Is there association between chronic kidney disease and dental caries? A case-controlled study

The purpose of this study was to assess the association between chronic kidney diseases (CKD) and dental caries. 107 patients with CKD and 107 with no systemic alteration were randomly included. DMFT (decayed, missing, and filled teeth), plaque index, colony-forming units (CFU) of Streptococcus mutans and salivary composition (IgA total, IgA anti- Streptococcus mutans, calcium and urea) were evaluated. McNemar and Wilcoxon tests were used to compare test and control groups. Spearman test was used to correlate time of hemodialysis and variables studied. Associations between variables were evaluated by logistic regression analysis. The number of filled teeth, the amount of IgA anti-Streptococcus mutans, salivary urea, education level, monthly income and the amount of CFU of Streptococcus mutans were statistically different between groups. There was a positive correlation between the duration of hemodialysis (Hd) and the amount of IgA anti-Streptococcus mutans, urea in saliva, and the number of CFU of Streptococcus mutans. In the adjusted model, a higher incidence of CFU mutans streptococci, elevated salivary urea, smaller number of filled teeth, lower DMFT, and less calcium salivary were associated with CKD. Programs to prevent and treat oral problems and regular follow-up at the beginning of dialysis are necessary to increase patients? awareness of their condition

Prophylactic Treatment With Simvastatin Modulates the Immune Response and Increases Animal Survival Following Lethal Sepsis Infection

Chronic use of statins may have anti-inflammatory action, promoting immunomodulation and survival in patients with sepsis. This study aimed to analyze the effects of pretreatment with simvastatin in lethal sepsis induced by cecal ligation and puncture (CLP). Male Swiss mice received prophylactic treatment with simvastatin or pyrogen-free water orally in a single daily dose for 30 days. After this period, the CLP was performed. Naïve and Sham groups were performed as non-infected controls. Animal survival was monitored for 60 h after the CLP. Half of mice were euthanized after 12 h to analyze colony-forming units (CFUs); hematological parameters; production of IL-10, IL-12, IL-6, TNF-α, IFN-γ, and MCP-1; cell counts on peritoneum, bronchoalveolar lavage (BAL), bone marrow, spleen, and mesenteric lymph node; immunephenotyping of T cells and antigen presenting cells and production of hydrogen peroxide (H2O2). Simvastatin induced an increase in survival and a decrease in the CFU count on peritoneum and on BAL cells number, especially lymphocytes. There was an increase in the platelets and lymphocytes number in the Simvastatin group when compared to the CLP group. Simvastatin induced a greater activation and proliferation of CD4+ T cells, as well as an increase in IL-6 and MCP-1 production, in chemotaxis to the peritoneum and in H2O2 secretion at this site. These data suggest that simvastatin has an impact on the survival of animals, as well as immunomodulatory effects in sepsis induced by CLP in mice

Prophylactic and Therapeutic Use of Strontium Ranelate Reduces the Progression of Experimental Osteoarthritis

Introduction: Strontium ranelate (SrRan) has the potential to interfere in the progression of osteoarthritis (OA), multifactorial disease associated with mechanical problems and articular inflammatory changes.Objectives: This study aimed to test the effects of prophylactic and therapeutic use of SrRan on clinical parameters of pain, the inflammatory process, and degradation of the articular cartilage.Methods: This was an experimental study, using a model of knee OA induced by intra-articular injection of monoiodoacetate. Thirty Wistar rats were divided into five groups and treated as indicated: control, without intervention; prophylactic, received SrRan at a daily oral dose of 250 mg/kg for 28 days before OA induction; SrRan treatments, administered 250 or 500 mg/kg/day for 28 days after the induction; and model control, received saline solution after the induction. Behavioral tests (joint incapacity, mechanical hyperalgesia, tactile sensitivity, and forced ambulation), histological evaluation of articular cartilage, and determination of inflammatory cytokines in the synovial fluid (interleukin [IL]-6, IL-10, tumor necrosis factor [TNF]-α, and interferon [INF]-γ) were performed.Results: Both prophylactic and therapeutic treatments improved the articular discomfort. A prophylactic dose of 500 mg/kg/day also improved mechanical hyperalgesia and the same dose was beneficial on tactile sensitivity. SrRan did not improve ambulation. Levels of IL-6, IL-10, TNF-α, and IFN-γ in SrRan-treated groups with OA were not significantly different compared with those in the normal control animals. The histopathological evaluation showed less articular damage in the SrRan-treated and control groups compared to the saline-treated group.Conclusion: The prophylactic and therapeutic administration of SrRan was associated with improved behavioral patterns of pain, especially joint discomfort. SrRan administration mitigated histological changes in the articular cartilage and reduced the inflammatory process, which beneficially reduced the progression of OA in the experimental model studied

POTENCIAL ANTI-INFLAMATÓRIO DAS FOLHAS DE Chenopodium ambrosioides L. NO MODELO DE CISTITE HEMORRÁGICA EM CAMUNDONGOS

