A systematic review of non-pharmacological interventions for primary Sjögren’s syndrome

The objective of this systematic review was to assess the efficacy of non-pharmacological interventions for the management of primary Sjögren’s syndrome. We searched the following databases from inception to September 2014; Cochrane Database of Systematic Reviews; Medline; Embase; PsychINFO; Cinahl and clinical trials registers. We included randomised controlled trials of any non-pharmacological interventions. Two review authors independently reviewed titles and abstracts against the inclusion/exclusion criteria and independently assessed trial quality and extracted data. 1463 studies were identified of which 17 full text articles were screened and 5 studies were included in the review with a total of 130 participants randomised. The included studies investigated effectiveness of an oral lubricating device for dry mouth, acupuncture for dry mouth, lacrimal punctum plugs for dry eyes and psychodynamic group therapy for coping with symptoms. Overall the studies were of low quality and at high risk of bias. Although one study showed punctum plugs to improve dry eyes it was too small for the findings to be conclusive. Overall we identified no evidence to support any non-pharmacological interventions to improve PSS. The area needs quality large randomised controlled trials that are reported according to CONSORT guidelines and address important issues to patients

Ectoparasites of Coragyps atratus (Bechstein, 1793) (Accipitriformes: Cathartidae) on Bucaramanga, Santander, Colombia

Identificar y conformar una lista de especies de ectoparásitos en el gallinazo negro en dos localidades de la ciudad de Bucaramanga, Colombia. Alcance. Realizar un aporte al conocimiento sobre las especies de ectoparásitos encontrados en piel y plumaje del gallinazo negro en el área metropolitana de Bucaramanga, en el nororiente de los Andes. Metodología. Las aves fueron capturadas en la Plaza de Mercado Guarín y en el Centro de Disposición de Residuos Sólidos “El Carrasco”, ambos en el área metropolitana de Bucaramanga, Colombia. Para obtener los ectoparásitos, los gallinazos se introdujeron uno por uno, en una cámara de fumigación previamente modificada para preservar la vida del ave durante el procedimiento. Adicionalmente, se tomaron algunas plumas y se preservaron en etanol 70%. Principales resultados. Se colectaron 1.696 ectoparásitos sobre 18 gallinazos negros (Coragyps atratus) en dos sitios de Bucaramanga (Colombia). Los parásitos fueron identificados como Cathartacarus coragyps (Gabuciniidae), Dermanysus gallinae (Dermanyssidae), Cuculiphilus alternatus (Menoponidae), Falcolipeurus marginalis (Philopteridae), Laemobothrion glutinans (Laemobothriidae) y Olfesia bisulcata (Hippoboscidae). Las especies más abundantes fueron Cuculiphilus alternatus con 1.217 individuos y Cathartacarus coragyps con 295. Conclusiones. La mayor parte de estos registros son nuevos para la región y amplían el conocimiento con respecto a la distribución de estos ectoparásitos. Tanto las pruebas de Mann-Whitney como los índices parasitológicos calculados permiten observar diferencias entre los dos sitios de muestreo.To identify and to list ectoparasite species of black vulture in two locations in Bucaramanga, Colombia. Scope. To contribute to the knowledge of ectoparasites species found in black vultures in the metropolitan area of Bucaramanga, at the northeastern Andes. Methodology. The birds were captured in Guarin Marketplace and "El Carrasco" Solid Waste Disposal Center, both in the metropolitan area of Bucaramanga, Colombia. To obtain the ectoparasites, each black vulture were introduced into a fumigation chamber previously modified to preserve the life of the bird during the procedure. Moreover, some feathers were taken and preserved in ethanol 70%. Main results. In total, 1,696 ectoparasites were collected from 18 black vultures (Coragyps atratus) in two localities of Bucaramanga (Colombia). The parasites were identified as Cathartacarus coragyps (Gabuciniidae), Dermanysus gallinae (Dermanyssidae), Cuculiphilus alternatus (Menoponidae), Falcolipeurus marginalis (Philopteridae), Laemobothrion glutinans (Laemobothriidae) and Olfesia bisulcata (Hippoboscidae). The most abundant species were Cuculiphilus alternatus with 1,217 specimens and Cathartacarus coragyps with 295. Conclusions. Most of these records are new to the region and contribute to improving the knowledge concerning the ectoparasites distribution in the study area. Mann-Whitney tests and the calculated parasitological indexes show differences between the two sampling places

