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Fernandes I, Santos A, Rodrigues G, Oliveira A, Marques A. Functional status following pulmonary rehabilitation in people with ECOPD: A systematic review and meta-analysis. Respir Med Res 2023; 84:101045. [PMID: 37625373 DOI: 10.1016/j.resmer.2023.101045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 07/20/2023] [Accepted: 08/06/2023] [Indexed: 08/27/2023]
Affiliation(s)
- Inês Fernandes
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health, University of Aveiro (ESSUA), Aveiro, Portugal
| | - André Santos
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health, University of Aveiro (ESSUA), Aveiro, Portugal
| | - Guilherme Rodrigues
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute of Biomedicine, University of Aveiro, Aveiro, Portugal
| | - Ana Oliveira
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute of Biomedicine, University of Aveiro, Aveiro, Portugal; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada; West Park Healthcare Centre, Respiratory Medicine, Toronto, ON, Canada
| | - Alda Marques
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute of Biomedicine, University of Aveiro, Aveiro, Portugal.
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Ferreira MN, Neves Dos Santos M, Fernandes I, Marto CM, Laranjo M, Silva D, Serro AP, Carrilho E, Botelho MF, Azul AM, Delgado AH. Effect of varying functional monomers in experimental self-adhesive composites: polymerization kinetics, cell metabolism influence and sealing ability. Biomed Mater 2023; 18:065014. [PMID: 37738988 DOI: 10.1088/1748-605x/acfc8d] [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: 03/10/2023] [Accepted: 09/22/2023] [Indexed: 09/24/2023]
Abstract
The aim was to evaluate the effects of adding different functional monomers to experimental self-adhesive composites (SACs) on polymerization kinetics, cell metabolic activity, and sealing ability. SACs were formulated using urethane dimethacrylate as the base monomer and triethylene glycol dimethacrylate. Additionally, 10 wt.% of distinct functional monomers were added - 10-methacryloyloxydecyl dihydrogen phosphate, glycerol phosphate dimethacrylate (GPDM), 2-hydroxyethyl methacrylate (HEMA) or hydroxyethyl acrylamide (HEAA). ATR-FTIR was used to determine real-time polymerization kinetics (20 min,n= 3). The final extrapolated conversion and polymerization rates were determined (DC,max;Rp,max). TheDC,maxvalues were employed to calculate volumetric shrinkage. The MTT assay was performed on MDPC-23 cells using disc extracts at different concentrations (n= 8). Class V cavities were prepared in 60 sound human molars, assigned to six groups (n= 10), depending on the composite used and aging type (T0 or TC, if thermocycled for 10 000 cycles). One-way ANOVA, two-way, andKruskal-Wallistests were employed to treat the data (ɑ= 0.05). Varying the functional monomers had a large impact on DC,max, as confirmed by one-way ANOVA (p<0.001). The highest was obtained for HEMA (64 ± 3%). The HEMA and HEAA formulations were found to be significantly more toxic at concentrations below 100%. For microleakage, having a functional monomer or not did not show any improvement, irrespective of margin or aging period (Mann-Whitney U,p> 0.05). Larger functional monomers MDP and GPDM affected polymerization properties. Conversely, their acidity did not seem to be detrimental to cell metabolic activity. Regarding sealing ability, it seems that the functional monomers did not bring an advantage to the composites. Varying the functional monomer in SACs had a clear impact on the polymerization kinetics as well as on their cytotoxic potential. However, it did not confer better microleakage and sealing. Claiming self-adhesiveness based only on functional monomers seems dubious.
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Affiliation(s)
- Marta Nunes Ferreira
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal
| | - Marta Neves Dos Santos
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal
| | - Inês Fernandes
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
| | - Carlos Miguel Marto
- Institute of Experimental Pathology, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3000-354 Coimbra, Portugal
| | - Mafalda Laranjo
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3000-354 Coimbra, Portugal
| | - Diana Silva
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal
- Centro de Química Estrutural, Institute of Molecular Sciences and Departamento de Engenharia Química, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisboa, Portugal
| | - Ana Paula Serro
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal
- Centro de Química Estrutural, Institute of Molecular Sciences and Departamento de Engenharia Química, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisboa, Portugal
| | - Eunice Carrilho
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3000-354 Coimbra, Portugal
- Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, 3004-531 Coimbra, Portugal
| | - Maria Filomena Botelho
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3000-354 Coimbra, Portugal
| | - Ana Mano Azul
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal
| | - António Hs Delgado
- Egas Moniz Center for Interdisciplinary Research (CiiEM); Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal
- Division of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, NW3 2PF London, United Kingdom
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Soares De Pinho I, Simão D, Roldán Galanares M, Lopes-Brás R, Patel V, Esperança-Martins M, Gonçalves L, Alves L, Fernandes I, Gamez Casado S, Artacho Criado S, Baena Cañada J, Costa J, Fernandes A, Teixeira de Sousa R, Costa L, Luz P. Anthracycline versus no anthracycline neoadjuvant therapy for HER2 breast cancer: real world evidence. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01516-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Santos Ferreira DA, Fernandes I, Diaz S, Saraiva F, Guerreiro C, Brandao M, Silva G, Silva M, Sampaio F, Pires-Morais G, Melica B, Santos L, Rodrigues A, Braga P, Fontes-Carvalho R. Flow-status and survival in severe aortic stenosis treated with TAVI – is flow rate superior to stroke volume index? Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Low-flow status, currently defined as a stroke volume index (SVi) <35 mL/m2, is an important prognostic predictor for mortality after Transcatheter Aortic Valve Implantation (TAVI) for severe aortic stenosis (SAS). However, transaortic flow rate (FR) – defined as stroke volume divided by left ventricle ejection time - has recently been suggested to be superior to SVi in defining low-flow states, as it reflects more closely valvular resistance, while being independent of body surface area. Low FR is most consistently defined as FR<200 mL/s.
Purpose
Determine the prognostic impact of FR and SVi before TAVI in survival after intervention for SAS.
Methods
A single-centre retrospective database of all TAVI performed between 2011 and 2019 was analyzed, and cases with pre-intervention echocardiograms available were included. Low-flow patients were identified according to basal FR (<200 mL/s) or SVi (<35 mL/m2), and compared with normal-flow cases. The primary endpoint was defined as time to all-cause death or last follow-up. The impact of flow-status (using FR or SVi) in survival was assessed using Kaplan-Meier curves and log-rank test, as well as Cox proportional hazard model adjusted for EuroSCORE II, using FR or SVi either as categorical or continuous variables. A subanalysis further compared patients with preserved and reduced ejection fraction (EF, <52%). p<0.05 was considered statistically significant.
