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Melzer-Ribeiro DL, Napolitano IC, Leite SA, Alencar de Souza JA, Vizzotto ADB, Di Sarno ES, Fortes M, Gomes ML, de Oliveira GM, Avrichir BS, Talib LL, Correll CU, Elkis H. Randomized, double-blind, sham-controlled trial to evaluate the efficacy and tolerability of electroconvulsive therapy in patients with clozapine-resistant schizophrenia. Schizophr Res 2023:S0920-9964(23)00421-8. [PMID: 38151432 DOI: 10.1016/j.schres.2023.11.009] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 11/20/2023] [Accepted: 11/21/2023] [Indexed: 12/29/2023]
Abstract
There is no established treatment for patients with clozapine-resistant schizophrenia (CRS). Clozapine augmentation strategies with antipsychotics or others substances are effective in comparison with placebo while and Electroconvulsive therapy (ECT) showed to be effective in comparison with treatment as usual (TAU) but not with placebo (sham-ECT). In the present double- blind randomized controlled trial, we compared 40 outpatients who received 20 sessions of ECT (n = 21) or sham-ECT (n = 19) (age = 37.40 ± 9.62, males = 77.5 %, illness duration = 14.95 ± 8.32 years, mean total Positive and Negative Syndrome Scale (PANSS) = 101.10 ± 24.91) who fulfilled well-defined CRS criteria including baseline clozapine plasma levels ≥350 ng/mL. The primary outcome was the ≥50 % PANSS Total Score reduction; secondary outcomes were the scores of the PANSS subscales, PANSS five-factor dimensions, PANSS-6 and the Calgary Depression Rating Scale (CDRS). Treatment response was analyzed by percentage reduction, Linear Mixed Models and effect sizes. At baseline both groups showed no differences except for years of school education (included as a covariate). At endpoint, only 1/19 of the completers (5.26 %) in the ECT group and 0/17 in the sham-ECT group showed a ≥50 % total PANSS score reduction. Both groups showed no significant differences of the total PANSS score (F = 0.12; p = 0.73), Positive (F = 0.27, p = 0.61), Negative (F = 0.25, p = 0.62), and General Psychopathology scores (F = 0.01, p = 0.94) as well for all PANSS five factors, the PANSS-6 and CDRS. Thus, the present study found no evidence that ECT is better than Sham-ECT in patients with CRS. Future sham-ECT controlled studies with larger sample sizes are warranted to test the efficacy of ECT for patients with CRS.
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Affiliation(s)
- D L Melzer-Ribeiro
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - I C Napolitano
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - S A Leite
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - J A Alencar de Souza
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - A D B Vizzotto
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - E S Di Sarno
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - M Fortes
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - M L Gomes
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - G M de Oliveira
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - B S Avrichir
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - L L Talib
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil
| | - C U Correll
- The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Psychiatry and Molecular Medicine, Hempstead, NY, USA; Charité - Universitätsmedizin Berlin, Department of Child and Adolescent Psychiatry, Berlin, Germany
| | - H Elkis
- Department and Institute of Psychiatry, University of São Paulo Medical School (FMUSP), Brazil.
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Massago M, Zanusso Junior G, Dworak ES, da Silva EL, Morey AT, Gomes ML, de Ornelas Toledo MJ. Mice Intragastric Infected with Insect and Blood Trypomastigotes of Trypanosoma cruzi IV: Differences and Similarities on the Evolution Profile and Response to Etiological Treatment. Acta Parasitol 2021; 66:1561-1564. [PMID: 33893607 DOI: 10.1007/s11686-021-00393-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 04/02/2021] [Indexed: 10/21/2022]
Abstract
PURPOSE Our goal was to analyze the outcome of infection and response to benznidazole (BZ) treatment in mice intragastrically inoculated with trypomastigotes forms of Trypanosoma cruzi from different origins. METHODS Twenty-four Swiss mice were divided in two groups and inoculated, by gavage, with 1 × 104 blood trypomastigotes (BT) or insect-derived metacyclic trypomastigotes (IT) of AM14 strain (T. cruzi IV). Half of the animals of each group were treated with BZ (TBZ), from 10 to 30th days after the inoculation, and the other constituted the untreated control groups (NT). After the etiological treatment, all mice were immunosuppressed with cyclophosphamide for three weeks. Parasitological and molecular parameters, infectivity, cumulative mortality, and reactivation post-immunosuppression rates were obtained. RESULTS Animals inoculated with BT showed lower pre-patent period and early day of the maximum parasitemia, as well as a higher maximum peak of parasitemia than the IT animals. However, both, BT and IT animals, did not respond to BZ treatment (0.0% of cure). CONCLUSION We conclude that the infective form influences in the outcome of infection, but not the response to the etiological treatment in mice intragastrically infected with the T. cruzi IV strain studied.
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de Almeida CR, Bezagio RC, Colli CM, Romera LIL, Ferrari A, Gomes ML. Elimination of Giardia duodenalis BIV in vivo using natural extracts in microbiome and dietary supplements. Parasitol Int 2021; 86:102484. [PMID: 34688884 DOI: 10.1016/j.parint.2021.102484] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 05/22/2021] [Revised: 09/19/2021] [Accepted: 10/14/2021] [Indexed: 12/27/2022]
Abstract
In this study, a combination therapy of several natural products was evaluated in vivo in the Giardia duodenalis infection model. G. duodenalis infected mice were treated as follows: distilled water (infected control C+), BIOintestil® (BIO; natural products of Cymbopogon martinii and Zingiber officinale), MicrobiomeX® (MBX; extract of Citrus sinensis and Citrus paradisi), MBX + BIO, Camellia sinensis tea (CPR; black tea). These natural compounds were administered in a dose of 100 mg/day and were compared to G. duodenalis-infected mice treated with albendazole (ALB; 50 mg/Kg/day) and metronidazole (MET; 500 mg/Kg/day), the conventional therapies used to this day. One group remained un-infected and untreated as our control group (C-). Treatment started 8 days after infection, and after 5 days of treatment (7 days for MET), all animals were followed for 15 days. We continuously checked for the presence of G. duodenalis by Faust method, in association with detection of the parasite by PCR from feces, as well for the presence of trophozoites in the intestinal mucosa after sacrifice. Animals treated with MBX, BIO and MBX + BIO presented an undetectable parasitic load until the 15th day of monitoring, while animals treated with CPR, MET and ALB continued to release cysts. Animals in the MBX, MBX + BIO, ALB groups consumed lower feed, MBX, CPR, MET had greater weight and MBX, MBX + BIO, BIO, CPR, C- consumed more water when compared to infected-group control. MBX and BIO alone or associated eliminated G. duodenalis without apparent adverse effects and animals of these groups showed better clinical performance in relation to those with high parasitic load. MET, ALB and CPR only decreased the number of cysts, indicating limitations and therapeutic failure.
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Affiliation(s)
| | - Renata Coltro Bezagio
- Post-Graduation Program in Health Sciences, Universidade Estadual de Maringá (UEM), Paraná, CEP 87020-900, Brazil
| | - Cristiane Maria Colli
- Department of Basic Health Sciences, Universidade Estadual de Maringá (UEM), Paraná, CEP 87020-900, Brazil
| | - Liara Izabela Lopes Romera
- Post-Graduation Program in Health Sciences, Universidade Estadual de Maringá (UEM), Paraná, CEP 87020-900, Brazil
| | - Ariana Ferrari
- Post-Graduation in Clean Technologies, Universidade Cesumar (CESUMAR), Paraná, CEP 87050-390, Brazil
| | - Mônica Lúcia Gomes
- Department of Basic Health Sciences, Universidade Estadual de Maringá (UEM), Paraná, CEP 87020-900, Brazil
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Teston APM, Fernandes NDS, Abegg CP, de Abreu AP, Sarto MPM, Gomes ML, Toledo MJDO. Therapeutic effects of benznidazole in Swiss mice that are orally inoculated with Trypanosoma cruzi IV strains from the Western Brazilian Amazon. Exp Parasitol 2021; 228:108136. [PMID: 34280400 DOI: 10.1016/j.exppara.2021.108136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 03/12/2020] [Revised: 07/13/2021] [Accepted: 07/14/2021] [Indexed: 11/26/2022]
Abstract
Strains of Trypanosoma cruzi, etiological agent of Chagas disease, are classified into different discrete typing units that may present distinct dynamics of infection and susceptibility to benznidazole (BZ) treatment. Mice that were orally inoculated with T. cruzi IV strains exhibited a more intense course of infection compared with intraperitoneally inoculated mice, reflected by higher parasite loads. We evaluated the efficacy of BZ treatment in Swiss mice that were inoculated with T. cruzi IV strains from the Western Brazilian Amazon. The mice were orally (OR) or intraperitoneally (IP) inoculated with 2 × 106 culture-derived metacyclic trypomastigotes of the AM14, AM16, AM64, and AM69 strains of T. cruzi that were obtained from two outbreaks of orally acquired acute Chagas disease in the state of Amazonas, Brazil. The animals were treated with BZ (100 mg/kg/day for 20 days). Fresh blood examination, hemoculture, conventional and quantitative real-time polymerase chain reaction were performed to monitor the therapeutic effects of BZ. Significant reductions in five of 24 parameters of parasitemia and parasite load were found in different tissues in the OR group, indicating worse response to BZ treatment compared with the IP group, in which significant reductions in nine of those 24 parameters were observed. The cure rates in the OR groups ranged from 18.2% (1/11) to 75.0% (9/12) and in the IP groups from 58.3% (7/12) to 91.7% (11/12), for the AM14 and AM69 strains, respectively. These findings indicate that treatment with BZ had fewer beneficial effects with regard to reducing parasitemia and parasite load in different tissues of mice that were OR inoculated with four TcIV strains compared with IP inoculation. Therefore, the route of infection with T. cruzi should be considered when evaluating the therapeutic efficacy of BZ in patients with Chagas disease.
