RESUMEN
As a stress hormone, cortisol and more recently its metabolites are analysed when assessing fish stress and welfare status, although the exact identity of these metabolites is not clearly defined for the Atlantic salmon. LC-MS/MS techniques, owing to their specificity, sensitivity and ability to simultaneously identify and measure several relevant compounds, can be useful tools for this purpose. Using the guidelines provided by the European Decision no. 657/2002/EC for validation, the LC-MS/MS method presented here, can reliably identify and quantify cortisol and five of its metabolites (5ß-THF, cortisone, 5ß-DHE, 5ß-THE and ß-cortolone) in bile and faeces, and cortisol and cortisone in skin mucus and blood plasma of farmed Atlantic salmon within 15 min. Identified as the most predominant compound in faeces and bile, 5ß-THE is proposed as a candidate stress biomarker when using these matrices. A decision limit (CCα) below 5 ng/mL, a detection capability (CCß) and a limit of detection (LOD) below 10 ng/mL and a limit of quantitation (LOQ) below 30 ng/mL were typically obtained for most of the compounds. The concentrations of these compounds measured in either non-stressed or stressed fish were all above the CCα, CCß, LOD and the LOQ of the method. The latter consequently demonstrated significant difference in cortisol metabolites concentrations between the two groups of fish. The present study further demonstrates that pooling of samples from several individuals could provide reliable results for farmed fish stress evaluation, when sample materials are insufficient in terms of quantity.
Asunto(s)
Cortisona , Salmo salar , Animales , Hidrocortisona , Cromatografía Liquida/métodos , Salmo salar/metabolismo , Cortisona/metabolismo , Bilis/metabolismo , Espectrometría de Masas en Tándem/métodos , Heces/química , Moco/química , Moco/metabolismo , Plasma/química , Plasma/metabolismoRESUMEN
The rapid increase of the world population constantly demands more food production from agricultural soils. This causes conflicts, since at the same time strong interest arises on novel bio-based products from agriculture, and new perspectives for rural landscapes with their valuable ecosystem services. Agriculture is in transition to fulfill these demands. In many countries, conventional farming, influenced by post-war food requirements, has largely been transformed into integrated and sustainable farming. However, since it is estimated that agricultural production systems will have to produce food for a global population that might amount to 9.1 billion by 2050 and over 10 billion by the end of the century, we will require an even smarter use of the available land, including fallow and derelict sites. One of the biggest challenges is to reverse non-sustainable management and land degradation. Innovative technologies and principles have to be applied to characterize marginal lands, explore options for remediation and re-establish productivity. With view to the heterogeneity of agricultural lands, it is more than logical to apply specific crop management and production practices according to soil conditions. Cross-fertilizing with conservation agriculture, such a novel approach will provide (1) increased resource use efficiency by producing more with less (ensuring food security), (2) improved product quality, (3) ameliorated nutritional status in food and feed products, (4) increased sustainability, (5) product traceability and (6) minimized negative environmental impacts notably on biodiversity and ecological functions. A sustainable strategy for future agriculture should concentrate on production of food and fodder, before utilizing bulk fractions for emerging bio-based products and convert residual stage products to compost, biochar and bioenergy. The present position paper discusses recent developments to indicate how to unlock the potentials of marginal land.
RESUMEN
Accumulation of particulate matter (PM) and metals on leaves of three deciduous woody species was studied along urbanisation gradients in Stavanger and Warsaw. Differences between rural and urban sites explained most of the observed variation in leaf chemistry, followed by differences between regions. Highest leaf accumulation of elements was found in Warsaw, but also composition of elements differed between the cities. Overall, species showed similar patterns of element accumulation, but differed in accumulation of specific elements. These differences could in part be explained by differences in epicuticular waxes and PM accumulation. Expected source of elements and their chemical characteristics did not explain the observed accumulation patterns. A better differentiation between elements taken up from soil and air would be required for his. Species specific accumulation of elements has to be taken into consideration using leaf samples for biomonitoring.
