33 research outputs found
Evaluation of seroepidemiological toxoplasmosis in HIV/AIDS patients in the south of Brazil
Toxoplasmosis is considered one of the opportunistic infections for individuals with the Acquired Immunodeficiency Syndrome (AIDS), and is also a major cause of morbidity and mortality. The aim of this study was to evaluate the prevalence of neurotoxoplasmosis, ocular toxoplasmosis and antibodies for Toxoplasma gondii in HIV-positive patients attending the SAE (Specialized Assistance Service for HIV/AIDS), as well as to associate their serological profile with epidemiological and clinical data. A total of 250 patients participated in the study from December, 2009 to November, 2010. Serological analysis was performed using the indirect immunofluorescent technique; epidemiological data were gathered by a questionnaire, and clinical history was based on the analysis of medical charts. Prevalence of seropositivity was 80%, with history of neurotoxoplasmosis in 4.8% and of ocular toxoplasmosis in 1.6% of the patients. The Highly Active Antiretroviral Treatment (HAART) was not used by 32% of the patients, 18.4% of the patients had CD4+ T- lymphocyte count less than 200 cells/mm³ and 96.8% of them were not aware of the modes of disease transmission. These findings led us to conclude that the study population is at high risk of clinical toxoplasmosis, because of both reactivation of infection in the seropositive patients who do not make a regular use of HAART, and primo-infection in seronegative patients worsened by an unawareness of the modes of infection reported in this study
Cost-Effectiveness of an Intervention to Reduce HIV/STI Incidence and Promote Condom Use among Female Sex Workers in the Mexico–US Border Region
Previous research demonstrated efficacy of a brief behavioral intervention to reduce incidence of HIV and sexually transmitted infections (STIs) among female sex workers (FSWs) in Tijuana and Ciudad Juarez, Mexico, cities on Mexico's border with the US. We assessed this intervention's cost-effectiveness.A life-time Markov model was developed to estimate HIV cases prevented, changes in quality-adjusted life expectancy (QALE), and costs per additional quality-adjusted life year gained (QALY), comparing (in US183. For FSWs receiving the intervention annually, there were 29 additional HIV cases prevented and 4.5 additional months of QALE compared to the once-only intervention. The additional cost per QALY was US$1,075. When highly active antiretroviral therapy (HAART) was included in the model, the annual intervention strategy resulted in net savings and dominated both once-only and no intervention strategies, and remained robust across extensive sensitivity analyses. Even when considering clinical benefits from HAART, ignoring added costs, the cost per QALY gained remained below three times the Mexican GDP per capita, and below established cost-effectiveness thresholds.This brief intervention was shown to be cost-effective among FSWs in two Mexico-US border cities and may have application for FSWs in other resource-limited settings.ClinicalTrials.gov NCT00338845
Myeloid Heme Oxygenase-1 Haploinsufficiency Reduces High Fat Diet-Induced Insulin Resistance by Affecting Adipose Macrophage Infiltration in Mice
Increased adipose tissue macrophages contribute to obesity-induced metabolic syndrome. Heme oxygenase-1 (HO-1) is a stress-inducible enzyme with potent anti-inflammatory and proangiogenic activities in macrophages. However, the role of macrophage HO-1 on obesity-induced adipose inflammation and metabolic syndrome remains unclear. Here we show that high-fat diet (HFD) feeding in C57BL/6J mice induced HO-1 expression in the visceral adipose tissue, particularly the stromal vascular fraction. When the irradiated C57BL/6J mice reconstituted with wild-type or HO-1+/− bone marrow were fed with HFD for over 24 weeks, the HO-1+/− chimeras were protected from HFD-induced insulin resistance and this was associated with reduced adipose macrophage infiltration and angiogenesis, suggesting that HO-1 affects myeloid cell migration toward adipose tissue during obesity. In vivo and in vitro migration assays revealed that HO-1+/− macrophages exhibited an impaired migration response. Chemoattractant-induced phosphorylation of p38 and focal adhesion kinase (FAK) declined faster in HO-1+/− macrophages. Further experiments demonstrated that carbon monoxide and bilirubin, the byproducts derived from heme degradation by HO-1, enhanced macrophage migration by increasing phosphorylation of p38 and FAK, respectively. These data disclose a novel role of hematopoietic cell HO-1 in promoting adipose macrophage infiltration and the development of insulin resistance during obesity
Effects of salinity and drought on growth, ionic relations, compatible solutes and activation of antioxidant systems in oleander (Nerium oleander L.)
