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ABSTRACT: The ongoing coronavirus disease 2019 (COVID-19) pandemic caused by SARS-CoV-2 has significant implications in patients with concomitant cardiovascular disease (CVD) because they are the population at the greatest risk of death. The treatment of such patients and complications may represent a new challenge for the fields of cardiology and pharmacology. Thus, understanding the involvement of this viral infection in CVD might help to reduce the aggressiveness of SARS-CoV-2 in causing multiorgan infection and damage. SARS-CoV-2 disturbs the host epigenome and several epigenetic processes involved in the pathophysiology of COVID-19 that can directly affect the function and structure of the cardiovascular system (CVS). Hence, it would be relevant to identify epigenetic alterations that directly impact CVS physiology after SARS-CoV-2 infection. This could contribute to the view of this virus-induced CVS injury and direct forthcoming tackles for COVID-19 treatment to reduce mortality in patients with CVD. Targeting epigenetic marks could offer strong evidence for the development of novel antiviral therapies, especially in the context of COVID-19-related CVS damage. In this review, we address some of the main signaling pathways that are currently known as being involved in COVID-19 pathophysiology and the importance of this glint on epigenetics and some of its modifiers (epidrugs) to control the unregulated epitope activity in the context of SARS-CoV-2 infection, COVID-19, and underlying CVD.
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Tratamento Farmacológico da COVID-19 , Doenças Cardiovasculares , Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/genética , Epigênese Genética , Humanos , SARS-CoV-2RESUMO
[This corrects the article DOI: 10.1099/jmmcr.0.005145.].
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Introduction: Although the current Zika virus (ZIKV) epidemic is a major public health concern, most reports have focused on congenital ZIKV syndrome, its most devastating manifestation. Severe ocular complications associated with ZIKV infections and possible pathogenetic factors are rarely described. Here, we describe three Venezuelan patients who developed severe ocular manifestations following ZIKV infections. We also analyse their serological response to ZIKV and dengue virus (DENV). Case presentation: One adult with bilateral optic neuritis, a child of 4 years of age with retrobulbar neuritis [corrected]. and a newborn with bilateral congenital glaucoma had a recent history of an acute exanthematous infection consistent with ZIKV infection. The results of ELISA tests indicated that all patients were seropositive for ZIKV and four DENV serotypes. Conclusion: Patients with ZIKV infection can develop severe ocular complications. Anti-DENV antibodies from previous infections could play a role in the pathogenesis of these complications. Well-designed epidemiological studies are urgently needed to measure the risk of ZIKV ocular complications and confirm whether they are associated with the presence of anti-flaviviral antibodies.
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OBJECTIVE: To present a predictive model of alcohol abuse among adolescents based on prevalence projections in various population subgroups. STUDY DESIGN: Cross-sectional study. METHODS: The sample consisted of 785 adolescents enrolled in the second year of high school in Rio de Janeiro, Brazil. Alcohol consumption was assessed using the Alcohol Use Disorder Identification Test. Socio-economic, demographic, family, individuals, and school-related variables were examined as potential predictors. The logit model was used to estimate the prevalence projections. Model fitting was examined in relation to the observed data set, and in a subset, that was generated from 200 subsamples of individuals via a bootstrap process using general fit estimators, discrimination, and calibration measures. RESULTS: About 25.5% of the adolescents were classified as positive for alcohol abuse. Being male, being 17-19 years old, not living with mothers, presenting symptoms suggestive of binge eating, having used a strategy of weight reduction in the last 3 months, and, especially, being a victim of family violence were important predictors of abusive consumption of alcohol. While the model's prevalence projection in the absence of these features was 8%, it reaches 68% in the presence of all predictors. CONCLUSIONS: Knowledge of predictive characteristics of alcohol abuse is essential for screening, early detection of positive cases, and establishing interventions to reduce consumption among adolescents.
