Avaliação da expressão do gene MDR1 (Glicoproteína-P) e atividade de efluxo em células do sangue periférico de pacientes sob tratamento da tuberculose multirresistente

O regime de tratamento com múltiplas drogas é correspondente a uma interação de drogas que pode causar efeitos adversos e falha no tratamento. Essa interação pode gerar modificações funcionais dos transportadores de membrana e por consequência a biodisponibilidade das drogas durante o tratamento. Dentre os transportadores de drogas transmembranares está a glicoproteína-P (P-gp), uma proteína de 170KD, produto do gene MDR1, caracterizada como uma \201CATP Binding cassete\201D (ABC). Seu papel está muito bem definido nas células neoplásicas multirresistentes a drogas, assim como sua relação com as drogas para o tratamento da infecção pelo HIV. Entretanto, pouco tem sido estudado sobre esta bomba de efluxo na tuberculose multirresistente (TBMR). Neste estudo analisamos por citometria de fluxo sua expressão e atividade de efluxo nos monócitos, principal célula relacionada com a tuberculose e também em linfócitos e granulócitos do sangue periférico por meio da citometria de fluxo. A taxa de efluxo foi medida através do uso da Rodamina 123 (Rho123) e a expressão da P-gp através do anticorpo monoclonal anti-CD243 (clone UIC2). A utilização direta do sangue total para a determinação da atividade de efluxo por citometria de fluxo caracterizou a implantação de uma nova ferramenta de análise para a pesquisa A análise contemplou 52% do total de pacientes em tratamento de TBMR no ambulatório do Laboratório de Pesquisa em Micobacterioses do Instituto de Pesquisa Clínica Evandro Chagas (IPEC). Para as análises foram levadas em consideração a idade, cor da pele, o tempo de tratamento e a quantidade de drogas administradas. O estudo revelou que há correlação entre a expressão da P-gp nos monócitos e a idade dos pacientes (P<0,01). Diferenças entre pacientes brancos e não brancos também foram observadas. Em linfócitos a expressão de P-gp quando aumentada foi diretamente proporcional à atividade de efluxo observada nos monócitos (P< 0,05). Além disso, pacientes submetidos ao tratamento para TBMR por até seis meses apresentaram uma maior expressão de P-gp e, linfócitos quando comparados àqueles que receberam o tratamento por mais de seis meses (P<0,01)

Genetic predisposition to type 2 diabetes is associated with impaired insulin secretion but does not modify insulin resistance or secretion in response to an intervention to lower dietary saturated fat

Genome-wide association studies have identified SNPs reproducibly associated with type 2 diabetes (T2D). We examined the effect of genetic predisposition to T2D on insulin sensitivity and secretion using detailed phenotyping in overweight individuals with no diagnosis of T2D. Furthermore, we investigated whether this genetic predisposition modifies the responses in beta-cell function and insulin sensitivity to a 24-week dietary intervention. We genotyped 25 T2D-associated SNPs in 377 white participants from the RISCK study. Participants underwent an IVGTT prior to and following a dietary intervention that aimed to lower saturated fat intake by replacement with monounsaturated fat or carbohydrate. We composed a genetic predisposition score (T2D-GPS) by summing the T2D risk-increasing alleles of the 25 SNPs and tested for association with insulin secretion and sensitivity at baseline, and with the change in response to the dietary intervention. At baseline, a higher T2D-GPS was associated with lower acute insulin secretion (AIRg 4% lower/risk allele, P = 0.006) and lower insulin secretion for a given level of insulin sensitivity, assessed by the disposition index (DI 5% lower/risk allele, P = 0.002), but not with insulin sensitivity (Si). T2D-GPS did not modify changes in insulin secretion, insulin sensitivity or the disposition index in response to the dietary interventions to lower saturated fat. Participants genetically predisposed to T2D have an impaired ability to compensate for peripheral insulin resistance with insulin secretion at baseline, but this does not modify the response to a reduction in dietary saturated fat through iso-energetic replacement with carbohydrate or monounsaturated fat.

Influence of earthworm Eisenia fetida on removal efficiency of N and P in vertical flow constructed wetland.