Asunto(s)
Ciudades/estadística & datos numéricos , Monitoreo del Ambiente/métodos , Hojas de la Planta/química , Contaminantes Atmosféricos/análisis , Ambiente , Europa (Continente) , Metales/análisis , Material Particulado/análisis , Urbanización , CerasRESUMEN
A number of studies have focused on urban trees to understand their mitigation capacity of air pollution. In this study particulate matter (PM) deposition on Quercus ilex leaves was quantitatively analyzed in four districts of the City of Terni (Italy) for three periods of the year. Fine (between 0.2 and 2.5 µm) and Large (between 2.5 and 10 µm) PM fractions were analyzed. Mean PM deposition value on Quercus ilex leaves was 20.6 µg cm(-2). Variations in PM deposition correlated with distance to main roads and downwind position relatively to industrial area. Epicuticular waxes were measured and related to accumulated PM. For Fine PM deposited in waxes we observed a higher value (40% of total Fine PM) than Large PM (4% of total Large PM). Results from this study allow to increase our understanding about air pollution interactions with urban vegetation and could be hopefully taken into account when guidelines for local urban green management are realized.
Asunto(s)
Contaminantes Atmosféricos/análisis , Monitoreo del Ambiente/métodos , Material Particulado/análisis , Hojas de la Planta/química , Quercus/química , Contaminación del Aire/estadística & datos numéricos , Ciudades , Italia , ÁrbolesRESUMEN
Particulate matter is harmful to human health. To reduce its concentration in air, plants could be used as biological filters, accumulating particulate matter on their foliage. In a study carried out at three sites with differing pollution levels and exposure to precipitation, the capacity of evergreen species (Taxus baccata L., Hedera helix L. and Pinus sylvestris L.) to accumulate particulate matter and trace elements from ambient air in urban areas was investigated. The effects of rainfall and the passage of time on particulate matter deposition on foliage were also determined. The results showed that foliage accumulated an increasing quantity of particulate matter in successive months, but the actual amount of particulate matter and trace elements accumulated differed considerably between sites and plant species. The greatest accumulation of air pollutants occurred on the foliage of plants protected from the rain at a site exposed to traffic related pollution and the smallest accumulation at a rural site. Among the species analysed, the deposited mass of particulate matter and trace elements was the greatest on P. sylvestris. In all species, precipitation removed a considerable proportion of particles accumulated on foliage. Most of the removed particulate matter was large size fraction, but little belong to the smallest size fraction. These results showed that both, the dynamics of deposition and leaf washing by rain during the season need to be considered when evaluating the total effect of vegetation in pollutant remediation.
Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminación del Aire/estadística & datos numéricos , Monitoreo del Ambiente , Material Particulado/análisis , Plantas/química , Oligoelementos/análisis , Lluvia , Estaciones del AñoRESUMEN
Particulate matter (PM) accumulation on leaves of 22 trees and 25 shrubs was examined in test fields in Norway and Poland. Leaf PM in different particle size fractions (PM(10), PM(2.5), PM(0.2)) differed among the species, by 10- to 15-folds at both test sites. Pinus mugo and Pinus sylvestris, Taxus media and Taxus baccata, Stephanandra incisa and Betula pendula were efficient species in capturing PM. Less efficient species were Acer platanoides, Prunus avium and Tilia cordata. Differences among species within the same genus were also observed. Important traits for PM accumulation were leaf properties such as hair and wax cover. The ranking presented in terms of capturing PM can be used to select species for air pollution removal in urban areas. Efficient plant species and planting designs that can shield vulnerable areas in urban settings from polluting traffic etc. can be used to decrease human exposure to anthropogenic pollutants.
