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Cavallari Strozze Catharin VM, Zutin TLM, Guiguer EL, Cressoni Araújo A, Fornari Laurindo L, Chagas EFB, Gasparotti Zorzetto CF, Bueno PCDS, dos Santos Bueno M, Cervelim Nunes Y, Cavallari Strozze Catharin V, Gonzaga HF, Barbalho SM. Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study. Diseases 2023; 11:113. [PMID: 37754309 PMCID: PMC10528437 DOI: 10.3390/diseases11030113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 08/20/2023] [Accepted: 08/22/2023] [Indexed: 09/28/2023] Open
Abstract
COVID-19 has generated a scenario for global health with multiple systemic impairments. This retrospective study evaluated the clinical, radiological, and pulmonary functional evolution in 302 post-COVID-19 patients. Regarding post-COVID-19 pulmonary symptoms, dry cough, dyspnea, and chest pain were the most frequent. Of the associated comorbidities, asthma was more frequent (23.5%). Chest tomography (CT) initially showed a mean pulmonary involvement of 69.7%, and evaluation in the subsequent months showed improvement in the evolutionary image. With less than six months post-pathology, there was a commitment of 37.7% from six to twelve months it was 20%, and after 12 months it was 9.9%. As for most of the sample, 50.3% of the patients presented CT normalization less than six months after infection, 23% were normalized between six and twelve months, and 5.2% presented with normalized images after twelve months, with one remaining. A percentage of 17.3% maintained post-COVID-19 pulmonary residual sequelae. Regarding spirometry, less than six months after pathology, 59.3% of the patients presented regular exam results, 12.3% had their function normalized within six to twelve months, and 6.3% had normal exam results twelve months after their post-pathology evaluation. Only 3.6% of the patients still showed some alteration during this period.
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Affiliation(s)
- Virgínia Maria Cavallari Strozze Catharin
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
| | - Tereza Laís Menegucci Zutin
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
- Postgraduate Program in Structural and Functional Interactions in Rehabilitation, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil
| | - Elen Landgraf Guiguer
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
- Postgraduate Program in Structural and Functional Interactions in Rehabilitation, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil
- Department of Biochemistry and Nutrition, School of Food and Technology of Marília (FATEC), Avenida Castro Alves, 62, Marília 17500-000, São Paulo, Brazil
| | - Adriano Cressoni Araújo
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
- Postgraduate Program in Structural and Functional Interactions in Rehabilitation, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil
| | - Lucas Fornari Laurindo
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
- Department of Biochemistry and Pharmacology, School of Medicine, Faculdade de Medicina de Marília (FAMEMA), Avenida Monte Carmelo, 800, Marília 17519-030, São Paulo, Brazil
| | - Eduardo F. Baisi Chagas
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
- Postgraduate Program in Structural and Functional Interactions in Rehabilitation, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil
| | - Cássia Fernanda Gasparotti Zorzetto
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
| | - Patrícia C. dos Santos Bueno
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
- Department of Animal Sciences, School of Veterinary Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil
| | | | - Yandra Cervelim Nunes
- Department of Biochemistry and Nutrition, School of Food and Technology of Marília (FATEC), Avenida Castro Alves, 62, Marília 17500-000, São Paulo, Brazil
| | - Vitor Cavallari Strozze Catharin
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
| | - Heron Fernando Gonzaga
- Department of Dermatology, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), Rua dos Otonis, 861, São Paulo 04025-002, São Paulo, Brazil
| | - Sandra Maria Barbalho
- Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil; (V.M.C.S.C.); (T.L.M.Z.); (L.F.L.)
