RESUMO
BACKGROUND: Renal transplant recipients (RTRs) are at increased risk of developing skin cancer; however, the role of immunosuppression is not yet fully understood. In this study, we evaluated the immunohistochemical changes in the skin of RTRs under three different immunosuppression regimens: mTOR inhibitors (mTORi), sirolimus or everolimus, mycophenolic acid (MPA) precursors such as mycophenolate sodium or mofetil, or azathioprine (AZA). METHODS: We evaluated biopsies of sun-exposed and sun-protected skin for immunohistochemical quantification of B lymphocytes (CD20+ ), T lymphocytes (CD3+ , CD4+ , and CD8+ ), and Langerhans cells (LCs) (CD1a+ ) in 30 RTRs and 10 healthy controls. The RTRs were divided into three groups: mTORi (n = 10), MPA (n = 10), and AZA (n = 10). RESULTS: No differences were observed in the number of B lymphocytes. However, a significant decrease in the number of T lymphocytes and LCs was observed in both sun-protected and sun-exposed skin in the AZA and MPA groups, although to a lesser degree in the latter group. The skin of the mTORi group did not differ from that of the control group in terms of the number of B and T lymphocytes and LCs. CONCLUSIONS: Patients treated with mTORi exhibit preserved cellular elements related to cutaneous immune surveillance. The use of AZA induced a greater degree of skin immunosuppression than in the control group, as demonstrated by the decrease in T lymphocytes and LCs.
Assuntos
Transplante de Rim , Células de Langerhans , Humanos , Células de Langerhans/patologia , Transplante de Rim/efeitos adversos , Imunossupressores/efeitos adversos , Ácido Micofenólico/uso terapêutico , Azatioprina/uso terapêutico , Subpopulações de LinfócitosAssuntos
Alopecia , Dioxinas , Líquen Plano , Receptores de Hidrocarboneto Arílico , Fibrose , HumanosRESUMO
Mucosal lesions of paracoccidioidomycosis (PCM) are frequently described and clinically important. Macrophages are classified as M1 or M2. M1 are proinflammatory and M2 are related to chronicity. Dectin-1 recognizes ß-glucan and plays an important role against fungal cells. The objective was to verify the presence of M1, M2, and dectin-1 and a possible correlation with Th1/Th2 cytokines in mucosal PCM lesions. In sum, 33 biopsies of oral PCM were submitted to histological and immunohistochemistry analysis, and positive cells were quantified. Eleven biopsies were characterized by compact granulomas (G1), 12 with loose granulomas (G2), and 10 with both kind of granulomas (G3). pSTAT-1 was equally increased in the three groups. G1 was characterized by an increased number of CD163+ macrophages. G2 presented similar number of arginase 1, iNOS, and CD163 expressing cells. G3 presented an increased number of cells expressing arginase 1 and CD163 over iNOS. G1 and G3 presented high number of cells expressing interferon (IFN)-γ; interleukin (IL) 5 was increased in G2 and G3; the expression of IL10 was similar among the three groups, and the expression of tumor necrosis factor (TNF)-α was higher in G3. G1 correlates to Th1 cytokines and pSTAT-1 and G2 correlates to Th2 cytokines. G3 presents both kinds of cytokines. We could not associate the expression of arginase-1, CD163, iNOS, and dectin-1 with the pattern of cytokines or kind of granuloma.