This study investigates biomass, density, photosynthetic activity, and accumulation of nitrogen (N) and phosphorus (P) in three wetland plants (Canna indica, Typha augustifolia, and Phragmites austrail) in response to the introduction of the earthworm Eisenia fetida into a constructed wetland. The removal efficiency of N and P in constructed wetlands were also investigated. Results showed that the photosynthetic rate (P n), transpiration rate (T r), and stomatal conductance (S cond) of C. indica and P. austrail were (p < 0.05) significantly higher when earthworms were present. The addition of E. fetida increased the N uptake value by above-ground of C. indica, T. augustifolia, and P. australis by 185, 216, and 108 %, respectively; and its P uptake value increased by 300, 355, and 211 %, respectively. Earthworms could enhance photosynthetic activity, density, and biomass of wetland plants in constructed wetland, resulting in the higher N and P uptake. The addition of E. fetida into constructed wetland increased the removal efficiency of TN and TP by 10 and 7 %, respectively. The addition of earthworms into vertical flow constructed wetland increased the removal efficiency of TN and TP, which was related to higher photosynthetic activity and N and P uptake. The addition of earthworms into vertical flow constructed wetland and plant harvests could be the significantly sustainable N and P removal strategy

Ridge Preservation With Acellular Dermal Matrix and Anorganic Bone Matrix Cell-Binding Peptide P-15 After Tooth Extraction in Humans

Background: Preventing ridge collapse with the extraction of maxillary anterior teeth is vital to an esthetic restorative result. Several regenerative techniques are available and are used for socket preservation. The aim of this study is to analyze by clinical parameters the use of acellular dermal matrix (ADM) and anorganic bovine bone matrix (ABM) with synthetic cell-binding peptide P-15 to preserve alveolar bone after tooth extraction. Methods: Eighteen patients in need of extraction of maxillary anterior teeth were selected and randomly assigned to the test group (ADM plus ABM/P-15) or the control group (ADM only). Clinical measurements were recorded initially and at 6 months after ridge-preservation procedures. Results: In the clinical measurements (external vertical palatal measurement [EVPM], external vertical buccal measurement [EVBM], and alveolar horizontal measurement [AHM]) the statistical analysis showed no difference between test and control groups initially and at 6 months. The intragroup analysis, after 6 months, showed a statistically significant reduction in the measurements for both groups. In the comparison between the two groups, the differences in the test group were as follows: EVPM = 0.83 +/- 1.53 mm; EVBM = 1.20 +/- 2.02 mm; and AHM = 2.53 +/- 1.81 mm. The differences in the control group were as follows: EVPM = 0.87 +/- 1.13 mm; EVBM = 1.50 +/- 1.15 mm; and AHM = 3.40 +/- 1.39 mm. The differences in EVPM and EVBM were not statistically significant; however, in horizontal measurement (AHM), there was a statistically significant difference (P<0.05). Conclusion: The results of this study show that ADM used as membrane associated with ABM/P-15 can be used to reduce buccal-palatal dimensions compared to ADM alone for preservation of the alveolar ridge after extraction of anterior maxillary teeth. J Periodontol 2011;82:72-79.

Influência de diferentes calçados sobre os percentuais da força peso aplicados na base de sustentação e a postura corporal em pé