- Postgraduate Program in Structural and Functional Interactions in Rehabilitation, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, Brazil
- Department of Biochemistry and Nutrition, School of Food and Technology of Marília (FATEC), Avenida Castro Alves, 62, Marília 17500-000, São Paulo, Brazil
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Barbalho SM, Prado Neto EV, De Alvares Goulart R, Bechara MD, Baisi Chagas EF, Audi M, Guissoni Campos LM, Landgraf Guiger E, Buchaim RL, Buchaim DV, Cressoni Araujo A. Myokines: a descriptive review. J Sports Med Phys Fitness 2020; 60:1583-1590. [PMID: 32586076 DOI: 10.23736/s0022-4707.20.10884-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
In the last years, scientists have shown that skeletal muscle is not a pure locomotor unit or responsible for propulsion and posture. Skeletal muscle encompasses one of the major organs of the body (constituting about 40% of the body mass in non-obese men). It regulates energy and metabolic processes and is now recognized as an organ capable of producing molecules with vital functions. These molecules are termed myokines, a new field of research in the health sciences, and represent an open field of discoveries and applications in several areas. The aim of this review was to show the role of some well-known myokines in the maintenance of homeostasis. Our search was performed in databases such as Medline/Pubmed, Embase and Scielo. Some relevant myokines are interleukin-6 (IL-6), IL-8, IL-15, irisin, myostatin, fibroblast growth factor 21 (FGF21), leukemia inhibitory factor (LIF), brain-derived neurotrophic factor (BDNF), and insulin-like growth factor-1 (IGF-1). They are related to play a positive or negative role in muscle function and metabolism homeostasis. They are associated with the regulation of glucose and lipid metabolism, the deposition of fat in the adipose tissue, and the "browning" of the white adipose tissue. For these reasons, they can interfere with the prevention of obesity, diabetes, metabolic syndrome, and cardiovascular diseases. The discovery of the myokines has opened a new direction in understanding the effects of exercises on humans.
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Affiliation(s)
- Sandra M Barbalho
- Medical School of Marília (UNIMAR), Marília, Brazil - .,Food Technology School, Marília, Brazil -
| | | | | | | | | | - Mauro Audi
- Medical School of Marília (UNIMAR), Marília, Brazil
| | | | - Elen Landgraf Guiger
- Medical School of Marília (UNIMAR), Marília, Brazil.,Food Technology School, Marília, Brazil
| | - Rogério L Buchaim
- Medical School of Marília (UNIMAR), Marília, Brazil.,University of São Paulo (FOB - USP), Bauru, Brazil
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Campello AC, Zanella LGFABDE, Suzuki RB, Tokumo MO, Chagas EFB, Baleotti W, Sperança MA, Martins LPA. Correlation of plasma butyrylcholinesterase concentration with Acethylcholinesterase H353N polymorphism in the inflammatory response of Chagas disease patients. Parasitol Int 2020; 76:102066. [PMID: 32006676 DOI: 10.1016/j.parint.2020.102066] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 08/07/2019] [Accepted: 01/26/2020] [Indexed: 12/12/2022]
Abstract
Trypanosoma cruzi infection triggers an intense production of pro-inflammatory cytokines mediated by T helper 1 lymphocytes, inducing the anti-inflammatory reflex of acetylcholine (ACh). The ACh concentration modulation is associated to the two major esterases, the acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE). AChE H353N protein polymorphism is related to low Chagas chronic disease prognostic. In order to evaluate the correlation of plasmatic BuChE concentration and the presence of AChE H353N polymorphism in Chagas disease patients and healthy individuals, we studied two groups of individuals, one of 61 Chagas disease patients and another of 74 healthy individuals. Plasma concentration of BuChE was measured by the chemiluminescent method and AChE H353N polymorphism was investigated by PCR-RFLP and sequencing of the respective encoding AChE gene fragment. The BuChE concentration was statistically higher in Chagas disease patients, with no AChE genotype significant influence. AChE genotypes YT*A/YT*A, YT*A/YT*B and YT*B/YT*B, respectively, were expressed in 53 (86.88%), 7 (11.46%) and one (1.64%) chagasic patients, and in 68 (91.89%), 6 (8.10%) and none healthy individuals. BuChE activity may represent an important marker for chronic Chagas disease inflammatory process and prognostic. Lower BuChE concentration correlated with AChE YT*B allele, although without statistical power.
