Progressão da fibrose hepática em portadores de coinfecção HIV/vírus da hepatite C com níveis de aminotransferases normais

INTRODUCTION: Approximately 30% of hepatitis C virus (HCV) monoinfected patients present persistently normal alanine aminotransferase (ALT) levels. Most of these patients have a slow progression of liver fibrosis. Studies have demonstrated the rate of liver fibrosis progression in hepatitis C virus-human immunodeficiency virus (HCV-HIV) coinfected patients is faster than in patients infected only by HCV. Few studies have evaluated the histological features of chronic hepatitis C in HIV-infected patients with normal ALT levels. METHODS: HCV-HIV coinfected patients (HCV-RNA and anti-HIV positive) with known time of HCV infection (intravenous drugs users) were selected. Patients with hepatitis B surface antigen (HBsAg) positive or hepatitis C treatment before liver biopsy were excluded. Patients were considered to have a normal ALT levels if they had at least 3 normal determinations in the previous 6 months prior to liver biopsy. All patients were submitted to liver biopsy and METAVIR scale was used. RESULTS: Of 50 studied patients 40 (80%) were males. All patients were treated with antiretroviral therapy. The ALT levels were normal in 13 (26%) patients. HCV-HIV co-infected patients with normal ALT levels had presented means of the liver fibrosis stages (0.77±0.44 versus 1.86±1.38; p<0.001) periportal inflammatory activity (0.62±0.77 versus 2.24±1.35; p<0.001) and liver fibrosis progression rate (0.058±0.043 fibrosis unit/year versus 0.118±0.102 fibrosis unit/year) significantly lower as compared to those with elevated ALT. CONCLUSIONS: HCV-HIV coinfected patients with persistently normal ALTs showed slower progression of liver fibrosis. In these patients the development of liver cirrhosis is improbable.INTRODUÇÃO: Aproximadamente, 30% dos portadores de hepatite crônica C apresentam níveis de aminotransferases persistentemente normais (APNL). A maioria destes pacientes tem lenta progressão da fibrose hepática. Em portadores de coinfecção VHC-HIV, estudos têm demonstrado que a progressão da fibrose hepática é mais rápida que a observada em indivíduos infectados somente pelo VHC. Há poucos estudos que verificaram as características histológicas da hepatite crônica C em pacientes coinfectados pelo HIV APNL. MÉTODOS: Portadores de coinfecção VHC-HIV (HCV-RNA e anti-HIV positivos) com tempo de infecção pelo VHC conhecido (uso de drogas intravenosas) foram selecionados. Aqueles com hepatitis B surface antigen (HbsAg) positivo ou que tenham sido submetidos à terapia antiviral para hepatite C antes da biópsia hepática foram excluídos. Pacientes com pelo menos 3 determinações normais da ALT nos últimos 6 meses antes da biópsia hepática foram considerados como tendo APNL. Todos foram submetidos a biópsia hepática que foi classificada de acordo com a escala METAVIR. RESULTADOS: Foram incluídos 50 pacientes, 40 (80%) homens. Todos receberam terapia antirretroviral. Os níveis de ALT foram persistentemente normais em 13 (26%) pacientes. Pacientes coinfectados com APNL apresentaram menor média dos estágiosde fibrose hepática (0,77±0,44 versus 1,86±1,38; p<0,001), dos índices de atividade inflamatória periportal (0,62±0,77 versus 2,24±1,35; p<0,001) e progressão mais lenta da fibrose hepática (0,058±0,043 unidades de fibrose /ano versus 0,118±0,102 unidades de fibrose/ano) quando comparados àqueles com aminotransferases elevadas. CONCLUSÕES: Portadores de coinfecção VHC-HIV com APNL apresentam progressão mais lenta da fibrose hepática. Nesses pacientes o desenvolvimento de cirrose hepática é improvável.Universidade Federal de Juiz de Fora Centro de Referência em Hepatologia Departamento de GastroenterologiaUniversidade Federal de Juiz de Fora Unidade de Endoscopia DigestivaUniversidade Federal de São Paulo (UNIFESP) Divisão de Gastroenterologia Seção de HepatitesUNIFESP, Divisão de Gastroenterologia Seção de HepatitesSciEL

