RESUMO.-Nos assentamentos rurais há maiores concentrações de reservatórios e vetores da leishmaniose visceral canina (LVC) devido às transformações ambientais resultantes da ação antrópica pela ocupação do território, no entanto, não há estudos no Brasil acerca de informações epidemiológicas da LVC em assentamentos rurais. O objetivo do presente trabalho foi determinar a soroprevalência para Leishmania sp. em cães de assentamentos rurais, bem como identificar os fatores de risco associados a infecção. Foram utilizados 306 cães e o diagnóstico sorológico da LVC foi realizado através do ELISA S7. Dos 306 cães investigados, 118 apresentaram anticorpos anti-Leishmania sp., resultando em frequência de 38,6%. Idade de 12 -24 meses (OR=2,97), idade de 24--48 meses (OR=4,83), idade de 4-6 anos (OR=4,40), idade >6 anos (OR=3,62), contato com aves (OR=1,67) e sexo (fêmea) (OR=1,97) foram apontados como fatores de risco para LVC. Cães de assentamentos rurais do semiárido paraibano apresentaram frequência elevada de anticorpos anti-Leishmania sp., o que torna a população desses locais susceptíveis à infecção. Isso evidencia a necessidade de alerta aos órgãos de vigilância epidemiológica para estabelecer medidas de prevenção e controle dessa zoonose, incluindo ações educacionais e sanitárias nesses assentamentos, já que os mesmos estão situados em áreas com características propícias à instalação da LVC. In rural settlements there are higher concentrations of reservoirs and vectors of canine visceral leishmaniasis (CVL) due to environmental changes resulting from human action by occupation of the territory, however, there are no surveys in Brazil on epidemiological information of CVL in these areas. The aim of this study was to determine the seroprevalence of Leishmania sp. in dogs from rural settlements, as well as to identify the risk factors associated with infection. A total of 306 dogs were tested, and the serological diagnosis of CVL was performed by ELISA S7. Of the 306 dogs, 118 presented anti-Leishmania sp. antibodies., resulting in a frequency of 38.6%. The risk factors identified for CVL seropositivity were: age of 12-24 months (OR=2.97), age of 24-48 months (OR=4.83), age of 4-6 years (OR=4.40), age >6 years (OR=3.62), contact with poultry (OR=1.67) and gender (female) (OR=1.97). Dogs from rural settlements in the semiarid of Paraiba showed high anti-Leishmania sp. antibody frequency, what makes the population of those settlements susceptible to infection. This highlights for the need to alert the epidemiological surveillance agencies to stablish prevention and control methods for that zoonosis, including educational and health activities on these settlements, as they are located in areas with favorable characteristics for CVL installation.
Type 1 diabetes recurrence has been documented in simultaneous pancreas-kidney transplants (SPKT), but this diagnosis may be underestimated. Antibody monitoring is the most simple, noninvasive, screening test for pancreas autoimmune activity. However, the impact of the positive autoimmune markers on pancreas graft function remains controversial. In our cohort of 105 SPKT, we studied the cases with positive pancreatic autoantibodies. They were immunosuppressed with antithymocyte globulin, tacrolimus, mycophenolate, and steroids. The persistence or reappearance of these autoantibodies after SPKT and factors associated with their evolution and with graft outcome were analyzed. Pancreatic autoantibodies were prospectively monitored. Serum samples were collected before transplantation and at least once per year thereafter. At the end of the follow-up (maximum 138 months), 43.8% of patients were positive (from pre-transplant or after recurrence) for at least one autoantibody - the positive group. Antiglutamic acid decarboxylase was the most prevalent (31.4%), followed by anti-insulin (8.6%) and anti-islet cell autoantibodies (3.8%). Bivariate analysis showed that the positive group had higher fasting glucose, higher glycated hemoglobin (HbA1c), lower C-peptide levels, and a higher number of HLA-matches. Analyzing the sample divided into four groups according to pre-/post-transplant autoantibodies profile, the negative/positive group tended to present the higher HbA1c values. Multivariate analysis confirmed the significant association between pancreas autoimmunity and HbA1c and C-peptide levels. Positivity for these autoantibodies pre-transplantation did not influence pancreas survival. The unfavorable glycemic profile observed in the autoantibody-positive SPKT is a matter of concern, which deserves further attention.
Sapodilla (Manilkara zapota) is a climacteric fruit that ripens shortly after harvest. Studies on its conservation during storage have been mainly restricted to using low temperatures and modified atmospheres. In this study we investigated the influence of 1-methylcyclopropene (1-MCP) on the physiological and biochemical changes that sapodilla cell wall undergoes during ripening and evaluated its potential to preserve sapodilla fruits at postharvest. Fruits were treated with ethylene antagonist 1-MCP at 300 nL L-1 for 12 h and then stored under a modified atmosphere at 25ºC for 23 d. 1-MCP significantly delayed softening of sapodilla for 11 d as a consequence of inhibition of cell wall degrading enzyme activities, and thus 1-MCP-treated fruit exhibited a less extensive solubilization of polyuronides, hemicellulose and of free neutral sugar when compared to control fruit. Results suggest that delayed softening of sapodilla is largely dependent on ethylene production and perception.
Introduction and Aims: AGE accumulation in diabetic patients has been proposed as (an) one of the most important mechanisms leading to micro and macrovascular complications. Pancreas-kidney transplantation (PKT), reverting uremia and hyperglycemia may result in AGE reduction or removal, but it is still unknown. We conducted a prospective study in 15 patients, undergoing PKT to analyze AGE evolution after the procedure. Methods: Skin samples were collected during the surgery (T0) and 12 months after (T12). Immunochemistry assay utilizing a polyclonal anti-AGE antibody was used to evaluate skin AGE deposition, comparing T0 and T12 samples from each patient. Results: All the patients kept both grafts with normal function during the follow-up. AGE immunoreaction was invariably positive on endothelial cells, adipocytes, and dermal collagen fibers. In the epidermal layers, AGE immunoreaction presented several distinct patterns and intensity. In 11 of the 15 patients, there was a change from a diffuse cytoplasmic pattern on T0, to an interkeratinocytic or peripheral only pattern, saving the central cytoplasmic area, on T12. A semiquantitative AGE assessment was made based on immunoreaction intensity, graded on a scale from 0 (negative) to 3+ (strongly positive). In at least 7 patients we observed a clear reduction of AGE immunoreaction intensity from T0 to T12. Conclusions: Based in these results, our conclusion is that reduction of tissue glycosylation may start to be achieved during the first year after a successful PKT, in type 1 diabetic patients.
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