Use of forensic investigations in anti-doping

The fight against doping is mainly focused on direct detection, using analytical methods for the detection of doping agents in biological samples. However, the World Anti-Doping Code also defines doping as possession, administration or attempted administration of prohibited substances or methods, trafficking or attempted trafficking in any prohibited substance or methods. As these issues correspond to criminal investigation, a forensic approach can help assessing potential violation of these rules.In the context of a rowing competition, genetic analyses were conducted on biological samples collected in infusion apparatus, bags and tubing in order to obtain DNA profiles. As no database of athletes' DNA profiles was available, the use of information from the location detection as well as contextual information were key to determine a population of suspected athletes and to obtain reference DNA profiles for comparison.Analysis of samples from infusion systems provided 8 different DNA profiles. The comparison between these profiles and 8 reference profiles from suspected athletes could not be distinguished.This case-study is one of the first where a forensic approach was applied for anti-doping purposes. Based on this investigation, the International Rowing Federation authorities decided to ban not only the incriminated athletes, but also the coaches and officials for 2 years.

Radioimmunotherapy of human colon carcinoma by 131I-labelled monoclonal anti-CEA antibodies in a nude mouse model.

A mixture of 3 MAbs directed against 3 different CEA epitopes was radiolabelled with 131I and used for the treatment of a human colon carcinoma transplanted s.c. into nude mice. Intact MAbs and F(ab')2 fragments were mixed because it had been shown by autoradiography that these 2 antibody forms can penetrate into different areas of the tumor nodule. Ten days after transplantation of colon tumor T380 a single dose of 600 microCi of 131I MAbs was injected i.v. The tumor grafts were well established (as evidenced by exponential growth in untreated mice) and their size continued to increase up to 6 days after radiolabelled antibody injection. Tumor shrinking was then observed lasting for 4-12 weeks. In a control group injected with 600 microCi of 131I coupled to irrelevant monoclonal IgG, tumor growth was delayed, but no regression was observed. Tumors of mice injected with the corresponding amount of unlabelled antibodies grew like those of untreated mice. Based on measurements of the effective whole-body half-life of injected 131I, the mean radiation dose received by the animals was calculated to be 382 rads for the antibody group and 478 rads for the normal IgG controls. The genetically immunodeficient animals exhibited no increase in mortality, and only limited bone-marrow toxicity was observed. Direct measurement of radioactivity in mice dissected 1, 3 and 7 days after 131I-MAb injection showed that 25, 7.2 and 2.2% of injected dose were recovered per gram of tumor, the mean radiation dose delivered to the tumor being thus more than 5,000 rads. These experiments show that therapeutic doses of radioactivity can be selectively directed to human colon carcinoma by i.v. injection of 131I-labelled anti-CEA MAbs.

Consumer Advisory Bulletin, Beware of Scheme Targeting African Americans, January 2008

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Use of forensic investigations in anti-doping.

The fight against doping is mainly focused on direct detection, using analytical methods for the detection of doping agents in biological samples. However, the World Anti-Doping Code also defines doping as possession, administration or attempted administration of prohibited substances or methods, trafficking or attempted trafficking in any prohibited substance or methods. As these issues correspond to criminal investigation, a forensic approach can help assessing potential violation of these rules. In the context of a rowing competition, genetic analyses were conducted on biological samples collected in infusion apparatus, bags and tubing in order to obtain DNA profiles. As no database of athletes' DNA profiles was available, the use of information from the location detection as well as contextual information were key to determine a population of suspected athletes and to obtain reference DNA profiles for comparison. Analysis of samples from infusion systems provided 8 different DNA profiles. The comparison between these profiles and 8 reference profiles from suspected athletes could not be distinguished. This case-study is one of the first where a forensic approach was applied for anti-doping purposes. Based on this investigation, the International Rowing Federation authorities decided to ban not only the incriminated athletes, but also the coaches and officials for 2 years.

