65 results on '"Freitas FA"'
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2. CIRCULATING CELL-FREE DNA (CCFDNA) CONCENTRATIONS MEASURED BY CAPILLARY ELECTROPHORESIS: HIGH COST-EFFECTIVENESS IN DISCRIMINATING DLBCL PATIENTS AND ASSOCIATIONS WITH HIGH TUMOR BURDEN
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Lage, LAPC, primary, Culler, HF, additional, Reichert, CO, additional, Oliveira, KS, additional, Lima, GG, additional, Freitas, FA, additional, Costa, RO, additional, Levy, D, additional, Rocha, V, additional, and Pereira, J, additional
- Published
- 2023
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3. OUTCOMES, PROGNOSTIC FACTORS, PREDICTORS FOR TRANSFORMATION TO HIGH-GRADE B-CELL LYMPHOMA, AND THERAPEUTIC MANAGEMENT IN FOLLICULAR LYMPHOMA: REAL-WORLD EVIDENCE FROM A LARGE AND LONG-TERM LATIN-AMERICAN COHORT
- Author
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Nogueira, DS, primary, Lage, LAPC, additional, Reichert, CO, additional, Culler, HF, additional, Freitas, FA, additional, Ferreira, CR, additional, Costa, RO, additional, Rocha, V, additional, Levy, D, additional, and Pereira, J, additional
- Published
- 2023
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4. CHARACTERISTICS OF THE ACTION OF OXYSTEROLS 7-KETOCHOLESTEROL AND CHOLESTANE-3β,5α,6β-TRIOL ON ABCS AND LRP TRANSPORT PROTEINS OF MESENCHYMAL STEM CELLS DERIVED FROM BONE MARROW OF PATIENTS WITH ACUTE MYELOID LEUKEMIA
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Reichert, CO, Levy, D, Freitas, FA, Sampaio, J, Nunes, JPS, Neto, EC, Lage, LAPC, Pereira, J, and Bydlowski, SP
- Published
- 2024
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5. DOES PERIPHERAL BLOOD MIRROR IMMUNE TUMOR MICROENVIRONMENT? FLOW CYTOMETRY QUANTIFICATION OF PERIPHERAL BLOOD LYMPHOCYTE SUBPOPULATIONS AND OUTCOMES IN PATIENTS WITH DIFFUSE LARGE B-CELL LYMPHOMA (DLBCL)
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Lage, LAPC, Almeida, ICTS, Reichert, CO, Lima, GG, Culler, HF, Freitas, FA, Rocha, V, Costa, RO, Siqueira, SAC, and Pereira, J
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- 2024
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6. Oxysterols and mesenchymal stem cell biology
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de Freitas Fa, Cadiele Oliana Reichert, Debora Levy, and Sérgio Paulo Bydlowski
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Programmed cell death ,Oxysterol ,Apoptosis ,Cellular differentiation ,Mesenchymal stem cell ,Autophagy ,Biology ,Cell biology - Published
- 2021
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7. BONE MARROW MESENCHYMAL STEM CELLS DERIVED FROM HEALTHY DONORS BUT NOT THOSE DERIVED FROM ACUTE MYELOID LEUKEMIA PATIENTS ARE ABLE TO AFFECT PROLIFERATION AND DEATH OF LEUKEMIC CELL LINEAGES K562 AND K562 LUCENA
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Freitas, FA, primary, Levy, D, additional, Reichert, CO, additional, Lima-Barros, P, additional, Sampaio-Silva, J, additional, Rokita-Rosa, L, additional, and Bydlowski, SP, additional
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- 2021
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8. Comparação de métodos de medida indireta de massa de forragem em pasto de azevém anual (Lolium multiflorum Lam.)
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Cauduro Guilherme Fernandes, Carvalho Paulo César de Faccio, Barbosa Cristina Maria Pacheco, Lunardi Robson, Pilau Alcides, Freitas Fabiana Kellermann de, and Silva Jamir Luís Silva da
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bastão graduado ,disco medidor de forragem ,medidor de capacitância ,Agriculture ,Agriculture (General) ,S1-972 - Abstract
Este trabalho foi realizado de maio a outubro de 2003, na Estação Experimental da Universidade Federal do Rio Grande do Sul (EEA-UFRGS), tendo como objetivo avaliar e comparar a precisão do disco medidor de forragem, do bastão graduado e do medidor de capacitância em predizer a massa de forragem de pastagens de azevém anual. O trabalho constou de dois experimentos: o experimento 1 no qual foram avaliados os três métodos numa situação em que o azevém apresentava-se em fase de estabelecimento num delineamento completamente casualizado, com 32 repetições e três tratamentos; e o experimento 2, no qual foi avaliada a massa de forragem pré e pós-pastejo pelo bastão graduado e pelo disco medidor em potreiros sob lotação rotacionada. O delineamento experimental do experimento 2 foi o de blocos completamente casualizados, com quatro repetições; os tratamentos constaram de duas intensidades de pastejo (baixa e moderada) definidas por ofertas de forragem de 2,5 ou 5,0 vezes o potencial de consumo dos cordeiros que foram utilizados. No experimento 1, o bastão graduado apresentou o melhor coeficiente de determinação com a massa de forragem (r²=0,65). No experimento 2, os melhores coeficientes de determinação foram obtidos quando o pasto, sob lotação rotacionada, foi avaliado com o bastão graduado.
- Published
- 2006
9. Regeneração in vitro de anteras de arroz irrigado (Oryza sativa L.) e mapeamento de QTL associado
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Lannes Sérgio Dias, Zimmer Paulo Dejalma, Oliveira Antonio Costa de, Carvalho Fernando Irajá Félix de, Vieira Eduardo Alano, Magalhães Junior Ariano Martins de, Kopp Maurício Marini, and Freitas Fábio Almeida de
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subespécie indica ,micrósporos ,androgênese ,calos ,mapas de ligação ,Agriculture ,Agriculture (General) ,S1-972 - Abstract
A baixa taxa de regeneração in vitro de alguns cultivares de arroz da subespécie indica limita a utilização de técnicas de cultura de anteras como ferramenta para o desenvolvimento de novos cultivares. A identificação de regiões genômicas associadas à formação de calos e regeneração de plantas, a partir do cultivo de anteras, poderá permitir a transferência do caráter por seleção assistida. Duas populações de retrocruzamento foram utilizadas para o mapeamento genético e estudo destes caracteres, sendo Taipei 309// BRS 7 "Taim"/Taipei 309 (53 genótipos) e BRS 7 "Taim"// BRS 7 "Taim"/Taipei 309 (74 genótipos). Duzentas anteras imaturas de cada genótipo utilizado no estudo foram inoculadas em meio NL líquido e, após 40 dias, os calos formados foram transferidos para o meio MS sólido para regeneração de plantas. Todas as plantas doadoras de anteras foram usadas na extração de DNA genômico e sete primers RAPD foram utilizados na geração de marcadores para a construção dos mapas de ligação dos retrocruzamentos estudados. A taxa de formação de calos variou de 2,27 a 3,36% e a taxa de regeneração de plantas 1,38 a 1,82%, não se diferenciando significativamente. Seis grupos de ligação foram obtidos, três em cada população. Um QTL com LOD 3,10 foi detectado para o caráter formação de calos na população Taipei 309 // BRS 7 "Taim" / Taipei 309. Nenhum QTL foi detectado para a característica regeneração de plantas.
- Published
- 2004
10. Uma proposta de seleção para caracteres quantitativos e qualitativos em aveia
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Benin Giovani, Carvalho Fernando Irajá Félix de, Oliveira Antônio Costa, Silva José Antonio Gonzales da, Lorencetti Claudir, Maia Melissa Batista, Marchioro Volmir Sérgio, Freitas Fabio, and Hartwig Irineu
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Avena sativa L. ,alumínio tóxico ,ácido giberélico ,melhoramento genético ,Agriculture ,Agriculture (General) ,S1-972 - Abstract
Em aveia (Avena sativa L.), a utilização de técnicas que minimizem os efeitos de ambiente na expressão do fenótipo e que facilitem a identificação de genótipos de superior rendimento de grãos, baixa estatura e tolerantes ao alumínio tóxico são aspectos de fundamental importância para o desenvolvimento de cultivares mais promissores e com adaptabilidade a áreas consideradas marginais. Desta forma, genótipos selecionados pelo método colméia de condução de populações segregantes, em três diferentes cruzamentos, foram submetidos a testes simultâneos para tolerância ao alumínio tóxico (Al+3) e insensibilidade ao ácido giberélico (AG3), objetivando a identificação de constituições genéticas superiores. A técnica utilizada possibilitou a seleção de plantas de alto potencial produtivo, menor estatura (insensíveis ao AG3) e mais tolerantes ao Al+3, podendo ser aplicada com sucesso em programas de melhoramento genético com a cultura da aveia hexaplóide cultivada.
- Published
- 2004
11. Cancer cachexia and tumor growth reduction in walker 256 tumor-bearing rats supplemented with n-3 polyunsaturated fatty acids for one generation.
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Togni V, Ota CC, Folador A, Tchaikovski Junior O, Aikawa J, Yamazaki RK, Freitas FA, Longo R, Martins EF, Calder PC, Curi R, and Fernandes LC
- Abstract
In this study we investigated the effect of lifelong supplementation of the diet with coconut oil (CO, rich in saturated fatty acids) or fish oil (FO, rich in n-3 polyunsaturated fatty acids, PUFAs) on tumor growth, animal survival, and metabolic indicators of cachexia in adult rats. Female Wistar rats were supplemented with CO or FO prior to mating and then throughout pregnancy and gestation, and then the male offspring were supplemented from weaning until 90 days of age. Then they were inoculated subcutaneously with Walker 256 tumor cells. Tumor weight at 14 days in control rats (those fed standard chow) was approximately 20 g. These animals displayed cancer cachexia, which was characterized by loss of weight, hypoglycemia, hyperlacticidemia, hypertriacylglycerolemia, and depletion of glycogen stores. Supplementation of the diet with CO did not change these parameters, except that there was a smaller decrease in serum triacylglycerol concentration. Supplementation of the diet with FO significantly decreased tumor growth (by approximately 60%), increased survival (50% at 30 days postinoculation vs. 30% in the controls and 13.5% in the CO group), and prevented the fall in body weight. Furthermore, FO supplementation partly abolished the fall in serum glucose, totally prevented the elevation in serum lactate concentrations, partly prevented the hypertriacylgylcerolemia, and preserved tissue glycogen stores. Lifelong consumption of FO, rich in n-3 PUFAs, protects against tumor growth and cancer cachexia and improves survival. [ABSTRACT FROM AUTHOR]
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- 2003
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12. The Synergic Effect of h -MoO 3 , α-MoO 3 , and β-MoO 3 Phase Mixture as a Solid Catalyst to Obtain Methyl Oleate.
