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High-dose therapy followed by autologous hematopoietic cell transplant (AHCT) remains a viable consolidation strategy for a subset of patients with relapsed or refractory (R/R) lymphomas. BEAM (carmustine, etoposide, cytarabine, and melphalan) is widely recognized as the predominant conditioning regimen due to its satisfactory efficacy and tolerability. Nevertheless, shortages of carmustine and melphalan have compelled clinicians to explore alternative conditioning regimens. The aim of this study was to compare the toxicity and transplant outcomes following BEAM, CBV (carmustine, etoposide, cyclophosphamide), BuMel (busulfan, melphalan), and BendaEAM (bendamustine, etoposide, cytarabine, melphalan). We retrospectively analyzed data from 213 patients (CBV 65, BuMel 42, BEAM 68, BendaEAM 38) with R/R lymphomas undergoing AHCT between 2014 and 2020. Multivariate models were employed to evaluate toxicity and transplant outcomes based on conditioning type. Among grade III to IV toxicities, oral mucositis was more frequently observed with BuMel (45%) and BendaEAM (24%) compared to BEAM (15%) and CVB (6%, P ≤ .001). Diarrhea was more common with BendaEAM (42%) and less frequent with BuMel (7%, P = .01). Acute kidney injury was only found after BendaEAM (11%). Febrile neutropenia and infectious complications were more frequent following BendaEAM. Frequencies of other treatment-related toxicities did not significantly differ according to conditioning type. BendaEAM (odds ratio [OR] 3.07, P = .014) and BuMel (OR 4.27, P = .002) were independently associated with higher grade III to IV toxicity up to D+100. However, there were no significant differences in relapse/progression, nonrelapse mortality, progression-free survival, or overall survival among the four regimens. BuMel and BendaEAM were associated with a higher rate of grade III to IV toxicity. Carmustine-based regimens appeared to be less toxic and safer; however, there were no significant differences in transplant outcomes. The utilization of alternative preparative regimens due to drug shortages may potentially lead to increased toxicity after AHCT for lymphoma.
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Carmustina , Citarabina , Trasplante de Células Madre Hematopoyéticas , Linfoma , Melfalán , Acondicionamiento Pretrasplante , Trasplante Autólogo , Humanos , Acondicionamiento Pretrasplante/métodos , Masculino , Femenino , Persona de Mediana Edad , Linfoma/tratamiento farmacológico , Linfoma/terapia , Adulto , Carmustina/uso terapéutico , Estudios Retrospectivos , Citarabina/uso terapéutico , Melfalán/uso terapéutico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Anciano , Etopósido/uso terapéutico , Busulfano/uso terapéutico , Resultado del Tratamiento , Ciclofosfamida/uso terapéuticoRESUMEN
Background: Dietary composition can modify gene expression, favoring the development of chronic diseases via epigenetic mechanisms. Objective: Our study aimed to investigate the relationship between dietary patterns and NR3C1 gene methylation in users of the Brazilian Public Unified Health System (SUS). Methods: We recruited 250 adult volunteers and evaluated their socioeconomic status, psychosocial characteristics, lifestyle, and anthropometrics. Peripheral blood was collected and evaluated for cortisol levels, glycemia, lipid profile, and insulin resistance; methylation of CpGs 40-47 of the 1F region of the NR3C1 gene was also measured. Factors associated with degree of methylation were evaluated using generalized linear models (p < 0.05). Lifestyle variables and health variables were included as confounding factors. Results: The findings of our cross-sectional study indicated an association between NR3C1 DNA methylation and intake of processed foods. We also observed relevant associations of average NR3C1 DNA across the segment analyzed, methylation in component 1 (40-43), and methylation in component 2 (44-47) with a pattern of consumption of industrialized products in relation to BMI, serum cortisol levels, and lipid profile. These results may indicate a relationship between methylation and metabolic changes related to the stress response. Conclusion: These findings suggest an association of methylation and metabolic alterations with stress response. In addition, the present study highlights the significant role of diet quality as a stress-inducing factor that influences NR3C1 methylation. This relationship is further linked to changes in psychosocial factors, lifestyle choices, and cardiometabolic variables, including glucose levels, insulin resistance, and hyperlipidemia.
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Brain-derived neurotrophic factor (BDNF) gene regulation plays an important role in long-term memory formation, and the DNA methylation (DNAm) level of BDNF promoters has been associated with episodic memory deficits. Our aim was to explore the association between DNAm levels in BDNF promoter IV with verbal learning and memory performance in healthy women. We conducted a cross-sectional study by recruiting 53 individuals. Episodic memory was assessed by using the Rey Auditory Verbal Learning Test (RAVLT). Clinical interviews, RAVLT, and blood sample collection were assessed in all participants. DNAm was measured on DNA from whole peripheral blood using pyrosequencing. According to generalized linear model (GzLM) analyses, cytosine guanine dinucleotide (CpG) site 5 showed significant associations between learning capacity (LC, p < 0.035), that is, every 1% of DNA methylation at CpG site 5 results in a 0.068 reduction in verbal learning performance. To the best of our knowledge, the current study is the first to show that BDNF DNAm plays an important role in episodic memory.
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Introduction: Psychiatric disorders have become a global problem that leads millions of people to use psychotropic medications, especially benzodiazepines. The effects of these substances are widely known regarding tolerance and chemical dependence, however, from epigenetics perspective, there are still little known.Objective: To evaluate the association between psychotropic drug use, NR3C1 gene methylation and its relation with symptoms suggestive of depression in adult individuals assisted in the public health system.Methods: 385 adult volunteers (20-59 years) users of the Brazilian Unified Health System were recruited to evaluate socioeconomic, health, lifestyle conditions in a cross sectional study. BDI-II evaluated symptoms suggestive of depression and pyrosequencing evaluated NR3C1 DNA methylation. Bivariate and multivariate Poisson regression model with robust variance (p < 0.05) evaluated the association between psychotropic drug use and NR3C1 gene methylation.Results: Specific depressive symptoms such as irritability, insomnia and fatigability were associated with psychotropic drug use. Symptoms of past failure, indecision and loss of appetite were associated with hypermethylation patterns in CpGs 40 to 47 of NR3C1 gene. Moreover, psychotropic drug use is associated with 50% reduction in NR3C1 gene methylation, through model adjusted with socioeconomic, health and lifestyle confounding variables.Conclusions: Psychotropic drug use and depressive symptoms was associated with changes in NR3C1 DNA methylation. In this context, epigenetic modification resulting from psychotropic drug use and depressive symptoms could be considered, mainly in population studies with epigenetic evaluation, where these factors may be influencing the findings of future studies.
