N-terminal-pro-B type natriuretic peptide as a useful tool to evaluate pulmonary hypertension and cardiac function in CDH infants

Objective: In congenital diaphragmatic hernia (CDH) the severity of pulmonary hypertension (PH) is considered, by several authors, determinant of clinical outcome. Plasmatic N-terminal-pro-B type natriuretic peptide (NT-proBNP) might be useful in diagnosis and management of PH in newborns, although its interest in CDH infants remains to be defined. Early NT-proBNP levels were assessed in CDH infants and correlated with cardiovascular echocardiographic parameters. Patients and Methods: 28 newborns, CDH and age-matched controls were enrolled in a prospective study. Clinical condition, NT-proBNP plasmatic levels, echo parameters of PH and biventricular function were assessed at 24 h after delivery as well as survival outcome. Results: Estimated mean pulmonary pressure and NT-proBNP were significantly higher in CDH than control infants. NT-proBNP significantly correlated with estimated pulmonary artery pressure, right ventricular Tei index, and tricuspid E/A ratio. Additionally, we found that CDH infants with NT-proBNP >11,500 pg/ml experienced a worse prognosis. Conclusions: We demonstrated that PH is associated with NT-proBNP elevation and diastolic impairment in CDH infants. Early elevations in NT-proBNP levels seem to alert for a subset of CDH infants with worse prognosis. Copyrigh

Recursos locais para aplicações multifuncionais de captação de energia com base em tetraedrite

CIES2020 - XVII Congresso Ibérico e XIII Congresso Ibero-americano de Energia SolarRESUMO: Este trabalho descreve as principais linhas de investigação que estão em curso no âmbito do projeto LocalEnergy (http://localenergy.lneg.pt). LocalEnergy é um projeto multidisciplinar de Investigação, Desenvolvimento e Inovação (I&D&I), envolvendo atividades no domínio da ciência dos materiais, da geologia e das energias renováveis. Essas atividades estão orientadas para a indústria e assentam numa abordagem disruptiva visando o desenvolvimento de materiais termoelétricos, através da utilização de materiais à base de tetraedrites naturais e sintéticas, e o desenvolvimento de novos absorsores para células solares de filmes finos, usando materiais à base de tetraedrites sintéticas. Considerando que Portugal é um dos países europeus com maior nível de irradiação de energia solar e que a tetraedrite é um recurso mineral local, presente na Zona Sul Portuguesa da Faixa Piritosa Ibérica, o projeto LocalEnergy representa uma oportunidade para o desenvolvimento de sistemas energéticos sustentáveis baseados na maximização e exploração de dois importantes recursos endógenos (energia solar e recursos minerais).ABSTRACT: This work describes the main lines of investigation that are underway within LocalEnergy project (http://localenergy.lneg.pt). LocalEnergy is a multidisciplinary Research, Development and Innovation project, involving activities in the field of materials science, geology and renewable energies. These activities are oriented towards the industry and are based on a disruptive approach aimed at the development of thermoelectric materials, through the use of materials based on natural and synthetic tetrahedrites, and the development of new absorbers for thin film solar cells, using materials based on synthetic tetrahedrites. Considering that Portugal is one of the European countries with the highest level of irradiation of solar energy and that tetrahedrite is a local mineral resource, present in the Portuguese zone of the Iberian Pyrite Belt, LocalEnergy project represents an opportunity for the development of sustainable energy systems based on the maximization and exploration of two important endogenous resources (solar energy and mineral resources).info:eu-repo/semantics/publishedVersio

Resistance of Leishmania (Viannia) braziliensis to nitric oxide: correlation with antimony therapy and TNF-α production

<p>Abstract</p> <p>Background</p> <p>Nitric oxide (NO) produced in macrophages plays a pivotal role as a leishmanicidal agent. A previous study has demonstrated that 20% of the <it>L. (V.) braziliensis </it>isolated from initial cutaneous lesions of patients from the endemic area of Corte de Pedra, Bahia, Brazil, were NO resistant. Additionally, 5 to 11% of the patients did not respond to three or more antimony treatments" (refractory patients). The aim of this study is to investigate if there is an association between the resistance of <it>L. (V.) braziliensis </it>to NO and nonresponsiveness to antimony therapy and cytokine production.</p> <p>Methods</p> <p>We evaluated the <it>in vitro </it>toxicity of NO against the promastigotes stages of <it>L. (V.) braziliensis </it>isolated from responsive and refractory patients, and the infectivity of the amastigote forms of these isolates against human macrophages. The supernatants from <it>Leishmania </it>infected macrophage were used to measure TNF-α and IL-10 levels.</p> <p>Results</p> <p>Using NaNO₂(pH 5.0) as the NO source, <it>L. (V.) braziliensis </it>isolated from refractory patients were more NO resistant (IC50 = 5.8 ± 4.8) than <it>L. (V.) braziliensis </it>isolated from responsive patients (IC50 = 2.0 ± 1.4). Four isolates were selected to infect human macrophages: NO-susceptible and NO-resistant <it>L. (V.) braziliensis </it>isolated from responsive and refractory patients. NO-resistant <it>L. (V.) braziliensis </it>isolated from refractory patients infected more macrophages stimulated with LPS and IFN-γ at 120 hours than NO-susceptible <it>L. (V.) braziliensis </it>isolated from refractory patients. Also, lower levels of TNF-α were detected in supernatants of macrophages infected with NO-resistant <it>L. (V.) braziliensis </it>as compared to macrophages infected with NO-susceptible <it>L. (V.) braziliensis </it>(p < 0.05 at 2, 24 and 120 hours), while no differences were detected in IL-10 levels.</p> <p>Conclusion</p> <p>These data suggest that NO resistance could be related to the nonresponsiveness to antimony therapy seen in American Tegumentary Leishmaniasis.</p