Muitos estudos sobre a postura corporal têm sido feitos em diferentes faixas etárias, buscando verificar a influência de diferentes fatores sobre o posicionamento dos segmentos corporais na manutenção da postura em pé (Zatsiorsky e Duarte, 1999; Fialho e cols., 2001; Lima e cols., 2001; Mochizuki e cols., 2001; Wiczorek e cols., 2001). Nessas investigações os indivíduos são avaliados principalmente com pés descalços. Entretanto, sobre o uso do calçado, acessório indispensável ao ser humano na execução da maioria das atividades de vida diária, há poucas investigações. Diante disso, o objetivo deste estudo foi verificar se há influências de seis modelos de calçado com diferentes altura de salto (-0,9cm, 0,7cm, 5,0cm, 5,6cm, 7,5cm e 9,0cm) sobre os percentuais da força peso aplicados na base de sustentação e a postura corporal em pé de mulheres voluntárias que não apresentavam lesões músculo–esqueléticas. A amostra foi composta por 11 indivíduos, com idade, altura e massa médios, respectivamente, de 23 (± 2,24) anos, 159,67 (± 3,14) cm e 52,42 (±4,37) Kg. Para analisar a influência dos seis modelos de calçado sobre os percentuais da força peso aplicados na base de sustentação, quantificou-se a componente vertical (Fz) da força de reação do solo (FRS) através de duas plataformas de força (AMTI); para a análise da postura em pé realizou-se um estudo cinemático (Sistema Peak Motus 32), com reconstrução tridimensional das variáveis espaciais Os calçados usados no estudo apresentavam três categorias de salto definidas de acordo com a altura do salto de cada modelo (calçado com salto negativo, sem salto e com salto positivo). Utilizou-se o teste ANOVA One Way para a análise estatística dos dados (p<0,05). Os resultados indicam diferenças estatisticamente significativas nos percentuais da Fz aplicados no retropé e no antepé dos avaliados durante a postura em pé com o uso de dois calçados com salto positivo de 5,6cm e de 9,0cm. Tais resultados demonstraram que houve uma diminuição do percentual da Fz aplicado no retropé e um aumento no antepé. No entanto, os percentuais aplicados sobre o antepé direito e esquerdo não foram maiores que 27% do peso corporal, em cada um dos pés, e não aumentaram proporcionalmente à altura do salto. Em relação à postura corporal em pé, o uso dos seis modelos de calçado não influenciou o posicionamento das curvaturas da coluna vertebral, da pelve (lado esquerdo), do quadril (lado direito) e do joelho dos sujeitos avaliados em curto período de tempo (aproximadamente 60 segundos). Todavia, encontraram-se resultados estatísticos significativos para o posicionamento da pelve (lado direito) com o uso do calçado de salto negativo (-0,9cm), no quadril (lado esquerdo) com o calçado de salto positivo de 7,5cm, e no tornozelo com o uso de três calçados com salto positivo (5,6cm, 7,5cm, 9cm). Não se observou um aumento da lordose lombar, nem da inclinação pélvica com o uso dos calçados com salto positivo, contrariando, assim, as idéias disseminadas a partir de observações clínicas que associam o uso de calçado com salto alto ao aumento da lordose lombar e ao posicionamento da pelve em anteversão. Ressalta-se que esses resultados foram encontrados para uma amostra jovem que não apresentava limitações na amplitude de movimento (ADM) do tornozelo.

Estudo do crescimento, eficiência de biofiltração e cinética de absorção de nutrientes (N-NH, N-NO e P-PO4³) da macroalga Gracilaria cervicornis (Turner) J. Agardh

The objective of this study was to examine the growth of Gracilaria cervicornis cultured in a shrimp (Litopenaeus vannamei) pond and to determine the absorption efficiency and the kinetics parameters (Vmax, Ks e Vmax:Ks) of this macroalgae for the nutrients N-NO3-, N-NH4+ and P-PO4-3, aiming at its use as bioremediatory of eutrophicated environments. For this study, two experiments (field and laboratory) were developed. In the field study, the seaweed was examined in relation to the growth and the biomass. In the laboratory experiment, the absorption efficiency of G. cervicornis was measured through the monitoring of the concentration of the three nutrients (N-NO3-, N-NH4+ e P-PO4-3) during 5 hours and the kinetic parameters were determined through the formula of Michaelis-Menten. The results obtained in this study demonstrated that G. cervicornis benefited from the available nutrients in the pond, increasing 52.4% of its biomass value after 30 days of culture. It was evidenced that the variability of the biomass could be explained through the salinity, availability of light (transparency and solid particle in suspension) and concentration of N-NO3- in the environment. In the laboratory experiment, the highest absorption efficiency was found in the treatments with low concentration (5 µmol.L-1), being evidenced a reduction of up to 85,3%, 97,5% and 81,2% of N-NH4+, N-NO3- and P-PO43-, respectively. Regarding the kinetic parameters, G. cervicornis presented better ability in absorbing N-NH4+ in high concentrations (Vmax = 158,5 µmol g-1 dry wt h-1) and P-PO43- in low concentrations (Ks = 5 µmol.L-1 e Vmax:Ks = 10,3). The results of this study show that G. cervicornis could be cultivated in shrimp ponds, presents a good capacity of absorption for the tested nutrients and is a promising candidate for biorremediation in shrimp pond effluent

