Prevalência e fatores relacionados à infecção por HPV em mulheres assistidas pela Estratégia Saúde da Família em Juiz de Fora, Minas Gerais.

O câncer do colo do útero ocasiona 7% dos óbitos por câncer na população feminina brasileira, com taxa de incidência estimada em 15,33/100 mil, sendo a infecção pelo papilomavírus humano (HPV) causa necessária. O rastreamento com citologia do esfregaço cervical convencional é ação escolhida no Brasil e em outros países para prevenir e controlar o câncer, através da detecção precoce das lesões pré-neoplásicas. Porém, apresenta falhas na cobertura, com desigualdade de acesso, e na qualidade, devido aos problemas nas etapas operacionais, desde a coleta na unidade até a interpretação dos resultados. O rastreamento é oportunístico, e uma alternativa organizada pode ser a utilização de cadastros populacionais, como os disponíveis pela Estratégia Saúde da Família (ESF). A efetividade do rastreamento pode ser aumentada com a incorporação de novas técnicas, destacando-se aquelas de biologia molecular, que testam o HPV nas mulheres, em acréscimo ao rastreamento com citologia ou a substituindo integralmente. O conhecimento acerca dos fatores relacionados à infecção vem sendo ampliado para compreender por que mulheres que se encontram em risco semelhante de transmissão apresentam infecção e outras, não. A inexistência de um sistema de vigilância dos tipos circulantes de HPV prejudica a avaliação do cenário atual, inclusive no que se refere à recente implantação da vacinação contra o HPV no calendário básico de vacinação. Neste estudo, o objetivo foi estimar a prevalência de infecção pelo HPV no grupo de mulheres estudadas, relacionando estes achados aos fatores relacionados à infecção, que podem auxiliar na identificação de mulheres mais vulneráveis à infecção e à presença de lesões pré-neoplásicas. 2062 mulheres da periferia de Juiz de Fora, após serem convocadas para rastreamento, participaram do estudo, desenvolvido em duas unidades com a ESF, tendo respondido a um questionário padronizado, submetidas ao exame citológico cervical convencional e testadas para o HPV com o teste cobas 4800 (Roche). A adesão das mulheres convocadas foi semelhante àquela observada em estudos de outros delineamentos, os quais podem contribuir para o seu entendimento. Foram calculadas estimativas de prevalência de infecção pelo HPV segundo características selecionadas. A prevalência global de infecção pelo HPV foi 12,61%. A análise multivariada por regressão de Poisson com variância robusta mostrou associação estatisticamente significativa para ser solteira, consumir bebida alcoólica e ter três ou mais parceiros sexuais ao longo da vida, com razões de prevalência ajustadas de 1,40, 1,44 e 1,35, respectivamente. A prevalência de lesões precursoras do câncer do colo do útero foi 7,27%. A qualidade do esfregaço, avaliada pela representatividade dos epitélios coletados, mostrou que há variação da prevalência de lesões pré-neoplásicas mediante qualidade do esfregaço, porém, não há variação nos resultados do teste HPV mediante a representatividade celular, achado que consistente com uma sensibilidade maior e possivelmente um melhor valor preditivo positivo. A testagem do HPV mostrou ser útil, especialmente entre mulheres com resultado de citologia normal.

Avaliação microtomográfica de canais mesiais de molares inferiores preparados com sistemas rotatórios e reciprocantes

