Preoperative serum levels of ca 72-4, cea, ca 19-9, and Alpha-fetoprotein in patients with gastric cancer

INTRODUCTION: The clinical importance of preoperative serum levels of CA 72-4, carcinoembryonic antigen (CEA), CA 19-9, and alpha-fetoprotein (AFP) was prospectively evaluated in 44 patients with gastric cancer. METHOD: The serum tumor marker levels were determined by commercial radioimmunoassay kits. Positivity for CA 72-4 (>4 U/mL), CEA (>5 ng/mL), CA 19-9 (>37 U/mL), and AFP (>10 ng/mL) were correlated according to the stage, histology, and lymph node metastasis. RESULTS AND DISCUSSION: CA 72-4 showed a higher positivity rate for gastric cancer (47.7%) than CEA (25%), CA 19-9 (25%), and AFP (0%). The combination of CA 72-4 with CEA and CA 19-9 increased the sensitivity to 61.4%. The positivity rates of CA 72-4 in patients at stages I and II (initial disease) and in patients at stages III and IV (advanced disease) were 9% and 60.6%, respectively (P < 0.005). No correlation was found between CEA and CA 19-9 levels and the stage of gastric cancer. There was a tendency of positivity for CA 72-4 to suggest lymph node involvement, but it was not significant (P = 0.075). Serum levels of tumor markers did not show a correlation with the histological types of gastric cancer. CONCLUSION: Preoperative serum levels of CA 72-4 provided a predictive value in indicating advanced gastric cancer.

Gastric myoelectrical activity in neonates of different gestational ages by means of electrogastrography

PURPOSE: to describe the patterns of the gastric myoelectrical activity, pre-and postprandially, in clinically stable neonates of different gestational ages, during their first two weeks of life by means of Electrogastrography. PATIENTS AND METHODS: Electrogastrography was recorded in forty-five clinically stable neonates of different gestational ages (group I: 15 neonates of > 37 weeks, group II: 15 premature neonates of 32-37 weeks; Group III: 15 premature neonates of 28-31 weeks) receiving intermittent enteral feedings during their first two weeks of life. Electrogastrography recordings were performed for 1 hour pre-and postprandially. The Electrogastrography signal was recorded using the portable MicroDigitrapper Electrogastrography recording device and after motion artifacts were deleted, the remaining Electrogastrography data were submitted to quantitative analysis based on the "Running Spectrum Analysis". RESULTS: The percentages of normogastria, pre-and postprandially were greater than the percentages of gastric dysrythmias in all three studied groups. Furthermore, all neonates had the mean values of the Electrogastrography dominant frequency predominantly within the normogastria range, in both periods analyzed. There were no significant differences in the relative change of the Electrogastrography dominant power among the groups. CONCLUSION: This study demonstrates that the Electrogastrography patterns are similar between premature and full term neonates during the pre-and postprandial periods. The results of this study also indicate that the gastric myoelectrical activity in premature and full term neonates is immature, as compared to that described for older neonates, children and adults.

P53 and Rb tumor suppressor gene alterations in gastric cancer

Inactivation of tumor suppressor genes has been frequently observed in gastric carcinogenesis. Our purpose was to study the involvement of p53, APC, DCC, and Rb genes in gastric carcinoma. METHOD: Loss of heterozygosity of the p53, APC, DCC and Rb genes was studied in 22 gastric cancer tissues using polymerase chain reaction; single-strand conformation polymorphism of the p53 gene exons 5-6 and exons 7-8 was studied using 35S-dATP, and p53 expression was detected using a histological immunoperoxidase method with an anti-p53 clone. RESULTS AND DISCUSSION: No loss of heterozygosity was observed in any of these tumor suppressor genes; homozygous deletion was detected in the Rb gene in 23% (3/13) of the cases of intestinal-type gastric carcinoma. Eighteen (81.8%) cases showed band mobility shifts in exons 5-6 and/or 7-8 of the p53 gene. The presence of the p53 protein was positive in gastric cancer cells in 14 cases (63.6%). Normal gastric mucosa showed negative staining for p53; thus, the immunoreactivity was likely to represent mutant forms. The correlation of band mobility shift and the immunoreactivity to anti-p53 was not significant (P = .90). There was no correlation of gene alterations with the disease severity. CONCLUSIONS: The inactivation of Rb and p53 genes is involved in gastric carcinogenesis in our environment. Loss of the Rb gene observed only in the intestinal-type gastric cancer should be further evaluated in association with Helicobacter pylori infection. The p53 gene was affected in both intestinal and diffuse histological types of gastric cancer.

