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Barros DB, Nascimento NS, Sousa AP, Barros AV, Borges YWB, Silva WMN, Motta ABS, Pinto JEL, Sampaio MGV, Barbosa MFS, Fonseca MC, Silva LA, Lima LO, Borges MGSA, Oliveira MBM, Correia MTS, Castellano LRC, Guerra FQS, Silva MV. Antifungal activity of terpenes isolated from the Brazilian Caatinga: a review. BRAZ J BIOL 2023; 83:e270966. [PMID: 37283336 DOI: 10.1590/1519-6984.270966] [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: 01/08/2023] [Accepted: 05/10/2023] [Indexed: 06/08/2023] Open
Abstract
Terpenoids, also named terpenes or isoprenoids, are a family of natural products found in all living organisms. Many plants produce terpenoids as secondary metabolites, and these make up a large part of essential oils. One of most important characteristic is that the compounds are volatile, have odor and can be used in a variety of applications in different industrial segments and traditional medicine. Brazil has a rich and diverse flora that can be used as a source of research for obtaining new molecules. Within the Brazilian flora, it is worth mentioning the Caatinga as an exclusively Brazilian biome where plants adapt to a specific series of weather conditions and therefore become a great storehouse of the terpenoid compounds to be described herein. Fungal infections have become increasingly common, and a great demand for new agents with low toxicity and side effects has thus emerged. Scientists must search for new molecules exhibiting antifungal activity to develop new drugs. This review aims to analyze scientific data from the principal published studies describing the use of terpenes and their biological applications as antifungals.
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Affiliation(s)
- D B Barros
- Universidade Federal de Pernambuco - UFPE, Biosciences Center, Post-graduation in Sciences, Recife, PB, Brasil
| | - N S Nascimento
- Universidade de São Paulo - USP, Department of Biochemistry and Pharmaceutical Technology, São Paulo, SP, Brasil
| | - A P Sousa
- Universidade Federal da Paraíba - UFPB, Department of Physiology and Pathology, João Pessoa, PB, Brasil
| | - A V Barros
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
| | - Y W B Borges
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
| | - W M N Silva
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
| | - A B S Motta
- Universidade Federal da Paraíba - UFPB, Technical School of Health, Health Sciences Center, João Pessoa, PB, Brasil
| | - J E L Pinto
- Universidade de São Paulo - USP, Post-graduation in immunology, Institute of Biomedical Sciences, São Paulo, SP, Brasil
| | - M G V Sampaio
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
| | - M F S Barbosa
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
| | - M C Fonseca
- Universidade Federal da Paraíba - UFPB, Department of Pharmaceutical Sciences, João Pessoa, PB, Brasil
| | - L A Silva
- Universidade Federal da Paraíba - UFPB, Department of Pharmaceutical Sciences, João Pessoa, PB, Brasil
| | - L O Lima
- Universidade Federal da Paraíba - UFPB, Department of Pharmaceutical Sciences, João Pessoa, PB, Brasil
| | - M G S A Borges
- Universidade Federal de Pernambuco - UFPE, Biosciences Center, Post-graduation in Sciences, Recife, PB, Brasil
| | - M B M Oliveira
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
| | - M T S Correia
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
| | - L R C Castellano
- Universidade Federal da Paraíba - UFPB, Technical School of Health, Health Sciences Center, João Pessoa, PB, Brasil
| | - F Q S Guerra
- Universidade Federal da Paraíba - UFPB, Department of Pharmaceutical Sciences, João Pessoa, PB, Brasil
| | - M V Silva
- Universidade Federal de Pernambuco - UFPE, Department of Biochemistry, Recife, PB, Brasil
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Silva MV, Silva JRB, Filho CT, Andrade RG, Trindade AL, Lima SL, Nascimento WDAD, Silva ARS, Oliveira HRS, Nascimento FRC. SOROPREVALÊNCIA DE DOENÇAS INFECCIOSAS EM DOADORES DE SANGUE NO BANCO DE OSSOS E SANGUE DO NORDESTE, NO PERÍODO DE JANEIRO DE 2020 A JUNHO DE 2022. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.837] [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: 11/06/2022] Open
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Silva MV, Silva SA, Teixera TL, De Oliveira A, Morais SA, Da Silva CV, Espindola LS, Sousa RM. Essential oil from leaves of Eugenia calycina Cambes: Natural larvicidal against Aedes aegypti. J Sci Food Agric 2021; 101:1202-1208. [PMID: 32789937 DOI: 10.1002/jsfa.10732] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Revised: 07/08/2020] [Accepted: 08/13/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Eugenia calycina is an endemic species in the Brazilian savannah (the Cerrado) and it is threatened with extinction. Several species of Eugenia are used as insecticides or insect repellents. No data are available on the larvicidal activity of E. calycina. The chemical composition of the essential oil (EO) from leaves of Eugenia calycina was analyzed by gas chromatography coupled to mass spectrometry (GC-MS) and the larvicidal activity against Aedes aegypti larvae in the third stage of development was studied. RESULTS Oxygenated and non-oxygenated sesquiterpenes were identified, and the main compounds were bicyclogermacrene, spathulenol, and β-caryophyllene. The EO was fractionated in a chromatographic column and three compounds were isolated and identified: spathulenol, aromadendrane-4β,10α-diol, and 1β-11-dihydroxy-5-eudesmene. It is the first time that the last two compounds have been identified in E. calycina. The exposure times in the larvicidal test were 24 h and 48 h and the LC50 values obtained were 199.3 and 166.4 μg mL-1 . The cytotoxicity of the EO in mammalian cells (HeLa and Vero) was evaluated for 24 and 48 h of incubation. The cytotoxic concentrations of the EO for HeLa and Vero cells (266.8 ± 46.5 and 312.1 ± 42.5 μg mL-1 , respectively) in 48 h of exposure were higher than the LC50 , showing low cytotoxicity at the concentration exhibiting larvicidal activity, resulting in a positive selectivity index. CONCLUSION These results indicate that the EO of E. calycina showed high activity against the A. aegypti larvae but lower cytotoxicity to mammalian cells. The leaves of E. calycina are therefore a very promising source of natural larvicidal products. © 2020 Society of Chemical Industry.