Abordagem inicial de lesões mamárias por biopsia helicóide: estudo experimental

OBJECTIVE: Evaluating the kit-Bh performance in carrying out of breast biopsies. METHODS: They were randomly selected a sample of 30 patients with breast cancer undergoing mastectomy, based on the results of a pilot study from February 2008 to April 2010. They were excluded women with had not palpable, stone-hard consistency tumors, previous surgical manipulation or that contains liquid. Using the helicoid biopsy Kit (kit Bh) and an equipment Core biopsy with cannula and needle and 14 gauge respectively, it was collected a fragment of sound equipment in the area and in tumors in each specimen, totaling 120 fragments for histological study. For data analysis, it was defined a 95% confidence level and used the SPSS-13 version, the Kappa index and the parametric Student t test. RESULTS: Mean age of patients was 51.6 years (± 11.1 years). The infiltrating ductal carcinoma showed a higher incidence, 26 cases (86.7%). The Core biopsy had a sensitivity of 93.3%, specificity of 100% and accuracy 96.7%, while the helicoid biopsy had a sensitivity of 96.7%, specificity of 100% and accuracy 98.3%. By comparing the histology of tumors and the fragments of biopsies, there was high degree of agreement in diagnoses (kappa of 0.93 with p <0.05) CONCLUSION: Both devices provided the histological diagnosis of lesions with high accuracy. Results of this study showed that the helicoid biopsy is a reliable alternative in 22 the preoperative diagnosis of breast lesions. Further studies in vivo better will define the role of Kit Bh in the diagnosis of these lesions

Equilíbrio ácido-base e hidroeletrolítico em eqüinos com cólica

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Considerações biométricas do sistema respiratório de carcará (Polyborus plancus)

Neste trabalho, foram estudados os parâmetros biométricos das vísceras que compõem o sistema respiratório de oito carcarás de ambos os sexos, com pesos corpóreos e idades diferentes. As aves foram eutanasiadas, evisceradas e dissecadas. em seguida os diferentes componentes do sistema respiratório foram estendidos em uma superfície plana, medidos com o auxílio de uma fita métrica em escala milimétrica e pesados em balança eletrônica de precisão. A análise estatística utilizada foi o teste T de Student com o nível de significância P≤0,05. Foi observado que, em carcarás fêmeas, o comprimento da laringe foi significativamente maior do que em carcarás machos. Além disso, a traquéia de carcarás fêmeas possui um menor comprimento do que a de galinha. Também foi observado que a relação entre o peso corpóreo e o peso da traquéia e do pulmão de carcarás é maior do que em Gallus gallus domesticus.

Hepatic mRNA expression and plasma levels of insulin-like growth factor-I (IGF-I) in broiler chickens selected for different growth rates

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Desempenho de Frangos de Corte Alimentados com Ovo em Pó

Um experimento foi conduzido para estudar a adição do ovo em pó na dieta de frangos de corte no período de 1 a 28 dias, sendo dividido em duas fases (1 a 7 e 8 a 28 dias). No período de 1 a 7 dias, as aves receberam dietas contendo 0%, 5%, 10%, 15% e 20% de ovo em pó e de 8 a 28 dias de idade as aves foram distribuídas em um arranjo fatorial 2x5 (2 níveis de ovo em pó - 0% e 5% - e os 5 níveis da fase anterior). No período de 1 a 7 dias as aves do tratamento controle apresentaram melhor ganho de peso e as aves alimentadas com dietas contendo 20% de ovo em pó apresentaram menor ganho de peso e pior conversão alimentar. As aves deste mesmo tratamento apresentaram também menor peso e comprimento do intestino. Na segunda fase (8 a 28 dias) não houve interação entre os tratamentos estudados. O desempenho, peso e comprimento do intestino não foram afetados pelos tratamentos, ocorrendo apenas maior peso do coração em aves que receberam ovo em pó nesta fase. Os resultados obtidos demonstram ser economicamente inviável a utilização de ovo em pó na dietas de frangos de corte no período de 1 a 28 dias e pela falta de resposta que este ingrediente promove no desempenho da ave.

