus Flavivirus having the highest prevalence (33.1%; 46/139), followed by Phlebovirus (5.0%; 7/139), Orthobunyavirus (4.3%; 6/139) and Alphavirus (0.7%; 1/139). Monotypic reactions suggest that the wild animals were exposed naturally to at least twelve arboviruses. Added results from the neutralization test, animals were exposed to thirteen arboviruses. Most of these viruses are maintained in transmission cycles independent of human hosts, although antibodies against dengue virus serotypes 1, 2 and 3 were found in this study. To our knowledge, this is the first study reporting exposure to arboviruses in L. chrysomelas, S. xanthosternos and B. torquatus. Our results also highlight that the Southern Bahia Atlantic Forest has a variety of vertebrate hosts and potential vectors, which may support the emergence or re-emergence of arboviruses, including those pathogenic to humans.


Assuntos
Infecções por Arbovirus/epidemiologia , Infecções por Arbovirus/veterinária , Arbovírus/isolamento & purificação , Primatas/virologia , Bichos-Preguiça/virologia , Animais , Brasil/epidemiologia , Feminino , Masculino , Estudos Soroepidemiológicos , Testes Sorológicos
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