Introdução: os distúrbios psiquiátricos tornaram-se um problema global que leva milhões de pessoas ao uso de medicamentos psicotrópicos. Os efeitos dessas substâncias são amplamente conhecidos quanto à tolerância e dependência química, porém, do ponto de vista epigenético, ainda são pouco conhecidos.Objetivos: avaliar a associação entre o uso de drogas psicotrópicas, metilação do gene NR3C1 e sua relação com sintomas sugestivos de depressão em indivíduos entre 20 a 59 anos usuários da rede pública de saúde.Método: 385 voluntários de 20-59 anos, usuários do Sistema Único de Saúde brasileiro foram recrutados para avaliação das condições socioeconômicas, de saúde e de estilo de vida em estudo transversal. O BDI-II avaliou sintomas sugestivos de depressão e o pirosequenciamento avaliou a metilação do DNA de NR3C1. Modelo de regressão de Poisson bivariado e multivariado com variância robusta (p < 0,05) avaliou a associação entre o uso de drogas psicotrópicas e metilação do gene NR3C1.Resultados: sintomas depressivos específicos como irritabilidade, insônia e fadiga foram associados ao uso de medicamentos psicotrópicos. Sintomas de fracasso passado, indecisão e perda de apetite foram associados a padrões de hipermetilação nos CpGs 40 a 47 do gene NR3C1. Além disso, o uso de psicofármacos está associado à redução de 50% na metilação do gene NR3C1, por meio de modelo ajustado com variáveis de confusão socioeconômicas, de saúde e estilo de vida.Conclusão: o uso de drogas psicotrópicas e sintomas específicos depressivos foram associados a alterações na metilação do DNA de NR3C1.
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In Brazil, all transport and storage of native forest products and by-products must be registered within the DOF (Document of Forestry Origin) system. This computerized platform exists to support control agencies in reducing the sale of forest products obtained illegally. However, this tool still shows only modest results in fulfilling its objectives, since gaps in the system allow illegal wood to be acquired and enter the system as legal wood. The objective of this study was to test whether the volumetric yield coefficient (CRV) of a sawmill on an industrial scale corresponds to the 35% established by Brazilian legislation. The focus was directed at a loophole that allows the accumulation of virtual credits in the DOF system by turning logs into lumber. For this purpose, we estimated the sawmill's CRV and mean percentage yield of 19 commercial species used by a timber company in the Brazilian Amazon with a sample size of 90 logs. The estimated CRV was 24.6 ± 2.4, showing 9.9% uncertainty. The mean CRV differed highly significantly (p < 0.001) from that proposed by the DOF, with a 10.35% difference. Based on these results, the difference between the observed yield and that proposed by the legislation can generate the accumulation of virtual log credits. With this accumulation, managers encounter difficulties in acquiring new logging permits and, consequently, do not meet the actual demand for logs to the sawmill's capacity.(AU)
No Brasil, todo transporte e armazenamento de produtos e subprodutos florestais nativos deve ser registrado no sistema DOF (Documento de Origem Florestal). Essa plataforma informatizada existe para apoiar agências de controle na redução da venda de produtos florestais obtidos ilegalmente. No entanto, essa ferramenta ainda apresenta resultados modestos no cumprimento de seus objetivos, uma vez que lacunas no sistema permitem que madeira ilegal adquira caráter legal. O objetivo desse estudo foi testar se o coeficiente de rendimento volumétrico (CRV) de uma serraria em escala empresarial corresponde aos 35% estabelecidos pela legislação brasileira. O foco foi direcionado para uma brecha que permite o acúmulo de créditos virtuais no sistema DOF, por meio da transformação de toras em material serrado. Para tanto, estimamos o CRV da serraria e os rendimentos percentuais médios de 19 espécies comercializadas por uma empresa de base florestal na Amazônia brasileira, com um esforço amostral de 90 toras. O CRV estimado foi de 24,6 ± 2,4, mostrando incerteza de 9,9%. O CRV médio diferiu altamente significativamente (p < 0,001) do proposto pelo DOF, com uma diferença de 10,35%. Com base nesses resultados, a diferença entre o rendimento observado e o proposto pela legislação pode gerar um acúmulo de créditos em toras virtuais. Com esse acúmulo, os gestores enfrentam dificuldades para adquirir novas licenças de exploração e, consequentemente, não atendem à real demanda por toras da capacidade instalada de sua serraria.(AU)
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Madera/análisis , Volumetría/instrumentación , Administración de Residuos/legislación & jurisprudencia , OficiosRESUMEN
ntroduction: state of Food and Nutritional Security (FNS) is one that should guarantee the right of permanent access to quality food and in sufficient quantity without prejudicing access to other basic rights. In Brazil, rural family farming establishments represent 84.4% of total agricultural establishments and contribute to more than 70% of all food consumed by Brazilians. In this context, the production of the coffee commodity stands out. However, despite being food producers, they do not earn a good income. Slow economic activity can lead to loss of wages and income, illness, as well as food insecurity (FNiS). In addition, the molecular effects of FNiS are poorly studied, especially epigenetic.Objective: the objective of the present study is to analyze the association between Brain-Derived Neurotrophic Factor (BDNF) DNA methylation and socio demographic, lifestyle, and epigenetic factors, among coffee farmers in the Caparaó zone, in Espirito Santo, Southeast Brazil.Methods: the study was carried out in 22 randomly selected coffee producing communities in Zona Caparaó, an area that produces coffee of recognized quality. A total of 570 coffee farming households, 18 to 60 years of age, were included in the study by answering a questionnaire about socioeconomic characteristics, land use and ownership, behavior, health, and working conditions. FNiS evaluation was carried out using the Brazilian Food Insecurity Scale. BDNF exon I methylation was examined by methylation-specific PCR. Body mass index and biochemical analyses were performed. Logistic regression models were used to verify factors associated with FNiS (p<0.05). Data were analyzed using the Stata® statistical software package version 14.Results: the FNiS prevalence found was 23.68%. In multivariable logistic regression, the occurrence of FNiS was associated with hypermethylation of exon I of the BDNF promoter exon I [ORa = 5.03 (95% (1.98, 12.82)] when compared to the unmethylated gene. Moreover, FNiS was associated with excessive workload [ORa = 3.36 (1.23, 9.22)], possession of less land (hectares) [ORa = 0.77 (0.67, 0.90)] and greater number symptoms and / or illnesses in real life [ORa = 1.12 (1.04.1.20)].Conclusion: there is a high prevalence of Food Insecurity in the studied region. This phenomenon was associated with epigenetic factors (BDNF methylation), excessive workload, small land ownership and a greater number of diseases / symptoms. Food insecurity is a psychosocial stressor that can lead to epigenetic changes in the BDNF gene, responsible for regulating cognitive functions, neuronal survival and involved in the genesis of psychiatric diseases.