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Consumo de Bebidas Alcoólicas/psicologia , Alcoolismo/diagnóstico , Alcoolismo/prevenção & controle , Adolescente , Alcoolismo/epidemiologia , Brasil/epidemiologia , Estudos Transversais , Diagnóstico Precoce , Feminino , Humanos , Modelos Logísticos , Masculino , Valor Preditivo dos Testes , Prevalência , Adulto JovemRESUMO
PURPOSE: To determine which nocturnal blood pressure (BP) parameters (low levels or extreme dipper status) are associated with an increased risk of glaucomatous damage in Hispanics. DESIGN: Observational cross-sectional study. PARTICIPANTS: A subset (n = 93) of the participants from the Maracaibo Aging Study (MAS) who met the study eligibility criteria were included. These participants, who were at least 40 years of age, had measurements for optical tomography coherence, visual field (VF) tests, 24-hour BP, office BP, and intraocular pressure <22 mmHg. METHODS: Univariate and multivariate logistic regression analyses under the generalized estimating equations (GEE) framework were used to examine the relationships between glaucomatous damage and BP parameters, with particular attention to decreases in nocturnal BP. MAIN OUTCOME MEASURES: Glaucomatous optic neuropathy (GON) based on the presence of optic nerve damage and VF defects. RESULTS: The mean age was 61.9 years, and 87.1% were women. Of 185 eyes evaluated, 19 (26.5%) had signs of GON. Individuals with GON had significantly lower 24-hour and nighttime diastolic BP levels than those without. However, results of the multivariate GEE models indicated that the glaucomatous damage was not related to the average systolic or diastolic BP levels measured over 24 hours, daytime, or nighttime. In contrast, extreme decreases in nighttime systolic and diastolic BP (>20% compared with daytime BP) were significant risk factors for glaucomatous damage (odds ratio, 19.78 and 5.55, respectively). CONCLUSIONS: In this population, the link between nocturnal BP and GON is determined by extreme dipping effects rather than low nocturnal BP levels alone. Further studies considering extreme decreases in nocturnal BP in individuals at high risk of glaucoma are warranted.
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Envelhecimento/fisiologia , Pressão Sanguínea/fisiologia , Ritmo Circadiano/fisiologia , Glaucoma de Ângulo Aberto/fisiopatologia , Hipotensão/fisiopatologia , Doenças do Nervo Óptico/fisiopatologia , Idoso , Monitorização Ambulatorial da Pressão Arterial , Estudos Transversais , Feminino , Glaucoma de Ângulo Aberto/diagnóstico , Gonioscopia , Humanos , Pressão Intraocular/fisiologia , Masculino , Pessoa de Meia-Idade , Fibras Nervosas/patologia , Doenças do Nervo Óptico/diagnóstico , Células Ganglionares da Retina/patologia , Tomografia de Coerência Óptica , Tonometria Ocular , Venezuela , Campos Visuais/fisiologiaRESUMO
The diamondback moth, Plutella xylostella (L.), is a cosmopolitan pest of brassicaceous crops occurring in regions with highly distinct climate conditions. Several studies have investigated the relationship between temperature and P. xylostella development rate, providing degree-day models for populations from different geographical regions. However, there are no data available to date to demonstrate the suitability of such models to make reliable projections on the development time for this species in field conditions. In the present study, 19 models available in the literature were tested regarding their ability to accurately predict the development time of two cohorts of P. xylostella under field conditions. Only 11 out of the 19 models tested accurately predicted the development time for the first cohort of P. xylostella, but only seven for the second cohort. Five models correctly predicted the development time for both cohorts evaluated. Our data demonstrate that the accuracy of the models available for P. xylostella varies widely and therefore should be used with caution for pest management purposes.