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Affiliation(s)
- Ana Paula Margioto Teston
- Postgraduate Program in Health Sciences, Health Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil; Departament of Pharmacy, Uningá University Center Ingá, Rodovia PR317, Maringá, Paraná, 87035-510, Brazil.
| | - Nilma de Souza Fernandes
- Postgraduate Program in Biological Sciences, Biological Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.
| | - Camila Piva Abegg
- Postgraduate Program in Health Sciences, Health Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.
| | - Ana Paula de Abreu
- Postgraduate Program in Health Sciences, Health Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.
| | - Marcella Paula Mansano Sarto
- Postgraduate Program in Health Sciences, Health Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.
| | - Mônica Lúcia Gomes
- Postgraduate Program in Health Sciences, Health Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil; Department of Basic Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.
| | - Max Jean de Ornelas Toledo
- Postgraduate Program in Health Sciences, Health Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil; Postgraduate Program in Biological Sciences, Biological Sciences Center, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil; Department of Basic Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.
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Teza DCB, Ferreira ÉC, Gomes ML. BOWEL FREQUENCY AND SYMPTOMS OF CONSTIPATION AND ITS RELATION WITH THE LEVEL OF PHYSICAL ACTIVITY IN PATIENTS WITH CHAGAS DISEASE. Arq Gastroenterol 2020; 57:161-166. [PMID: 32609158 DOI: 10.1590/s0004-2803.202000000-30] [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] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 02/20/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Intestinal constipation (IC) in patients with the digestive form of Chagas disease is one of the main reasons for seeking medical care. Population data indicate that the practice of physical activity improves gastrointestinal motility. OBJECTIVE This study evaluated the bowel frequency and symptoms of constipation and their relationship with the level of physical activity in patients with and without Chagas disease. METHODS Patients (n=120) of both genres, aged between 35 and 84 years, in which 50% (n=60) were in the Chagas group and 50% (n=60) were in the control group, were evaluated regarding the level of IC using the Constipation Assessment Scale (CAS) and regarding the level of physical activity using the International Physical Activity Questionnaire (IPAQ). RESULTS - Patients in the Chagas group classified as active (IPAQ 2) had higher proportion (P=0.0235) of moderate IC with severe abdominal distension (P=0.0159) and decreased evacuation frequency (P=0.0281) than the patients in the control group, considered to be very active (IPAQ 1). The sedentary lifestyle was greater (P=0.0051) in the Chagas group with duration, intensity and frequency of physical activity lower than the control group. The health perception in the Chagas group was regular for 46.7% (P=0.0035) and poor for 8.3% (P=0.0244). CONCLUSION There is a lower risk of developing intestinal constipation in more active individuals, evidencing that the level of physical activity interferes with bowel frequency and symptoms of constipation in patients with and without Chagas disease. The level of physical activity and health perception were worse in the Chagas group, reinforcing the disease stigma, which should be modified by the training of health professionals who routinely attend these patients.
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Affiliation(s)
- Daniela Carolina Barizon Teza
- Universidade Estadual de Maringá, Centro de Ciências da Saúde, Programa de Pós-Graduação em Ciências da Saúde, Maringa, PR, Brasil
| | - Érika Cristina Ferreira
- Universidade Estadual de Maringá, Centro de Ciências da Saúde, Programa de Pós-Graduação em Ciências da Saúde, Maringa, PR, Brasil
| | - Mônica Lúcia Gomes
- Universidade Estadual de Maringá, Departamento de Ciências Básicas da Saúde, Parasitologia, Maringá, PR, Brasil
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Drozino RN, Otomura FH, Gazarini J, Gomes ML, Toledo MJDO. Trypanosoma Found in Synanthropic Mammals from Urban Forests of Paraná, Southern Brazil. Vector Borne Zoonotic Dis 2019; 19:828-834. [PMID: 31241422 DOI: 10.1089/vbz.2018.2433] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Trypanosoma cruzi is a parasitic protozoan that infects a diversity of hosts constituting the cycle of enzootic transmission in wild environments and causing disease in humans (Chagas disease) and domestic animals. Wild mammals constitute natural reservoirs of this parasite, which is transmitted by hematophagous kissing bugs of the family Reduviidae. T. cruzi is genetically subdivided into six discrete typing units (DTUs), T. cruzi (Tc)I to TcVI. In Brazil, especially in the state of Paraná, TcI and TcII are widely distributed. However, TcII is less frequently found in wild reservoirs and triatomine, and more frequently found in patients. The goal of this study was to investigate the natural occurrence of T. cruzi in wild synanthropic mammals captured in urban forest fragments of the Atlantic Forest of Paraná, southern Brazil. In this way, 12 opossums and 35 bats belonging to five species were captured in urban forest parks of the city of Maringá, Paraná, an area considered endemic for Chagas disease. PCR-kinetoplast DNA molecular diagnostic reveals Trypanosoma sp. infection in 12 (100%) Didelphis albiventris and 10 (40%) Artibeus lituratus. In addition to demonstrating the presence of Trypanosoma in the two groups of mammals studied, we obtained an isolate of the parasite genotyped as TcII by amplification of the cytochrome oxidase II gene by PCR, followed by restriction fragment length polymorphism with AluI, and confirmed by PCR of rDNA 24Sα. This is the first record of the encounter in wild mammals of Trypanosoma DNA (in A. lituratus) and T. cruzi DTU TcII (in D. albiventris) in the state of Paraná.
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Affiliation(s)
| | | | - Janaina Gazarini
- College of Biological and Environmental Sciences, Universidade Federal da Grande Dourados, Dourados, Brazil
| | - Mônica Lúcia Gomes
- Department of Basic Health Sciences, Universidade Estadual de Maringá, Maringá, Brazil
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Sá ARN, Kimoto KY, Steindel M, Grisard EC, Gomes ML. Limit of detection of PCR/RFLP analysis of cytochrome oxidase II for the identification of genetic groups of Trypanosoma cruzi and Trypanosoma rangeli in biological material from vertebrate hosts. Parasitol Res 2018; 117:2403-2410. [PMID: 29858942 DOI: 10.1007/s00436-018-5928-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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: 09/07/2017] [Accepted: 05/14/2018] [Indexed: 10/14/2022]
Abstract
Mixed infections with Trypanosoma cruzi and Trypanosoma rangeli and their different genetic groups occur frequently in vertebrate hosts and are difficult to detect by serology. In the present study, we evaluated the limit of detection of polymerase chain reaction/restriction fragment length polymorphism (PCR/RFLP) analysis of cytochrome oxidase II (COII) for the identification of genetic groups of these two parasites in blood and tissue from vertebrate hosts. Reconstitution experiments were performed using human blood (TcI/TcII and KP1+/KP1-) and mouse tissue (TcI/TcII). We tested blood from patients who were in the chronic phase of Chagas disease and tissue from animals that were experimentally infected with all possible combinations of six discrete typing units. In blood samples, T. cruzi and T. rangeli were detected when 5 parasites (pa) were present in the sample, and genetic groups were identified when at least 50 pa were present in the sample. T. cruzi alone could be detected with 1 pa and genotyped (TcI/TcII) with 2 pa. T. rangeli was detected with 2 pa and genotyped (KP+/KP1-) with 25 pa. The present method more readily detected TcII and KP1- in both admixtures and alone. In mouse tissue, TcI and TcII were detected with at least 25 pa. The analysis of blood samples from patients and tissue from animals that were experimentally infected revealed low parasite loads in these hosts, which were below the limit of detection of the present method and could not be genotyped. Our findings indicate that the performance of PCR/RFLP analysis of COII is directly related to the amount and proportion of parasites that are present in the sample and the genetic groups to which the parasites belong.
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Affiliation(s)
- Amanda Regina Nichi Sá
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá (UEM), Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87 020-900, Brazil. .,Docente do curso de Biomedicina, Centro Universitário Integrado, Rodovia BR 158, KM 207, Campo Mourão, Paraná, 87300-970, Brazil.
| | - Karen Yuki Kimoto
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá (UEM), Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87 020-900, Brazil
| | - Mário Steindel
- Departamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de Santa Catarina (UFSC), R. Eng. Agronômico Andrei Cristian Ferreira, Trindade, Florianópolis, Santa Catarina, s/n - 88040-900, Brazil
| | - Edmundo Carlos Grisard
- Departamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de Santa Catarina (UFSC), R. Eng. Agronômico Andrei Cristian Ferreira, Trindade, Florianópolis, Santa Catarina, s/n - 88040-900, Brazil
| | - Mônica Lúcia Gomes
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá (UEM), Avenida Colombo, 5790, Jardim Universitário, Maringá, Paraná, 87 020-900, Brazil.
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Pavanelli MF, Colli CM, Gomes ML, Góis MB, de Alcântara Nogueira de Melo G, de Almeida Araújo EJ, de Mello Gonçales Sant'Ana D. Comparative study of effects of assemblages AII and BIV of Giardia duodenalis on mucosa and microbiota of the small intestine in mice. Biomed Pharmacother 2018. [PMID: 29514129 DOI: 10.1016/j.biopha.2018.02.141] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
AIMS Giardiasis is one of the major causes of diarrhea worldwide and its symptoms vary in intensity, which can be attributed to different parasite assemblages. The goal of the present study was to compare the effects of infection caused by assemblages AII and BIV ofGiardia duodenalis on the response of the small intestine, microbiota, and behavioral parameters in mice. MAIN METHODS Swiss mice were infected with assemblages AII and BIV of G. duodenalis for 15 days. Leucometry, pain, intestinal microbiota and histological parameters of the duodenum and jejunum were evaluated in the experimental groups. KEY FINDINGS Both assemblages modified the composition of the intestinal microbiota. Infection with assemblage AII promoted leukocytosis, reflected by increasing number of polymorphonuclear cells, intraepithelial lymphocytes and pain-related behavior, indicating that this was the more aggressive assemblage with regard to its effects on the intestinal mucosa and duodenum. SIGNIFICANCE The specific assemblage of the parasite is an important parameter that affects symptomatology in the host.