Introdução: o Estado de Segurança Alimentar e Nutricional (SAN) é aquele que deve garantir o direito de acesso permanente à alimentação de qualidade e em quantidade suficiente sem prejudicar o acesso a outros direitos básicos. No Brasil, os estabelecimentos de agricultura familiar rural representam 84,4% do total de estabelecimentos agropecuários e contribuem com mais de 70% de todos os alimentos consumidos pelos brasileiros. Nesse contexto, destaca-se a produção da commodity café. No entanto, apesar de serem produtores de alimentos, não auferem bons rendimentos. A lenta atividade econômica pode levar à perda de salários e renda, doenças e insegurança alimentar (INSAN). Além disso, os efeitos moleculares da INSAN são pouco estudados, sobretudo epigenéticos.Objetivos: o objetivo do presente estudo é analisar a associação entre a metilação do promotor do BDNF e a INSAN e a associação da INSAN com fatores sociodemográficos, de estilo de vida e epigenéticos, em cafeicultores da zona do Caparaó, no Espírito Santo, Sudeste do Brasil.Método: o estudo foi realizado em 22 comunidades cafeeiras selecionadas aleatoriamente na Zona do Caparaó, área que produz café de reconhecida qualidade. Um total de 570 famílias de cafeicultores, entre 18 a 60 anos, foram incluídos no estudo e responderam a um questionário sobre características socioeconômicas, uso e posse da terra, hábitos de vida, saúde e condições de trabalho. A avaliação da INSAN foi realizada por meio da Escala Brasileira de Insegurança Alimentar. A metilação do éxon I do BDNF foi examinada por PCR específica para metilação. Índice de massa corporal e análises bioquímicas foram realizadas. Modelos de regressão logística foram utilizados para verificar os fatores associados à INSAN (p<0,05). Os dados foram analisados usando o software estatístico Stata® versão 14.Resultados: a prevalência de INSAN encontrada foi de 23,68%. Na regressão logística multivariada, a ocorrência de INSAN foi associada a hipermetilação do éxon I do promotor do gene BDNF [ORa = 5,03 (95% (1,98, 12,82)] quando comparado ao gene não metilado. Além disso, a INSAN foi associada a carga de trabalho excessiva [ORa = 3,36 (1,23, 9,22)], posse de menos hectares de terra [ORa = 0,77 (0,67, 0,90)] e maior número de sintomas e/ou doenças da vida real [ORa = 1,12 (1.04.1.20)].Conclusão: o estudo mostrou uma alta prevalência de Insegurança Alimentar na região analisada. Esse fenômeno foi associado a fatores epigenéticos (metilação do gene BDNF), carga horária excessiva, pequena propriedade de terra e maior número de doenças/sintomas. A INSAN pode ser um estressor capaz de promover alterações epigenéticas no gene BDNF, importante gene regulador da cognição, crescimento e sobrevivência neuronal e envolvido com doenças psiquiátricas.
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INTRODUCTION: Immune cells contribute with mediators in the protein expression profile of the tumor microenvironment. Levels of plasminogen activator inhibitor-1 (PAI-1) are elevated in non-malignant inflammatory conditions; however, the association between PAI-1 expression and inflammation remains uncertain in oral squamous cell carcinoma (OSCC). This study aimed to investigate PAI-1 expression in mononuclear inflammatory cell infiltrate in OSCC and its role as a prognostic marker. METHODS: Samples were collected from patients with OSCC, treated surgically, and followed for 24 months after the procedure. Thirty-nine tumoral tissue were analyzed using immunohistochemistry. Correlation between protein expression, clinicopathological parameters, and the prognosis was investigated. RESULTS: Positive PAI-1 expression in mononuclear inflammatory cell infiltrate was significantly associated with lymph node status (p = 0.009) and with the cytoplasmic expression of vascular endothelial growth factor A (VEGFA) (p = 0.028). Multivariate analysis revealed weak PAI-1 expression as an independent marker for lymph node metastases, with approximately 8-fold increased risk compared to strong expression (OR = 8.60; CI = 1.54-48.08; p = 0.014). CONCLUSION: Our results suggest that the strong PAI-1 expression in intratumoral inflammatory infiltrate is an indicator of a better prognosis for patients diagnosed with oral squamous cell carcinoma.