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Medeiros Leão GS, Silva Ribeiro MD, Filho RLF, Saraiva LB, Peña-Garcia RR, Teixeira APC, Lago RM, Freitas FA, de Sá Barros S, Junior SD, Ruiz YL, and Nobre FX
- Abstract
Extensive research in the last few decades has conclusively demonstrated the significant influence of experimental conditions, surfactants, and synthesis methods on semiconductors' properties in technological applications. Therefore, in this study, the synthesis of molybdenum oxide (MoO
3 ) was reported by the addition of 2.5 (MoO3 _2.5), 5 (MoO3 _5), 7.5 (MoO3 _7.5), and 10 mL (MoO3 _10) of nitric acid, obtaining the respective concentrations of 0.6, 1.10, 1.6, and 0.6 mol L-1 . In this study, all samples were synthesized by the hydrothermal method at 160 °C for 6 h. The materials obtained were structurally characterized by X-ray diffraction (XRD) and structural Rietveld refinement, Raman spectroscopy, and infrared spectroscopy (FTIR), confirming the presence of all crystallographic planes and bands associated with active modes for the pure hexagonal phase ( h -MoO3 ) when the solution's concentration was 0.6 mol L-1 of nitric acid. For concentrations of 1.10, 1.60, and 2.10 mol L-1 , the presence of crystallographic planes and active modes associated with the formation of mixtures of molybdenum oxide polymorphs was confirmed, in this case, the orthorhombic, monoclinic, and hexagonal phases. X-ray photoelectron spectroscopy reveals the occurrence of the states Mo4+ , Mo5+ , and Mo6+ , which confirm the predominance of the acid Lewis sites, corroborating the analysis by adsorption of pyridine followed by characterization by infrared spectroscopy. The images collected by scanning electron microscopy confirmed the information presented in the structural characterization, where microcrystals with hexagonal morphology were obtained for the MoO3 _2.5 sample. In contrast, the MoO3 _5, MoO3 _7.5, and MoO3 _10 samples exhibited hexagonal and rod-shaped microcrystals, where the latter morphology is characteristic of the orthorhombic phase. The catalytic tests carried out in the conversion of oleic acid into methyl oleate, using the synthesized samples as a heterogeneous catalyst, resulted in conversion percentages of 52.5, 58.6, 69.1, and 97.2% applying the samples MoO3 _2.5, MoO3 _5, MoO3 _7.5, and MoO3 _10, respectively. The optimization of the catalytic tests with the MoO3 _10 sample revealed that the conversion of oleic acid into methyl oleate is a thermodynamically favorable process, with a variation in the Gibbs free energy between -67.3 kJ mol-1 and 83.4 kJ mol-1 as also, the energy value of activation of 24.6 kJ mol-1 , for the temperature range from 80 to 140 °C, that is, from 353.15 to 413.15 K, respectively. Meanwhile, the catalyst reuse tests resulted in percentages greater than 85%, even after the ninth catalytic cycle. Therefore, the expressive catalytic performance of the mixture of h -MoO3 and α-MoO3 (MoO3 _10) phases is confirmed, associated with the synergistic effect, mainly due to the increase in the surface area and available Lewis sites of these phases.- Published
- 2024
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13. 7-Ketocholesterol Effects on Osteogenic Differentiation of Adipose Tissue-Derived Mesenchymal Stem Cells.
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Oliveira BA, Levy D, Paz JL, de Freitas FA, Reichert CO, Rodrigues A, and Bydlowski SP
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- Humans, beta Catenin metabolism, beta Catenin genetics, PPAR gamma metabolism, PPAR gamma genetics, Cells, Cultured, Adipogenesis drug effects, Core Binding Factor Alpha 1 Subunit metabolism, Core Binding Factor Alpha 1 Subunit genetics, Signal Transduction drug effects, Hedgehog Proteins metabolism, Smoothened Receptor metabolism, Smoothened Receptor genetics, Mesenchymal Stem Cells metabolism, Mesenchymal Stem Cells drug effects, Mesenchymal Stem Cells cytology, Osteogenesis drug effects, Cell Differentiation drug effects, Ketocholesterols pharmacology, Adipose Tissue cytology, Adipose Tissue metabolism
- Abstract
Some oxysterols were shown to promote osteogenic differentiation of mesenchymal stem cells (MSCs). Little is known about the effects of 7-ketocholesterol (7-KC) in this process. We describe its impact on human adipose tissue-derived MSC (ATMSC) osteogenic differentiation. ATMSCs were incubated with 7-KC in osteogenic or adipogenic media. Osteogenic and adipogenic differentiation was evaluated by Alizarin red and Oil Red O staining, respectively. Osteogenic ( ALPL, RUNX2, BGLAP ) and adipogenic markers ( PPARƔ, C/EBPα ) were determined by RT-PCR. Differentiation signaling pathways (SHh, Smo, Gli-3, β-catenin) were determined by indirect immunofluorescence. ATMSCs treated with 7-KC in osteogenic media stained positively for Alizarin Red. 7-KC in adipogenic media decreased the number of adipocytes. 7-KC increased ALPL and RUNX2 but not BGLAP expressions. 7-KC decreased expression of PPARƔ and C/EBPα , did not change SHh, Smo, and Gli-3 expression, and increased the expression of β-catenin. In conclusion, 7-KC favors osteogenic differentiation of ATMSCs through the expression of early osteogenic genes (matrix maturation phase) by activating the Wnt/β-catenin signaling pathway, while inhibiting adipogenic differentiation. This knowledge can be potentially useful in regenerative medicine, in treatments for bone diseases.
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- 2024
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14. A Queer Eye for the Binary Resident: the Importance of Transgender and Gender Diverse Youth Care During Psychiatric Residents Training.
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Martins CFBG, Gagliotti DAM, Gonçalves AHO, Andrade PHA, Freitas FA, Morikawa M, Humes EC, and Saadeh A
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- 2024
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15. Application of chemically modified waste tucumã (Astrocaryum aculeatum) seeds in the biosorption of methylene blue: kinetic and thermodynamic parameters.
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Lobo WV, Loureiro Paes OADR, Pinheiro W, Soares ER, de Souza MP, Dos Santos Sousa A, Kumar V, Iglauer S, and de Freitas FA
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- Kinetics, Adsorption, Methylene Blue chemistry, Thermodynamics, Seeds chemistry, Water Pollutants, Chemical chemistry
- Abstract
Dye effluents cause diverse environmental problems. Methylene blue (MB) dye stands out since it is widely used in the textile industry. To reduce the pollution caused by the MB, we developed biosorbents from tucumã seeds, where the in natura seeds were treated with NaOH (BT) and H
3 PO4 (AT) solutions and characterized by Boehm titration, point of zero charges, FTIR, TGA, BET, and SEM. It was observed that the acid groups predominate on the surface of the three biosorbents. The process was optimized for all biosorbents at pH = 8, 7.5 g/L, 240 min, C0 = 250 mg/L, and 45 ℃. BT was more efficient in removing MB (96.20%; QMax = 35.71 mg/g), while IT and AT removed around 60% in similar conditions. The adsorption process best fits Langmuir and Redlich-Peterson isotherms, indicating a hybrid adsorption process (monolayer and multilayer) and pseudo-second-order kinetics. Thermodynamic data confirmed an endothermic and spontaneous adsorption process, mainly for BT. MB was also recovered through a desorption process with ethanol, allowing the BT recycling and reapplication of the dye. Thus, an efficient and sustainable biosorbent was developed, contributing to reducing environmental impacts., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)- Published
- 2024
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16. Influence of Human Bone Marrow Mesenchymal Stem Cells Secretome from Acute Myeloid Leukemia Patients on the Proliferation and Death of K562 and K562-Lucena Leukemia Cell Lineages.
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de Freitas FA, Levy D, Reichert CO, Sampaio-Silva J, Giglio PN, de Pádua Covas Lage LA, Demange MK, Pereira J, and Bydlowski SP
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- Humans, K562 Cells, Apoptosis, Secretome metabolism, Middle Aged, Female, Male, Bone Marrow Cells metabolism, Cell Lineage genetics, Cell Survival, Adult, Mesenchymal Stem Cells metabolism, Leukemia, Myeloid, Acute metabolism, Leukemia, Myeloid, Acute pathology, Leukemia, Myeloid, Acute genetics, Cell Proliferation
- Abstract
Leukemias are among the most prevalent types of cancer worldwide. Bone marrow mesenchymal stem cells (MSCs) participate in the development of a suitable niche for hematopoietic stem cells, and are involved in the development of diseases such as leukemias, to a yet unknown extent. Here we described the effect of secretome of bone marrow MSCs obtained from healthy donors and from patients with acute myeloid leukemia (AML) on leukemic cell lineages, sensitive (K562) or resistant (K562-Lucena) to chemotherapy drugs. Cell proliferation, viability and death were evaluated, together with cell cycle, cytokine production and gene expression of ABC transporters and cyclins. The secretome of healthy MSCs decreased proliferation and viability of both K562 and K562-Lucena cells; moreover, an increase in apoptosis and necrosis rates was observed, together with the activation of caspase 3/7, cell cycle arrest in G0/G1 phase and changes in expression of several ABC proteins and cyclins D1 and D2. These effects were not observed using the secretome of MSCs derived from AML patients. In conclusion, the secretome of healthy MSCs have the capacity to inhibit the development of leukemia cells, at least in the studied conditions. However, MSCs from AML patients seem to have lost this capacity, and could therefore contribute to the development of leukemia.
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- 2024
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17. Predictors of Survival, Treatment Modalities, and Clinical Outcomes of Diffuse Large B-Cell Lymphoma in Patients Older Than 70 Years Still an Unmet Medical Need in 2024 Based on Real-World Evidence.