In vivo CYP2E1 phenotyping as a new potential biomarker of occupational and experimental exposure to benzene

Assessing CYP2E1 phenotype in vivo may be important to predict individual susceptibility to those chemicals, including benzene, which are metabolically activated by this isoenzyme. Chlorzoxazone (CHZ), a specific CYP2E1 substrate, is readily hydroxylated to 6-OH-chlorzoxazone (6-OH-CHZ) by liver CYP2E1 and the metabolic ratio 6-OH-CHZ/CHZ in serum (MR) is a specific and sensitive biomarker of CYP2E1 activity in vivo in humans. We used this MR as a potential biomarker of effect in benzene-treated rats and, also, in humans occupationally exposed to low levels of benzene. Male Sprague-Dawley rats (375-400 g b.w.) were treated i.p. for 3 days with either a 0.5 ml solution of benzene (5 mmol/kg b.w.) in corn oil, or 0.5 ml corn oil alone. Twenty-four hours after the last injection, a polyethylene glycol (PEG) solution of CHZ (20 mg/kg b.w.) was injected i.p. in both treated and control animals. After 2, 5.10,15, 20,30,45, 60, 90, 120, 180, and 240 min from injection, 0.2 ml blood was taken from the tip tail and stored at -20 degrees C until analysis. A modified reverse phase HPLC method using a 5 mu m Ultrasphere C18 column equipped with a direct-connection ODS guard column, was used to measure CHZ and its metabolite 6-OH-CHZ in serum. No statistically significant difference in the MR was observed, at any sampling time, between benzene-treated and control rats. The concentration-versus-time area under the curve (AUC), however, was lower (p < 0.05, Mann-Whitney test), whereas the systemic clearance was higher (p < 0.05) in treated than in control rats. Eleven petrochemical workers occupationally exposed to low levels of airborne benzene (mean +/- SD, 25.0 +/- 24.4 mu g/m(3)) and 13 non-exposed controls from the same factory (mean +/- SD, 6.7 +/- 4.0 mu g/m(3)) signed an informed consent form and were administered 500 mg CHZ p.o. Two hours later a venous blood sample was taken for CHZ and 6-OH-CHZ measurements. Despite exposed subjects showed significantly higher levels of t,t-MA and S-PMA, two biomarkers of exposure to benzene, than non-exposed workers, no difference in the MR mean values +/- SD was found between exposed (0.59 +/- 0.29) and non-exposed (0.57 +/- 0.23) subjects. So, benzene was found to modify CHZ disposition, but not CYP2E1 phenotype in benzene-treated rats, nor in workers exposed to benzene, probably due to the levels of exposure being too low. (C) 2009 Elsevier B.V. All rights reserved.

Assistência odontológica diferenciada para crianças de 0 a 3 anos: avaliação de impacto no Serviço Público Municipal em Natal-RN

In Brazil, 0-5 years old children just have an oral health care system since 1990 s. Innumerable experiences of implantation of the attendance to the babies in the cities had appeared throughout the years, but it hasn´t been evaluated the comparative effect between children displayed and not displayed to the program. In this regard, the main of this research was describe the Early Childhood Oral Health Care in public health service in Natal, Rio Grande do Norte, Brazil and evaluate the impact of this specific oral health care for babies by comparison of indicators between exposed and non-exposed children. It was created an experimental group, formed by children covered by program which was paired, based on sex, age and socioeconomic status, with a control group, formed by uncovered children. After filling ethical application, the parents of children were questioned about some risk factors to dental caries and, in sequence, it was accomplish an oral examination in the child. It was verified the Visible Plaque Index (VPI), Gingival Bleeding Index (GBI), dmf-s and verification of caries activity. The sample was 40 children in each group. The results showed, for VPI, a difference of 7 percentile points for the experimental group, however this difference had no statistical significance, obtained by Student s t test (p=0.314). In relation to GBI, the control group showed a low mean (0.8%) comparing with experimental group (2.77%) and this difference was statistically significant (p=0.003). The results for dmf-s and evaluation of caries activity showed no statistical difference between groups. Among the probable reasons for absence of impact of intervention, could be included: (a) the practice model was the same in two groups, or the difference was very weak and (b) the oral health care has intrinsic limitations for to impact on oral health in low income populations