O objetivo do presente trabalho foi avaliar, em microtomografia computadorizada (CT), o preparo de canais de molares inferiores com diferentes sistemas acionados a motor. Foram selecionadas 58 raízes mesiais patentes, de diâmetro anatômico correspondente a #10. Para a avaliação em TC, um anel de aço inoxidável foi confeccionado nos moldes do suporte para amostra do microtomógrafo, para que servisse de fôrma para a inclusão das raízes em resina Duralay, a fim de padronizar a posição do espécime no escaneamento inicial e final. Os canais foram preparados com os sistemas Reciproc R25 (n=16); WaveOne Primary File (n=16); Twisted File (n=14), e HyFlex (n=12). Após serem escaneados, foram reconstruídos tridimensionalmente e avaliados quantitativamente quanto à variação de volume (mm3), área de superfície (mm2) e structure model index (SMI). Foi, ainda, realizada a avaliação qualitativa das seções transversais por terço e por quadrante (MV, ML, DV, DL), sendo avaliado o toque de paredes. Os dados paramétricos foram analisados estatisticamente pelos testes ANOVA e t para amostras pareadas (α=5%). Não foi observada diferença estatística nos parâmetros quantitativos avaliados para Reciproc (142,77 76,75; 42,22 19,22; e 14,68 17,69, respectivamente); WaveOne (105,09 64,82; 29,54 19,21; 14,81 9,10, respectivamente); Twisted File (111,83 43,09; 33,31 18,40; 9,16 6,57, respectivamente), e HyFlex (151,74 149,37; 43,08 41,44; 10,80 8,52, respectivamente) (p=0,423). Dentro de cada grupo, foi observada diferença significante entre os resultados pré e pós-operatórios. O teste não paramétrico de Kruskal Wallis foi aplicado para a avaliação relativa ao toque de paredes. Foi observado que o sistema HyFlex apresentou a maior porcentagem de toques (82,3 13,1), seguido por Reciproc (81,3 16,9), Twisted File (78,3 14,4) e, por fim, WaveOne (76,9 21,7) (p>0,05). Em relação aos terços não foi observada diferença significativa (p=0,424). Os resultados da avaliação dos quadrantes intergrupo não demonstraram diferenças, porém indicaram tendência do preparo em direção à parede distal no terço cervical. Ao final, pôde-se concluir que os sistemas testados se equivalem quanto ao preparo de canais mesiais de molares inferiores; porém, nenhuma das técnicas foi capaz de tocar completamente em todas as paredes do canal radicular.

Estudo de polimorfismos nos genes TP53 e p21(WAF1) e do perfil imunohistoquímico das proteínas p53, p21(WAF1), p16(INK4a) e ciclina D1 pela técnica de Tissue Microarray (TMA) e sua importância para o desenvolvimento e/ou severidade das neoplasias cervicais

O câncer de colo do útero é o terceiro tipo de câncer mais frequente em mulheres no mundo, e a infecção persistente pelo papilomavirus humano (HPV) oncogênico é condição necessária, mas não suficiente para seu desenvolvimento. As oncoproteínas virais E6 e E7 interferem direta ou indiretamente na ação de várias proteínas celulares. Entretanto, as variantes proteicas, resultantes de polimorfismos genéticos, podem apresentar comportamento distinto mediante a infecção pelo HPV. O objetivo deste estudo foi avaliar possíveis associações entre polimorfismos nos genes TP53 (p53 PIN3, p53 72C>G) e p21 (p21 31C>A) e o desenvolvimento de neoplasias cervicais, considerando os níveis de expressão das proteínas p53, p21, p16 e ciclina D1, e fatores de risco clássicos para o câncer cervical. Foram selecionadas 466 mulheres residentes no Rio de Janeiro, 281 com diagnóstico histopatológico de neoplasia cervical de baixo (LSIL) e alto grau (HSIL) e câncer (grupo de casos) e 185 sem história atual ou pregressa de alteração citológica do colo uterino (grupo controle). A técnica de PCR-RFLP (reação em cadeia da polimerase - polimorfismo de comprimento de fragmento de restrição), foi empregada na análise dos polimorfismos p53 72C>G e p21 31C>A, usando as enzimas de restrição BstUI e BsmaI, respectivamente. A avaliação do polimorfismo p53 PIN3 (duplicação de 16 pb) foi feita por meio da análise eletroforética direta dos produtos de PCR. A expressão das proteínas p53, p21, p16, ciclina D1 e Ki-67 e a pesquisa de anticorpos anti-HPV 16 e HPV pool foram avaliadas por imunohistoquímica (Tissue Microarray - TMA) em 196 biópsias do grupo de casos. O grupo controle se mostrou em equilíbrio de Hardy-Weinberg em relação aos três polimorfismos avaliados. As distribuições genotípicas e alélicas relativas a p53 PIN3 e p53 72C>G nos grupos controles e de casos não apresentaram diferenças significativas, embora o genótipo p53 72CC tenha aumentado o risco atribuído ao uso de contraceptivos das pacientes apresentarem lesões mais severas (OR=4,33; IC 95%=1,19-15,83). O genótipo p21 31CA(Ser/Arg) conferiu proteção ao desenvolvimento de HSIL ou câncer (OR=0,61, IC 95%=0,39-0,97), e modificou o efeito de fatores de risco associados à severidade das lesões. A interação multiplicativa de alelos mostrou que a combinação p53 PIN3A1, p53 72C(Pro) e p21 31C(Ser), representou risco (OR=1,67, IC95%=1,03-2,72) e a combinação p53 PIN3A1, p53 72C(Pro) e p21 31A(Arg) conferiu efeito protetor (OR=0,26, IC95%=0,08-0,78) para o desenvolvimento de HSIL e câncer cervical. Observou-se correlação positiva da expressão de p16 e p21 e negativa da ciclina D1 com o grau da lesão. A distribuição epitelial de p16, Ki-67, p21 e p53 se mostrou associada à severidade da lesão. Os polimorfismos analisados não apresentaram associação com a expressão dos biomarcadores ou positividade para HPV. Nossos resultados sugerem a importância do polimorfismo p21 31C>A para o desenvolvimento das neoplasias cervicais e ausência de correlação dos polimorfismos p53 PIN3 e p53 72C>G com a carcinogênese cervical, embora alguns genótipos tenham se comportado como modificadores de risco. Nossos resultados de TMA corroboram o potencial de uso de biomarcadores do ciclo celular para diferenciar as lesões precursoras do câncer cervical.

