RESUMEN
Uncontrolled vasodilation is known to account for hypotension in the advanced stages of sepsis and other systemic inflammatory conditions, but the mechanisms of hypotension in earlier stages of such conditions are not clear. By monitoring hemodynamics with the highest temporal resolution in unanesthetized rats, in combination with ex-vivo assessment of vascular function, we found that early development of hypotension following injection of bacterial lipopolysaccharide is brought about by a fall in vascular resistance when arterioles are still fully responsive to vasoactive agents. This approach further uncovered that the early development of hypotension stabilized blood flow. We thus hypothesized that prioritization of the local mechanisms of blood flow regulation (tissue autoregulation) over the brain-driven mechanisms of pressure regulation (baroreflex) underscored the early development of hypotension in this model. Consistent with this hypothesis, an assessment of squared coherence and partial-directed coherence revealed that, at the onset of hypotension, the flow-pressure relationship was strengthened at frequencies (<0.2â Hz) known to be associated with autoregulation. The autoregulatory escape to phenylephrine-induced vasoconstriction, another proxy of autoregulation, was also strengthened in this phase. The competitive demand that drives prioritization of flow over pressure regulation could be edema-associated hypovolemia, as this became detectable at the onset of hypotension. Accordingly, blood transfusion aimed at preventing hypovolemia brought the autoregulation proxies back to normal and prevented the fall in vascular resistance. This novel hypothesis opens a new avenue of investigation into the mechanisms that can drive hypotension in systemic inflammation.
RESUMEN
The Parati River contributes to the Babitonga Bay water complex, but the contents of the bay also influence the river during periods of inverted currents. In this study, the water quality along four stretches of the Parati River and Babitonga Bay was evaluated using chemical (physico-chemical and chromatographic analysis), microbiological (fluorescein diacetate hydrolysis) and ecotoxicological (Lumistox) methods to assess the reciprocal influence of the waters of this river-bay system. In addition, the most appropriate type of analysis for the monitoring of the estuarine region of the Parati River was identified. The results of six sampling campaigns showed that the type of contaminants and their levels varied temporally and spatially and thus the water quality also changed. Anthropogenic activity, such as banana cultivation and the release of sewage into the water system, is the primary cause of the contamination that affects the quality of the water in the Parati River estuary, which is a crucial ecological niche for the reproduction of various marine species. The ecotoxicity tests with Aliivibrio fischeri conducted to evaluate the water quality showed an integrative response, and the ecotoxicity data indicated that the Parati River does not have a significant influence on the water quality of Babitonga Bay.
Asunto(s)
Bahías/química , Ríos/química , Contaminantes Químicos del Agua/análisis , Calidad del Agua , Aliivibrio fischeri/efectos de los fármacos , Bahías/microbiología , Brasil , Ecosistema , Ecotoxicología/métodos , Monitoreo del Ambiente/métodos , Estuarios , Plaguicidas/análisis , Ríos/microbiología , Aguas del AlcantarilladoRESUMEN
BACKGROUND: IL-27 has dual roles in the immune response either stimulating Th1 or inhibiting Th17 cells. Because there is a particular link of IL-23/Th17 axis in the development of cancer and IL-27 has been considered a potential treatment for cancer, we evaluated the gastric and serum concentrations of IL-27 in two mutually exclusive Helicobacter pylori-associated diseases, gastric cancer (GC) and duodenal ulcer (DU). MATERIAL AND METHODS: We prospectively studied 110 H pylori-positive patients and 40 healthy blood donors. Serum and gastric concentrations of IL-27 and cytokines of the Th1/Th17 cells were assessed by ELISA. RESULTS: IL-27 was not detected in GC patients, but the cytokine concentration was very high in the patients with DU. IL-27 was also detected in the gastritis patients and in the H pylori-positive blood donors. IL27RA mRNA expression in peripheral blood mononuclear cells, evaluated by rt-PCR, was stimulated by H pylori strains. The cytokine concentration positively correlated with the Th1 and negatively with Th17 cell representative cytokine levels. Gastric IL-27 concentrations were positively correlated with increased degree of mononuclear and polymorphonuclear cells on the antral gastric mucosa of DU patients in consonance with the DU gastritis pattern. IL-12p70 and IFN-γ gastric concentrations were significantly higher in DU than in GC. Conversely, gastric concentrations of Th17 cell-associated cytokines (IL-1ß, IL-6, IL-17A, IL-23, and TGF-ß) were significantly higher in GC than in DU patients. CONCLUSION: Although H pylori infection is able to elicit IL-27 and IL-27Rα secretion, DU and GC have diametrically opposed cytokine patterns.