RESUMO

To investigate hepatitis C virus (HCV) and GBV-C/hepatitis G virus (HGV) genotype prevalence among HCV-infected porphyria cutanea tarda (PCT) patients, 19 HCV-infected patients with associated PCT were studied. A control group of 53 age-matched HCV-infected patients without associated PCT was selected. Eighteen of the 19 serologically positive HCV-PCT patients showed HCV RNA in serum. Genotype 1b was the most prevalent among both HCV-PCT patients (72.2%; 13/18) and age-matched HCV controls (50.9%; 27/53). Such different genotypic prevalence failed to reach statistical significance (chi(2) with Yates' correction, p = 0.19). The single HCV-PCT patient without detectable HCV RNA was also infected with genogroup 3 GBV-C/HGV. This GBV-C/HGV RNA prevalence (5.3%) among HCV-PCT patients is not statistically different from that observed among Argentine blood donors (5.5%; 11/200). To our knowledge, these results show for the first time the molecular epidemiology of both HCV and GBV-C/HGV associated to PCT in America.

Assuntos

RESUMO

Se han estudiado 7 pacientes con coproporfiria herediatria (CPH) sintomática: en 6 de ellos se investigaron 14 familiares consanguíneos. Tres de los siete (43 por ciento) pacientes exhibián signos cutáneos hiperpigmentación, fotosensibilidad, y/o máculas y todos presentaron ataques neuroviscerales. Desde el punto de vista bioquímico los pacientes excretaban niveles elevados de precursores y/o porfirinas en orina ácido 5-aminoleválico (ALA) (3,9 - 14,1 mg/24h), porfobilinógeno (PBG) (6,5 - 47,9 mg/24h), porfirinas totales (645-31129 mug/24h), que disminuyeron alcanzada la remisión (ALA: 0,2 - 5,3 mg/24h: PBG: 0,8 -25,2 mg/25,2 mg/24h, porfirinas totales 112-952 mu/24h, valor normal: ALA 2-4 mg/24h: PBG: 1-2 mg/24h. Porfirinas 20-250 mug/24h). Las profirinas fecales también estuvieron incrementadas la fase aguda (316-50.056 mug/g seco) y en remisión (165-1600) mug/g seco) valor normal <= 130 mu/g seco. El patrón de excreción de porfirinas urinarias y fecales mostró siempre una elevada concentración de coproporfirinas, la longitud de onda de emisión (618 nm) de las porfirinas plasmáticas permitió identificar la porfiria como una CPH y distinguirla de la porfiria variegata (PV). El tratamiento del ataque agudo de la CPH fue semejante al empleado en los casos de porfiria aguda intermitente o PV carbohidratos (ataques agudos 300- 500 g/diarios, ataques leves 20 - 40 g/diarios) complejo vitamínico B y ácido fólico (30 mg/día). Cuando los pacientes presentaron signos clínicos cutáneos se administró S-adenosil-L-metionina 12 mg/kg/día durante 3 semanas.

Assuntos

RESUMO

Se han estudiado 7 pacientes con coproporfiria herediatria (CPH) sintomática: en 6 de ellos se investigaron 14 familiares consanguíneos. Tres de los siete (43 por ciento) pacientes exhibián signos cutáneos hiperpigmentación, fotosensibilidad, y/o máculas y todos presentaron ataques neuroviscerales. Desde el punto de vista bioquímico los pacientes excretaban niveles elevados de precursores y/o porfirinas en orina ácido 5-aminoleválico (ALA) (3,9 - 14,1 mg/24h), porfobilinógeno (PBG) (6,5 - 47,9 mg/24h), porfirinas totales (645-31129 mug/24h), que disminuyeron alcanzada la remisión (ALA: 0,2 - 5,3 mg/24h: PBG: 0,8 -25,2 mg/25,2 mg/24h, porfirinas totales 112-952 mu/24h, valor normal: ALA 2-4 mg/24h: PBG: 1-2 mg/24h. Porfirinas 20-250 mug/24h). Las profirinas fecales también estuvieron incrementadas la fase aguda (316-50.056 mug/g seco) y en remisión (165-1600) mug/g seco) valor normal <= 130 mu/g seco. El patrón de excreción de porfirinas urinarias y fecales mostró siempre una elevada concentración de coproporfirinas, la longitud de onda de emisión (618 nm) de las porfirinas plasmáticas permitió identificar la porfiria como una CPH y distinguirla de la porfiria variegata (PV). El tratamiento del ataque agudo de la CPH fue semejante al empleado en los casos de porfiria aguda intermitente o PV carbohidratos (ataques agudos 300- 500 g/diarios, ataques leves 20 - 40 g/diarios) complejo vitamínico B y ácido fólico (30 mg/día). Cuando los pacientes presentaron signos clínicos cutáneos se administró S-adenosil-L-metionina 12 mg/kg/día durante 3 semanas.(AU)

Assuntos

Assuntos

RESUMO

Eleven patients with chronic lead intoxication were submitted to somatosensory evoked potential (SEP) studies. All patients demonstrated increased lead blood levels and reduced ALA D activity in red blood cells. Three patients showed delayed spinal arrival (N13 wave), four delayed cortical arrival (N20 wave), and three prolonged central conduction time (time elapsing between N13 and N20 waves) (see table 1). No relationship was found between the abnormal findings and the levels of lead or ALA D. Time of intoxication was not related to the altered electrophysiological features either. The findings reported suggest that, beside the well known peripheral involvement in chronic lead intoxication, some patients may develop central nervous system impairment perhaps related to myelin involvement as suggested by the prolonged SEP central conduction time.