[EN] Nerium
oleander
is an
ornamental
species
of high
aesthetic
value,
grown
in arid
and
semi-
arid
regions
because
of its
drought
tolerance,
which
is also
considered
as
relatively
resistant
to salt;
yet
the
biochemical
and
molecular
mechanisms
underlying
oleander¿s
stress
toler-
ance
remain
largely
unknown.
To
investigate
these
mechanisms,
one-year-old
oleander
seedlings
were
exposed
to 15
and
30
days
of treatment
with
increasing
salt
concentratio
ns,
up
to 800
mM
NaCl,
and
to complete
withholding
of irrigation;
growth
parameters
and
bio-
chemical
markers
characteristic
of conserved
stress-response
pathways
were
then
deter-
mined
in stressed
and
control
plants.
Strong
water
deficit
and
salt
stress
both
caused
inhibition
of growth,
degradation
of photosynthetic
pigments,
a slight
(but
statistically
signifi-
cant)
increase
in the
leaf
levels
of specific
osmolytes,
and
induction
of oxidative
stress¿as
indicated
by
the
accumulation
of malondialdehyde
(MDA),
a reliable
oxidative
stress
marker
¿accompanied
by
increases
in the
levels
of total
phenolic
compounds
and
antioxidant
fla-
vonoids
and
in the
specific
activities
of ascorbate
peroxidase
(APX)
and
glutathione
reduc-
tase
(GR).
High
salinity,
in addition,
induced
accumulation
of Na
+
and
Cl
-
in roots
and
leaves
and
the
activation
of superoxide
dismutase
(SOD)
and
catalase
(CAT)
activities.
Apart
from
anatomical
adaptations
that
protect
oleander
from
leaf
dehydration
at moderate
levels
of
stress,
our
results
indicate
that
tolerance
of this
species
to salinity
and
water
deficit
is based
on
the
constitutive
accumulation
in leaves
of high
concentratio
ns
of soluble
carbohydrates
and,
to a lesser
extent,
of glycine
betaine,
and
in the
activation
of the
aforementioned
antiox-
idant
systems.
Moreover,
regarding
specifically
salt
stress,
mechanisms
efficiently
blocking
transport
of toxic
ions
from
the
roots
to the
aerial
parts
of the
plant
appear
to contribute
to a
large
extent
to tolerance
in
Nerium
oleanderThis work was financed by internal funds of the Polytechnic University of Valencia to Monica Boscaiu and Oscar Vicente. Dinesh Kumar’s stay in Valencia was financed by a NAMASTE fellowship from the European Union, and Mohamad Al Hassan was a recipient of an Erasmus Mundus pre-doctoral scholarship financed by the European Commission (Welcome Consortium).Kumar, D.; Al Hassan, M.; Naranjo Olivero, MA.; Agrawal, V.; Boscaiu, M.; Vicente, O. (2017). Effects of salinity and drought on growth, ionic relations, compatible solutes and activation of antioxidant systems in oleander (Nerium oleander L.). PLoS ONE. 12(9). doi:10.1371/journal.pone.0185017Se018501712
Bioenergetic state regulates innate inflammatory responses through the transcriptional co-repressor CtBP
Several metabolic factors affect cellular glucose metabolism as well as the innate inflammatory response. Here, the authors show that glucose metabolism regulates pro-inflammatory responses through effects on the cytosolic NADH:NAD+ ratio and the NAD(H)-sensitive transcription co-repressor CtBP