361 research outputs found

    Case Report: Varicella Associated Neuropsychiatric Syndrome (VANS) in Two Pediatric Cases

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    Background: Viral or bacterial infections can trigger auto-immune inflammatory reactions and conditions in children. Self-reactivity arises due to similarities in molecular structures between pathogenic microorganisms and regular body structures with consequent immune-cross reactions. Reactivation of latent Varicella Zoster Virus (VZV) infections can cause neurological sequalae, including cerebellitis, post-herpetic neuralgias, meningo/encephalitis, vasculopathy and myelopathy. We propose a syndrome caused by auto-immune reactivity triggered by molecular mimicry between VZV and the brain, culminating in a post-infectious psychiatric syndrome with childhood VZV infections. Case presentation: Two individuals, a 6-year-old male and 10-year-old female developed a neuro-psychiatric syndrome 3-6 weeks following a confirmed VZV infection with intrathecal oligoclonal bands. The 6-year-old male presented with a myasthenic syndrome, behavior deterioration and regression in school, he was poorly responsive to IVIG and risperidone, however had a pronounced response to steroid treatment. The 10-year-old female presented with marked insomnia, agitation, and behavioral regression as well as mild bradykinesia. A trial of neuroleptics and sedatives resulted in a mild unsustained reduction in psychomotor agitation and IVIG was also unsuccessful, however the patient was very responsive to steroid therapy. Conclusion: Psychiatric syndromes with evidence of intrathecal inflammation temporally related to VZV infections that are responsive to immune modulation have not been described before. Here we report two cases demonstrating neuro-psychiatric symptoms following VZV infection, with evidence of persistent CNS inflammation following the resolution of infection, and response to immune modulation.info:eu-repo/semantics/publishedVersio

    Rheological, textural and microstructural features of probiotic whey cheeses

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    Whey cheeses have been manufactured with probiotic bacteria e viz. Bifidobacterium animalis Bo and Lactobacillus casei LAFTIrL26, from combinations of bovine whey and milk, following protein denaturation at 90 ÂșC; they were subsequently inoculated (at 10%) with those strains, and homogenized afterwards; additives such as salt and sugar were then incorporated; and the resulting solid matrices were stored at 7Âș C for up to 21 d. Oscillatory measurements and instrumental texture profile analyses were performed, and sensory analyses were carried out by a trained panel. Microstructural features were in addition ascertained by scanning electron microscopy. L. casei exhibited a higher acidifying activity than B. animalis, which produced distinct textures; higher firmness and viscoelasticity were indeed found in matrices inoculated with the former. Incorporation of sugar and L. casei favoured consumer acceptability, relative to plain matrices. Microstructural differences were detected between matrices at different times of storage and formulated with distinct additives.info:eu-repo/semantics/acceptedVersionhttps://creativecommons.org/licenses/by-nc-nd/4.0

    Bovine whey proteins - overview on their main biological properties

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    Whey, a liquid by-product, is widely accepted to contain many valuable constituents. These include especially proteins that posses important nutritional and biological properties – particularly with regard to promotion of health, as well as prevention of diseases and health conditions. Antimicrobial and antiviral actions, immune system stimulation, anticarcinogenic activity and other metabolic features have indeed been associated with such whey proteins, as a-lactalbumin, b-lactoglobulin, lactoferrin, lactoperoxidase, and bovine serum albumin. The most important advances reported to date pertaining to biological properties of whey proteins are reviewed in this communication

