Minocycline treatment of chloroquine-and Fansidar R-resistant falciparum malarial

Em abril de 1978 uma infecção malárica causada por Plasinodium falciparum foi diagnosticada em um paciente adulto do sexo masculino, nativo da Amazônia brasileira. O parasito foi resistente in vitro à cloroquina e in vivo à associação pirimetamina + sulfadoxina (FansidarR). O paciente foi tratado com minociclina (MinomaxR); contudo, sua resposta imune ao parasito pode ter tido um importante papel na eficácia do tratamento com a minociclina.In April 1978, a Plasmodium falciparum infection was diagnosed in an adult male in Brazilian Amazonia. The parasite was resistant in vitro to chloroquine and resistent in vivo to pyrimethamine-sulfadoxine (FansidarR). The patient was successfully treated with minocycline (MinomaxR); however, his immune response to the parasite may have played an important role in the efficacy of the minocycline treatment

Proteção de camundongos atímicos BALB/c (Nu/Nu) contra Plasmodium berghei por esplenócitos oriundos de camundongos normais BALB/c (Nu/+)

Camundongos atímicos BALB/c (Nu/Nu) sucumbem entre 7-13 dias após a inoculação (DAI) da cepa NK65 de Plasmodium berghei. Todavia, seus singenêicos heterozigotos (Nu/+) morrem em 7-8 DAI. Camundongos nude (Nu/Nu) reconstituídos com 2xl0(7) esplenócitos de camundongos heterozigotos singenêicos normais não infectados (Nu/+) 20 dias antes da inoculação a (DBI) do parasita, sucumbem 2 dias antes que os animais controles. Camundongos nude reconstituídos 10 ou 2 DBI, vivem 2-4 dias a mais que os animais controles e alguns deles sobrevivem. Esses achados indicam que a cepa NK65 de P. berghei induz, no mínimo, dois imunofenômenos dependentes de linfócitos T; um supressivo e outro estimulatório. A reconstituição de camundongos nude com células T de camundongos BALB/c (Nu/+) parece reduzir ou "By-pass" a atividade supressora das células T, o qual leva à formação de uma resposta imune protetora por alguns dos camundongos nude.Athymic BALB/c (Nu/Nu) mice died at 7-13 days after inoculation (DAI) of Plasmodium berghei NK65, whereas their heterozygous (Nu/+) littermates died at 7-8 DAI. Nude (Nu/Nu) mice, reconstituted with 2 x 10(7) splenocytes from uninfected heterozygous (Nu/+) littermates at 20 days before parasite inoculation (DBI), died about 2 days earlier than control nude mice; nude mice reconstituted at 10 or 2 DBI lived 2 to 4 days longer than control nudes; and nude mice reconstituted 2 DAI lived even longer and some survived. These findings indicate that P. berghei NK65 induces at least two T-cell dependent immune phenomena, one suppressive and the other stimulatory. Reconstitution of nude mice with T-cells from BALB/c (Nu/+) mice appeared to reduce or bypass suppressive T-cell activities which allowed the formation of a protective immune response by some of the nude mice

Estudo sobre malária e parasitoses intestinais em indígenas da tribo Nadëb-Maku, Estado do Amazonas, Brasil

Em março de 1983 detectou-se uma epidemia de malária por Plasmodium falciparum na tribu indígena Nadëb-Maku localizada às margens do Rio Uneiuxi, alto Rio Negro, no Estado do Amazonas (Brasil). Foram obtidas e examinadas para hematozoários amostras de sangue periférico de 76 indígenas. Vinte e sete (35,5%) dessas amostras estavam positivas para plasmódios. A infecção malárica foi tratada com Fansidar® (pirimetamina + sulfadoxina), mefloquina e/ou primaquina. A única espécie de anofelino coletada na aldeia durante o período da epidemia foi Anopheles mediopunctatus. Amostras de fezes obtidas de 49 indígenas foram examinadas para parasitas intestinais e 100% delas estavam positivas. A maioria dos indígenas estavam parasitada por mais de uma espécie de parasita.In March, 1983, a falciparum malaria outbreak occurred in the Nadëb-Maku Indian tribe in Amazonas State, Brazil. Seventy six blood samples were obtained and examined for hematozoa with 27 (35.5%) positive for Plasmodium falciparum. Malaria infections were treated with Fansidar® (Pyrimethamine plus sulfadoxine), mefloquine and/or primaquine. The only Anopheles species collected in the Indian tribe during the outbreak period was Anopheles mediopunctatus. All 49 stool samples obtained from the Indians were positive when examined for intestinal parasites