A cistite hemorrágica (CH) possui etiologia infecciosa, medicamentosa ou radioterápica. Consiste na presença de hematúria macroscópica secundária a sangramento vesical e uma das suas possíveis causas é o uso de ciclofosfamida (CYP). Várias alternativas farmacológicas têm sido investigadas para o tratamento da CH. Dentre as possibilidades, o potencial terapêutico de espécies vegetais tem sido avaliado. A espécie Chenopodium ambrosioides L. (Amaranthaceae), tem sido utilizado popularmente como anti-infamatório, efeito que  tem  sido comprovado cientifcamente. Assim, o objetivo deste estudo  foi investigar os efeitos do extrato bruto hidroalcoólico (EBH) de folhas secas de C. ambrosioides na CH induzida em camundongos pela ciclofosfamida. Camundongos fêmeas da linhagem Swiss receberam 150 mg/kg de CYP por via intraperitoneal para indução de CH. Em seguida, os animais foram tratados em dose única de acordo com protocolo estabelecido para cada grupo: soro fsiológico a 0,9% (grupo Controle); diclofenaco potássico (grupo Diclofenaco); EBH com dose única de 5 (grupo EBH5) ou 50mg/kg (grupo EBH50). Após 12 horas da indução da CH, o sangue dos animais foi retirado para realização do hemograma.  Os animais foram então sacrifcados e as bexigas retiradas, avaliadas macroscopicamente (hemorragia) e pesadas. Foram removidos, ainda, os órgãos linfóides a fm de realizar contagem de células do baço, medula óssea e linfonodos. Os resultados demonstraram que houve diminuição do peso das bexigas e da hemorragia nos grupos Diclofenaco e EBH5 quando comparados ao grupo controle. Houve um aumento das células da medula óssea, baço e linfonodo mesentérico em todos os animais tratados em relação ao controle. Em relação ao hemograma houve apenas aumentos pontuais no grupo EBH50. Em conclusão, o extrato bruto hidroalcoólico de folhas de C. ambrosioides na dose de 5mg/Kg apresentou efeito anti-infamatório e imunoestimulante, pois diminuiu o peso e a hemorragia da bexiga, e aumentou a produção e proliferação de células linfóides. Diante dos resultados desse estudo, bem como da evidência de ausência de toxicidade de outros trabalhos, podemos sugerir o tratamento com este extrato como alternativa terapêutica nos modelos de CH induzida por CYP em camundongos.Descritores: Anti-infamatório. Chenopodium ambrosioides. Ciclofosfamida. Cistite.AbstractHemorrhagic cystitis (HC) has infectious, drug or radiotherapy etiology. Consists in the presence of macroscopic hematuria secondary to bladder bleeding, and one of its possible causes is the use of cyclophosphamide (CYP). Several pharmacological alternatives have been investigated for the treatment of HC. Among the possibilities, the therapeutic potential of plant species have been reported. The species Chenopodium ambrosioides L. (Amaranthaceae) has been popularly used as an anti-infammatory efect that has been proven scientifcally. The objective of this study was to investigate the efects of crude hydroalcoholic extract of dried leaves of C. ambrosioides in HC cyclophosphamide induced in mice. Female mice of the Swiss strain received 150 mg / kg of CYP intraperitoneally to induce HC. Then the animals were treated with a single dose according to protocol established for each group: normal saline 0.9% (control group); diclofenac (diclofenac group); hydroalcoholic extract with a single dose of 5 (EBH5 group) or 50 mg / kg (EBH50 group). After 12 hours from the induction of HC, the bleeding was performed in the animal for the complete blood count. The animals were then sacrifced and had their bladders removed, as assessed macroscopically (bleeding) and weighed. The lymphoid organs were also removed in order to perform spleen, bone marrow and lymph nodes cell count. The results demonstrated that there was a decrease in the weight of bladders and bleeding in the diclofenac group and EBH5 when compared to the control group. There was an increase of cells in the bone marrow, spleen and lymph node in all treated animals as compared to control. In blood count there were only occasional increases in EBH50 group. In conclusion, the hydroalcoholic crude extract of Chenopodium ambrosioides leaves at a dose of 5 mg / kg showed anti-infammatory and immunostimulatory efect as decreased body weight and bleeding of the bladder, and increased production and proliferation of lymphoid cells. Given the results of this study, as well as evidence of absence of toxicity in other studies, we suggest treatment with this extract as an alternative therapy in models of CH-induced CYP in mice.Descriptors: Anti-infammatory. Chenopodium ambrosioides. Cyclophosphamide. Cystitis

Babassu aqueous extract (BAE) as an adjuvant for T helper (Th)1-dependent immune responses in mice of a Th2 immune response-prone strain