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Gomes ML, Fike DA, Bergmann KD, Jones C, Knoll AH. Environmental insights from high-resolution (SIMS) sulfur isotope analyses of sulfides in Proterozoic microbialites with diverse mat textures. Geobiology 2018; 16:17-34. [PMID: 29047210 DOI: 10.1111/gbi.12265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Accepted: 09/01/2017] [Indexed: 06/07/2023]
Abstract
In modern microbial mats, hydrogen sulfide shows pronounced sulfur isotope (δ34 S) variability over small spatial scales (~50‰ over <4 mm), providing information about microbial sulfur cycling within different ecological niches in the mat. In the geological record, the location of pyrite formation, overprinting from mat accretion, and post-depositional alteration also affect both fine-scale δ34 S patterns and bulk δ34 Spyrite values. We report μm-scale δ34 S patterns in Proterozoic samples with well-preserved microbial mat textures. We show a well-defined relationship between δ34 S values and sulfide mineral grain size and type. Small pyrite grains (<25 μm) span a large range, tending toward high δ34 S values (-54.5‰ to 11.7‰, mean: -14.4‰). Larger pyrite grains (>25 μm) have low but equally variable δ34 S values (-61.0‰ to -10.5‰, mean: -44.4‰). In one sample, larger sphalerite grains (>35 μm) have intermediate and essentially invariant δ34 S values (-22.6‰ to -15.6‰, mean: -19.4‰). We suggest that different sulfide mineral populations reflect separate stages of formation. In the first stage, small pyrite grains form near the mat surface along a redox boundary where high rates of sulfate reduction, partial closed-system sulfate consumption in microenvironments, and/or sulfide oxidation lead to high δ34 S values. In another stage, large sphalerite grains with low δ34 S values grow along the edges of pore spaces formed from desiccation of the mat. Large pyrite grains form deeper in the mat at slower sulfate reduction rates, leading to low δ34 Ssulfide values. We do not see evidence for significant 34 S-enrichment in bulk pore water sulfide at depth in the mat due to closed-system Rayleigh fractionation effects. On a local scale, Rayleigh fractionation influences the range of δ34 S values measured for individual pyrite grains. Fine-scale analyses of δ34 Spyrite patterns can thus be used to extract environmental information from ancient microbial mats and aid in the interpretation of bulk δ34 Spyrite records.
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Affiliation(s)
- M L Gomes
- Washington University, Saint Louis, MO, USA
- Harvard University, Cambridge, MA, USA
| | - D A Fike
- Washington University, Saint Louis, MO, USA
| | - K D Bergmann
- Massachusettes Institute of Technology, Cambridge, MA, USA
| | - C Jones
- Washington University, Saint Louis, MO, USA
| | - A H Knoll
- Harvard University, Cambridge, MA, USA
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Aleixo DL, Ferraz FN, de Melo CS, Gomes ML, Toledo MJ, Kaneshima EN, Bersani-Amado CA, Araújo SM. Changes of RAPD profile of Trypanosoma cruzi II with Canova and Benznidazole. HOMEOPATHY 2017; 97:59-64. [DOI: 10.1016/j.homp.2008.02.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2007] [Revised: 02/15/2008] [Accepted: 02/15/2008] [Indexed: 11/25/2022]
Abstract
Chagas disease, caused by the protozoan Trypanosoma cruzi, involves immunomediated processes. Canova (CA) is a homeopathic treatment indicated in the diseases in which the immune system is depressed. This study evaluated the Random Amplification of Polymorphic DNA (RAPD) profile of T. cruzi under the influence of CA and Benznidazole (BZ). Mice infected with the genetic lineage of T. cruzi II (Y strain) were divided into 4 groups:Infected animals treated with saline solution (control group); treated with CA; treated with BZ; treated with CA and BZ combined.Treatment was given at the 5th–25th days of infection (D5–25). The parasites were isolated by haemoculture in Liver Infusion Tryptose (LIT) medium: at D5 (before treatment), D13, 15 and 25 (during treatment) and D55 and 295 (after treatment). DNA was extracted from the mass of parasites. RAPD was done with the primers λgt11-F, M13F-40 and L15996, the amplified products were eletrophoresed through a 4% polyacrylamide gel. Data were analyzed by the coefficient of similarity using the DNA-POP program.163 markers were identified, 5 of them monomorphic. CA did not act against the parasites when used alone. The RAPD profiles of parasites treated with BZ and CA + BZ were different from those in the control group and in the group treated with CA. The actions of the CA and BZ were different and the action of BZ was different from the action of CA + BZ. These data suggest that CA may interact with BZ. The differences in the RAPD profile of the Y strain of T. cruzi produced by BZ, CA + BZ and the natural course of the infection suggest selection/suppression of populations.
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Affiliation(s)
| | | | | | - Mônica Lúcia Gomes
- Parasitologia Básica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Max Jean Toledo
- Parasitologia Básica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
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Dworak ES, Araújo SMD, Gomes ML, Massago M, Ferreira ÉC, Toledo MJDO. Sympatry influence in the interaction of Trypanosoma cruzi with triatomine. Rev Soc Bras Med Trop 2017; 50:629-637. [PMID: 29160509 DOI: 10.1590/0037-8682-0219-2017] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Accepted: 08/24/2017] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Trypanosoma cruzi, the etiologic agent of Chagas disease, is widely distributed in nature, circulating between triatomine bugs and sylvatic mammals, and has large genetic diversity. Both the vector species and the genetic lineages of T. cruzi present a varied geographical distribution. This study aimed to verify the influence of sympatry in the interaction of T. cruzi with triatomines. Methods: The behavior of the strains PR2256 (T. cruzi II) and AM14 (T. cruzi IV) was studied in Triatoma sordida (TS) and Rhodnius robustus (RR). Eleven fifth-stage nymphs were fed by artificial xenodiagnosis with 5.6 × 103 blood trypomastigotes/0.1mL of each T. cruzi strain. Every 20 days, their excreta were examined for up to 100 days, and every 30 days, the intestinal content was examined for up to 120 days, by parasitological (fresh examination and differential count with Giemsa-stained smears) and molecular (PCR) methods. Rates of infectivity, metacyclogenesis and mortality, and mean number of parasites per insect and of excreted parasites were determined. RESULTS Sympatric groups RR+AM14 and TS+PR2256 showed higher values of the four parameters, except for mortality rate, which was higher (27.3%) in the TS+AM14 group. General infectivity was 72.7%, which was mainly proven by PCR, showing the following decreasing order: RR+AM14 (100%), TS+PR2256 (81.8%), RR+PR2256 (72.7%) and TS+AM14 (36.4%). CONCLUSIONS Our working hypothesis was confirmed once higher infectivity and vector capacity (flagellate production and elimination of infective metacyclic forms) were recorded in the groups that contained sympatric T. cruzi lineages and triatomine species.
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Affiliation(s)
- Elaine Schultz Dworak
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - Silvana Marques de Araújo
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil.,Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - Mônica Lúcia Gomes
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil.,Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - Miyoko Massago
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - Érika Cristina Ferreira
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil.,Departamento de Estatística, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - Max Jean de Ornelas Toledo
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil.,Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
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de Souza CZ, Rafael K, Sanders AP, Tiyo BT, Marchioro AA, Colli CM, Gomes ML, Falavigna-Guilherme AL. An alternative method to recover Toxoplasma gondii from greenery and fruits. Int J Environ Health Res 2016; 26:600-5. [PMID: 27604245 DOI: 10.1080/09603123.2016.1227960] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2016] [Accepted: 07/22/2016] [Indexed: 06/06/2023]
Abstract
Toxoplasma gondii oocysts are an important form of contamination with a high dispersion in the environment, but their detection is still a challenge. This study evaluated the recovery of oocysts from strawberries and crisphead lettuce. Samples (250 g of strawberries or one head of lettuce) were experimentally inoculated with 10, 10(2), 10(3) and 10(4) T. gondii oocysts, by two separate processes, spot dripping and immersion. Then, 50 g of each sample was washed, filtered through a cellulose ester membrane, and concentrated by centrifugation. Three aliquots were taken for DNA extraction in a direct way, after freeze-thaw (FT) cycles or ultrasound (US), followed by PCR (B22-B23 and Tox4-Tox5 primers). The T. gondii DNA was amplified with the primers B22-B23 in all samples contaminated by dripping and when DNA extraction was carried out after FT or US. These techniques may be useful in epidemiological surveillance in the control of this zoonosis.
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Affiliation(s)
- Carla Zangari de Souza
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
| | - Katyelle Rafael
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
| | - Ana Paula Sanders
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
| | - Bruna Tiaki Tiyo
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
| | - Ariella Andrade Marchioro
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
| | - Cristiane Maria Colli
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
| | - Mônica Lúcia Gomes
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
| | - Ana Lúcia Falavigna-Guilherme
- a Department of Basic Health Sciences , State University of Maringá (UEM) , Maringá , Brazil
- b Environmental Parasitology Laboratory , State University of Maringá (UEM) , Maringá , Brazil
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Margioto Teston AP, Paula de Abreu A, Gruendling AP, Bahia MT, Gomes ML, Marques de Araújo S, Jean de Ornelas Toledo M. Differential parasitological, molecular, and serological detection of Trypanosoma cruzi I, II, and IV in blood of experimentally infected mice. Exp Parasitol 2016; 166:44-50. [PMID: 26995535 DOI: 10.1016/j.exppara.2016.03.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [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: 09/03/2015] [Revised: 03/08/2016] [Accepted: 03/13/2016] [Indexed: 11/28/2022]
Abstract
Trypanosoma cruzi is the etiological agent of American trypanosomiasis (Chagas' disease), which affects 6-7 million people worldwide, mainly in Latin America. It presents great genetic and biological variability that plays an important role in the clinical and epidemiological features of the disease. Our working hypothesis is that the genetic diversity of T. cruzi has an important impact on detection of the parasite using diagnostic techniques. The present study evaluated the diagnostic performance of parasitological, molecular, and serological techniques for detecting 27 strains of T. cruzi that belonged to discrete typing units (DTUs) TcI (11 strains), TcII (four strains), and TcIV (12 strains) that were obtained from different hosts in the states of Amazonas and Paraná, Brazil. Blood samples were taken from experimentally infected mice and analyzed by fresh blood examination, hemoculture in Liver Infusion Tryptose (LIT) medium, polymerase chain reaction (PCR), and enzyme-linked immunosorbent assay (ELISA). Polymerase chain reaction presented the best detection of TcI, with 80.4% positivity. For all of the detection methods, the animals that were inoculated with TcII presented the highest positivity rates (94.1-100%). ELISA that was performed 7 months after inoculation presented a higher detection ability (95.4%) for TcIV. Intra-DTU comparisons showed that the reproducibility of the majority of the results that were obtained with the different methods was weak for TcI and good for TcII and TcIV. Our data indicate that the detection capability of different techniques varies with the DTUs of the parasites in mammalian blood. The implications of these findings with regard to the diagnosis of human T. cruzi infection are discussed.
