RESUMO
Morphological, structural and compositional alterations in shells of molluscs have been proposed as putative biomarkers of chemical contamination in coastal zones. Despite this, few studies were carried out using top predator gastropods which tend to be more susceptible to contamination exposure. Thus, the present study assessed disturbances on shells of Stramonita brasiliensis considering compression resistance and organic and mineralogical matrix composition, related to morphometric alterations. Results showed reductions in compression resistance and organic matrix content associated with higher contaminated sites. In addition, a predominance of calcite polymorphs was seen in shells obtained in polluted areas. Such outputs were consistent with local contamination levels which may have induced the observed alterations. Thus, changes in mollusc shells showed good performance as potential biomarkers of coastal contamination, being probably observed in other species of carnivorous gastropods around the world.
Assuntos
Gastrópodes , Exoesqueleto/química , Animais , Biomarcadores/análise , Carbonato de Cálcio/análise , MoluscosRESUMO
In this study, the thermoluminescence (TL) properties of natural NaCl from Lluta, Arequipa-Peru was investigated. The number of peaks and the kinetic parameters associated with the TL glow peaks of NaCl sample after gamma-irradiation were analyzed by initial rise and deconvolution method. Defect centers induced in pure salt by gamma irradiation have been studied by electron spin resonance (ESR) with a view to identify the centers associated with the TL process in the salt. Thermal annealing experiments indicate the presence of three defect centers. Center I characterized by the g-value 2.011 is identified as an O- ion and relates with the dominant TL peak at 220 °C. Center II with a g-value of 2.0058 is attributed to a F center and is found to correlate with the 128 °C TL peak. Center III has of g-value 2.014 and is also assigned to an O- ion.
RESUMO
PURPOSE: Pituitary abscesses (PAs) are a rare clinical entity which may arise from normal pituitary tissue or underlying lesions within the gland. Rathke's cleft cysts (RCCs) are not commonly associated with the development of PA. METHODS: Retrospective chart review of three patients with PAs within RCCs at a single university center and review of the literature. RESULTS: Three cases are reported. The first case presented with fever and headache and a history of prior surgery due to RCC and a recent respiratory tract infection. The second case had a history of recent skin infections and presented with sudden onset headache and hypopituitarism. In the third case, chronic visual field impairment prompted an ophthalmologic evaluation resulting in a diagnosis of an adenoma and an infected RCC. In all three cases, an endoscopic endonasal approach was performed to drain infected tissue and allowed microbiological identification of gram-positive cocci, followed by treatment with antibiotics for at least three weeks. Cases in the literature are scarce and the diagnosis is usually made intraoperatively due to non-specific manifestations and imaging. PAs arising from underlying pituitary lesions are less common than primary PAs. Differential diagnosis should include pituitary apoplexy, hypophysitis and other cystic lesions. CONCLUSION: PAs occurring in RCCs are infrequent. Clinical manifestations are commonly subacute, without septic symptoms. Imaging is usually non-specific. Preoperative diagnosis is infrequent and a broad differential diagnosis should be considered. Empirical antimicrobial therapy should be initiated and adjusted after obtaining cultures to reduce the rate of recurrence and improve clinical outcomes.
Assuntos
Carcinoma de Células Renais , Cistos do Sistema Nervoso Central , Neoplasias Renais , Doenças da Hipófise , Neoplasias Hipofisárias , Abscesso , Cistos do Sistema Nervoso Central/diagnóstico , Cistos do Sistema Nervoso Central/cirurgia , Cefaleia , Humanos , Doenças da Hipófise/diagnóstico , Neoplasias Hipofisárias/diagnóstico , Estudos RetrospectivosRESUMO
Pottery fragments from the Yumina archaeological site, Arequipa, Peru, were dated by means of thermoluminescence (TL) and optically stimulated luminescence (OSL). Electron paramagnetic resonance (EPR) technique was used to study the firing temperature using the iron signal (Fe3+) as a firing temperature reference. The ages of the samples were found to be between 1190⯱â¯30 and 1240⯱â¯80 years (777⯱â¯80 and 827⯱â¯30 A.D.) determined by both techniques. The firing temperature of ceramics was found to be around 550 ⯱ 50⯰C. Our study, based on the combination of TL and OSL techniques to study Yumina archaeological site pottery, will be helpful for archaeologists in Peru. With the results of this investigation, we can understand the chronology and determine the areas of dispersion and density of the archaeological occupation in the Arequipa Valley. In addition, the calculated ages are consistent with the occupation period of the Yumina archaeological site estimated by stratigraphic analysis of the potteries.
RESUMO
In the present work, carbonate samples covering wall painting of four points in the same site found at Peruaçu National Park in the extreme northwest of the state of Minas Gerais, Brazil, has been investigated and dated by thermoluminescence (TL) and electron paramagnetic resonance (EPR) techniques. The EPR spectrum of the carbonate samples presented the typical six signals due to Mn2+ ion and signals around g~2.0 due to SO2- and CO2-. The thermal stability and dose response of the EPR signals were found to be suitable for an age determination using the center due to CO2-. The carbonate sample exhibits TL peaks at approximately 350⯰C. TL and EPR dating of the carbonate samples that covered the cave paintings gave an age of 33.13 to 48.40 ka. This series of dating data indicate that in the region about 220-250â¯km from the coast and extending from the State of Piaui, Bahia to Minas Gerais people lived around 50000 years ago.
RESUMO
Dendrimers provide a means to control the synthesis of gold nanoparticles and stabilize their suspensions. However, design of improved dendrimers for this application is hindered by a lack of understanding how the dendrimers and synthesis conditions determine nanoparticle morphology and suspension stability. In the present work, we evaluate the effect of polyamidoamine (PAMAM) dendrimers terminated with different functional groups (-OH or -NH3+) and different synthesis conditions on the morphology of the resulting gold nanoparticles and their stability in solution. We leverage molecular dynamics (MD) simulations to identify the atomic interactions that underlie adsorption of PAMAM dendrimers to gold surface and how the thermodynamics of this adsorption depends on the terminal functional groups of the dendrimers. We find that gold nanoparticles formed with hydroxyl-terminated PAMAM (PAMAM-OH) rapidly aggregate, whereas those formed with PAMAM-NH3+ are stable in solution for months of storage. Synthesis under ultrasound sonication is shown to be more rapid than that under agitation, with sonication producing smaller nanoparticles. Free-energy calculations in MD simulations show that all dendrimers have a high affinity for the gold surface, although PAMAM-OH and its oxidized aldehyde form (PAMAM-CHO) have a greater affinity for the nanoparticle surface than PAMAM-NH3+. Although adsorption of PAMAM-OH and PAMAM-CHO has both favorable entropy and enthalpy, adsorption of PAMAM-NH3+ is driven by a strong enthalpic component subject to an unfavorable entropic component.
RESUMO
Iron-doped bismuth sulphide (Bi2-xFexS3) nanocrystals have been successfully synthesized in a glass matrix using the fusion method. Transmission electron microscopy images and energy dispersive spectroscopy data clearly show that nanocrystals are formed with an average diameter of 7-9 nm, depending on the thermic treatment time, and contain Fe in their chemical composition. Magnetic force microscopy measurements show magnetic phase contrast patterns, providing further evidence of Fe incorporation in the nanocrystal structure. The electron paramagnetic resonance spectra displayed Fe3+ typical characteristics, with spin of 5/2 in the 3d5 electronic state, thereby confirming the expected trivalent state of Fe ions in the Bi2S3 host structure. Results from the spin polarized density functional theory simulations, for the bulk Fe-doped Bi2S3 counterpart, corroborate the experimental fact that the volume of the unit cell decreases with Fe substitutionally doping at Bi1 and Bi2 sites. The Bader charge analysis indicated a pseudo valency charge of 1.322|e| on FeBi1 and 1.306|e| on FeBi2 ions, and a spin contribution for the magnetic moment of 5.0 µB per unit cell containing one Fe atom. Electronic band structures showed that the (indirect) band gap changes from 1.17 eV for Bi2S3 bulk to 0.71 eV (0.74 eV) for Bi2S3:FeBi1 (Bi2S3:FeBi2). These results are compatible with the 3d5 high-spin state of Fe3+, and are in agreement with the experimental results, within the density functional theory accuracy.