Influência de fatores de risco na prevalência de hábitos bucais deletérios em crianças de 0 a 5 anos na cidade do Natal-RN

Literature has demonstrated to the narrow relation between deleterious habits and the occurrence of malocclusion in minors of 5 years. The existence of these habits, however, already considered as risk factors, having also, its determinative ones, which present cultural dimensions and economic social, many of them related to the parents of the child, having in account that such habits if develop in phases in which the child establish a narrow relation of dependence. This study it had an objective to investigate the prevalence of deleterious buccal habits in children and its relation with the economic social and characteristics of the parents. It was developed an epidemiologist study of transversal character with interview, through daily pay-tested form, with 218 parents in the day of the National Campaign of Vaccination. In the cast of the variable that had composed the study, they had been used, as changeable dependents, the use of the baby's bottle, bottle and the digital suction, being considered as outcomes of the research. Amongst the independent variable, the economic social factors (type of occupation, number of children, civil state, sort, schooling and age) and staffs of the parents (self perception in oral health) had entered as the variable to be analyzed in the problems of the infantile odontology. The collected data had been submitted to the analysis descriptive and inferential statistics, being used the test qui-square and the analysis of the possibility reasons. As main results, it was found that breast feeding before the six months if presents as one of the main factors of risk for the use of baby's bottle (p< 0.001, OR= 2.8, I.C= 1.589 4.906), bottle (p< 0.001, OR= 3.7, I.C.= 2.076 6.624) and digital suction (p< 0.014, OR= 3.5, I.C.= 1.225 10.181). From the data found, one concludes that breast-feeding is considered a primordial factor for not the installation of deleterious oral habits and that the economic social and cultural factors can reflect in central way in the performance of this act

Estudo da regeneração de aditivos para catalisadores de craqueamento aluminofosfatos (ALPO s)e silicoaluminofosfatos (SAPO s)

Heterogeneous catalysts such as aluminophosphate and silicoaluminophosphate, molecular sieves with AEL of ALPO-11 and SAPO-11, were synthesized by the hydrothermal method with the following molar composition: 2.9 Al +3.2 P + 3.5 DIPA +32.5 H20 (ALPO-11); 2.9 Al +3.2 P + 0.5 Si + 3.5 DIPA +32.5 H20 (SAPO-11) starting from silica (only in the SAPO-11), pseudoboehmite, orthophosphoric acid (85%) and water, in the presence of a di-isopropylamine organic template. The crystallization process occurred when the reactive hydrogel was charged into a vessel and autoclaved at 170ºC for a period of 48 hours under autogeneous pressure. The obtained materials were washed, dried and calcined to remove the molecular sieves of DIPA. The samples were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), infrared spectroscopy (FT-IR), thermo gravimetric differential thermal analysis (TG/DTA) and nitrogen adsorption (BET). The acidic properties were determined using adsorption of n-butylamine followed by programmed thermodessorption. This method revealed that ALPO-11 has weaker acid sites due to structural defects, while SAPO-11 shows an acidity that ranges from weak to moderate. However, a small quantity of strong acid sites could be detected there. The deactivation of the catalysts was conducted by the cracking of the n-hexane in a fixed bed continuous flow microrreator coupled on line to a gas chromatograph. The main products obtained were: ethane, propane, isobutene, n-butane, n-pentane and isopentane. The Vyazovkin (model-free) kinetics method was used to determine the regeneration and removal of the organic template