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Affiliation(s)
- Ana Paula Margioto Teston
- State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, 87 020-900, Maringá, Paraná, Brazil.
| | - Ana Paula de Abreu
- State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, 87 020-900, Maringá, Paraná, Brazil.
| | - Ana Paula Gruendling
- State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, 87 020-900, Maringá, Paraná, Brazil.
| | - Maria Terezinha Bahia
- Federal University of Ouro Preto, Rua Costa Sena, 171, 35 400-000, Ouro Preto, Minas Gerais, Brazil.
| | - Mônica Lúcia Gomes
- State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, 87 020-900, Maringá, Paraná, Brazil.
| | - Silvana Marques de Araújo
- State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, 87 020-900, Maringá, Paraná, Brazil.
| | - Max Jean de Ornelas Toledo
- State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, 87 020-900, Maringá, Paraná, Brazil.
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Colli CM, Bezagio RC, Nishi L, Ferreira ÉC, Falavigna-Guilherme AL, Gomes ML. Food handlers as a link in the chain of transmission ofGiardia duodenalisand other protozoa in public schools in southern Brazil: Table 1. Trans R Soc Trop Med Hyg 2015; 109:601-3. [DOI: 10.1093/trstmh/trv062] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 07/13/2015] [Indexed: 11/12/2022] Open
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Meza SKL, Kaneshima EN, Silva SDO, Gabriel M, de Araújo SM, Gomes ML, Monteiro WM, Barbosa MDGV, Toledo MJDO. Comparative pathogenicity in Swiss mice of Trypanosoma cruzi IV from northern Brazil and Trypanosoma cruzi II from southern Brazil. Exp Parasitol 2014; 146:34-42. [PMID: 25296157 DOI: 10.1016/j.exppara.2014.08.014] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [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: 08/05/2013] [Revised: 07/28/2014] [Accepted: 08/26/2014] [Indexed: 11/17/2022]
Abstract
The geographical heterogeneity of Chagas disease (ChD) is mainly caused by genetic variability of the etiological agent Trypanosoma cruzi. Our hypothesis was that the pathogenicity for mice may vary with the genetic lineage (or Discrete Typing Unit - DTU) of the parasite. To test this hypothesis, parasitological and histopathological evaluations were performed in mice inoculated with strains belonging to the DTU T. cruzi IV (TcIV) from the State of Amazonas (northern Brazil), or the DTU T. cruzi II (TcII) from the State of Paraná (southern Brazil). Groups of 10 Swiss mice were inoculated with eight strains of TcIV obtained from acute cases (7) from two outbreaks of orally acquired ChD, and from the triatomine Rhodnius robustus (1) from Amazonas; and three strains of TcII obtained from chronic patients in Paraná. We evaluated the pre-patent period, patent period, maximum peak of parasitemia, day of maximum peak of parasitemia, area under the parasitemia curve, inflammatory process, and tissue parasitism in the acute phase. TcIV was less virulent than TcII, and showed significantly (p < 0.005) lower parasitemia levels. Although the levels of tissue parasitism did not differ statistically, mice infected with TcIV displayed significantly (p < 0.001) fewer inflammatory processes than mice infected with TcII. This supported the working hypothesis, since TcIV from Amazonas was less pathogenic than TcII from Paraná; and agreed with the lower severity of human cases of ChD in the Amazon region.
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Affiliation(s)
- Sheila Karina Lüders Meza
- Post-Graduate Program in Health Sciences, State University of Maringá (UEM), Paraná, Brazil; Center for Medical and Pharmaceutical Sciences, State University of Western Paraná, Paraná, Brazil
| | | | | | | | - Silvana Marques de Araújo
- Post-Graduate Program in Health Sciences, State University of Maringá (UEM), Paraná, Brazil; Department of Basic Health Sciences, UEM, Paraná, Brazil
| | - Mônica Lúcia Gomes
- Post-Graduate Program in Health Sciences, State University of Maringá (UEM), Paraná, Brazil; Department of Basic Health Sciences, UEM, Paraná, Brazil
| | | | - Maria das Graças Vale Barbosa
- Post-Graduate Program in Tropical Medicine, State University of Amazonas, Dr. Heitor Vieira Dourado Tropical Medicine Foundation, Amazonas, Brazil
| | - Max Jean de Ornelas Toledo
- Post-Graduate Program in Health Sciences, State University of Maringá (UEM), Paraná, Brazil; Department of Basic Health Sciences, UEM, Paraná, Brazil.
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Abstract
INTRODUÇÃO: Os portadores de doença de Chagas frequentemente apresentam a hipertensão arterial sistêmica (HAS) como a principal comorbidade. Em indivíduos hipertensos com e sem doença de Chagas, o controle de HAS geralmente é medicamentoso. Medidas alternativas de intervenção como o exercício físico aeróbio têm sido preconizadas como a maneira mais efetiva para reduzir os níveis de pressão arterial.OBJETIVO: Avaliar a influência do exercício físico sobre a pressão arterial de mulheres hipertensas com e sem doença de Chagas.MÉTODOS: Dezenove voluntárias divididas nos grupos G1 (nove com doença de Chagas) e G2 (dez sem doença de Chagas) foram submetidas a um programa de treinamento de 12 semanas, com duração de 30 a 60 minutos duas vezes por semana. A pressão arterial sistólica (PAS), diastólica (PAD) e a frequência cardíaca (FC) foram avaliadas no pré e pós-esforço no início (T0), após seis (T6) e 12 (T12) semanas.RESULTADOS: Em T6, melhora significativa foi observada na PAS pré e pós-esforço e na PAD pós-esforço, para ambos os grupos. No T12, G1 apresentou melhora significativa para todas as variáveis, exceto FC pós-esforço e G2 para PAS pré e pós-esforço e FC pós-esforço. Não houve diferença significativa entre G1 e G2 para as variáveis estudadas.CONCLUSÃO: O exercício físico aeróbio de baixa intensidade reduz significativamente a pressão arterial de mulheres com doença de Chagas, pode ser realizado com segurança, e insere os pacientes com esta enfermidade na prática rotineira de exercícios.
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Moreira NM, de Moraes SMF, Dalálio MMO, Gomes ML, Sant'ana DMG, de Araújo SM. Moderate physical exercise protects myenteric metabolically more active neurons in mice infected with Trypanosoma cruzi. Dig Dis Sci 2014; 59:307-14. [PMID: 24185679 DOI: 10.1007/s10620-013-2901-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2013] [Accepted: 09/25/2013] [Indexed: 12/18/2022]
Abstract
BACKGROUND Trypanosoma cruzi causes neuronal myenteric depopulation compromising intestinal function. AIM The purpose of this study was to evaluate the influence of moderate physical exercise on NADH diaphorase (NADH-d)-positive neurons in the myenteric plexus and intestinal wall of the colon in mice infected with T. cruzi. MATERIALS AND METHODS Forty 30-day-old male Swiss mice were divided into the following groups: trained infected (TI), sedentary infected (SI), trained control (TC), and sedentary control. The TC and TI groups were subjected to a moderate physical exercise program on a treadmill for 8 weeks. Three days after finishing physical exercise, the TI and SI groups were intraperitoneally inoculated with 1,300 blood trypomastigotes of the Y strain of Trypanosoma cruzi. Parasitemia was evaluated from days 4 to 61 after inoculation. On day 75 of infection, myenteric neurons in the colon were quantified (NADH-d), and inflammatory foci were counted. Tumor necrosis factor-α (TNF-α) and transforming growth factor-β (TGF-β) levels were evaluated in plasma. The results were compared using analysis of variance and the Kruskal-Wallis test at a 5 % significance level. RESULTS Moderate physical exercise reduced the parasite peak on day 8 of infection (p = 0.0132) and total parasitemia (p = 0.0307). It also prevented neuronal depopulation (p < 0.01), caused hypertrophy of these cells (p < 0.05), prevented the formation of inflammatory foci (p < 0.01), and increased the synthesis of TNF-α (p < 0.01) and TGF-β (p > 0.05). CONCLUSION These results reinforce the therapeutic benefits of moderate physical exercise for T. cruzi infection.
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Affiliation(s)
- Neide Martins Moreira
- Graduate Program in Health Sciences, State University of Maringa, Columbus Avenue, 5790, Zone 07, Maringá, PR, 87020-900, Brazil,
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de Sá ARN, Steindel M, Demeu LMK, Lückemeyer DD, Grisard EC, Neto QADL, de Araújo SM, Toledo MJDO, Gomes ML. Cytochrome oxidase subunit 2 gene allows simultaneous detection and typing of Trypanosoma rangeli and Trypanosoma cruzi. Parasit Vectors 2013; 6:363. [PMID: 24360167 PMCID: PMC3891993 DOI: 10.1186/1756-3305-6-363] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2013] [Accepted: 12/18/2013] [Indexed: 11/18/2022] Open
Abstract
Background The parasites Trypanosoma rangeli and Trypanosoma cruzi share vectors and hosts over a wide geographical area in Latin America. In this study, we propose a single molecular approach for simultaneous detection and typing of T. rangeli and T. cruzi. Methods A restriction fragment length polymorphism analysis of the mitochondrial cytochrome oxidase II gene (COII-RFLP) using enzyme AluI and different amounts of DNA from the major genetic groups of T. rangeli and T. cruzi (KP1+/KP1- and DTU-I/DTU-II) was carried out. The same marker was tested on the other T. cruzi DTUs (DTU-III to DTU-VI) and on DNA extracted from gut contents of experimentally infected triatomines. Results The COII PCR generates a ~400 bp fragment, which after digestion with AluI (COII-RFLP) can be used to distinguish T. rangeli from T. cruzi and simultaneously differentiate the major genetic groups of T. rangeli (KP1+ and KP1-) and T. cruzi (DTU-I and DTU-II). The COII-RFLP generated bands of ~120 bp and ~280 bp for KP1+, whereas for KP1- no amplicon cleavage was observed. For T. cruzi, digestion of COII revealed a ~300 bp band for DTU-I and a ~250 bp band for DTU-II. For DTU-III to DTU-VI, COII-RFLP generated bands ranging from ~310 to ~330 bp, but the differentiation of these DTUs was not as clear as the separation between DTU-I and DTU-II. After AluI digestion, a species-specific fragment of ~80 bp was observed for all DTUs of T. cruzi. No cross-amplification was observed for Leishmania spp., T. vivax or T. evansi. Conclusions The COII-RFLP allowed simultaneous detection and typing of T. rangeli and T. cruzi strains according to their major genetic groups (KP1+/KP1- and DTU-I/DTU-II) in vitro and in vivo, providing a reliable and sensitive tool for epidemiological studies in areas where T. rangeli and T. cruzi coexist.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Mônica Lúcia Gomes
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá (UEM), Av, Colombo, 5790, Zona 7, CEP: 87020-900, Maringá, Paraná, Brazil.