Racial Stereotypes in Fictions of Slavery: Uncle Tom´s Cabin by Harriet Beecher Stowe and O Escravo by José Evaristo D’ Almeida

Most stereotypes about Africans and their descendants started with colonialism in the fifteenth century. The encounter between Africans and Europeans facilitated the creation of myths and stereotypes about the colonized peoples, which were made effective through the naturalization of differences. The relationship between skin color and slavery developed to produce a racialized system of forced labor on which colonialism depended for its survival. Stereotypes functioned to legitimize colonial authority by building the notion that the colonizer ruled over the colonized because of an innate superiority. Therefore, stereotyping is an effective "discursive strategy" (Bhabha) based on fixity and repetition with the aim of controlling the other. Harriet Beecher Stowe’s Uncle Tom’s Cabin and José Evaristo D’Almeida O Escravo both denounced the evils of slavery in the United States of America and Cape Verde respectively, claiming for the end of the institution. However, they are both ambivalent towards slaves and blacks, being unable to envisage social equality for the two races. Both authors construct their black characters as stereotypical others, but they depict the light-skin characters as superior both culturally and physically. The bi-racial characters are portrayed as the ones who possess beauty and intelligence as an inheritance from their European ancestry, while blacks are relegated to the margins. We need to consider, however, that slavery in Cape Verde had different characteristics from its counterpart in the United States of America. In Cape Verde the Africans outnumbered the Europeans and that circumstance favored miscegenation and the emergence of forms of mixed culture, which came to be seen as positive and natural. In the United States of America miscegenation was regarded as a taboo since early. And even after Emancipation, “the one-drop rule” made the offspring of an African descendant black, however 'white' he or she might be.

Trends in prevalence, awareness, treatment and control of hypertension in the Republic of Seychelles (African region) between 1989 and 2013 [Poster]

Background: Few data exist on secular trends of high blood pressure (HBP) detection and control in low and middle income countries, particularly in the African region. This study examines trends of HBP over 25 years based on 4 independent population surveys. In the Seychelles, heath care is free to all inhabitants within a national health system, inclusive all HBP medications. Previous studies have shown a transition from traditional to cardiometabolic cardiovascular risk factors in Seychelles. Age adjusted cardiovascular disease mortality rates is high but decreasing over the last two decades.

In vivo targeting of an anti-tumor antibody coupled to antigenic MHC class I complexes induces specific growth inhibition and regression of established syngeneic tumor grafts.

The concept of antibody-mediated targeting of antigenic MHC/peptide complexes on tumor cells in order to sensitize them to T-lymphocyte cytotoxicity represents an attractive new immunotherapy strategy. In vitro experiments have shown that an antibody chemically conjugated or fused to monomeric MHC/peptide can be oligomerized on the surface of tumor cells, rendering them susceptible to efficient lysis by MHC-peptide restricted specific T-cell clones. However, this strategy has not yet been tested entirely in vivo in immunocompetent animals. To this aim, we took advantage of OT-1 mice which have a transgenic T-cell receptor specific for the ovalbumin (ova) immunodominant peptide (257-264) expressed in the context of the MHC class I H-2K(b). We prepared and characterized conjugates between the Fab' fragment from a high-affinity monoclonal antibody to carcinoembryonic antigen (CEA) and the H-2K(b) /ova peptide complex. First, we showed in OT-1 mice that the grafting and growth of a syngeneic colon carcinoma line transfected with CEA could be specifically inhibited by systemic injections of the conjugate. Next, using CEA transgenic C57BL/6 mice adoptively transferred with OT-1 spleen cells and immunized with ovalbumin, we demonstrated that systemic injections of the anti-CEA-H-2K(b) /ova conjugate could induce specific growth inhibition and regression of well-established, palpable subcutaneous grafts from the syngeneic CEA-transfected colon carcinoma line. These results, obtained in a well-characterized syngeneic carcinoma model, demonstrate that the antibody-MHC/peptide strategy can function in vivo. Further preclinical experimental studies, using an anti-viral T-cell response, will be performed before this new form of immunotherapy can be considered for clinical use.

Intelectuais africanos no espaço político português : desenvolvimento da sua intervenção nativista entre finais do século XIX e meados do século XX : o caso de Cabo Verde

Neste trabalho abordamos a intervenção nativista de alguns intelectuais africanos de Cabo Verde com o objectivo de clarificar o seu significado e alcance político. Apesar do seu empenho na defesa dos cabo-verdianos contra a opressão colonial portuguesa, aqueles intelectuais não conseguiriam gerar um movimento anti-colonial capaz de conduzir a colónia à independência, mas deixaram às novas gerações um legado político e cultural que lhes permitiu assegurar a luta pela preservação da sua identidade nacional e, finalmente, alcançar a emancipação de Cabo Verde da dominação colonial.

