High specificity PCR screening for 22q11.2 microdeletion in three different ethnic groups

Congenital heart defects are the most common of all human birth defects. Numerous studies have shown that a deletion within chromosome 22q11 is associated with DiGeorge syndrome and certain forms of sporadic congenital cardiovascular disease. We have determined the value of a PCR assay using markers D22S941, D22S944 and D22S264 designed for the screening of 22q11.2 deletion through consecutive homozygosity in an ethnically admixed urban population. The study population comprised 149 unrelated men and women from three different ethnic groups (white, mulatto and black). Test specificity for the overall population was estimated at 98.3%. We found no significant difference when comparing heterozygosity indices and ethnicity (P value = 0.43 (D22S944), 0.22 (D22S264), and 0.58 (D22S941)). There was no significant difference regarding assay specificity between the three different ethnic groups studied. This assay could constitute a cost-effective way to screen a large number of patients at increased risk, since PCR techniques are easily available, are fast, can be automatized, and are significantly less expensive than fluorescence in situ hybridization.

Gene expression profiling of clinical stages II and III breast cancer

Clinical stage (CS) is an established indicator of breast cancer outcome. In the present study, a cDNA microarray platform containing 692 genes was used to identify molecular differences between CSII and CSIII disease. Tumor samples were collected from patients with CSII or CSIII breast cancer, and normal breast tissue was collected from women without invasive cancer. Seventy-eight genes were deregulated in CSIII tumors and 22 in CSII tumors when compared to normal tissue, and 20 of them were differentially expressed in both CSII and CSIII tumors. In addition, 58 genes were specifically altered in CSIII and expression of 6 of them was tested by real time RT-PCR in another cohort of patients with CSII or CSIII breast cancer and in women without cancer. Among these genes, MAX, KRT15 and S100A14, but not APOBEC3G or KRT19, were differentially expressed on both CSIII and CSII tumors as compared to normal tissue. Increased HMOX1 levels were detected only in CSIII tumors and may represent a molecular marker of this stage. A clear difference in gene expression pattern occurs at the normal-to-cancer transition; however, most of the differentially expressed genes are deregulated in tumors of both CS (II and III) compared to normal breast tissue.

Characterization of rat heart alkaline phosphatase isoenzymes and modulation of activity

Alkaline phosphatase (ALP) is important in calcification and its expression seems to be associated with the inflammatory process. We investigated the in vitro acute effects of compounds used for the prevention or treatment of cardiovascular diseases on total ALP activity from male Wistar rat heart homogenate. ALP activity was determined by quantifying, at 410 nm, the p-nitrophenol released from p-nitrophenylphosphate (substrate in Tris buffer, pH 10.4). Using specific inhibitors of ALP activity and the reverse transcription-polymerase chain reaction, we showed that the rat heart had high ALP activity (31.73 ± 3.43 nmol p-nitrophenol·mg protein-1·min-1): mainly tissue-nonspecific ALP but also tissue-specific intestinal ALP type II. Both ALP isoenzymes presented myocardial localization (striated pattern) by immunofluorescence. ALP was inhibited a) strongly by 0.5 mM levamisole, 2 mM theophylline and 2 mM aspirin (91, 77 and 84%, respectively) and b) less strongly by 2 mM L-phenylalanine, 100 mL polyphenol-rich beverages and 0.5 mM progesterone (24, 21 to 29 and 11%, respectively). β-estradiol and caffeine (0.5 and 2 mM) had no effect; 0.5 mM simvastatin and 2 mM atenolol activated ALP (32 and 36%, respectively). Propranolol (2 mM) tended to activate ALP activity and corticosterone activated (18%) and inhibited (13%) (0.5 and 2 mM, respectively). We report, for the first time, that the rat heart expresses intestinal ALP type II and has high total ALP activity. ALP activity was inhibited by compounds used in the prevention of cardiovascular pathology. ALP manipulation in vivo may constitute an additional target for intervention in cardiovascular diseases.