Age validation of juvenile Shortfin Mako (Isurus oxyrinchus) tagged and marked with oxytetracycline off southern California

The purpose of this study was to validate aging results of juvenile Shortfin Mako (Isurus oxyrinchus) by vertebral band counts. Vertebrae of 29 juvenile Shortfin Mako marked with oxytetracycline (OTC) were obtained from tag-recapture activities to determine centrum growth-band deposition. Tagging occurred off southern California from 1996 to 2010, and time at liberty of the 29 sharks ranged from 4 months to 4.4 years (mean=1.3 years). Growth information also was obtained from length-frequency modal analyses (MULTIFAN and MIXDIST) by using a 29-year data set of commercial and research catch data, in addition to a tag-recapture growth model (e.g, the GROTAG model). For vertebrae samples used for age validation, shark size at time of release ranged from 79 to 142 cm fork length (FL) and from 98 to 200 cm FL at recapture. Results from band counts of vertebrae distal to OTC marks indicate 2 band pairs (2 translucent and 2 opaque) are formed each year for Shortfin Mako of the size range examined. Length-frequency analyses identified 3 age class modes. Growth rate estimates from 26.5 to 35.5 cm/year were calculated for the first age-class mode (85 cm FL) and from 22.4 to 28.6 cm/year for the second age-class mode (130 cm FL). Results from the tag-recapture growth model revealed fast growth during time at liberty for tagged fish of the 2 youngest age classes. Collectively, these methods suggest rapid growth of juvenile Shortfin Mako in the southern California study area and indicate biannual deposition of growth bands in vertebrae for the first 5 years.

Larval development and identification of the genus Triglops (Scorpaeniformes: Cottidae)

