RESUMO
BACKGROUND: Andrographis paniculata (A. paniculata), a medicinal plant, has shown anti-inflammatory, neuroprotective and antifibrotic effects in animal models as well as clinical efficacy in different studies, including an anti-fatigue effect in autoimmune diseases such as rheumatoid arthritis. In multiple sclerosis (MS), fatigue is rated as one of the most common and disabling symptoms. In the present trial, we investigated the effect of A. paniculata on relapse rate and fatigue in relapsing-remitting MS (RRMS) patients receiving interferon beta. METHODS: A randomised double-blind placebo-controlled trial assessed the effects of 170 mg of A. paniculata dried extract tablet b.i.d. p.o. on relapse rate and fatigue using the Fatigue Severity Scores (FSS) over 12 months in RRMS patients receiving interferon. The Expanded Disability Status Scale (EDSS) score, inflammatory parameters and radiological findings were also investigated. Twenty-five patients were enrolled, and twenty-two patients were ultimately analysed and randomised to the active or placebo group. RESULTS: Patients treated with A. paniculata showed a significant reduction in their FSS score as compared to the placebo, equivalent to a 44 % reduction at 12 months. No statistically significant differences were observed for relapse rate, EDSS or inflammatory parameters, with a trend in reducing new lesions among the A. paniculata group. One patient in the A. paniculata group presented with a mild and transient skin rash, which was alleviated with anti-histamine treatment for three weeks. CONCLUSION: A. paniculata was well tolerated in patients and no changes in clinical parameters were observed. A. paniculata significantly reduces fatigue in patients with RRMS receiving interferon beta in comparison to placebo and only interferon beta treatment. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02280876 ; Trial registration date: 20.10.2014.
Assuntos
Andrographis , Fadiga/tratamento farmacológico , Esclerose Múltipla Recidivante-Remitente/complicações , Esclerose Múltipla Recidivante-Remitente/tratamento farmacológico , Fitoterapia , Extratos Vegetais/uso terapêutico , Adolescente , Adulto , Animais , Método Duplo-Cego , Fadiga/etiologia , Feminino , Humanos , Interferon beta/uso terapêutico , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Adulto JovemRESUMO
To assess whether the seroprevalence of canine distemper virus (CDV) and canine parvovirus (CPV) in domestic dogs is higher in urban versus rural areas of the Araucanía region in Chile and risk factors for exposure, a serosurvey and questionnaire survey at three, urban-rural paired sites was conducted from 2009 to 2012. Overall, 1161 households were interviewed of which 71% were located in urban areas. A total of 501 blood samples were analysed. The overall CDV and CPV seroprevalences were 61% (CI 90%: 58-70%) and 47% (CI 90%: 40-49%), and 89% (CI 90%: 85-92%) and 72% (CI 90%: 68-76%) in urban and rural areas, respectively. The higher seroprevalence in domestic dogs in urban areas suggests that urban domestic dogs might be a maintenance host for both CDV and CPV in this region. Due to the presence of endangered wild canids populations in areas close to these domestic populations, surveillance and control of these pathogens in urban dog populations is needed a priority.
Assuntos
Anticorpos Antivirais/sangue , Antígenos Virais/imunologia , Vírus da Cinomose Canina/imunologia , Cinomose/epidemiologia , Genoma Viral/genética , Infecções por Parvoviridae/veterinária , Parvovirus Canino/imunologia , Animais , Sequência de Bases , Chile/epidemiologia , Cinomose/virologia , Vírus da Cinomose Canina/isolamento & purificação , Cães , Dados de Sequência Molecular , Infecções por Parvoviridae/epidemiologia , Infecções por Parvoviridae/virologia , Parvovirus Canino/isolamento & purificação , Análise de Sequência de DNA , Estudos Soroepidemiológicos , Especificidade da EspécieRESUMO
Adults of Gurltia paralysans were obtained from veins of the spinal cord subarachnoid space from three domestic cats presenting with chronic paraparesis/paraplegia from rural areas of southern Chile. Four adult nematodes were collected (2 males and 2 females) were recovered from cat 1, 14 adult nematodes (12 females and 2 males) from cat 2, and 12 nematodes (10 females and 2 males) were collected from cat 3. Parasite induced lesions that compromised subarachnoid vein microvasculature at the thoracic, lumbar, sacral spinal cord segments extending to conus medularis. Female nematodes measured 25 mm long (range=25-30 mm) and 0.1mm wide. Male measured a mean of 16 mm length (range=13-18 mm) with a body diameter of 0.1mm (range=0.08-0.15 mm). The present study described structural features of G. paralysans, a rare parasite first reported in the 1930s, and provides additional reports on associated clinical and pathological findings in naturally infected domestic cats.