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de Pádua Covas Lage LA, De Vita RN, de Oliveira Alves LB, Jacomassi MD, Culler HF, Reichert CO, de Freitas FA, Rocha V, Siqueira SAC, de Oliveira Costa R, and Pereira J
- Abstract
Background: Diffuse large B-cell lymphoma (DLBCL) especially affects the older population. Old (≥60 years) and very old age (≥80 years) DLBCL patients often present high-risk molecular alterations, lower tolerability to conventional immunochemotherapy, and poor clinical outcomes. In this scenario, attenuated therapeutic strategies, such as the R-MiniCHOP and R-MiniCHOP of the elderly regimens, have emerged for this particularly fragile population. However, the responses, clinical outcomes, and toxicities of these regimens currently remain poorly understood, mainly because these individuals are not usually included in controlled clinical trials., Methods: This retrospective, observational, and single-center real-world study included 185 DLBCL, NOS patients older than 70 years treated at the largest oncology center in Latin America from 2009 to 2020. We aimed to assess the outcomes, determine survival predictors, and compare responses and toxicities between three different primary therapeutic strategies, including the conventional R-CHOP regimen and the attenuated R-MiniCHOP and R-MiniCHOP of the elderly protocols., Results: The median age at diagnosis was 75 years (70-97 years), and 58.9% were female. Comorbidities were prevalent, including 19.5% with immobility, 28.1% with malnutrition, and 24.8% with polypharmacy. Advanced clinical stage was observed in 72.4%, 48.6% had bulky disease ≥7 cm, 63.2% had B-symptoms, and 67.0% presented intermediate-high/high-risk IPI. With a median follow-up of 6.3 years, the estimated 5-year OS and PFS were 50.2% and 44.6%, respectively. The R-MiniCHOP of the elderly regimen had a lower ORR ( p = 0.040); however, patients in this group had higher rates of unfavorable clinical and laboratory findings, including hypoalbuminemia ( p = 0.001), IPI ≥ 3 ( p = 0.013), and NCCN-IPI ≥ 3 ( p = 0.002). Although associated with higher rates of severe neutropenia ( p = 0.003), the R-CHOP regimen promoted increased OS ( p = 0.003) and PFS ( p = 0.005) in comparison to the attenuated protocols. Additionally, age ≥ 75 years, high levels of LDH, B-symptoms, advanced clinical stage (III/IV), neutrophilia, and low lymphocyte/monocyte ratio were identified as poor prognostic factors in this cohort., Conclusions: In this large and real-life Latin American cohort, we demonstrated that patients with DLBCL, NOS older than 70 years still do not have satisfactory clinical outcomes in 2024, with half of cases not reaching 5 years of life expectancy after diagnosis. Although the conventional R-CHOP offers response and survival advantages over attenuated regimens, its myelotoxicity is not negligible. Therefore, the outcomes reported and the prognostic factors here identified may assist clinicians in the appropriate selection of therapeutic strategies adapted to the risk for old and very old DLBCL patients.
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- 2024
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18. Up-Front ASCT Overcomes the Survival Benefit Provided by HDAC-Based Induction Regimens in Mantle Cell Lymphoma: Data from a Real-Life and Long-Term Cohort.
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de Pádua Covas Lage LA, Elias MDV, Reichert CO, Culler HF, de Freitas FA, de Oliveira Costa R, Rocha V, da Siqueira SAC, and Pereira J
- Abstract
Background: Mantle cell lymphoma (MCL) is a rare malignancy with heterogeneous behavior. Despite the therapeutic advances recently achieved, MCL remains incurable. Currently, the standard of care for young and fit patients involves induction immunochemotherapy followed by up-front autologous stem cell transplantation (ASCT). However, the role of more intensive induction regimens, such as those based on high doses of cytarabine (HDAC), remains controversial in the management of ASCT-eligible patients., Methods: This retrospective, observational, and single-center study involved 165 MCL patients treated at the largest oncology center in Latin America from 2010 to 2022. We aimed to assess outcomes, determine survival predictors, and compare responses between different primary therapeutic strategies, with a focus on assessing the impact of HDAC-based regimens on outcomes in ASCT-eligible patients., Results: The median age at diagnosis was 65 years (38-89 years), and 73.9% were male. More than 90% of the cases had a classic nodal form (cnMCL), 76.4% had BM infiltration, and 56.4% presented splenomegaly. Bulky ≥ 7 cm, B-symptoms, ECOG ≥ 2, and advanced-stage III/IV were observed in 32.7%, 64.8%, 32.1%, and 95.8%, respectively. Sixty-four percent of patients were categorized as having high-risk MIPI. With a median follow-up of 71.1 months, the estimated 2-year OS and EFS were 64.1% and 31.8%, respectively. Patients treated with (R)-HDAC-based regimens had a higher ORR (85.9% vs. 65.7%, p = 0.007) compared to those receiving (R)-CHOP, as well as lower POD-24 rates (61.9% vs. 80.4%, p = 0.043) and lower mortality (43.9% vs. 68.6%, p = 0.004). However, intensified induction regimens with (R)-HDAC were not associated with a real OS benefit in MCL patients undergoing up-front consolidation with ASCT (2-year OS: 88.7% vs. 78.8%, p = 0.289). Up-front ASCT was independently associated with increased OS ( p < 0.001), EFS ( p = 0.005), and lower POD-24 rates ( p < 0.001) in MCL. Additionally, CNS infiltration, TLS, hypoalbuminemia, and the absence of remission after induction were predictors of poor OS., Conclusions: In the largest Latin American cohort of MCL patients, we confirmed the OS benefit promoted by up-front consolidation with ASCT in young and fit patients, regardless of the intensity of the immunochemotherapy regimen used in the pre-ASCT induction. Although HDAC-based regimens were not associated with an unequivocal increase in OS for ASCT-eligible patients, it was associated with higher ORR and lower rates of early relapses for the whole cohort.
- Published
- 2023
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19. An integrated assessment to reconstruct the history of changes influenced by multiple anthropogenic activities (City of Fortaleza, Ceará, Brazil).
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Maia TC, Santaella ST, Maia PJS, de Freitas FA, Oliveira AHB, Costa GB, Martins DA, Carreira RS, Nascimento MRL, and Cavalcante RM
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- Animals, Anthropogenic Effects, Brazil, Environmental Monitoring, Geologic Sediments, Sewage, Petroleum, Water Pollutants, Chemical analysis
- Abstract
In this study, the multi-marker approach was used for the first time with a highly urbanized lake located in the city of Fortaleza, Brazil, to provide a comprehensive view of temporal trends in sources of pollutants and evaluate the relation between the influence of anthropogenic activities and socioeconomic development. Total concentrations of the markers analyzed ranged from 21.0 to 103.8 ng g
-1 , 450.2 to 2390.2 ng g-1 , and 233.8 to 9827.3 ng g-1 for ∑PAHs , ∑n-alk , and ∑sterols , respectively. Concentrations and patterns of PAH, AH, and sterol ratio distribution changed over time and may be associated with different episodes in the history of the city of Fortaleza. The marker ratio distribution in the sediment core revealed an overlap of natural and anthropogenic sources, with degraded oil, biogenic inputs, pyrogenic processes, and fecal contamination from humans and animals in the past changing to petroleum fossil inputs and high contamination from sewage in the present day. The distribution of markers and the chronological history of Fortaleza revealed two distinct periods related to human activities during the development of the city. In the first period (prior to the 1950s), the main human activities were animal breeding and the use of biomass for domestic activities, public and cargo transportation, and commercial activities, especially food production. In the second period (after the 1950s), expansion of the city occurred due to the so-called Brazilian economic miracle and the main human activities were industrialization and urbanization processes, involving deforestation, paving, sewage discharge, and petroleum combustion., (© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)- Published
- 2022
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20. Effects of Oxysterols on Immune Cells and Related Diseases.
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de Freitas FA, Levy D, Reichert CO, Cunha-Neto E, Kalil J, and Bydlowski SP
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- B-Lymphocytes, Humans, Macrophages, Receptors, G-Protein-Coupled, Atherosclerosis, Oxysterols
- Abstract
Oxysterols are the products of cholesterol oxidation. They have a wide range of effects on several cells, organs, and systems in the body. Oxysterols also have an influence on the physiology of the immune system, from immune cell maturation and migration to innate and humoral immune responses. In this regard, oxysterols have been involved in several diseases that have an immune component, from autoimmune and neurodegenerative diseases to inflammatory diseases, atherosclerosis, and cancer. Here, we review data on the participation of oxysterols, mainly 25-hydroxycholesterol and 7α,25-dihydroxycholesterol, in the immune system and related diseases. The effects of these oxysterols and main oxysterol receptors, LXR and EBI2, in cells of the immune system (B cells, T cells, macrophages, dendritic cells, oligodendrocytes, and astrocytes), and in immune-related diseases, such as neurodegenerative diseases, intestinal diseases, cancer, respiratory diseases, and atherosclerosis, are discussed.
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- 2022
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21. Impact of Oxysterols on Cell Death, Proliferation, and Differentiation Induction: Current Status.
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de Freitas FA, Levy D, Zarrouk A, Lizard G, and Bydlowski SP
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- Animals, Humans, Oxidation-Reduction drug effects, Cell Death drug effects, Cell Differentiation drug effects, Cell Proliferation drug effects, Oxysterols pharmacology
- Abstract
Oxysterols are oxidized derivatives of cholesterol produced by enzymatic activity or non-enzymatic pathways (auto-oxidation). The oxidation processes lead to the synthesis of about 60 different oxysterols. Several oxysterols have physiological, pathophysiological, and pharmacological activities. The effects of oxysterols on cell death processes, especially apoptosis, autophagy, necrosis, and oxiapoptophagy, as well as their action on cell proliferation, are reviewed here. These effects, also observed in several cancer cell lines, could potentially be useful in cancer treatment. The effects of oxysterols on cell differentiation are also described. Among them, the properties of stimulating the osteogenic differentiation of mesenchymal stem cells while inhibiting adipogenic differentiation may be useful in regenerative medicine.
- Published
- 2021
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22. Copper molybdate synthesized by sonochemistry route at room temperature as an efficient solid catalyst for esterification of oleic acid.
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Silva Junior JL, Nobre FX, de Freitas FA, de Carvalho TAF, de Barros SS, Nascimento MC, Manzato L, Matos JME, Brito WR, Leyet Y, and Couceiro PRC
- Abstract
Copper molybdate nanoplates were synthesized by a sonochemical process at room temperature, which we report as a simple and cost-effective route. Structural analysis of the material by the Rietveld method of X-ray diffraction (XRD) data revealed lindgrenite Cu
3 (MoO4 )2 (OH)2 in a single-phase structure. All the vibrational modes characteristic of the space group were identified by Raman vibrational and near-infrared (NIR) spectroscopies. The profile obtained for N2 adsorption/desorption was type III hysteresis, characteristic of mesoporous materials, with a surface area of 70.77(1) m2 g-1 . The micrographs of the material obtained by scanning electron microscopy showed nanoplates with nanometric sizes and an anisotropic growth aspect. The catalytic activity of lindgrenite was evaluated by esterifying oleic acid with methanol, showing high conversion rate to methyl oleate and good catalyst stability after seven recycling cycles. Above all, the best catalytic performance was reached when we optimized parameters such as oleic acid:methanol molar ratio of 1:5, 5% of catalyst dosage, and reaction time of 5 h, resulting in 98.38% of conversion at 413 K. Therefore, sonochemically synthesized lindgrenite proved to be a high potential material for biofuel production by oleic acid esterification., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)- Published
- 2021
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23. Oxysterols and mesenchymal stem cell biology.
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Reichert CO, de Freitas FA, Levy D, and Bydlowski SP
- Subjects
- Cell Differentiation, Humans, Mesenchymal Stem Cells cytology, Oxysterols pharmacology
- Abstract
Mesenchymal stem cells have the ability to differentiate into several cell types when exposed to determined substances, including oxysterols. Oxysterols are cholesterol products derived from its auto-oxidation by reactive species or from enzymatic action. They are present in the body in low quantities under physiological conditions and exhibit several physiological and pharmacological actions according to both the types of oxysterol and tissue. Some of them are cytotoxic while others have been shown to promote cell differentiation through the action on several different receptors, such as nuclear LXR receptors and Smoothened receptor ligands. Here, we review the main pathways by which oxysterols have been associated with cell differentiation and death of mesenchymal stem cells., (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Published
- 2021
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24. Ferroptosis Mechanisms Involved in Neurodegenerative Diseases.