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Affiliation(s)
- A C Campello
- Department of Parasitology, Marília Medical School, Marília, SP, 17519-030, Brazil
| | - L G F A B D E Zanella
- Faculty of Medicine, University of São Paulo, São Paulo, SP, 01246-903, Brazil; Servidor Público Hospital, São Paulo, SP, 04038-034, Brazil
| | - R B Suzuki
- Department of Parasitology, Marília Medical School, Marília, SP, 17519-030, Brazil; School of Medicine, Marilia University, Marília, SP, 17525-902, Brazil
| | - M O Tokumo
- Department of Cardiology, Marília Medical School, Marília, SP, 17519-030, Brazil
| | - E F B Chagas
- Study Group on Aging and Obesity [GEEO], Marilia University, Marília, SP, 17525-902, Brazil
| | - W Baleotti
- Department of Clinical Pathology, Marília Medical School, Marília, SP, 17519-030, Brazil
| | - M A Sperança
- Center for Natural and Human Sciences, Federal University of ABC, São Bernardo do Campo, SP, 09606-070, Brazil
| | - L P A Martins
- Department of Parasitology, Marília Medical School, Marília, SP, 17519-030, Brazil.
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Castanheira JRPT, Castanho REP, Rocha H, Pagliari C, Duarte MIS, Therezo ALS, Chagas EFB, Martins LPA. Paradoxical effects of vitamin C in Chagas disease. Parasitol Int 2018; 67:547-555. [PMID: 29733902 DOI: 10.1016/j.parint.2018.05.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Revised: 04/25/2018] [Accepted: 05/04/2018] [Indexed: 12/26/2022]
Abstract
Trypanosoma cruzi infection stimulates inflammatory mediators which cause oxidative stress, and the use of antioxidants can minimize the sequelae of Chagas disease. In order to evaluate the efficacy of vitamin C in minimizing oxidative damage in Chagas disease, we orally administered ascorbic acid to Swiss mice infected with 5.0 × 104 trypomastigote forms of T. cruzi QM2 strain. These animals were treated for 60 days to investigate the acute phase and 180 days for the chronic phase. During the acute phase, the animals in the infected and treated groups demonstrated lower parasitemia and inflammatory processes were seen in more mice in these groups, probably due to the higher concentration of nitric oxide, which led to the formation of peroxynitrite. The decrease in reduced glutathione concentration in this group showed a circulating oxidant state, and this antioxidant was used to regenerate vitamin C. During the chronic phase, the animals in the infected and treated group showed a decrease in ferric reducing ability of plasma and uric acid concentrations as well as mobilization of bilirubin (which had higher plasma concentration), demonstrating cooperation between endogenous non-enzymatic antioxidants to combat increased oxidative stress. However, lower ferrous oxidation in xylenol orange concentrations was found in the infected and treated group, suggesting that vitamin C provided biological protection by clearing the peroxynitrite, attenuating the chronic inflammatory process in the tissues and favoring greater survival in these animals. Complex interactions were observed between the antioxidant systems of the host and parasite, with paradoxical actions of vitamin C.
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Affiliation(s)
- J R P T Castanheira
- Department of Parasitology, Marília Medical School, Marília, SP 17519-100, Brazil
| | - R E P Castanho
- Department of Parasitology, Marília Medical School, Marília, SP 17519-100, Brazil
| | - H Rocha
- Department of Parasitology, Marília Medical School, Marília, SP 17519-100, Brazil
| | - C Pagliari
- Department of Pathology, São Paulo University, São Paulo, SP 01246-903, Brazil
| | - M I S Duarte
- Department of Pathology, São Paulo University, São Paulo, SP 01246-903, Brazil
| | - A L S Therezo
- Department of Pathology, Marília Medical School, Marília, SP 17519-100, Brazil
| | - E F B Chagas
- Study Group on Aging and Obesity [GEEO], Marília University, Marília, SP 17519-100, Brazil
| | - L P A Martins
- Department of Parasitology, Marília Medical School, Marília, SP 17519-100, Brazil.
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