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Russomando G, Sanabria D, Díaz Acosta CC, Rojas L, Franco L, Arenas R, Delogu G, Ndiaye MDB, Bayaa R, Rakotosamimanana N, Goletti D, Hoffmann J. C1q and HBHA-specific IL-13 levels as surrogate plasma biomarkers for monitoring tuberculosis treatment efficacy: a cross-sectional cohort study in Paraguay. Front Immunol 2024; 15:1308015. [PMID: 38545118 PMCID: PMC10967656 DOI: 10.3389/fimmu.2024.1308015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 02/28/2024] [Indexed: 04/04/2024] Open
Abstract
Introduction New diagnostic tools are needed to rapidly assess the efficacy of pulmonary tuberculosis (PTB) treatment. The aim of this study was to evaluate several immune biomarkers in an observational and cross-sectional cohort study conducted in Paraguay. Methods Thirty-two patients with clinically and microbiologically confirmed PTB were evaluated before starting treatment (T0), after 2 months of treatment (T1) and at the end of treatment (T2). At each timepoint plasma levels of IFN-y, 17 pro- and anti-inflammatory cytokines/chemokines and complement factors C1q, C3 and C4 were assessed in unstimulated and Mtb-specific stimulated whole blood samples using QuantiFERON-TB gold plus and recombinant Mycobacterium smegmatis heparin binding hemagglutinin (rmsHBHA) as stimulation antigen. Complete blood counts and liver enzyme assays were also evaluated and correlated with biomarker levels in plasma. Results In unstimulated plasma, C1q (P<0.001), C4 (P<0.001), hemoglobin (P<0.001), lymphocyte proportion (P<0.001) and absolute white blood cell count (P=0.01) were significantly higher in PTB patients at baseline than in cured patients. C1q and C4 levels were found to be related to Mycobacterium tuberculosis load in sputum. Finally, a combinatorial analysis identified a plasma host signature comprising the detection of C1q and IL-13 levels in response to rmsHBHA as a tool differentiating PTB patients from cured TB profiles, with an AUC of 0.92 (sensitivity 94% and specificity 79%). Conclusion This observational study provides new insights on host immune responses throughout anti-TB treatment and emphasizes the role of host C1q and HBHA-specific IL-13 response as surrogate plasma biomarkers for monitoring TB treatment efficacy.
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Affiliation(s)
- Graciela Russomando
- Instituto de Investigaciones en Ciencias de la Salud, National University of Asunción, Asunción, Paraguay
| | - Diana Sanabria
- Instituto de Investigaciones en Ciencias de la Salud, National University of Asunción, Asunción, Paraguay
| | | | - Leticia Rojas
- Instituto de Investigaciones en Ciencias de la Salud, National University of Asunción, Asunción, Paraguay
| | - Laura Franco
- Instituto de Investigaciones en Ciencias de la Salud, National University of Asunción, Asunción, Paraguay
| | - Rossana Arenas
- Hospital General de San Lorenzo, Ministerio de Salud Pública y Bienestar Social (MSPyBS), Asunción, Paraguay
| | - Giovanni Delogu
- Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie – Sezione di Microbiologia, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - Rim Bayaa
- Medical and Scientific Department, Fondation Mérieux, Lyon, France
| | | | - Delia Goletti
- Translational Research Unit, Department of Epidemiology and Preclinical Research, “L. Spallanzani” National Institute for Infectious Diseases (INMI), IRCCS, Rome, Italy
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Rodríguez N, Pérez S, Rodríguez JN, Rodríguez J, Esquivel A, Sanabria D, Baena J. Perivascular epithelioid cell tumors (PEComas) of gynecological tract: preoperative diagnostic imaging challenge. Ultrasound Obstet Gynecol 2024; 63:286-288. [PMID: 37902722 DOI: 10.1002/uog.27520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 10/01/2023] [Accepted: 10/19/2023] [Indexed: 10/31/2023]
Affiliation(s)
- N Rodríguez
- Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá, Bogotá, Colombia
- School of Medicine, Universidad de los Andes, Bogotá, Colombia
| | - S Pérez
- Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá, Bogotá, Colombia
| | - J N Rodríguez
- Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá, Bogotá, Colombia