Zingiber zerumbet flower stem postharvest characterization

About the Zingiber zerumbet little is known about its cut flower postharvest and market, despite its high ornamental potential. The inflorescences, which resemble a compact cone, emerge from the base of the plants and start with green color changing to red with the age. This study objective was to characterize floral stem of ornamental ginger in two cultivate conditions and to evaluate the longevity of those submitted to post-harvest treatments. Flower stems were harvest from clumps cultivated under full sun and partial shade area, and were submitted to the postharvest treatments: complete flower immersion in tap water (CFI) or only the base stem immersion (BSI). The flower stems harvested from clumps at partial shade presented higher fresh weight, length and diameter of the inflorescences compared to flower stems harvested from clumps at full sun area. The flower stem bracts cultivated in full sun area changed the color from green to red 10.69 and 11.94 days after BSI and CFI postharvest treatments, and the vase life were 22.94 and 28.19 days, respectively. Flower stem harvest in partial shade area change the color only after 18.94 and 18.43 days and the vase life durability was 27.56 and 31.81, respectively. The complete immersion of the flower stem increase the vase life durability in 5.25 and 4.25 days compared to flowers kept with the stem base immersed only, in flower stems harvested from clumps cultivated in full sun area and partial shade area, respectively. Flower stems harvested from clumps cultivated in partial shade area and completely immerse in tap water during 3 hours increase the vase life durability in 8.87 days compared to flowers harvested from clumps cultivated in full sun area and base immersed only

Morphophenological characterization of ornamental ginger and selection for landscape use

Many species of Zingiber have great ornamental potential, due to durability and exotic appearance of the inflorescences. Despite its large phenotypic variability, they are scarcely exploited or not yet exploited regarding the ornamental potential. To conserve potential ornamental genotypes, and subsidize breeding program, the Agronomic Institute (IAC) maintain a Germoplasm Collection of Ornamental Zingiberales with promising accessions, including Zingiber. The aim was the morphophenological characterization of ten Zingiber accessions and the indication for landscape purposes. A large variation was observed to the evaluated characters: Clump height (CH); Inflorescence visualization (IV); Clump area (CA); Clump density (CD); Leaf stem Firmness (LSF); Number of leaf stems per clump (NLSC); Number of leaves per stem (NLS); Leaf color (LCol); Evergreen tendency (ET); Flower stem growth (FSG); Flower stem length (FSLe); Flower stem diameter (FSD); Flower stem per clump (FSC); Color sensorial perception (CSP); Flower stem weight (FSW); Inflorescence length (IL); Inflorescence diameter (ID); Bracts aspects (BAs); and Flowering season (FSe). The accessions very suitable and with the best performance to use for landscape purpose were Z. spectabile, IAC Anchieta (Z. spectabile), Z. newmanii

Resistência insulínica em portadores de hepatite crônica C não diabéticos: qual o significado?

OBJETIVOS: Em portadores de hepatite crônica C não diabéticos, verificar a prevalência de resistência insulínica (RI) e analisar a associação desta com os parâmetros laboratoriais e histológicos. SUJEITOS E MÉTODOS: Foram incluídos no estudo 82 pacientes, e amostras de sangue foram coletadas para determinação de glicose, perfil lipídico, alanina aminotransferase (ALT), aspartato aminotransferase (AST), ferritina, HOMA-IR, carga viral e genótipo do VHC. HOMA-IR superior a 2,5 foi considerado resistência insulínica. RESULTADOS: RI foi observada em 27% dos pacientes e foi associada a idade, circunferência abdominal e índice de massa corpórea. Quando comparado a pacientes sem RI, aqueles com HOMA-IR superior a 2,5 apresentaram graus mais acentuados de fibrose hepática e atividade necroinflamatória, maiores níveis de aminotransferases e esteatose hepática mais frequente. CONCLUSÕES: É comum a presença de RI em portadores de hepatite crônica C e esta se associa com graus mais avançados de fibrose hepática induzida pelo vírus da hepatite C.OBJETIVOS: Em portadores de hepatite crônica C não diabéticos, verificar a prevalência de resistência insulínica (RI) e analisar a associação desta com os parâmetros laboratoriais e histológicos. SUJEITOS E MÉTODOS: Foram incluídos no estudo 82 pacientes, e amostras de sangue foram coletadas para determinação de glicose, perfil lipídico, alanina aminotransferase (ALT), aspartato aminotransferase (AST), ferritina, HOMA-IR, carga viral e genótipo do VHC. HOMA-IR superior a 2,5 foi considerado resistência insulínica. RESULTADOS: RI foi observada em 27% dos pacientes e foi associada a idade, circunferência abdominal e índice de massa corpórea. Quando comparado a pacientes sem RI, aqueles com HOMA-IR superior a 2,5 apresentaram graus mais acentuados de fibrose hepática e atividade necroinflamatória, maiores níveis de aminotransferases e esteatose hepática mais frequente. CONCLUSÕES: É comum a presença de RI em portadores de hepatite crônica C e esta se associa com graus mais avançados de fibrose hepática induzida pelo vírus da hepatite C