Results
From 657 TAVI performed, 490 (74.6%) cases were included, with a median follow-up of 43 months. From those, 59.6% were defined as low-flow according to FR, and 43.3% using SVi. Low-flow patients, using each parameter, were of higher surgical risk (EuroSCORE II and STS scores), had more advanced NYHA classes, worse estimated creatinine clearance, and suffered more frequently from coronary artery disease. Low-FR patients were also older, and more predominantly female. Atrial fibrillation was more prevalent among low SVi cases. Functional aortic valve area was lower in low-flow patients using both assessments, but low-SVi was also associated with lower transaortic gradients, as well as lower EF before and after TAVI. Regarding all-cause mortality, low-SVi was associated with worse survival [p=0.02, hazard ratio (HR) 1.43 (1.05–1.94)], but not low-FR (p=0.4). However, low-SVi, when adjusted for EuroScore II, was no longer a predictor of all-cause mortality (p=0.08). When considering FR and SVi as continuous variables, a higher SVi (but not FR) was associated with better survival (HR 0.98, p=0.047) in multivariable analysis adjusted for EuroSCORE II. When stratifying according to preserved and reduced EF, both FR and SVi did not predict all-cause mortality.
Conclusions
Low-flow states are common in SAS population treated with TAVI, being frequently associated with worse symptoms and higher procedural risk. Low-SVi, but not low-FR, negatively impacts survival after intervention, representing a marker for prognosis after TAVI.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- D A Santos Ferreira
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - I Fernandes
- Faculty of Medicine University of Porto , Porto , Portugal
| | - S Diaz
- University of Porto, UnIC@RISE, Department of Surgery and Physiology , Porto , Portugal
| | - F Saraiva
- University of Porto, UnIC@RISE, Department of Surgery and Physiology , Porto , Portugal
| | - C Guerreiro
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - M Brandao
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - G Silva
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - M Silva
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - F Sampaio
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - G Pires-Morais
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - B Melica
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - L Santos
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - A Rodrigues
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - P Braga
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
| | - R Fontes-Carvalho
- Hospital Center of Vila Nova de Gaia/Espinho, Department of Cardiology , Vila Nova de Gaia , Portugal
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Nadine S, Fernandes I, Patrício SG, Correia CR, Mano JF. Liquefied Microcapsules Compartmentalizing Macrophages and Umbilical Cord-Derived Cells for Bone Tissue Engineering. Adv Healthc Mater 2022; 11:e2200651. [PMID: 35904030 DOI: 10.1002/adhm.202200651] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [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: 03/24/2022] [Revised: 07/22/2022] [Indexed: 01/28/2023]
Abstract
Extraordinary capabilities underlie the potential use of immune cells, particularly macrophages, in bone tissue engineering. Indeed, the depletion of macrophages during bone repair often culminates in disease scenarios. Inspired by the native dynamics between immune and skeletal systems, this work proposes a straightforward in vitro method to bioengineer biomimetic bone niches using biological waste. For that, liquefied and semipermeable reservoirs generated by electrohydrodynamic atomization and layer-by-layer techniques are developed to coculture umbilical cord-derived human cells, namely monocyte-derived macrophages, mesenchymal-derived stromal cells (MSCs), and human umbilical vein endothelial cells (HUVECs). Poly(ε-caprolactone) microparticles are also added to the liquefied core to act as cell carriers. The fabricated microcapsules grant the successful development of viable microtissues, ensuring the high diffusion of bioactive factors. Interestingly, macrophages within the bioengineered microcapsules increase the release of osteocalcin, osteoprotegerin, and vascular endothelial growth factor. The cytokines profile variation indicates macrophages' polarization into a prohealing phenotype. Altogether, the incorporation of macrophages within the fabricated microcapsules allows to recreate an appropriate bone microenvironment for developing new bone mineralized microtissues. The proposed bioencapsulation protocol is a powerful self-regulated system, which might find great applicability in bone tissue engineering based on bottom-up approaches or disease modeling.
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Affiliation(s)
- Sara Nadine
- CICECO - Aveiro Institute of Materials, Department of Chemistry, University of Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal
| | - Inês Fernandes
- CICECO - Aveiro Institute of Materials, Department of Chemistry, University of Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal
| | - Sónia G Patrício
- CICECO - Aveiro Institute of Materials, Department of Chemistry, University of Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal
| | - Clara R Correia
- CICECO - Aveiro Institute of Materials, Department of Chemistry, University of Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal
| | - João F Mano
- CICECO - Aveiro Institute of Materials, Department of Chemistry, University of Aveiro, Campus Universitário de Santiago, Aveiro, 3810-193, Portugal
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Duarte F, Rua N, Gomes D, Ricoca Peixoto V, Azevedo D, Graça D, Teixeira I, Fernandes I, Frutuoso J, Carvalho M, Redondo M, Silva A, Faria A, Lopes A, Varino F, Gomes J, Tomaz M, Figueiredo V, Almeida A, Ribeiro B, Oliveira C, Pinto D, Santana M, Araújo R, Ribeiro S. [Pre-Exposure Prophylaxis for Human Immunodeficiency Virus in the Medical Curricula in Portugal: A Cross-Sectional Analysis]. ACTA MEDICA PORT 2022; 35:242-248. [PMID: 35021038 DOI: 10.20344/amp.15446] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 05/15/2021] [Accepted: 05/20/2021] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Pre-exposure prophylaxis (PrEP) has gained relevance as a method of prevention for HIV in certain people and settings. Following the publication of the guideline on PrEP prescribing in Portugal, we aimed to assess the knowledge of Portuguese Medical Students about PrEP. MATERIAL AND METHODS An online survey was sent to Medical students of Portuguese Medical Schools. We conducted a descriptive analysis of the results and an analytic cross-sectional study to identify factors associated with "knowing about PrEP", "having had one class about PrEP" and "identifying eligible groups correctly". RESULTS Of the 796 students that responded to the survey, 64.6% were aware of what PrEP is. Of these, 34.44% acquired this knowledge during their training. Out of the total amount of respondents, 4.77% could identify correctly and completely the eligible groups for PrEP. As the training years went by, the probability of being aware of PrEP, having had one class about PrEP, and identifying the eligible groups correctly, increased. Of the sixth-year students, 43.48% had had one class about PrEP and among the students that were aware of PrEP, 28% identified what the eligible groups were. After adjusting for the school year, we found differences between Medical Schools regarding the outcomes. The association between the different ways of learning about PrEP and the ability to correctly identify eligible groups for PrEP was not statistically significant. CONCLUSION The differences between Medical Schools could be harmonized through changes in the medical curricula that would allow this topic to be addressed more often.
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Affiliation(s)
- Francisco Duarte
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto..
