CSF β-amyloid predicts prognosis in patients with multiple sclerosis

Background: The importance of predicting disease progression in multiple sclerosis (MS) has increasingly been recognized, and hence reliable biomarkers are needed. Objectives: To investigate the prognostic role of cerebrospinal fluid (CSF) amyloid beta 1\u201342 (A\u3b2) levels by the determination of a cut-off value to classify patients in slow and fast progressors. To evaluate possible association with white matter (WM) and grey matter (GM) damage at early disease stages. Methods: Sixty patients were recruited and followed up for 3\u20135 years. Patients underwent clinical assessment, brain magnetic resonance imaging (MRI; at baseline and after 1 year), and CSF analysis to determine A\u3b2 levels. T1-weighted volumes were calculated. T2-weighted scans were used to quantify WM lesion loads. Results: Lower CSF A\u3b2 levels were observed in patients with a worse follow-up Expanded Disability Status Scale (EDSS; r = 120.65, p < 0.001). The multiple regression analysis confirmed CSF A\u3b2 concentration as a predictor of patients\u2019 EDSS increase (r = 120.59, p < 0.0001). Generating a receiver operating characteristic curve, a cut-off value of 813 pg/mL was determined as the threshold able to identify patients with worse prognosis (95% confidence interval (CI): 0.690\u20130.933, p = 0.0001). No differences in CSF tau and neurofilament light chain (NfL) levels were observed (p > 0.05). Conclusion: Low CSF A\u3b2 levels may represent a predictive biomarker of disease progression in MS

Flora fanerogâmica da Serra Negra, Minas Gerais, Brasil

O presente estudo teve como objetivo caracterizar a flora fanerogâmica da região da Serra Negra localizada no sul da Zona da Mata de Minas Gerais, entre os municípios de Lima Duarte, Rio Preto, Santa Bárbara do Monte Verde e Olaria. Embora considerada de importância biológica alta, esta região não possui nenhum registro anterior de dados florísticos, o que levou ao desenvolvimento deste levantamento, durante o período de 2003 a 2010. A vegetação é caracterizada por um mosaico de formações florestais e campestres onde se destacam os campos rupestres e florestas nebulares em altitudes que variam de 1300 a ca. 1700 m. Um total de 1033 espécies foi encontrado, distribuídas em 469 gêneros e 121 famílias sendo as mais representativas Orchidaceae (115 spp.), Asteraceae 54 spp.), Melastomataceae (56 spp.), Myrtaceae (53 spp.), Fabaceae, Poaceae e Rubiaceae (48 spp. cada), Bromeliaceae (43 spp.), Solanaceae (38 spp.) e Piperaceae (33 spp). Novos registros e endemismos para a flora mineira foram encontrados e 58 espécies estão citadas na lista de espécies ameaçadas de Minas Gerais