Assuntos
Doenças do Gato/parasitologia , Nematoides/fisiologia , Infecções por Nematoides/veterinária , Paraparesia/veterinária , Paraplegia/veterinária , Animais , Gatos , Chile , Feminino , Masculino , Nematoides/anatomia & histologia , Infecções por Nematoides/complicações , Infecções por Nematoides/parasitologia , Paraparesia/etiologia , Paraparesia/parasitologia , Paraplegia/etiologia , Paraplegia/parasitologia , Medula Espinal/irrigação sanguínea , Medula Espinal/parasitologia , Espaço Subaracnóideo/parasitologiaRESUMO
Urban areas can support dog populations dense enough to maintain canine distemper virus (CDV) and can be a source of infection for rural dogs and free-ranging carnivores. The aim of this study was to investigate the relationships between urban and rural domestic dog and wild carnivore populations and their effects on the epidemiology of CDV to explain retrospectively a CD outbreak in wild foxes in 2003. From 2005 to 2007 a cross-sectional household questionnaire survey was conducted in Coquimbo and Ovalle cities, in three towns and in rural sites along two transects from these cities to the Fray Jorge National Park (FJNP) in the Coquimbo region, Chile. Blood samples were collected from unvaccinated dogs at surveyed households and from free-ranging foxes in rural areas along the transects. The seroprevalence of CDV in domestic dogs was higher in urban than in rural areas and in the later was highest in dogs born before 2001-2002. The seroprevalence of CDV in foxes was higher in areas closer to human settlements. A high seroprevalence in dogs born before 2001-2002 further supports a link between CDV patterns in rural dog and fox populations. In our study area, urban dogs are proposed to be the source of CDV infection to wild carnivores. The large dog population size and density detected in Coquimbo and Ovalle provides optimal conditions for maintaining a large and dense susceptible population of dogs, which can act as a reservoir for highly infectious diseases and could have been the source of infection in the CD outbreak in wild foxes.
Assuntos
Carnívoros , Vírus da Cinomose Canina , Cinomose/transmissão , Fatores Etários , Animais , Chile/epidemiologia , Estudos Transversais , Surtos de Doenças/veterinária , Cinomose/epidemiologia , Cinomose/virologia , Cães , Feminino , Raposas , Humanos , Masculino , Estudos Retrospectivos , Estudos SoroepidemiológicosRESUMO
A cross-sectional household questionnaire survey was conducted along two transects (80 and 45km long) from Coquimbo and Ovalle cities to the Fray Jorge National Park (FJNP) in the Coquimbo region of Chile in 2005-2007 to investigate the demography of dogs in the context of a study of canine infectious diseases. Data were collected on the number of dogs per household, fecundity, mortality, and sex and age distribution. The results from 1021 households indicated that dog ownership was common, with a higher proportion of households owning dogs in rural areas (89%), than in towns (63%) or cities (49%). Dog density ranged from 1380+/-183 to 1509+/-972 dogs km(-2) in cities, from 119+/-18 to 1544+/-172 dogs km(-2) in towns, and from 1.0+/-0.4 to 15.9+/-0.4 dogs km(-2) in rural sites. The dog population was estimated to be growing at 20% in cities, 19% in towns and 9% in rural areas. The human:dog ratio ranged from 5.2 to 6.2 in cities, from 2.3 to 5.3 in towns, and from 1.1 to 2.1 in rural areas. A high percentage of owned dogs was always allowed to roam freely in the different areas (27%, 50% and 67% in cities, towns and rural areas, respectively). Observations of free-roaming dogs of unknown owner were reported from a greater proportion of respondents in cities (74%), followed by towns (51%) and finally by rural areas (21%). Overall only 3% of dogs had been castrated. In addition, only 29% of dogs were reported to have been vaccinated against canine distemper virus (CDV) and 30% against canine parvovirus (CPV). The higher population size and density, higher growth rate and a higher turnover of domestic dogs in urban than in rural areas and the poorly supervised and inadequately vaccinated dog populations in urban areas suggest that urban areas are more likely to provide suitable conditions for dogs to acts as reservoirs of pathogenic infections.