Iodine-131-labeled MAb F(ab')2 fragments are more efficient and less toxic than intact anti-CEA antibodies in radioimmunotherapy of large human colon carcinoma grafted in nude mice.

During one week, beginning 18 days after transplantation, nude mice bearing human colon carcinoma ranging from 115 to 943 mm3 (mean 335 mm3) were treated by repeated intravenous injections of either iodine-131-(131I) labeled intact antibodies or 131I-labeled corresponding F(ab')2 fragments of a pool of four monoclonal antibodies (MAbs) directed against distinct epitopes of carcinoembryonic antigen (CEA). Complete tumor remission was observed in 8 of 10 mice after therapy with F(ab')2 and 6 of the animals survived 10 mo in good health. In contrast, after treatment with intact MAbs, tumors relapsed in 7 of 8 mice after remission periods of 1 to 3.5 mo despite the fact that body weight loss and depression of peripheral white blood cells, symptoms of radiation toxicity, and the calculated radiation doses for liver, spleen, bone, and blood were increased or equal in these animals as compared to mice treated with F(ab')2.

Intelectuais africanos no espaço político português : desenvolvimento da sua intervenção nativista entre finais do século XIX e meados do século XX : o caso de Cabo Verde

Neste trabalho abordamos a intervenção nativista de alguns intelectuais africanos de Cabo Verde com o objectivo de clarificar o seu significado e alcance político. Apesar do seu empenho na defesa dos cabo-verdianos contra a opressão colonial portuguesa, aqueles intelectuais não conseguiriam gerar um movimento anti-colonial capaz de conduzir a colónia à independência, mas deixaram às novas gerações um legado político e cultural que lhes permitiu assegurar a luta pela preservação da sua identidade nacional e, finalmente, alcançar a emancipação de Cabo Verde da dominação colonial. In this paper we discuss the nativist intervention of some African intellectuals in Cape Verde in order to clarify its meaning and political reach. Despite its commitment to the protection of Cape Verdeans against the Portuguese colonial oppression, those intellectuals would not be able to generate an anti-colonial movement capable of leading the colony to independence, but they left a political and cultural legacy to future generations that allowed them to fight for the preservation of their national identity and finally achieve emancipation from colonial domination in Cape Verde. Dans ce travail, nous discutons l'intervention nativiste de certains intellectuels africains au Cap-vert afin de clarifier son éssence et sa portée politique. En dépit de son engagement à protéger les Cap-verdiens contre l'oppression coloniale portugaise, ces intellectuels ne seraient pas en mesure de bâtir un mouvement anticolonial capable de conduire la colonie à l'indépendance, mais ont laissé un héritage politique et culturel aux nouvelles générations qui leur a permis de lutter pour la préservation de leur identité nationale et de parvenir enfin à l'émancipation de la domination coloniale au Cap-vert.

Intelectuais africanos no espaço político português : desenvolvimento da sua intervenção nativista entre finais do século XIX e meados do século XX : o caso de Cabo Verde

Neste trabalho abordamos a intervenção nativista de alguns intelectuais africanos de Cabo Verde com o objectivo de clarificar o seu significado e alcance político. Apesar do seu empenho na defesa dos cabo-verdianos contra a opressão colonial portuguesa, aqueles intelectuais não conseguiriam gerar um movimento anti-colonial capaz de conduzir a colónia à independência, mas deixaram às novas gerações um legado político e cultural que lhes permitiu assegurar a luta pela preservação da sua identidade nacional e, finalmente, alcançar a emancipação de Cabo Verde da dominação colonial.