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Gomes ML, Hatanaka T, Campos WND, Wasko AP. Assessing paternity in japanese quails (Coturnix japonica) using microsatellite markers - inferences for its mating system and reproductive success. Rev Bras Cienc Avic 2013. [DOI: 10.1590/s1516-635x2013000400007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- ML Gomes
- São Paulo State University, Brazil
| | - T Hatanaka
- Federal University of São Carlos, Brazil
| | | | - AP Wasko
- São Paulo State University, Brazil
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Colli CM, Mizutani AS, Martins VA, Ferreira EC, Gomes ML. Prevalence and risk factors for intestinal parasites in food handlers, southern Brazil. Int J Environ Health Res 2013; 24:450-458. [PMID: 24256564 DOI: 10.1080/09603123.2013.857392] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
In this study, the prevalence and risk factors for enteroparasites were determined in food handlers from Maringá, Paraná State, southern Brazil. Fecal and subungual materials of 150 street food vendors were analyzed by the methods of Lutz, Faust, and Mello, respectively. A questionnaire on hygiene and sanitary conditions of the workplace and of domicile was applied. The prevalence of enteroparasites was 28%, and the protozoa infection was more expressive (21.3%) than by helminths (6.7%), but without significant difference (p > 0.05). Entamoeba coli was the most frequent species occurring in 15.3%, while the prevalence of protozoa pathogenic was low (Giardia lamblia: 2.7% and Entamoeba histolytica: 0.7%). The subungual material presented negative results. The presence of pets in domiciles has increased twice the risk of infection. The working conditions of the majority of street food vendors were inappropriate. The results highlight the need for more rigorous programs of continuing education, parasitological examination every six months, and health surveillance. In this way, the quality of the service provided to the population can be improved and the transmission of food-borne diseases can be prevented.
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Affiliation(s)
- Cristiane Maria Colli
- a Department of Basic Health Sciences , State University of Maringá , Maringá , Brazil
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Uda-Shimoda CF, Colli CM, Pavanelli MF, Falavigna-Guilherme AL, Gomes ML. Simplified protocol for DNA extraction and amplification of 2 molecular markers to detect and type Giardia duodenalis. Diagn Microbiol Infect Dis 2013; 78:53-8. [PMID: 24207076 DOI: 10.1016/j.diagmicrobio.2013.09.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [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: 05/22/2013] [Revised: 09/10/2013] [Accepted: 09/15/2013] [Indexed: 11/17/2022]
Abstract
We evaluated the ability of 3 kits: QIAmp® DNA stool mini kit (Qiagen, Hilden, Germany), PureLink PCR Purification®, and PureLink™ Genomic DNA® (Invitrogen, Carlsbad, CA, USA) for DNA extraction, and of 2 molecular markers (heat shock protein [HSP] and β-giardin genes) for detection and genotyping of Giardia duodenalis stool samples. The detection and typing limits of the markers were determined by the DNA concentration of trophozoites and cysts and were tested in 26 clinical samples. Of the 3 kits tested, the PureLink PCR Purification gave the best results when tested with clinical samples with low, intermediate, and high numbers of cysts. The DNA extracted from trophozoites and cysts was diluted successively in 1:2 ratios until it was no longer possible to observe the amplified product in polyacrylamide gel. Similarly, a suspension of cysts was diluted until no cysts were observed, and then the DNA was extracted. The amount of DNA of trophozoites and cysts for the typing of the parasite was smaller for the HSP marker than for β-giardin. Combined use of both markers allowed us to detect DNA of Giardia in parasitologically positive samples in a higher percentage (75%) than the results obtained for each marker and in 1 parasitologically negative sample, indicating that this combination increased the potential to accurately detect and genotype this parasite. We also concluded that the HSP marker has a higher limit of detection and typing than the β-giardin marker and that the DNA extraction method tested for G. duodenalis is simpler and more efficient than those that are currently in use and can be applied on a large scale.
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Affiliation(s)
- Carla Fernanda Uda-Shimoda
- Laboratory of Environmental Parasitology, Department of Basic Health Sciences, State University of Maringá, Maringá, Paraná 87020-900, Brazil
| | - Cristiane Maria Colli
- Laboratory of Environmental Parasitology, Department of Basic Health Sciences, State University of Maringá, Maringá, Paraná 87020-900, Brazil.
| | | | - Ana Lúcia Falavigna-Guilherme
- Laboratory of Environmental Parasitology, Department of Basic Health Sciences, State University of Maringá, Maringá, Paraná 87020-900, Brazil
| | - Mônica Lúcia Gomes
- Laboratory of Environmental Parasitology, Department of Basic Health Sciences, State University of Maringá, Maringá, Paraná 87020-900, Brazil
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Dias GBM, Gruendling AP, Araújo SM, Gomes ML, Toledo MJDO. Evolution of infection in mice inoculated by the oral route with different developmental forms of Trypanosoma cruzi I and II. Exp Parasitol 2013; 135:511-7. [PMID: 23994765 DOI: 10.1016/j.exppara.2013.08.013] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [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: 02/20/2013] [Revised: 08/12/2013] [Accepted: 08/21/2013] [Indexed: 10/26/2022]
Abstract
Oral infection has become the most important transmission mechanism of Chagas disease in Brazil. For this study, the development of Trypanosoma cruzi infection in mice, induced by the oral and intraperitoneal (IP) routes, was compared. Four groups of Swiss mice were used to evaluate the influence of parasite genetics, number of parasites, inoculation volume and developmental stages on the development of the orally induced infection: 1 - blood trypomastigotes (BT) via oral; 2 - BT via IP; 3 - culture metacyclic trypomastigotes (MT) via oral; and 4 - culture MT via IP. Animals inoculated orally showed levels of parasitemia, as well as infectivity and mortality rates, lower than animals inoculated via IP, regardless of DTU (discrete typing unit) and inoculum. Animals infected with TcII showed higher levels of these parameters than did animals infected with TcI. The larger volume of inoculum showed a greater capacity to cause an infection when administered via the oral route. BT infection was more virulent than culture MT infection for both routes (oral and IP). However, mice inoculated orally with BT showed lower levels than via IP, while mice inoculated orally with culture MT showed similar levels of infection to those inoculated via IP. Mice inoculated with culture MT showed more histopathological changes than those inoculated with BT, regardless of the inoculation route. These results indicate that this alternative experimental model is useful for evaluating infection by T. cruzi isolates with subpatent parasitemia and low virulence, such as those belonging to the TcI and TcIV DTUs, which are prevalent in outbreaks of orally transmitted Chagas disease.
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Affiliation(s)
- Greicy Brisa Malaquias Dias
- Post-Graduate Program in Health Sciences at the State University of Maringá (UEM), Av. Colombo 5790, Bloco 126, CEP 87020-900 Maringá, Paraná, Brazil.
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Kaneshima EN, Castro-Prado MAA, Toledo MJDO, Araujo SM, Gomes ML. Trypanocidal activity of genotoxic concentration of benznidazole on epimastigote forms of Trypanosoma cruzi. Acta Sci Health Sci 2012. [DOI: 10.4025/actascihealthsci.v34ispec.12337] [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: 11/22/2022] Open
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Lopes WDS, Guedes TA, Araújo SMD, Gomes ML. Arterial hypertension: sociodemographic profile and comorbidities of patients from northwest Paraná State, Southern Brazil. Acta Sci Health Sci 2012. [DOI: 10.4025/actascihealthsci.v34i2.10152] [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: 11/22/2022] Open
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Monteiro WM, Magalhães LKC, de Sá ARN, Gomes ML, Toledo MJDO, Borges L, Pires I, de Oliveira Guerra JA, Silveira H, Barbosa MDGV. Trypanosoma cruzi IV causing outbreaks of acute Chagas disease and infections by different haplotypes in the Western Brazilian Amazonia. PLoS One 2012; 7:e41284. [PMID: 22848457 PMCID: PMC3405119 DOI: 10.1371/journal.pone.0041284] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Accepted: 06/19/2012] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Chagas disease is an emergent tropical disease in the Brazilian Amazon Region, with an increasing number of cases in recent decades. In this region, the sylvatic cycle of Trypanosoma cruzi transmission, which constitutes a reservoir of parasites that might be associated with specific molecular, epidemiological and clinical traits, has been little explored. The objective of this work is to genetically characterize stocks of T. cruzi from human cases, triatomines and reservoir mammals in the State of Amazonas, in the Western Brazilian Amazon. METHODOLOGY/PRINCIPAL FINDINGS We analyzed 96 T. cruzi samples from four municipalities in distant locations of the State of Amazonas. Molecular characterization of isolated parasites from cultures in LIT medium or directly from vectors or whole human blood was performed by PCR of the non-transcribed spacer of the mini-exon and of the 24 S alfa ribosomal RNA gene, RFLP and sequencing of the mitochondrial cytochrome c oxidase subunit II (COII) gene, and by sequencing of the glucose-phosphate isomerase gene. The T. cruzi parasites from two outbreaks of acute disease were all typed as TcIV. One of the outbreaks was triggered by several haplotypes of the same DTU. TcIV also occurred in isolated cases and in Rhodnius robustus. Incongruence between mitochondrial and nuclear phylogenies is likely to be indicative of historical genetic exchange events resulting in mitochondrial introgression between TcIII and TcIV DTUs from Western Brazilian Amazon. TcI predominated among triatomines and was the unique DTU infecting marsupials. CONCLUSION/SIGNIFICANCE DTU TcIV, rarely associated with human Chagas disease in other areas of the Amazon basin, is the major strain responsible for the human infections in the Western Brazilian Amazon, occurring in outbreaks as single or mixed infections by different haplotypes.