Modulatory effects of rutin on biochemical and hematological parameters in hypercholesterolemic Golden Syrian hamsters

Flavonoids have been reported to exhibit several pharmacological properties, mainly in cardiovascular and inflammatory diseases. In the present study, we observed that rutin, a known glycosylated flavonoid isolated from Dimorphandra mollis, had a lowering effect on plasma triglyceride levels of diet-induced hypercholesterolemic Golden Syrian hamsters, but did not change total cholesterol and high-density lipoprotein cholesterol levels. Moreover, high-fat or rutin supplemented diets showed no immunotoxic effects, since no significant changes were observed on total white blood cells, granulocytes and mononuclear cells, as well as on the neutrophil apoptosis degree, when compared to untreated animals. Therefore, rutin seems to be a selective and non-toxic modulator of hypercholesterolemia, which can be promising for the development of new drugs.Os flavonóides possuem diversas propriedades farmacológicas, principalmente nas doenças cardiovasculares e inflamatórias. No presente estudo, observamos que a rutina, um conhecido flavonóide glicosilado isolado da Dimorphandra mollis, diminuiu o nível de triglicerídeos plasmáticos em hamsters Golden Syrian hipercolesterolêmicos sem alterar os níveis de colesterol total e colesterol HDL. Além disso, observamos que dietas hipercolesterolêmicas ou suplementadas com rutina não apresentaram efeito imunotóxico, uma vez que nenhuma alteração significativa foi observada nos leucócitos totais, granulócitos e células mononucleares, bem como no grau de neutrófilos em apoptose, quando comparado com animais não tratados. Portanto, a rutina parece ser um modulador seletivo e não tóxico da hipercolesterolemia, o que pode ser promissor para o desenvolvimento de novos fármacos.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), São Paulo State, Brazi

Complement-Mediated Virus Infectivity Neutralisation by HLA Antibodies Is Associated with Sterilising Immunity to SIV Challenge in the Macaque Model for HIV/AIDS.

Sterilising immunity is a desired outcome for vaccination against human immunodeficiency virus (HIV) and has been observed in the macaque model using inactivated simian immunodeficiency virus (SIV). This protection was attributed to antibodies specific for cell proteins including human leucocyte antigens (HLA) class I and II incorporated into virions during vaccine and challenge virus preparation. We show here, using HLA bead arrays, that vaccinated macaques protected from virus challenge had higher serum antibody reactivity compared with non-protected animals. Moreover, reactivity was shown to be directed against HLA framework determinants. Previous studies failed to correlate serum antibody mediated virus neutralisation with protection and were confounded by cytotoxic effects. Using a virus entry assay based on TZM-bl cells we now report that, in the presence of complement, serum antibody titres that neutralise virus infectivity were higher in protected animals. We propose that complement-augmented virus neutralisation is a key factor in inducing sterilising immunity and may be difficult to achieve with HIV/SIV Env-based vaccines. Understanding how to overcome the apparent block of inactivated SIV vaccines to elicit anti-envelope protein antibodies that effectively engage the complement system could enable novel anti-HIV antibody vaccines that induce potent, virolytic serological response to be developed

The interaction between a sexually transferred steroid hormone and a female protein regulates oogenesis in the malaria mosquito anopheles gambiae