Microsatellite instability in solitary and sporadic gastric cancer

Recently, the presence of microsatellite instability (MSI) has been reported in gastric cancer and associated with older age of presentation, distal tumor location, early disease staging, and better overall prognosis. Different characteristics in presentation and in tumor behavior may be explained by different genetic alterations during carcinogenesis of gastric cancer. Identification of specific genetic pathways in gastric cancer may have direct impact on prognosis and selection of treatment strategies. PATIENTS AND METHODS: All 24 patients were treated by radical surgery. Fragments of normal and tumor tissues were extracted from the specimen and stored at -80ºC before DNA purification and extraction. PCR amplification utilizing microsatellite markers was performed. Tumors presenting PCR products of abnormal sizes were considered positive for microsatellite instability (MSI+). RESULTS: Five patients (21%) had tumors that were MSI+ in at least 1 marker. In the group of patients with Lauren's intestinal-type gastric carcinoma, 3 had tumors that were MSI+ (23%), while in the group of diffuse-type gastric cancer, 2 patients had tumors that were MSI+ (19%). The mean age of presentation and the male:female ratio was similar in both groups. Tumors that were MSI+ were more frequently located in proximal portion of the stomach compared to microsatellite-stable (MSS) tumors (40% vs. 16%). Although there was a trend of patients with MSI+ tumors towards a proximal gastric tumor location, early staging, and negative lymph node metastasis, there was no statistical significance compared to those with MSS tumors (P >.1). Comparison of overall and disease-free survival between gastric tumors that were MSI+ and those that were MSS found no statistically significant differences (P >.1). CONCLUSIONS: Microsatellite instability is a frequent event in gastric carcinogenesis and shows a trend towards distinct clinical and pathological characteristics of gastric cancer.

Fenologia e produtividade do Abacate (Persea americana Mill.) na Amazônia Central1

O abacateiro (Persea americana Mill., Lauraceae) é nativo da Mesoamérica e chegou à Amazônia antes dos europeus. Acredita-se que a raça aqui introduzida foi a antilhana, similar a da maioria dos abacateiros pé-franco da Amazônia de hoje. Estudos de sua fenologia podem ajudar o planejamento de seu manejo e comercialização. A floração iniciou-se na segunda metade da estação chuvosa (março/abril) e durou até meados da estação de estiagem (agosto/setembro). As árvores produziram 25±15 mil flores em 1980 e 38±28 mil flores em 1981. A frutificação iniciou-se no final da estação chuvosa (maio/junho) e a safra ocorreu em plena estação de estiagem (agosto/outubro). As árvores produziram 634±299 frutos em 1980 e 1.054±456 frutos em 1981. O vingamento foi de 2,6±1,8%, menor que os valores na literatura. Os frutos pesaram 177,7±41,2 g na safra de 1980, com 51,1±4,5% de polpa. A produtividade, estimado em 112 kg/árvore em 1980 e 187 kg/árvore em 1981, foi abaixo da média de uma árvore bem manejada no sul do Brasil. As flores foram visitadas por oito espécies de abelhas, destacando-se Trigona branneri Ckll, Frieseomelitta sp. e Partamona pseudomusarum Camargo.

Exploring the role of O-Mannosylation in the modulation of E-Cadherin function in Gastric Cancer cell line models

Dissertação de mestrado em Bioquímica Aplicada – Biomedicina

Combined bioremediation and enzyme production by Aspergillus sp. in olive mill and winery wastewaters

Olive mill wastewaters (OMW) and vinasses (VS) are effluents produced respectively by olive mills and wineries, both sectors are of great economic importance in Mediterranean countries. These effluents cause a large environmental impact, when not properly processed, due to their high concentration of phenolic compounds, COD and colour. OMW may be treated by biological processes but, in this case, a dilution is necessary, increasing water consumption. The approach here in proposed consists on the bioremediation of OMW and VS by filamentous fungi. In a screening stage, three fungi (Aspergillus ibericus, Aspergillus uvarum, Aspergillus niger) were selected to bioremediate undiluted OMW, two-fold diluted OMW supplemented with nutrients, and a mixture of OMW and VS in the proportion 1:1 (v/v). Higher reductions of phenolic compounds, colour and COD were achieved mixing both residues; with A. uvarum providing the best results. In addition, the production of enzymes was also evaluated during this bioremediation process, detecting in all cases lipolytic, proteolytic and tannase activities. A. ibericus, A. uvarum and A. niger achieved the highest value of lipase (1253.7 ± 161.2 U/L), protease (3700 ± 124.3 U/L) and tannase (284.4 ± 12.1 U/L) activities, respectively. Consequently, this process is an interesting alternative to traditional processes to manage these residues, providing simultaneously high economic products, which can be employed in the same industries.