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The aim of this study was to investigate socioeconomic stressors predictive of depressive symptoms and possible epigenetic changes in the glucocorticoid receptor - NR3C1-1F - an encoding gene involved in depressive symptoms. A total of 321 adult volunteers from southeastern Brazil were recruited to evaluate depressive symptoms, socio-demographic and economic factors, including food and nutritional security (FNS) or insecurity (FNiS) status, and NR3C1-1F region methylation by pyrosequencing. Depressive symptom determinants were investigated using a Poisson regression model with robust variance. Mann-Whitney tests and structural mediation equation models were used to evaluate the relationship between NR3C1 DNA methylation, FNiS, and depressive symptoms. Multivariate Poisson regression with robust variance adjusted for sex and FNiS and NR3C1-1F region methylation predicted risk factors for depressive symptoms. Mediation analysis revealed that NR3C1-1F region methylation mediated the relationship between FNiS exposure and depressive symptoms as an outcome, and depressive volunteers and FNiS individuals exhibited a significant increase in NR3C1 methylation when compared to healthy individuals and FNS volunteers, respectively. Therefore, we suggest that stress caused by FNiS may lead to depressive symptoms and that NR3C1-1F DNA methylation can act as a mediator of both FNiS and depressive symptoms.
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Depresión , Inseguridad Alimentaria , Estrés Psicológico , Adulto , Metilación de ADN , Depresión/genética , Epigénesis Genética , Humanos , Regiones Promotoras Genéticas , Receptores de Glucocorticoides/genética , Receptores de Glucocorticoides/metabolismo , Estrés Psicológico/genéticaRESUMEN
Background: Hemoparasitoses are extremely important in the clinical routine because they affect a large number of dogs. In spite ofthe abundance of studies on this topic, hormonal alterations caused by infection with these agents are still poorly known. Therefore,the goal of this work was to assess the serum levels of thyroid hormones of dogs infected with Ehrlichia canis (E. canis) alone, anddogs infected with E. canis and Babesia canis vogeli (B. vogeli) and/or Anaplasma platys (A. platys) before and after treatment withdoxycycline chlorohydrate. This study also aimed at checking for presence of euthyroid sick syndrome (ESS) in these animals.Materials, Methods & Results: The concentrations of the thyroid hormones total triiodothyronine (TT3), total tetraiodothyronine (TT4),free tetraiodothyronine (FT4), and canine thyroid-stimulating hormone (cTSH) were assessed by chemiluminescence in 12 dogs. Nestedpolymerase chain reaction (nPCR) was used to confirm diagnoses. The dogs were divided into 2 groups: G1, which comprised animalsinfected by E. canis alone, and G2, which included animals simultaneously infected by E. canis and B. vogeli and/or A. platys. Theserum concentrations of the thyroid hormones were measured at two time points: before (D1) and after (D2) the 28-day treatment withgeneric doxycycline chlorohydrate (DC) at a dose of 10 mg/kg SID. On D2, another nPCR was carried out to check the efficacy of thetreatment. On D2, in both groups, all dogs became negative for E. canis; however, 8 animals remained infected or were reinfected byother hemoparasites. On D1, 4 dogs in G1 exhibited low TT3 in conjunction with low TT4; one of the dogs had increased TT3 alone,and another dog had an increased TT3 accompanied by decreased TT4. In G2, on D1, one dog exhibited high TT3 accompanied by adecreased concentration of TT4; 2 dogs had decreased TT4; 2 dogs had increased TT3; and one dog had both TT3 and TT4 decreased...(AU)
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Animales , Perros , Perros/parasitología , Síndromes del Eutiroideo Enfermo/veterinaria , Ehrlichiosis/veterinaria , Doxiciclina/uso terapéutico , Reacción en Cadena de la Polimerasa/veterinariaRESUMEN
The NR3C1 glucocorticoid receptor (GR) gene is a component of the stress response system, which can be regulated by epigenetic mechanisms. NR3C1 methylation has been associated with trauma and mental issues, including depression, post-traumatic stress, anxiety, and personality disorders. Previous studies have reported that stressful events are involved in NR3C1 gene methylation, suggesting that its regulation under environmental effects is complex. The present study aimed to analyze associations involving stressors such as socioeconomic status, health conditions, and lifestyle in relation to NR3C1 methylation in adults. This study included 386 individual users of the Brazilian Public Unified Health System (SUS), and evaluated socioeconomic and health conditions, body mass index, cortisol levels, and lifestyle. Data were correlated with NR3C1 methylation, determined using DNA pyrosequencing. The results showed that alcohol consumption, overweight, and high cortisol levels were related to NR3C1 demethylation, while depression was related to its methylation. Habits, lifestyle, and health status may influence NR3C1 gene regulation via methylation, revealing the complexity of environmental impacts on NR3C1 methylation.
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Consumo de Bebidas Alcohólicas/genética , Cortisona/sangre , Metilación de ADN , Depresión/genética , Sobrepeso/genética , Receptores de Glucocorticoides/genética , Adulto , Biomarcadores , Islas de CpG , Estudios Transversales , Depresión/metabolismo , Susceptibilidad a Enfermedades , Femenino , Estudios de Asociación Genética , Humanos , Masculino , Persona de Mediana Edad , Sobrepeso/metabolismo , Receptores de Glucocorticoides/metabolismo , Factores Socioeconómicos , Adulto JovenRESUMEN
Background: Hemoparasitoses are extremely important in the clinical routine because they affect a large number of dogs. In spite ofthe abundance of studies on this topic, hormonal alterations caused by infection with these agents are still poorly known. Therefore,the goal of this work was to assess the serum levels of thyroid hormones of dogs infected with Ehrlichia canis (E. canis) alone, anddogs infected with E. canis and Babesia canis vogeli (B. vogeli) and/or Anaplasma platys (A. platys) before and after treatment withdoxycycline chlorohydrate. This study also aimed at checking for presence of euthyroid sick syndrome (ESS) in these animals.Materials, Methods & Results: The concentrations of the thyroid hormones total triiodothyronine (TT3), total tetraiodothyronine (TT4),free tetraiodothyronine (FT4), and canine thyroid-stimulating hormone (cTSH) were assessed by chemiluminescence in 12 dogs. Nestedpolymerase chain reaction (nPCR) was used to confirm diagnoses. The dogs were divided into 2 groups: G1, which comprised animalsinfected by E. canis alone, and G2, which included animals simultaneously infected by E. canis and B. vogeli and/or A. platys. Theserum concentrations of the thyroid hormones were measured at two time points: before (D1) and after (D2) the 28-day treatment withgeneric doxycycline chlorohydrate (DC) at a dose of 10 mg/kg SID. On D2, another nPCR was carried out to check the efficacy of thetreatment. On D2, in both groups, all dogs became negative for E. canis; however, 8 animals remained infected or were reinfected byother hemoparasites. On D1, 4 dogs in G1 exhibited low TT3 in conjunction with low TT4; one of the dogs had increased TT3 alone,and another dog had an increased TT3 accompanied by decreased TT4. In G2, on D1, one dog exhibited high TT3 accompanied by adecreased concentration of TT4; 2 dogs had decreased TT4; 2 dogs had increased TT3; and one dog had both TT3 and TT4 decreased...
