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Anestesia General/métodos , COVID-19 , Manejo de la Vía Aérea/métodos , Niño , Femenino , Humanos , Persona de Mediana EdadAsunto(s)
Arteritis de Takayasu/diagnóstico por imagen , Angiografía por Tomografía Computarizada/métodos , Ecocardiografía/métodos , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Persona de Mediana Edad , Tomografía Computarizada por Tomografía de Emisión de Positrones/métodos , Arteritis de Takayasu/terapia , Resultado del TratamientoRESUMEN
Plant-phyllosphere interactions depend on microbial diversity, the plant host and environmental factors. Light is perceived by plants and by microorganisms and is used as a cue for their interaction. Photoreceptors respond to narrow-bandwidth wavelengths and activate specific internal responses. Light-induced plant responses include changes in hormonal levels, production of secondary metabolites, and release of volatile compounds, which ultimately influence plant-phyllosphere interactions. On the other hand, microorganisms contribute making some essential elements (N, P, and Fe) biologically available for plants and producing growth regulators that promote plant growth and fitness. Therefore, light directly or indirectly influences plant-microbe interactions. The usage of light-emitting diodes in plant growth facilities is helping increasing knowledge in the field. This progress will help define light recipes to optimize outputs on plant-phyllosphere communications. This review describes research advancements on light-regulated plant-phyllosphere interactions. The effects of full light spectra and narrow bandwidth-wavelengths from UV to far-red light are discussed.
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Aneurisma Falso/diagnóstico por imagen , Aneurisma Cardíaco/diagnóstico por imagen , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Complicaciones Posoperatorias/diagnóstico por imagen , Obstrucción del Flujo Ventricular Externo/diagnóstico por imagen , Adulto , Aneurisma Falso/cirugía , Femenino , Aneurisma Cardíaco/cirugía , Humanos , Complicaciones Posoperatorias/cirugía , Válvula Pulmonar/trasplante , Obstrucción del Flujo Ventricular Externo/etiología , Obstrucción del Flujo Ventricular Externo/cirugíaAsunto(s)
Humanos , Femenino , Adulto , Complicaciones Posoperatorias/diagnóstico por imagen , Obstrucción del Flujo Ventricular Externo/diagnóstico por imagen , Aneurisma Falso/diagnóstico por imagen , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Aneurisma Cardíaco/diagnóstico por imagen , Complicaciones Posoperatorias/cirugía , Válvula Pulmonar/trasplante , Obstrucción del Flujo Ventricular Externo/cirugía , Obstrucción del Flujo Ventricular Externo/etiología , Aneurisma Falso/cirugía , Aneurisma Cardíaco/cirugíaRESUMEN
BACKGROUND: Fabry disease is a lysosomal storage disease caused by enzyme α-galactosidase A deficiency as a result of mutations in the GLA gene. Cardiac involvement is characterized by progressive left ventricular hypertrophy. OBJECTIVE: To estimate the prevalence of Fabry disease in a population with left ventricular hypertrophy. METHODS: The patients were assessed for the presence of left ventricular hypertrophy defined as a left ventricular mass index ≥ 96 g/m2 for women or ≥ 116 g/m2 for men. Severe aortic stenosis and arterial hypertension with mild left ventricular hypertrophy were exclusion criteria. All patients included were assessed for enzyme α-galactosidase A activity using dry spot testing. Genetic study was performed whenever the enzyme activity was decreased. RESULTS: A total of 47 patients with a mean left ventricular mass index of 141.1 g/m2 (± 28.5; 99.2 to 228.5 g/m2] were included. Most of the patients were females (51.1%). Nine (19.1%) showed decreased α-galactosidase A activity, but only one positive genetic test - [GLA] c.785G>T; p.W262L (exon 5), a mutation not previously described in the literature. This clinical investigation was able to establish the association between the mutation and the clinical presentation. CONCLUSION: In a population of patients with left ventricular hypertrophy, we documented a Fabry disease prevalence of 2.1%. This novel case was defined in the sequence of a mutation of unknown meaning in the GLA gene with further pathogenicity study. Thus, this study permitted the definition of a novel causal mutation for Fabry disease - [GLA] c.785G>T; p.W262L (exon 5).
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Enfermedad de Fabry/enzimología , Enfermedad de Fabry/epidemiología , Hipertrofia Ventricular Izquierda/enzimología , Hipertrofia Ventricular Izquierda/epidemiología , Mutación , alfa-Galactosidasa/genética , Adulto , Anciano , Anciano de 80 o más Años , Pruebas con Sangre Seca , Femenino , Estudios de Asociación Genética , Pruebas Genéticas , Humanos , Masculino , Persona de Mediana Edad , Portugal/epidemiología , Prevalencia , alfa-Galactosidasa/sangreRESUMEN
AbstractBackground:Fabry disease is a lysosomal storage disease caused by enzyme α-galactosidase A deficiency as a result of mutations in the GLA gene. Cardiac involvement is characterized by progressive left ventricular hypertrophy.Objective:To estimate the prevalence of Fabry disease in a population with left ventricular hypertrophy.Methods:The patients were assessed for the presence of left ventricular hypertrophy defined as a left ventricular mass index ≥ 96 g/m2 for women or ≥ 116 g/m2 for men. Severe aortic stenosis and arterial hypertension with mild left ventricular hypertrophy were exclusion criteria. All patients included were assessed for enzyme α-galactosidase A activity using dry spot testing. Genetic study was performed whenever the enzyme activity was decreased.Results:A total of 47 patients with a mean left ventricular mass index of 141.1 g/m2 (± 28.5; 99.2 to 228.5 g/m2] were included. Most of the patients were females (51.1%). Nine (19.1%) showed decreased α-galactosidase A activity, but only one positive genetic test − [GLA] c.785G>T; p.W262L (exon 5), a mutation not previously described in the literature. This clinical investigation was able to establish the association between the mutation and the clinical presentation.Conclusion:In a population of patients with left ventricular hypertrophy, we documented a Fabry disease prevalence of 2.1%. This novel case was defined in the sequence of a mutation of unknown meaning in the GLA gene with further pathogenicity study. Thus, this study permitted the definition of a novel causal mutation for Fabry disease - [GLA] c.785G>T; p.W262L (exon 5).
ResumoFundamento:A doença de Fabry é uma doença lisossomal de sobrecarga provocada pela deficiência da enzima α-galactosidase A como resultado de mutações no gene GLA. O envolvimento cardíaco carateriza-se por hipertrofia ventricular esquerda progressiva.Objetivo:Estimar a prevalência da doença de Fabry numa população com hipertrofia ventricular esquerda.Métodos:Os doentes foram avaliados para a presença de hipertrofia ventricular esquerda definida por massa do ventrículo esquerdo indexada como ≥ 96 g/m2 para mulheres ou ≥ 116 g/m2 para homens. Estenose aórtica severa e hipertensão arterial, com hipertrofia ventricular esquerda discreta, foram critério de exclusão. Todos os doentes incluídos foram avaliados para a atividade da enzima α-galactosidase A com testes de gota seca. No caso de atividade enzimática diminuída, realizava-se estudo genético.Resultados:Foram incluídos 47 doentes com uma média de massa indexada de 141,1 g/m2 (± 28,5; 99,2 a 228,5 g/m2]. A maioria (51,1%) dos doentes era do sexo feminino. Nove deles (19,1%) tinham diminuição da atividade da α-galactosidase A, mas apenas um teste genético foi positivo − [GLA] c.785G>T; p.W262L (éxon 5), uma mutação não descrita na literatura. O trabalho de investigação clínica permitiu estabelecer uma associação entre a mutação e a apresentação clínica.Conclusão:Em uma população de doentes com hipertrofia ventricular esquerda, documentamos uma prevalência de doença de Fabry de 2,1%. O novo caso foi definido na sequência de uma mutação de significado indeterminado no gene GLA com posterior estudo de patogenicidade. Este estudo permitiu, assim, definir uma nova mutação causal para doença de Fabry - [GLA] c.785G>T; p.W262L (éxon 5).