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Affiliation(s)
- Marcus Vsg Silva
- Núcleo de Pesquisa em Produtos Naturais, Instituto de Química, Universidade Federal de Uberlândia, Uberlândia, Brazil
| | - Sheila A Silva
- Núcleo de Pesquisa em Produtos Naturais, Instituto de Química, Universidade Federal de Uberlândia, Uberlândia, Brazil
| | - Thaise Lara Teixera
- Laboratório de Biologia Molecular, Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Uberlândia, Brazil
| | - Alberto De Oliveira
- Núcleo de Pesquisa em Produtos Naturais, Instituto de Química, Universidade Federal de Uberlândia, Uberlândia, Brazil
| | - Sérgio Al Morais
- Núcleo de Pesquisa em Produtos Naturais, Instituto de Química, Universidade Federal de Uberlândia, Uberlândia, Brazil
| | - Claudio Vieira Da Silva
- Laboratório de Biologia Molecular, Instituto de Ciências Biomédicas, Universidade Federal de Uberlândia, Uberlândia, Brazil
| | - Laila S Espindola
- Laboratório de Farmacognosia, Universidade de Brasília, Brasília, Brazil
| | - Raquel Mf Sousa
- Núcleo de Pesquisa em Produtos Naturais, Instituto de Química, Universidade Federal de Uberlândia, Uberlândia, Brazil
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Fornereto APN, Ogata MN, Santos TA, Franceschini ABC, Pinto MCRLR, Silva MV, Souza R, Souza V, Malvezzi E. Continuing Education in Health: interprofessional practices in the field of Collective Health. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.421] [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] [Indexed: 11/14/2022] Open
Abstract
Abstract
Family Health Support Centres (NASFs, in Portuguese) aim to develop interprofessional practices anchored in the assumptions of Primary Health Care, guided by the criteria of shared care specific professional interventions, management processes, interdisciplinarity, intersectoriality, Continuing Education in Health and health promotion. This health management methodology (Matrix Support) still represents a challenge to workers and managers, as it switches the logic of clinical thought from individual-centred, ambulatory and disciplinary care to collective, territory and interdisciplinary care. This study might illustrate and allow sharing of experiences about a work management format for multidisciplinary teams in Primary Health Care. A partnership between the University and the state health department was established in order to elaborate a collaborative, educational and supportive action. We formed a group of workers in the target area (24 municipalities and 18 teams) who had a focus on Continuing Education in Health using Institutional Analysis as theoretical reference. The main goal of the action was to provide spaces to share experiences and learning in the perspective of Continuing Education in Health. How does Continuing Education in Health support interprofessional practices in the field of Collective Health? Among the main results, we list: reflection about organisation practices of multiprofessional work, reflection about care practices and clinic management in the technical-assistance and pedagogic perspectives of Matrix Support; encouragement to improve the services offered in this level of care and their relationship with other points of the network. This experience showed us the importance of three main aspects: Continuing Education in Health, as a strategy of critical analysis about work and workers; the partnership and integration between teaching and service; and interprofessional formation processes (necessary to NASF and Collective Health).
Key messages
Continuing Education in Health is a strategy to deal with challenges and possibilities of interprofessional practices in the field of Collective Health. Enabling experiences and providing spaces for health professionals to share experience and learning.
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Affiliation(s)
- A P N Fornereto
- Departamento de Terapia Ocupacional, Universidade Federal de São Carlos, São Carlos, Brazil
| | - M N Ogata
- Programa de Pós-graduação em Ciência, tecnologia e Sociedade, Universidade Federal de São Carlos, São Carlos, Brazil
| | - T A Santos
- Departamento de Terapia Ocupacional, Universidade Federal de São Carlos, São Carlos, Brazil
| | - A B C Franceschini
- Departamento Regional de Saúde III, Secretaria Estadual de Saúde, Araraquara, Brazil
| | - MCRLR Pinto
- Departamento Regional de Saúde III, Secretaria Estadual de Saúde, Araraquara, Brazil
| | - M V Silva
- Departamento Regional de Saúde III, Secretaria Estadual de Saúde, Araraquara, Brazil
| | - R Souza
- Departamento Regional de Saúde III, Secretaria Estadual de Saúde, Araraquara, Brazil
| | - V Souza
- Departamento Regional de Saúde III, Secretaria Estadual de Saúde, Araraquara, Brazil
| | - E Malvezzi
- Programa de Pós-graduação em Ciência, tecnologia e Sociedade, Universidade Federal de São Carlos, São Carlos, Brazil
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Cordeiro BMPC, Carvalho Junior AR, Santos JRA, Araújo AD, Silva AG, Correia MTS, Silva MV, Napoleão TH, Silva LCN, Santos NDL, Paiva PMG. Anticryptococcal activity of hexane extract from Spondias tuberosa Arruda and associated cellular events. J Mycol Med 2020; 30:100965. [PMID: 32307255 DOI: 10.1016/j.mycmed.2020.100965] [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: 11/27/2019] [Revised: 03/06/2020] [Accepted: 03/26/2020] [Indexed: 11/26/2022]
Abstract
Cryptococcosis is an opportunistic systemic mycosis whose treatment is limited to three drugs. In this work, we evaluated the antifungal activity of a hexane extract (HE) from Spondias tuberosa leaves against Cryptococcus neoformans and Cryptococcus gattii. Minimal inhibitory concentrations (MIC) were determined, and putative mechanisms were evaluated by flow cytometry. In addition, an in vivo infection assay was performed using Tenebrio molitor larvae. Treatment with HE inhibited the growth of standard and clinical isolates of C. neoformans and C. gattii (MICs ranging from 0.78 to 3.12mg/mL), significantly (P<0.05) increased mitochondrial superoxide anion levels, and induced mitochondrial membrane depolarization, loss of lysosomal membrane integrity, and phosphatidylserine externalization. The mean survival time of C. gattii-infected T. molitor larvae significantly (P<0.05) increased from 1.225 days in control to 3.067 and 3.882 days in HE-treated groups (78 and 156mg/kg, respectively). In conclusion, HE showed anticryptococcal activity, induced mitochondrial and lysosomal damage in yeast cells, and exhibited anti-infective action against C. gattii in T. molitor larvae.