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Animales , Perros , Perros/parasitología , Síndromes del Eutiroideo Enfermo/veterinaria , Doxiciclina/uso terapéutico , Ehrlichiosis/veterinaria , Reacción en Cadena de la Polimerasa/veterinariaRESUMEN
OBJECTIVE: The aim of this study was to verify determinant factors for depression and analyze the relationship between possible changes in HPA axis and depression, in this case NR3C1 DNA methylation and serum cortisol levels. METHODS: 349 adult volunteers were recruited to evaluate depression, socio-demographic, economic and lifestyle factors, serum cortisol levels and NR3C1 DNA methylation by pyrosequencing. Depression determinant factors were investigated using a Poisson regression model with robust variance (pâ¯<â¯0.05). RESULTS: Poisson regression with robust variance adjusted by gender, tobacco use, self-perceived stress, leisure activity, suicidal ideation, low cortisol levels and NR3C1 DNA methylation was performed and predicted risk factors for depression. Furthermore, depressive volunteers showed a significant increase in NR3C1 DNA methylation when compared to healthy volunteers. CONCLUSIONS: This findings provide a basis for understanding the role of HPA axis in depression, especially its regulation by NR3C1 DNA methylation. Furthermore, it emphasizes the stressful lifestyle risk factors (female, tobacco uso, self perceived stress, leisure activities absence and suicidal ideation) that can contribute to future research and the search for public health policies to improve quality of live, mental and general health.
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Metilación de ADN , Depresión/metabolismo , Epigénesis Genética , Hidrocortisona/sangre , Sistema Hipotálamo-Hipofisario/metabolismo , Estilo de Vida , Receptores de Glucocorticoides/metabolismo , Estrés Psicológico/metabolismo , Ideación Suicida , Adulto , Brasil/epidemiología , Depresión/sangre , Depresión/epidemiología , Femenino , Humanos , Actividades Recreativas , Masculino , Persona de Mediana Edad , Factores de Riesgo , Factores Sexuales , Fumar/epidemiología , Fumar/metabolismo , Estrés Psicológico/epidemiología , Adulto JovenRESUMEN
ABSTRACT Objective: To report a case of varicella complicated by acute osteomyelitis in order to remind of a rare and potentially serious complication of a very common pediatric disease. Case description: A previously healthy 3-month-old female infant with 10-day history of varicella was admitted to the hospital for fever, groan and prostration. The initial laboratorial evaluation was compatible with bacterial sepsis. By the third day after admission, a swelling of the seventh left rib had developed. The ultrasound and scintigraphy evaluation suggested rib osteomyelitis. Blood cultures were negative. The patient completed six weeks of antibiotics with favorable clinical, laboratorial and imaging evolution. Comments: Varicella is one of the most frequent exanthematic diseases of childhood and it is usually self-limited. The most frequent complication is bacterial infection of cutaneous lesions. Osteoarticular complications are rare, and rib osteomyelitis is described in less than 1% of cases. The main route of dissemination is hematogenic, and the most frequent etiological agent is Staphylococcus aureus. The prognosis is generally good and depends on early detection and antibiotic initiation.
RESUMO Objetivo: Descrever um caso de varicela complicada de osteomielite aguda a fim de alertar para a complicação rara e potencialmente grave de uma doença muito frequente em idade pediátrica. Descrição do caso: Lactente de três meses, previamente saudável, internada por um quadro de febre, prostração e gemido, num contexto de varicela com cerca de dez dias de evolução, com avaliação inicial compatível com sepse de etiologia bacteriana. No terceiro dia de internação, observou-se uma tumefação na sétima costela esquerda. A avaliação ecográfica e cintilográfica mostraram alterações sugestivas de osteomielite de arco costal. As hemoculturas foram negativas. Recebeu antibioticoterapia por seis semanas e evoluiu favoravelmente do ponto de vista clínico, laboratorial e ecográfico. Comentários: A varicela é uma das doenças exantemáticas mais frequentes da infância, sendo habitualmente autolimitada. A complicação mais frequente é a infecção bacteriana secundária das lesões cutâneas, sendo raras as complicações osteoarticulares. O arcabouço costal é uma localização excepcional de osteomielite, descrita em menos de 1% dos casos. A principal via de disseminação é a hematogênica, e o agente mais frequente, o Staphylococcus aureus. O prognóstico é geralmente bom, quando a antibioticoterapia se institui precocemente.