| | - Nuno Rua
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - David Gomes
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Vasco Ricoca Peixoto
- Escola Nacional de Saúde Pública. Centro de Investigação em Saúde Pública. Universidade NOVA de Lisboa. Lisboa. Portugal
| | - Daniela Azevedo
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Duarte Graça
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Inês Teixeira
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Inês Fernandes
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - João Frutuoso
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Margarida Carvalho
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Maria Redondo
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2020. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Alexandre Silva
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Ana Faria
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Ana Lopes
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Filipe Varino
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Joana Gomes
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Marco Tomaz
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Vasco Figueiredo
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2019. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Ana Almeida
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Bruno Ribeiro
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Catarina Oliveira
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Diogo Pinto
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Matilde Santana
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Rita Araújo
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
| | - Sara Ribeiro
- Grupo de Trabalho em Saúde Sexual e Reprodutiva 2018. Associação Nacional de Estudantes de Medicina. Porto. Portugal
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Trabulo C, Gramaça J, Fernandes I, Gameiro-dos-Santos R, Pina I, Ravasco P. Body composition and the cancer patient. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Gramaça J, Palma Dos Reis A, Gameiro Dos Santos R, Fernandes I, Trabulo C, Baptista A, Da Luz R, Pina I. Development and evaluation of a real-world data-based prognostic score in castration-resistant metastatic prostate cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)03151-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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10
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Fernandes I, Gramaça J, Gameiro-dos-Santos R, Trabulo C, Pina I. P-275 Evaluation of radical chemoradiation outcomes in stage II/III anal cancer: Real-world data population. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.05.329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Gramaça J, Fernandes I, Gameiro-dos-Santos R, Pina I. P-283 Prognostic factors in the evaluation of stage II/III squamous cell carcinoma of the anus treated with chemoradiation. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.05.337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Nogueira-Costa G, Gramaça J, Fernandes I, Trabulo C, Gonçalves J, Pina I. Survival comparison of HER2 breast cancer patients according to HR status: analysis of a single Portuguese centre. Breast 2021. [DOI: 10.1016/s0960-9776(21)00201-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Nogueira-Costa G, Fernandes I, Gameiro R, Gramaça J, Xavier AT, Pina I. Prognostic utility of neutrophil-to-lymphocyte ratio in patients with metastatic colorectal cancer treated using different modalities. Curr Oncol 2020; 27:237-243. [PMID: 33173374 PMCID: PMC7606052 DOI: 10.3747/co.27.6573] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [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] [Indexed: 12/17/2022] Open
Abstract
Introduction Inflammation is a critical component in carcinogenesis. The neutrophil-to-lymphocyte ratio (nlr) has been retrospectively studied as a biomarker of prognosis in metastatic colorectal cancer (mcrc). Compared with a low nlr, a high nlr is associated with worse prognosis. In the present study, we compared real-world survival for patients with mcrc based on their nlr group, and we assessed the utility of the nlr in determining first-line chemotherapy and metastasectomy benefit. Methods In this retrospective and descriptive analysis of patients with mcrc undergoing first-line chemotherapy in a single centre, the last systemic absolute neutrophil and lymphocyte count before treatment was used for the nlr. A receiver operating characteristic curve was used to estimate the nlr cut-off value, dividing the patients into low and high nlr groups. Median overall survival (mos) was compared using Kaplan-Meier curves and the log-rank test. A multivariate analysis was performed using a Cox regression model. Results The 102 analyzed patients had a median follow-up of 15 months. Regardless of systemic therapy, approximately 20% of patients underwent metastasectomy. The nlr cut-off was established at 2.35, placing 45 patients in the low-risk group (nlr < 2.35) and 57 in the high-risk group (nlr ≥ 2.35). The Kaplan-Meier analysis showed a mos of 39.1 months in the low-risk group and 14.4 months in the high-risk group (p < 0.001). Multivariate Cox regression on the nlr estimated a hazard ratio of 3.08 (p = 0.01). Survival analysis in each risk subgroup, considering the history of metastasectomy, was also performed. In the low-risk group, mos was longer for patients undergoing metastasectomy than for those not undergoing the procedure (95.2 months vs. 22.6 months, p = 0.05). In the high-risk group, mos was not statistically different for patients undergoing or not undergoing metastasectomy (24.3 months vs. 12.7 months, p = 0.08). Conclusions Our real-world data analysis of nlr in patients with mcrc confirmed that this biomarker is useful in predicting survival. It also suggests that nlr is an effective tool to choose first-line treatment and to predict the benefit of metastasectomy.
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Affiliation(s)
| | - I Fernandes
- Centro Hospitalar Barreiro-Montijo, Barreiro, Portugal
| | - R Gameiro
- Centro Hospitalar Barreiro-Montijo, Barreiro, Portugal
| | - J Gramaça
- Centro Hospitalar Barreiro-Montijo, Barreiro, Portugal
| | - A T Xavier
- Centro Hospitalar Barreiro-Montijo, Barreiro, Portugal
| | - I Pina
- Centro Hospitalar Barreiro-Montijo, Barreiro, Portugal
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Felgueiras J, Silva JV, Nunes A, Fernandes I, Patrício A, Maia N, Pelech S, Fardilha M. Investigation of spectroscopic and proteomic alterations underlying prostate carcinogenesis. J Proteomics 2020; 226:103888. [DOI: 10.1016/j.jprot.2020.103888] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 06/03/2020] [Accepted: 06/25/2020] [Indexed: 12/27/2022]
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15
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Lobo-Martins S, Martins M, Semedo P, Alvim C, Pais HL, Paiva R, Pinto C, Ribeiro L, Fernandes I, Macedo D, Mansinho A, Vendrell I, Sousa RTD, Costa L. P-151 The impact of adjuvant chemotherapy regimens in stage II colon cancer (CC) patients. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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16
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Santos AP, Vinagre J, Soares P, Claro I, Sanches AC, Gomes L, Fernandes I, Catarino AL, Preto J, Pereira BD, Marques AP, Rodrigues F, Amaral C, Rocha G, Mellidez JC, Simões H, Lopes JM, Bugalho MJ. Erratum to "Gastroenteropancreatic Neuroendocrine Neoplasia Characterization in Portugal: Results from the NETs Study Group of the Portuguese Society of Endocrinology, Diabetes and Metabolism". Int J Endocrinol 2020; 2020:9184324. [PMID: 32655634 PMCID: PMC7320291 DOI: 10.1155/2020/9184324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 04/21/2020] [Indexed: 12/05/2022] Open
Abstract
[This corrects the article DOI: 10.1155/2019/4518742.].