Asunto(s)
Contaminantes Atmosféricos/química , Material Particulado/química , Plantas/anatomía & histología , Plantas/química , Ceras/química , Contaminantes Atmosféricos/análisis , Contaminación del Aire/prevención & control , Monitoreo del Ambiente , Noruega , Material Particulado/análisis , Hojas de la Planta/anatomía & histología , Hojas de la Planta/química , Polonia , Especificidad de la Especie , Árboles/anatomía & histología , Árboles/química , Ceras/análisisRESUMEN
Diets causing milk fat depression (MFD) are known to alter ruminal lipid metabolism leading to the formation of specific biohydrogenation intermediates that exert antilipogenic effects. Several isomers of conjugated linoleic acid (CLA), namely trans-10, cis-12 CLA, cis-10, trans-12 CLA, and trans-9, cis-11 CLA, inhibit mammary lipogenesis in the lactating cow, but ruminal outflow of these biohydrogenation intermediates does not account entirely for the reductions in milk fat synthesis during diet-induced MFD. Milk fat trans-10 18:1 concentrations are consistently increased on diets that cause MFD, suggesting a possible role in the regulation of milk fat secretion. Three rumen-fistulated cows in mid lactation were used in a 3 x 3 Latin square to evaluate the effects of a mixture of 18:1 fatty acid methyl esters (FAME) on milk fat synthesis. Experimental treatments consisted of abomasal infusions of ethanol (control), 6 g/d of trans-10, cis-12 CLA (positive control; CLA), or 247 g/d of a mixture of 18:1 FAME containing (% fatty acids) cis-9 (9.45), cis-12 (3.35), trans-10 (37.3), trans-11 (37.4), and trans-12 (2.66) as major isomers (T181 treatment). Administration of the T181 treatment supplied 92.1 g/d of trans-10 18:1. Infusions were conducted over a 5-d period with a 9-d interval between treatments. Treatments had no effect on dry matter intake, milk yield, or milk protein. Relative to the control, abomasal infusion of T181 and trans-10, cis-12 CLA treatments reduced milk fat secretion by 19.5 and 41.5%, respectively. Even though a direct cause and effect on mammary lipogenesis could not be established, comparisons with published data and considerations of the relative abundance of constituent FAME in treatment T181 implicated trans-10 18:1 as the isomer responsible. In conclusion, current data suggest that trans-10 18:1 potentially exerts antilipogenic effects and may contribute to the reduction in milk fat synthesis during diet-induced MFD in the lactating cow.
Asunto(s)
Abomaso/metabolismo , Bovinos/fisiología , Suplementos Dietéticos , Grasas/metabolismo , Lactancia/fisiología , Leche/química , Ácidos Oléicos/metabolismo , Animales , Dieta/veterinaria , Ingestión de Alimentos/fisiología , Grasas/análisis , Femenino , Leche/metabolismo , Proteínas de la Leche/análisis , Ácidos Oléicos/administración & dosificaciónRESUMEN
Under certain dietary situations, rumen biohydrogenation results in the production of unique fatty acids that inhibit milk fat synthesis. The first of these to be identified was trans-10, cis-12 conjugated linoleic acid (CLA), but others are postulated to contribute to diet-induced milk fat depression (MFD). Our objective was to examine the potential role of trans-9, cis-11 CLA in the regulation of milk fat. In a preliminary study, we used gas-liquid and high-performance liquid chromatography techniques to examine milk fat samples from a diet-induced MFD study and found that an increase in trans-9, cis-11 CLA corresponded to the decrease in milk fat yield. We investigated this further using a CLA enrichment of 9, 11 isomers to examine the biological effect of trans-9, cis-11 CLA on milk fat synthesis. Four rumen-fistulated Holstein cows were randomly assigned in a 4 x 4 Latin square experiment involving 5-d treatment periods and abomasal infusion of 1) ethanol (control), 2) a 9, 11 