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Reichert CO, de Freitas FA, Sampaio-Silva J, Rokita-Rosa L, Barros PL, Levy D, and Bydlowski SP
- Subjects
- Alzheimer Disease genetics, Alzheimer Disease pathology, Arachidonate 15-Lipoxygenase genetics, Arachidonate 15-Lipoxygenase metabolism, Arachidonic Acid metabolism, Brain metabolism, Brain pathology, Cell Membrane metabolism, Cell Membrane pathology, Fatty Acids, Unsaturated metabolism, Glutathione metabolism, Humans, Huntington Disease genetics, Huntington Disease pathology, Lipid Peroxidation, Neurons pathology, Oxidative Stress, Parkinson Disease genetics, Parkinson Disease pathology, Phospholipid Hydroperoxide Glutathione Peroxidase deficiency, Alzheimer Disease metabolism, Ferroptosis, Huntington Disease metabolism, Iron metabolism, Neurons metabolism, Parkinson Disease metabolism, Phospholipid Hydroperoxide Glutathione Peroxidase genetics
- Abstract
Ferroptosis is a type of cell death that was described less than a decade ago. It is caused by the excess of free intracellular iron that leads to lipid (hydro) peroxidation. Iron is essential as a redox metal in several physiological functions. The brain is one of the organs known to be affected by iron homeostatic balance disruption. Since the 1960s, increased concentration of iron in the central nervous system has been associated with oxidative stress, oxidation of proteins and lipids, and cell death. Here, we review the main mechanisms involved in the process of ferroptosis such as lipid peroxidation, glutathione peroxidase 4 enzyme activity, and iron metabolism. Moreover, the association of ferroptosis with the pathophysiology of some neurodegenerative diseases, namely Alzheimer's, Parkinson's, and Huntington's diseases, has also been addressed.
- Published
- 2020
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25. Pineapple (Ananás comosus) leaves ash as a solid base catalyst for biodiesel synthesis.
- Author
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de S Barros S, Pessoa Junior WAG, Sá ISC, Takeno ML, Nobre FX, Pinheiro W, Manzato L, Iglauer S, and de Freitas FA
- Subjects
- Catalysis, Esterification, Plant Leaves, Plant Oils, Ananas, Biofuels
- Abstract
Homogeneous catalysts used for biodiesel synthesis have several limitations, including non-recoverability/reusability, saponification, emulsification, equipment corrosion, and environmental pollution. To overcome these limitations, we synthesized a novel catalyst via calcination of pineapple leaves waste. This catalyst was characterized by X-ray powder diffraction, X-ray fluorescence, Fourier transform infrared spectroscopy, thermogravimetric analysis, scanning electron microscopy, and soluble alkalinity measurements. The catalyst's activity with regards to soybean oil transesterification was analyzed, and multiple process parameters (temperature, catalyst amount, reaction time, and methanol:oil molar ratio) were examined. A high catalytic activity, probably related to the 85 wt% content of alkali/alkali metals (K, Ca and Mg), was observed after a 30 min reaction time, 60 °C, 4 wt% of catalyst, oil to methanol molar ratio of 1:40, reaching an oil to biodiesel conversion above 98%. We conclude that the novel catalyst presented here is efficient, cost-effective, and sustainable, while simultaneously abundant waste is reduced., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
- Published
- 2020
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26. Removal of rhodamine 6G from synthetic effluents using Clitoria fairchildiana pods as low-cost biosorbent.
- Author
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da Silva AMB, Serrão NO, de Gusmão Celestino G, Takeno ML, Antunes NTB, Iglauer S, Manzato L, de Freitas FA, and Maia PJS
- Subjects
- Adsorption, Hydrogen-Ion Concentration, Kinetics, Thermodynamics, Clitoria chemistry, Rhodamines chemistry, Water Pollutants, Chemical chemistry, Water Purification methods
- Abstract
Many organic dye pollutants have been identified in rivers and lakes around the world, and concern is growing with them as they cause serious changes in the ecological balance of aquatic environments. One of these dyes is rhodamine R6G, which is very water-soluble and has a high corrosive power. Therefore, Clitoria fairchildiana (CF) pods were used as a biosorbent to remove R6G from synthetic dye effluents. CF was characterized by infrared spectroscopy, thermogravimetric analysis, x-ray diffraction, elemental analysis, Boehm titration, and zero charge point measurements. The influence of various factors, such as solution pH, contact time, adsorbent mass, and concentration of R6G, was studied using batch equilibrium experiments. The optimum contact time to reach equilibrium was found to be 15 min, while the optimum adsorbent dose was 8 g L
-1 . The maximum adsorption capacity of CF (73.84 mg g-1 ) was observed at pH 6.4 and 298.15 K. Adsorption kinetics followed a pseudo-second-order law, and the isotherm could be best fitted with a Liu model. The obtained thermodynamic parameters indicate that the adsorption of R6G is spontaneous and enthalpy-driven. We thus conclude that CF is an efficient, green, and readily available biosorbent for dye removal from wastewater.- Published
- 2020
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27. 7-Ketocholesterol Promotes Oxiapoptophagy in Bone Marrow Mesenchymal Stem Cell from Patients with Acute Myeloid Leukemia.
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Paz JL, Levy D, Oliveira BA, de Melo TC, de Freitas FA, Reichert CO, Rodrigues A, Pereira J, and Bydlowski SP
- Subjects
- Autophagosomes metabolism, Caspase 3 metabolism, Caspase 8 metabolism, Cell Cycle Checkpoints drug effects, Cell Death drug effects, Cell Survival drug effects, Cells, Cultured, Hedgehog Proteins metabolism, Humans, Membrane Potential, Mitochondrial drug effects, Reactive Oxygen Species metabolism, Smoothened Receptor metabolism, Apoptosis drug effects, Autophagy drug effects, Ketocholesterols pharmacology, Leukemia, Myeloid, Acute pathology, Mesenchymal Stem Cells metabolism, Oxidative Stress drug effects
- Abstract
7-Ketocholesterol (7-KC) is a cholesterol oxidation product with several biological functions. 7-KC has the capacity to cause cell death depending on the concentration and specific cell type. Mesenchymal stem cells (MSCs) are multipotent cells with the ability to differentiate into various types of cells, such as osteoblasts and adipocytes, among others. MSCs contribute to the development of a suitable niche for hematopoietic stem cells, and are involved in the development of diseases, such as leukemia, to a yet unknown extent. Here, we describe the effect of 7-KC on the death of bone marrow MSCs from patients with acute myeloid leukemia (LMSCs). LMSCs were less susceptible to the death-promoting effect of 7-KC than other cell types. 7-KC exposure triggered the extrinsic pathway of apoptosis with an increase in activated caspase-8 and caspase-3 activity. Mechanisms other than caspase-dependent pathways were involved. 7-KC increased ROS generation by LMSCs, which was related to decreased cell viability. 7-KC also led to disruption of the cytoskeleton of LMSCs, increased the number of cells in S phase, and decreased the number of cells in the G1/S transition. Autophagosome accumulation was also observed. 7-KC downregulated the SHh protein in LMSCs but did not change the expression of SMO. In conclusion, oxiapoptophagy (OXIdative stress + APOPTOsis + autophagy) seems to be activated by 7-KC in LMSCs. More studies are needed to better understand the role of 7-KC in the death of LMSCs and the possible effects on the SHh pathway.
- Published
- 2019
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28. 7-Ketocholesterol and cholestane-triol increase expression of SMO and LXRα signaling pathways in a human breast cancer cell line.
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Levy D, de Melo TC, Oliveira BA, Paz JL, de Freitas FA, Reichert CO, Rodrigues A, and Bydlowski SP
- Abstract
Oxysterols are 27-carbon oxidation products of cholesterol metabolism. Oxysterols possess several biological actions, including the promotion of cell death. Here, we examined the ability of 7-ketocholesterol (7-KC), cholestane-3β-5α-6β-triol (triol), and a mixture of 5α-cholestane-3β,6β-diol and 5α-cholestane-3β,6α-diol (diol) to promote cell death in a human breast cancer cell line (MDA-MB-231). We determined cell viability, after 24-h incubation with oxysterols. These oxysterols promoted apoptosis. At least part of the observed effects promoted by 7-KC and triol arose from an increase in the expression of the sonic hedgehog pathway mediator, smoothened. However, this increased expression was apparently independent of sonic hedgehog expression, which did not change. Moreover, these oxysterols led to increased expression of LXRα, which is involved in cellular cholesterol efflux, and the ATP-binding cassette transporters, ABCA1 and ABCG1. Diols did not affect these pathways. These results suggested that the sonic hedgehog and LXRα pathways might be involved in the apoptotic process promoted by 7-KC and triol.
- Published
- 2018
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29. Statistical mixture design investigation for extraction and quantitation of aporphine alkaloids from the leaves of Unonopsis duckei R.E. Fr. by HPLC-MS/MS.
- Author
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Rocha PRN, de Freitas FA, Angolini CFF, Vasconcelos LF, da Silva ALB, Costa EV, da Silva FMA, Eberlin MN, Bataglion GA, Soares PK, and Koolen HHF
- Subjects
- Models, Chemical, Annonaceae chemistry, Aporphines chemistry, Chromatography, Liquid methods, Data Interpretation, Statistical, Plant Leaves chemistry, Tandem Mass Spectrometry methods
- Abstract
Introduction: Alkaloids-derived drugs are a billionaire world-market and several phytochemical investigations aim the identification of new sources and/or structures. Thus, improving the way of extracting and methods to quantify them are of utmost importance., Objective: To quantify isoquinoline-derived alkaloids in Unonopsis duckei R.E. Fr. through a new validated high-performance liquid chromatography with tandem mass spectrometry (HPLC-MS/MS) method in combination with a statistical mixture design that aimed a proper direct extraction of these compounds from leaves., Methodology: Extracts were obtained with acetone, methanol, chloroform, and n-hexane in different combinations and proportions. Chemometrics were applied in order to compare peak areas, and therefore evaluate synergism and antagonism effects between the solvents. After selection of extraction solvent, the quantification was validated and applied in the best solvent combination to quantify the main alkaloids in U. duckei., Results: Chemometrics indicated a synergistic effect between chloroform and methanol solvents, thus improving alkaloid extraction and extract yield. Analytes were quantified in a 15-min method, with limits of detection (LODs) between 0.5 and 5.2 ng/mL and limits of quantification (LOQs) between 1.6 and 17.2 ng/mL. The accuracy ranged between 80 and 120%. Coefficients of variation were lower than 17.42% at all concentrations. Concentrations of the alkaloids in U. duckei varied from 6.79 to 131.10 μg/g of dried leaf and glaziovine was found to be the main compound., Conclusion: The integration of simplex centroid model and quantification by HPLC-MS/MS is promising. Statistical optimisation of the alkaloid extraction and application of selective, sensitive and robust HPLC-MS/MS method will contribute to quality control applications in phytotherapeutic medicines., (Copyright © 2018 John Wiley & Sons, Ltd.)
