RESUMO
Respiratory symptoms are one of COVID-19 manifestations, and the metalloproteinases (MMPs) have essential roles in the lung physiology. We sought to characterize the plasmatic levels of matrix metalloproteinase-2 and 9 (MMP-2 and MMP-9) in patients with severe COVID-19 and to investigate an association between plasma MMP-2 and MMP-9 levels and clinical outcomes and mortality. MMP-2 and MMP-9 levels in plasma from patients with COVID-19 treated in the ICU (COVID-19 group) and Control patients were measured with the zymography. The study groups were matched for age, sex, hypertension, diabetes, BMI, and obesity profile. MMP-2 levels were lower and MMP-9 levels were higher in a COVID-19 group (p < 0.0001) compared to Controls. MMP-9 levels in COVID-19 patients were not affected by comorbidity such as hypertension or obesity. MMP-2 levels were affected by hypertension (p < 0.05), but unaffected by obesity status. Notably, hypertensive COVID-19 patients had higher MMP-2 levels compared to the non-hypertensive COVID-19 group, albeit still lower than Controls (p < 0.05). No association between MMP-2 and MMP-9 plasmatic levels and corticosteroid treatment or acute kidney injury was found in COVID-19 patients. The survival analysis showed that COVID-19 mortality was associated with increased MMP-2 and MMP-9 levels. Age, hypertension, BMI, and MMP-2 and MMP-9 were better predictors of mortality during hospitalization than SAPS3 and SOFA scores at hospital admission. In conclusion, a significant association between MMP-2 and MMP-9 levels and COVID-19 was found. Notably, MMP-2 and MMP-9 levels predicted the risk of in-hospital death suggesting possible pathophysiologic and prognostic roles.
Assuntos
COVID-19 , Mortalidade Hospitalar , Hipertensão , Unidades de Terapia Intensiva/estatística & dados numéricos , Metaloproteinase 2 da Matriz , Metaloproteinase 9 da Matriz , Fatores Etários , Índice de Massa Corporal , Brasil/epidemiologia , COVID-19/sangue , COVID-19/diagnóstico , COVID-19/mortalidade , COVID-19/fisiopatologia , Feminino , Humanos , Hipertensão/diagnóstico , Hipertensão/epidemiologia , Masculino , Metaloproteinase 2 da Matriz/análise , Metaloproteinase 2 da Matriz/sangue , Metaloproteinase 9 da Matriz/análise , Metaloproteinase 9 da Matriz/sangue , Pessoa de Meia-Idade , Mortalidade , Valor Preditivo dos Testes , Prognóstico , Fatores de Risco , SARS-CoV-2 , Índice de Gravidade de DoençaRESUMO
Recently acquired bathymetric and high-resolution seismic data from the upper slope of Santos Basin, southern Brazilian margin, reveal a major geomorphological feature in the SW Atlantic that is interpreted as a carbonate ridge - the Alpha Crucis Carbonate Ridge (ACCR). The ACCR is the first megastructure of this type described on the SW Atlantic margin. The ~17 × 11-km-wide ring-shaped ACCR features tens of >100-m-high steep-sided carbonate mounds protruding from the surrounding seabed and flanked by elongated depressions. Comet-like marks downstream of the mound structures indicate that the area is presently influenced by the northward flow of the Intermediate Western Boundary Current (IWBC), a branch of the Subtropical Gyre that transports Antarctic Intermediate Water. Abundant carbonate sands and gravels cover the mounds and are overlain by a biologically significant community of living and dead ramified corals and associated invertebrates. The IWBC acts as a hydrodynamic factor that is responsible for both shaping the bottom and transporting coral larvae. We contend that the ACCR was formed by upward fluid flow along active sub-surface faults and fractures that formed by lateral extension generated by the ascending movement of salt diapirs at depth. The ACCR provides an important modern and accessible analogue for a seabed carbonate build-up related to sub-surface hydrocarbon systems.
RESUMO
The activation of phosphoinositide-specific phospholipase C (PI-PLC) is one of the earliest responses triggered by the recognition of several microbe-associated molecular patterns (MAMPs) in plants. The Arabidopsis (Arabidopsis thaliana) PI-PLC gene family is composed of nine members. Previous studies suggested a role for PLC2 in MAMP-triggered immunity, as it is rapidly phosphorylated in vivo upon treatment with the bacterial MAMP flg22. Here, we analyzed the role of PLC2 in plant immunity using an artificial microRNA to silence PLC2 expression in Arabidopsis. We found that PLC2-silenced plants are more susceptible to the type III secretion system-deficient bacterial strain Pseudomonas syringae pv tomato (Pst) DC3000 hrcC- and to the nonadapted pea (Pisum sativum) powdery mildew Erysiphe pisi However, PLC2-silenced plants display normal susceptibility to virulent (Pst DC3000) and avirulent (Pst DC3000 AvrRPM1) P. syringae strains, conserving typical hypersensitive response features. In response to flg22, PLC2-silenced plants maintain wild-type mitogen-activated protein kinase activation and PHI1, WRKY33, and FRK1 immune marker gene expression but have reduced reactive oxygen species (ROS)-dependent responses such as callose deposition and stomatal closure. Accordingly, the generation of ROS upon flg22 treatment is compromised in the PLC2-defficient plants, suggesting an effect of PLC2 in a branch of MAMP-triggered immunity and nonhost resistance that involves early ROS-regulated processes. Consistently, PLC2 associates with the NADPH oxidase RBOHD, suggesting its potential regulation by PLC2.