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Humanos , Femenino , Lactante , Osteomielitis/diagnóstico , Osteomielitis/virología , Varicela/complicaciones , CostillasRESUMEN
OBJECTIVE: To report a case of varicella complicated by acute osteomyelitis in order to remind of a rare and potentially serious complication of a very common pediatric disease. CASE DESCRIPTION: A previously healthy 3-month-old female infant with 10-day history of varicella was admitted to the hospital for fever, groan and prostration. The initial laboratorial evaluation was compatible with bacterial sepsis. By the third day after admission, a swelling of the seventh left rib had developed. The ultrasound and scintigraphy evaluation suggested rib osteomyelitis. Blood cultures were negative. The patient completed six weeks of antibiotics with favorable clinical, laboratorial and imaging evolution. COMMENTS: Varicella is one of the most frequent exanthematic diseases of childhood and it is usually self-limited. The most frequent complication is bacterial infection of cutaneous lesions. Osteoarticular complications are rare, and rib osteomyelitis is described in less than 1% of cases. The main route of dissemination is hematogenic, and the most frequent etiological agent is Staphylococcus aureus. The prognosis is generally good and depends on early detection and antibiotic initiation.
Asunto(s)
Varicela/complicaciones , Osteomielitis/diagnóstico , Osteomielitis/virología , Femenino , Humanos , Lactante , CostillasRESUMEN
Hydrological processes in forest stands are mainly influenced by tree species composition and morpho-physiological characteristics. Few studies on anatomical patterns that govern plant hydraulics were conducted in tropical forest ecosystems. Thus, we used dye immersion to analyze sapwood area patterns of 34 trees belonging to 26 species from a terra firme forest in the central Brazilian Amazon. The sapwood area was related with wood anatomy and tree size parameters (diameter-at-breast-height - DBH, total height and estimated whole-tree volume). Exponential allometric equations were used to model sapwood area using the biometrical variables measured. Sapwood area traits (cross-section non-uniformity and heartwood visibility) varied significantly among and within species even though all were classified as diffuse porous. DBH was strongly and non-linearly correlated with sapwood area (R 2 = 0.46, P < 0.001), while no correlation was observed with vessel-lumen diameter (P = 0.94) and frequency (P = 0.58). Sapwood area and shape were also affected by the occurrence of vessel obstruction (i.e., tyloses), hollow stems and diseases. Our results suggest that sapwood area patterns and correlated variables are driven by intrinsic species characteristics, microclimate and ecological succession within the stand. We believe that individual tree sapwood characteristics have strong implications over water use, hydrological stand upsaling and biomass quantification. These characteristics should be taken into account (e.g., through a multi-point sampling approach) when estimating forest stand transpiration in a highly biodiverse ecosystem.(AU)
Processos hidrológicos de povoamentos florestais são predominantemente influenciados pela composição de espécies arbóreas e suas características morfo-fisiológicas. No entanto, existem poucos estudos sobre os padrões anatômicos que determinam o sistema hidráulico de plantas em ecossistemas tropicais. Por isso, nosso objetivo foi o de analisar os padrões da área do xilema ativo em 34 árvores de 26 espécies de uma floresta de terra firme na Amazônia central por meio de imersão em solução de corante. A área do xilema ativo foi relacionada a características autoecológicas das espécies, anatomia da madeira e parâmetros de crescimento (diametro à altura do peito - DAP, altura total e volume total). Equações alométricas exponenciais foram utilizadas para ajustar a área do xilema às variáveis medidas. Características do alburno (área transversal não-uniforme e visibilidade do cerne) variaram significativamente entre e dentro de espécies, apesar de que todas as espécies apresentaram vasos difusos. DAP foi fortemente e não-linearmente correlacionado à área do alburno (R 2 = 0,46; P < 0,001), enquanto diâmetro (P = 0,94) e frequência (P = 0.58) de vasos não apresentaram nenhum grau de relacionamento. O tamanho e forma do alburno foram afetados pela ocorrência de obstrução de poros (tilose) e troncos ocos. Estes padrões sugerem que a área do xilema é influenciada por características intrínsicas de cada espécie, microclima e estágio sucessional dentro do povoamento. Nossos resultados implicam que características individuais de árvores podem fortemente influenciar o transporte de água e, consequentemente, os processos hidrológicos e a quantificação de biomassa do povoamento. Essas caracteristicas deveriam ser consideradas (por exemplo, por meio da coleta de amostras da área do xilema ativo ao longo da área transversal) ao estimar-se a transpiração de uma floresta altamente biodiversa.(AU)
RESUMEN
Hydrological processes in forest stands are mainly influenced by tree species composition and morpho-physiological characteristics. Few studies on anatomical patterns that govern plant hydraulics were conducted in tropical forest ecosystems. Thus, we used dye immersion to analyze sapwood area patterns of 34 trees belonging to 26 species from a terra firme forest in the central Brazilian Amazon. The sapwood area was related with wood anatomy and tree size parameters (diameter-at-breast-height - DBH, total height and estimated whole-tree volume). Exponential allometric equations were used to model sapwood area using the biometrical variables measured. Sapwood area traits (cross-section non-uniformity and heartwood visibility) varied significantly among and within species even though all were classified as diffuse porous. DBH was strongly and non-linearly correlated with sapwood area (R 2 = 0.46, P < 0.001), while no correlation was observed with vessel-lumen diameter (P = 0.94) and frequency (P = 0.58). Sapwood area and shape were also affected by the occurrence of vessel obstruction (i.e., tyloses), hollow stems and diseases. Our results suggest that sapwood area patterns and correlated variables are driven by intrinsic species characteristics, microclimate and ecological succession within the stand. We believe that individual tree sapwood characteristics have strong implications over water use, hydrological stand upsaling and biomass quantification. These characteristics should be taken into account (e.g., through a multi-point sampling approach) when estimating forest stand transpiration in a highly biodiverse ecosystem. (AU)
