A prevalência das malformações cardíacas na Síndrome de Goldenhar (Espectro Óculo-aurículo-vertebral) / The prevalence of cardiac malformations in Goldenhar's Syndrome (Ocululo-auriculo-vertebral spectrum)

Síndrome de Goldenhar (espectro óculo-aurículo-vertebral) é uma microssomia craniofacial envolvendo os dois primeiros arcos faríngeos, devendo atender aos critérios morfológicos de Feigold e Baum que incluem malformações auriculares, vertebrais e dermoides epibulbares. Outras anomalias podem estar presentes, merecendo destaque as cardíacas devido os possíveis prognósticos negativos, sendo relevante ao pediatra conhecer a prevalência delas. Para a realização desta revisão, foram profundamente analisados trabalhos nas bases Scielo, PubMed e BVS. Estudos relevantes na área mostram frequência média de malformações cardíacas em pacientes com síndrome de Goldenhar de 32%, índice que se encaixa na grande variabilidade estatística (entre 5% e 58%). As anomalias mais prevalentes frente aos estudos e assim ordenados são: defeitos do tipo conotruncal/defeitos de saída, defeitos de septo, e outros defeitos, sendo alguns de seus subtipos bem descritos quanto a indicação de cirurgia cardíaca e risco de morte nos primeiros dois anos de vida. A principal malformação encontrada é a tetralogia de Fallot, e dentre as menos prevalentes, mas bem relatadas, tem-se a dextrocardia. É importante a avaliação precoce desses pacientes para diagnóstico e seguimento, sendo de grande valia os achados ecocardiográficos aliados à clínica

Phosphorus Shortage Induces an Increase in Root Exudation in Fifteen Eucalypts Species

A significant proportion of the carbon fixed by plants is transported to the roots and exuded to the rhizosphere. Exudates may have important roles in the rhizosphere, such as desorbing labile phosphorus (P) or mobilizing manganese (Mn) and other metal cations. This study evaluated the root exudation profiles of seedlings of 15 eucalypt species in response to a P shortage and if the ability to exude organic compounds was related to P and Mn accumulation in the shoots. The plants were grown on sand and were irrigated with nutrient solutions containing either sufficient P (500 µM) or low P (25 µM). Organic acids (OA), amino acids/polyamines, and phenolics were analyzed in the root exudates by UPLC-MS/MS. Plants with a low P level had low leaf P contents and growth reduction. A P shortage induced the exudation of the three groups of metabolites analyzed at higher levels than sufficient P availability. Despite that, the composition pattern of root exudates was similar among species under low or sufficient P concentrations. Citric and isocitric acids were the major OAs found in the exudates, followed by oxalic, malic, and succinic acids. Among the amino acids/polyamines identified, putrescine was the most abundant in all species, followed by glycine. Cinnamic acid was the predominant phenolic in the root exudates. Our results indicate that P limitation induces a conserved response genetic mechanism in eucalypts. Such results can be further investigated to adapt commercial clones to soils with low P availability