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Produtos Agrícolas , Modelos Biológicos , Mariposas/crescimento & desenvolvimento , Animais , Controle de Pragas , Reprodutibilidade dos Testes , Temperatura , Fatores de TempoRESUMO
BACKGROUND: To evaluate the reproducibility of intraocular pressure peaks and fluctuation elicited during the water drinking test in treated glaucomatous patients with a long follow-up interval. DESIGN: Retrospective cohort study in a tertiary care practice. PARTICIPANTS: Thirty-four treated primary open-angle glaucoma patients. METHODS: All patients underwent the water drinking test performed in two consecutive visits without any change in the therapeutic regimen. The mean interval between tests was 4.85 (range: 3-6) months. Reproducibility of peak and fluctuation during the water drinking test was assessed using intraclass correlation coefficients. Bland-Altman analysis was used to assess the agreement of intraocular pressure peaks and fluctuation measured between two consecutive tests. MAIN OUTCOME MEASURES: Intraclass correlation and agreement of intraocular pressure peaks and fluctuation between visits. RESULTS: There were no significant differences in baseline intraocular pressure values (mean ± standard deviation, 11.73 ± 2.36 and 11.61 ± 2.71 mmHg; P = 0.72) and peaks (14.55 ± 3.41 and 15.02 ± 3.66 mmHg, respectively; P = 0.163) detected during the water drinking test between the first and second visits. There was also no significant difference between the average intraocular pressure fluctuation values (2.82 ± 1.99 and 3.41 ± 2.54 mmHg, respectively; P = 0.135). Intraocular pressure peaks and fluctuation presented intraclass correlation coefficients of 0.85 (P < 0.001) and 0.50 (P < 0.001), respectively. CONCLUSIONS: Our results demonstrate excellent reproducibility of intraocular pressure peaks during the water drinking test. Intraocular pressure fluctuation did not reveal good reproducibility, though. These results emphasize the applicability of this test to assess treatment efficacy in daily practice and interventional studies.
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Técnicas de Diagnóstico Oftalmológico , Ingestão de Líquidos , Glaucoma de Ângulo Aberto/diagnóstico , Pressão Intraocular/fisiologia , Estresse Fisiológico/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Anti-Hipertensivos/uso terapêutico , Reações Falso-Positivas , Feminino , Seguimentos , Glaucoma de Ângulo Aberto/tratamento farmacológico , Glaucoma de Ângulo Aberto/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Estudos Retrospectivos , Tonometria Ocular , Campos Visuais/fisiologiaRESUMO
RESUMOA espécie Bombax malabaricum, popularmente conhecida por paineira-vermelha, apresenta metabólitos secundários de interesse medicinal. Como outras espécies da família Malvaceae, suas sementes possuem dormência tegumentar, o que dificulta sua propagação sexuada. Assim, o presente trabalho objetivou superar a dormência de sementes de B.malabaricum por métodos físicos e químicos. Os métodos utilizados na escarificação mecânica foram: abrasão do tegumento com lixa e corte com tesoura na região oposta ao hilo. Para a escarificação química foram utilizados: ácido clorídrico (HCl), ácido nítrico (HNO3), ácido sulfúrico (H2SO4), hidróxido de sódio (NaOH) e hidróxido de potássio (KOH) por um período de 30 minutos. Também houve imersão de sementes em 40 mg L-1 de GA3 pelo mesmo período. Foram utilizadas quatro repetições por tratamento, constituídas de 25 sementes por placa e conduzidas em Câmara de Germinação. Os dados obtidos foram utilizados para o cálculo da Germinabilidade, Índice de Velocidade de Germinação, Tempo Médio de Germinação, e Porcentagem de Sementes Deterioradas. O HNO3 mostrou-se como o melhor tratamento na variável Germinabilidade (83,5%), seguido do HCl (71,5%) e das técnicas de escarificação mecânica, com lixa (71,5%) e tesoura (67,5%). O HNO3também apresentou o menor número de sementes deterioradas (3,5%); o H2SO4 foi o tratamento que mais causou danos às sementes (36,5%).
ABSTRACTThe species Bombax malabaricum, popularly known as red-cotton tree, presents secondary metabolites of medicinal interest. Like other species of the Malvaceae, their seeds have tegumentary dormancy, which hinders their sexual propagation. Thus, this study aimed to break the dormancy of B. malabaricum through physical and chemical strategies. For mechanical scarification of the seeds it were employed: abrasion of the tegument with sandpaper and cut with scissors in the region opposite to the hilum. For chemical scarification: hydrochloric acid (HCl), nitric acid (HNO3), sulphuric acid (H2SO4), sodium hydroxide (NaOH) and potassium hydroxide (KOH) for a period of 30 minutes. The seeds were also subjected to immersion in 40 mg L-1 of GA3 for the same period. Four replicates of 25 seeds were used for each treatment and then they were conducted for calculation in a B.O.D. germination Chamber. The results obtained were applied in order to calculate: Germination, Germination Speed Index, Average Time of Germination and Percentage of Damaged Seeds. The HNO3proved to be the best treatment in the Germination trials (83.5%), followed by the HCl (71.5%) and the mechanical scarification techniques with sandpaper (71.5%) and scissors (67.5%). The HNO3 also showed the lowest percentage of damaged seeds (3.5%); The H2SO4 was the treatment that caused more damage to the seeds (36.5%).
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Bombax/metabolismo , Dormência de Plantas/fisiologia , Ácido Nítrico , GerminaçãoRESUMO
O presente trabalho teve por objetivo determinar a capacidade antioxidante de Oeceoclades maculata. A atividade foi determinada de acordo com a capacidade do extrato hidroalcoólico das folhas reduzir o radical DPPH. Os resultados obtidos permitem concluir que os conteúdos de polifenóis e flavonas/flavonóis são maiores no extrato preparado a frio (EBHF) do que no extrato preparado a quente (EBHQ), sugerindo que o aquecimento usado na preparação do extrato altera esses componentes ativos. Portanto, para esta espécie deve ser realizado o método de extração a frio para conservar as substâncias que possuem atividade antioxidante.
This work aimed to determine the antioxidant capacity of Oeceoclades maculata. The antioxidant activity was determined in accordance with the ability of the hydroalcoholic extract of the leaves to reduce the DPPH radical. The results showed that the polyphenol and flavonoid contents are greater in the cold extract (EBHF) than in the hot extract (EBHQ), which suggests that the heating effect in the preparation of the extract modifies these active compounds. Therefore, for this species, the cold extraction method must be carried in order to conserve the substances with antioxidant activity.
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Compostos Fitoquímicos/análise , Plantas Medicinais/metabolismo , Flavonoides/classificação , Oxidantes/metabolismo , Orchidaceae/classificação , Polifenóis/classificaçãoRESUMO
The ability to survive in harsh environments is an important criterion to select potential probiotics strains. The objective of this study was to identify and carry out phylogenetic and expression analysis by quantitative real-time PCR of the clpP, clpE, clpL and clpX genes in the probiotic strain Lactobacillus delbrueckii UFV H2b20 exposed to the conditions prevailing in the gastrointestinal tract (GIT). Phylogenetic trees reconstructed by Bayesian inference showed that the L. delbrueckii UFV H2b20 clpP, clpL and clpE genes and the ones from L. delbrueckii ATCC 11842 were grouped. The exposure of cells to MRS broth of pH 3.5 for 30 and 60 min resulted in an increased expression of the four genes. Exposure of the L. delbrueckii UFV H2b20 cells for 30 and 60 min to MRS broth containing 0.1% bile salts increased the expression of the clpP and clpE genes, while the expression level of the clpL and clpX genes increased only after 30 min of exposure. The involvement of the studied genes in the responses to acid stress and bile salts suggests a possible central role of these genes in the survival of L. delbrueckii UFV H2b20 during the passage through the GIT, a characteristic necessary for probiotic strains.
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Ácidos/toxicidade , Ácidos e Sais Biliares/toxicidade , Endopeptidase Clp/biossíntese , Perfilação da Expressão Gênica , Proteínas de Choque Térmico/biossíntese , Lactobacillus delbrueckii/efeitos dos fármacos , Lactobacillus delbrueckii/enzimologia , Endopeptidase Clp/genética , Proteínas de Choque Térmico/genética , Concentração de Íons de Hidrogênio , Lactobacillus delbrueckii/fisiologia , Reação em Cadeia da Polimerase em Tempo Real , Estresse Fisiológico , Fatores de TempoRESUMO
The survival of Lactobacillus delbrueckii UFV H2b20 was assessed in fermented milk, both during the storage period and after exposure to simulated gastric and intestinal juices, as well the detection of the gene fbpA involved in adherence to human gastrointestinal tract. L. delbrueckii UFV H2b20 remained stable and viable for 28 days under refrigerated storage conditions. After one day of storage, that strain exhibited a one-log population reduction following exposure in tandem to simulated gastric and intestinal juices. After 14 days of storage, a two-log reduction was observed following 90 min of exposure to the simulated gastric conditions. However, the strain did not survive following exposure to the simulated intestinal juice. The observed tolerance to storage conditions and resistance to the simulated gastric and intestinal conditions confirm the potential use of L. delbrueckii UFV H2b20 as a probiotic, which is further reinforced by the detection of fbpA in this strain.
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Trato Gastrointestinal/microbiologia , Lactobacillus delbrueckii/fisiologia , Viabilidade Microbiana , Leite/microbiologia , Animais , Contagem de Colônia Microbiana , Humanos , Modelos Teóricos , ProbióticosRESUMO
In this study, we isolated and characterized a lytic Lactococcus lactis bacteriophage from the sera of a failed fermentation. The phage was isolated and cultured in L. lactis subsp. cremoris in M17 medium. The isolated bacteriophage was characterized by multiplex PCR, pulsed-field electrophoresis, DNA restriction digestion, analysis of the N-terminal sequence of the phage major structural protein, transmission electron microscopy and sequencing and analysis of a conserved fragment of its genome. Analysis of the viral genome indicates that its genome is composed of a DNA strand of approximately 48 kb in length, and PCR and microscopy confirmed that IL-P1 belongs to the group of 936-type phages in the family Siphoviridae, which is the most abundant type of lactococcal virus in dairy products worldwide. To our knowledge, this is the first report of a virus within this family that has a presumptive genome larger than 40 kb.
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Queijo/microbiologia , Lactococcus lactis/virologia , Siphoviridae/classificação , Sequência de Aminoácidos , Animais , DNA Viral/química , DNA Viral/genética , Eletroforese em Gel de Campo Pulsado , Genoma Viral/genética , Anotação de Sequência Molecular , Filogenia , Mutação Puntual , Reação em Cadeia da Polimerase , Mapeamento por Restrição , Alinhamento de Sequência , Siphoviridae/genética , Siphoviridae/isolamento & purificação , Siphoviridae/ultraestrutura , Proteínas Virais/química , Proteínas Virais/genéticaRESUMO
The objective of this study was to investigate human leucocyte antigen (HLA) genes in patients chronically infected with hepatitis C virus (HCV) and to analyse the possible role of these genes in the progression of chronic hepatitis C. One hundred and forty-five (145) Brazilian patients infected only with HCV genotype 1 were evaluated. HLA class I (A, B, C) and class II (DRB1, DQA1, DQB1) typing were carried out by PCR-SSO, through Luminex technology. Associations were found with protection against development of liver damage by both DRB1 11 (5.0% versus 18.2%, P=0.0016, OR=0.23, CI 95% = 0.09-0.58; Pc=0.0208) and DRB1 11-DQA1 05-DQB1 03 haplotype (4.2% versus 15.3%, P=0.0032; OR = 0.24, CI 95% = 0.08-0.64). Liver damage was associated with HLA-C 04 in patients with <20 years of infection (38.4% versus 9.1%, P = 0.002, OR = 6.25, CI 95%=1.97-19.7; Pc=0.0238). It is concluded that HLA alleles can influence the development of liver damage in HCV type-1 chronically infected Brazilian patients.
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Antígenos HLA-C/genética , Cadeias HLA-DRB1/genética , Hepatite C Crônica/imunologia , Cirrose Hepática/imunologia , Fígado/imunologia , Adulto , Alelos , Brasil , Feminino , Frequência do Gene , Predisposição Genética para Doença , Antígenos HLA-C/imunologia , Cadeias HLA-DRB1/imunologia , Haplótipos , Hepatite C Crônica/complicações , Hepatite C Crônica/patologia , Hepatite C Crônica/virologia , Humanos , Imunofenotipagem , Fígado/patologia , Fígado/virologia , Cirrose Hepática/etiologia , Cirrose Hepática/patologia , Cirrose Hepática/virologia , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Fatores de TempoRESUMO
There are three main reasons for using lactic acid bacteria (LAB) as starter cultures in industrial food fermentation processes: food preservation due to lactic acid production; flavour formation due to a range of organic molecules derived from sugar, lipid and protein catabolism; and probiotic properties attributed to some strains of LAB, mainly of lactobacilli. The aim of this study was to identify some genes involved in lactose metabolism of the probiotic Lactobacillus delbrueckii UFV H2b20, and analyse its organic acid production during growth in skimmed milk. The following genes were identified, encoding the respective enzymes: ldh - lactate dehydrogenase, adhE - Ldb1707 acetaldehyde dehydrogenase, and ccpA-pepR1 - catabolite control protein A. It was observed that L. delbrueckii UFV H2b20 cultivated in different media has the unexpected ability to catabolyse galactose, and to produce high amounts of succinic acid, which was absent in the beginning, raising doubts about the subspecies in question. The phylogenetic analyses showed that this strain can be compared physiologically to L. delbrueckii subsp. bulgaricus and L. delbrueckii subsp. lactis, which are able to degrade lactose and can grow in milk. L. delbrueckii UFV H2b20 sequences have grouped with L. delbrueckii subsp. bulgaricus ATCC 11842 and L. delbrueckii subsp. bulgaricus ATCC BAA-365, strengthening the classification of this probiotic strain in the NCFM group proposed by a previous study. Additionally, L. delbrueckii UFV H2b20 presented an evolutionary pattern closer to that of probiotic Lactobacillus acidophilus NCFM, corroborating the suggestion that this strain might be considered as a new and unusual subspecies among L. delbrueckii subspecies, the first one identified as a probiotic. In addition, its unusual ability to metabolise galactose, which was significantly consumed in the fermentation medium, might be exploited to produce low-browning probiotic Mozzarella cheeses, a desirable property for pizza cheeses.
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Lactobacillus delbrueckii/crescimento & desenvolvimento , Lactobacillus delbrueckii/genética , Lactose/metabolismo , Leite/microbiologia , Ácidos/metabolismo , Animais , Carga Bacteriana , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Teorema de Bayes , Meios de Cultura/metabolismo , DNA Bacteriano/genética , Fermentação , Galactose/metabolismo , Genes Bacterianos , Lactobacillus delbrueckii/metabolismo , Leite/metabolismo , Filogenia , Probióticos/classificação , Probióticos/metabolismo , Especificidade da Espécie , Ácido Succínico/metabolismo , Transativadores/genética , Transativadores/metabolismoRESUMO
The objective of this study was to analyse the possible role of HLA polymorphism of chronically infected hepatitis C virus patients in the response outcome to treatment with pegylated interferon-alpha plus ribavirin. To that end, 144 Brazilian patients infected only with genotype 1 of the virus were treated with pegylated interferon-alpha at 1.5 µg kg(-1) in conjunction with ribavirin (1000 mg if patient weight was <75 kg and 1250 mg if >75 kg) for 48 weeks. The patients did not have concomitant HBV or HIV infections or liver disease, did not undergo previous antiviral treatment, and were followed up for 24 weeks after the end of treatment to assure they presented a sustained virological response. Patients were classified according to response to treatment in responsive (SVR), nonresponsive (NRS) and relapsers (REL). HLA class I and class II typing were carried out through PCR-SSO using Luminex technology. A statistically higher frequency of DRB1*11 patients was observed in the SVR group (39.6% vs. 14.3%P = 0.0012; Pc = 0.0156; OR = 3.94; 95% CI = 1.8-8.8). HLA-DQB1*03 patients were also more frequent in the SVR group, but the P value lost significance after Bonferroni correction (62.3% vs. 41.7%P = 0.024; Pc = 0.14, OR = 2.3; 95% CI = 1.14-4.60). HLA class II antigens can positively influence the response to treatment with pegylated interferon-alpha and ribavirin.
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Alelos , Genes MHC da Classe II , Genes MHC Classe I , Hepatite C Crônica/genética , Interferon-alfa/uso terapêutico , Ribavirina/uso terapêutico , Adulto , Quimioterapia Combinada/métodos , Feminino , Seguimentos , Genótipo , Cadeias HLA-DRB1/genética , Hepacivirus/genética , Hepatite C Crônica/tratamento farmacológico , Teste de Histocompatibilidade/métodos , Humanos , Interferon-alfa/administração & dosagem , Masculino , Pessoa de Meia-Idade , RNA Viral/sangue , Recidiva , Ribavirina/administração & dosagem , Resultado do TratamentoRESUMO
SUMMARYAn outbreak of meningococcal disease (MD) with severe morbidity and mortality was investigated in midwestern Brazil in order to identify control measures. A MD case was defined as isolation of Neisseria meningitidis, or detection of polysaccharide antigen in a sterile site, or presence of clinical purpura fulminans, or an epidemiological link with a laboratory-confirmed case-patient, between June and August 2008. In 8 out of 16 MD cases studied, serogroup C ST103 complex was identified. Five (31%) cases had neurological findings and five (31%) died. The attack rate was 12 cases/100 000 town residents and 60 cases/100 000 employees in a large local food-processing plant. We conducted a matched case-control study of eight primary laboratory-confirmed cases (1:4). Factors associated with illness in single variable analysis were work at the processing plant [matched odds ratio (mOR) 22, 95% confidence interval (CI) 2·3-207·7, P<0·01], and residing <1 year in Rio Verde (mOR 7, 95% CI 1·11-43·9, P<0·02). Mass vaccination (>10 000 plant employees) stopped propagation in the plant, but not in the larger community.