Assuntos
Bismuto/química , Ferro/química , Nanopartículas/química , Sulfetos/química , Espectroscopia de Ressonância de Spin Eletrônica , Vidro , Modelos Teóricos , Tamanho da Partícula , TermodinâmicaRESUMO
A cylindrical fragment of stalagmite from Caverna do Diabo, State of São Paulo, Brazil, has been studied and dated by thermoluminescence and electron paramagnetic resonance techniques. The thermoluminescence glow curves of stalagmite samples and subsequently gamma irradiated, have shown rise of three peaks at 135, 180 and 265 °C. From electron paramagnetic resonance spectra of stalagmite was possible to clearly identify three paramagnetic centers in the g = 2.0 region: Centers I, II and III are due to , and , respectively. The additive method was applied to calculate the accumulated dose using thermoluminescence peak at 265 °C and the electron paramagnetic resonance signal at g = 1.9973 of CO- 2 radical. The ages of the different slices of stalagmite were determined from the Dac- values and Dan- value, obtaining an average of 86410 for central slice, 53421 for second slice, 31490 for third slice and 46390 years B.P. for the central region of upper end.
RESUMO
This study shows that there are some ionic crystals which after irradiation with high gamma dose Dm and subsequent irradiation with low doses ranging up to 500Gy present a decreasing TL intensity as dose increases. This interesting feature can be used as a calibration curve in radiation dosimetry. Such behavior can be found in green quartz, three varieties of beryl and pink tourmaline. In all these silicate crystals it can be shown that irradiation with increasing γ-dose there is a dose Dm for which the TL intensity is maximum. Of course, Dm varies depending on the crystal and irradiated crystal with the dose Dm is stable. If one of these crystals is taken and irradiated with doses from low values up to 400-500Gy, a curve of decreasing TL intensity is obtained; such a curve can be used as a calibration curve.
RESUMO
Cationic dendrimers, such as PAMAM, are known to be positively charged at neutral pH allowing their unspecific interaction with proteins and other cellular components. Especially, ferritin, which has an important role in iron homeostasis, presents a negative electrostatic potential at the 3-fold channel. This channel is important in the functionality of ferritin because it allows the iron entry into its inner cavity. In this way, the interaction between the protonated terminal amines of the dendrimer and the negatively charged 3-fold channels of ferritin is expected. Experimental measurements demonstrated that PAMAM G4 inhibits the iron storage properties of L-chain human ferritin (L-Ftn). Molecular dynamics simulations have been used to analyze the specific interaction between PAMAM G4 and L-Ftn. Results show that PAMAM G4 effectively interacts with the 3-fold channels of L-Ftn, suggesting that this interaction is responsible for the inhibition of the iron storage properties of L-Ftn.
Assuntos
Apoferritinas/antagonistas & inibidores , Dendrímeros/farmacologia , Ferro/metabolismo , Nylons/farmacologia , Apoferritinas/genética , Apoferritinas/metabolismo , Dendrímeros/química , Humanos , Simulação de Dinâmica Molecular , Nylons/químicaRESUMO
We present a novel, insoluble, low-generation polyamidoamine (PAMAM)-based polymer. The monomer and polymer were characterized by fourier transform infrared spectroscopy, electrospray ionization mass spectrometry and thermogravimetric measurement, revealing that G0 acryloyl-terminated PAMAM were synthesized and polymerized using ammonium persulfate as an initiator, producing a high-density PAMAM derivative (PAMAM-HD). PAMAM-HD was tested for its ability to remove Na(I), K(I), Ca(II), Mg(II), Cu(II), Mn(II), Cd(II), Pb(II) and Zn(II) ions from acidic, neutral and basic aqueous solutions. PAMAM-HD efficiently removed metals ions from all three solutions. The greatest absorption efficiency at neutral pH was observed against Cu(II), Cd(II) and Pb(II), and the experimental data were supported by the calculated Kd values. Our data could have a significant impact on water purification by providing an inexpensive and efficient polymer for the removal of metal ions.
Assuntos
Descontaminação/métodos , Poliaminas/química , Polímeros/síntese química , Purificação da Água/métodos , Concentração de Íons de Hidrogênio , Íons/química , Íons/isolamento & purificação , Espectrometria de Massas , Metais/química , Metais/isolamento & purificação , Estrutura Molecular , Polímeros/química , Espectrofotometria Atômica , Espectroscopia de Infravermelho com Transformada de Fourier , Termogravimetria , Água/químicaRESUMO
A sample of natural albite, NaAlSi3O8, from the state of Minas Gerais, Brazil, has been investigated. The mineral is a solid solution of K-feldspar (4600 ppm--K) and Ca-feldspar (1100 ppm--Ca). The TL spectra of natural and the pre-annealed at high temperature albite presented a very intense band around 275 nm and weaker bands around 400 and 560 nm. Other TL properties have been investigated through monochromatic (275 nm and 400 nm) glow curves. The EPR spectrum measured at low temperature (77K) shows the typical 11 lines signal due to Al-O(-)-Al center superposed on Fe(3+) signal around g=2.0. The EPR spectra above 260 K show only g=2.0 signal due to Fe(3+) ions.
Assuntos
Espectroscopia de Ressonância de Spin Eletrônica , Minerais/química , Alumínio/química , Brasil , Cor , Raios gama , Luminescência , Espectrometria por Raios X , Temperatura , Difração de Raios XRESUMO
Parasitic sea lice represent a major sanitary threat to marine salmonid aquaculture, an industry accounting for 7% of world fish production. Caligus rogercresseyi is the principal sea louse species infesting farmed salmon and trout in the southern hemisphere. Most effective control of Caligus has been obtained with macrocyclic lactones (MLs) ivermectin and emamectin. These drugs target glutamate-gated chloride channels (GluCl) and act as irreversible non-competitive agonists causing neuronal inhibition, paralysis and death of the parasite. Here we report the cloning of a full-length CrGluClα receptor from Caligus rogercresseyi. Expression in Xenopus oocytes and electrophysiological assays show that CrGluClα is activated by glutamate and mediates chloride currents blocked by the ligand-gated anion channel inhibitor picrotoxin. Both ivermectin and emamectin activate CrGluClα in the absence of glutamate. The effects are irreversible and occur with an EC(50) value of around 200 nM, being cooperative (n(H)â=â2) for ivermectin but not for emamectin. Using the three-dimensional structure of a GluClα from Caenorabditis elegans, the only available for any eukaryotic ligand-gated anion channel, we have constructed a homology model for CrGluClα. Docking and molecular dynamics calculations reveal the way in which ivermectin and emamectin interact with CrGluClα. Both drugs intercalate between transmembrane domains M1 and M3 of neighbouring subunits of a pentameric structure. The structure displays three H-bonds involved in this interaction, but despite similarity in structure only of two these are conserved from the C. elegans crystal binding site. Our data strongly suggest that CrGluClα is an important target for avermectins used in the treatment of sea louse infestation in farmed salmonids and open the way for ascertaining a possible mechanism of increasing resistance to MLs in aquaculture industry. Molecular modeling could help in the design of new, more efficient drugs whilst functional expression of the receptor allows a first stage of testing of their efficacy.
Assuntos
Canais de Cloreto/metabolismo , Copépodes/fisiologia , Doenças dos Peixes/metabolismo , Peixes/parasitologia , Ácido Glutâmico/farmacologia , Ivermectina/análogos & derivados , Sequência de Aminoácidos , Animais , Caenorhabditis elegans/genética , Caenorhabditis elegans/crescimento & desenvolvimento , Caenorhabditis elegans/metabolismo , Canais de Cloreto/química , Canais de Cloreto/genética , Clonagem Molecular , Copépodes/efeitos dos fármacos , Eletrofisiologia , Feminino , Doenças dos Peixes/genética , Doenças dos Peixes/parasitologia , Peixes/crescimento & desenvolvimento , Peixes/metabolismo , Inseticidas/farmacologia , Ivermectina/farmacologia , Modelos Moleculares , Simulação de Acoplamento Molecular , Dados de Sequência Molecular , Oócitos/citologia , Oócitos/efeitos dos fármacos , Oócitos/metabolismo , Homologia de Sequência de Aminoácidos , Xenopus laevis/genética , Xenopus laevis/crescimento & desenvolvimento , Xenopus laevis/metabolismoRESUMO
Low bone mineral density (BMD) has been described in human immunodeficiency virus (HIV)-infected patients, but data on associated factors are still unclear, and to our knowledge, no reports are available in Brazil. Our goal was to evaluate BMD in HIV patients attending an outpatient clinic in Vitoria, Brazil. A sectional study was performed in 300 HIV-infected patients to measure BMD by dual-energy X-ray absorptiometry (DXA). Age, gender, anthropometric parameters, nadir and current CD4 cell count, HIV viral load, smoking habit, and current antiretroviral therapy (ART) associations were investigated by multivariable analysis. Based on World Health Organization T-score ranges, low BMD (T-score <-1.0 standard deviation [SD] in postmenopausal women and men aged 50 and older or Z-score <- 2.0 SD in premenopausal women and men below the age of 50) was detected in 54.7% (95% confidence interval: 49.1-60.3%) of the 300 enrolled patients. The observed median age was 46 yr (interquartile range: 39-52), 58% were male, 88.5% were on ART, and 21.4% smoked. The following factors were identified, by multiple logistic modeling, as being independently associated with low BMD: (1) male gender (4.6 [1.28-16.39]), (2) body mass index lower than 25 kg/m(2) (2.9 [1.31-6.49]), (3) menopause (13.4 [2.53-71.12]), and (4) HIV-1 undetectable viral load (7.9 [1.96-32.25]). Conversely, zidovudine (0.2 [0.04-0.85]) and nevirapine (0.1 [0.02-0.38]) use were inversely associated with low BMD. Low BMD was frequently found in our cohort of about 300 Brazilian HIV-infected subjects. This study supports the need for periodic DXA testing in HIV outpatient clinics.
Assuntos
Densidade Óssea , Doenças Ósseas Metabólicas/epidemiologia , Infecções por HIV/fisiopatologia , Absorciometria de Fóton , Brasil/epidemiologia , Contagem de Linfócito CD4 , Feminino , Infecções por HIV/epidemiologia , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Osteoporose/epidemiologia , Fatores de Risco , Fatores Sexuais , Carga ViralRESUMO
The structural properties of the glass matrix 40SiO(2)·30Na(2)O·1Al(2)O(3)·(29-x)B(2)O(3)·xFe(2)O(3) (mol%), 0.0≤x≤29.0 were studied by X-ray diffraction (XRD), differential thermal analysis (DTA) and Raman and infrared spectroscopy (FT-IR). XRD demonstrated Fe(3)O(4) crystal formation for Fe(2)O(3) concentrations of 29.0 mol%. DTA showed that glass transition and crystallization temperatures changed as a function of Fe(2)O(3) concentration and that these alterations were related to structural change in the glass system. Interesting aspects of Raman and FT-IR spectra were found, and this gives information about of the structure changes in Si-O-Si units of these glasses as a function of Fe(2)O(3) concentration.
Assuntos
Óxido de Alumínio/química , Compostos de Boro/química , Compostos Férricos/farmacologia , Vidro/química , Óxidos/química , Dióxido de Silício/química , Compostos de Sódio/química , Cristalização , Análise Diferencial Térmica , Compostos Férricos/química , Estrutura Molecular , Concentração Osmolar , Espectroscopia de Infravermelho com Transformada de Fourier , Análise Espectral RamanRESUMO
Potassium channels have a conserved selectivity filter that is important in determining which ions are conducted and at what rate. Although K+ channels of different conductance characteristics are known, they differ more widely in the way their opening and closing, the gating, is governed. TASK and TALK subfamily proteins are two-pore region KCNK K+ channels gated open by extracellular pH. We discuss the mechanism for this gating in terms of electrostatic effects on the pore changing the occupancy and open probability of the channels in a way reminiscent of C-type inactivation gating at the selectivity filter. Essential to this proposed mechanism is the replacement of two highly conserved aspartate residues at the pore mouth by asparagine or histidine residues in the TALK and TASK channels.
Assuntos
Espaço Extracelular/fisiologia , Ativação do Canal Iônico/fisiologia , Canais de Potássio/fisiologia , Sequência de Aminoácidos , Animais , Sítios de Ligação , Concentração de Íons de Hidrogênio , Camundongos , Camundongos Knockout , Modelos Moleculares , Canais de Potássio/química , Canais de Potássio de Domínios Poros em Tandem/deficiência , Canais de Potássio de Domínios Poros em Tandem/genética , Canais de Potássio de Domínios Poros em Tandem/fisiologia , Estrutura Secundária de ProteínaRESUMO
Anaerobiospirillum succiniciproducens phosphoenolpyruvate (PEP) carboxykinase catalyses the reversible metal-dependent formation of oxaloacetate (OAA) and ATP from PEP, ADP and CO(2). Mutations of PEP carboxykinase have been constructed where the residues His(225) and Asp(263), two residues of the enzyme's putative Mn(2+) binding site, were altered. Kinetic studies of the His225Glu, and Asp263Glu PEP carboxykinases show 600- and 16,800-fold reductions in V(max) relative to the wild-type enzyme, respectively, with minor alterations in K(m) for Mn(2+). Molecular modeling of wild-type and mutant enzymes suggests that the lower catalytic efficiency of the Asp263Glu enzyme could be explained by a movement of the lateral chain of Lys(248), a critical catalytic residue, away from the reaction center. The effect on catalysis of introducing a negatively charged oxygen atom in place of N(epsilon-2) at position 225 is discussed in terms of altered binding energy of the intermediate enolpyruvate.