| | - J Rodríguez
- Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá, Bogotá, Colombia
- School of Medicine, Universidad de los Andes, Bogotá, Colombia
| | - A Esquivel
- Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá, Bogotá, Colombia
- School of Medicine, Universidad de los Andes, Bogotá, Colombia
| | - D Sanabria
- Department of Gynecology, Obstetrics and Human Reproduction, Fundación Santa Fe de Bogotá, Bogotá, Colombia
- School of Medicine, Universidad de los Andes, Bogotá, Colombia
| | - J Baena
- School of Medicine, Universidad de los Andes, Bogotá, Colombia
- Department of Pathology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
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Sanabria D, Giménez V, Martínez-de Cuellar C, Benegas S, Godoy AM, Carpinelli MM, Olmedo G, De Los Santos S. [Leucocyte adhesion deficiency: detection of the first cases in Paraguay]. Rev Alerg Mex 2023; 69:109-118. [PMID: 36869010 DOI: 10.29262/ram.v69i3.1131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 10/22/2022] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVE To implement the diagnostic technique for LAD by evaluating the expression of CD18 and CD15 in healthy patients and in a group with clinical suspicion. METHODS Observational, descriptive, and cross-secctional study, carried out in pediatric patients attended in the Instituto de Investigaciones en Ciencias de la Salud, and patients from public hospitals with clinical suspicion of LAD were studied. The molecules CD18 and CD15 in peripheral blood leukocytes was evaluated by flow cytometry, establishing a normal range in healthy patients. The presence of LAD was established by decreased expression of CD18 or CD15. RESULTS Sixty pediatric patients were evaluated: 20 apparently healthy and 40 with clinical suspicion of leukocyte adhesion deficiency; 12 of 20 healthy patients were male (median age: 14 years) and 27 of 40 with suspected disease were female (median age: 2 years). Persistent leukocytosis and respiratory tract (32%) infections predominated. The expression range of CD18 and CD15 in healthy patients was 95%-100%, and in patients with clinical suspicion it was 0%-100%. One patient with 0% of CD18 (LAD-1) and one patient with 0% of CD15 (LAD-2) were detecte. CONCLUSIONS The implementation of a new diagnostic technique allowed to establish a normal range of CD18 and CD15 by flow cytometry, and it was possible to detect the first two cases of LAD in Paraguay.
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Affiliation(s)
- Diana Sanabria
- Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud, Departamento de Inmunología, San Lorenzo, Paraguay.
| | - Vivian Giménez
- Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud, Departamento de Inmunología, San Lorenzo, Paraguay
| | - Celia Martínez-de Cuellar
- Ministerio de Salud Pública y Bienestar Social, Instituto de Medicina Tropical, Centro Nacional de Referencia de Inmunodeficiencias Primarias, Asunción, Paraguay
| | - Sara Benegas
- Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud, Departamento de Inmunología, San Lorenzo, Paraguay
| | - Ana María Godoy
- Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud, Departamento de Inmunología, San Lorenzo, Paraguay
| | - María Mercedes Carpinelli
- Universidad Nacional de Asunción, Instituto de Investigaciones en Ciencias de la Salud, Departamento de Inmunología, San Lorenzo, Paraguay
| | - Guadalupe Olmedo
- Ministerio de Salud Pública y Bienestar Social, Banco de Sangre del Centro Médico Hospital Nacional, Itauguá, Paraguay
| | - Sandra De Los Santos
- Ministerio de Salud Pública y Bienestar Social, Banco de Sangre del Centro Médico Hospital Nacional, Itauguá, Paraguay
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Heredia F, Escalona J, Donetch G, Diaz Colmenares L, Sanabria D, Escalona A, Landeros J, Arévalo M. 7548 “Second Parts Were Never Good:” Early Repeated Deep Infiltrating Endometriosis Surgery for Persistent Dyschezia. J Minim Invasive Gynecol 2022. [DOI: 10.1016/j.jmig.2022.09.308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Sanabria D, Giménez V, Martínez de Cuéllar C, Carpinelli M, Benegas S, Insaurralde S. Chronic granulomatous disease. Diagnosis by the dihydrorhodamine assay. ACTA ACUST UNITED AC 2020; 91:19-26. [PMID: 32730409 DOI: 10.32641/rchped.v91i1.986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 09/02/2019] [Indexed: 11/12/2022]
