Novel equation to determine the hepatic triglyceride concentration in humans by MRI: diagnosis and monitoring of NAFLD in obese patients before and after bariatric surgery

Background: Non-alcoholic fatty liver disease (NAFLD) is caused by abnormal accumulation of lipids within liver cells. Its prevalence is increasing in developed countries in association with obesity, and it represents a risk factor for non-alcoholic steatohepatitis (NASH), cirrhosis and hepatocellular carcinoma. Since NAFLD is usually asymptomatic at diagnosis, new non-invasive approaches are needed to determine the hepatic lipid content in terms of diagnosis, treatment and control of disease progression. Here, we investigated the potential of magnetic resonance imaging (MRI) to quantitate and monitor the hepatic triglyceride concentration in humans. Methods: A prospective study of diagnostic accuracy was conducted among 129 consecutive adult patients (97 obesity and 32 non-obese) to compare multi-echo MRI fat fraction, grade of steatosis estimated by histopathology, and biochemical measurement of hepatic triglyceride concentration (that is, Folch value). Results: MRI fat fraction positively correlates with the grade of steatosis estimated on a 0 to 3 scale by histopathology. However, this correlation value was stronger when MRI fat fraction was linked to the Folch value, resulting in a novel equation to predict the hepatic triglyceride concentration (mg of triglycerides/g of liver tissue = 5.082 + (432.104 * multi-echo MRI fat fraction)). Validation of this formula in 31 additional patients (24 obese and 7 controls) resulted in robust correlation between the measured and estimated Folch values. Multivariate analysis showed that none of the variables investigated improves the Folch prediction capacity of the equation. Obese patients show increased steatosis compared to controls using MRI fat fraction and Folch value. Bariatric surgery improved MRI fat fraction values and the Folch value estimated in obese patients one year after surgery. Conclusions: Multi-echo MRI is an accurate approach to determine the hepatic lipid concentration by using our novel equation, representing an economic non-invasive method to diagnose and monitor steatosis in humans.

Genetic evidence of two sibling species within the Contracoecum ogmorhini Johnson & Mawson 1941 complex (Nematoda; Anisakidae) from otariid seals in boreal and austral regions

Genetic variation of Contracaecum ogmorhini (sensu lato) populations from different otariid seals of the northern and southern hemisphere was studied on the basis of 18 enzyme loci as well as preliminary sequence analysis of the mitochondrial cyt b gene (260 bp). Samples were collected from Zalophus californianus in the boreal region and from Arctocephalus pusillus pusillus, A. pusillus doriferus and A. australis from the austral region. Marked genetic heterogeneity was found between C. ogmorhini (sensu lato) samples from the boreal and austral region, respectively. Two loci (Mdh-2 and NADHdh) showed fixed differences and a further three loci (Iddh, Mdh-1 and 6Pgdh) were highly differentiated between boreal and austral samples. Their average genetic distance was DNei = 0.36 at isozyme level. At mitochondrial DNA level, an average proportion of nucleotide substitution of 3.7% was observed. These findings support the existence of two distinct sibling species, for which the names C. ogmorhini (sensu stricto) and C. margolisi n. sp., respectively, for the austral and boreal taxon, are proposed. A description for C. margolisi n. sp. is provided. No diagnostic morphological characters have so far been detected; on the other hand, two enzyme loci, Mdh-2 and NADHdh, fully diagnostic between the two species, can be used for the routine identification of males, females and larval stages. Mirounga leonina was found to host C. ogmorhini (s.s.) inmixed infections with C. osculatum (s.l.) (of which C. ogmorhini (s.l.) was in the past considered to be a synonym) and C. miroungae; no hybrid genotypes were found,confirming the reproductive isolation of these three anisakid species. The hosts and geographical range so far recorded for C. margolisi n. sp. and C. ogmorhini (s.s.) are given.

Determinação experimental e modelagem termodinâmica do equilíbrio de fases em sistemas com CO2, n-hexano, n-hexadecano e tetralina

A descoberta de petróleo na camada de Pré-Sal possibilita a geração de ganhos em relação à dependência energética do país, mas também grandes desafios econômicos e tecnológicos. Os custos de extração são maiores devido a vários fatores como a exigência de equipamentos de exploração que suportem elevadas pressões, altas temperaturas e grandes concentrações de gases ácidos, tais quais, dióxido de carbono (CO2) e sulfeto de hidrogênio (H2S). Uma das principais preocupações com o CO2 é evitar liberá-lo para a atmosfera durante a produção. Com a modelagem termodinâmica de dados de equilíbrio de sistemas envolvendo CO2 supercrítico e hidrocarbonetos é possível projetar equipamentos utilizados em processos de separação. A principal motivação do trabalho é o levantamento de dados de equilíbrio de fases de sistemas compostos de CO2 e hidrocarbonetos, possibilitando assim prever o comportamento dessas misturas. Os objetivos específicos são a avaliação do procedimento experimental, a estimação e predição dos parâmetros de interação binários para assim prever o comportamento de fases dos sistemas ternários envolvendo CO2 e hidrocarbonetos. Duas metodologias foram utilizadas para obtenção dos dados de equilíbrio: método estático sintético (visual) e método dinâmico analítico (recirculação das fases). Os sistemas avaliados foram: CO2 + n-hexano, CO2 + tetralina, CO2 + n-hexadecano, CO2 + n-hexano + tetralina e CO2 + tetralina + n-hexadecano à alta pressão; tetralina + n-hexadecano à baixa pressão. Para o tratamento dos dados foi utilizada equação de estado cúbica de Peng-Robinson e a regra de mistura clássica