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Affiliation(s)
- A. P. Santos
- Instituto Português de Oncologia do Porto, Francisco Gentil (IPOPFG), 4200-072 Porto, Portugal
| | - J. Vinagre
- Instituto de Investigação e Inovação em Saúde (i3S), 4200-135 Porto, Portugal
- Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-465 Porto, Portugal
- Faculdade de Medicina da Universidade do Porto (FMUP), 4200-319 Porto, Portugal
| | - P. Soares
- Instituto de Investigação e Inovação em Saúde (i3S), 4200-135 Porto, Portugal
- Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-465 Porto, Portugal
- Centro Hospitalar de São João (CHSJ), 4200-319 Porto, Portugal
| | - I. Claro
- Instituto Português de Oncologia de Lisboa, Francisco Gentil (IPOLFG), 1099-023 Lisboa, Portugal
| | - A. C. Sanches
- Instituto Português de Oncologia do Porto, Francisco Gentil (IPOPFG), 4200-072 Porto, Portugal
| | - L. Gomes
- Centro Hospitalar e Universitário de Coimbra (CHUC), 3000-075 Coimbra, Portugal
| | - I. Fernandes
- Centro Hospitalar Lisboa Norte, EPE (CHLN), 1649-035 Lisboa, Portugal
- Centro Académico de Medicina de Lisboa (CAML), 1649-035 Lisboa, Portugal
| | | | - J. Preto
- Faculdade de Medicina da Universidade do Porto (FMUP), 4200-319 Porto, Portugal
- Centro Hospitalar de São João (CHSJ), 4200-319 Porto, Portugal
| | - B. D. Pereira
- Hospital Garcia de Orta, EPE, 2801-951 Almada, Portugal
| | - A. P. Marques
- Unidade Local de Saúde de Matosinhos, 4464-513 Senhora da Hora, Portugal
| | - F. Rodrigues
- Instituto Português de Oncologia de Coimbra, Francisco Gentil (IPOCFG), 3000-075 Coimbra, Portugal
| | - C. Amaral
- Centro Hospitalar do Porto-Hospital Santo António, 4099-001 Porto, Portugal
| | - G. Rocha
- Centro Hospitalar Gaia/Espinho (CHGE), 4434-502 Vila Nova de Gaia, Portugal
| | - J. C. Mellidez
- Centro Hospitalar do Baixo Vouga (CHBV), 3810-501 Aveiro, Portugal
| | - H. Simões
- Centro Hospitalar de Lisboa Ocidental (CHLO), 1349-019 Lisboa, Portugal
| | - J. M. Lopes
- Instituto de Investigação e Inovação em Saúde (i3S), 4200-135 Porto, Portugal
- Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-465 Porto, Portugal
- Faculdade de Medicina da Universidade do Porto (FMUP), 4200-319 Porto, Portugal
- Centro Hospitalar de São João (CHSJ), 4200-319 Porto, Portugal
| | - M. J. Bugalho
- Centro Hospitalar Lisboa Norte, EPE (CHLN), 1649-035 Lisboa, Portugal
- Centro Académico de Medicina de Lisboa (CAML), 1649-035 Lisboa, Portugal
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Reis J, Fragoso J, Amorim R, Fernandes I, Selores M. Image Gallery: An atypical form of bacillary angiomatosis as the presenting illness of AIDS. Br J Dermatol 2019; 181:e143. [PMID: 31353445 DOI: 10.1111/bjd.18297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- J Reis
- Serviço de Dermatologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - J Fragoso
- Serviço de Doenças Infeciosas, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - R Amorim
- Serviço de Anatomia Patológica, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - I Fernandes
- Serviço de Dermatologia, Centro Hospitalar Universitário do Porto, Porto, Portugal.,Unidade Multidisciplinar de Investigação Biomédica, Instituto de Ciência Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
| | - M Selores
- Serviço de Dermatologia, Centro Hospitalar Universitário do Porto, Porto, Portugal.,Instituto de Ciência Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal.,Unidade de Investigação de Dermatologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
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Nogueira-Costa G, Fernandes I, Guerra-Pereira N, Gameiro R, Gramaça J, Xavier A, Pina I. Neutrophil/lymphocyte ratio in metastatic colorectal cancer: real-world data for evidence of its prognostic role. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fernandes I, Gil L. Quality of life of the person with "Inflammatory Bowel Disease". Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz035.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - L Gil
- Hospital Sousa Martins Unidade Local de Saúde da Guarda, Portugal
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Nobre MDA, Sezinando A, Fernandes I, Maló P. Risk Score to Predict Dental Caries in Adult Patients for Use in the Clinical Setting. J Clin Med 2019; 8:jcm8020203. [PMID: 30736404 PMCID: PMC6406458 DOI: 10.3390/jcm8020203] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 01/30/2019] [Accepted: 02/04/2019] [Indexed: 11/04/2022] Open
Abstract
Background: There is a need for risk prediction tools in caries research. This investigation aimed to estimate and evaluate a risk score for prediction of dental caries. Materials and Methods: This case-cohort study included a random sample of 177 cases (with dental caries) and 220 controls (randomly sampled from the study population at baseline), followed for 3 years. The risk ratio (RR) for each potential predictor was estimated using a logistic regression model. The level of significance was 5%. Results: The risk model for dental caries included the predictors: “presence of bacterial plaque/calculus” (RR = 4.1), “restorations with more than 5 years” (RR = 2.3), “>8 teeth restored” (RR = 2.0), “history/active periodontitis” (RR = 1.7) and “presence of systemic condition” (RR = 1.4). The risk model discrimination (95% confidence interval) was 0.78 (0.73; 0.82) (p < 0.001, C-statistic). Patients were distributed into three risk groups based on the pre-analysis risk (54%): low risk (<half the pre-analysis risk; caries incidence = 6.8%), moderate risk (half-to-less than the pre-analysis risk; caries incidence = 20.4%) and high risk (≥the pre-analysis risk; caries incidence = 27%). Conclusions: The present study estimated a simple risk score for prediction of dental caries retrieved from a risk algorithm with good discrimination.
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Affiliation(s)
| | - Ana Sezinando
- Dentistry Department, Maló Clinic, 4100-130 Porto, Portugal.
| | - Inês Fernandes
- Dentistry Department, Maló Clinic, 1600-042 Lisbon, Portugal.
| | - Paulo Maló
- Clinical Director, Maló Clinic, 1600-042 Lisbon, Portugal.
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21
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Santos AP, Vinagre J, Soares P, Claro I, Sanches AC, Gomes L, Fernandes I, Catarino AL, Preto J, Pereira BD, Marques AP, Rodrigues F, Amaral C, Rocha G, Mellidez JC, Simões H, Lopes JM, Bugalho MJ. Gastroenteropancreatic Neuroendocrine Neoplasia Characterization in Portugal: Results from the NETs Study Group of the Portuguese Society of Endocrinology, Diabetes and Metabolism. Int J Endocrinol 2019; 2019:4518742. [PMID: 31467527 PMCID: PMC6701412 DOI: 10.1155/2019/4518742] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Accepted: 01/21/2019] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The incidence of gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) has been increasing in the last five decades, but there is no large-scale data regarding these tumours in Portugal. We conducted a cross-sectional, multicentric study in main Portuguese centers to evaluate the clinical, pathological, and therapeutic profile of GEP-NENs. METHODS From November, 2012, to July, 2014, data from 293 patients diagnosed with GEP-NENs from 15 centers in Portugal was collected and registered in an online electronic platform. RESULTS Median age at diagnosis was 56.5 (range: 15-87) years with a preponderance of females (54.6%). The most frequent primary sites were the pancreas (31.1%), jejunum-ileum (24.2%), stomach (13.7%), and rectum (8.5%). Data regarding hormonal status was not available in most patients (82.3%). Stratified by the tumour grade (WHO 2010 classification), we observed 64.0% of NET G1, 24.7% of NET G2, and 11.3% of NEC. Poorly differentiated tumours occurred mainly in older patients (p = 0.017), were larger (p < 0.001), and presented more vascular (p = 0.004) and lymphatic (p = 0.001) invasion. At the time of diagnosis, 44.4% of GEP-NENs presented metastatic disease. Surgery (79.6%) and somatostatin analogues (30.7%) were the most frequently used therapies of GEP-NENs with reported grading. CONCLUSION In general, Portuguese patients with GEP-NENs presented similar characteristics to other populations described in the literature. This cross-sectional study represents the first step to establish a national database of GEP-NENs that may aid in understanding the clinical and epidemiological features of these tumours in Portugal.