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Affiliation(s)
- Wuelton Marcelo Monteiro
- Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil
- University of the State of Amazonas, Manaus, Amazonas, Brazil
- Federal University of Amazonas, Manaus, Amazonas, Brazil
| | - Laylah Kelre Costa Magalhães
- Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil
- University of the State of Amazonas, Manaus, Amazonas, Brazil
| | | | | | | | - Lara Borges
- Instituto de Higiene e Medicina Tropical, Center for Malaria Studies, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Isa Pires
- Instituto de Higiene e Medicina Tropical, Center for Malaria Studies, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Jorge Augusto de Oliveira Guerra
- Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil
- University of the State of Amazonas, Manaus, Amazonas, Brazil
| | - Henrique Silveira
- Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil
- Instituto de Higiene e Medicina Tropical, Center for Malaria Studies, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Maria das Graças Vale Barbosa
- Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brazil
- University of the State of Amazonas, Manaus, Amazonas, Brazil
- Nilton Lins University Center, Manaus, Amazonas, Brazil
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Aleixo DL, Ferraz FN, Ferreira EC, de Lana M, Gomes ML, de Abreu Filho BA, de Araújo SM. Highly diluted medication reduces parasitemia and improves experimental infection evolution by Trypanosoma cruzi. BMC Res Notes 2012; 5:352. [PMID: 22784664 PMCID: PMC3441236 DOI: 10.1186/1756-0500-5-352] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2012] [Accepted: 06/26/2012] [Indexed: 11/14/2022] Open
Abstract
Background There is no published information about the use of different protocols to administer a highly diluted medication. Evaluate the effect of different protocols for treatment with biotherapic T. cruzi 17 dH (BIOTTc17dH) on clinical/parasitological evolution of mice infected with T. cruzi-Y strain. Methods A blind, randomized controlled trial was performed twice, using 60 28-day-old male Swiss mice infected with T. cruzi-Y strain, in five treatment groups: CI - treated with a 7% ethanol-water solution, diluted in water (10 μL/mL) ad libitum; BIOTPI - treated with BIOTTc17dH in water (10 μL/mL) ad libitum during a period that started on the day of infection; BIOT4DI - treated with BIOTTc17dH in water (10 μL/mL) ad libitum beginning on the 4th day of infection; BIOT4-5–6 - treated with BIOTTc17dH by gavage (0.2 mL/ animal/day) on the 4th, 5th and 6th days after infection; BIOT7-8–9 - treated with BIOTTc17dH by gavage (0.2 mL/ animal/day) on the 7th, 8th and 9th days after infection. We evaluated: parasitemia; total parasitemia (Ptotal); maximum peak of parasites; prepatent period (PPP) - time from infection to detection of the parasite in blood; patent period (PP) - period when the parasitemia can be detected in blood; clinical aspects; and mortality. Results Parasitological parameters in the BIOTPI and mainly in the BIOT4PI group showed better evolution of the infection compared to the control group (CI), with lower Ptotal, lower maximum peak of parasites, higher PPP, lower PP and longer survival times. These animals showed stable body temperature and higher weight gain and water consumption, with more animals having normal-appearing fur for longer periods. In contrast, groups BIOT4-5–6 and BIOT7-8–9 showed worse evolution of the infection compared to the control group, considering both parasitological and clinical parameters. The correlation analysis combined with the other data from this study indicated that the prepatent period is the best parameter to evaluate the effect of a medication in this model. Conclusions The BIOT4DI group showed the best clinical and parasitological evolution, with lower parasitemia and a trend toward lower mortality and a longer survival period. The prepatent period was the best parameter to evaluate the effect of a medication in this model.
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Affiliation(s)
- Denise Lessa Aleixo
- Laboratory of Parasitology, Universidade Estadual de Maringá, Maringá, PR, Brazil.
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Valadares HMS, Pimenta JR, Segatto M, Veloso VM, Gomes ML, Chiari E, Gollob KJ, Bahia MT, de Lana M, Franco GR, Machado CR, Pena SDJ, Macedo AM. Unequivocal identification of subpopulations in putative multiclonal Trypanosoma cruzi strains by FACs single cell sorting and genotyping. PLoS Negl Trop Dis 2012; 6:e1722. [PMID: 22802979 PMCID: PMC3393670 DOI: 10.1371/journal.pntd.0001722] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2012] [Accepted: 05/22/2012] [Indexed: 11/18/2022] Open
Abstract
Trypanosoma cruzi, the etiological agent of Chagas disease, is a polymorphic species. Evidence suggests that the majority of the T. cruzi populations isolated from afflicted humans, reservoir animals, or vectors are multiclonal. However, the extent and the complexity of multiclonality remain to be established, since aneuploidy cannot be excluded and current conventional cloning methods cannot identify all the representative clones in an infection. To answer this question, we adapted a methodology originally described for analyzing single spermatozoids, to isolate and study single T. cruzi parasites. Accordingly, the cloning apparatus of a Fluorescence-Activated Cell Sorter (FACS) was used to sort single T. cruzi cells directly into 96-wells microplates. Cells were then genotyped using two polymorphic genomic markers and four microsatellite loci. We validated this methodology by testing four T. cruzi populations: one control artificial mixture composed of two monoclonal populations--Silvio X10 cl1 (TcI) and Esmeraldo cl3 (TcII)--and three naturally occurring strains, one isolated from a vector (A316A R7) and two others derived from the first reported human case of Chagas disease. Using this innovative approach, we were able to successfully describe the whole complexity of these natural strains, revealing their multiclonal status. In addition, our results demonstrate that these T. cruzi populations are formed of more clones than originally expected. The method also permitted estimating of the proportion of each subpopulation of the tested strains. The single-cell genotyping approach allowed analysis of intrapopulation diversity at a level of detail not achieved previously, and may thus improve our comprehension of population structure and dynamics of T. cruzi. Finally, this methodology is capable to settle once and for all controversies on the issue of multiclonality.
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Affiliation(s)
- Helder Magno Silva Valadares
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Universidade Federal de São João del-Rey, Campus Centro-Oeste Dona Lindu, Divinópolis, Minas Gerais, Brazil
| | - Juliana Ramos Pimenta
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Marcela Segatto
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Vanja Maria Veloso
- Departamento de Análises Clínicas, Escola de Farmácia, Universidade Federal de Ouro Preto, Ouro Preto, Minas Gerais, Brazil
| | - Mônica Lúcia Gomes
- Departamento de Ciências Básicas da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Egler Chiari
- Departamento de Parasitologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Kenneth John Gollob
- Instituto de Ensino e Pesquisa da Santa Casa de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
| | - Maria Terezinha Bahia
- Departamento de Ciências Biológicas, Instituto de Ciências Exatas e Biológicas, Universidade Federal de Ouro Preto, Ouro Preto, Minas Gerais, Brazil
| | - Marta de Lana
- Departamento de Análises Clínicas, Escola de Farmácia, Universidade Federal de Ouro Preto, Ouro Preto, Minas Gerais, Brazil
| | - Glória Regina Franco
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Carlos Renato Machado
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Sérgio Danilo Junho Pena
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Andréa Mara Macedo
- Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- * E-mail:
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Soares RCO, Soares CS, Franzói-de-Moraes SM, Batista MR, Kwabara HN, Sousa AMRD, Moreira NM, Gomes ML, Araújo SMD. Infecção experimental pelo Trypanosoma cruzi em camundongos: influência do exercício físico versus linhagens e sexos. REV BRAS MED ESPORTE 2012. [DOI: 10.1590/s1517-86922012000100011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUÇÃO: A doença de Chagas é uma infecção causada pelo Trypanosoma cruzi que afeta oito milhões de pessoas na América Latina. Um fator ligado ao estilo de vida que interfere significativamente na resposta à infecção é o exercício físico, dependendo do tipo, intensidade e frequência da atividade praticada. OBJETIVO: Avaliar a influência do exercício físico aeróbio moderado crônico pré-infecção na evolução da infecção experimental pelo T. cruzi em camundongos de duas linhagens distintas pertencentes aos dois sexos. MÉTODOS: Camundongos Swiss e BALB/c (machos e fêmeas) com 30 dias de idade foram divididos em quatro grupos para cada linhagem e sexo (total de 16) e nomeados como segue: SM (Swiss machos), SF (Swiss fêmeas), BM (BALB/c machos) e BF (BALB/c fêmeas). Os grupos foram: NT+NI (não treinado+não infectado), T+NI (treinado+não infectado), NT+I (não treinado+infectado) e T+I (treinado+infectado). O programa de exercício físico aeróbio moderado crônico pré-infecção foi realizado durante oito semanas, com uma sessão diária de treinamento, cinco vezes na semana. O inóculo foi de 1.400 tripomastígotas sanguíneos da cepa Y do T. cruzi, via intraperitoneal. Foi avaliado o pico de parasitos, parasitemia total média e as medidas das atividades séricas de CK e CK-MB. RESULTADOS E CONCLUSÃO: O treinamento físico promoveu nas duas linhagens e em ambos os sexos redução no pico de parasitos e na parasitemia total média em animais infectados pelo T. cruzi. O treinamento físico promoveu redução nas atividades séricas de CK e CK-MB em animais infectados pelo T. cruzi, de ambos os sexos, das duas linhagens, exceto para fêmeas Swiss na atividade de CK e CK-MB.