Abstract
INTRODUCTION Chronic granulomatous disease (CGD) is characterized by an alteration of the neutrophil oxidative function. Its inheritance patterns are linked to the X chromosome (X-linked CGD) and autosomal recessive (AR CGD). The dihydrorhodamine (DHR) assay is used for the diagnosis and detection of carriers and provides information on inheritance patterns. OBJECTIVE To detect CGD cases in chil dren with recurrent infections and to evaluate their female relatives through the DHR assay to iden tify carriers and obtain information about possible inheritance patterns. PATIENTS AND METHOD 107 patients (<18 years of age) with clinical suspicion of CGD such as pneumonia, lymphadenopathies, and abscesses were included, referred by physicians from public hospitals between 2014 and 2017. Six female relatives of children with CGD were also included. The DHR assay was performed on all patient samples and the results were expressed as neutrophils stimulation index (SI). RESULTS The median age of patients was 3 years and 62/107 of them were male. The average SI was 39.7±13.8 and a complete shift of DHR was found in 101/107 children. In 2/107 children, no DHR shift was observed (SI=1.0) indicating possible X-linked CGD, and a third child showed a slight DHR shift (SI=4.8) compatible with AR CGD. 5/6 female relatives presented a bimodal pattern, showing a carrier status. CONCLUSIONS Three cases of CGD and five female carriers were detected through the DHR assay, being the first time that this technique was used in Paraguay. Information on the most likely inheri tance patterns, two X-linked CGD, and one AR CGD case was also obtained.
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Affiliation(s)
- Diana Sanabria
- Departamento de Inmunología, Instituto de Investigaciones en ciencias de la Salud, Universidad Nacional de Asunción, Paraguay
| | - Vivian Giménez
- Departamento de Inmunología, Instituto de Investigaciones en ciencias de la Salud, Universidad Nacional de Asunción, Paraguay
| | - Celia Martínez de Cuéllar
- Ministerio de Salud Pública y Bienestar Social, Facultad de Ciencias Médicas, Universidad Nacional de Asunción, Paraguay
| | - Mercedes Carpinelli
- Departamento de Inmunología, Instituto de Investigaciones en ciencias de la Salud, Universidad Nacional de Asunción, Paraguay
| | - Sara Benegas
- Departamento de Inmunología, Instituto de Investigaciones en ciencias de la Salud, Universidad Nacional de Asunción, Paraguay
| | - Santiago Insaurralde
- Laboratorio de Análisis Clínicos, Hospital General de Barrio Obrero, Ministerio de Salud Pública y Bienestar Social, Paraguay
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Ferreira S, Chamorro ME, Masi J, Sanabria D, Benegas S, Carpinelli MM, Giménez V, Langjahr P. Niveles de IgA en adultos con enfermedad celíaca. Mem Inst Investig Cienc Salud 2019. [DOI: 10.18004/mem.iics/1812-9528/2019.017(01)54-058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Almirón PA, Denis SE, Morales A, Britez E, Macchi AA, Maidana JA, Palacios F, Pérez Bejarano NM, Ferreira MI, Sanabria D, Avalos D. Oral health conditions in elderly of the geriatric club “Abue-Club” in Paraguay. Mem Inst Investig Cienc Salud 2016. [DOI: 10.18004/mem.iics/1812-9528/2016.014(01)32-039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Urtatiz O, Sanabria D, Lattig MC. Oculocutaneous albinism (OCA) in Colombia: First molecular screening of the TYR and OCA2 genes in South America. J Dermatol Sci 2014; 76:260-2. [DOI: 10.1016/j.jdermsci.2014.09.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2014] [Revised: 09/03/2014] [Accepted: 09/25/2014] [Indexed: 11/29/2022]
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Morente-Sánchez J, Zandonai T, Mateo-March M, Sanabria D, Sánchez-Muñoz C, Chiamulera C, Zabala Díaz M. Acute effect of Snus on physical performance and perceived cognitive load on amateur footballers. Scand J Med Sci Sports 2014; 25:e423-31. [PMID: 25262592 DOI: 10.1111/sms.12321] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2014] [Indexed: 11/28/2022]