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Affiliation(s)
- A. P. Santos
- Instituto Português de Oncologia do Porto, Francisco Gentil (IPOPFG), 4200-162 Porto, Portugal
| | - J. Vinagre
- Instituto de Investigação e Inovação em Saúde (i3S), 4200-135 Porto, Portugal
- Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-465 Porto, Portugal
- Faculdade de Medicina da Universidade do Porto (FMUP), 4200-319 Porto, Portugal
| | - P. Soares
- Instituto de Investigação e Inovação em Saúde (i3S), 4200-135 Porto, Portugal
- Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-465 Porto, Portugal
- Centro Hospitalar de São João (CHSJ), 4200-319 Porto, Portugal
| | - I. Claro
- Centro Hospitalar de Lisboa Ocidental (CHLO), 1349-019 Lisboa, Portugal
| | - A. C. Sanches
- Instituto Português de Oncologia do Porto, Francisco Gentil (IPOPFG), 4200-162 Porto, Portugal
| | - L. Gomes
- Centro Hospitalar e Universitário de Coimbra (CHUC), 3000-075 Coimbra, Portugal
| | - I. Fernandes
- Centro Hospitalar Lisboa Norte, EPE (CHLN), 1649-035 Lisboa, Portugal
- Centro Académico de Medicina de Lisboa (CAML), 1649-035 Lisboa, Portugal
| | | | - J. Preto
- Faculdade de Medicina da Universidade do Porto (FMUP), 4200-319 Porto, Portugal
- Centro Hospitalar de São João (CHSJ), 4200-319 Porto, Portugal
| | - B. D. Pereira
- Hospital Garcia de Orta, EPE, 2801-951 Almada, Portugal
| | - A. P. Marques
- Unidade Local de Saúde de Matosinhos, 4464-513 Senhora da Hora, Portugal
| | - F. Rodrigues
- Instituto Português de Oncologia de Coimbra, Francisco Gentil (IPOCFG), 3000-075 Coimbra, Portugal
| | - C. Amaral
- Centro Hospitalar do Porto-Hospital Santo António, 4099-001 Porto, Portugal
| | - G. Rocha
- Centro Hospitalar Gaia/Espinho (CHGE), 4434-502 Vila Nova de Gaia, Portugal
| | - J. C. Mellidez
- Centro Hospitalar do Baixo Vouga (CHBV), 3810-501 Aveiro, Portugal
| | - H. Simões
- Centro Hospitalar de Lisboa Ocidental (CHLO), 1349-019 Lisboa, Portugal
| | - J. M. Lopes
- Instituto de Investigação e Inovação em Saúde (i3S), 4200-135 Porto, Portugal
- Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-465 Porto, Portugal
- Faculdade de Medicina da Universidade do Porto (FMUP), 4200-319 Porto, Portugal
- Centro Hospitalar de São João (CHSJ), 4200-319 Porto, Portugal
| | - M. J. Bugalho
- Centro Hospitalar Lisboa Norte, EPE (CHLN), 1649-035 Lisboa, Portugal
- Centro Académico de Medicina de Lisboa (CAML), 1649-035 Lisboa, Portugal
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Fernandes I, Cabral R, Lima M. Treatment of Sézary syndrome with alemtuzumab: a case series (2009–2019). Eur J Cancer 2019. [DOI: 10.1016/s0959-8049(19)30610-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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23
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Sarajarvi V, Kalmar B, Fernandes I, Reilly M, Greensmith L. Do diverse Charcot-Marie-Tooth disease-causing mutations show convergent disease pathomechanisms? Investigation of mitochondrial dysfunction in CMT. Neuromuscul Disord 2018. [DOI: 10.1016/s0960-8966(18)30357-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Abstract
The approach to children with anogenital warts in the context of sexual abuse is
a challenge in clinical practice. This study aims to review the current
knowledge of anogenital warts in children, the forms of transmission, and the
association with sexual abuse and to propose a cross-sectional approach
involving all medical specialties. A systematic review of the literature was
conducted in Portuguese and English from January 2000 to June 2016 using the ISI
Web of Knowledge and PubMed databases. Children aged 12 years or younger were
included. The ethical and legal aspects were consulted in the Declaration and
Convention on the Rights of Children and in the World Health Organization.
Non-sexual and sexual transmission events of human papillomavirus in children
have been well documented. The possibility of sexual transmission appears to be
greater in children older than 4 years. In the case of anogenital warts in
children younger than 4 years of age, the possibility of non-sexual transmission
should be strongly considered in the absence of another sexually transmitted
infection, clinical indicators, or history of sexual abuse. The importance of
human papillomavirus genotyping in the evaluation of sexual abuse is
controversial. A detailed medical history and physical examination of both the
child and caregivers are critical during the course of the investigation. The
likelihood of an association between human papillomavirus infection and sexual
abuse increases directly with age. A multidisciplinary clinical approach
improves the ability to identify sexual abuse in children with anogenital
warts.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
| | - Inês Fernandes
- Department and Laboratory of Microbiology, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
| | - Acácio Gonçalves Rodrigues
- Department and Laboratory of Microbiology, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
| | - Carmen Lisboa
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Faculdade de Medicina da Universidade do Porto - Porto, Portugal.,Department and Laboratory of Microbiology, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
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Fernandes I, Marques C, Évora A, Cruz L, de Freitas V, Calhau C, Faria A, Mateus N. Pharmacokinetics of table and Port red wine anthocyanins: a crossover trial in healthy men. Food Funct 2017; 8:2030-2037. [PMID: 28492692 DOI: 10.1039/c7fo00329c] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
This study was designed to evaluate the pharmacokinetics of Port and table red wine anthocyanins in healthy men. Volunteers were recruited to drink 250 mL of a table red wine (221 mg of anthocyanins) and 150 mL of young Port red wine (49 mg of anthocyanins). Venous blood was collected from participants at 0, 15, 30, 60 and 120 min after wine ingestion. Urine samples were collected at baseline and at 120 min. Anthocyanins and anthocyanin metabolites in plasma and urine samples were quantified by HPLC-DAD and tentatively identified by LC-MS. Red wine anthocyanins were detected in their intact forms in both plasma and urine samples, but the glucuronylated metabolites of peonidin and malvidin (PnGlucr and MvGlucr) were the two main derivatives detected after both red wine consumptions. For the first time, and supported by the synthesis of Mv3Glucr, the main pathway followed by Mv3glc after absorption was described and involves anthocyanidin conjugation with glucuronic acid after glucose removal. Despite the lower total content of anthocyanins ingested when volunteers drank Port wine, no differences were observed in the plasma Cmax of MvGlucr and PnGlucr after table and Port red wine consumption. The relative bioavailability of anthocyanins in Port wine was 96.58 ± 5.74%, compared to the anthocyanins present in red wine. In conclusion, both Port and table red wines are good sources of bioavailable anthocyanins.
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Affiliation(s)
- I Fernandes
- REQUIMTE/LAQV, Department of Chemistry and Biochemistry, Faculty of Sciences, University of Porto, Porto, Portugal.