- Published
- 2018
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30. An unusual abdominal wall mass in a child.
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Souza AMDES, Barbuto TM, Freitas FA, Vianna NF, Zanchetta CMC, Forsait S, Borba C, Azambuja AMP, Cristofani LM, and Odone V Filho
- Subjects
- Child, Preschool, Diagnosis, Differential, Humans, Male, Abdominal Neoplasms diagnosis, Abdominal Wall parasitology, Ascariasis diagnosis
- Abstract
Abdominal tumors are one of the most common types of pediatric cancer. Therefore, they should always be included in the differential diagnosis of abdominal masses. Here, we present the case of a child whose initial hypothesis of diagnosis contemplated this possibility. Later, it was demonstrated that the abdominal mass found was secondary to a common parasitosis. A 2-year old, moderately malnourished and pale white boy was referred with a history of a rapidly growing, well-limited, middle abdominal mass. The mass was 10 by 3 cm, hard and poorly movable, apparently involving both abdominal rectus muscles. A complete resection was performed, revealing an abdominal wall abscess, with intense eosinophilic proliferation, secondary to a local and intense reaction to innumerous Ascaris lumbricoides eggs. Extra luminal infestations with Ascaris, that usually form peritoneal granulomas have been previously described. However, neither external trauma nor fistula, that could explain the superficial presence of the eggs, was found. This description reinforces the relevance of infectious diseases within the differential diagnosis of abdominal masses, particularly in areas with high prevalence of parasitic infestations.
- Published
- 2017
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31. Incidence of Symptomatic Congenital Toxoplasmosis During Ten Years in a Brazilian Hospital.
- Author
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Bischoff AR, Friedrich L, Cattan JM, and Uberti FA
- Subjects
- Adolescent, Adult, Brazil epidemiology, Chorioretinitis, Female, Hospitals, Humans, Infectious Disease Transmission, Vertical, Male, Pregnancy, Pregnancy Complications, Infectious, Retrospective Studies, Young Adult, Toxoplasmosis, Congenital epidemiology
- Abstract
Background: Population seroprevalence and rates of mother-to-child transmission are important in determining the incidence of congenital toxoplasmosis. (CT) Mother-to-child transmission depends on the timing of acute maternal infection and treatment during pregnancy. The incidence of CT varies widely across geographic regions, ranging from 1 to 10 cases per 10,000 live births. The incidence of symptomatic disease varies from 0.15 to 0.34 cases per 10,000., Methods: This is a review of patients treated at a pediatric CT clinic at a university hospital in the south of Brazil, from 2004 to 2014., Results: The annual incidence of CT varied from 0 to 14 cases per 10,000 live births, with a mean incidence of 6 cases per 10,000 during the 10 years studied (CI 95%: 3.02-8.91). The incidence of symptomatic CT varied from 0 to 9 cases per 10,000 live births, with a mean incidence of 5 per 10,000 (CI 95%: 2.44-6.94). There were 5 (14.3%) asymptomatic cases. The main findings were retinochoroiditis (54%), intracranial calcifications (37.5%) and altered cerebrospinal fluid (37.5%)., Conclusions: The incidence of CT and the rate of symptomatic cases were in accordance with the previous data from other studies in Brazil, being significantly higher than in previous North American and European studies.
- Published
- 2016
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32. Vitamins as influenza vaccine adjuvant components.
- Author
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Quintilio W, de Freitas FA, Rodriguez D, Kubrusly FS, Yourtov D, Miyaki C, de Cerqueira Leite LC, and Raw I
- Subjects
- Alum Compounds administration & dosage, Animals, Antibodies, Viral blood, Antigens, Bacterial administration & dosage, Cytokines analysis, Enzyme-Linked Immunosorbent Assay, Female, Hemagglutination Inhibition Tests, Immunologic Memory, Influenza A Virus, H1N1 Subtype immunology, Influenza Vaccines administration & dosage, Leukocytes, Mononuclear immunology, Male, Mice, Inbred BALB C, Squalene administration & dosage, Adjuvants, Immunologic administration & dosage, Influenza Vaccines immunology, Vitamins administration & dosage
- Abstract
A number of adjuvant formulations were assayed in mice immunized with 3.75 µg of A/California/7/2009 (H1N1) pdm09 influenza vaccine with vitamins A, D and/or E in emulsions or B2 and/or B9 combined with Bordetella pertussis MPLA and/or alum as adjuvants. Squalene was used as positive control, as well as MPLA with alum. The immune response was evaluated by a panel of tests, including a hemagglutination inhibition (HAI) test, ELISA for IgG, IgG1, and IgG2a and IFN-γ, IL-2, IL-6 and IL-10 quantification in splenocyte culture supernatant after stimulus with influenza antigen. Immunological memory was evaluated using a 1/10 dose booster 60 days after the first immunization followed by assessment of the response by HAI, IgG ELISA, and determination of the antibody affinity index. The highest increases in HAI, IgG1 and IgG2a titers were obtained with the adjuvant combinations containing vitamin E, or the hydrophilic combinations containing MPLA and alum or B2 and alum. The IgG1/IgG2a ratio indicates that the response to the combination of B2 with alum would have more Th2 character than the combination of MPLA with alum. In an assay to investigate the memory response, a significant increase in HAI titer was observed with a booster vaccine dose at 60 days after immunization with vaccines containing MPLA with alum or B2 with alum. Overall, of the 27 adjuvant combinations, MPLA with alum and B2 with alum were the most promising adjuvants to be evaluated in humans.
- Published
- 2016
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33. The Anterolateral Ligament: An Anatomic, Radiographic, and Biomechanical Analysis.
- Author
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Kennedy MI, Claes S, Fuso FA, Williams BT, Goldsmith MT, Turnbull TL, Wijdicks CA, and LaPrade RF
- Subjects
- Adult, Aged, Cadaver, Dissection, Epiphyses surgery, Femur surgery, Fibula surgery, Humans, Knee Injuries surgery, Knee Joint surgery, Ligaments, Articular anatomy & histology, Ligaments, Articular surgery, Male, Middle Aged, Range of Motion, Articular, Plastic Surgery Procedures methods, Tibia surgery, Tibial Fractures surgery, Transplants, Femur anatomy & histology, Fibula anatomy & histology, Knee Joint anatomy & histology, Tibia anatomy & histology
- Abstract
Background: Recent publications have described significant variability in the femoral attachment and overall anatomy of the anterolateral ligament (ALL). Additionally, there is a paucity of data describing its structural properties., Purpose: Quantitative data characterizing the anatomic and radiographic locations and the structural properties of the ALL may be used to guide graft selection and placement and to facilitate the future development of an evidence-based approach to ALL reconstructions., Study Design: Descriptive laboratory study., Methods: Identification of the ALL was performed by a combined outside-in and inside-out anatomic dissection of 15 nonpaired fresh-frozen cadaveric knees. Quantitative anatomic relationships were calculated using a 3-dimensional coordinate measuring device. Measurements on anteroposterior (AP) and lateral radiographs were obtained by use of a picture archiving and communications system program. Structural properties were characterized during a single pull-to-failure test using a tensile testing machine. All anatomic, radiographic, and biomechanical measurements were reported as mean values and 95% CIs., Results: The ALL was identified as a thickening of the lateral capsule coming under tension with an applied internal rotation at 30° of flexion. Its femoral attachment was located 4.7 mm (95% CI, 3.5-5.9 mm) posterior and proximal to the fibular collateral ligament attachment and coursed anterodistally to its anterolateral tibial attachment approximately midway between the center of the Gerdy tubercle and the anterior margin of the fibular head; the tibial attachment was located 24.7 mm (95% CI, 23.3-26.2 mm) and 26.1 mm (95% CI, 23.9-28.3 mm) from each structure, respectively. On the AP radiographic view, the ALL originated on the femur 22.3 mm (95% CI, 20.7-23.9 mm) proximal to the joint line and inserted on the tibia 13.1 mm (95% CI, 12.3-13.9 mm) distal to the lateral tibial plateau. On the lateral view, the femoral attachment was 8.4 mm (95% CI, 6.8-10.0 mm) posterior and proximal to the lateral epicondyle. The tibial attachment was 19.0 mm (95% CI, 17.1-20.9 mm) posterior and superior to the center of the Gerdy tubercle. The mean maximum load was 175 N (95% CI, 139-211 N) and the stiffness was 20 N/mm (95% CI, 16-25 N/mm). Failure occurred by 4 distinct mechanisms: ligamentous tear at the femoral (n = 4) or tibial (n = 1) attachment, midsubstance tear (n = 4), and bony avulsion of the tibial attachment (Segond fracture; n = 6)., Conclusion: Defined ALL attachment locations can be reproducibly identified with intraoperative landmarks or radiographs. The biomechanical analysis suggests that most traditional soft tissue grafts are sufficient for ALL reconstruction., Clinical Relevance: The ALL was consistently found in all knees. Segond fractures appear to occur primarily from the avulsion of the ALL., (© 2015 The Author(s).)
- Published
- 2015
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34. Age and education influence the performance of elderly women on the dual-task Timed Up and Go test.
- Author
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Gomes Gde C, Teixeira-Salmela LF, Fonseca BE, Freitas FA, Fonseca ML, Pacheco BD, Gonçalves MR, and Caramelli P
- Subjects
- Accidental Falls statistics & numerical data, Aged, Cross-Sectional Studies, Disability Evaluation, Female, Humans, Motor Activity physiology, Risk Factors, Sedentary Behavior, Time Factors, Age Factors, Educational Status, Gait physiology, Geriatric Assessment methods, Task Performance and Analysis
- Abstract
Gait variability is related to functional decline in the elderly. The dual-task Timed Up and Go Test (TUG-DT) reflects the performance in daily activities. Objective To evaluate the differences in time to perform the TUG with and without DT in elderly women with different ages and levels of education and physical activity. Method Ninety-two elderly women perfomed the TUG at usual and fast speeds, with and without motor and cognitive DT. Results Increases in the time to perform the TUG-DT were observed at older ages and lower educational levels, but not at different levels of physical activity. More educated women performed the test faster with and without DT at both speeds. When age was considered, significant differences were found only for the TUG-DT at both speeds. Conclusion Younger women with higher education levels demonstrated better performances on the TUG-DT.
- Published
- 2015
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35. Multidrug resistant Mycobacterium tuberculosis: a retrospective katG and rpoB mutation profile analysis in isolates from a reference center in Brazil.