Development of Praziquantel sulphonamide derivatives as antischistosomal drugs

The almost empty armamentarium to treat schistosomiasis, a neglected parasitic disorder caused by trematode flatworms of the genus Schistosoma, except Praziquantel (PZQ), urged to find new alternatives to fight this infection. Carbonic Anhydrase from Schistosoma mansoni (SmCA) is a possible new target against this nematode. Here, we propose new PZQ derivatives bearing a primary sulphonamide group in order to obtain hybrid drugs. All compounds were evaluated for their inhibition profiles on both humans and Schistosoma CAs, X-ray crystal data of SmCA and hCA II in adduct with some inhibitors were obtained allowing the understanding of the main structural factors responsible of activity. The compounds showed in vitro inhibition of immature and adult S. mansoni, but further optimisation is required for improved activity

Resistência do plasmodium falciparum ao fansidar, quinina e tetraciclina

Descreve-se pela primeira vez uma cêpa amazônica de Plasmodium falciparum resistente ao Fansidar (pirimetamina mais sulfadoxina) e quinino mais tetraciclina simultaneamente. O paciente, com 13 anos de idade, residia há cinco anos em Ariquemes, Estado de Rondônia, na Amazônia brasileira. A infecção foi curada com dose elevada de cloroquina administrada em dose única intravenosa (IV). É evidenciado o alto valor da cloroquina na cura da malária falciparum resistente, quando administrada em doses maiores que as usadas nos esquemas convencionais de tratamento.For the first time an Amazonian strain of Plasmodium falciparum resistant to FansidarR (pyrimethamine + sulfadoxine) and quinine + tetracycline, taken sequentially is described. This case involves a female patient 13 years old, living for five years in Ariquemes County, State of Rondônia, in the Brazilian Amazon. The infection was cured with a single high dose of chloroquine administered intravenously. The authors point out the high valor of chloroquine in treating falciparum-resistant malaria, especially when given in higher doses than the standard one used for malaria therapy

A "Pityriasis Versicolor" No Estado Do Amazonas

The results of a survey of the incidence of "Pityriasis versicolor" are reported here. The survey was of 4.731 school-children from eight municipalities in the State of Amazonas, Brasil. "Pityriasis versicolor" was found to be present in 15,18% of the children. This rate of incidence was compared with that of other micosis of the skin in the same town.São apresentados dados de um levantamento sobre a prevalência de "Pityriasis versicolor" em 4.731 escolares de oito municípios do Estado do Amazonas com um índice de positividade de 15,18% e comparados os resultados com a ocorrência de outras dermatomicoses

Association between Nutrient-Based Dietary Patterns and Bladder Cancer in Italy

Limited knowledge is available on dietary patterns and bladder cancer risk. We analyzed data from an Italian case-control study carried out between 2003 and 2014, including 690 incident bladder cancer cases and 665 hospital-controls. We derived nutrient-based dietary patterns applying principal component factor analysis on 28 selected nutrients. We categorized factor scores according to quartiles, and estimated the odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) through logistic regression models, adjusted for major confounding factors. We identified four dietary patterns named "Animal products", "Vitamins and fiber", "Starch-rich", and "Animal unsaturated fatty acids". We found an inverse association between the "Vitamins and fiber" pattern and bladder cancer (OR = 0.70, 95% CI: 0.48-0.99, IV versus I quartile category). Inverse relationships of borderline significance were also found for the "Animal products" and the "Animal unsaturated fatty acids" dietary patterns. No significant association was evident for the "Starch-rich" pattern. The current study allowed us to identify major dietary patterns in this Italian population. Our study confirms available evidence and shows that scoring high on a fruit-and-vegetables pattern provides beneficial effects on bladder cancer risk