    CandidĂ­ase Invasiva em Doentes PediĂĄtricos Hospitalizados

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    Introdução: A candidĂ­ase invasiva (CI) estĂĄ associada a morbilidade e mortalidade hospitalar significativa, sendo uma causa cada vez mais importante de infeção em crianças. As recomendaçÔes para o tratamento da CI nas crianças nĂŁo sĂŁo consensuais. Na Europa a prescrição de antifĂșngicos Ă© muito variĂĄvel e depende da epidemiologia local. Objetivos: Determinar a prevalĂȘncia de candidĂ­ase invasiva, identificar os fatores de risco e as estirpes envolvidas e caracterizar a terapĂȘutica e complicaçÔes. MĂ©todos:Estudo retrospetivo descritivo de crianças> 1 mĂȘs internadasno Hospital Dona EstefĂąnia com isolamento de Candida em locaisestĂ©reis, entre Janeiro de 2008 e Dezembro de 2016 (8 anos). Resultados:Identificadas 30 crianças com mediana de idades de 15 meses. Tinham patologia subjacente 28 (93%): sĂ­ndrome malformativo (47%),prematuridade (19%), doença neurolĂłgica (6%), neoplasia (9%), hepatopatia crĂłnica (3%), doença granulomatosa crĂłnica (3%) e infeção VIH (3%). A maioria (96%) apresentava pelo menos um fator de risco, os mais frequentes: antibioterapia (83%) e cateter venoso central (80%). C.albicans foi a espĂ©cie mais frequente (60%),seguida por C. parapsilosis (30%), C. famata (7%) e C. lusitaniae (3%). Foi identificada 1 resistĂȘncia de C. parapsilosisĂ  anidulafungina (2016). A duração mĂ©dia do tratamento foi 18,6 dias, a anfotericina B foi o fĂĄrmaco mais utilizadoatĂ© 2010 (83%) e o fluconazolfoi o mais utilizado entre 2011 e 2016 (58%). Surgiram complicaçÔes em 15 doentes (50%), as mais frequentes: renais (27%) e respiratĂłrias(20%). Ocorreram 6 Ăłbitos (20%), 16,6% antes de 2011 e 3,3% depois de 2011. ConclusĂ”es :A maioria dos doentes tinham patologia subjacente e pelo menos um fator de risco, tal como descrito na literatura .C. albicans foi a espĂ©cie mais frequente, mas tambĂ©m se confirmou a emergĂȘncia/aumento de espĂ©cies nĂŁo albicans, sobretudo C. parapsilosis. De acordo com as orientaçÔes locais e internacionais, na ausĂȘncia de fatores de risco e critĂ©rios de gravidade, ofluconazol pode ser utilizado no tratamento das infeçÔes por C. albicans e C. parapsilosis com bons resultados. EstĂŁo descritas na literatura taxas de mortalidade atribuĂ­veis Ă  doença na ordem dos 10%, tivemos uma mortalidade superior (20%) mas apenas de 3,3% depois de 2011.info:eu-repo/semantics/publishedVersio

    Androgens and low density lipoprotein-cholesterol interplay in modulating prostate cancer cell fate and metabolism

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    Background: Androgens, the known drivers of prostate cancer (PCa), have been indicated as important metabolic regulators with a relevant role in stimulating lipid metabolism. Also, the relationship between obesity and the aggressiveness of PCa has been established. However, it is unknown if the androgenic hormonal environment may alter the response of PCa cells to lipid availability. Purpose: The present study evaluated the effect of 5 alpha-dihydrotestosterone (DHT) in regulating lipid metabolism, and the interplay between this hormone and low-density lipoprotein (LDL)-cholesterol in modulating PCa cells fate.Methods: Non-neoplastic and neoplastic PCa cells were treated with 10 nM DHT, and the expression of fatty acids transporter, fatty acid synthase (FASN), and carnitine palmitoyltransferase 1A (CPT1A) evaluated. PCa cells were also exposed to LDL (100 mu g/ml) in the presence or absence of DHT.Results: Treatment with DHT upregulated the expression of FASN and CPT1A in androgen-sensitive PCa cells. In contrast, LDL supplementation suppressed FASN expression regardless of the presence of DHT, whereas aug-menting CPT1A levels. Our results also showed that LDL-cholesterol increased PCa cells viability, proliferation, and migration dependently on the presence of DHT. Moreover, LDL and DHT synergistically enhanced the accumulation of lipid droplets in PCa cells.Conclusions: The obtained results show that androgens deregulate lipid metabolism and enhance the effects of LDL increasing PCa cells viability, proliferation and migration. The present findings support clinical data linking obesity with PCa and first implicate androgens in this relationship. Also, they sustain the application of phar-macological approaches targeting cholesterol availability and androgens signaling simultaneously.info:eu-repo/semantics/publishedVersio