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Affiliation(s)
- B M P C Cordeiro
- Departamento de Bioquímica, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | | | | | - A D Araújo
- Departamento de Bioquímica, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - A G Silva
- Núcleo de Bioprospecção da Caatinga, Instituto Nacional do Semiárido, Campina Grande, Paraíba, Brazil; Departamento de Antibióticos, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - M T S Correia
- Departamento de Bioquímica, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - M V Silva
- Departamento de Bioquímica, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil; Núcleo de Bioprospecção da Caatinga, Instituto Nacional do Semiárido, Campina Grande, Paraíba, Brazil
| | - T H Napoleão
- Departamento de Bioquímica, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - L C N Silva
- Universidade CEUMA, São Luís, Maranhão, Brazil
| | - N D L Santos
- Departamento de Bioquímica, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil
| | - P M G Paiva
- Departamento de Bioquímica, Centro de Biociências, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
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Souza GL, Rosatto CMP, Silva MJB, Silva MV, Rocha Rodrigues DB, Moura CCG. Evaluation of apoptosis/necrosis and cytokine release provoked by three root canal sealers in human polymorphonuclears and monocytes. Int Endod J 2018; 52:629-638. [PMID: 30388307 DOI: 10.1111/iej.13036] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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: 08/06/2018] [Accepted: 10/31/2018] [Indexed: 12/14/2022]
Abstract
AIM To evaluate the in vitro cytotoxicity and cytokine release of three fresh root canal sealers and to determine the type of cell death they induce. METHODOLOGY The sealers tested were Sealer 26 (S26), AH Plus (AHP), and Endosequence BC Sealer (END). Fresh sealers were cultivated in contact with monocytes and polymorphonuclears (PMNs) obtained from the peripheral blood of humans. Cell viability, apoptosis and necrosis were analysed at 4 h (PMNs) or 24 h (monocytes) using Annexin-V and propidium iodide in a cytometer. The supernatants were used to quantify Interleukin (IL)-4, IL-6, IL-10, IL-12 and tumour necrosis factor-α (TNF-α) in monocytes and IL-8 in PMNs by ELISA. One-way ANOVA and the Tukey post-test were used to compare data for cytotoxicity, and the multiple T-test was used to determine the differences between sealers in the release of cytokines that were statistically significant. RESULTS After 4 h of treatment, S26 was associated with greater cell viability than the other sealers (P < 0.05) in the PMN culture and had similar values of necrosis as END (P > 0.05). After 24 h of treatment, AHP and END had greater monocyte cell viability than S26 (P < 0.05), which had more necrosis (P < 0.05). END had the lowest levels of IL-12 compared to the other sealers (P < 0.05) and higher levels of IL-6 compared to S26 (P < 0.05). The tested sealers did not differ in the release of IL-8, IL-10, TNF-α and IL-4 (P > 0.05). CONCLUSIONS The effect of toxic agents released varied depending on the cell type studied. The composition of the sealers appeared to alter the form of self-regulation in the production of these cytokines by cells.
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Affiliation(s)
- G L Souza
- Department of Endodontics, School of Dentistry, University of Uberlândia, Uberlândia, MG, Brazil
| | - C M P Rosatto
- Department of Endodontics, School of Dentistry, University of Uberlândia, Uberlândia, MG, Brazil
| | - M J B Silva
- Department of Immunology, Institute of Biomedical Sciences, Federal University of Uberlândia, Uberlândia, MG, Brazil
| | - M V Silva
- Department of Microbiology, Immunology and Parasitology, Institute of Biological and Natural Sciences, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil
| | - D B Rocha Rodrigues
- Department of Microbiology, Immunology and Parasitology, Institute of Biological and Natural Sciences, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil
| | - C C G Moura
- Department of Endodontics, School of Dentistry, University of Uberlândia, Uberlândia, MG, Brazil
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Mendes LCM, Silva MV, Ambiel MLBR, Lacerda Filho SL, Reis HR, Araujo EC, Barbosa CJDG. P4702Clinical and angiographic predictors of discordance between myocardial perfusion scintigraphy and fractional flow reserve. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - M V Silva
- Hospital do Coração do Brasil, Brasilia, Brazil
| | | | | | - H R Reis
- Hospital do Coração do Brasil, Brasilia, Brazil
| | - E C Araujo
- Hospital do Coração do Brasil, Brasilia, Brazil
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Silva TD, Almeida CMA, Malafaia CB, Oliveira LMS, Silva MV, Correia MTS. Analysis of protein profile of tomato root infected with Fusarium oxysporum f. sp lycopersici. Genet Mol Res 2017; 16:gmr-16-02-gmr.16027209. [PMID: 28549197 DOI: 10.4238/gmr16027209] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Fusarium wilt caused by Fusarium oxysporum f. sp lycopersici (Fol) is one of the main diseases affecting tomatoes. The BHRS 2,3 genotype of tomato is, however, resistant to this disease. A proteomic approach was used to understand the defense mechanisms of this genotype using the tomato root, the first tissue that interacts with the fungus, as a target. Protein was extracted and separated by two-dimensional electrophoresis followed by staining with Coomassie brilliant blue. The proteins were identified by MALDI-TOF/TOF mass spectrometry. A total of 22 proteins were identified, 21 of which showed differential expression with 12 proteins being upregulated and nine being downregulated. Plants responded to the pathogen with increased expression of pathogenesis-related proteins. We noted the induction of proteins involved in hypersensitivity reaction and other defense mechanisms. The expression of proteins of primary metabolism related to energy production, however, decreased, as did the expression of two proteins related to defense against abiotic stress. These results demonstrate the presence of important mechanisms for defense against Fol in the tomato genotype BHRS 2,3.
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Affiliation(s)
- T D Silva
- Corresponding author: T.D. Silva.,Central Analítica, , , Brasil
| | | | - C B Malafaia
- Corresponding author: T.D. Silva.,Central Analítica, , , Brasil
| | | | - M V Silva
- Departamento de Bioquímica, , Brasil
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Hsie BS, Brito JZ, Vila Nova MX, Borges-Paluch LR, Silva MV, Donato VMST. Determining the genetic stability of micropropagated sugarcane using inter-simple sequence repeat markers. Genet Mol Res 2015; 14:17651-9. [PMID: 26782410 DOI: 10.4238/2015.december.21.38] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Sugarcane culture is an important source of income for the Brazilian economy. The aim of this study was to identify somaclonal variation in sugarcane varieties RB943365 and RB92579 arising from micropropagation using inter-simple sequence repeat (ISSR) DNA markers. The evaluated plants were generated from the in vitro propagation of shoot tips grown in MS medium supplemented with vitamins, myoinositol, glycine, and sucrose, without the use of growth regulators. Fifteen consecutive subcultures with intervals of 14 days were carried out, and DNA was extracted from young leaves obtained from each of the subcultures. The DNA was amplified with ISSR markers and separated by electrophoresis on 2% agarose gels. No evidence of polymorphism was observed in subcultures of the varieties analyzed, suggesting the absence of somaclonal variants. In this way, the ISSR marker was efficient at analyzing somaclonal variation, and in vitro propagation of sugarcane can be considered efficient for 15 consecutive subcultures of the varieties analyzed.