Prior to Pietsch’s (1993) revision of the genus Triglops, identification of their larvae was difficult; six species co-occur in the eastern North Pacific Ocean and Bering Sea and three co-occur in the western North Atlantic Ocean. We examined larvae from collections of the Alaska Fisheries Science Center and Atlantic Reference Centre and used updated meristic data, pigment patterns, and morphological characters to identify larvae of Triglops forficatus, T. macellus, T. murrayi, T. nybelini, T. pingeli, and T. scepticus; larvae of T. metopias, T. dorothy, T. jordani, and T. xenostethus have yet to be identified and are thus not included in this paper. Larval Triglops are characterized by a high myomere count (42–54), heavy dorsolateral pigmentation on the gut, and a pointed snout. Among species co-occurring in the eastern North Pacific Ocean, T. forficatus, T. macellus, and T. pingeli larvae are distinguished from each other by meristic counts and presence or absence of a series of postanal ventral melanophores. Triglops scepticus is differentiated from other eastern North Pacific Ocean larvae by having 0–3 postanal ventral melanophores, a large eye, and a large body depth. Among species co-occurring in the western North Atlantic Ocean, T. murrayi and T. pingeli larvae are distinguished from each other by meristic counts (vertebrae, dorsal-fin rays, and anal-fin rays once formed), number of postanal ventral melanophores, and first appearance and size of head spines. Triglops nybelini is distinguished from T. murrayi and T. pingeli by a large eye, pigment on the lateral line and dorsal midline in flexion larvae, and a greater number of dorsal-fin rays and pectoral-fin rays once formed.

A remarkable new species of Psednos (Teleostei: Liparidae) from the western North Atlantic Ocean

Psednos rossi new species (Teleostei: Liparidae) is described from two specimens collected in the North Atlantic Ocean off Cape Hatteras, North Carolina, at depths of 500–674 m. Psednos rossi belongs to the P. christinae group, which includes six other species and is characterized by 46–47 vertebrae and the absence of a coronal pore. Psednos rossi differs from those six species by having characters unique within the genus: straight spine, body not humpbacked at the occiput, and a very large mouth with a vertical oral cleft. Other distinguishing characters include a notched pectoral fin with 15–16 rays, eye 17–19% SL, and color in life orange-rose. With P. rossi, the genus Psednos as currently known includes 26 described and five undescribed species of small meso- or bathypelagic liparids from the Atlantic, Pacific, and Indian Oceans.

Descriptions of larval, prejuvenile, and juvenile finescale menhaden (Brevoortia gunteri) (family Clupeidae), and comparisons to gulf menhaden (B. patronus)

Larval and juvenile development of finescale menhaden (Brevoortia gunteri) is described for the first time by using wild-caught individuals from Nueces Bay, Texas, and is compared with larval and juvenile development of co-occurring gulf menhaden (B. patronus). Meristics, morphometrics, and pigmentation patterns were examined as development proceeded. An illustrated series of finescale menhaden is presented to show changes that occurred during development. For finescale menhaden, transformation to the juvenile stage was completed by 17−19 mm standard length (SL). By contrast, transformation to the juvenile stage for gulf menhaden was not complete until 23−25 mm SL. Characteristics useful for separating larval and juvenile finescale menhaden from gulf menhaden included 1) the presence or absence of pigment at the base of the insertion of the pelvic fins; 2) the standard length at which medial predorsal pigment occurs; 3) differences in the number of dorsal fin ray elements; and, 4) the number of vertebrae.

Age-validation of a leopard shark (Triakis semifasciata) recaptured after 20 years

On 10 July 1999, vertebrae bearing an oxytetracycline (OTC) time mark were retrieved from a tagged leopard shark (Triakis semifasciata) recaptured in San Francisco Bay, CA, after being at liberty for almost 20 years. An additional long-term leopard shark tag return was received in June 2001, for which growth information (but not vertebrae) was obtained. The first recapture is significant in that it represents the longest at-liberty period for an age-validated (OTC-injected) shark, extends and completes age validation for this species, spanning all age classes up to its estimated average maximum age, and provides an example of the persistence of the OTC time mark in an elasmobranch at liberty for almost 20 years. The recaptured leopard shark made in 2001 also provides valuable information on long-term growth from time of release to time of recapture. Findings are documented here so that other researchers are aware that validation is complete for this species, to present pertinent evidence of considerable interannual variability in growth in this species, and to report observations on processing difficulties relating to the ephemeral nature of the 20-yr-old OTC mark.