- Author
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de Freitas FA, Bernardo V, Gomgnimbou MK, Sola C, Siqueira HR, Pereira MA, Fandinho FC, Gomes HM, Araújo ME, Suffys PN, Marques EA, and Albano RM
- Subjects
- Adult, Bacterial Typing Techniques, Brazil epidemiology, Cluster Analysis, DNA-Directed RNA Polymerases, Demography, Female, Humans, Incidence, Male, Mycobacterium tuberculosis classification, Phylogeny, Polymorphism, Restriction Fragment Length, Retrospective Studies, Tuberculosis, Multidrug-Resistant epidemiology, Bacterial Proteins genetics, Catalase genetics, Drug Resistance, Multiple, Bacterial genetics, Mutation genetics, Mycobacterium tuberculosis genetics, Mycobacterium tuberculosis isolation & purification, Tuberculosis, Multidrug-Resistant genetics
- Abstract
Background: Multidrug resistance is a critical factor in tuberculosis control. To gain better understanding of multidrug resistant tuberculosis in Brazil, a retrospective study was performed to compare genotypic diversity and drug resistance associated mutations in Mycobacterium tuberculosis isolates from a national reference center., Methods and Findings: Ninety-nine multidrug resistant isolates from 12 Brazilian states were studied. Drug-resistance patterns were determined and the rpoB and katG genes were screened for mutations. Genotypic diversity was investigated by IS6110-RFLP and Luminex 47 spoligotyping. Mutations in rpoB and katG were seen in 91% and 93% of the isolates, respectively. Codon 315 katG mutations occurred in 82.8% of the isolates with a predominance of the Ser315Thr substitution. Twenty-five isolates were clustered in 11 groups with identical IS6110-RFLP patterns while 74 showed unique patterns with no association between mutation frequencies or susceptibility profiles. The most prevalent spoligotyping lineages were LAM (47%), T (17%) and Haarlen (12%). The Haarlen lineage showed a higher frequency of codon 516 rpoB mutations while codon 531 mutations prevailed in the other isolates., Conclusions: Our data suggest that there were no major multidrug resistant M. tuberculosis strains transmitted among patients referred to the reference center, indicating an independent acquisition of resistance. In addition, drug resistance associated mutation profiles were well established among the main spoligotyping lineages found in these Brazilian multidrug resistant isolates, providing useful data for patient management and treatment.
- Published
- 2014
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36. In vivo toxicological evaluation of polymeric nanocapsules after intradermal administration.
- Author
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Bulcão RP, de Freitas FA, Dallegrave E, Venturini CG, Baierle M, Durgante J, Sauer E, Cassini C, Cerski CT, Zielinsky P, Salvador M, Pohlmann AR, Guterres SS, and Garcia SC
- Subjects
- Animals, Caproates administration & dosage, Caproates adverse effects, Drug Carriers administration & dosage, Drug Carriers adverse effects, Drug Delivery Systems methods, Granulocytes drug effects, Injections, Intradermal methods, Lactones administration & dosage, Lactones adverse effects, Lipids administration & dosage, Lipids adverse effects, Male, Particle Size, Polysorbates administration & dosage, Polysorbates adverse effects, Rats, Rats, Wistar, Suspensions administration & dosage, Suspensions adverse effects, Nanocapsules administration & dosage, Nanocapsules adverse effects, Polymers administration & dosage, Polymers analysis
- Abstract
Polymeric nanocarriers have shown great promise as delivery systems. An alternative strategy has been to explore new delivery routes, such as intradermal (i.d.), that can be used for vaccines and patch-based drug delivery. Despite their many advantages, there are few toxicity studies, especially in vivo. We report a safety assessment of biodegradable poly(ɛ-caprolactone) lipid-core nanocapsules (LNC) with a mean size of 245±10nm following single and repeated intradermal injections to Wistar rats. Suspensions were prepared by interfacial deposition of polymer. The animals (n=6/group) received a single-dose of saline solution (1.2ml/kg) or LNC (7.2×10(12)LNC/kg), or repeated-doses of two controls, saline solution or Tween 80 (0.9ml/kg), or three different concentrations of LNC (1.8, 3.6, and 5.4×10(12)LNC/kg) for 28 consecutive days. Clinical and physiological signs and mortality were observed. Samples of urine, blood, and tissue were used to perform toxicological evaluation. There were no clinical signs of toxicity or mortality, but there was a slight decrease in the relative body weights in the Tween 80-treated group (p<0.01) after repeated administration. No histopathological alterations were observed in tissues or significant changes in blood and urinary biomarkers for tissue damage. Mild alterations in white blood cells count with increases in granulocytes in the Tween-80 group (p<0.05) were found. Genotoxicity was evaluated through the comet assay, and no statistical difference was observed among the groups. Therefore, we conclude that, under the conditions of these experiments, biodegradable LNC did not present appreciable toxicity after 28 consecutive days of intradermal administration and is promising for its future application in vaccines and patch-based devices for enhancing the delivery of drugs., (Copyright © 2013 Elsevier B.V. All rights reserved.)
- Published
- 2014
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37. Exogenous and endogenous antioxidants attenuate the lipid peroxidation in workers occupationally exposed to paints.
- Author
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Charão MF, Moro AM, Valentini J, Brucker N, Bubols GB, Bulcão RP, Baierle M, Freitas FA, Nascimento SN, Barth A, Linden R, Saldiva PH, and Garcia SC
- Subjects
- Adult, Carotenoids blood, Chromatography, High Pressure Liquid, Humans, Lycopene, Male, Malondialdehyde blood, Paint toxicity, Regression Analysis, Toluene blood, Vitamin A blood, alpha-Tocopherol blood, beta Carotene blood, Antioxidants metabolism, Lipid Peroxidation drug effects, Occupational Exposure, Paint analysis, Solvents toxicity
- Abstract
Occupational exposure to organic solvents present in paints is responsible for an increased production of reactive species, thus enabling the development of several diseases. Besides, both exo- and endogenous antioxidant defense systems are necessary to avoid oxidative tissue damage. This study investigated possible protective effects of the exo- and endogenous antioxidants on oxidative damage in painters occupationally exposed to organic solvents (n = 42) and controls (n = 28). Retinol, lycopene and β-carotene were significantly lower in the exposed group. Despite the fact that blood toluene was below the biological exposure limits, malondialdehyde levels and antioxidant enzyme activities were increased, whereas reduced glutathione levels were decreased in painters, compared to nonexposed subjects. Moreover, multivariate regression models showed that reduced glutathione and carotenoids (mainly β-carotene) have the major influence on lipid peroxidation (LPO). The present work suggests that the exogenous antioxidants, such as carotenoids, could protect occupationally exposed subjects to xenobiotics from LPO.
- Published
- 2014
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38. Evaluation of lipid damage related to pathological and physiological conditions.
- Author
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Garcia SC, Grotto D, Bulcão RP, Moro AM, Roehrs M, Valentini J, de Freitas FA, Paniz C, Bubols GB, and Charão MF
- Subjects
- Adult, Aged, Aged, 80 and over, Child, Chromatography, High Pressure Liquid, Diabetes Mellitus pathology, Glycated Hemoglobin analysis, Humans, Liver Function Tests, Malondialdehyde blood, Middle Aged, Myocardial Infarction pathology, Occupational Exposure adverse effects, Paint adverse effects, Solvents adverse effects, Transaminases blood, Troponin blood, Young Adult, Diabetes Mellitus metabolism, Lipid Peroxidation physiology, Myocardial Infarction metabolism, Oxidative Stress physiology, Renal Dialysis adverse effects
- Abstract
Several diseases and xenobiotics are known to generate reactive species that may trigger oxidative stress when not properly scavenged by the antioxidant defenses and result in tissue damage. We investigated lipid peroxidation (LPO) as a possible mechanism for tissue damage in some pathologies, in the normal aging process, and in subjects exposed to organic solvents. Plasmatic malondialdehyde (MDA) was quantified by high-performance liquid chromatography with visible wavelength detection in 239 subjects and divided into the following: acute myocardium infarction (AMI), diabetes without complications (D) and hemodialysis (HD) patients; into healthy children, adults, and elderly, all nonexposed to xenobiotics; and into painters occupationally exposed to organic solvents (P). Troponin, glycated hemoglobin, and transminases [aspartate aminotransferase (AST) and alanine aminotransferase] were analyzed. An increase in LPO was observed in AMI, D, HD, and P groups, when compared to healthy adults. No correlation between MDA and age was found. Further, we found positive correlations between MDA versus troponin (r = 0.47), MDA versus HbA1c (r = 0.56), and MDA versus AST (r = 0.41) in AMI, diabetics, and painters, respectively. This work has demonstrated increased lipid and protein damages in myocardium and blood, along with an alteration of hepatic transaminase activities and induction of LPO, suggesting that MDA levels are important to evaluate the extent of tissue alterations and development of acute and chronic conditions.
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- 2013
- Full Text
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39. Epidemiological study of cauda equina syndrome.
- Author
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Fuso FA, Dias AL, Letaif OB, Cristante AF, Marcon RM, and de Barros TE
- Abstract
Objective: : The primary purpose of this study was to determine the characteristics and outcomes of the patients admitted at our clinics diagnosed with cauda equina syndrome (CES). Secondarily, this study will serve as a basis for other comparative studies aiming at a better understanding of this condition and its epidemiology., Methods: : We conducted a retrospective study by reviewing the medical records of patients diagnosed with CES and neurogenic bladder between 2005 and 2011. The following variables were analyzed: gender, age, etiology, topographic level of the lesion, time between disease onset and diagnosis, presence of neurogenic bladder, time between diagnosis and surgery, neurological damage and neurogenic bladder persistence., Results: : Considering that CES is a rare condition, we were not able to establish statistic correlation between the analyzed variables and the outcomes of the disease. However, this study brought to light the inadequacy of our public health system in treating that kind of patient., Conclusion: : The study shows that despite the well-defined basis for managing CES, we noted a greater number of patients with sequels caused by this condition, than is seen in the literature. The delayed diagnosis and, consequently, delayed treatment, were the main causes for the results observed. Level of Evidence IV, Case Series .
- Published
- 2013
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40. Acute and subchronic toxicity evaluation of poly(ε-caprolactone) lipid-core nanocapsules in rats.
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Bulcão RP, Freitas FA, Venturini CG, Dallegrave E, Durgante J, Göethel G, Cerski CT, Zielinsky P, Pohlmann AR, Guterres SS, and Garcia SC
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- Animals, Body Weight drug effects, Dose-Response Relationship, Drug, Male, Microscopy, Electron, Scanning, Microscopy, Electron, Transmission, Organ Size drug effects, Polyesters chemistry, Rats, Rats, Wistar, Lipids chemistry, Nanocapsules, Polyesters toxicity
- Abstract
Owing to concerns over the effects of the physicochemical properties of nanoparticles and their interaction with biological systems, further investigation is required. We investigated, for the first time, the toxicity of lipid-core nanocapsules (LNCs) containing a polymeric wall of poly(ε-caprolactone) and a coating of polysorbate 80 used as drug delivery devices (~245nm) in Wistar rats after single- and repeated-dose treatments. The suspensions were prepared by interfacial deposition of the polymer and were physicochemically characterized. Toxicological effects were determined after single doses of 18.03, 36.06, and 72.12 × 10(12) LNC/kg and repeated doses of 6.01, 12.02, and 18.03 × 10(12) LNC/kg for 28 days by ip administration. The results for both the treatments showed no mortality or permanent body weight changes during the experiments. A granulomatous foreign body reaction was observed in the liver and spleen of higher dose groups in acute and subchronic treatments. Most of the hepatotoxicity and nephrotoxicity markers were within the reference values and/or were similar to the control group. However, a slight alteration in the hematologic parameters was observed in both the studies. Thus, to verify a possible methodological influence, we performed an in vitro test to confirm such influence. These findings are in agreement with earlier reports regarding no appreciable toxicity of biodegradable polymeric nanoparticles, indicating that LNC might be a safe candidate for drug delivery system. Furthermore, the results presented in this study are important for health risk assessment and to implement strategies for testing biodegradable polymeric nanoparticles.
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- 2013
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41. Blood thioredoxin reductase activity, oxidative stress and hematological parameters in painters and battery workers: relationship with lead and cadmium levels in blood.
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Conterato GM, Bulcão RP, Sobieski R, Moro AM, Charão MF, de Freitas FA, de Almeida FL, Moreira AP, Roehrs M, Tonello R, Batista BL, Grotto D, Barbosa F Jr, Garcia SC, and Emanuelli T
- Subjects
- Adult, Analysis of Variance, Automobiles, Biomarkers blood, Cadmium toxicity, Erythrocytes drug effects, Erythrocytes enzymology, Humans, Lead toxicity, Male, Paint, Porphobilinogen Synthase metabolism, Time Factors, Workplace standards, Young Adult, Cadmium blood, Industry, Lead blood, Occupational Exposure analysis, Oxidative Stress drug effects, Thioredoxin-Disulfide Reductase blood
- Abstract
Oxidative stress has been shown to be involved in lead and cadmium toxicity. We recently showed that the activity of the antioxidant enzyme thioredoxin reductase (TrxR) is increased in the kidneys of lead-exposed rats. The present study evaluated the blood cadmium and blood lead levels (BLLs) and their relationship with hematological and oxidative stress parameters, including blood TrxR activity in 50 painters, 23 battery workers and 36 control subjects. Erythrocyte δ-aminolevulinate dehydratase (δ-ALA-D) activity and its reactivation index were measured as biomarkers of lead effects. BLLs increased in painters, but were even higher in the battery workers group. In turn, blood cadmium levels increased only in the painters group, whose levels were higher than the recommended limit. δ-ALA-D activity was inhibited only in battery workers, whereas the δ-ALA-D reactivation index increased in both exposed groups; both parameters were correlated to BLLs (r = -0.59 and 0.84, P < 0.05), whereas the reactivation index was also correlated to blood cadmium levels (r = 0.27, P < 0.05). The changes in oxidative stress and hematological parameters were distinctively associated with either BLLs or blood cadmium levels, except glutathione-S-transferase activity, which was correlated with both lead (r = 0.34) and cadmium (r = 0.47; P < 0.05). However, TrxR activity did not correlate with any of the metals evaluated. In conclusion, blood TrxR activity does not seem to be a good parameter to evaluate oxidative stress in lead- and cadmium-exposed populations. However, lead-associated changes in biochemical and hematological parameters at low BLLs underlie the necessity of re-evaluating the recommended health-based limits in occupational exposure to this metal., (Copyright © 2011 John Wiley & Sons, Ltd.)
- Published
- 2013
- Full Text
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42. Imipramine-induced dystonia in a child: a case report.
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Freitas FA, Kummer A, and Teixeira AL
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- Behavioral Symptoms, Child, Dystonia diagnosis, Humans, Male, Antidepressive Agents, Tricyclic adverse effects, Dystonia chemically induced, Imipramine adverse effects
- Published
- 2012
- Full Text
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43. Effects of pentoxyfilline and heparin on reperfusion injury island skin flaps in rats exposed to tobacco.
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Freitas FA, Piccinato CE, Cherri J, and Marchesan WG
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- Animals, Anticoagulants pharmacology, Dermatologic Surgical Procedures, Drug Therapy, Combination, Free Radical Scavengers pharmacology, Male, Malondialdehyde blood, Necrosis, Oxidative Stress drug effects, Peroxidase blood, Rats, Rats, Wistar, Skin blood supply, Surgical Flaps blood supply, Vasoconstriction drug effects, Vasoconstriction physiology, Heparin pharmacology, Pentoxifylline pharmacology, Reperfusion Injury drug therapy, Skin drug effects, Surgical Flaps pathology, Tobacco Smoke Pollution adverse effects
- Abstract
Background: Ischemia-reperfusion injury is believed to be a major cause of transferred skin flap failure. Cigarette smoking is known to be associated with endogenous antioxidant depletion, hypercoagulability, and cutaneous vasoconstriction. This investigation was carried out to study possible effects of pentoxyfilline or heparin on rat skin reperfusion injury under tobacco exposure., Materials and Methods: Thirty-six rats were randomized into two major groups: 18 were exposed to cigarette smoke during a 4 wk period prior to surgery; the remaining 18 underwent a sham smoking procedure. Each group was further divided into three equal subgroups: heparin, pentoxyfilline, and saline solution. One identical skin flap was raised in each animal. The vasculature of the flap was clamped for 3 h and reperfused for 5 min. A venous blood sample was obtained from the flap after reperfusion for serum malondialdehyde (MDA) and myeloperoxidase (MPO) analysis. Flap survival was assessed 7 d after the procedure., Results: The lipid peroxidation levels and flap necrosis were significantly higher in the cigarette-smoking group skin flaps. There was also a decrease of MPO activity in this group compared with the non-smoking group. Heparin-treated rats had significantly lower MDA levels and showed the most viable percent area among smoking rats., Conclusions: These data suggest that heparin had a significant beneficial effect both on flap survival and on the lipid peroxidation reduction after smoke exposure in the rat axial-pattern skin flap subjected to ischemia and reperfusion injury. Pharmacologic therapy may represent an alternative way to counteract tobacco effects in flap surgery in emergency situations., (Copyright © 2010 Elsevier Inc. All rights reserved.)
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- 2010
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44. Absence of pathological scarring in the donor site of the scalp in burns: an analysis of 295 cases.
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Farina JA Jr, Freitas FA, Ungarelli LF, Rodrigues JM, and Rossi LA
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- Adolescent, Adult, Aged, Alopecia epidemiology, Alopecia surgery, Child, Child, Preschool, Epithelium pathology, Female, Humans, Incidence, Infant, Keloid epidemiology, Longitudinal Studies, Male, Middle Aged, Postoperative Complications therapy, Tissue and Organ Harvesting adverse effects, Tissue and Organ Harvesting methods, Wound Healing physiology, Young Adult, Burns surgery, Cicatrix, Hypertrophic epidemiology, Scalp pathology, Scalp transplantation, Skin Transplantation adverse effects
- Abstract
Aim: This study aims to describe the incidence of complications on scalp from which a thin split-skin graft was harvested (0.005-0.007 in.) of the donor site in children and adult burn victims., Methods: We reviewed the medical records of 295 burn patients admitted in the Burn Unit of the Clinical Hospital of the Faculty of Medicine of Ribeirão Preto, from January 1998 to December 2007, whose scalps were used as donor site for grafts. Skin-graft thickness varied from 0.005 in. to 0.007 in. The occurrence of pathological healing was evaluated clinically and the time of epithelisation by the main surgeon and a plastic surgeon or a staff nurse., Results: Of the 295 patients whose scalps were used as donor site, 274 were followed from 6 months to 10 years after the procedure (median 18.2 months). Twenty-one patients were lost to follow-up in the first 6 months. No hypertrophic scarring or keloids on the donor site was observed. Five patients (1.82%) presented with folliculitis and two of them were evaluated with small areas of alopecia (0.7%), treated with resection of these areas and primary suture. The average time of epithelisation of the donor site was 7 days., Conclusion: The harvest of thinner split graft from the scalp is a safe procedure., (2009 Elsevier Ltd and ISBI. All rights reserved.)
- Published
- 2010
- Full Text
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45. Isoniazid-resistant Mycobacterium tuberculosis strains arising from mutations in two different regions of the katG gene.
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Siqueira HR, Freitas FA, Oliveira DN, Barreto AM, Dalcolmo MP, and Albano RM
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- Bacterial Proteins metabolism, Catalase metabolism, Codon genetics, DNA, Bacterial analysis, Genes, Bacterial, Mycobacterium tuberculosis drug effects, Antitubercular Agents pharmacology, Bacterial Proteins genetics, Catalase genetics, Drug Resistance, Bacterial genetics, Isoniazid pharmacology, Mutation, Mycobacterium tuberculosis genetics
- Abstract
Objective: To analyze and compare the mutations in two different regions of the katG gene, which is responsible for isoniazid (INH) resistance., Methods: We analyzed 97 multidrug-resistant Mycobacterium tuberculosis strains isolated in cultures of sputum samples obtained from the Professor Hélio Fraga Referral Center, in Brasília, Brazil. Another 6 INH-sensitive strains did not present mutations and were included as controls. We used PCR to amplify two regions of the katG gene (GenBank accession no. U06258)-region 1, (from codon 1 to codon 119) and region 2 (from codon 267 to codon 504)-which were then sequenced in order to identify mutations., Results: Seven strains were resistant to INH and did not contain mutations in either region. Thirty strains carried mutations in region 1, which was characterized by a high number of deletions, especially at codon 4 (24 strains). Region 2 carried 83 point mutations, especially at codon 315, and there was a serine-to-threonine (AGC-to-ACC) substitution in 73 of those cases. The analysis of region 2 allowed INH resistance to be diagnosed in 81.4% of the strains. Nine strains had mutations exclusively in region 1, which allowed the proportion of INH-resistant strains identified to be increased to 90.6%., Conclusions: The number of mutations at codon 315 was high, which is consistent with cases described in Brazil and in other countries, and the analysis of region 1 resulted in a 9.2% increase in the rate at which mutations were identified.
- Published
- 2009
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- View/download PDF
46. [Assessment of the use of racemic ketamine and its S(+) isomer, associated or not with low doses of fentanyl, in balneotherapy for major burn patients].