Adherence to the Mediterranean diet and nasopharyngeal cancer risk in Italy

Purpose: Few studies investigated the role of diet on nasopharyngeal cancer (NPC) risk in non-endemic areas. The aim of this study was to assess the association between adherence to the traditional Mediterranean diet and NPC risk in a southern European low-risk population. Methods: We conducted a hospital-based case-control study in Italy, including 198 histologically confirmed NPC cases and 594 matched controls. Dietary habits were collected by means of a validated food-frequency questionnaire, including 83 foods, food groups, or beverages. Adherence to the traditional Mediterranean diet was assessed through a Mediterranean Diet Score (MDS), based on nine dietary components characterizing this dietary profile, i.e., high intake of vegetables, fruits and nuts, cereals, legumes, and fish; low intake of dairy products and meat; high monounsaturated to saturated fatty acid ratio; and moderate alcohol intake. We estimated odds ratios (ORs) of NPC, and the corresponding 95% confidence intervals (CIs), for increasing MDS (i.e., increasing adherence) using multiple logistic regression models, adjusted for major confounding factors. Results: As compared to MDS 64 4, the ORs of NPC were 0.83 (95% CI: 0.54\u20131.25) for MDS of 5 and 0.66 (95% CI: 0.44\u20130.99) for MDS 65 6, with a significant trend of decreasing risk (p 0.043). The corresponding population attributable fraction was 22%, indicating that 22% of NPC cases in this population would be avoided by shifting all subjects to a score 656. Conclusions: Our study supports a favorable role of the Mediterranean diet on NPC risk

Family history of cancer and the risk of cancer: a network of case-control studies

Background The risk of many cancers is higher in subjects with a family history (FH) of cancer at a concordant site. However, few studies investigated FH of cancer at discordant sites. Patients and methods This study is based on a network of Italian and Swiss case-control studies on 13 cancer sites conducted between 1991 and 2009, and including more than 12 000 cases and 11 000 controls. We collected information on history of any cancer in first degree relatives, and age at diagnosis. Odds ratios (ORs) for FH were calculated by multiple logistic regression models, adjusted for major confounding factors. Results All sites showed an excess risk in relation to FH of cancer at the same site. Increased risks were also found for oral and pharyngeal cancer and FH of laryngeal cancer (OR = 3.3), esophageal cancer and FH of oral and pharyngeal cancer (OR = 4.1), breast cancer and FH of colorectal cancer (OR = 1.5) and of hemolymphopoietic cancers (OR = 1.7), ovarian cancer and FH of breast cancer (OR = 2.3), and prostate cancer and FH of bladder cancer (OR = 3.4). For most cancer sites, the association with FH was stronger when the proband was affected at age <60 years. Conclusions Our results point to several potential cancer syndromes that appear among close relatives and may indicate the presence of genetic factors influencing multiple cancer site

Effects of a diet based on foods from symbiotic agriculture on the gut microbiota of subjects at risk for metabolic syndrome

none18noDiet is a major driver of gut microbiota variation and plays a role in metabolic disorders, including metabolic syndrome (MS). Mycorrhized foods from symbiotic agriculture (SA) exhibit improved nutritional properties, but potential benefits have never been investigated in humans. We conducted a pilot interventional study on 60 adults with ≥ 1 risk factors for MS, of whom 33 consumed SA‐derived fresh foods and 27 received probiotics over 30 days, with a 15‐day follow‐up. Stool, urine and blood were collected over time to explore changes in gut microbiota, metabolome, and biochemical, inflammatory and immunologic parameters; previous dietary habits were investigated through a validated food‐frequency questionnaire. The baseline microbiota showed alterations typical of metabolic disorders, mainly an increase in Coriobacteriaceae and a decrease in health-associated taxa, which were partly reversed after the SA‐based diet. Improvements were observed in metabolome, MS presence (two out of six subjects no longer had MS) or components. Changes were more pronounced with less healthy baseline diets. Probiotics had a marginal, not entirely fa-vorable, effect, although one out of three subjects no longer suffered from MS. These findings sug-gest that improved dietary patterns can modulate the host microbiota and metabolome, counteract-ing the risk of developing MS.openTurroni S.; Petracci E.; Edefonti V.; Giudetti A.M.; D'amico F.; Paganelli L.; Giovannetti G.; Del Coco L.; Fanizzi F.P.; Rampelli S.; Guerra D.; Rengucci C.; Bulgarelli J.; Tazzari M.; Pellegrini N.; Ferraroni M.; Nanni O.; Serra P.Turroni, S.; Petracci, E.; Edefonti, V.; Giudetti, A. M.; D'Amico, F.; Paganelli, L.; Giovannetti, G.; Del Coco, L.; Fanizzi, F. P.; Rampelli, S.; Guerra, D.; Rengucci, C.; Bulgarelli, J.; Tazzari, M.; Pellegrini, N.; Ferraroni, M.; Nanni, O.; Serra, P