Effect of melatonin administration on subjective sleep quality in chronic obstructive pulmonary disease

Disturbed sleep is common in chronic obstructive pulmonary disease (COPD). Conventional hypnotics worsen nocturnal hypoxemia and, in severe cases, can lead to respiratory failure. Exogenous melatonin has somnogenic properties in normal subjects and can improve sleep in several clinical conditions. This randomized, double-blind, placebo-controlled study was carried out to determine the effects of melatonin on sleep in COPD. Thirty consecutive patients with moderate to very severe COPD were initially recruited for the study. None of the participants had a history of disease exacerbation 4 weeks prior to the study, obstructive sleep apnea, mental disorders, current use of oral steroids, methylxanthines or hypnotic-sedative medication, nocturnal oxygen therapy, and shift work. Patients received 3 mg melatonin (N = 12) or placebo (N = 13), orally in a single dose, 1 h before bedtime for 21 consecutive days. Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI) and daytime sleepiness was measured by the Epworth Sleepiness Scale. Pulmonary function and functional exercise level were assessed by spirometry and the 6-min walk test, respectively. Twenty-five patients completed the study protocol and were included in the final analysis. Melatonin treatment significantly improved global PSQI scores (P = 0.012), particularly sleep latency (P = 0.008) and sleep duration (P = 0.046). No differences in daytime sleepiness, lung function and functional exercise level were observed. We conclude that melatonin can improve sleep in COPD. Further long-term studies involving larger number of patients are needed before melatonin can be safely recommended for the management of sleep disturbances in these patients.

Acute kidney injury in AIDS: frequency, RIFLE classification and outcome

The objective of the present study was to evaluate the characteristics of acute kidney injury (AKI) in AIDS patients and the value of RIFLE classification for predicting outcome. The study was conducted on AIDS patients admitted to an infectious diseases hospital inBrazil. The patients with AKI were classified according to the RIFLE classification: R (risk), I (injury), F (failure), L (loss), and E (end-stage renal disease). Univariate and multivariate analyses were used to evaluate the factors associated with AKI. A total of 532 patients with a mean age of 35 ± 8.5 years were included in this study. AKI was observed in 37% of the cases. Patients were classified as "R" (18%), "I" (7.7%) and "F" (11%). Independent risk factors for AKI were thrombocytopenia (OR = 2.9, 95%CI = 1.5-5.6, P < 0.001) and elevation of aspartate aminotransferase (AST) (OR = 3.5, 95%CI = 1.8-6.6, P < 0.001). General mortality was 25.7% and was higher among patients with AKI (40.2 vs17%, P < 0.001). AKI was associated with death and mortality increased according to RIFLE classification - "R" (OR 2.4), "I" (OR 3.0) and "F" (OR 5.1), P < 0.001. AKI is a frequent complication in AIDS patients, which is associated with increased mortality. RIFLE classification is an important indicator of poor outcome for AIDS patients.

What ethologically based models have taught us about the neural systems underlying fear and anxiety

Classical Pavlovian fear conditioning to painful stimuli has provided the generally accepted view of a core system centered in the central amygdala to organize fear responses. Ethologically based models using other sources of threat likely to be expected in a natural environment, such as predators or aggressive dominant conspecifics, have challenged this concept of a unitary core circuit for fear processing. We discuss here what the ethologically based models have told us about the neural systems organizing fear responses. We explored the concept that parallel paths process different classes of threats, and that these different paths influence distinct regions in the periaqueductal gray - a critical element for the organization of all kinds of fear responses. Despite this parallel processing of different kinds of threats, we have discussed an interesting emerging view that common cortical-hippocampal-amygdalar paths seem to be engaged in fear conditioning to painful stimuli, to predators and, perhaps, to aggressive dominant conspecifics as well. Overall, the aim of this review is to bring into focus a more global and comprehensive view of the systems organizing fear responses.

Time course of the hemodynamic responses to aortic depressor nerve stimulation in conscious spontaneously hypertensive rats

The time to reach the maximum response of arterial pressure, heart rate and vascular resistance (hindquarter and mesenteric) was measured in conscious male spontaneously hypertensive (SHR) and normotensive control rats (NCR; Wistar; 18-22 weeks) subjected to electrical stimulation of the aortic depressor nerve (ADN) under thiopental anesthesia. The parameters of stimulation were 1 mA intensity and 2 ms pulse length applied for 5 s, using frequencies of 10, 30, and 90 Hz. The time to reach the hemodynamic responses at different frequencies of ADN stimulation was similar for SHR (N = 15) and NCR (N = 14); hypotension = NCR (4194 ± 336 to 3695 ± 463 ms) vs SHR (3475 ± 354 to 4494 ± 300 ms); bradycardia = NCR (1618 ± 152 to 1358 ± 185 ms) vs SHR (1911 ± 323 to 1852 ± 431 ms), and the fall in hindquarter vascular resistance = NCR (6054 ± 486 to 6550 ± 847 ms) vs SHR (4849 ± 918 to 4926 ± 646 ms); mesenteric = NCR (5574 ± 790 to 5752 ± 539 ms) vs SHR (5638 ± 648 to 6777 ± 624 ms). In addition, ADN stimulation produced baroreflex responses characterized by a faster cardiac effect followed by a vascular effect, which together contributed to the decrease in arterial pressure. Therefore, the results indicate that there is no alteration in the conduction of the electrical impulse after the site of baroreceptor mechanical transduction in the baroreflex pathway (central and/or efferent) in conscious SHR compared to NCR.