Assuntos
Anaerobiospirillum/enzimologia , Manganês/metabolismo , Fosfoenolpiruvato Carboxiquinase (ATP)/metabolismo , Substituição de Aminoácidos/genética , Anaerobiospirillum/genética , Proteínas de Bactérias/metabolismo , Sítios de Ligação/genética , Cinética , Modelos Moleculares , Mutagênese Sítio-Dirigida , Fosfoenolpiruvato Carboxiquinase (ATP)/genética , Ligação Proteica , Especificidade por Substrato/genéticaRESUMO
This study was designed to investigate the impact of anti-retroviral therapy on both plasma and seminal HIV-1 viral loads and the correlation between viral loads in these compartments after treatment. Viral load, CD4+ and CD8+ T-cell counts were evaluated in paired plasma and semen samples from 36 antiretroviral therapy-naïve patients at baseline and on days 45, 90, and 180 of treatment. Slopes for blood and seminal viral loads in all treated patients were similar (p = 0.21). Median HIV-1 RNA titers in plasma and semen at baseline were 4.95 log10 and 4.48 log10 copies/ml, respectively. After 180 days of therapy, the median viral load declined to 3.15 log10 copies/ml (plasma) and 3.2 log10 copies/ml (semen). At this timepoint 22 patients presented HIV-1 viral load below 400 copies/ml in either plasma or semen, but only 9 had viral loads below 400 copies/ml in both compartments.
Assuntos
Humanos , Masculino , Fármacos Anti-HIV , Relação CD4-CD8 , Infecções por HIV , HIV-1 , Sêmen , Carga Viral , Infecções por HIV , Estudos Longitudinais , RNA ViralRESUMO
This study was designed to investigate the impact of anti-retroviral therapy on both plasma and seminal HIV-1 viral loads and the correlation between viral loads in these compartments after treatment. Viral load, CD4+ and CD8+ T-cell counts were evaluated in paired plasma and semen samples from 36 antiretroviral therapy-naive patients at baseline and on days 45, 90, and 180 of treatment. Slopes for blood and seminal viral loads in all treated patients were similar (p = 0.21). Median HIV-1 RNA titers in plasma and semen at baseline were 4.95 log10 and 4.48 log10 copies/ml, respectively. After 180 days of therapy, the median viral load declined to 3.15 log10 copies/ml (plasma) and 3.2 log10 copies/ml (semen). At this timepoint 22 patients presented HIV-1 viral load below 400 copies/ml in either plasma or semen, but only 9 had viral loads below 400 copies/ml in both compartments.
Assuntos
Fármacos Anti-HIV/uso terapêutico , Infecções por HIV/virologia , HIV-1 , Sêmen/virologia , Carga Viral , Adulto , Relação CD4-CD8 , Infecções por HIV/sangue , Infecções por HIV/tratamento farmacológico , Humanos , Estudos Longitudinais , Masculino , RNA Viral/sangueRESUMO
The present study was conducted to investigate a possible correlation between plasma (PVL) and seminal viral load (SVL) on treatment-naïve HIV-1-infected patients in Vitória, ES, Brazil. We also evaluated whether the progressive immunosuppression associated with HIV disease (as evidenced by declining CD4 T cell counts) has any impact on the correlation between PVL and SVL HIV-1. Viral load on paired blood and semen samples from 56 consecutive treatment-naïve patients were evaluated and compared to CD4 cell counts. Viral load and T cell counts (cells/microl) were determined by NASBA and by flow cytometry, respectively. Overall, a strong positive correlation between PVL and SVL (rho = 0.438, p = 0.001) was observed. However, when patients were grouped according to their CD4 counts, this correlation was only significant among patients with CD4 counts > 200 cells/microl. Results presented here demonstrate the existence of a strong correlation between PVL and SVL on patients with CD4 cell counts > 200 cells/microl, suggesting that this association may correlate with disease progression.