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Morand‐Beaulieu S, Fernandes I, Sauvé G, O'Connor KP, Blanchet PJ, Lavoie ME. ISDN2014_0212: Electrophysiological similarities in Tourette syndrome and chronic tic disorder. Int J Dev Neurosci 2015. [DOI: 10.1016/j.ijdevneu.2015.04.176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Simon Morand‐Beaulieu
- Laboratoire de psychophysiologie cognitive et socialeMontrealCanada
- Centre de recherche de l'Institut universitaire en santé mentale de MontréalMontrealCanada
- Département de psychiatrieUniversité de MontréalMontrealCanada
| | - Inês Fernandes
- Laboratoire de psychophysiologie cognitive et socialeMontrealCanada
- Centre de recherche de l'Institut universitaire en santé mentale de MontréalMontrealCanada
- Faculdade de MedicinaUniversidade de LisboaLisbonPortugal
| | - Geneviève Sauvé
- Laboratoire de psychophysiologie cognitive et socialeMontrealCanada
- Centre de recherche de l'Institut universitaire en santé mentale de MontréalMontrealCanada
- Département de psychiatrieUniversité de MontréalMontrealCanada
| | - Kieron P. O'Connor
- Centre de recherche de l'Institut universitaire en santé mentale de MontréalMontrealCanada
- Département de psychiatrieUniversité de MontréalMontrealCanada
| | - Pierre J. Blanchet
- Centre de recherche de l'Institut universitaire en santé mentale de MontréalMontrealCanada
- Département de stomatologieUniversité de MontréalMontrealCanada
| | - Marc E. Lavoie
- Laboratoire de psychophysiologie cognitive et socialeMontrealCanada
- Centre de recherche de l'Institut universitaire en santé mentale de MontréalMontrealCanada
- Département de psychiatrieUniversité de MontréalMontrealCanada
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Fernandes I, Rueff MC, Portela S. TRANSDISCIPLINARITY IN STRATEGIC DECISIONS FOR ONCOLOGICAL TREATMENTS. Med Law 2015; 34:645-659. [PMID: 30759957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The current models for equity and access to new oncological treatments are under strain due to the economic and demographic crisis in Europe as well as the rising costs of innovative drugs. Cancer treatment needs a model of patient-centered care in which an interdisciplinary care plan, based on evidence-based practice is essential for patient wellbeing. Physicians should be focused in the doctor-patient relationship and informed consent is important, especially when new medicines are prescribed. Related with informed consent, there is therapeutic privilege. Moreover, utilitarianism and social justice have to be considered without compromising human dignity and the principle of economy cannot be ignored in the provision of public services. An interdisciplinary approach is essential for the new oncological drugs approval. Therefore, transdisciplinary decision between civil society, pharmaceuticals, healthcare professionals and policy makers is essential in order to assure quality, access to innovation and equity in oncological care.
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Macedo D, Mansinho A, Costa A, Fernandes I, Costa L. 3445 Hepatotoxicity and therapeutic response with trabectedin in soft tissue sarcomas. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31918-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Carneiro S, Fernandes I, Abuowda Y, Oliveira AA, Santos C, Palos A, Rosa A, Pinheiro P. Anti-vgkc Antibody-associated Limbic Encephalitis Presenting with Recurrent Catatonia. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)30633-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Azevedo J, Fernandes I, Lopes P, Roseira I, Cabral M, Mateus N, Freitas V. Migration of phenolic compounds from different cork stoppers to wine model solutions: antioxidant and biological relevance. Eur Food Res Technol 2014. [DOI: 10.1007/s00217-014-2292-y] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Costa PA, Caldeira S, Fernandes I, Rita C, Pereira H, Leal I. Religious and Political Conservatism and Beliefs About Same-Sex Parenting in Portugal. Psychol Community Health 2014. [DOI: 10.5964/pch.v3i1.94] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Fernandes I, Cruz Santos J, Lopes J, Rosa A, Pinheiro P. EPA-0158 – Generalized anxiety as main symptom of chronic appendicitis - a case report. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)77622-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Neves J, Fernandes I, Ribeiro J, Macedo D, Costa L. The Role of Nephrectomy in Metastatic Renal Cell Carcinoma - A Single Centre Analysis. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33452-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Jara J, Costa C, Paixão L, Ramos Coutinho R, Fernandes I, Bento A. P-1251 - Smoking and schizophrenia - case study. Eur Psychiatry 2012. [DOI: 10.1016/s0924-9338(12)75418-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Favoretto BC, Ricardi R, Silva SR, Jacysyn JF, Fernandes I, Takehara HA, Faquim-Mauro EL. Immunomodulatory effects of crotoxin isolated from Crotalus durissus terrificus venom in mice immunised with human serum albumin. Toxicon 2011; 57:600-7. [PMID: 21223974 DOI: 10.1016/j.toxicon.2010.12.023] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2010] [Revised: 12/22/2010] [Accepted: 12/24/2010] [Indexed: 01/15/2023]
Abstract
Crotalus durissus terrificus venom and its main component, crotoxin (CTX), have the ability to down-modulate the immune system. Certain mechanisms mediated by cells and soluble factors of the immune system are responsible for the elimination of pathogenic molecules to ensure the specific protection against subsequent antigen contact. Accordingly, we evaluated the immunomodulatory effects of CTX on the immune response of mice that had been previously primed by immunisation with human serum albumin (HSA). CTX inoculation after HSA immunisation, along with complete Freund's adjuvant (CFA) or Aluminium hydroxide (Alum) immunisation, was able to suppress anti-HSA IgG1 and IgG2a antibody production. We showed that the inhibitory effects of this toxin are not mediated by necrosis or apoptosis of any lymphoid cell population. Lower proliferation of T lymphocytes from mice immunised with HSA/CFA or HSA/Alum that received the toxin was observed in comparison to the mice that were only immunised. In conclusion, CTX is able to exert potent inhibitory effects on humoral and cellular responses induced by HSA immunisation, even when injected after an innate immune response has been initiated.
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Affiliation(s)
- B C Favoretto
- Laboratório de Imunopatologia, Instituto Butantan, Av Vital Brasil, 1500, Butantã, CEP 05503-900, São Paulo, Brazil.
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Torres T, Fernandes I, Sanches M, Selores M. Foscarnet-induced penile ulceration. Acta Dermatovenerol Alp Pannonica Adriat 2011; 20:39-40. [PMID: 21879205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Foscarnet is used to treat herpes viruses, including drug-resistant cytomegalovirus (CMV) and herpes simplex viruses types 1 and 2 (HSV-1 and HSV-2). There are some reports of intravenous foscarnet-induced penile and vulvar ulceration. The authors report a case of the development of severe penile ulcers after the initiation of intravenous foscarnet therapy.
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Affiliation(s)
- T Torres
- Department of Dermatology, Centro Hospitalar do Porto - Hospital de Santo António, Edifício das Consultas Externas do Hospital Geral Santo António, Ex CICAP, Rua D Manuel II, 4100 Porto, Portugal.
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Torres T, Fernandes I, Costa V, Selores M. Photodynamic therapy as adjunctive therapy for morpheaform basal cell carcinoma. Acta Dermatovenerol Alp Pannonica Adriat 2011; 20:23-25. [PMID: 21879201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The authors decided to evaluate the possible use of methyl-aminolevulinate photodynamic therapy (MAL-PDT) as adjunctive therapy for morpheaform basal cell carcinoma prior to standard surgical excision in order to reduce tumor size and volume and to facilitate surgical treatment. It was observed that MAL-PDT may be an option as an adjunctive therapy prior to standard surgical excision of morpheaform basal cell carcinoma, leading to less invasive surgery.
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Affiliation(s)
- T Torres
- Department of Dermatology, Centro Hospitalar do Porto - Hospital de Santo António, Edifício das Consultas Externas do Hospital Geral Santo António, Ex CICAP, 4100 Porto, Portugal.
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Fernandes I, Assumpção GG, Silveira CRF, Faquim-Mauro EL, Tanjoni I, Carmona AK, Alves MFM, Takehara HA, Rucavado A, Ramos OHP, Moura-da-Silva AM, Gutiérrez JM. Immunochemical and biological characterization of monoclonal antibodies against BaP1, a metalloproteinase from Bothrops asper snake venom. Toxicon 2010; 56:1059-65. [PMID: 20674587 DOI: 10.1016/j.toxicon.2010.07.014] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2010] [Revised: 07/19/2010] [Accepted: 07/22/2010] [Indexed: 11/27/2022]
Abstract
BaP1 is a P-I class of Snake Venom Metalloproteinase (SVMP) relevant in the local tissue damage associated with envenomations by Bothrops asper, a medically-important species in Central America and parts of South America. Six monoclonal antibodies (MoAb) against BaP1 (MABaP1) were produced and characterized regarding their isotype, dissociation constant (K(d)), specificity and ability to neutralize BaP1-induced hemorrhagic and proteolytic activity. Two MABaP1 are IgM, three are IgG1 and one is IgG2b. The K(d)s of IgG MoAbs were in the nM range. All IgG MoAbs recognized conformational epitopes of BaP1 and B. asper venom components but failed to recognize venoms from 27 species of Viperidae, Colubridae and Elapidae families. Clone 7 cross-reacted with three P-I SVMPs tested (moojeni protease, insularinase and neuwiedase). BaP1-induced hemorrhage was totally neutralized by clones 3, 6 and 8 but not by clone 7. Inhibition of BaP1 enzymatic activity on a synthetic substrate by MABaP1 was totally achieved by clones 3 and 6, and partially by clone 8, but not by clone 7. In conclusion, these neutralizing MoAbs against BaP1 may become important tools to understand structure-function relationships of BaP1 and the role of P-I class SVMP in snakebite envenomation.
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Affiliation(s)
- I Fernandes
- Laboratório de Imunopatologia, Instituto Butantan, Av. Vital Brazil, 1500, Butantã, CEP 05503-900, São Paulo, SP, Brazil
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Sidi-Boumedine K, Duquesne V, Fernandes I, Marro S, Thiéry R. Evaluation of randomly amplified polymorphic DNA (RAPD) for discrimination of Coxiella burnetii ruminant strains isolated in France. Clin Microbiol Infect 2009; 15 Suppl 2:194-5. [DOI: 10.1111/j.1469-0691.2008.02271.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Plana M, Pons F, Fernandes I, Perez F, Pera J, Caminal J, Jiménez L, Del Muro XG, Piulats J. 9321 Metastatic uveal melanoma, clinical characteristics and survival: a single center experience on 58 patients. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71965-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Menezes MA, Rocha LB, Koga PCM, Fernandes I, Nara JM, Magalhães CA, Abe CM, Ayala CO, Burgos YK, Elias WP, Castro AFP, Piazza RMF. Identification of enteropathogenic and enterohaemorrhagic Escherichia coli strains by immunoserological detection of intimin. J Appl Microbiol 2009; 108:878-887. [PMID: 19709337 DOI: 10.1111/j.1365-2672.2009.04484.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIMS To evaluate the sensitivity and specificity of polyclonal and monoclonal antibodies (Mabs) against intimin in the detection of enteropathogenic and enterohaemorrhagic Escherichia coli isolates using immunoblotting. METHODS AND RESULTS Polyclonal and Mabs against the intimin-conserved region were raised, and their reactivities were compared in enteropathogenic E. coli (EPEC) and enterohaemorrhagic E. coli (EHEC) isolates using immunoblotting analysis. In comparison with rat antiserum, rabbit anti-intimin IgG-enriched fraction had a stronger recognition pattern to a wide spectrum of intimin types in different EPEC and EHEC serotypes. On the other hand, murine monoclonal IgG2b specific to intimin, with dissociation constant of 1.3x10(-8) mol l(-1), failed in the detection of some of these isolates. CONCLUSION All employed antibodies showed 100% specificity, not reacting with any of the eae-negative isolates. The sensitivity range was according to the employed antisera, and 97% for rabbit anti-intimin IgG-enriched fraction, followed by 92% and 78% sensitivity with rat antisera and Mab. SIGNIFICANCE AND IMPACT OF THE STUDY The rabbit anti-intimin IgG-enriched fraction in immunoblotting analysis is a useful tool for EPEC and EHEC diagnoses.
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Affiliation(s)
- M A Menezes
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
| | - L B Rocha
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
| | - P C M Koga
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
| | - I Fernandes
- Laboratório de Imunopatologia, Instituto Butantan, São Paulo, SP, Brazil
| | - J M Nara
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
| | - C A Magalhães
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
| | - C M Abe
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
| | - C O Ayala
- Departamento de Microbiologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Y K Burgos
- Departamento de Microbiologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil
| | - W P Elias
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
| | - A F P Castro
- Departamento de Microbiologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil
| | - R M F Piazza
- Laboratório de Bacteriologia, Instituto Butantan, São Paulo, SP, Brazil
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Fernandes I, Rousset E, Dufour P, Sidi-Boumedine K, Cupo A, Thiéry R, Duquesne V. Serological and molecular characterization of AdaA: a potential marker of Q-fever abortion in goats? Clin Microbiol Infect 2009; 15 Suppl 2:163-4. [PMID: 19281458 DOI: 10.1111/j.1469-0691.2008.02209.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- I Fernandes
- Agence Française de Sécurité Sanitaire des Aliments, AFSSA, Unité Pathologie des Petits Ruminants, Sophia Antipolis, France
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Rafael A, Tanjoni I, Fernandes I, Moura-da-Silva A, Furtado M. An alternative method to access in vitro the hemorrhagic activity of snake venoms. Toxicon 2008; 51:479-87. [DOI: 10.1016/j.toxicon.2007.08.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2007] [Revised: 08/21/2007] [Accepted: 08/27/2007] [Indexed: 10/22/2022]
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Moura-da-Silva AM, Ramos OHP, Baldo C, Niland S, Hansen U, Ventura JS, Furlan S, Butera D, Della-Casa MS, Tanjoni I, Clissa PB, Fernandes I, Chudzinski-Tavassi AM, Eble JA. Collagen binding is a key factor for the hemorrhagic activity of snake venom metalloproteinases. Biochimie 2008; 90:484-92. [PMID: 18096518 DOI: 10.1016/j.biochi.2007.11.009] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2007] [Accepted: 11/26/2007] [Indexed: 11/24/2022]
Abstract
Snake venom metalloproteinases (SVMPs) are multifunctional enzymes involved in several symptoms following snakebite, such as severe local hemorrhage. Multidomain P-III SVMPs are strongly hemorrhagic, whereas single domain P-I SVMPs are not. This indicates that disintegrin-like and cysteine-rich domains allocate motifs that enable catalytic degradation of ECM components leading to disruption of capillary vessels. Interestingly, some P-III SVMPs are completely devoid of hemorrhagic activity despite their highly conserved disintegrin-like and cysteine-rich domains. This observation was approached in the present study by comparing the effects of jararhagin, a hemorrhagic P-III SVMP, and berythractivase, a pro-coagulant and non-hemorrhagic P-III SVMP. Both toxins inhibited collagen-induced platelet aggregation, but only jararhagin was able to bind to collagen I with high affinity. The monoclonal antibody MAJar 3, that neutralizes the hemorrhagic effect of Bothrops venoms and jararhagin binding to collagen, did not react with berythractivase. The three-dimensional structures of jararhagin and berythractivase were compared to explain the differential binding to collagen and MAJar 3. Thereby, we pinpointed a motif within the Da disintegrin subdomain located opposite to the catalytic domain. Jararhagin binds to both collagen I and IV in a triple helix-dependent manner and inhibited in vitro fibrillogenesis. The jararhagin-collagen complex retained the catalytic activity of the toxin as observed by hydrolysis of fibrin. Thus, we suggest that binding of hemorrhagic SVMPs to collagens I and IV occurs through a motif located in the Da subdomain. This allows accumulation of toxin molecules at the site of injection, close to capillary vessels, where their catalytic activity leads to a local hemorrhage. Toxins devoid of this motif would be more available for vascular internalization leading to systemic pro-coagulant effects. This reveals a novel function of the disintegrin domain in hemorrhage formation.
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Affiliation(s)
- A M Moura-da-Silva
- Laboratório de Imunopatologia, Instituto Butantan, Av. Vital Brasil, São Paulo, SP, Brazil.
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Adrião A, Vieira M, Fernandes I, Barbosa M, Sol M, Tenreiro R, Chambel L, Barata B, Zilhao I, Shama G, Perni S, Jordan S, Andrew P, Faleiro M. Marked intra-strain variation in response of Listeria monocytogenes dairy isolates to acid or salt stress and the effect of acid or salt adaptation on adherence to abiotic surfaces. Int J Food Microbiol 2008; 123:142-50. [DOI: 10.1016/j.ijfoodmicro.2007.12.016] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2007] [Revised: 12/05/2007] [Accepted: 12/18/2007] [Indexed: 11/30/2022]
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Roseiro C, Santos C, Sol M, Silva L, Fernandes I. Prevalence of biogenic amines during ripening of a traditional dry fermented pork sausage and its relation to the amount of sodium chloride added. Meat Sci 2006; 74:557-63. [DOI: 10.1016/j.meatsci.2006.03.030] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2005] [Revised: 02/24/2006] [Accepted: 03/13/2006] [Indexed: 11/16/2022]
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D'Agostino M, Wagner M, Vazquez-Boland JA, Kuchta T, Karpiskova R, Hoorfar J, Novella S, Scortti M, Ellison J, Murray A, Fernandes I, Kuhn M, Pazlarova J, Heuvelink A, Cook N. A validated PCR-based method to detect Listeria monocytogenes using raw milk as a food model--towards an international standard. J Food Prot 2004; 67:1646-55. [PMID: 15330529 DOI: 10.4315/0362-028x-67.8.1646] [Citation(s) in RCA: 99] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A PCR assay with an internal amplification control was developed for Listeria monocytogenes. The assay has a 99% detection probability of seven cells per reaction. When tested against 38 L. monocytogenes strains and 52 nontarget strains, the PCR assay was 100% inclusive (positive signal from target) and 100% exclusive (no positive signal from nontarget). The assay was then evaluated in a collaborative trial involving 12 European laboratories, where it was tested against an additional 14 target and 14 nontarget strains. In that trial, the inclusivity was 100% and the exclusivity was 99.4%, and both the accordance (repeatability) and the concordance (reproducibility) were 99.4%. The assay was incorporated within a method for the detection of L. monocytogenes in raw milk, which involves 24 h of enrichment in half-Fraser broth followed by 16 h of enrichment in a medium that can be added directly into the PCR. The performance characteristics of the PCR-based method were evaluated in a collaborative trial involving 13 European laboratories. In that trial, a specificity value (percentage of correct identification of blank samples) of 81.8% was obtained; the accordance was 87.9%, and the concordance was 68.1%. The sensitivity (correct identification of milk samples inoculated with 20 to 200 L. monocytogenes cells per 25 ml) was 89.4%, the accordance was 81.2%, and the concordance was 80.7%. This method provides a basis for the application of routine PCR-based analysis to dairy products and other foodstuffs and should be appropriate for international standardization.
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Affiliation(s)
- M D'Agostino
- DEFRA Central Science Laboratory, Sand Hutton, York YO41 1LZ, UK
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Oshiro TM, Rafael A, Enobe CS, Fernandes I, Macedo-Soares MF. Comparison of different monoclonal antibodies against immunosuppressive proteins of Ascaris suum. Braz J Med Biol Res 2004; 37:223-6. [PMID: 14762577 DOI: 10.1590/s0100-879x2004000200009] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The extract of Ascaris suum suppresses the humoral and cellular immune responses to unrelated antigens in the mouse. In order to further characterize the suppressive components of A. suum, we produced specific monoclonal antibodies which can provide an important tool for the identification of these proteins. The A. suum immunosuppressive fractions isolated by gel filtration from an extract of adult worms were used to immunize BALB/c mice. Popliteal lymph node cells taken from the immunized animals were fused with SP2/O myeloma cells and the cloned hybrid cells obtained were screened to determine the specificity of secreted antibodies. Three monoclonal antibodies named MAIP-1, MAIP-2 and MAIP-3 were selected and were shown to react with different epitopes of high molecular weight proteins from the A. suum extract. All antibody molecules have kappa-type light chains but differ in heavy chain isotype. MAIP-1 is a mouse IgM, MAIP-2 is an IgA immunoglobulin and MAIP-3 is an IgG1 immunoglobulin and they recognize the antigen with affinity constants of 1.3 x 10(10) M-1, 7.1 x 10(9) M-1 and 3.8 x 10(7) M-1, respectively. The proteins recognized by these monoclonal antibodies (PAS-1, PAS-2 and PAS-3) were purified from the crude extract by affinity chromatography and injected with ovalbumin in BALB/c mice in order to determine their suppressive activity on heterologous antibody production. It was demonstrated that these three proteins are able to significantly suppress anti-ovalbumin antibody secretion, with PAS-1 being more efficient than the others.
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Affiliation(s)
- T M Oshiro
- Laboratório de Imunopatologia, Instituto Butantan, Av. Vital Brasil 1500, 05503-900 São Paulo, SP, Brazil
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Abstract
Members of the nuclear receptor superfamily of ligand-regulated transcription factors are targets of a wide range of lipophilic signaling molecules as well as several drugs and xenobiotics that modulate many aspects of physiology and metabolism. Agonist binding to receptors is associated with recruitment of coactivators, which are essential for activation of target gene transcription. However, several biochemical and molecular genetic studies have shown that a full understanding of the function of agonist-bound receptors must also accommodate the recruitment of corepressors. These factors may attenuate agonist-induced transactivation, act more transiently as part of a cycle of cofactors recruited to target promoters by ligand-bound receptors, or function in hormone-dependent repression of target gene expression.
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Affiliation(s)
- I Fernandes
- Department of Physiology, McGill University, McIntyre Medical Sciences Bldg, 3655 Drummond St, Montreal, Quebec H3G 1Y6, Canada
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