    Effects of gamma radiation on cork wastewater: Antioxidant activity and toxicity

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    A comprehensive assessment of the toxicity and antioxidant activity of cork boiling wastewater and the effects of gamma radiation on these parameters was performed. Antioxidant activity was evaluated using different methodologies as DPPH radical scavenging activity, reducing power and inhibition of ß-carotene bleaching. The results have shown that gamma radiation can induce an increase on the antioxidant activity of cork boiling wastewater. Toxicity tests were performed to access the potential added value of the irradiated wastewaters and/or minimization of the impact for discharge in the environment. Two different methods for toxicity evaluation were followed, bacterial growth inhibition test and cytotoxicity assay, in order to predict the behavior of different cells (prokaryotic and eukaryotic) in the presence of cork wastewater. Non-treated cork boiling wastewater seemed to be non-toxic for prokaryotic cells (Pseudomonas fluorescens and Bacillus subtilis) but toxic for eukaryotic cells (A549 human cells and RAW264.7 mouse cells). The gamma radiation treatment at doses of 100 kGy appeared to increase the toxicity of cork compounds for all tested cells, which could be related to a toxic effect of radiolytic products of cork compounds in the wastewaters.This work was supported by Fundação para a CiĂȘncia e a Tecnologia (FCT, Portugal) through financial support of RECI/AAG-TEC/0400/2012 “Application of Ionizing Radiation for a Sustainable Environment” project. C2TN/IST authors gratefully acknowledge the FCT support through the UID/Multi/04349/2013 project. The authors are also grateful to International Atomic Energy Agency (Contract No. 16513) and to the cork industry (Amorim S.A) for allowing us to collect all the samples necessary for the accomplishment of this work.info:eu-repo/semantics/publishedVersio

    Assessment and determinants of airborne bacterial and fungal concentrations in different indoor environments: Homes, child day-care centres, primary schools and elderly care centres

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    Until now the influence of risk factors resulting from exposure to biological agents in indoor air has been far less studied than outdoor pollution; therefore the uncertainty of health risks, and how to effectively prevent these, remains. This study aimed (i) to quantify airborne cultivable bacterial and fungal concentrations in four different types of indoor environment as well as to identify the recovered fungi; (ii) to assess the impact of outdoor bacterial and fungal concentrations on indoor air; (iii) to investigate the influence of carbon dioxide (CO2), temperature and relative humidity on bacterial and fungal concentrations; and (iv) to estimate bacterial and fungal dose rate for children (3–5 years old and 8–10 years old) in comparison with the elderly. Air samples were collected in 68 homes, 9 child day-care centres, 20 primary schools and 22 elderly care centres, in a total of 264 rooms with a microbiological air sampler and using tryptic soy agar and malt extract agar culture media for bacteria and fungi growth, respectively. For each building, one outdoor representative location were identified and simultaneously studied. The results showed that child day-care centres were the indoor microenvironment with the highest median bacterial and fungal concentrations (3870 CFU/m3 and 415 CFU/m3, respectively), whereas the lowest median concentrations were observed in elderly care centres (222 CFU/m3 and 180 CFU/m3, respectively). Indoor bacterial concentrations were significantly higher than outdoor concentrations (p < 0.05); whereas the indoor/outdoor ratios for the obtained fungal concentrations were approximately around the unit. Indoor CO2 levels were associated with the bacterial concentration, probably due to occupancy and insufficient ventilation. Penicillium and Cladosporium were the most frequently occurring fungi. Children's had two times higher dose rate to biological pollutants when compared to adult individuals. Thus, due to children's susceptibility, special attention should be given to educational settings in order to guarantee their healthy future development

    Genotoxic agents promote the nuclear accumulation of annexin A2: role of annexin A2 in mitigating DNA damage

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    Annexin A2 is an abundant cellular protein that is mainly localized in the cytoplasm and plasma membrane, however a small population has been found in the nucleus, suggesting a nuclear function for the protein. Annexin A2 possesses a nuclear export sequence (NES) and inhibition of the NES is sufficient to cause nuclear accumulation. Here we show that annexin A2 accumulates in the nucleus in response to genotoxic agents including gamma-radiation, UV radiation, etoposide and chromium VI and that this event is mediated by the nuclear export sequence of annexin A2. Nuclear accumulation of annexin A2 is blocked by the antioxidant agent N-acetyl cysteine (NAC) and stimulated by hydrogen peroxide (H2O2), suggesting that this is a reactive oxygen species dependent event. In response to genotoxic agents, cells depleted of annexin A2 show enhanced phospho-histone H2AX and p53 levels, increased numbers of p53-binding protein 1 nuclear foci and increased levels of nuclear 8-oxo-2'-deoxyguanine, suggesting that annexin A2 plays a role in protecting DNA from damage. This is the first report showing the nuclear translocation of annexin A2 in response to genotoxic agents and its role in mitigating DNA damage.Natural Sciences and Engineering Research Council of Canada (NSERC); European Union [PCOFUND-GA-2009-246542]; Foundation for Science and Technology of Portugal; Beatrice Hunter Cancer Research Institute; Terry Fox Foundationinfo:eu-repo/semantics/publishedVersio
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