Abstract
Smokeless tobacco (Snus) is a substance that contains nicotine, which has been placed on World Anti-Doping Agency's 2014 Monitoring Program. A proliferation of nicotine use in sport has been observed in recent years, but little is known regarding its effects, especially on football players' performance. Therefore, the aim of this study was to assess the effect of Snus on physical performance, heart rate variability, subjective activation, mental fatigue, and perceived readiness before a physical test in non-smoker, non-Snus user, amateur football players. Participants were administered either Snus or placebo 40 min prior to a fitness test battery (handgrip test, countermovement jump, agility test, and Yo-Yo intermittent recovery test). Results showed that Snus intake (compared with placebo) increased perceived mental fatigue level and mental load, and reduced perceived readiness level and heart rate variability. No significant differences between the two experimental conditions were found in either performance in the physical tests or perceived physical fatigue levels. In light of these results, Snus could not be considered an ergogenic substance. On the contrary, based on the extant evidence linking mental load and fatigue with physical performance, we argue that the observed negative effects on mental fatigue, perceived readiness, and heart rate variability should be considered.
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Affiliation(s)
| | - T Zandonai
- Neuropsychopharmacology Laboratory, Department of Public Health and Community Medicine, University of Verona, Verona, Italy
| | | | - D Sanabria
- Mind, Brain, and Behavior Research Center, University of Granada, Granada, Spain.,Department of Experimental Psychology, University of Granada, Granada, Spain
| | - C Sánchez-Muñoz
- Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - C Chiamulera
- Neuropsychopharmacology Laboratory, Department of Public Health and Community Medicine, University of Verona, Verona, Italy
| | - M Zabala Díaz
- Faculty of Sport Sciences, University of Granada, Granada, Spain
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Sanabria D. Small for gestational age offsprings in rats may be induced by factors other than placental hypoperfusion. Am J Hypertens 2000. [DOI: 10.1016/s0895-7061(00)01025-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Conti Díaz IA, Civila E, Gezuele E, Lowinger M, Calegari L, Sanabria D, Fuentes L, Da Rosa D, Alzueta G. Treatment of human cutaneous sporotrichosis with itraconazole. Mycoses 1992; 35:153-6. [PMID: 1335550 DOI: 10.1111/j.1439-0507.1992.tb00836.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Eighteen adult white male patients with cutaneous sporotrichosis were treated with itraconazole following different daily dose schemes. Cure was obtained in all cases after periods of 15-75 days (median 44 days) with total doses between 3.1 and 14.8 g (median 8.4 g). No serious side effects were observed and no relapses occurred in the follow-up period of between 1 and 26 months (median 14.7). These results show that itraconazole represents a safe and effective drug for the treatment of sporotrichosis. Comparison with other studies leads us to consider a daily dose of 200 mg as the most appropriate. A concomitant warming of the affected limbs should be recommended.
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Affiliation(s)
- I A Conti Díaz
- Department of Parasitology, School of Medicine, University of the Republic, Montevideo, Uruguay
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London M, Sanabria D, Yau D. Enzyme immunoassay of phenytoin and phenobarbital with the centrifugal analyzer. Clin Chem 1977. [DOI: 10.1093/clinchem/23.7.1362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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London M, Sanabria D, Yau D. Enzyme immunoassay of phenytoin and phenobarbital with the centrifugal analyzer. Clin Chem 1977; 23:1362. [PMID: 326438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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