<p>Abstract</p> <p>Background</p> <p>The aqueous extract of a Brazilian palm-tree fruit - the babassu - (BAE) exerts a clear immunostimulative activity <it>in vivo</it>. In the present work, the possibility that BAE can promote Th1 immune responses in mice of a Th2 immune response-prone strain - the BALB/c was investigated. BAE itself, and preparations consisting of <it>Leishmania amazonensis </it>promastigote extract (LE), adsorbed or not to Al(OH)₃, and in the presence or not of BAE, were used as immunogens. LE and Al(OH)₃have been shown to preferentially elicit Th2 immune responses.</p> <p>Results</p> <p>The addition of BAE to LE-containing immunogenic preparations, adsorbed or not to Al(OH)₃, clearly promoted the <it>in vitro </it>production of interferon γ (IFN-γ), a major Th1-dependent cytokine, and not of interleukin (IL-)4 (a Th2-dependent cytokine), by LE-stimulated splenocytes of immunized BALB/c mice. It also promoted the <it>in vivo </it>formation of IgG2a anti-LE antibodies. However, immunization with LE by itself led to an increased production of IL-4 by LE-stimulated splenocytes, and this production, albeit not enhanced, was not reduced by the addition of BAE to the immunogen. On the other hand, the IL-4 production by LE-stimulated splenocytes was significantly lower in mice immunized with a preparation containing Al(OH)₃-adsorbed LE and BAE than in mice immunized with the control preparation of Al(OH)₃-adsorbed LE without BAE. Moreover, an increased production of IFN-γ, and not of IL-4, was observed in the culture supernatants of splenocytes, from BAE-immunized mice, which were <it>in vitro </it>stimulated with BAE or which received no specific <it>in vitro </it>stimulus. No differences in IL-10 (an immunoregulatory cytokine) levels in the supernatants of splenocytes from mice that were injected with BAE, in relation to splenocytes from control mice, were observed. The spontaneous <it>ex vivo </it>production of NO by splenocytes of mice that had been injected with BAE was significantly higher than the production of NO by splenocytes of control mice.</p> <p>Conclusions</p> <p>Based on the results described above, BAE, or biologically active molecules purified from it, should be further investigated as a possible adjuvant, in association or not with aluminium compounds, for the preferential induction of Th1-dependent immune responses against different antigens in distinct murine strains and animal species.</p

Antimicrobial activity against oral pathogens and immunomodulatory effects and toxicity of geopropolis produced by the stingless bee Melipona fasciculata Smith

<p>Abstract</p> <p>Background</p> <p>Native bees of the tribe Meliponini produce a distinct kind of propolis called geopropolis. Although many pharmacological activities of propolis have already been demonstrated, little is known about geopropolis, particularly regarding its antimicrobial activity against oral pathogens. The present study aimed at investigating the antimicrobial activity of <it>M. fasciculata </it>geopropolis against oral pathogens, its effects on <it>S. mutans </it>biofilms, and the chemical contents of the extracts. A gel prepared with a geopropolis extract was also analyzed for its activity on <it>S. mutans </it>and its immunotoxicological potential.</p> <p>Methods</p> <p>Antimicrobial activities of three hydroalcoholic extracts (HAEs) of geopropolis, and hexane and chloroform fractions of one extract, were evaluated using the agar diffusion method and the broth dilution technique. Ethanol (70%, v/v) and chlorhexidine (0.12%, w/w) were used as negative and positive controls, respectively. Total phenol and flavonoid concentrations were assayed by spectrophotometry. Immunotoxicity was evaluated in mice by topical application in the oral cavity followed by quantification of biochemical and immunological parameters, and macro-microscopic analysis of animal organs.</p> <p>Results</p> <p>Two extracts, HAE-2 and HAE-3, showed inhibition zones ranging from 9 to 13 mm in diameter for <it>S. mutans </it>and <it>C. albicans</it>, but presented no activity against <it>L</it>. <it>acidophilus</it>. The MBCs for HAE-2 and HAE-3 against <it>S. mutans </it>were 6.25 mg/mL and 12.5 mg/mL, respectively. HAE-2 was fractionated, and its chloroform fraction had an MBC of 14.57 mg/mL. HAE-2 also exhibited bactericidal effects on <it>S. mutans </it>biofilms after 3 h of treatment. Significant differences (p < 0.05) in total phenol and flavonoid concentrations were observed among the samples. Signs toxic effects were not observed after application of the geopropolis-based gel, but an increase in the production of IL-4 and IL-10, anti-inflammatory cytokines, was detected.</p> <p>Conclusions</p> <p>In summary, geopropolis produced by <it>M. fasciculata </it>can exert antimicrobial action against <it>S. mutans </it>and <it>C. albicans</it>, with significant inhibitory activity against <it>S. mutans </it>biofilms. The extract with the highest flavonoid concentration, HAE-2, presented the highest antimicrobial activity. In addition, a geopropolis-based gel is not toxic in an animal model and displays anti-inflammatory effect.</p

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe