The Combination of Gefitinib With ATRA and ATO Induces Myeloid Differentiation in Acute Promyelocytic Leukemia Resistant Cells

In approximately 15% of patients with acute myeloid leukemia (AML), total and phosphorylated EGFR proteins have been reported to be increased compared to healthy CD34(+) samples. However, it is unclear if this subset of patients would benefit from EGFR signaling pharmacological inhibition. Pre-clinical studies on AML cells provided evidence on the pro-differentiation benefits of EGFR inhibitors when combined with ATRA or ATO in vitro. Despite the success of ATRA and ATO in the treatment of patients with acute promyelocytic leukemia (APL), therapy-associated resistance is observed in 5-10% of the cases, pointing to a clear need for new therapeutic strategies for those patients. In this context, the functional role of EGFR tyrosine-kinase inhibitors has never been evaluated in APL. Here, we investigated the EGFR pathway in primary samples along with functional in vitro and in vivo studies using several APL models. We observed that total and phosphorylated EGFR (Tyr992) was expressed in 28% and 19% of blast cells from APL patients, respectively, but not in healthy CD34(+) samples. Interestingly, the expression of the EGF was lower in APL plasma samples than in healthy controls. The EGFR ligand AREG was detected in 29% of APL patients at diagnosis, but not in control samples. In vitro, treatment with the EGFR inhibitor gefitinib (ZD1839) reduced cell proliferation and survival of NB4 (ATRA-sensitive) and NB4-R2 (ATRA-resistant) cells. Moreover, the combination of gefitinib with ATRA and ATO promoted myeloid cell differentiation in ATRA- and ATO-resistant APL cells. In vivo, the combination of gefitinib and ATRA prolonged survival compared to gefitinib- or vehicle-treated leukemic mice in a syngeneic transplantation model, while the gain in survival did not reach statistical difference compared to treatment with ATRA alone. Our results suggest that gefitinib is a potential adjuvant agent that can mitigate ATRA and ATO resistance in APL cells. Therefore, our data indicate that repurposing FDA-approved tyrosine-kinase inhibitors could provide new perspectives into combination therapy to overcome drug resistance in APL patients

Catálogo Taxonômico da Fauna do Brasil: setting the baseline knowledge on the animal diversity in Brazil

The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

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Chelating agents to solubilize heavy metals from Oxisols contaminated by the addition of organic and inorganic residues Uso de quelantes na solubilização de metais pesados de Latossolos contaminados pela adição de resíduos orgânico e inorgânico

Phytoremediation is an attractive technique for soils contaminated with heavy metals, especially in conjunction with chelating agents to assist metal phytoextraction. Nevertheless, their studies in Brazil are rare. Thus, the objective of the present work was to evaluate the efficiency of the chelating agents EDDS and EDTA for the solubilization of heavy metals from two Oxisols contaminated by organic sources in Jaguariúna (LVJ) and inorganic sources in Paulínia (LVP), São Paulo State, Southeastern Brazil. First, the soil samples were fractionated and the DTPA method was used to quantify heavy metals available forms. The results indicated that the metals were highly available in the soil fractions and could be solubilized by the chelating agents. The soil was suspended for 24 h in a chelating agent solution (EDTA or EDDS) at rates of 0, 250, 500 and 750 mg kg-1 of soil. The concentration of solubilized heavy metals was determined in the resulting solution. The extent of metal solubilization varied according to soil type, the chelating agent added and the specific metal. The amount of iron solubilized, as compared to the total iron (LVJ) was 11% (EDTA) and 19% (EDDS). EDDS solubilized more Cu than EDTA in both soils but more Ni in LVJ, while EDTA solubilized more Zn in both soils but more Cd in LVP. Both EDTA and EDDS may be useful for phytoextraction from soils, although the iron content is an important factor regarding the phytoextraction of heavy metals with chelating agents in Oxisols.<br>A fitoextração tem sido uma opção atrativa para remediar solos contaminados com metais pesados, principalmente quando associada à aplicação de quelantes ao solo, embora no Brasil seus estudos sejam muito incipientes. Portanto, o objetivo deste trabalho foi avaliar a eficiência dos quelantes EDTA e EDDS na solubilização de metais pesados em Latossolos contaminados por Cu, Zn, Cd e Ni, cujas fontes de contaminação foram: orgânica em Jaguariúna (LVJ) e inorgânica em Paulínia (LVP). Antes da solubilização dos metais com os quelantes as amostras de solo foram submetidas ao fracionamento seqüencial e à extração dos metais pesados pelo método do DTPA. Ainda, as amostras dos dois solos foram agitadas com as soluções dos quelantes, por 24 h, usando as seguintes doses: 0, 250, 500 e 750 mg kg-1 de solo, realizando-se a determinação dos metais pesados no sobrenadante. Tanto a extração com DTPA como o fracionamento seqüencial indicaram que os metais estavam nas frações disponíveis que poderiam ser solubilizados pelos quelantes. As quantidades solubilizadas de Cu, Fe, Zn e Ni variaram em função do tipo de solo, dos quelantes e das doses aplicadas. A solubilização do Fe em relação ao seu teor total no LVJ foi de 11% (EDTA) e 19% (EDDS). O EDDS solubilizou mais Cu em ambos os solos e Ni no LVJ, enquanto o EDTA apresentou maior solubilização do Zn também em ambos os solos e do Cd no LVP. Portanto, a utilização de tais complexantes pode ser promissora na fitoextração de metais em solos, mas a avaliação da concentração de Fe no solo torna-se importante quando se utiliza a técnica de fitoextração assistida por quelantes para remediar Latossolos contaminados com metais