Processos hidrológicos de povoamentos florestais são predominantemente influenciados pela composição de espécies arbóreas e suas características morfo-fisiológicas. No entanto, existem poucos estudos sobre os padrões anatômicos que determinam o sistema hidráulico de plantas em ecossistemas tropicais. Por isso, nosso objetivo foi o de analisar os padrões da área do xilema ativo em 34 árvores de 26 espécies de uma floresta de terra firme na Amazônia central por meio de imersão em solução de corante. A área do xilema ativo foi relacionada a características autoecológicas das espécies, anatomia da madeira e parâmetros de crescimento (diametro à altura do peito - DAP, altura total e volume total). Equações alométricas exponenciais foram utilizadas para ajustar a área do xilema às variáveis medidas. Características do alburno (área transversal não-uniforme e visibilidade do cerne) variaram significativamente entre e dentro de espécies, apesar de que todas as espécies apresentaram vasos difusos. DAP foi fortemente e não-linearmente correlacionado à área do alburno (R 2 = 0,46; P < 0,001), enquanto diâmetro (P = 0,94) e frequência (P = 0.58) de vasos não apresentaram nenhum grau de relacionamento. O tamanho e forma do alburno foram afetados pela ocorrência de obstrução de poros (tilose) e troncos ocos. Estes padrões sugerem que a área do xilema é influenciada por características intrínsicas de cada espécie, microclima e estágio sucessional dentro do povoamento. Nossos resultados implicam que características individuais de árvores podem fortemente influenciar o transporte de água e, consequentemente, os processos hidrológicos e a quantificação de biomassa do povoamento. Essas caracteristicas deveriam ser consideradas (por exemplo, por meio da coleta de amostras da área do xilema ativo ao longo da área transversal) ao estimar-se a transpiração de uma floresta altamente biodiversa.(AU)
Asunto(s)
Madera/anatomía & histología , Xilema/anatomía & histología , Brasil , Recursos Hídricos , Ecosistema AmazónicoRESUMEN
Amazon forests account for ~25% of global land biomass and tropical tree species. In these forests, windthrows (i.e., snapped and uprooted trees) are a major natural disturbance, but the rates and mechanisms of recovery are not known. To provide a predictive framework for understanding the effects of windthrows on forest structure and functional composition (DBH ≥10 cm), we quantified biomass recovery as a function of windthrow severity (i.e., fraction of windthrow tree mortality on Landsat pixels, ranging from 0%-70%) and time since disturbance for terra-firme forests in the Central Amazon. Forest monitoring allowed insights into the processes and mechanisms driving the net biomass change (i.e., increment minus loss) and shifts in functional composition. Windthrown areas recovering for between 4-27 years had biomass stocks as low as 65.2-91.7 Mg/ha or 23%-38% of those in nearby undisturbed forests (~255.6 Mg/ha, all sites). Even low windthrow severities (4%-20% tree mortality) caused decadal changes in biomass stocks and structure. While rates of biomass increment in recovering vegetation were nearly double (6.3 ± 1.4 Mg ha-1 year-1 ) those of undisturbed forests (~3.7 Mg ha-1 year-1 ), biomass loss due to post-windthrow mortality was high (up to -7.5 ± 8.7 Mg ha-1 year-1 , 8.5 years since disturbance) and unpredictable. Consequently, recovery to 90% of "pre-disturbance" biomass takes up to 40 years. Resprouting trees contributed little to biomass recovery. Instead, light-demanding, low-density genera (e.g., Cecropia, Inga, Miconia, Pourouma, Tachigali, and Tapirira) were favored, resulting in substantial post-windthrow species turnover. Shifts in functional composition demonstrate that windthrows affect the resilience of live tree biomass by favoring soft-wooded species with shorter life spans that are more vulnerable to future disturbances. As the time required for forests to recover biomass is likely similar to the recurrence interval of windthrows triggering succession, windthrows have the potential to control landscape biomass/carbon dynamics and functional composition in Amazon forests.
Asunto(s)
Biomasa , Bosques , Árboles , Viento , Brasil , Carbono , Clima TropicalRESUMEN
The Amazon forest comprises many different forest types, amongst them are campinas and campinaranas, which occur on Amazonian sandy soils, representing 2.65% of Amazonian territory. An understanding of the ecology and quantification of the environmental goods and services of campinaranas is key to their conservation. Based on a direct method to estimate biomass and carbon content of campinarana, we harvested and weighted 89 trees and other forest components in ten randomly allocated plots of 100 m2 (10 x 10 m) and 11 additional trees outside the plots. The data allowed us to describe how biomass is distributed amongst campinarana vegetation and amongst tree compartments. We developed allometric equations to estimate the total, above- and below-ground biomass and carbon stock of this forest type. We used a Weibull function to test if the diameter distribution of the individual trees sampled was consistent with the diameter distribution of the forest type. We also tested if terra-firme forest biomass equations could be used to estimate campinarana biomass, and whether a correction factor based on dominant height would reduce the error from these estimates. Allometric equations are considered to be the most reliable and rapid method for calculating forest biomass, and are used in forest management and climate change studies. These are the first total biomass equations developed for central Amazonian campinaranas. The best fitted allometric equation for total fresh biomass was: ln (Total Biomass) = -1.373 + 2.546 * ln DBH (R ² = 0.98, Sxy% = 4.19%).(AU)
Entre as diversas fitofisionomias da Floresta Amazônica estão as campinas e campinaranas, que ocorrem sobre solos arenosos, ocupando 2,65% de seu território. Baseando-se no método direto, com a finalidade de estimar carbono e biomassa de uma campinarana na Amazônia Central, derrubamos, medimos e pesamos 89 árvores e outros componentes florestais em dez parcelas de 100 m² (10 x 10m) alocadas aleatoriamente, e mais 11 árvores fora das parcelas. A partir dos dados coletados, desenvolvemos equações alométricas para estimar a biomassa total, aérea e de raízes e o estoque de carbono para esse tipo florestal. A função Weibull foi utilizada para comprovar que a distribuição diamétrica das árvores coletadas é análoga a esse tipo florestal. Verificamos, ainda, qual o erro gerado ao se estimar a biomassa da campinarana utilizando equações desenvolvidas para florestas densas de terra-firme, e se o uso de um fator de correção baseado na altura dominante reduziria esse erro. O uso de equações alométricas é considerado o método mais preciso e rápido na obtenção da biomassa florestal, e é utilizado em questões ligadas, entre outras, às áreas de manejo florestal e de clima. Essas são as primeiras equações de biomassa total desenvolvidas para campinaranas nesta região da Amazônia. A melhor equação ajustada para estimar a biomassa total foi: ln(PFtotal) = -1,373 + 2,546 * ln(DAP) (R²=0,98; Sxy%= 4,19).(AU)