Assuntos
Citocinas/imunologia , Macrófagos/imunologia , Mucosa Bucal/imunologia , Paracoccidioidomicose/imunologia , Biópsia , Citocinas/classificação , Granuloma/imunologia , Granuloma/microbiologia , Granuloma/patologia , Humanos , Imuno-Histoquímica , Lectinas Tipo C/genética , Lectinas Tipo C/imunologia , Macrófagos/classificação , Boca/imunologia , Boca/microbiologia , Boca/patologia , Mucosa Bucal/microbiologia , Mucosa Bucal/patologia , Paracoccidioides/imunologia , Fenótipo , Pele/imunologia , Pele/microbiologia , Pele/patologia , Células Th1/imunologia , Células Th2/imunologiaRESUMO
Foram utilizados 936 pintos de corte machos e 1008 fêmeas da linhagem Cobb(r) criados no período de um a 45 dias. Os tratamentos foram compostos por duas formas físicas da ração (farelada e peletizada) e duas granulometrias do milho (3,8mm e 7,0mm). O delineamento experimental foi inteiramente ao acaso, em arranjo fatorial 2 x 2 (duas granulometrias x duas formas físicas), com seis repetições de 39 aves cada para os machos e seis repetições de 42 aves cada para as fêmeas. A ração peletizada produzida com moagem 3,8mm apresentou melhor PDI (P≤0,05). Aves fêmeas alimentadas com ração peletizada apresentaram maior consumo de ração, ganho de peso e melhor conversão alimentar que aquelas que receberam ração farelada. Não foi observada diferença significativa (P>0,05) entre os tratamentos para as variáveis ganho de peso, conversão alimentar e consumo de ração dos machos. Não houve influência da forma física e da granulometria sobre a viabilidade das aves em nenhuma fase de criação (P>0,05).(AU)
A total of 936 male chickens and 1008 female Cobb(r) were used from 1 to 45 days old. Treatments consisted of two physical forms (mash and pelleted diets) and two particle sizes ( corn ground through 3.8mm and 7.0mm sieves). The experimental design was completely randomized in a 2 x 2 factorial design (two particle sizes x two physical forms), with six replicates of 39 birds each for males and six replicates of 42 birds each for females. PDI from the pelleted physical form that was produced with 3.8mm grinding showed better results (P≤0.05). Female birds fed pelleted diets had greater feed intake, weight gain and better feed conversion than those fed mash diet. No significant difference (P>0.05) was observed between the treatments for male feed intake, weight gain and feed conversion from 1 to 45 days of age. There was no influence of the physical form and particle size on the feasibility of birds in any phase (P>0.05).(AU)
Assuntos
Animais , Galinhas/metabolismo , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Aves Domésticas/crescimento & desenvolvimento , Aumento de Peso , Zea maysRESUMO
Foram utilizados 936 pintos de corte machos e 1008 fêmeas da linhagem Cobb(r) criados no período de um a 45 dias. Os tratamentos foram compostos por duas formas físicas da ração (farelada e peletizada) e duas granulometrias do milho (3,8mm e 7,0mm). O delineamento experimental foi inteiramente ao acaso, em arranjo fatorial 2 x 2 (duas granulometrias x duas formas físicas), com seis repetições de 39 aves cada para os machos e seis repetições de 42 aves cada para as fêmeas. A ração peletizada produzida com moagem 3,8mm apresentou melhor PDI (P≤0,05). Aves fêmeas alimentadas com ração peletizada apresentaram maior consumo de ração, ganho de peso e melhor conversão alimentar que aquelas que receberam ração farelada. Não foi observada diferença significativa (P>0,05) entre os tratamentos para as variáveis ganho de peso, conversão alimentar e consumo de ração dos machos. Não houve influência da forma física e da granulometria sobre a viabilidade das aves em nenhuma fase de criação (P>0,05).
A total of 936 male chickens and 1008 female Cobb(r) were used from 1 to 45 days old. Treatments consisted of two physical forms (mash and pelleted diets) and two particle sizes ( corn ground through 3.8mm and 7.0mm sieves). The experimental design was completely randomized in a 2 x 2 factorial design (two particle sizes x two physical forms), with six replicates of 39 birds each for males and six replicates of 42 birds each for females. PDI from the pelleted physical form that was produced with 3.8mm grinding showed better results (P≤0.05). Female birds fed pelleted diets had greater feed intake, weight gain and better feed conversion than those fed mash diet. No significant difference (P>0.05) was observed between the treatments for male feed intake, weight gain and feed conversion from 1 to 45 days of age. There was no influence of the physical form and particle size on the feasibility of birds in any phase (P>0.05).