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Affiliation(s)
- B S Hsie
- Universidade Federal de Pernambuco, Recife, PE, Brasil
| | - J Z Brito
- Laboratório de Genética Molecular, Instituto de Pesquisa Agropecuária, Bongi, Recife, PE, Brasil
| | - M X Vila Nova
- Universidade Federal de Pernambuco, Recife, PE, Brasil
| | - L R Borges-Paluch
- Laboratório de Microbiologia, Faculdade Maria Milza, Governador Mangabeira, BA, Brasil
| | - M V Silva
- Universidade Federal de Pernambuco, Recife, PE, Brasil
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Finkelstein JB, Levy AC, Silva MV, Murray L, Delaney C, Casale P. How to decide which infant can have robotic surgery? Just do the math. J Pediatr Urol 2015; 11:170.e1-4. [PMID: 25824875 DOI: 10.1016/j.jpurol.2014.11.020] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2014] [Accepted: 11/15/2014] [Indexed: 01/25/2023]
Abstract
BACKGROUND In pediatric urology, robot-assisted surgery has overcome several impediments of conventional laparoscopy. However, workspace has a major impact on surgical performance. The limited space in an infant can significantly impede the mobility of robotic instruments. There is currently no consensus on which infant can undergo robotic intervention and no parameters to help make this decision, especially for those surgeons at the start of their learning curve. OBJECTIVE We sought to evaluate our experience with infants to create an objective standard to determine which patients may be most suitable for robotic surgery. STUDY DESIGN We prospectively evaluated 45 infants (24 males, 21 females), aged 3-12 months old, who underwent a robotic intervention for either upper or lower urinary tract pathology. At the preoperative office visit the attending surgeon measured the distance between both anterior superior iliac spines (ASIS) as well as the puboxyphoid distance (PXD), regardless of whether the approach was for upper or lower tract disease. Patients' weights were also noted. During surgery, we recorded the number of robotic collisions as well as console time. All surgeries were performed utilizing the da Vinci Si Surgical System by a single surgeon. RESULTS There were no differences in ASIS, PXD, collisions or console time when stratified by gender, age or weight. When arranging by upper or lower tract approach, there was no difference in the number of collisions. There was a strong inverse relationship between both ASIS distance and PXD and the number of collisions. Additionally, there was a strong correlation between the number of collisions and console time (Fig. 1). Using a cutoff of 13 cm for the ASIS, there were significantly fewer collisions in the >13 cm group as compared to the ≤13 cm group. This was also true for the PXD using a cutoff of 15 cm: there were significantly fewer collisions in the >15 cm group as compared to the ≤15 cm group. DISCUSSION Safe proliferation of robotic technology in the infant population is, in part, dependent on careful patient selection. Our data demonstrated a reduction in instrument collisions and console time with increasing anterior superior iliac spine and puboxyphoid distances. Neither age nor weight was correlated with these measurements, the number of instrument collisions or console time. Limitations include that this is a single institution study with all infants being operated on by a single surgeon. Therefore, the findings of this study may not be generalizable to a less experienced surgeon. Yet, we believe that ASIS and PXD measurements can be used as a guide for the novice surgeon who is beginning to perform robotic-assisted surgery in infants. CONCLUSION We found that surgeon ability to perform robotic surgery in an infant is restricted by collisions when the infant has an ASIS measurement of 13 cm or less or a PXD of 15 cm or less. Objective assessment of anterior superior iliac spine and puboxyphoid distance can aid in selecting which infants can safely and efficiently undergo robotic intervention with a minimum of instrument collision, thereby minimizing operative time.
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Affiliation(s)
- J B Finkelstein
- Columbia University Medical Centre, Division of Urology, Morgan Stanley Children's Hospital, 3959 Broadway 11th Floor, New York, NY 10032, USA.
| | - A C Levy
- Columbia University Medical Centre, Division of Urology, Morgan Stanley Children's Hospital, 3959 Broadway 11th Floor, New York, NY 10032, USA.
| | - M V Silva
- Columbia University Medical Centre, Division of Urology, Morgan Stanley Children's Hospital, 3959 Broadway 11th Floor, New York, NY 10032, USA.
| | - L Murray
- Columbia University Medical Centre, Division of Urology, Morgan Stanley Children's Hospital, 3959 Broadway 11th Floor, New York, NY 10032, USA.
| | - C Delaney
- Columbia University Medical Centre, Division of Urology, Morgan Stanley Children's Hospital, 3959 Broadway 11th Floor, New York, NY 10032, USA.
| | - P Casale
- Columbia University Medical Centre, Division of Urology, Morgan Stanley Children's Hospital, 3959 Broadway 11th Floor, New York, NY 10032, USA.
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Kobayashi Y, Sato G, Kato M, Itou T, Cunha EMS, Silva MV, Mota CS, Ito FH, Sakai T. Genetic diversity of bat rabies viruses in Brazil. Arch Virol 2007; 152:1995-2004. [PMID: 17680325 DOI: 10.1007/s00705-007-1033-y] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2007] [Accepted: 06/14/2007] [Indexed: 11/27/2022]
Abstract
Thirty-three Brazilian bat rabies viruses (RVs) were studied by sequence analysis and were compared against sequences of bat-related RVs from other regions of the Americas. Phylogenetic analysis revealed that bat-related RVs formed several monophyletic lineages and that these were associated with bat species. Brazilian bat RVs were found to include nine major lineages, one of which grouped with RVs isolated from Lasiurus spp. from different regions of the Americas. These results suggest that there is considerable diversity among Brazilian bat RV variants and that some of these RV variants may be associated with bats from other countries.
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Affiliation(s)
- Y Kobayashi
- Nihon University Veterinary Research Center, Kanagawa, Japan
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12
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Abstract
The association of Reiter's Syndrome (RS) with the Acquired Immunodeficiency Syndrome (AIDS) is seldom mentioned in the medical literature. This report illustrates this relationship in a 46 years old male patient suffering from AIDS (CD(4)(+) = 240 cells/mm(3), CD(8)(+) = 1,301 cells/mm(3) and viral load = 330,000 copies/ml), pulmonary tuberculosis (positive catarrhal bacilluscopy), and RS. The diagnosis of RS was based on the combination of dermatological and articular alterations. The patient s cutaneous lesions were characterized by exfoliation and the formation of crusts located on the face, scalp, genitals, hands, and feet; onychodystrophy with opacity; yellowish coloring; and hyperkeratosis of the nails. Articular lesions led to progressive deformity of phalangeal joints of the hands, and intensive arthralgia, mainly of the larger joints (shoulders, elbows, hips and knees). AIDS treatment was administered with anti-retroviral drugs (zidovudine and didanosine); for tuberculosis (isoniazid, rifampicine, and pyrazinamide); and (prednisone and inometacine) for the RS. The patient recovered with the improvement of articular symptoms; however, on the eighth day of treatment, the patient showed significant hemoptysis and hypovolemic shock, and died. The association of RS and HIV infection is reviewed.