- Author
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Cantinho FA and Silva AC
- Subjects
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Young Adult, Analgesics administration & dosage, Analgesics, Opioid administration & dosage, Balneology, Burns therapy, Fentanyl administration & dosage, Ketamine administration & dosage, Pain prevention & control
- Abstract
Background and Objectives: The care of the wounds of major burn patients triggers severe painful stimuli. The objective of this study was to assess the safety and efficacy of different drug combinations in anesthesia for balneotherapy., Methods: After approval by the Ethics Commission, 200 procedures of balneotherapy in 87 major burn adult patients were evaluated. Midazolam was used in all cases. The vials of ketamine were numbered and, therefore, at the time of the use, one did not know whether racemic or S(+)ketamine was being used. Each morning it was decided by drawing lots whether fentanyl would be used or not in the procedures of that day. Patients were included in one of four groups: ISO/sf (S(+) isomer without fentanyl), ISO/cf (S(+) isomer with fentanyl), RAC/sf (racemic ketamine without fentanyl), and RAC/cf (racemic ketamine with fentanyl). The initial doses proposed were as follows: midazolam, 0.06 mg.kg-1; ketamine, 1.0 to 1.1 mg.kg-1; and fentanyl, 0.8 (1/4)g.kg1-1; additional doses were administered as needed., Results: Only one patient recalled the pain of balneotherapy. In the group that received S(+)ketamine, the use of fentanyl did not bring additional advantages; however, when associated with racemic ketamine, fentanyl reduced the total dose and the number of ketamine boluses. The extension of body surface burned was the main determinant of the severity of post-procedure pain. Reduced pain severity was the main factor considered by patients when grading their satisfaction with the anesthesia., Conclusions: The four different drug combinations proved to be safe and guaranteed the absence of pain during balneotherapy. Characteristics not directly related to the anesthetics proved to be more important in the incidence of post-procedure pain, which was the main factor considered by major burn patient to define their satisfaction with the anesthesia used.
- Published
- 2009
- Full Text
- View/download PDF
47. Archaeal and bacterial communities of heavy metal contaminated acidic waters from zinc mine residues in Sepetiba Bay.
- Author
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Almeida WI, Vieira RP, Cardoso AM, Silveira CB, Costa RG, Gonzalez AM, Paranhos R, Medeiros JA, Freitas FA, Albano RM, and Martins OB
- Subjects
- Archaea classification, Archaea genetics, Bacteria classification, Bacteria genetics, Biodiversity, Brazil, Ecology, Geography, Geologic Sediments, Mining, RNA, Ribosomal, 16S chemistry, RNA, Ribosomal, 16S genetics, Water Microbiology, Zinc, Environmental Pollutants analysis, Metals, Heavy toxicity, Water Pollutants, Chemical analysis
- Abstract
Mining of metallic sulfide ore produces acidic water with high metal concentrations that have harmful consequences for aquatic life. To understand the composition and structure of microbial communities in acid mine drainage (AMD) waters associated with Zn mine tailings, molecular diversity of 16S genes was examined using a PCR, cloning, and sequencing approach. A total of 78 operational taxonomic units (OTUs) were obtained from samples collected at five different sites in and around mining residues in Sepetiba Bay, Brazil. We analyzed metal concentration, physical, chemical, and microbiological parameters related to prokaryotic diversity in low metal impacted compared to highly polluted environments with Zn at level of gram per liter and Cd-Pb at level of microgram per liter. Application of molecular methods for community structure analyses showed that Archaea and Bacteria groups present a phylogenetic relationship with uncultured environmental organisms. Phylogenetic analysis revealed that bacteria present at the five sites fell into seven known divisions, alpha-Proteobacteria (13.4%), beta-Proteobacteria (16.3%), gamma-Proteobacteria (4.3%), Sphingobacteriales (4.3%), Actinobacteria (3.2%) Acidobacteria (2.1%), Cyanobacteria (11.9%), and unclassified bacteria (44.5%). Almost all archaeal clones were related to uncultivated Crenarchaeota species, which were shared between high impacted and low impacted waters. Rarefaction curves showed that bacterial groups are more diverse than archaeal groups while the overall prokaryotic biodiversity is lower in high metal impacted environments than in less polluted habitats. Knowledge of this microbial community structure will help in understanding prokaryotic diversity, biogeography, and the role of microorganisms in zinc smelting AMD generation and perhaps it may be exploited for environmental remediation procedures in this area.
- Published
- 2009
- Full Text
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48. Clinical evolution of a group of patients with multidrug-resistant TB treated at a referral center in the city of Rio de Janeiro, Brazil.
- Author
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Siqueira HR, Freitas FA, Oliveira DN, Barreto AM, Dalcolmo MP, and Albano RM
- Subjects
- Adolescent, Adult, Aged, Antitubercular Agents therapeutic use, Female, Follow-Up Studies, Humans, Male, Middle Aged, Mycobacterium tuberculosis isolation & purification, Patient Dropouts statistics & numerical data, Recurrence, Sputum microbiology, Treatment Failure, Treatment Outcome, Tuberculosis, Multidrug-Resistant microbiology, Tuberculosis, Multidrug-Resistant mortality, Tuberculosis, Pulmonary microbiology, Tuberculosis, Pulmonary mortality, Young Adult, Tuberculosis, Multidrug-Resistant drug therapy, Tuberculosis, Pulmonary drug therapy
- Abstract
Objective: To analyze the clinical characteristics and evolution of a group of patients with positive sputum cultures for multidrug-resistant (MDR) Mycobacterium tuberculosis and treated at a referral center in the city of Rio de Janeiro, Brazil., Methods: Based on the positive results in sputum cultures for MDR M. tuberculosis, 50 patients were selected, and their clinical data were obtained from the Brazilian Ministry of Health MDR-TB Database. The frequencies of noncompliance, relapses, failures and previous treatments for TB up to diagnosis of MDR-TB were compiled. The radiological patterns were classified as unilateral or bilateral, and with or without cavitation. Two years after the end of the standard treatment for MDR-TB, the outcome (cure, failure, noncompliance or death) for each patient was evaluated and reassessed every two years. The post-treatment follow-up period was eight years., Results: The mean number of previous treatments was 2.3 +/- 0.9. The mean interval between the initial diagnosis and the development of MDR-TB was 2.0 +/- 1.7 years. Two years after the initial treatment for MDR-TB, 2 patients had abandoned treatment, 8 had died, 18 had been cured, and 22 had presented treatment failure. The bivariate analysis showed that bilateral pulmonary involvement and cavitary pattern markedly reduced the chances for cure, with a relative risk of 1-0.6 (40%) and 1-0.7 (30%), respectively. At the end of the follow-up period, 2 patients had abandoned treatment, 9 had presented treatment failure, 17 had been cured, and 22 had died., Conclusions: Bilateral pulmonary involvement and cavity pattern greatly reduced the chances for cure of the patients with MDR-TB. Most patients who presented treatment failure died within the 8-year follow-up period.
- Published
- 2009
- Full Text
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49. Glucose metabolism by lymphocytes, macrophages, and tumor cells from Walker 256 tumor-bearing rats supplemented with fish oil for one generation.
- Author
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Aikawa J, Moretto KD, Denes F, Yamazaki RK, Freitas FA, Hirabara SM, Tchaikovski O Jr, Kaelher Mde A, Brito GA, Curi R, and Fernandes LC
- Subjects
- Analysis of Variance, Animals, Carcinoma 256, Walker diet therapy, Dietary Supplements, Fatty Acids, Omega-3 pharmacology, Female, Fish Oils pharmacology, Lactic Acid blood, Male, Pregnancy, Prenatal Exposure Delayed Effects, Rats, Rats, Wistar, Tumor Cells, Cultured, Carcinoma 256, Walker metabolism, Fatty Acids, Omega-3 administration & dosage, Fish Oils administration & dosage, Lymphocytes metabolism, Macrophages metabolism
- Abstract
Here we investigated the effect of lifelong supplementation of the diet with coconut fat (CO, rich in saturated fatty acids) or fish oil (FO, rich in n-3 polyunsaturated fatty acids) on tumor growth and lactate production from glucose in Walker 256 tumor cells, peritoneal macrophages, spleen, and gut-associated lymphocytes. Female Wistar rats were supplemented with CO or FO prior to mating and then throughout pregnancy and gestation and then the male offspring were supplemented from weaning until 90 days of age. Then they were inoculated subcutaneously with Walker 256 tumor cells. Tumor weight at 14 days in control rats (those fed standard chow) and CO supplemented was approximately 30 g. Supplementation of the diet with FO significantly reduced tumor growth by 76%. Lactate production (nmol h(-1) mg(-1) protein) from glucose by Walker 256 cells in the group fed regular chow (W) was 381.8 +/- 14.9. Supplementation with coconut fat (WCO) caused a significant reduction in lactate production by 1.6-fold and with fish oil (WFO) by 3.8-fold. Spleen lymphocytes obtained from W and WCO groups had markedly increased lactate production (553 +/- 70 and 635 +/- 150) when compared to non-tumor-bearing rats ( approximately 260 +/- 30). FO supplementation reduced significantly the lactate production (297 +/- 50). Gut-associated lymphocytes obtained from W and WCO groups increased lactate production markedly (280 +/- 31 and 276 +/- 25) when compared to non-tumor-bearing rats ( approximately 90 +/- 18). FO supplementation reduced significantly the lactate production (168 +/- 14). Lactate production by peritoneal macrophages was increased by tumor burden but there was no difference between the groups fed the various diets. Lifelong consumption of FO protects against tumor growth and modifies glucose metabolism in Walker tumor cells and lymphocytes but not in macrophages.
- Published
- 2008
- Full Text
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50. Main lepidopteran pest species from an eucalyptus plantation in Minas Gerais, Brazil.
- Author
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Zanuncio TV, Zanuncio JC, de Freitas FA, Pratissoli D, Sediyama CA, and Maffia VP
- Subjects
- Agriculture, Animals, Brazil epidemiology, Host-Parasite Interactions, Humidity, Lepidoptera classification, Plant Diseases statistics & numerical data, Population Density, Population Dynamics, Predatory Behavior, Species Specificity, Temperature, Disease Outbreaks, Eucalyptus parasitology, Lepidoptera physiology, Pest Control, Biological, Plant Diseases parasitology
- Abstract
Lepidoptera species were monitored in a plantation of Eucalyptus grandis in the Municipality of Bom Despacho, State of Minas Gerais, Brazil from March 1987 to February 1992. A total of 547 species were collected and divided in: primary pests: 13; secondary pests: 20; species without defined importance to eucalyptus: 79; and non-identified species: 435. These four groups had a mean of 5231.29; 338.18; 438.16 and 2222.87 individuals with a total of 8229.87 individuals collected per trap. The number of species without defined importance to eucalyptus, and non-identified species, increased during the collecting period of five years while those of primary and secondary pests showed similar numbers in all years. The most collected primary pests Thyrinteina arnobia Stoll and Stenalcidia sp. (Geometridae) showed higher frequencies during the driest and coldest periods of the year, whereas Psorocampa denticulata Schaus (Notodontidae) was most frequent during periods of higher rainfall. Species of groups III and IV increased in diversity with eucalyptus age. This area has a high probability of outbreaks of eucalyptus defoliating caterpillars, especially T. arnobia. For this reason, lepidopteran pests should be monitored in this plantation during the driest and coldest periods of the year, when they can reach population peaks.
- Published
- 2006
- Full Text
- View/download PDF
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