Composição em carboidratos de alguns cultivares de banana (Musa spp.) durante o amadurecimento

Durante o amadurecimento da banana ocorre redução dos teores de amido e acúmulo de açúcares como frutose, glicose, com predominância de sacarose, com reflexos importantes na qualidade do fruto. Essas alterações têm sido estudadas em nosso laboratório no cultivar Nanicão. O objetivo deste trabalho foi avaliar em outros cultivares as diferenças na degradação do amido e acúmulo de açúcares solúveis nos estágios pré-climatérico e climatérico do amadurecimento, visando também sua possível utilização comercial. Para tanto, os frutos foram analisados quanto ao teor de açúcares solúveis (glicose, frutose e sacarose) e de amido pelo método enzimático, após extração com etanol 80% e hidróxido de sódio, respectivamente. Os cultivares estudados apresentaram diferenças acentuadas nos teores de açúcares solúveis nos frutos maduros, variando desde 9,7% no cultivar Mysore até 20,6% na banana Nanica. Observou-se uma queda no teor de amido paralelamente ao acúmulo de açúcares solúveis. No cultivar Ouro Colatina o teor de amido variou de 22,0% no fruto verde a 1,2% no fruto maduro, havendo acúmulo de sacarose no decorrer do amadurecimento atingindo níveis de 12,0%. Nos cultivares Nanica e Nanicão os teores de amido foram de 21,7% a 0,9% e 23,1% a 0,9% com acúmulo de sacarose a 15,2% e 14,0% no fruto maduro, respectivamente.

Avaliação da solubilidade de cobre e zinco em caldos de leguminosas

Os metais cobre e zinco podem se apresentar sob diversas formas químicas na natureza: como sais, estando sob a forma de íons I e II ou como compostos orgânicos, complexados com aminoácidos e proteínas. A forma mais biodisponível ao organismo é a forma de compostos organo quelados. Avaliando os teores dos metais em caldo de leguminosas processadas termicamente em meios salino e aquoso é possível avaliar a solubilidade destes metais. Duas marcas e dois lotes de amostras de feijão preto, feijão branco, feijão carioquinha, feijão mulatinho, feijão manteiga, ervilha e lentilha foram processadas termicamente em meios salino e aquoso e determinou-se os teores totais de cobre e zinco em seus caldos. Os caldos foram dissolvidos em HCl 2molL-1 e o teor total de cobre e zinco nas amostras foi determinado através da espectroscopia de absorção atômica em chama. Na análise da rejeição de resultados foi aplicado o teste Dixon e o teste t de student. Os resultados mostraram que a solubilidade média dos metais cobre e zinco nos meios aquoso e salino foram respectivamente 8 e 6%. Acredita-se que os compostos de cobre e zinco nas leguminosas analisadas não são compostos inorgânicos facilmente solúveis em água. Estudos de especiação podem auxiliar na análise da biodisponibilidade destes metais.

Avaliação do teor de cobre e zinco em carnes cruas, processadas termicamente, resfriadas e congeladas no período de um mês

Para que elementos químicos, como o cobre e o zinco, sejam utilizados pelos sistemas biológicos, é necessário que estejam disponíveis para absorção, sendo assim, apenas a sua abundância na natureza não é fator que garanta a sua absorção. As carnes bovinas e de aves são de grande importância na alimentação, justamente por serem alimentos fonte de proteínas de alto valor biológico e lipídios. Processos de conservação através de refrigeração e congelamento, bem como processamento térmico, podem alterar fisicamente as carnes. Este trabalho tem como objetivo avaliar o comportamento de cobre e zinco em carnes resfriadas e conservadas em temperatura de congelamento por um período de 1 mês, processadas termicamente e in natura. Os teores de cobre e zinco foram determinados através da espectroscopia de absorção atômica. Os dados foram tratados estatisticamente através do teste de Grubs e t de Student. Mesmo com perdas no processamento térmico, e com a conservação em temperatura de congelamento durante o período de 4 semanas, o teor de cobre na maioria das amostras estudadas foi superior a 0,025mg%, e o do zinco superior a 0,3mg% para as amostras de carnes de aves e 0,6mg% para as amostras de carnes bovinas.