CLA mix (containing 32% trans-9, cis-11, 29% cis-9, trans-11, and 17% trans-9, trans-11), 3) a trans-9, trans-11 CLA supplement, and 4) a trans-10, cis-12 CLA supplement (positive control). The trans-9, trans-11 CLA and trans-10, cis-12 CLA supplements were of high purity (>90%), and all supplements were infused at a rate to provide 5 g/d of the CLA isomer of interest. Milk yield and dry matter intake did not differ among treatments. Compared with the control treatment, milk fat yield was reduced by 15% for the 9, 11 CLA mixture and by 27% for the trans-10, cis-12 CLA treatment. We also found that trans-9, trans-11 CLA had no effect on milk fat yield, and previous research has shown that milk fat yield is unaltered when cows are infused with cis-9, trans-11 CLA. When all treatments were considered, results suggested that trans-9, cis-11 was the CLA isomer in the 9, 11 CLA mix responsible for the reduction in milk fat synthesis, although the magnitude was less than that observed for trans-10, cis-12 CLA. Interestingly, trans-9, trans-11 CLA altered the milk fat desaturase index, further demonstrating that alterations in desaturase can occur independently of effects on milk fat synthesis. Overall, our investigations identified that an increase in milk fat content of trans-9, cis-11 CLA was associated with diet-induced MFD and provided evidence of a role for this isomer in MFD based on the 15% reduction in milk fat yield with abomasal infusion of a CLA enrichment that supplied 5 g/d of trans-9, cis-11 CLA.
Asunto(s)
Bovinos/fisiología , Dieta/veterinaria , Suplementos Dietéticos , Grasas/metabolismo , Lactancia/efectos de los fármacos , Ácidos Linoleicos Conjugados/farmacología , Alimentación Animal/análisis , Animales , Cromatografía Líquida de Alta Presión , Industria Lechera , Ácidos Grasos/análisis , Femenino , Ácidos Linoleicos Conjugados/administración & dosificación , Leche/química , Factores de TiempoRESUMEN
It has been previously established that trans-10,cis-12 CLA is a potent inhibitor of milk fat synthesis. Although the mechanism of this action is not completely understood, it has been speculated that eicosanoid-like metabolites of this isomer formed by the activity of tissue desaturases may be responsible for its activity. The objective of this study was to investigate the effects of an enrichment containing an 18:3 conjugated diene, produced in the metabolism of trans-10,cis-12 CLA, on milk fat synthesis. Three rumen-fistulated Holstein cows (210+/-8 d in milk) were randomly assigned in a 3 x 3 Latin square experiment. Treatments were (i) control, (ii) trans-10,cis-12 CLA supplement (2.1 g/d; positive control), (iii) enrichment providing two conjugated diene 18:3 isomers (2.6 g/d of cis-6,trans-10,cis-12 and 4.0 g/d of cis-6,trans-8,cis-12) and trans-10,cis-12 CLA (2.1 g/d). Treatments were abomasally infused for 5 d at 4-h intervals, and there was a 7-d interval between periods. Milk yield, dry matter intake, and milk protein yield were unaffected by treatments. In contrast, the trans-10,cis-12 CLA supplement reduced milk fat yield by 27%, whereas the supplement enriched with conjugated diene 18:3 isomers (treatment iii) had no effect on milk fat yield beyond that attributable to its trans-10,cis-12 CLA content. The transfer efficiency of trans-10,cis-12 CLA into milk fat was 25 and 24% for treatments ii and iii, respectively. At the same time, the abomasally infused conjugated diene 18:3 isomers were transferred to milk fat with an efficiency of 33 and 41% for cis-6,trans-10,cis-12 and cis-6,trans-8,cis-12 18:3, respectively. Overall, short-term abomasal infusion of the conjugated diene 18:3 isomers had no effect on milk fat synthesis, thereby offering no support for an involvement of metabolites of trans-10,cis-12 CLA in the regulation of milk fat synthesis.