Larval development of the southern sea garfish (Hyporhamphus melanochir) and the river garfish (H. regularis) (Beloniformes: Hemiramphidae) from South Australian waters

Larval development of the southern sea garfish (Hyporhamphus melanochir) and the river garfish (H. regularis) is described from specimens from South Australian waters. Larvae of H. melanochir and H. regularis have completed notochord flexion at hatching and are characterized by an elongate body with distinct rows of melanophores along the dorsal, lateral, and ventral surfaces; a small to moderate head; a heavily pigmented and long straight gut; a persistent pre-anal finfold; and an extended lower jaw. Fin formation occurs in the following sequence: caudal, dorsal and anal (almost simultaneously), pectoral, and pelvic. Despite the similarities between both species and among hemiramphid larvae in general, H. melanochir larvae are distinguishable from H. regularis by 1) having 58–61 vertebrae (vs. 51–54 for H. regularis); 2) having 12–15 melanophore pairs in longitudinal rows along the dorsal margin between the head and origin of the dorsal fin (vs. 19–22 for H. regularis); and 3) the absence of a large ventral pigment blotch anteriorly on the gut and isthmus (present in H. regularis). Both species can be distinguished from similar larvae of southern Australia (other hemiramphids and a scomberosocid) by differences in meristic counts and pigmentation.

Age and growth of the blue shark (Prionace glauca) in the North Atlantic Ocean

Age and growth estimates for the blue shark (Prionace glauca) were derived from 411 vertebral centra and 43 tag-recaptured blue sharks collected in the North Atlantic, ranging in length from 49 to 312 cm fork length (FL). The vertebrae of two oxytetracycline-injected recaptured blue sharks support an annual spring deposition of growth bands in the vertebrae in sharks up to 192 cm FL. Males and females were aged to 16 and 15 years, respectively, and full maturity is attained by 5 years of age in both sexes. Both sexes grew similarly to age seven, when growth rates decreased in males and remained constant in females. Growth rates from tag-recaptured individuals agreed with those derived from vertebral annuli for smaller sharks but appeared overestimated for larger sharks. Von Bertalanffy growth parameters derived from vertebral length-at-age data are L∞ = 282 cm FL, K = 0.18, and t0 = –1.35 for males, and L∞ = 310 cm FL, K = 0.13, and t0 = −1.77 for females. The species grows faster and has a shorter life span than previously reported for these waters.

Validated age and growth of the porbeagle shark (Lamna nasus) in the western North Atlantic Ocean

Growth parameters were estimated for porbeagle shark (Lamna nasus) in the northwest Atlantic Ocean on the basis of vertebral annuli. A total of 578 vertebrae was analyzed. Annuli were validated up to an age of 11 years by using vertebrae from recaptured oxytetracycline-injected and known-age sharks. Males and females grew at similar rates until the size of male sexual maturity, after which the relative growth of the males declined. The growth rate of the females declined in a similar manner at the onset of maturity. Growth curves were consistent with those derived from tag-recapture analyses (GROTAG) of 76 recaptured fish and those based on length-frequency methods with measurements from 13,589 individuals. Von Bertalanffy growth curve parameters (combined sexes) were L∞ = 289.4 cm fork length, K = 0.07 and t0 = –6.06. Maximum age, based on vertebral band pair counts, was 25 and 24 years for males and females, respectively. Longevity calculations, however, indicated a maximum age of 45 to 46 years in an unfished population.

Age and growth of the smooth dogfish (Mustelus canis) in the northwest Atlantic Ocean

The northwest Atlantic population of smooth dogfish (Mustelus canis) ranges from Cape Cod, Massachusetts, to South Carolina. Although M. canis is seasonally abundant in this region, very little is known about important aspects of its biology, such as growth and reproductive rates. In the early 1990s, commercial fishery landings of smooth dogfish dramatically increased on the east coast of the United States. This study investigated growth rates of the east coast M. canis population through analysis of growth patterns in vertebral centra. Marginal increment analysis, estimates of precision, and patterns in seasonal growth supported the use of vertebrae to age these sharks. Growth bands in vertebral samples were used to estimate ages for 894 smooth dogfish. Age-length data were used to determine von Bertalanffy growth parameters for this population: K = 0.292/yr, L∞ = 123.57 cm, and t0 = –1.94 years for females, and K = 0.440/yr, L∞ = 105.17 cm, and t0 = –1.52 years for males. Males matured at two or three years of age and females matured between four and seven years of age. The oldest age estimate for male and female samples was ten and sixteen years, respectively.