Assuntos
Animais , Fenômenos Fisiológicos da Nutrição Animal , Galinhas/metabolismo , Ração Animal/análise , Aves Domésticas/crescimento & desenvolvimento , Aumento de Peso , Zea maysRESUMO
An experiment was conducted with broilers from 22 to 33 days of age to evaluate the efficiency of six microbial phytases supplemented in diets (1500 FTU/kg) that were formulated with three different calcium:available phosphorus (Ca:P(avail)) ratios (4.5:1.0, 6.0:1.0 and 7.5:1.0). A positive control diet without phytase was formulated with a Ca:P(avail) ratio of 7.5:3.4 to meet the nutritional requirements of the broilers. The P and ash contents of the tibia, magnesium in the plasma, performance, balance and retention of phytate phosphorus (P(phyt)), intake of total P and nitrogen (N), nitrogen-corrected apparent metabolizable energy and apparent digestibility of dry matter of the diets were not influenced (p > 0.05) by the type of phytase or the dietary Ca:P(avail) ratio. However, there was an interaction (p < 0.05) between the phytase type and the Ca:P(avail) ratio for the retention coefficients of total P, Ca and N. Phytase B resulted in the highest Ca deposition in the tibia (p < 0.01). Phytases D, E and F reduced the Ca concentrations in the tibia (p < 0.01) and plasma (p < 0.05). Phytase D increased the P level in the plasma and decreased the total P excretion (p < 0.01). Phytases E and F increased Ca excretion, while phytase A reduced it (p < 0.01). Regardless of the phytase type, increasing the dietary Ca:P(avail) ratio reduced (p < 0.05) the plasma P concentration and the excretion of total P and N and, conversely, increased (p < 0.05) the plasma concentration, intake and excretion of Ca. For the rearing period evaluated, it is possible to reduce the P(avail) of the diet to 1.0 g/kg when Ca is maintained at 7.5 g/kg, and the diet is supplemented with 1500 FTU of phytase A, C, D or E/kg. This diet allows the maintenance of performance and adequate bone mineralization, and it improves the Ca, total P and P(phyt) utilization in addition to reducing the excretion of N and P into the environment.
Assuntos
6-Fitase/farmacologia , Ração Animal/análise , Cálcio/farmacologia , Galinhas , Fósforo/farmacologia , 6-Fitase/administração & dosagem , Fenômenos Fisiológicos da Nutrição Animal , Animais , Cálcio/administração & dosagem , Cálcio/metabolismo , Dieta/veterinária , Suplementos Nutricionais , Relação Dose-Resposta a Droga , Masculino , Fósforo/administração & dosagem , Fósforo/metabolismoRESUMO
The objective of this study was to evaluate the effect of three sources of glycerine (crude glycerine from soya bean oil - CGSO, mixed crude glycerine from frying oil and lard--MCG, and a semipurified glycerine from soya bean oil--SPGSO) in four concentrations in the diet (17.5, 35.0, 52.5 and 70.0 g of each type of glycerine per kg of feed) on the levels of plasmatic glycerol and the activity of the hepatic enzyme glycerol kinase in broilers of 22-35 days old (experiment I) and 33-42 days old (experiment II). The highest (p < 0.05) plasmatic glycerol level was detected in broilers fed diet containing CGSO. Independent of the source, increasing the concentration of glycerine led to a linear increase (p < 0.05) in the plasmatic glycerol concentration. In experiment I, all the diets containing glycerine resulted in increased concentrations of plasmatic glycerol, in relation to the control diet without glycerine. However, in experiment II, only the diet containing 17.5 g of CGSO per kg of feed and the diets formulated with any of the three types of glycerine in the inclusion concentrations of 35, 52.5 and 70 g/kg of feed resulted in higher plasmatic glycerol levels than those observed in the control broilers. The source of glycerine influenced the glycerol kinase activity only in experiment II, where the use of CGSO in the diet increased the enzyme activity. For both experiments, the glycerol kinase activity increased with the inclusion of glycerine in the diet. In conclusion, based on the absence of saturation of the glycerol kinase activity for the three glycerine sources and for both rearing periods evaluated, the broilers can metabolize the glycerol (at the level of the phosphorylation of the glycerol to glycerol-3-phosphate in the liver) present in the glycerine when the diet is supplemented with up to 70 g of glycerine per kg of feed.