Molecular epidemiology and evolution of HIV-1 in Portugal and portuguese speaking african countries

The aims of this thesis were to better characterize HIV-1 diversity in Portugal, Angola, Mozambique and Cape Verde and to investigate the origin and epidemiological history of HIV-1 in these countries. The impact of these issues in diagnosis, disease progression and susceptibility to ARV therapy was also investigated. Finally, the nature, dynamics and prevalence of transmitted drug resistance (TDR) was determined in untreated HIV-1 infected patients. In Angola, practically all HIV-1 genetic forms were found, including almost all subtypes, untypable (U) strains, CRFs and URFs. Recombinants (first and second generation) were present in 47.1% of the patients. HIV/AIDS epidemic in Angola probably started in 1961, the major cause being the independence war, subsequently spreading to Portugal. In Maputo, 81% of the patients were infected with subtype C viruses. Subtype G, U and recombinants such as CRF37_cpx, were also present. The results suggest that HIV-1 epidemic in Mozambique is evolving rapidly in genetic complexity. In Cape Verde, where HIV-1 and HIV-2 co-circulate, subtype G is the prevailed subtype. Subtypes B, C, F1, U, CRF02_AG and other recombinant strains were also found. HIV-2 isolates belonged to group A, some being closely related to the original ROD isolate. In all three countries numerous new polymorphisms were identified in the RT and PR of HIV-1 viruses. Mutations conferring resistance to the NRTIs or NNRTIs were found in isolates from 2 (2%) patients from Angola, 4 (6%) from Mozambique and 3 (12%) from Cape Verde. None of the isolates containing TDR mutations would be fully sensitive to the standard first-line therapeutic regimens used in these countries. Close surveillance in treated and untreated populations will be crucial to prevent further transmission of drug resistant strains and maximize the efficacy of ARV therapy. In Portugal, investigation of a seronegative case infection with rapid progression to AIDS and death revealed that the patient was infected with a CRF14_BG-like R5-tropic strain selectively transmitted by his seropositive sexual partner. The results suggest a massive infection with a highly aggressive CRF14_BG like strain and/or the presence of an unidentified immunological problem that prevented the formation of HIV-1-specific antibodies. Near full-length genomic sequences obtained from three unrelated patients enabled the first molecular and phylogenomic characterization of CRF14_BG from Portugal; all sequences were strongly related with CRF14_BG Spanish isolates. The mean date of origin of CRF14_BG was estimated to be 1992. We propose that CRF14_BG emerged in Portugal in the early 1990s, spread to Spain in late 1990s as a consequence of IDUs migration and then to the rest of Europe. Most CRF14_BG strains were predicted to use CXCR4 and were associated with rapid CD4 depletion and disease progression. Finally, we provide evidence suggesting that the X4 tropism of CRF14_BG may have resulted from convergent evolution of the V3 loop possibly driven by an effective escape from neutralizing antibody response.

Amílcar Cabral: estratégias políticas e culturais para independência da Guiné e Cabo Verde

Nascido na Guiné portuguesa, educado em Cabo Verde e na universidade de portuguesa, profissional no campo da agronomia em Portugal e nos territórios colonizados, Cabral apelido que hoje dispensa muitas apresentações na historiografia africana, foi actor de um percurso único sedimentado nos tempos duros da dominação colonial portuguesa, quando fora de Portugal e do seu império, movimentos intelectuais, ideias políticas e acções culturais procuravam libertar o homem colonizado africano das malhas do colonialismo e da opressão. É com base nesta breve descrição que ressaltamos a necessidade de analisar as estratégias políticas e culturais de Cabral para a conquista da independência da Guiné e Cabo Verde, procurando o que foi produto da colonização portuguesa, mas sobretudo apurar como integrou contribuições teóricas internacionais e africanas, que em meados do século XX marcaram as escolhas e práticas dos intelectuais e políticos africanos integrados no processo de luta de libertação e independência. Procuramos estudar neste trabalho, a forma como este notável político africano estruturou as suas aprendizagens, e reflexões articulando a realidades guineenses e caboverdeanas do século XX, e as correntes marcantes do pensamento libertador africano. Tentaremos também perceber as diversas dinâmicas que possam ter contribuído de alguma maneira especial para construção da sua identidade que resultou na sua entrega à luta de libertação nacional. Cabral, as suas estratégias políticas e culturais, o seu impacto nos territórios africanos constituiu o eixo central desta investigação a que titulamos «Amílcar Cabral: Estratégias políticas e culturais para a independência da Guiné e Cabo Verde».