Caudal neurosecretory system of four hill stream fishes of India

Caudal neurosecretory system is an additional neuroendocrine system found in fishes. Great variation has been observed among different groups of fishes, so far its organization is concerned. Much work has been undertaken on the caudal neurosecretory system of elasmobranchs and teleosts. Large size scattered Dahlgren cells in the posterior end of spinal cord, corresponding to last few vertebrae, with long running axon process and a neurohaemal organ the urophysis are the characteristic features of the system. Although thoroughly investigated in fresh water carps, no work is reported in hill-stream fishes. In an attempt to investigate structure and organization of caudal neurosecretory system in hill-stream fishes, present investigation was undertaken in four hill-stream fish of Indian freshwater namely, Barilius bendelensis, Garra gotyla, Schizothorax plagiostomus and Tor tor. The organization of this system in hill-stream fishes was found to be quite different from that observed in fresh water carps. It displays an organization which is more close to the organization of caudal neurosecretory system observed in elasmobranchs. The features are described and discussed.

Paracobitis nanpanjiangensis, a new loach (Balitoridae: Nemacheilinae) from Yunnan, China

A new species of the genus Paracobitis, Paracobitis nanpanjiangensis is described from tributaries of the Nanpanjiang River drainage in China. It is distinguished from its congeners, except P. oligolepis and P. wujiangensis, by body scaleless or with rudimentary scales (caudal peduncle with several deeply embedded scales). It can be differentiated from P. wujiangensis by the complete lateral line (vs. incomplete), lower dorsal crest reaching the vertical of origin of anal fin (vs. shorter and higher dorsal crest not reaching the base of anal fin). It is distinguished from P. oligolepis by the following characters: branched dorsal fin with 81/2 (a few 91/2) rays (vs. 91/2), interspaces between bars in front of dorsal fin conspicuously thinner than those behind (vs. vermiform markings), dorsal head without vermiform markings or obscure (vs. clearly vermiform markings on dorsal head), vertebrae 4 + 36-38 (vs. 4 + 39-41).

TMVA, a novel GPIb-binding protein, significantly prevents platelet microthrombi formation and prolongs discordant cardiac xenograft survival

In xenotransplantation, donor endothelium is the first target of immunological attack. Activation of the endothelial cell by preformed natural antibodies leads to platelet binding via the interaction of the glycoprotein (GP) Ib and von Willebrand factor (vWF). TMVA is a novel GPIb-binding protein purified from the venom of Trimeresurus mucrosquamatus. In this study, the inhibitory effect of TMVA on platelet aggregation in rats and the effect on discordant guinea pig-to-rat cardiac xenograft survival were investigated. Three doses (8, 20 or 40 mug/kg) of TMVA were infused intravenously to 30 rats respectively. Platelet aggregation rate was assayed 0.5, 12, and 24 h after TMVA administration. Wister rats underwent guinea pig cardiac cervical heterotopic transplantation using single dosing of TMVA (20 mug/kg, i.v., 0.5 h before reperfusion). Additionally, levels of TXB2 and 6-keto-PGF(1alpha) within rejected graft tissues were determined by radioimmunoassay. Treatment with TMVA at a dose of 20 or 40 mug/kg resulted in complete inhibition of platelet aggregation 0.5 h after TMVA administration. Rats receiving guinea pig cardiac xenografts after TMVA therapy had significantly prolonged xenograft survival. Histologic and immunopathologic analysis of cardiac xenografts in TMVA treatment group showed no intragraft platelet microthrombi formation and fibrin deposition. Additionally, the ratio of 6-keto-PGF(1alpha) to TXB2 in TMVA treatment group was significantly higher than those in control group. We conclude that the use of this novel GPIb-binding protein was very effective in preventing platelet microthrombi formation and fibrin deposition in a guinea pig-to-rat model and resulted in prolongation of xenograft survival. The increased ratio of PGI(2)/TXA(2) in TMVA treatment group may protect xenografts from the endothelial cell activation and contribute to the prolongation of xenograft survival.