Asunto(s)
Ecosistema Amazónico , Carbono , Biomasa , Bosques , Cambio ClimáticoRESUMEN
BACKGROUND: In oral squamous cell carcinoma (OSCC), the HIF-1 complex promotes the expression of genes involved in specific mechanisms of cell survival under hypoxic conditions, such as plasminogen activator inhibitor-1 (PAI-1), carbonic anhydrase 9 (CAIX), and vascular endothelial growth factor A (VEGFA). The study aimed to investigate the presence and prognostic value of PAI-1, CAIX, and VEGFA in OSCC. MATERIALS AND METHODS: Immunohistochemistry was used to analyze the expressions of these proteins in 52 tumoral tissue samples of patients with OSCC, surgically treated and followed by a minimum of 24 months after surgery. The correlations between protein expressions and clinicopathological parameters and prognosis were analyzed. RESULTS: Positive PAI-1 membrane expression was significantly associated with local disease relapse (P = .027). Multivariate analysis revealed that the positive PAI-1 membrane expression is an independent marker for local disease relapse, with approximately 14-fold increased risk when compared to negative expression (OR = 14.49; CI = 1.40-150.01, P = .025). Strong PAI-1 cytoplasmic expression was significantly associated with the less differentiation grade (P = .027). Strong CAIX membrane expression was significantly associated with local disease-free survival (P = .038). Positive CAIX cytoplasmic expression was significantly associated with lymph node affected (P = .025) and with disease-specific survival (P = .022). Multivariate analysis revealed that the positive CAIX cytoplasmic expression is an independent risk factor for disease-related death, increasing their risk approximately 3-fold when compared to negative expression (HR = 2.84; CI = 1.02-7.87, P = .045). Positive VEGFA cytoplasmic expression was significantly associated with less differentiation grade (P = .035). CONCLUSION: Our results suggest a potential role for these expressions profiles as tumor prognostic markers in OSCC patients.
Asunto(s)
Antígenos de Neoplasias/biosíntesis , Biomarcadores de Tumor/biosíntesis , Anhidrasa Carbónica IX/biosíntesis , Neoplasias de la Boca/metabolismo , Inhibidor 1 de Activador Plasminogénico/biosíntesis , Carcinoma de Células Escamosas de Cabeza y Cuello/metabolismo , Factor A de Crecimiento Endotelial Vascular/biosíntesis , Anciano , Antígenos de Neoplasias/metabolismo , Biomarcadores de Tumor/metabolismo , Anhidrasa Carbónica IX/metabolismo , Supervivencia sin Enfermedad , Femenino , Humanos , Inmunohistoquímica , Ganglios Linfáticos/patología , Masculino , Persona de Mediana Edad , Neoplasias de la Boca/patología , Análisis Multivariante , Recurrencia Local de Neoplasia/metabolismo , Recurrencia Local de Neoplasia/patología , Inhibidor 1 de Activador Plasminogénico/metabolismo , Pronóstico , Carcinoma de Células Escamosas de Cabeza y Cuello/patología , Análisis de Supervivencia , Factor A de Crecimiento Endotelial Vascular/metabolismoRESUMEN
ABSTRACT The Amazon forest comprises many different forest types, amongst them are campinas and campinaranas, which occur on Amazonian sandy soils, representing 2.65% of Amazonian territory. An understanding of the ecology and quantification of the environmental goods and services of campinaranas is key to their conservation. Based on a direct method to estimate biomass and carbon content of campinarana, we harvested and weighted 89 trees and other forest components in ten randomly allocated plots of 100 m2 (10 x 10 m) and 11 additional trees outside the plots. The data allowed us to describe how biomass is distributed amongst campinarana vegetation and amongst tree compartments. We developed allometric equations to estimate the total, above- and below-ground biomass and carbon stock of this forest type. We used a Weibull function to test if the diameter distribution of the individual trees sampled was consistent with the diameter distribution of the forest type. We also tested if terra-firme forest biomass equations could be used to estimate campinarana biomass, and whether a correction factor based on dominant height would reduce the error from these estimates. Allometric equations are considered to be the most reliable and rapid method for calculating forest biomass, and are used in forest management and climate change studies. These are the first total biomass equations developed for central Amazonian campinaranas. The best fitted allometric equation for total fresh biomass was: ln (Total Biomass) = -1.373 + 2.546 * ln DBH (R ² = 0.98, Sxy% = 4.19%).
RESUMO Entre as diversas fitofisionomias da Floresta Amazônica estão as campinas e campinaranas, que ocorrem sobre solos arenosos, ocupando 2,65% de seu território. Baseando-se no método direto, com a finalidade de estimar carbono e biomassa de uma campinarana na Amazônia Central, derrubamos, medimos e pesamos 89 árvores e outros componentes florestais em dez parcelas de 100 m² (10 x 10m) alocadas aleatoriamente, e mais 11 árvores fora das parcelas. A partir dos dados coletados, desenvolvemos equações alométricas para estimar a biomassa total, aérea e de raízes e o estoque de carbono para esse tipo florestal. A função Weibull foi utilizada para comprovar que a distribuição diamétrica das árvores coletadas é análoga a esse tipo florestal. Verificamos, ainda, qual o erro gerado ao se estimar a biomassa da campinarana utilizando equações desenvolvidas para florestas densas de terra-firme, e se o uso de um fator de correção baseado na altura dominante reduziria esse erro. O uso de equações alométricas é considerado o método mais preciso e rápido na obtenção da biomassa florestal, e é utilizado em questões ligadas, entre outras, às áreas de manejo florestal e de clima. Essas são as primeiras equações de biomassa total desenvolvidas para campinaranas nesta região da Amazônia. A melhor equação ajustada para estimar a biomassa total foi: ln(PFtotal) = -1,373 + 2,546 * ln(DAP) (R²=0,98; Sxy%= 4,19).