Polysensitization to Pollens Analyzed and Re-interpreted with ImmunoCAP ISAC®

Introdução: O ImmunoCAP ISAC® visa a detecção in vitro de IgE específica sérica (IgEe) para múltiplos alergénios moleculares. Objectivos: Analisar os resultados do ImmunoCAP ISAC® (ISAC) em doentes com alergia respiratória e aparente polissensibilização a pólenes. Métodos: Seleccionámos 34 doentes com alergia respiratória e testes cutâneos por picada (TC) positivos para extractos de 2 ou mais pólenes. Foi determinada a IgEe para alergénios moleculares por ISAC. Analisámos os resultados obtidos para os pólenes testados pelos dois métodos (gramíneas, parietária, artemísia, salsola, oliveira, plátano, bétula). Resultados: A mediana de idades é de 18 anos (56% sexo masculino). Nos TC o maior número de positividades verifica -se para gramíneas (n=33) e o menor para bétula (n=10). Por ISAC, o maior número de positividades observa -se para gramíneas (n=31 doentes), surgindo a bétula em segundo (n=20) e o plátano em último (n=6). O número de resultados positivos é, em geral, maior nos TC do que no ISAC. A concordância entre os métodos é elevada para gramíneas (91%), variando entre 79% e 47% para os restantes pólenes. À excepção da bétula, os casos discordantes resultam sobretudo de positividade nos TC com resultado negativo no ISAC; para a bétula, resultam da situação oposta. Nos casos de discordância entre os métodos a frequência de sensibilização a panalergénios (Phl p 7, Phl p 12, Bet v 2, Bet v 4) é superior. Discussão: A melhor concordância entre os métodos verificou -se para as gramíneas. Para os restantes pólenes há um número considerável de doentes em que, apesar de TC positivos, o ISAC é negativo para os respectivos pólenes. Numa percentagem elevada, este fenómeno surge associado à sensibilização a panalergénios, podendo esta ser responsável por resultados falsamente positivos nos TC, causando um padrão de polissensibilização aparente. O ISAC dá um contributo útil para a discriminação entre polissensibilização e reactividade cruzada em alguns doentes, permitindo reformular a estratégia terapêutica

Viral Respiratory Infections in Children

Introdução: Os vírus respiratórios são uma importante causa de morbilidade e constituem a principal causa de dificuldade respiratória na infância. Os agentes mais frequentes são o vírus sincicial respiratório (VSR) e rínovirus humano (RV). Outras agentes menos comuns incluem os vírus influenza, parainfluenza, adenovírus e os mais recentemente identificados coronavírus, metapneumovírus humano e bocavírus humano. O objectivo foi descrever as infecções por vírus respiratórios numa amostra de crianças internadas. Métodos: Foi feita uma revisão dos pedidos de pesquisa de vírus respiratório em crianças abaixo dos 5 anos, internadas por infecção respiratória entre 1 de Outubro de 2010 e 15 de Fevereiro de 2012 e dos respectivos processos clínicos. Resultados: Foi realizada pesquisa de vírus respiratórios por imunoflorescência directa em 664 crianças, com resultados positivos em 268 (40.4%): VSR (n=240, 89.6%), metapneumovírus (n=10), influenza A (n=7), parainfluenza (n=6), adenovírus (n=2) e 3 casos de co-infecção. O maior número de casos positivos ocorreu entre Dezembro 2010 e Janeiro 2011 (n=263, 39.6% do total de casos positivos) e Dezembro 2011 e Janeiro 2012 (n=183, 27.6% do total de casos positivos). A maioria das crianças apresentava infecções adquiridas na comunidade (n=605, 91.1%), com dificuldade respiratória em 422 casos (69.8%). Os restantes casos correspondiam a infecções nosocomiais (n=59, 8.9%). A infecção por VSR foi mais frequente em crianças abaixo dos seis meses (65.2%, p<0.0001) e associou-se de forma estatisticamente significativa a dificuldade respiratória (96.3%, p<0.0001), hipoxémia e corticoterapia sistémica (35.6%, p=0.0001). A maioria das crianças com sibilância recorrente apresentava dificuldade respiratória (91.9%, p<0.0001). Discussão: Nas infecções respiratórias na infância com necessidade de internamento destaca-se a preponderância de infecções por VSR, com padrão sazonal típico (com pico de incidência nos meses de Inverno) e o maior risco de internamento em infecções por VSR abaixo dos 6 meses de idade

In Vitro Methods for Specific IgE Detection on Cow’s Milk Allergy

Background: A new method for determining serum specific IgE (IMMULITE“ 2000 3gAllergy) has recently become available. Objective: To evaluate the clinical performance of IMMULITE 2000 in the diagnosis of cow’s milk allergy compared with that of UniCAP“. Additionally, we verified the behavior of both methods at two diagnostic decision points proposed by other authors. Methods: The study population consisted of 31 children with cow’s milk allergy (group A) and a control group of 19 atopic children without food allergy(group B). A blood sample from each child was tested using both methods and the results were compared. Results: In group A, the values for cow’s milk IgE ranged from 0.35 kU/L (the lowest common detection limit) to above 100 kU/L. In group B, the values were less than 1.1 kU/L for IMMULITE 2000 and less than 1.6 kU/L for UniCAP. An agreement of 90 % in IgE classes was obtained. Both methods demonstrated exactly the same diagnostic performance(sensitivity: 100 %; specificity: 78.9 %; negative predictive value: 100%; positive predictive value: 84.6%;efficiency: 90.2 %). The evaluation of the two methods at the two different decision points proposed in the literature showed a better positive predictive value with UniCAP, but we obtained equivalent performance with IMMULITE 2000 by choosing higher cutoff values. Conclusions: We conclude that IMMULITE 2000 is as effective as UniCAP in the diagnosis of cow’s milk allergy. Both methods can be used to obtain site-specific decision points that are population, age and disease dependent

Caracterização ambiental dos componentes estruturais de duas regiões do bioma Mata Atlântica no Estado do Paraná.