NUTRIENTS CYCLING AND ACCUMULATION IN PEARL MILLET AND PAIAGUAS PALISADEGRASS BIOMASS IN DIFFERENT FORAGE SYSTEMS AND SOWING PERIODS

Developed the study objective of was to evaluate nutrient cycling and accumulation in pearl millet and Paiaguas palisadegrass biomass under different forage systems and sowing periods in integrated crop-livestock. The experiment followed a randomized block design with a 5 × 2 factorial arrangement and three replications, under five forage systems (monocropped pearl millet, monocropped Paiaguas palisadegrass, pearl millet intercropped in rows with Paiaguas palisadegrass, pearl millet intercropped between rows of Paiaguas palisadegrass and pearl millet oversown and intercropped with Paiaguas palisadegrass) and in two sowing periods (February and March). The results showed that Paiaguas palisadegrass monocropped or intercropped in rows or between rows, exhibited the highest nutrient cycling and accumulation in the remaining biomass. Nutrient accumulation the under all of the examined forage systems showed the following decreasing order: K > N > Mg > Ca > P > S. Potassium was the nutrient exhibiting the greatest accumulation in the biomass and it exhibited a higher percent decrease with decomposition time. The first sowing period for the forage systems led to higher nutrient cycling and accumulation in the biomass. Intercropped systems through in integrated crop-livestock showed a promising technique to maintain the nutrient cycling and accumulation with sustainability

Repair of critical-size defects with autogenous periosteum-derived cells combined with bovine anorganic apatite/collagen: an experimental study in rat calvaria

The aim of this study was to evaluate the bone repair using autogenous periosteum-derived cells (PDC) and bovine anorganic apatite and collagen (HA-COL). PDC from Wistar rats (n=10) were seeded on HA-COL discs and subjected to osteoinduction during 6 days. Critical-size defects in rat calvarias were treated with blood clot (G1), autogenous bone (G2), HA-COL (G3) and HA-COL combined with PDC (G4) (n=40), and then analyzed 1 and 3 months after surgeries. Radiographic analysis exhibited no significant temporal change. G1 and G2 had discrete new marginal bone, but the radiopacity of graft materials in G2, G3 and G4 impaired the detection of osteogenesis. At 3 months, histopathological analysis showed the presence of ossification islets in G1, which was more evident in G2, homogeneous new bone around HA-COL in G3 and heterogeneous new bone around HA-COL in G4 in addition to moderate presence of foreign body cells in G3 and G4. Histomorphometric analysis showed no change in the volume density of xenograft (p&gt;0.05) and bone volume density in G2 was twice greater than in G1 and G4 after 3 months (p<0.05), but similar to G3. The PDC did not increase bone formation in vivo, although the biomaterial alone showed biocompatibility and osteoconduction capacity.O objetivo deste estudo foi avaliar o reparo ósseo usando células derivadas de periósteo (PDC) e apatita inorgânica e colágeno bovinos (HA-COL). PDC de ratos Wistar (n=10) foram semeadas sobre discos de HA-COL e osteoinduzidas por 6 dias. Defeitos de tamanho crítico em calvárias de ratos foram tratados com coágulo sanguíneo (G1), osso autógeno (G2), HA-COL (G3) ou HA-COL associado a PDC (G4) (n=40) e analisados em 1 e 3 meses após as cirurgias. Análise radiográfica não exibiu mudança temporal significante, G1 e G2 tiveram aumento discreto de novo osso marginal, entretanto a radiopacidade dos materiais de enxerto em G2, G3 e G4 prejudicou a detecção de osteogênese. Análise histopatológica mostrou em 3 meses ilhotas de ossificação em G1 que foi maior em G2, novo osso homogêneo ao redor de HA-COL em G3 e novo osso heterogêneo ao redor de HA-COL em G4 além da presença moderada de células gigantes de corpo estranho em G3 e G4. Análise histomorfométrica mostrou a densidade de volume inalterada do xenoenxerto (p&gt;0,05) e a densidade de volume de novo osso em G2 duas vezes maior que G1 e G4 após 3 meses (p<0,05), mas similar a G3. PDC não aumentaram a formação óssea in vivo apesar do biomaterial sozinho ter apresentado biocompatibilidade e capacidade osteocondutora