Molecular interactions between male and female factors during mating profoundly affect the reproductive behavior and physiology of female insects. In natural populations of the malaria mosquito Anopheles gambiae, blood-fed females direct nutritional resources towards oogenesis only when inseminated. Here we show that the mating-dependent pathway of egg development in these mosquitoes is regulated by the interaction between the steroid hormone 20-hydroxy-ecdysone (20E) transferred by males during copulation and a female Mating-Induced Stimulator of Oogenesis (MISO) protein. RNAi silencing of MISO abolishes the increase in oogenesis caused by mating in blood-fed females, causes a delay in oocyte development, and impairs the function of male-transferred 20E. Co-immunoprecipitation experiments show that MISO and 20E interact in the female reproductive tract. Moreover MISO expression after mating is induced by 20E via the Ecdysone Receptor, demonstrating a close cooperation between the two factors. Male-transferred 20E therefore acts as a mating signal that females translate into an increased investment in egg development via a MISO-dependent pathway. The identification of this male–female reproductive interaction offers novel opportunities for the control of mosquito populations that transmit malaria

Distinct helper T cell type 1 and 2 responses associated with malaria protection and risk in RTS,S/AS01E vaccinees

Background The RTS,S/AS01E malaria vaccine has moderate efficacy, lower in infants than children. Current efforts to enhance RTS,S/AS01E efficacy would benefit from learning about the vaccine-induced immunity and identifying correlates of malaria protection, which could, for instance, inform the choice of adjuvants. Here, we sought cellular immunity-based correlates of malaria protection and risk associated with RTS,S/AS01E vaccination. Methods We performed a matched case-control study nested within the multicenter African RTS,S/AS01E phase 3 trial. Children and infant samples from 57 clinical malaria cases (32 RTS,S/25 comparator vaccinees) and 152 controls without malaria (106 RTS,S/46 comparator vaccinees) were analyzed. We measured 30 markers by Luminex following RTS,S/AS01E antigen stimulation of cells 1 month postimmunization. Crude concentrations and ratios of antigen to background control were analyzed. Results Interleukin (IL) 2 and IL-5 ratios were associated with RTS,S/AS01E vaccination (adjusted P ≤ .01). IL-5 circumsporozoite protein (CSP) ratios, a helper T cell type 2 cytokine, correlated with higher odds of malaria in RTS,S/AS01E vaccinees (odds ratio, 1.17 per 10% increases of CSP ratios; P value adjusted for multiple testing = .03). In multimarker analysis, the helper T cell type 1 (TH1)–related markers interferon-γ, IL-15, and granulocyte-macrophage colony-stimulating factor protected from subsequent malaria, in contrast to IL-5 and RANTES, which increased the odds of malaria. Conclusions RTS,S/AS01E-induced IL-5 may be a surrogate of lack of protection, whereas TH1-related responses may be involved in protective mechanisms. Efforts to develop second-generation vaccine candidates may concentrate on adjuvants that modulate the immune system to support enhanced TH1 responses and decreased IL-5 responses

Parâmetros genéticos em caracteres morfológicos de acessos do banco ativo de germoplasma de macaúba da Embrapa por meio de modelos mistos.

Melhoramento de Espécies Perenes (Menção Honrosa)

Statistical methodology for the evaluation of vaccine efficacy in a phase III multi-centre trial of the RTS,S/AS01 malaria vaccine in African children

BACKGROUND\ud \ud There has been much debate about the appropriate statistical methodology for the evaluation of malaria field studies and the challenges in interpreting data arising from these trials.\ud \ud METHODS\ud \ud The present paper describes, for a pivotal phase III efficacy of the RTS, S/AS01 malaria vaccine, the methods of the statistical analysis and the rationale for their selection. The methods used to estimate efficacy of the primary course of vaccination, and of a booster dose, in preventing clinical episodes of uncomplicated and severe malaria, and to determine the duration of protection, are described. The interpretation of various measures of efficacy in terms of the potential public health impact of the vaccine is discussed.\ud \ud CONCLUSIONS\ud \ud The methodology selected to analyse the clinical trial must be scientifically sound, acceptable to regulatory authorities and meaningful to those responsible for malaria control and public health policy