Assuntos
Galinhas/metabolismo , Glicerol Quinase/metabolismo , Glicerol/sangue , Glicerol/farmacologia , Fígado/enzimologia , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal , Animais , Dieta/veterinária , Relação Dose-Resposta a Droga , Regulação Enzimológica da Expressão Gênica , Glicerol/administração & dosagem , Glicerol/metabolismo , Glicerol Quinase/genética , MasculinoRESUMO
Interleukin (IL) 10 and interferon-gamma (IFN-) levels in induced sputum supernatants of 21 tuberculosis (TB) patients at diagnosis and during chemotherapy were correlated to recurrence rates. IL-10 decreased until day 60 of treatment (T60), and between T60 and T180 it increased again in 7 cases (Pattern 1) and further decreased in 14 cases (Pattern 2). Follow-up of 69 months was performed in 20/21 cases; 6 had recurrence of TB, of which 5/7 (71%) had Pattern 1 and 1/13 (7.7%) Pattern 2 (OR 30.0, 95%CI 2.19411.3, P 0.0072). This was not observed for IFN-. High IL-10 levels at the end of treatment may function as a risk factor for TB recurrence.
Assuntos
Antituberculosos/uso terapêutico , Interferon gama/imunologia , Interleucina-10/imunologia , Tuberculose/imunologia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Recidiva , Fatores de Risco , Escarro/imunologia , Tuberculose/tratamento farmacológico , Adulto JovemRESUMO
OBJETIVOS: Comparar o impacto do tipo de incontinência urinária sobre a qualidade de vida em mulheres. MÉTODOS: Foram avaliados retrospectivamente 77 prontuários de mulheres incontinentes que realizaram tratamento fisioterapêutico entre fevereiro de 2005 a outubro de 2006. De acordo com os dados do exame urodinâmico, as mulheres foram classificadas em três grupos: incontinência urinária de esforço (IUE), hiperatividade vesical (HV) e incontinência urinária mista (IUM). As voluntárias responderam a uma anamnese com dados demográficos e ao King's Health Questionnaire, questionário específico para avaliação da qualidade de vida em indivíduos com incontinência urinária. RESULTADOS: A maioria das pacientes (44%) apresentou IUM. A idade das pacientes acometidas por HV foi significativamente maior se comparada à idade das pacientes dos demais grupos. As mulheres acometidas por IUM apresentaram um impacto negativo significativamente maior sobre a qualidade de vida (domínio percepção geral da saúde) e sobre a percepção de que a incontinência afeta de modo negativo a própria vida em comparação com as pacientes dos demais grupos. CONCLUSÃO: Este estudo indicou que pacientes com IUM apresentaram um maior impacto negativo sobre a qualidade de vida.
OBJECTIVES: To compare the impact of the type of urinary incontinence on women's quality of life. METHODS: A retrospective evaluation was conducted on the medical records of 77 incontinent women who underwent physical therapy treatment between February 2005 and October 2006. Based on the urodynamic test data, the women were classified into three groups: stress urinary incontinence (SUI), overactive bladder (OB) and mixed urinary incontinence (MUI). The subjects' history was taken, the women provided demographic data and they answered the King's Health Questionnaire, which is a specific questionnaire for assessing the quality of life among individuals with urinary incontinence. RESULTS: Most of the patients (44%) had MUI. The patients affected by OB were significantly older than the patients in the other groups. The negative impact of incontinence on quality of life (General Health Perception domain) and lifestyle was significantly greater among the women affected by MUI than among the patients in the other groups. CONCLUSION: This study indicated that the negative impact of incontinence on quality of life was greater among patients with MUI.
RESUMO
The present work shows the effects of pentoxifylline (ptx), on learning and memory in rats with hippocampal lesions induced by glutamate (glu). Immediately after stereotaxic procedures and in the absence or presence of glu lesions, animals were treated with ptx (50, 100, or 200 mg/kg, IP) for 6 days. Twenty-four hours after the last injection, behavior and memory tests were performed, animals were sacrificed, and hippocampi dissected for cAMP determination or histopathological studies. Results from the T-maze task showed a less learning ability in the glu-lesioned group compared to other ones. Ptx alone or associated with glu significantly improved memory acquisition, but not memory consolidation compared to glu-lesioned rats. Except for the increased locomotor activity observed in the ptx100+glu-treated group compared to saline, no other difference was detected in the open-field test. A significant impairment in avoidance performance was observed in glu-lesioned group as compared to saline or to other groups in the short as well as in the late phase of memory. All groups showed an improved water-maze performance over time with similar performances on the final day of acquisition. The impairment in memory retention observed in glu-lesioned rats was reversed by the pretreatment with ptx200. Glu induced hippocampal lesion and reduced cAMP levels. Both effects were blocked by ptx, suggesting that its action may be the result of increased cAMP levels and/or inhibition of adenosine A1 receptors.