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13
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Singh R, Chen IW, Jin L, Silva MV, Arison BH, Lin JH, Wong BK. Pharmacokinetics and metabolism of a RAS farnesyl transferase inhibitor in rats and dogs: in vitro-in vivo correlation. Drug Metab Dispos 2001; 29:1578-87. [PMID: 11717177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023] Open
Abstract
Compound I (1-(3-chlorophenyl)-4-[(1-(4-cyanobenzyl)-1H-imidazol-5-yl)methyl]piperazin-2-one) is a potent and selective inhibitor of farnesyl-protein transferase (FPTase). The pharmacokinetics and metabolism of compound I displayed species differences in rats and dogs. After oral administration, the drug was well absorbed in dogs but less so in rats. Following i.v. administration, compound I was cleared rapidly in rats in a polyphasic manner with a terminal t(1/2) of 41 min. The plasma clearance (CL(p)) and volume of distribution (V(dss)) were 41.2 ml/min/kg and 1.2 l/kg, respectively. About 1% of the dose was excreted in rat bile and urine as unchanged drug over a period of 24 h, suggesting that biotransformation is the major route of elimination of compound I. Using liquid chromatography (LC)-tandem mass spectometry, nineteen metabolites of compound I were identified in urine and bile from dogs and rats. Structures of two major metabolites were confirmed by LC-NMR. N-Dealkylation and phase II metabolism were the major metabolic pathways. Animal and human liver microsomal intrinsic clearance values were scaled to predict hepatic clearance and half-life in humans, and the predicted values were in good agreement to the in vivo data.
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Affiliation(s)
- R Singh
- Department of Drug Metabolism, Merck Research Labs, West Point, Pennsylvania 19486, USA.
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14
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Abstract
Two diterpene glycosides, ent-8(17)-labden-15-O-alpha-L-rhamnoside and ent-8(17)-labden-15-O-(3'-O-acetyl)-alpha-L-rhamnoside (new natural compounds) were isolated from propolis from El Salvador. The compounds showed significant antibacterial activity and moderate toxicity to Artemia salina nauplii. These are the first glycosides reported in bee glue.
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Affiliation(s)
- M Popova
- Institute of Organic Chemistry with Centre of Phytochemistry, Bulgarian Academy of Sciences, Sofia
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15
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Abstract
Leukocyte adherence mediated by intercellular adhesion molecule-1 (ICAM-1) binding to leukocyte function-associated antigen (LFA-1) is required for proper inflammatory and immune function. Inhibition of ICAM-1\LFA-1 binding using monoclonal antibodies (mAb) has been shown to be efficacious at inhibiting lymphoma metastasis as well as leukocyte emigration into tissue in a number of inflammatory diseases such as ischemia-reperfusion injury, septic shock and rheumatoid arthritis. In this report, we describe the development and characterization of a small peptide antagonist of ICAM-1-dependent cell aggregation. By using repeated selection of a cyclic nonapeptide phage display library on purified ICAM-1, we identified phage that were competitively eluted with anti-ICAM-1 mAb. The peptide sequences were determined by nucleotide sequencing, and the peptide sequence (C*LLRMRSIC*) (IP01) that occurred most frequently was chosen for further study. Phage expressing this peptide sequence specifically bound ICAM-1 over a range of 5 x 10(6) to 1 x 10(8) phage/microL. A cyclic IP01 peptide, linear IP01 peptide, a cyclic nonapeptide with a scrambled IP01 sequence, and a random, cyclic nonapeptide were synthesized. The cyclic and linear IP01 peptides were able to inhibit ICAM-1-mediated cell aggregation at a concentration of 1 mM, whereas the random and scrambled peptide sequences did not alter aggregation. Cyclic IP01 had a half-maximal inhibitory concentration of approximately 970 microM. Cyclic IP01 did not inhibit cellular aggregation that was dependent on ICAM-2 or ICAM-3. Alanine substitutions in the cyclic IP01 identified at least four amino acids necessary for inhibition of ICAM-1 dependent cell aggregation; leucine 2, leucine 3, methionine 5, and arginine 6. Finally, we showed that cyclic IP01 can inhibit firm adhesion of neutrophils to endothelium, a critical event in inflammatory diseases, in an assay that recapitulates physiologic flow conditions. Homology of IP01 with the primary amino acid sequences of the alpha or beta subunit of LFA-1 was not identified. Thus, we identified a unique molecule that inhibits ICAM-1 dependent cell adhesion, but is not related to the primary sequence of the ICAM-1 ligand LFA-1. Due to the small size and ability to block cell-cell adhesion, IP01 may serve as a useful tool for study of ICAM-1 and LFA-1 biology as well as for the development of small molecule therapeutics.
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Affiliation(s)
- J P Shannon
- Department of Pathology, University of New Mexico Health Science Center, Albuquerque, USA
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16
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Abstract
2',3'-Dihydroxy-4,4'-dimethoxychalcone (1) and 2',3',4-trihydroxy-4'-methoxy-chalcone, two new chalcones, were isolated from propolis from El Salvador. The compounds showed significant antibacterial and antifungal activity and moderate toxicity to Artemia salina nauplii.
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Affiliation(s)
- M Popova
- Institute of Organic Chemistry with Centre of Phytochemistry, Bulgarian Academy of Sciences, Sofia
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17
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Bednarek MA, Feighner SD, Pong SS, McKee KK, Hreniuk DL, Silva MV, Warren VA, Howard AD, Van Der Ploeg LH, Heck JV. Structure-function studies on the new growth hormone-releasing peptide, ghrelin: minimal sequence of ghrelin necessary for activation of growth hormone secretagogue receptor 1a. J Med Chem 2000; 43:4370-6. [PMID: 11087562 DOI: 10.1021/jm0001727] [Citation(s) in RCA: 422] [Impact Index Per Article: 17.6] [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: 12/27/2022]
Abstract
The recently discovered growth hormone secretagogue, ghrelin, is a potent agonist at the human growth hormone secretagogue receptor 1a (hGHSR1a). To elucidate structural features of this peptide necessary for efficient binding to and activation of the receptor, several analogues of ghrelin with various aliphatic or aromatic groups in the side chain of residue 3, and several short peptides derived from ghrelin, were prepared and tested in a binding assay and in an assay measuring intracellular calcium elevation in HEK-293 cells expressing hGHSR1a. Bulky hydrophobic groups in the side chain of residue 3 turned out to be essential for maximum agonist activity. Also, short peptides encompassing the first 4 or 5 residues of ghrelin were found to functionally activate hGHSR1a about as efficiently as the full-length ghrelin. Thus the entire sequence of ghrelin is not necessary for activity: the Gly-Ser-Ser(n-octanoyl)-Phe segment appears to constitute the "active core" required for agonist potency at hGHSR1a.
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Affiliation(s)
- M A Bednarek
- Departments of Medicinal Chemistry, Metabolic Disorders, Drug Metabolism, and Membrane Biochemistry and Biophysics, Merck Research Laboratories, R50G-141, P.O. Box 2000, Rahway, New Jersey 07065, USA.
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18
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Balani SK, Xu X, Arison BH, Silva MV, Gries A, DeLuna FA, Cui D, Kari PH, Ly T, Hop CE, Singh R, Wallace MA, Dean DC, Lin JH, Pearson PG, Baillie TA. Metabolites of caspofungin acetate, a potent antifungal agent, in human plasma and urine. Drug Metab Dispos 2000; 28:1274-8. [PMID: 11038152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
Caspofungin acetate (MK-0991) is a semisynthetic pneumocandin derivative being developed as a parenteral antifungal agent with broad-spectrum activity against systemic infections such as those caused by Candida and Aspergillus species. Following a 1-h i.v. infusion of 70 mg of [(3)H]MK-0991 to healthy subjects, excretion of drug-related material was very slow, such that 41 and 35% of the dosed radioactivity was recovered in urine and feces, respectively, over 27 days. Plasma and urine samples collected around 24 h postdose contained predominantly unchanged MK-0991, together with trace amounts of a peptide hydrolysis product, M0, a linear peptide. However, at later sampling times, M0 proved to be the major circulating component, whereas corresponding urine specimens contained mainly the hydrolytic metabolites M1 and M2, together with M0 and unchanged MK-0991, whose cumulative urinary excretion over the first 16 days postdose represented 13, 71, 1, and 9%, respectively, of the urinary radioactivity. The major metabolite, M2, was highly polar and extremely unstable under acidic conditions when it was converted to a less polar product identified as N-acetyl-4(S)-hydroxy-4-(4-hydroxyphenyl)-L-threonine gamma-lactone. Derivatization of M2 in aqueous media led to its identification as the corresponding gamma-hydroxy acid, N-acetyl-4(S)-hydroxy-4-(4-hydroxyphenyl)-L-threonine. Metabolite M1, which was extremely polar, eluting from HPLC column just after the void volume, was identified by chemical derivatization as des-acetyl-M2. Thus, the major urinary and plasma metabolites of MK-0991 resulted from peptide hydrolysis and/or N-acetylation.
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Affiliation(s)
- S K Balani
- Department of Drug Metabolism Merck Research Laboratories West Point, Pennsylvania, USA.
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19
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Abstract
In order to determine the best type of rabies vaccine to use as a booster, 78 serological samples from singly vaccinated cattle were analyzed by counterimmunoelectrophoresis technique. The animals were divided into several groups, received the first vaccine dose with modified live virus vaccine (ERA strain) and were revaccinated with inactivated virus or modified live virus vaccines. Boosters were given at 2, 4, 8, 12 and 16 weeks following first vaccination. Results showed high titres in the cases of booster with inactivated vaccine. In all cases, however, detectable antibody titres declined quickly.
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Affiliation(s)
- A N Oliveira
- Centro de Controle de Zoonoses Paulo Dacorso Filho, Rio de Janeiro, RJ, 23550-050, Brasil.
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20
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Sassetti B, Vizcargüénaga MI, Zanaro NL, Silva MV, Kordich L, Florentini L, Diaz M, Vitacco M, Sanchez Avalos JC. Hemolytic uremic syndrome in children: platelet aggregation and membrane glycoproteins. J Pediatr Hematol Oncol 1999; 21:123-8. [PMID: 10206458 DOI: 10.1097/00043426-199903000-00008] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
PURPOSE Several mechanisms have been proposed to explain the fibrin-platelet thrombosis at the microcirculation level in the different clinical conditions of hemolytic uremic syndrome (HUS). The relationships between platelet structure and function during the first 4 weeks of evolution of the disease were studied to understand the mechanism of platelet alteration. PATIENTS AND METHODS Coagulation parameters, platelet counts, and aggregation were studied in 49 children, and membrane glycoproteins (GPs) in 20 of the 49 children (mean age, 17 months) with HUS (Group 2) were studied during the first 4 weeks of evolution of the disease. RESULTS No disseminated intravascular coagulation was found in patients with recurrent or persistent thrombocytopenia. Platelet aggregation was sequentially performed during the first weeks of evolution. All patients had a functional decrease in the acute period of HUS. Platelet GPs GPIb, GPIIbIIIa, GPIIb, and GPIIIa were evaluated. GPIIbIIIa complex presented low level and never reached normal values during the first 4 weeks of disease. CONCLUSIONS Platelet alterations are probably caused by multiple mechanisms: "exhausted" platelets, structural membrane alterations caused by arginine-glycine-aspartic peptide blockade, or diminished or nonfunctional membrane GPIb and GPIIbIIIa complexes.
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Affiliation(s)
- B Sassetti
- Departamento de Química Biológica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Argentina
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21
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Bednarek MA, Silva MV, Arison B, MacNeil T, Kalyani RN, Huang RR, Weinberg DH. Structure-function studies on the cyclic peptide MT-II, lactam derivative of alpha-melanotropin. Peptides 1999; 20:401-9. [PMID: 10447101 DOI: 10.1016/s0196-9781(99)00048-0] [Citation(s) in RCA: 67] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The alanine-substituted and the retro, enantio, and retro-enantio analogs of MT-II, a potent agonist at melanocortin (MC) receptors, were prepared by solid-phase synthesis and evaluated for their ability to bind and activate human MC3, MC4, and MC5 receptors. Replacement of His with Ala resulted in [Ala6]-MT-II with affinity and agonist potency at human MC3, MC4, and MC5 receptors similar to MT-II. Substitution of Arg with Ala gave compound 100-fold less potent than MT-II, but replacement of Phe or Trp with Ala led to inactive compounds (at the micromolar concentrations). The significant drop of potency of the retro, enantio, and retro-enantio analogs of MT-II, demonstrated a crucial role of side-chain topology, and to a lesser degree, of peptide backbone in interactions of MT-II with the melanocortin receptors. The nuclear magnetic resonance analysis of MT-II suggested involvement of Phe and Arg residues in H-bonds stabilizing the bent conformations of the peptide backbone.
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Affiliation(s)
- M A Bednarek
- Department of Medicinal Chemistry, Merck Research Laboratories, Rahway, NJ 07065, USA.
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22
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Brandão AP, Camargo ED, da Silva ED, Silva MV, Abrão RV. Macroscopic agglutination test for rapid diagnosis of human leptospirosis. J Clin Microbiol 1998; 36:3138-42. [PMID: 9774553 PMCID: PMC105289 DOI: 10.1128/jcm.36.11.3138-3142.1998] [Citation(s) in RCA: 64] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/1998] [Accepted: 08/04/1998] [Indexed: 11/20/2022] Open
Abstract
A commercially available slide agglutination test (SAT) for the diagnosis of human leptospirosis was evaluated by comparing it to an immunoglobulin M (IgM) enzyme-linked immunosorbent assay (ELISA) and to the microscopic agglutination test (MAT). For all 108 patients, leptospirosis was diagnosed on the basis of a fourfold or greater increase in titer by MAT (seroconversion), and all but 1 of 245 controls were MAT negative (titers, <1:100). Both SAT and the IgM ELISA failed to detect one case of infection (sensitivity, 99%). Only 3 of 145 blood donors and none of the 100 patients with other illnesses were SAT positive (specificity, 99%). The overall results were similar for the three tests; however, SAT and ELISA were statistically more sensitive as initial screening tests. For 22% of the patients, the diagnosis of leptospirosis was made earlier by SAT than by MAT. SAT detected 27 (44%) of 62 MAT-negative patients with the first serum sample. ELISA and SAT had very similar results. Follow-up of patients for 1 year after the onset of symptoms showed a decreasing rate of positivity by SAT from the third month on. The rate of positivity by ELISA decreased more slowly, to about 67% by the end of the study. By MAT all patients were persistently reactive. SAT and ELISA seem to be convenient methods for the rapid and early screening for leptospirosis and could replace the less sensitive MAT. ELISA gives less subjective results than SAT and provides information on IgM kinetics, but it can be performed only by the more sophisticated laboratories. SAT is inexpensive, can be performed more quickly and more easily than ELISA, and could be used by the less well equipped laboratories.
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Affiliation(s)
- A P Brandão
- Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
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23
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Gonsalez CR, Casseb J, Monteiro FG, Paula-Neto JB, Fernandez RB, Silva MV, Camargo ED, Mairinque JM, Tavares LC. Use of doxycycline for leptospirosis after high-risk exposure in São Paulo, Brazil. Rev Inst Med Trop Sao Paulo 1998; 40:59-61. [PMID: 9713140 DOI: 10.1590/s0036-46651998000100012] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
A clinical trial pilot study, double-blinded, randomized, and controlled with a placebo to assess the effectiveness of oral doxycycline (200 mg, single dose) in preventing leptospirosis after high exposure to potentially contaminated water was performed in São Paulo, SP, Brazil. Confirmed cases were defined as those with leptospira IgM antibody and symptoms; asymptomatic cases were those presenting with IgM antibodies but no symptoms; and suspected cases were individuals with symptoms but no IgM antibody. Forty subjects were given doxycycline and 42 were given placebo. In the drug-treated group there were 2 confirmed cases, 11 asymptomatic cases, and 6 suspected cases. In the placebo group there were 5 confirmed, 6 symptomatic, and 5 suspected cases. Even though we found a protective association of doxycycline for confirmed leptospirosis cases (RR = 2.3) and seroconversion only (RR = 2.0), the association was not statistically significant because of the small number of individuals enrolled in this pilot study. We observed that the 22% of the volunteers already had IgM antibodies to leptospirosis at the first sampling. Finally, the attack rate to confirmed, asymptomatic, and suspected cases of Leptospirosis was 8.5%, 22%, and 13%, respectively, in this population.
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24
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Abstract
Transcription factor 1 (TF1), a type II DNA-binding protein encoded by the Bacillus subtilis bacteriophage SPO1, has the capacity for sequence-selective DNA binding and a preference for 5-hydroxymethyl-2'-deoxyuridine (HmU)-containing DNA. In NMR studies of the TF1/HmU-DNA complex, intermolecular NOEs indicate that the flexible beta-ribbon and C-terminal alpha-helix are involved in the DNA-binding site of TF1, placing it in the beta-sheet category of DNA-binding proteins proposed to bind by wrapping two beta-ribbon "arms" around the DNA. Intermolecular and intramolecular NOEs were used to generate an energy-minimized model of the protein-DNA complex in which both DNA bending and protein structure changes are evident.
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Affiliation(s)
- M V Silva
- Department of Chemistry and Biochemistry, University of California at San Diego, La Jolla 92093, USA
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25
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Moreira AE, Meireles GC, Silva MV, Peter V, Beltrão PE, Pimenta J. [Single coronary artery and acute myocardial infarction]. Arq Bras Cardiol 1996; 66:225-8. [PMID: 8935689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
We describe the rare angiographic finding of the right coronary artery arising from the middle portion of the left anterior descending coronary artery in a patient with atherosclerotic coronary artery disease and acute myocardial infarction. This anatomic variation has been previously described only four times in the modern literature.
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Affiliation(s)
- A E Moreira
- Hospital do Servidor Público Estadual, São Paulo
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26
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Silva MV, Camargo ED, Batista L, Vaz AJ, Ferreira AW, Barbosa PR. Application of anti-leptospira ELISA-IgM for the etiologic elucidation of meningitis. Rev Inst Med Trop Sao Paulo 1996; 38:153-6. [PMID: 9071036 DOI: 10.1590/s0036-46651996000200011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [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: 02/04/2023] Open
Abstract
Leptospirosis is one of the causes of meningitis, although its importance is not well known. In the present study we contributed to this knowledge by demonstrating specific IgM class anti-leptospira antibodies by the immunoenzymatic method ELISA in 14.6% of cerebrospinal fluid (CSF) samples from 171 patients with meningitis considered to be of indeterminate etiology. The frequencies of positivity were similar in cases with predominance of polymorphonuclear or lymphomonuclear leucocytes in the CSF. Age distribution showed a predominance of the 5 to 15 year age range (72%), and sex distribution showed a predominance of males (68%). The authors discuss the contribution of this method to the etiologic elucidation of meningitis.
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Affiliation(s)
- M V Silva
- Institute of Tropical Medicine of São Paulo, Brazil
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27
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Silva MV, Camargo ED, Batista L, Vaz AJ, Brandão AP, Nakamura PM, Negrão JM. Behaviour of specific IgM, IgG and IgA class antibodies in human leptospirosis during the acute phase of the disease and during convalescence. J Trop Med Hyg 1995; 98:268-72. [PMID: 7636924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The behaviour of specific IgM, IgG and IgA class antibodies in human leptospirosis was studied by ELISA. Two groups of patients were followed up, 57 of them in the acute phase and 10 during convalescence, the latter with a mean follow-up of 10.5 months. IgM class antibodies were detected starting on the 2nd day of symptoms and were observed in 100% of patients up to the 5th month, in 66.7% up to the 7th month and in 50% up to the 12th month after the onset of symptoms. IgG class antibodies were first detected on the 7th day of symptoms in 9.1% of patients, with maximum reactivity (87.5%) between the 2nd and 3rd month, and were not detected at all in one patient. IgA class antibodies were detected starting on the 5th day of symptoms in 7.7% of patients, and in all patients on the 15th day, persisting in 100% of cases up to the 9th follow-up month. During the 12th month, they were observed in 83.3% of patients. The results indicate that an anti IgA ELISA could be of great value in seroprevalence studies on human leptospirosis.
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Affiliation(s)
- M V Silva
- Adolfo Lutz Institute, São Paulo, Brazil
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28
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Sakata EE, Yasuda PH, Romero EC, Silva MV, Lomar AV. [The serovars of Leptospira interrogans isolated from cases of human leptospirosis in São Paulo, Brazil]. Rev Inst Med Trop Sao Paulo 1992; 34:217-21. [PMID: 1342073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Eighteen strains of L. interrogans isolated from human cases were serotyped by the agglutinin-absorption test at Instituto Adolfo Lutz in São Paulo, Brazil. Fourteen were identified as serovar copenhageni (icterohaemorrhagiae serogroup), 2 as canicola (canicola serogroup), 1 as castellonis (Ballum serogroup) and 1 as pomona serogroup (serovar not yet defined). The frequency of serovar copenhageni in 100% of the isolates in icterohaemorrhagiae serogroup is emphasized and more studies to verify the real serovars prevalence as subsidy to the epidemiology of this infection are suggested by the authors.
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Affiliation(s)
- E E Sakata
- Seção de Bacteriologia, Setor de Leptospirose, Instituto Adolfo Lutz, São Paulo, Brasil
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29
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Hubbard GB, Saphire DG, Hackleman SM, Silva MV, Vandeberg JL, Stone WH. Ontogeny of the thymus gland of a marsupial (Monodelphis domestica). Lab Anim Sci 1991; 41:227-32. [PMID: 1658459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The gray short-tailed opossum (Monodelphis domestica) has recently been established as a laboratory animal; consequently, its utility as an animal model is enhanced as more of its basic biologic characteristics become defined. To this end, we studied the ontogeny of the thymus gland in M. domestica ranging in age from the day of birth to over three years. In contrast to most Australian marsupials, M. domestica possesses only a thoracic thymus. The thymus is large in neonates and remains large until young adulthood (six months of age). It has a well-defined cortex, medulla and Hassall's corpuscles. At about six months of age, the thymuses of most animals begin to atrophy, the cortex and medulla being replaced by fat. By 28 months of age, about 50% of animals have thymuses that are completely atrophied. Thus, the ontogeny of the thymus of M. domestica appears to be similar to that of eutherian mammals.
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Affiliation(s)
- G B Hubbard
- Department of Laboratory Animal Medicine, Southwest Foundation for Biomedical Research, San Antonio, TX 78228
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30
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Medeiros Sobrinho JH, Silva MA, Fontes WF, Santos MA, Pontes Júnior SC, Silva MV, Rubayo EM, Arnoni AS. [Syphilitic aneurysm communicating with an aortic sinus of Valsalva. A case report]. Arq Bras Cardiol 1989; 52:341-4. [PMID: 2604583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
The authors present the case of a 27-year old woman with an aneurysm, possibly originating from an ectopic coronary sprout and communicating with the right anterior sinus of Valsalva. Secondary syphilitic lesions were observed. By virtue of its great size and localization, this aneurysm produced obstruction of the outlet of the right ventricle and dislocation of the left coronary artery. The authors conclude that this aneurysm was a congenital anomaly because of its great volume, configuration, the way it opened in the aortic right anterior sinus of Valsalva, the normal aortic wall and valve, and normal sinuses of Valsalva, observed at surgery. The follow-up was uneventful.
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31
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Abstract
One-hundred patients with pulmonary valve stenosis underwent pulmonary valvoplasty, their ages ranging from 1 to 59 years. The systolic gradient across the valve ranged from 47 to 260 mm Hg (97.67 +/- 41.15) prior to the valvoplasty, and from 0 to 55 mm Hg (14.72 +/- 11.40) immediately after dilatation (P less than 0.0001). The clinical follow-up of 18.2 months of 56 patients showed a tendency for the systolic thrill to disappear, the systolic murmur became softer and there was a tendency to normalization of the electrocardiogram. A hemodynamic restudy was carried out in 54 patients and the systolic gradients across the valve ranged from 21.55 +/- 23.86. Seven patients required redilatation. In patients with hypertrophy of the infundibulum prior to valvoplasty this was observed to regress, indicating that infundibular hypertrophy is reversible.
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Affiliation(s)
- V F Fontes
- Division of Pediatric Cardiology, Institute Dante Pazzanese of Cardiology, São Paulo, Brazil
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32
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Affiliation(s)
- V F Fontes
- Department of Pediatric and Cardiac Catheterization Laboratory, Instituto Dante Pazzanese de Cardiologia, Sao Paulo, Brazil
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33
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Fontes VF, Sousa JE, Büchler JR, Pimentel Filho WA, Assis SF, Esteves CA, Silva MV. [Aortoplasty with balloon catheterization in the treatment of aortic coarctation]. Arq Bras Cardiol 1987; 49:159-63. [PMID: 3505748] [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: 01/06/2023] Open
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34
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Fontes VF, Esteves CA, Silva MV, Pimentel Filho WA, Souza JE. [Double valvuloplasty with aortic and pulmonary balloon catheter. A case report]. Arq Bras Cardiol 1987; 48:105-7. [PMID: 2960299] [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: 01/03/2023] Open
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35
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Pontes Júnior SC, Bittar JE, Silva MV, Fontes VF, Sousa JE. [Bidimensional echocardiographic evaluation of the pulmonary valve area before and after non-surgical valvuloplasty]. Arq Bras Cardiol 1984; 43:233-7. [PMID: 6536246] [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: 01/20/2023] Open
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36
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Fontes VF, Sousa JE, Esteves CA, Silva MV, Bembom MC, Silva MA, Cano M, Pontes Júnior SC. [Pulmonary valvuloplasty with the balloon catheter. An alternative in the treatment of pulmonary valve stenosis]. Arq Bras Cardiol 1984; 42:249-53. [PMID: 6239609] [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: 01/19/2023] Open
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37
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Botelho GM, França NA, Silva MV, Lima MR, de Medeiros Sobrinho JH, Sousa JE, Jatene AD, Fontes VF. [Coronary-cavitary fistulae]. Arq Bras Cardiol 1980; 34:463-6. [PMID: 7469807] [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: 01/25/2023] Open
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38
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Hoepfner C, Silva MV, França NA, Lima MR, Bembom MC, de Medeiros Sobrinho JH, Paulista PP, Fontes VF. [Aneurysms of the aortic sinus of Valsalva]. Arq Bras Cardiol 1980; 34:475-9. [PMID: 7469809] [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: 01/25/2023] Open
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39
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Loures CT, Lima MR, Silva MV, Loures JE, de Souza LC, Jatene AD, Fontes VF. [Isolated hypoplasia of the right ventricle. Presentation of 2 cases]. Arq Bras Cardiol 1979; 32:195-202. [PMID: 475605] [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: 12/15/2022] Open
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