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Conjugated linoleic acid reduces permeability and fluidity of adipose plasma membranes from obese Zucker rats

NOTICE: this is the author’s version of a work that was accepted for publication in Biochemical and Biophysical Research Communications. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Biochemical and Biophysical Research Communications. July 2010; 398 (2): 199-204.Conjugated linoleic acid (CLA) is a dietary fatty acid frequently used as a body fat reducing agent whose effects upon cell membranes and cellular function remain unknown. Obese Zucker rats were fed atherogenic diets containing saturated fats of vegetable or animal origin with or without 1% CLA, as a mixture of cis(c)9,trans(t)11 and t10,c12 isomers. Plasma membrane vesicles obtained from visceral adi- pose tissue were used to assess the effectiveness of dietary fat and CLA membrane incorporation and its outcome on fluidity and permeability to water and glycerol. A significant decrease in adipose membrane fluidity was correlated with the changes observed in permeability, which seem to be caused by the incor- poration of the t10,c12 CLA isomer into membrane phospholipids. These results indicate that CLA supple- mentation in obese Zucker rats fed saturated and cholesterol rich diets reduces the fluidity and permeability of adipose membranes, therefore not supporting CLA as a body fat reducing agent through membrane fluidification in obese fat consumers

Identifying the Azobenzene/Aniline reaction intermediate on TiO2-(110) : a DFT Study

Density functional theory (DFT) calculations, both with and without dispersion corrections, have been performed to investigate the nature of the common surface reaction intermediate that has been shown to exist on TiO2(110) as a result of exposure to either azobenzene (C6H5N═NC6H5) or aniline (C6H5NH2). Our results confirm the results of a previous DFT study that dissociation of azobenzene into two adsorbed phenyl imide (C6H5N) fragments, as was originally proposed, is not energetically favorable. We also find that deprotonation of aniline to produce this surface species is even more strongly energetically disfavored. A range of alternative surface species has been considered, and while dissociation of azobenzene to form surface C6H4NH species is energetically favored, the same surface species cannot form from adsorbed aniline. On the contrary, adsorbed aniline is much the most stable surface species. Comparisons with experimental determinations of the local adsorption site, the Ti–N bond length, the molecular orientation, and the associated C 1s and N 1s photoelectron core level shifts are all consistent with the DFT results for adsorbed aniline and are inconsistent with other adsorbed species considered. Possible mechanisms for the hydrogenation of azobenzene required to produce this surface species are discussed

Differential mesenteric fat deposition in bovines fed on silage or concentrate is independent of glycerol membrane permeability

© The Animal Consortium 2011In the meat industry, the manipulation of fat deposition in cattle is of pivotal importance to improve production efficiency, carcass composition and ultimately meat quality. There is an increasing interest in the identification of key factors and molecular mechanisms responsible for the development of specific fat depots. This study aimed at elucidating the influence of breed and diet on adipose tissue membrane permeability and fluidity and their interplay on fat deposition in bovines. Two Portuguese autochthonous breeds, Alentejana and Barrosã, recognized as late- and early-maturing breeds, respectively, were chosen to examine the effects of breed and diet on fat deposition and on adipose membrane composition and permeability. Twenty-four male bovines from these breeds were fed on silage-based or concentrate-based diets for 11 months. Animals were slaughtered to determine their live slaughter and hot carcass weights, as well as weights of subcutaneous and visceral adipose depots. Mesenteric fat depots were excised and used to isolate adipocyte membrane vesicles where cholesterol content, fatty acid profile as well as permeability and fluidity were determined. Total accumulation of neither subcutaneous nor visceral fat was influenced by breed. In contrast, mesenteric and omental fat depots weights were higher in concentrate-fed bulls relative to silage-fed animals. Membrane fluidity and permeability to water and glycerol in mesenteric adipose tissue were found to be independent of breed and diet. Moreover, the deposition of cholesterol and unsaturated fatty acids, which may influence membrane properties, were unchanged among experimental groups. Adipose membrane lipids from the mesenteric fat depot of ruminants were rich in saturated fatty acids, and unaffected by polyunsaturated fatty acids dietary levels. Our results provide evidence against the involvement of cellular membrane permeability to glycerol on fat accumulation in mesenteric fat tissue of concentrate-fed bovines, which is consistent with the unchanged membrane lipid profile found among experimental groups.This study was supported by Fundação para a Ciência e a Tecnologia (FCT) through grant PTDC/CVT/2006/66114 and individual fellowships to Ana P. Martins (SFRH/BD/2009/65046), Ana S. H. Costa (SFRH/BD/2009/61068) and Susana V. Martins (SFRH/BPD/2009/63019). Paula A. Lopes is a researcher from the program ‘‘Ciência 2008’’ from FC