Asunto(s)
Ácidos Grasos Omega-6/farmacología , Regulación de la Expresión Génica/efectos de los fármacos , Lípidos/biosíntesis , Leche/metabolismo , Abomaso , Animales , Bovinos , Ácidos Grasos Omega-6/administración & dosificación , Femenino , Ácidos Linoleicos Conjugados/metabolismo , Leche/químicaRESUMEN
Conjugated linoleic acid (CLA) supplements have typically been comprised of 4 isomers (trans-8, cis-10; cis-9, trans-11; trans-10, cis-12; and cis-11, trans-13 CLA). Abomasal infusion of pure isomers has shown that trans-10, cis-12 CLA is a potent inhibitor of milk-fat synthesis, whereas cis-9, trans-11 CLA has no effect. However, there appear to be additional fatty acids that inhibit milk-fat synthesis, and the objective of this study was to investigate the effects of additional CLA isomers present in CLA supplements. Four rumen fistulated Holstein cows (141+/-8 DIM, mean+/-SE) were randomly assigned in a 4 x 4 Latin square experiment. Treatments were abomasal infusion of (1) skim milk (negative control), (2) trans-10, cis-12 CLA supplement (positive control), (3) trans-8, cis-10 CLA supplement, and (4) cis-11, trans-13 CLA supplement. Treatments 2 through 4 were targeted to provide 4 g/d of the CLA isomer of interest. The trans-8, cis-10 CLA supplement had no effect on milk-fat yield, whereas the trans-10, cis-12 CLA supplement reduced milk-fat yield by 35%. The cis-11, trans-13 CLA supplement contained some trans-10, cis-12 CLA, and when data were compared to the positive control treatment group, it was obvious that cis-11, trans-13 CLA also had no effect on milk-fat synthesis. Milk-fat content of specific CLA isomers was significantly elevated within respective treatment groups. Milk yield, DMI, and milk protein yield were unaffected by treatment. Overall, trans-10, cis-12 CLA reduced milk-fat synthesis, whereas the other major isomers present in CLA supplements (trans-8, cis-10 CLA and cis-11, trans-13 CLA) had no effect.
Asunto(s)
Ácidos Linoleicos Conjugados/administración & dosificación , Lípidos/biosíntesis , Leche/química , Abomaso/efectos de los fármacos , Animales , Bovinos , Ácidos Grasos/análisis , Femenino , Isomerismo , Cinética , Ácidos Linoleicos Conjugados/químicaRESUMEN
Conjugated linoleic acids (CLA) are octadecadienoic fatty acids that have profound effects on lipid metabolism. Our previous work showed that CLA (mixture of isomers) markedly reduced milk fat synthesis. In this study, our objective was to evaluate the effects of specific CLA isomers. Multiparous Holstein cows were used in a 3x3 Latin square design, and treatments were 4-day abomasal infusions of 1) skim milk (control), 2) 9,11 CLA supplement, and 3) 10,12 CLA supplement. CLA supplements provided 10 g/day of the specific CLA isomer (cis-9,trans-11 or trans-10,cis-12). Treatments had no effect on intake, milk yield, or milk protein yield. Only the 10,12 CLA supplement affected milk fat, causing a 42 and 44% reduction in milk fat percentage and yield, respectively. Milk fat composition revealed that de novo synthesized fatty acids were extensively reduced. Increases in ratios of C(14:0) to C(14:1) and C(18:0) to C(18:1) indicated the 10,12 CLA supplement also altered Delta(9)-desaturase. Treatments had minimal effects on plasma concentrations of glucose, nonesterified fatty acids, insulin, or insulin-like growth factor-I. Overall, results demonstrate that trans-10,cis-12 CLA is the isomer responsible for inhibition of milk fat synthesis.
Asunto(s)
Ácidos Grasos/antagonistas & inhibidores , Ácidos Linoleicos Conjugados , Ácidos Linoleicos/farmacología , Leche/metabolismo , Abomaso , Animales , Bovinos , Ácidos Grasos/biosíntesis , Ácidos Grasos/metabolismo , Femenino , Inyecciones , EstereoisomerismoRESUMEN
Conjugated linoleic acids refer to a mixture of positional and geometric isomers of linoleic acid with conjugated double bounds. Three supplements of conjugated linoleic acids which differed in isomer enrichment were infused into the abomasum of lactating dairy cows to determine postruminal effect on milk yield and composition. Four Holstein cows were used in a 4 x 4 Latin square design. Treatments were 3-d abomasal infusion of 1) control, 5 kg of skim milk (carrier for conjugated linoleic acid supplements), 2) conjugated linoleic acid supplement 1 (28.8 g/d; 6.9 g of cis/trans 9,11; 6.4 g of cis/trans 8,10), 3) conjugated linoleic acid supplement 2 (48.5 g/d; 7.1 g of cis/trans 9,11; 4.1 g of cis/trans 8,10; 8.3 g of cis/trans 10,12; 5.5 g of cis/trans 11,13), and 4) conjugated linoleic acid supplement 3 (16.3 g/d; 7.1 g of cis/trans 9,11; 7.2 g of cis/trans 10,12). Infusions increased the conjugated linoleic acids content of milk fat from 0.43 g/100 g of fat for the control treatment to 1.02, 1.52, and 0.95 g/100 g of fat for conjugated linoleic acid supplements 1, 2, and 3, respectively. Apparent efficiency of transfer in milk fat was 25.2, 33.5, 21.0, and 28.4% for cis/trans 8,10, cis/trans 9,11, cis/trans 10,12, and cis/trans 11,13, respectively. Infusion of conjugated linoleic acids had no effect on dry matter intake, milk yield, and milk protein content. However, conjugated linoleic acid supplements reduced the content and yield of milk fat by 28 and 25%, respectively. The similarity of response for the different conjugated linoleic acid supplements did not allow us to identify the specific role of different isomers, but the changes in milk fatty acid composition indicated that effects were primarily on de novo fatty acid synthesis and the desaturation process.
Asunto(s)
Abomaso , Bovinos/fisiología , Lactancia , Ácidos Linoleicos/administración & dosificación , Leche/metabolismo , Animales , Femenino , Cinética , Metabolismo de los Lípidos , Leche/química , Proteínas de la Leche/metabolismoRESUMEN
The aim of the present study was to evaluate the frequency of contralateral hernial development and ipsilateral recurrence following surgery for unilateral inguinal hernia in infants and children. During the period 1961-1970, 161 infants and children (143 males and 18 females; 0-12 years old) underwent surgery for unilateral inguinal hernia. The patients were followed for 20-29 years (until 1990). 16/143 males (11.2%), and 1/18 females developed a contralateral inguinal hernia; the frequency among patients less than seven years old was significantly higher than the frequency among older children (16/118 > 1/43; p < 0.05). No significant difference was observed between patients primarily operated for rightsided and leftsided hernias. Four/143 boys (2.7%) experienced testicular maldescens. Recurrence after herniotomy was seen in 9/143 males (6.3%), and in 1/18 females. The low frequency of contralateral hernial development, as the risk of surgical complications, indicate that routine contralateral inguinal exploration may not be recommended while operating upon unilateral symptomatic inguinal hernias. Our recurrence rate of 6.2% may mirror the conditions in a general surgical department, where several surgeons and residents operate upon a limited number of paediatric patients.
Asunto(s)
Hernia Inguinal/fisiopatología , Hernia Inguinal/cirugía , Niño , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Lactante , Recién Nacido , Masculino , Complicaciones Posoperatorias , RecurrenciaRESUMEN
IgG antibody activity to Yersinia enterocolitica serogroup O:3 was detected in sera from 56 (7.4%) of 755 Norwegian military recruits, using an enzyme-linked immunosorbent assay. The highest prevalence was found among recruits from Oslo city (12/56, 21.4%). The recruits answered a questionnaire which covered demographic data, specific exposures, and clinical information. The following risk factors were found to be independently associated with IgG activity in logistic regression analysis: receiving drinking water from a private well (odds ratio (OR) = 3.40; p = 0.004), being a resident of Oslo city (OR = 2.99; p = 0.006), and living in eastern Norway (OR = 2.25; p = 0.015). By univariate analysis, living in an urban area was associated with IgG activity, but this factor did not independently affect risk. Present or previous contact with animals, including pigs, and travels abroad were not associated with an increased risk. Yersinia enterocolitica O:3 seropositive recruits were more likely to report previous surgery for suspected appendicitis than seronegative individuals (OR = 4.26; p = 0.0024). Among recruits with previous appendectomy, mesenteric lymphadenitis as the sole peroperative finding was more common in patients with IgG activity to Y. enterocolitica O:3 (4/7) than in seronegative patients (1/19) (p = 0.01). Recurrent diarrhea, steatorrhea or joint complaints were not associated with antibody activity.
Asunto(s)
Anticuerpos Antibacterianos/sangre , Personal Militar , Yersinia enterocolitica/inmunología , Adulto , Animales , Apendicectomía/estadística & datos numéricos , Apendicitis/epidemiología , Apendicitis/microbiología , Ensayo de Inmunoadsorción Enzimática , Humanos , Inmunoglobulina G/sangre , Modelos Logísticos , Masculino , Linfadenitis Mesentérica/epidemiología , Linfadenitis Mesentérica/microbiología , Noruega/epidemiología , Prevalencia , Factores de Riesgo , Porcinos , Viaje , Salud Urbana , Abastecimiento de Agua , Yersiniosis/epidemiología , Yersiniosis/microbiologíaRESUMEN
The aim of the present study was to elucidate the connection between yersiniosis and chronic inflammation. During the period 1974-83, Yersinia enterocolitica infection was diagnosed in 458 hospitalized patients by antibody response, or isolation. The patients were followed for 4-14 years (1987); 160 were readmitted with chronic disease. Fifty-three patients had persistent joint complaints, 18 developed ankylosing spondylitis, 14 rheumatoid arthritis, and 17 iridocyclitis. Thirty-eight patients suffered from chronic abdominal pain, and another 28 from chronic diarrhoea. Two who underwent proctocolectomy microscopically had ulcerative colitis. Eleven patients developed neurological disease; others developed conditions such as chronic nephritis, thyroid disease, insulin-dependent diabetes, etc. Chronic hepatitis, found in 22 patients, was significantly correlated with positive test for antinuclear antibody and rheumatoid factor, and with death. Several patients developed chronic multiorgan disease, probably with chronic hepatitis as pivot. Regarding the whole material, the difference between observed and expected cumulative survival rates remained significant for 8 years (0.9189 < 0.9456; p < 0.025), indicating a substantial impact on long-term survival exerted by chronic yersiniosis.
Asunto(s)
Inflamación/etiología , Yersiniosis/etiología , Yersinia enterocolitica/fisiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Anticuerpos Antinucleares/análisis , Artritis Reumatoide/etiología , Artritis Reumatoide/mortalidad , Niño , Preescolar , Enfermedad Crónica , Colitis Ulcerosa/etiología , Colitis Ulcerosa/mortalidad , Femenino , Hepatitis/etiología , Hepatitis/inmunología , Hepatitis/mortalidad , Humanos , Lactante , Recién Nacido , Inflamación/mortalidad , Iridociclitis/etiología , Iridociclitis/mortalidad , Hepatopatías/etiología , Hepatopatías/inmunología , Hepatopatías/mortalidad , Masculino , Persona de Mediana Edad , Factor Reumatoide/análisis , Espondilitis Anquilosante/etiología , Espondilitis Anquilosante/mortalidad , Tasa de Supervivencia , Yersiniosis/complicaciones , Yersiniosis/mortalidadRESUMEN
The purpose of the present study was to obtain further information about nervous system involvement associated with Yersinia enterocolitica infection. During the period 1974-1983, the infection was diagnosed by antibody response (agglutination titer or ELISA) and/or isolation of the microorganism in 458 hospitalized patients. 2 patients presented with acute symptoms of the peripheral nervous system, and 6 with symptoms of the central nervous system. The 458 patients were followed for 4-14 years (until 1987). During the follow-up period another 6 patients developed chronic neurological conditions; 4 with peripheral symptoms, and 2 with central symptoms. 11 of the 14 patients experienced persistent complaints. In 1991 (10-17 years after the diagnosis of yersiniosis), 6 patients still had significant antibody response (ELISA). The possibility that the immunologically competent Yersinia enterocolitica might have initiated the chronic neurological disease in these patients should not be disregarded.