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Surtos de Doenças , Controle de Infecções/métodos , Infecções Meningocócicas/epidemiologia , Infecções Meningocócicas/microbiologia , Neisseria meningitidis Sorogrupo C/isolamento & purificação , Exposição Ocupacional , Adolescente , Adulto , Brasil/epidemiologia , Estudos de Casos e Controles , Criança , Pré-Escolar , Infecções Comunitárias Adquiridas/epidemiologia , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/mortalidade , Infecções Comunitárias Adquiridas/prevenção & controle , Feminino , Manipulação de Alimentos , Humanos , Lactente , Masculino , Vacinação em Massa/métodos , Infecções Meningocócicas/mortalidade , Infecções Meningocócicas/prevenção & controle , Pessoa de Meia-Idade , Vacinas Pneumocócicas/administração & dosagem , Análise de Sobrevida , Adulto JovemRESUMO
A basic requirement for the prediction of the potential use of lactic acid bacteria (LAB) in the dairy industry is the identification of specific genes involved in flavour-forming pathways. The probiotic Lactobacillus delbrueckii UFV H2b20 was submitted to a genetic characterisation and phylogenetic analysis of genes involved in protein catabolism. Eight genes belonging to this system were identified, which possess a closely phylogenetic relationship to NCFM strains representative, as it was demonstrated for oppC and oppBII, encoding oligopeptide transport system components. PepC, PepN, and PepX might be essential for growth of LAB, probiotic or not, since the correspondent genes are always present, including in L. delbrueckii UFV H2b20 genome. For pepX gene, a probable link between carbohydrate catabolism and PepX expression may exists, where it is regulated by PepR1/CcpA-like, a common feature between Lactobacillus strains and also in L. delbrueckii UFV H2b20. The well conserved evolutionary history of the ilvE gene is evidence that the pathways leading to branched-chain amino acid degradation, such as isoleucine and valine, are similar among L. delbrueckii subsp. bulgaricus strains and L. delbrueckii UFV H2b20. Thus, the involvement of succinate in flavour formation can be attributed to IlvE activity. The presence of aminopeptidase G in L. delbrueckii UFV H2b20 genome, which is absent in several strains, might improve the proteolytic activity and effectiveness. The nucleotide sequence encoding PepG revealed that it is a cysteine endopeptidase, belonging to Peptidase C1 superfamily; sequence analysis showed 99% identity with L. delbrueckii subsp. bulgaricus ATCC 11842 pepG, whereas protein sequence analysis revealed 100% similarity with PepG from the same organism. The present study proposes a schematic model to explain how the proteolytic system of the probiotic L. delbrueckii UFV H2b20 works, based on the components identified so far.
Assuntos
Proteínas de Bactérias/genética , Ácido Láctico/metabolismo , Lactobacillus delbrueckii/genética , Lactobacillus delbrueckii/metabolismo , Probióticos/metabolismo , Proteínas de Bactérias/metabolismo , Regulação Bacteriana da Expressão Gênica , Lactobacillus delbrueckii/classificação , Lactobacillus delbrueckii/isolamento & purificação , Dados de Sequência Molecular , Filogenia , Probióticos/análiseRESUMO
PURPOSE: To investigate factors associated with changes in optic nerve head (ONH) topography after acute intraocular pressure (IOP) reduction in patients with primary open-angle glaucoma (POAG). METHODS: Untreated POAG patients (IOP >21 mm Hg) were prospectively enrolled. Systemic and ocular information were collected, including central corneal thickness (CCT) and corneal hysteresis (CH). All patients underwent confocal scanning laser ophthalmoscopy and tonometry (Goldmann) before and 1 h after pharmacological IOP reduction. The mean of three measurements was considered for analysis. Changes in each ONH topographic parameter were assessed (one eye was randomly selected), and those that changed significantly were correlated with patient's systemic and ocular characteristics. RESULTS: A total of 42 patients were included (mean age, 66.7 ± 11.8 years). After a mean IOP reduction of 47.3 ± 11.9%, significant changes were observed in cup area and volume, and in rim area and volume (P < 0.01), but not in mean cup depth (P = 0.80). Multiple regression analysis (controlling for baseline IOP and magnitude of IOP reduction) showed that CH (r(2) = 0.17, P < 0.01) and diabetes diagnosis (r(2) ≥ 0.21, P < 0.01) were negatively correlated with the magnitude of changes in ONH parameters, whereas the cup-to-disc ratio was positively correlated (r(2) = 0.30, P < 0.01). Age, race, disc area, and CCT were not significant (P ≥ 0.12). Including all significant factors in a multivariable model, only the presence of diabetes remained significantly associated with all ONH parameters evaluated (P < 0.01). CONCLUSIONS: Different systemic and ocular factors, such as diabetes, CH, and the relative size of the cup, seem to be associated with the magnitude of changes in ONH topography after acute IOP reduction in POAG patients. These associations partially explain the ONH changes observed in these patients and suggest that other factors are possibly implicated in an individual susceptibility to IOP.