Anti-60kDa heat shock protein antibodies in fetal serum : a biomarker for unexplained small for gestational age fetuses

Rapport de synthèseObjectifsLe retard de croissance intrautérin (RCIU) est un problème affectant 10% des grossesses et est associé à une morbidité périnatale importante. Dans environ 80% des cas, une étiologie ou un facteur de risque majeur peuvent être identifiés. Mais près de 20% des cas sont considérés comme inexpliqués. La heat shock protéine 60kDa (HSP60) est une protéine fortement immunogène dont la synthèse est considérablement augmentée lors de conditions non- physiologiques. Les HSP60 humaines et bactériennes partagent un haut degré d'homologie de séquence ce qui peut engendrer une maladie auto-immune à la suite d'une infection bactérienne. Nous avons supposé que les RCIU inexpliqués pourraient être la conséquence d'une sensibilisation à l'HSP60 humaine.MéthodesLes RCIU inexpliqués ont été identifiés par mesure échographique avec un doppler normal, sans anomalies décelables chez la mère ou le foetus. Les sera foetaux ont été obtenus par cordocentèse, effectuée lors d'analyse du caryotype en cas de RCIU inexpliqué (groupe d'étude) ou pour le dépistage d'une incompatibilité Rhésus (groupe témoin). Ils ont été testés pour l'antigène HSP60 et les IgG et IgM anti-HSP60 par ELISA ainsi que pour d'autres paramètres immunitaires et hématologiques.RésultatsLes paramètres maternels sont similaires entre les 12 cas du groupe d'étude et les 23 cas du groupe contrôle. L'âge gestationnel moyen lors de la cordocentèse est de 29 semaines. Les IgM anti-HSP60 sont détectés dans 12 cas d'étude (100%) mais dans aucun cas contrôle (p <0,00017), les IgG anti-HSP60 dans 7 cas d'étude (58%) et un seul dans le groupe contrôle (p <0,001). Trois des quatre cas avec les taux d'IgM les plus élevés sont décédés. Il n'y a pas de différences entre les deux groupes quant aux taux d'antigène HSP60 ou d'autres marqueurs immunologiques ou hématologiques.ConclusionLes foetus avec un RCIU inexpliqué expriment un taux élevé d'anticorps IgM et IgG contre l'HSP60 humaine et le taux d'IgM est un facteur prédictif de la mortalité foetale. La détection de ces anticorps indique qu'une perturbation placentaire et une réaction auto-immune foetale liée à l'HSP60 sont associées à ce retard de développement chez le foetus.

Systematic Assessment of Factors Influencing Preferences of Crohn's Disease Patients in Selecting an Anti-TNF agent (CHOOSE TNF TRIAL)

Background a nd A ims: I nfliximab (IFX), adalimumab (ADA)and certolizumab pegol (CZP) have similar efficacy for inductionand maintenance of clinical response and remission in Crohn'sdisease (CD). Given the comparable nature of t hese drugs,patients' p references m ay i nfluence the choice o f the product.Goal: to identify factors contributing to CD patients' decision inselecting one anti-TNF agent over the others.Methods: A p rospectdive s urvey was performed a mong a nti-TNF-naïve CD patients. Prior to completion of a questionnaire,patients were provided with a description of the three anti-TNFagents f ocusing on indications, route of administration, s ideeffects, and scientific evidence of efficacy and safety.Results: One hundred patients (47f/53m, mean age 45±16yrs)completed the questionnaire. Disease location was ileal, colonicand ileocolonic in 33%, 40% and 27% of patients, respectively.Thirty-six percent preferred ADA as medication of choice, while28% and 2 5% p referred CZP and IFX; 11% were u ndecided.Patients' decision in selecting an anti-TNF drug was influencedby t he following f actors: side effects ( 76%), p hysician'srecommendation (66%), route of administration (54%), efficacydata (52%), time required for therapy administration (27%),recommendations by other CD patients (21%) and interactionswith other medications (12%).Conclusions: T he majority of p atients p referred anti-TNFmedications t hat were a dministered by s ubcutaneous i njectionrather t han b y intravenous i nfusion. Side effect profile andphysicians' r ecommendation are t wo m ajor factors influencingthe patients' s election of a specific anti-TNF d rug. Patients'concerns about safety and lifestyle habits should be taken intoaccount when prescribing anti-TNF drugs.