Assuntos

RESUMO

A comprehensive electrophysiological examination of the peripheral nervous system was carried out in 12 patients who proved to be toxicated with lead (high lead blood levels, and diminished activity of the delta-aminolevulinate dehydratase, ALA D, in erythrocytes). Maximal motor nerve conduction velocities and terminal latencies were investigated in the median, radial and deep peroneal nerves. Also the amplitude of the evoked muscle response (M wave) was measured in thenar, extensor longus and extensor digitorium brevis muscles. Sensory conduction velocity and amplitude of the nerve compound action potential were measured at the median nerve. Tibialis anterior muscle responses to deep peroneal nerve repetitive stimulation were also explored. Conventional needle electromyogram was performed in the deltoid and tibialis anterior muscles. Slight diminished motor and sensory conduction velocities were found as well as a reduction of the amplitude of the evoked muscle response of the compound sensory action potential. Four out of the 12 patients tested showed either decremental or incremental amplitude of the muscle response with nerve repetitive stimulation. A electromyographical diminished interference pattern was found in all patients tested. Most of the remaining motor unit potentials were fragmented or polyphasic. Just one patient disclosed potentials of enhanced duration and amplitude. No relationship was found between blood lead levels or ALA D erythrocytes concentration and the different electrophysiological tests performed, except between reduced ALA D concentration and diminished amplitudes of the M wave and of the sensory compound action potential, and also between ALA D and diminished radial motor conduction velocity.(ABSTRACT TRUNCATED AT 250 WORDS)

Assuntos

RESUMO

By means of electron microscope it was demonstrated that photosynthetically-grown Rhodopseudomonas palustris exhibits an intracytoplasmic membrane system (Figure 1a), which is not observed in aerobically-dark grown bacteria (Figure 1b). The content of bacteriochlorophyll alpha and the enzyme activity of succinil-CoA-synthetase, ALA-sinthetase and ALA-dehydratase in several media grown Rhodopseudomonas palustris could be measured. Aerobically-dark grown cells do not synthetize bacteriochlorophyll alpha and the activity of ALA-synthetase is lower than in photosynthetically-grown cells (Table 1), suggesting a possible regulatory role for this enzyme in the pigment biosynthesis. Some inhibitors of electron transport and uncouplers of photophosphorylation inhibit both the bacterial growth and bacteriochlorophyll alpha biosynthesis (Table 2), while the levels of ALA-synthetase are not affected. If the incubation in the presence of these kinds of compounds is prolongated, the effects disappear. Although the regulatory role of ALA-synthetase should be very important, apparently it would not be the unique regulatory factor for bacteriochlorophyll alpha biosynthesis in Rhodopseudomonas palustris.

Assuntos

RESUMO

By means of electron microscope it was demonstrated that photosynthetically-grown Rhodopseudomonas palustris exhibits an intracytoplasmic membrane system (Figure 1a), which is not observed in aerobically-dark grown bacteria (Figure 1b). The content of bacteriochlorophyll alpha and the enzyme activity of succinil-CoA-synthetase, ALA-sinthetase and ALA-dehydratase in several media grown Rhodopseudomonas palustris could be measured. Aerobically-dark grown cells do not synthetize bacteriochlorophyll alpha and the activity of ALA-synthetase is lower than in photosynthetically-grown cells (Table 1), suggesting a possible regulatory role for this enzyme in the pigment biosynthesis. Some inhibitors of electron transport and uncouplers of photophosphorylation inhibit both the bacterial growth and bacteriochlorophyll alpha biosynthesis (Table 2), while the levels of ALA-synthetase are not affected. If the incubation in the presence of these kinds of compounds is prolongated, the effects disappear. Although the regulatory role of ALA-synthetase should be very important, apparently it would not be the unique regulatory factor for bacteriochlorophyll alpha biosynthesis in Rhodopseudomonas palustris.

RESUMO

By means of electron microscope it was demonstrated that photosynthetically-grown Rhodopseudomonas palustris exhibits an intracytoplasmic membrane system (Figure 1a), which is not observed in aerobically-dark grown bacteria (Figure 1b). The content of bacteriochlorophyll alpha and the enzyme activity of succinil-CoA-synthetase, ALA-sinthetase and ALA-dehydratase in several media grown Rhodopseudomonas palustris could be measured. Aerobically-dark grown cells do not synthetize bacteriochlorophyll alpha and the activity of ALA-synthetase is lower than in photosynthetically-grown cells (Table 1), suggesting a possible regulatory role for this enzyme in the pigment biosynthesis. Some inhibitors of electron transport and uncouplers of photophosphorylation inhibit both the bacterial growth and bacteriochlorophyll alpha biosynthesis (Table 2), while the levels of ALA-synthetase are not affected. If the incubation in the presence of these kinds of compounds is prolongated, the effects disappear. Although the regulatory role of ALA-synthetase should be very important, apparently it would not be the unique regulatory factor for bacteriochlorophyll alpha biosynthesis in Rhodopseudomonas palustris.