Asunto(s)
Enfermedades del Sistema Nervioso/etiología , Yersiniosis/complicaciones , Yersinia enterocolitica , Enfermedad Aguda , Adolescente , Adulto , Anciano , Anticuerpos Antibacterianos/sangre , Niño , Enfermedad Crónica , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Yersiniosis/inmunología , Yersinia enterocolitica/inmunologíaRESUMEN
Two out of 458 hospitalized patients with Yersinia enterocolitica infection developed malignant mesothelioma of pleura viz. pericard; both died after a few months. Malignant mesothelioma of the pleura is commonly related to asbestos exposure, whereas pericardiac mesothelioma is an extremely uncommon neoplasm. The possible promotion of malignant mesothelioma by the Yersinia enterocolitica infection should not be disregarded, as the infection may launch chronic immunological reactions resembling those observed among asbestos workers.
Asunto(s)
Mesotelioma/etiología , Neoplasias Pleurales/etiología , Yersiniosis/complicaciones , Yersinia enterocolitica , Adulto , Femenino , Humanos , Mesotelioma/patología , Persona de Mediana Edad , Modelos Biológicos , Neoplasias Pleurales/patología , Yersiniosis/inmunologíaRESUMEN
During the period 1974-1983, Yersinia enterocolitica infection was diagnosed in 458 hospitalized patients by antibody response or isolation of the micro-organism. A total of 54 (11.9%) patients had acute liver infection, with significantly elevated serum levels (greater than or equal to 2-fold) of bilirubin and/or enzyme levels. Serious liver disease with cellular necrosis was observed in biopsy specimens from two of 12 patients examined; six had unspecific changes. The patients were followed up for 4-14 years (until 1987). A total of 22 (4.9%) patients were readmitted with chronic liver disease; in one case non-specific microscopic changes developed into granulomatous hepatitis over a period of 3 years. In both the acute and chronic stages of disease, liver involvement was associated with involvement of other organ systems, and some patients developed multi-organ disease. Chronic liver disease was associated with positive tests for antinuclear antibody and rheumatoid factor, and with a high mortality.
Asunto(s)
Hepatopatías/etiología , Yersiniosis/complicaciones , Yersinia enterocolitica , Adulto , Biopsia , Femenino , Estudios de Seguimiento , Hospitalización , Humanos , Hígado/patología , Hepatopatías/diagnóstico , Hepatopatías/mortalidad , Pruebas de Función Hepática , Masculino , Persona de Mediana Edad , Recurrencia , Factores de Tiempo , Yersiniosis/diagnósticoRESUMEN
During the period 1974-1983, Yersinia enterocolitica infection was diagnosed in 458 hospitalized patients by antibody response or isolation of the micro-organism. Eight (1.75%) patients showed signs of acute pancreatitis with elevated serum or urine levels of amylase; two patients had acute insulin-dependent diabetes. The patients were followed up for 4-14 years (until 1987). Four patients were readmitted with chronic pancreatitis, and one with acute pancreatitis. Diabetes developed in two males and nine females; in seven cases this was associated with chronic conditions of possible autoimmune aetiology. In 1987 a significantly higher than expected prevalence of diabetes was demonstrated among female subjects aged 30-54 years. Yersinia enterocolitica infection constitutes a differential diagnosis in acute pancreatitis, and might be related to the development of chronic pancreatitis and diabetes.