Influence of chitosan coating on protein-based nanohydrogels properties and in vitro gastric digestibility

Chitosan coating was applied in Lactoferrin (Lf)-Glycomacropeptide (GMP) nanohydrogels by layer-by-layer coating process. A volume ratio of 0.1 of Lf-GMP nanohydrogels (0.2 mg.mL-1, at pH 5.0) to chitosan (1 mg.mL-1, at pH 3) demonstrated to be the optimal condition to obtain stable nanohydrogels with size of 230 ± 12 nm, a PdI of 0.22 ± 0.02 and a -potential of 30.0 ± 0.15 mV. Transmission electron microscopy (TEM) images showed that the application of chitosan coating in Lf-GMP did not affect the spherical shape of nanohydrogels and confirmed the low aggregation of nanohydrogels in solution. The analysis of chemical interactions between chitosan and Lf-GMP nanohydrogels were performed by Fourier transform infrared spectroscopy (FTIR) and by circular dichroism (CD) that revealed that a specific chemical interaction occurring between functional groups of protein-based nanohydrogels and active groups of the chitosan was established. The effect of chitosan coating on release mechanisms of Lf-GMP nanohydrogels at acid conditions (pH 2, 37 ºC) was evaluated by the encapsulation of a model compound (caffeine) in these systems. Linear Superposition Model was used to fit the experimental data and revealed that Fick and relaxation mechanisms are involved in caffeine release. It was also observed that the Fick contribution increase with the application of chitosan coating. In vitro gastric digestion was performed with Lf-GMP nanohydrogels and Lf-GMP nanohydrogels with chitosan coating and it was observed that the presence of chitosan improve the stability of Lf and GMP (proteins were hydrolysed at a slower rate and were present in solution by longer time). Native electrophoreses revealed that the nanohydrogels without coating remained intact in solution until 15 min and with chitosan coating remained intact until 60 min, during gastric digestion.

Assessment of splanchnic perfusion with gastric tonometry in the immediate postoperative period of cardiac surgery in children

OBJECTIVE - A prospective, nonrandomized clinical study to assess splanchnic perfusion based on intramucosal pH in the postoperative period of cardiac surgery and to check the evolution of patients during hospitalization. METHODS - We studied 10 children, during the immediate postoperative period after elective cardiac surgery. Sequential intramucosal pH measurements were taken, without dobutamine (T0) and with 5mcg/kg/min (T1) and 10 (T2) mcg/kg/min. In the pediatric intensive care unit, intramucosal pH measurements were made on admission and 4, 8, 12, and 24 hours thereafter. RESULTS - The patients had an increase in intramucosal pH values with dobutamine 10mcg/kg/min [7.19± 0.09 (T0), 7.16±0.13(T1), and 7.32±0.16(T2)], (p=0.103). During the hospitalization period, the intramucosal pH values were the following: 7.20±0.13 (upon admission), 7.27±0.16 (after 4 hours), 7.26±0.07 (after 8 hours), 7.32±0.12 (after 12 hours), and 7.38±0.08 (after 24 hours), (p=0.045). No deaths occurred, and none of the patients developed multiple organ and systems dysfunction. CONCLUSION - An increase in and normalization of intramucosal pH was observed after dobutamine use. Measurement of intramucosal pH is a type of monitoring that is easy to perform and free of complications in children during the postoperative period of cardiac surgery.

C allele of the IL-1B-511 SNP is associated with higher risk for Gastric Cancer and its premalignant lesion : a prospective case-control study in Peru

Magdeburg, Univ., Medizin. Fakultät, Diss., 2008

Neural Mechanisms and Delayed Gastric Emptying of Liquid Induced Through Acute Myocardial Infarction in Rats

Background: In pathological situations, such as acute myocardial infarction, disorders of motility of the proximal gut can trigger symptoms like nausea and vomiting. Acute myocardial infarction delays gastric emptying (GE) of liquid in rats. Objective: Investigate the involvement of the vagus nerve, α 1-adrenoceptors, central nervous system GABAB receptors and also participation of paraventricular nucleus (PVN) of the hypothalamus in GE and gastric compliance (GC) in infarcted rats. Methods: Wistar rats, N = 8-15 in each group, were divided as INF group and sham (SH) group and subdivided. The infarction was performed through ligation of the left anterior descending coronary artery. GC was estimated with pressure-volume curves. Vagotomy was performed by sectioning the dorsal and ventral branches. To verify the action of GABAB receptors, baclofen was injected via icv (intracerebroventricular). Intravenous prazosin was used to produce chemical sympathectomy. The lesion in the PVN of the hypothalamus was performed using a 1mA/10s electrical current and GE was determined by measuring the percentage of gastric retention (% GR) of a saline meal. Results: No significant differences were observed regarding GC between groups; vagotomy significantly reduced % GR in INF group; icv treatment with baclofen significantly reduced %GR. GABAB receptors were not conclusively involved in delaying GE; intravenous treatment with prazosin significantly reduced GR% in INF group. PVN lesion abolished the effect of myocardial infarction on GE. Conclusion: Gastric emptying of liquids induced through acute myocardial infarction in rats showed the involvement of the vagus nerve, alpha1- adrenergic receptors and PVN.