EDTA assisted phytorremediation of a Pb contamined soil: metal leaching and uptake by jack beans Lixiviação e absorção de Pb pelo feijão-de-porco assistido pela aplicação de EDTA no solo

Lead (Pb) is one of the main soil contaminants. It is also of difficult phytoremediation due to its low solubility and high retention on soil particles. EDTA application to soil is a strategy to increase heavy metal phytoextraction, but such chelants usually cause phytotoxicity and metal leaching side effects. Therefore, these research work objectives were to evaluate the effects of single (0.5 g kg-1) and split (0.25 + 0.25 g kg-1) EDTA application on Pb uptake by jack beans (Canavalia ensiformis L.) as well as on Pb vertical movement in a Pb contaminated soil material. Two sets of experiments were carried out under greenhouse conditions: in the first one, plants were grown in 3L-pots filled with a Pb-contaminated soil to evaluate Pb uptake by plants; for the second experiment, PVC-columns (42 cm height) were used to evaluate soil Pb leaching: the upper half-column (20 cm) was filled up with Pb-contaminated soil (1800 mg kg-1) whereas the lower half-column (20 cm) was filled with clean soil. Ten 60 mm-rainfalls with a duration of five hours were simulated by dropping distilled water on the top of columns, and leachates were collected for chemical analysis. Plants did not show any visual Pb toxicity symptoms or reduction in dry matter yield. Nevertheless, Pb uptake by jack beans regarded as total plant Pb accumulation was higher in EDTA-treated plants. Vertical Pb movement was observed mostly for the single EDTA application. EDTA addition to the soil favor Pb-phytoextraction by jack beans and the split EDTA application decrease the metal leaching, indicating less risk of environmental contamination.<br>O chumbo (Pb) é um dos principais contaminantes de solo. Os processos de remediação são dificultados devido à alta retenção do elemento às partículas do solo. A utilização do EDTA para aumentar a fitoextração dos metais do solo tem apresentado bons resultados. Contudo, os quelantes podem causar efeitos indesejáveis como a fitotoxidez e a lixiviação do metal. Nesse sentido, avaliou-se o efeito da aplicação única (0,5 g kg-1) e parcelada de EDTA (0,25 + 0,25 g kg-1) na absorção de Pb pelas plantas de feijão-de-porco (Canavalia ensiformis L.) e na movimentação vertical de Pb em solo contaminado, sob condições de casa de vegetação. Em um experimento, as plantas foram crescidas em vasos contendo 3 L de solo contaminado por Pb. No outro, utilizaram-se colunas de PVC com 42 cm de altura, preenchendo-se os primeiros 20 cm com solo contaminado com 1800 mg kg-1de Pb, seguido de outros 20 cm, com amostra de solo não contaminado. Nesse experimento, foram feitas dez lixiviações com água em volume equivalente a uma chuva de 60 mm cada. As plantas não apresentaram sintomas visuais de toxicidade de Pb, nem diferença na produção de massa seca do feijão em função dos tratamentos aplicados. No entanto, a absorção de Pb foi superior para as plantas que receberam EDTA. Houve movimentação vertical de Pb no solo, principalmente devido à aplicação única de EDTA. A adição de EDTA ao solo auxilia a fitoextração de Pb por plantas de feijão-de-porco e que o parcelamento do EDTA diminui a lixiviação do metal, mostrando se menos agressivo ao ambiente