Efeitos do ácido 2-cloroetilfosfônico na maturação de frutos do tomateiro (Lycopersicon esculentum Mill. cv. 'São Sebastião')

Estudou-se a influência do ácido 2-cloroetilfosfônico (ethephon), aplicado em pré-maturação, na frutificação do tomateiro de crescimento indeterminado, cultivar 'São Sebastião'; em condições de casa de vegetação. Pela análise da produtividade verificou-se que o regulador de crescimento acelerou significativamente a maturação dos frutos, incrementando o peso e o número total de frutos por planta obtidos nas primeiras colheitas, sendo isto compensado por diminuições significativas em colheitas posteriores. Não observou-se porém, diferenças significativas no peso e número de frutos por planta, considerando a totalidade das colheitas, entre o controle e as plantas tratadas com 1000, 2000 e 4000 ppm de ethephon.

Nutrição mineral de hortaliças: XXVII - absorção de nutrientes pelo tomateiro (Lycopersicon esculentum, Mill.), em cultivo rasteiro

Em condições de cultura rasteira, para industrialização, foi cultivado tomateiro (Lycopersicon esculentum Mill.) processando-se amostragens periódicas, em cuja matéria seca se processaram análises químicas para macro e micronutrientes, com exceção de molibdênio. Observou-se que o desenvolvimento do tomateiro se intensifica a partir do florescimento e frutificação, que ocorre após 60 dias de idade, sendo o maior número de frutos formados entre 80 e 90 dias. Foi encontrado, no final do ciclo, uma relação estreita entre número de folhas e número de frutos, de 3 para 1. São apresentados teores dos nutrientes estudados, em vários órgãos da planta, em idades diferentes. Uma cultura (57.000 plantas/ha), extrai as seguintes quantidades: N-67 kg; P-4,76 kg; K-101 kg; Ca-24 kg; Mg-18,5 kg; S-5,3 kg; B-86 g; Cu-37 g; Fe-1353 g; Mn-393 g; Zn-119 g.

Ação de reguladores de crescimento no peso médio dos frutos de tomateiro (Lycopersicon esculentum Mill.)

Estudaram-se os efeitos da aplicação de sulfato de amônio e reguladores de crescimento no peso médio dos frutos de tomateiro (Lycopersicon esculentum Mill.) cultivares "Angela" e "Roma". Em dois ensaios efetuou-se a aplicação de (NH4)2 SO4 (2g/l solo), SADH 3000 ppm, SADH + (NH4)2 SO4, CCC 2000 ppm, CCC+ (NH4)2 SO4, GA 100 ppm, GA + (NH4)2 SO4, além do tratamento controle. Em outros dois ensaios, além do controle, realizou-se a aplicação de 1-(2,4-diclorofenoxiacetil) -3,5- dimetil pirasol 3,75, 15,00 e 7,50 ppm, e de CEPA nas concentrações de 500, 1000 e 1500 ppm. Verificou-se que o SADH promoveu redução no peso médio dos frutos dos tomateiros "Angela", em relação ao tratamento com (NH4)2 SO4. A incorporação de sulfato de amônio no solo restringiu os efeitos detrimentals da aplicação foliar de SADH. Pulverização com CCC, GA, Tomakon e CEPA não afetou o peso médio dos frutos das cultivares "Angela" e "Roma".

Ocorrência da podridão estilar em tomateiros (Lycopersicon esculentum Mill.) sob o efeito de reguladores de crescimento

Estudaram-se em condições de casa de vegetação os efeitos da aplicação de reguladores de crescimento na ocorrência da podridão estilar nos frutos de tomateiro cultivar "Miguel Pereira". Observou-se que ácido giberélico na concentração de 100 ppm promoveu alta incidência da anomalia fisiológica em plantas tratadas com altas dosagens de sulfato de amônio. Sob as mesmas condições, tomateiros pulverizados com ácido succínico -2.2-dimetilhidrazida 4.000 ppm, cloreto de (2-cloroetil) trimetilamônio 2.000 ppm e ácido - 3 - indolacético 100 ppm, apresentaram baixa incidência de podridão estilar. Efetuaram-se determinações dos teores de N, R, K, Ca e Mg nas folhas, hastes e frutos dos tomateiros normais e daqueles mostrando a anomalia fisiológica. Realizaram-se análises químicas dos substratos de plantio e foi proposto um mecanismo da incidência da podridão estilar em tomateiros.