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Abolis NG, Marques de Araújo S, Toledo MJDO, Fernandez MA, Gomes ML. Trypanosoma cruzi I-III in southern Brazil causing individual and mixed infections in humans, sylvatic reservoirs and triatomines. Acta Trop 2011; 120:167-72. [PMID: 21855523 DOI: 10.1016/j.actatropica.2011.08.001] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2010] [Revised: 07/23/2011] [Accepted: 08/02/2011] [Indexed: 10/17/2022]
Abstract
The aim of this study was to characterise Discrete Typing Units (DTUs) of 28 isolates of Trypanosoma cruzi from humans (15), triatomines (9), and opossums (4) in the state of Paraná, southern Brazil. For this purpose, we analysed the size polymorphism at the 3' end of the 24Sα ribosomal RNA gene (rRNA) and the restriction fragment length polymorphism (RFLP) of the partial 5' sequence of the mitochondrial Cytochrome Oxidase subunit II gene (COII). Band patterns of the isolates were compared with reference samples of T. cruzi I (Silvio X10 and Col 17G2), T. cruzi II (Esmeraldo and JG), T. cruzi III (222 and 231), T. cruzi IV (CAN III), T. cruzi V (SO3 cl5), and T. cruzi VI (CL Brener). Our results confirmed that rRNA analysis is of limited use for assessing T. cruzi DTUs. COII RFLP analysis was suitable for screening, but for one isolate it was necessary to determine the COII partial sequence to identify the DTU. Only one of the isolates from humans belonged to T. cruzi I; 13 isolates belonged to T. cruzi II and one to T. cruzi III. The four isolates from opossums and five isolates from triatomines were identified as T. cruzi I. Four isolates from triatomines showed patterns of both T. cruzi I and II, indicating mixed infections. This study contributes to the characterisation of the dynamics of T. cruzi populations in southern Brazil.
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Abstract
INTRODUÇÃO: A forma cardíaca da doença de Chagas causa modificações orgânicas e funcionais, sendo o exercício físico aeróbio uma alternativa de proposta terapêutica. OBJETIVO: avaliar o exercício físico aeróbio em mulheres com doença de Chagas crônica. MATERIAIS E MÉTODOS: Quatorze mulheres com doença de Chagas na faixa etária entre 40 e 60 anos, classe I da New York Heart Association (NYHA) foram divididas em dois grupos. Sete no G1 que realizaram exercício físico, com duas sessões diárias semanais por seis semanas e sete no G2 sem tal intervenção. O efeito do exercício físico foi avaliado por 27 variáveis fisioterapêuticas e ergoespirométricas no tempo zero (T0) e após seis semanas (T6). RESULTADO: No T6 em relação ao T0 a avaliação fisioterapêutica mostrou diferenças significativas na pressão arterial sistólica, no pico do fluxo expiratório, nas pressões inspiratória e expiratória máximas e na frequência cardíaca. Na ergoespirometria houve aumento significativo no DP máximo, no MET máximo, no estágio do protocolo de Bruce, no VO2 máximo, na duração do teste e na distância percorrida para as participantes de G1 e apenas na duração do teste para G2. Para G1 foi ainda observada em T6 uma diminuição significativa do duplo produto na intensidade moderada e alta na mesma carga de esforço. CONCLUSÃO: O treinamento aeróbio de curto período, de simples aplicação e com supervisão pode ser realizado com segurança, aumentando a tolerância ao exercício em pacientes com doença de Chagas crônica classe I da NYHA.
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Zalloum L, Lala ERP, Moreira NM, Silveira TGV, Dalálio MMDO, Toledo MJDO, Gomes ML, Araújo SMD. Induction of phagocytic activity and nitric-oxide production in natural populations of Trypanosoma cruzi I and II from the state of Paraná, Brazil. Rev Inst Med Trop Sao Paulo 2011; 53:247-53. [PMID: 22012449 DOI: 10.1590/s0036-46652011000500002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2010] [Accepted: 09/08/2011] [Indexed: 11/22/2022] Open
Abstract
Twelve strains of Trypanosoma cruzi isolated from wild reservoirs, triatomines, and chronic chagasic patients in the state of Paraná, southern Brazil, and classified as T. cruzi I and II, were used to test the correlation between genetic and biological diversity. The Phagocytic Index (PI) and nitric-oxide (NO) production in vitro were used as biological parameters. The PI of the T. cruzi I and II strains did not differ significantly, nor did the PI of the T. cruzi strains isolated from humans, triatomines, or wild reservoirs. There was a statistical difference in the inhibition of NO production between T. cruzi I and II and between parasites isolated from humans and the strains isolated from triatomines and wild reservoirs, but there was no correlation between genetics and biology when the strains were analyzed independently of the lineages or hosts from which the strains were isolated. There were significant correlations for Randomly Amplified Polymorphic Deoxyribonucleic acid (RAPD) and biological parameters for T. cruzi I and II, and for humans or wild reservoirs when the lineages or hosts were considered individually.
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Affiliation(s)
- Leila Zalloum
- Departamento de Ciências Básicas da Saúde, Laboratório de Parasitologia, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
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Ferraz FN, Simoni GK, do Nascimento A, de Melo CS, Aleixo DL, Gomes ML, Spack M, de Araújo SM. Different forms of administration of biotherapy 7dH in mice experimentally infected by Trypanosoma cruzi produce different effects. HOMEOPATHY 2011; 100:237-43. [DOI: 10.1016/j.homp.2011.05.006] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2011] [Accepted: 05/11/2011] [Indexed: 11/16/2022]
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Leão EP, Pena CJM, de Araújo SM, Gomes ML. Physical therapy combined with a laxative fruit drink for treatment of chagasic megacolon. Arq Gastroenterol 2011; 48:52-7. [PMID: 21537543 DOI: 10.1590/s0004-28032011000100011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2010] [Accepted: 09/14/2010] [Indexed: 12/31/2022]
Abstract
CONTEXT The treatment of Chagas' disease colopathy is limited to clinical management in the initial of the process, and for patients for whom surgery is not indicated or is not possible, anti-constipation diets are used, along with judicious administration of laxatives and enemas. OBJECTIVE To evaluate over time the effects of physical-therapy interventions combined with daily ingestion of a laxative fruit drink in the treatment of chagasic megacolon. METHOD In a quantitative, prospective, and comparative study, 12 patients of both sexes and with a mean age of 67 ± 12 years were clinically evaluated to receive 12 sessions of physical therapy twice a week, along with fruit drink, and were evaluated for intestinal constipation before and after treatment. RESULTS A significant difference (P<0.0022) was observed in the constipation scores before and after 6 weeks of intervention in 91.7% of the patients, and in 72.7% after 12 months, with reduction of laxative medications, softer stools, and increased number of bowel movements. With respect to gender, age, and whether or not the patient had received surgical treatment, there was no significant difference (P>0.05). CONCLUSION The proposed protocol is easy to implement, safe, non-invasive, and low-cost, with the potential to be deployed in health care by providing benefits independent of gender, age, or whether the participant has undergone surgery, improving the condition of patients with chagasic megacolon.
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Gomes ML, Mortean EDCM, Falavigna DLM, Janeiro V, Falavigna-Guilherme AL. Occurrence and spatial distribution of intestinal parasites in an agricultural center in Paraná State, Brazil. Acta Sci Health Sci 2010. [DOI: 10.4025/actascihealthsci.v32i2.5283] [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: 11/22/2022] Open
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Nishi L, Bergamasco R, Toledo MJDO, Falavigna DLM, Gomes ML, Mota LT, Falavigna-Guilherme AL. Giardia spp. and Cryptosporidium spp. In the Ivaí Indigenous Land, Brazil. Vector Borne Zoonotic Dis 2010; 9:543-7. [PMID: 18945186 DOI: 10.1089/vbz.2008.0021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The objective of this study was to investigate the occurrence of cysts of Giardia spp. and oocysts of Cryptosporidium spp. in waters of the Ivaí Indigenous Land, Brazil. Samples of river and spring water and of treated water were filtered and analyzed by direct immunofluorescence (Merifluor kit, Meridian Bioscience, Cincinnati, Ohio). Of 21 samples, 7 from each locality, 3 (3/7, 42.8%) from a river were positive for Giardia (mean concentration 2.57 cysts/L), and 1 (1/7, 14.3%) was positive for Cryptosporidium (6 oocysts/L). From springs, 1 sample (1/7, 14.3%) was positive for Cryptosporidium (6 oocysts/L). One sample (1/7, 14.3%) from treated water was positive for both, with 4 oocysts/L and 2 cysts/L. Giardia was the more frequent protozoan present.
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Affiliation(s)
- Letícia Nishi
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá-UEM, Maringá, Paraná, Brazil. Bolsista CAPES.
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Kinoshita-Yanaga AT, Toledo MJDO, Araújo SMD, Vier BP, Gomes ML. Accidental infection by Trypanosoma cruzi follow-up by the polymerase chain reaction: case report. Rev Inst Med Trop Sao Paulo 2009; 51:295-8. [DOI: 10.1590/s0036-46652009000500011] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2009] [Accepted: 07/20/2009] [Indexed: 11/21/2022] Open
Abstract
We report a case of accidental infection by Trypanosoma cruzi in a 42-year-old female patient who presented an inoculation chagoma. Laboratory confirmation was based on examination of fresh blood, Giemsa-stained blood smear, immunoenzyme test (EIA-IgG), indirect immunofluorescence (IIF-IgM, IgG) and polymerase chain reaction (PCR). Only the PCR gave a positive result, and the EIA test was inconclusive. Two treatments with benznidazole were necessary. PCR was the only technique that continued to give positive results for approximately two months (65 days, or 2.2 months) following the second treatment and negative results from 96 days (3.2 months) to 850 days (28.3 months). We concluded that the presence of an inoculation chagoma and use of PCR were important and decisive for diagnosis and follow-up of the case.
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Gomes ML, Takizawa MDGMH, Falavigna DLM. Enteroparasitos em materiais fecal e subungueal de manipuladores de alimentos, Estado do Paraná, Brasil. Acta Sci Health Sci 2009. [DOI: 10.4025/actascihealthsci.v31i2.4935] [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: 11/22/2022] Open
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Takizawa MDGMH, Falavigna DLM, Gomes ML. Enteroparasitosis and their ethnographic relationship to food handlers in a tourist and economic center in Paraná, Southern Brazil. Rev Inst Med Trop Sao Paulo 2009; 51:31-5. [PMID: 19229388 DOI: 10.1590/s0036-46652009000100006] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2008] [Accepted: 12/02/2008] [Indexed: 11/22/2022] Open
Abstract
This study reports on the occurrence of enteroparasites based on data from an ethnographic study of food handlers in the city of Cascavel, Paraná, Brazil. Fecal material from 343 food handlers of both sexes, between 14 and 75 years of age, was analyzed using Lutz, modified Ritchie and Ziehl-Neelsen techniques. Ethnographic relationships were investigated by means of specific questionnaires. Positive fecal samples were found for 131 (38.2%) handlers. Endolimax nana (67.9%) was the predominant species, followed by Entamoeba coli (35.9%), Blastocystis hominis (28.2%), Entamoeba histolytica/dispar (10.1%) and Giardia duodenalis (8.4%). Protozoan infections were more common than helminth infections (p = 0.00). The positive results for some parasites were associated with the male sex, professional category, and the performance of other activities (p < 0.05). The high overall occurrence of enteroparasites found indicates improper hygiene and sanitation conditions. Effective educational measures should be implemented to prevent the transfer of pathogenic organisms to food via handling.
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Zalloum L, Gomes ML, Kinoshita AT, Toledo MJDO, Prioli AJ, Araújo SM. Diversidade genética de populações naturais do <em>Trypanosoma</em> cruzi no Paraná, Sul do Brasil. Acta Sci Health Sci 2007. [DOI: 10.4025/actascihealthsci.v29i1.101] [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: 11/22/2022] Open
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Bozelli CE, Araújo SMD, Guilherme ALF, Gomes ML. Perfil clínico-epidemiológico de pacientes com doença de Chagas no Hospital Universitário de Maringá, Paraná, Brasil. CAD SAUDE PUBLICA 2006; 22:1027-34. [PMID: 16680355 DOI: 10.1590/s0102-311x2006000500015] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [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
Este trabalho descreveu o perfil clínico-epidemiológico de pacientes com doença de Chagas atendidos no ambulatório e na internação do Hospital Universitário de Maringá (HUM), Paraná, Brasil, entre maio de 1998 a maio de 2003. A média de idade foi maior no serviço de internação (p < 0,000). O sexo masculino predominou entre os internados e o feminino entre os ambulatoriais (p = 0,0033). De 95 pacientes, 60% nasceram em Minas Gerais e São Paulo e 25,3% no Paraná. A história familiar para doença de Chagas foi positiva em 68,9% deles e 53,3% relataram a presença de triatomíneos no domicílio. Em ordem decrescente ocorreram as formas clínicas cardíaca, digestiva, indeterminada e cardiodigestiva. A forma indeterminada prevaleceu entre os ambulatoriais e as formas cardíaca e digestiva entre os internados. As complicações crônicas cardíacas e digestivas foram as principais queixas para a internação. Destacam-se os altos percentuais de doença cardíaca (38,9%) e digestiva (26,3%) encontrados neste estudo, de forma distinta ao que acontece em outras regiões geográficas. O HUM disponibiliza o tratamento sintomático dessas complicações e não prioriza o tratamento etiológico mesmo para pacientes em fase indeterminada.
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Affiliation(s)
- Carlos Eduardo Bozelli
- Programa de Pós-graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Brazil
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Miyamoto CT, Gomes ML, Marangon AV, Araújo SM, Bahia MT, Lana M, Toledo MJO. Trypanosoma cruzi: Sensitivity of the polymerase chain reaction for detecting the parasite in the blood of mice infected with different clonal genotypes. Exp Parasitol 2006; 112:198-201. [PMID: 16376332 DOI: 10.1016/j.exppara.2005.10.006] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [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: 02/22/2005] [Revised: 10/25/2005] [Accepted: 10/27/2005] [Indexed: 11/30/2022]
Abstract
The polymerase chain reaction showed high sensitivity for detecting Trypanosoma cruzi in the blood of mice, independent of clonal genotype (19, 20-T. cruzi I; 32, 39-T. cruzi II) or phase of the infection (acute or chronic).
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Affiliation(s)
- C T Miyamoto
- Departamento de Análises Clínicas, Laboratório de Parasitologia Básica, Bloco I-90, Universidade Estadual de Maringá, Av. Colombo 5790, 87020-900, C.P. 331, Maringá, Paraná, Brazil
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Gil VS, Ferreira MCR, d'Alva FSM, d'Abreu JA, Will IM, Gomes ML, Castelli F, Taylor WR, Olliaro P, D'Alessandro U. Efficacy of artesunate plus chloroquine for uncomplicated malaria in children in Sao Tome and Principe: a double-blind, randomized, controlled trial. Trans R Soc Trop Med Hyg 2006; 97:703-6. [PMID: 16117967 DOI: 10.1016/s0035-9203(03)80107-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [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: 03/03/2003] [Revised: 06/02/2003] [Accepted: 06/10/2003] [Indexed: 10/25/2022] Open
Abstract
We conducted a double-blind, randomized, placebo-controlled trial in Sao Tome and Principe to investigate the safety, tolerability and efficacy of chloroquine (CQ) combined with artesunate (AS) over CQ monotherapy. Four hundred children, aged 6-59 months, with acute uncomplicated Plasmodium falciparum malaria were randomized to receive a standard dose of CQ (25 mg/kg bodyweight) over 3 d or CQ + AS (4 mg/kg bodyweight) daily for 3 d. Children were followed-up for 28 d. The combined treatment was well tolerated and there were no serious drug-related adverse events. By day 2 parasite clearance was significantly faster for children treated with CQ + AS compared with CQ alone (29/194 [14.9%] vs. 168/190 [88.4%] still parasitaemic, P< 0.0001). Day 14 parasitological failure rates were 153/191 (80.1%) for CQ alone compared with 32/193 (16.6%) in the CQ + AS group (odds ratio [OR] =20.2, 95% CI 11.7-35.4, P< 0.001). Corresponding clinical failure rates were 128/161 (67.0%) and 12/193 (6.2%) (OR = 30.6, 95% CI 15.3-62.7, P< 0.001). By day 28 the parasitological failure rates (new infections excluded) were 155/191 (81.1%) in the CQ group and 63/194 (32.4%) in the CQ + AS group (OR = 8.9, 95% CI 5.4-14.7, P< 0.001). Symptoms resolved faster in children who received AS. They were also less likely to be gametocytaemic after treatment. The combination treatment was well tolerated and considerably improved treatment efficacy. However, the current levels of CQ resistance preclude its use in Sao Tome where CQ should be abandoned as first-line drug. However, CQ + AS may be an option in areas where CQ resistance is lower.
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Affiliation(s)
- V S Gil
- Centro Nacional de Endemias, Ministry of Health, Sao Tome, Sao Tome and Principe
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Bértoli M, Andó MH, De Ornelas Toledo MJ, De Araújo SM, Gomes ML. Infectivity for mice of Trypanosoma cruzi I and II strains isolated from different hosts. Parasitol Res 2006; 99:7-13. [PMID: 16447068 DOI: 10.1007/s00436-005-0122-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [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: 03/22/2005] [Accepted: 11/18/2005] [Indexed: 11/25/2022]
Abstract
In this paper, the infectivity for mice of Trypanosoma cruzi I and II strains isolated from sylvatic animals, triatomines, and humans is determined using fresh blood examination, hemoculture, culture of macerated organs, and polymerase chain reaction (PCR). Six strains were considered to have low infectivity (9.1-18.2%), five medium (27.3-45.4%), and one high (100.0%). Infectivity of T. cruzi strains isolated from sylvatic animals was significantly higher than that of strains isolated from humans and triatomines (p=0.0141). No significant difference was observed between the infectivity of T. cruzi I and II strains. The parasite was detected by fresh blood examination in one strain, by hemoculture and culture of macerated organs in four strains, and by PCR in all strains. We conclude that the infectivity is related to the host from which the strains were isolated, but the infectivity is not related to the genetic group of the parasite. We also conclude that the majority of the strains studied have low and medium infectivity for mice, and that PCR is an important tool to detect T. cruzi in strains with this biological characteristic.
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Affiliation(s)
- Marta Bértoli
- Departamento de Análises Clínicas, Parasitologia Básica, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
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Zalloum L, Gomes ML, Kinoshita AT, Toledo MJO, Prioli AJ, de Araújo SM. Trypanosoma cruzi: Two genetic groups in Paraná state, Southern Brazil. Exp Parasitol 2005; 111:55-8. [PMID: 16005874 DOI: 10.1016/j.exppara.2005.05.006] [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] [Received: 06/25/2004] [Revised: 05/09/2005] [Accepted: 05/10/2005] [Indexed: 11/18/2022]
Abstract
This paper presents the genetic characterization of Trypanosoma cruzi strains isolated from chronic chagasic patients, triatomines, and sylvatic reservoirs from Paraná state, Southern Brazil, using the RAPD and SSR-PCR techniques. It has shown the presence of both phylogenetic groups of T. cruzi (I and II), describing for the first time the existence of T. cruzi II in Paraná state.
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Affiliation(s)
- L Zalloum
- Departamento de Análises Clínicas, Laboratório de Parasitologia Básica, Bloco I-90, Brazil
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Gomes ML, Toledo MJDO, Nakamura CV, Bittencourt NDLR, Chiari E, de Araújo SM. Trypanosoma cruzi: genetic group with peculiar biochemical and biological behavior. Mem Inst Oswaldo Cruz 2003; 98:649-54. [PMID: 12973532 DOI: 10.1590/s0074-02762003000500011] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [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
Thirty-two Trypanosoma cruzi strains, isolated from chronic chagasic patients in the northwest of the state of Paran (Brazil), were analyzed using molecular, biochemical and biological characteristics. Genotypic analysis using randomly amplified polymorphic DNA and simple sequence repeat-anchored polymerase chain reaction amplified profiles showed a large, genetically well-correlated group that contained the majority of the strains and a divergent group that included the PR-150 strain. For glycoconjugate composition, the PR-150 strain was different from the other strains considering the absence or presence of specific bands in aqueous or detergent phases. This strain was also totally different from the others in one out of the six parameters related to in vitro and in vivo biological behavior. We highlight the fact that the PR-150 was totally resistant to benznidazole. For the other biological parameters this strain was not totally distinct from the others, but it showed a peculiar behavior.
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Affiliation(s)
- Mônica Lúcia Gomes
- Departamento de Análises Clínicas, Universidade Estadual de Maringá, Maring , PR, 87020-900, Brasil.
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Amorim LF, Catanho MTJA, Terra DA, Brandão KC, Holanda CMCX, Jales-Júnior LH, Brito LML, Gomes ML, De Melo VGB, Bernardo-Filho M, Cavalcanti Jales RL. Assessment of the effect of Punica granatum (pomegranata) on the bioavailability of the radiopharmaceutical sodium pertechnetate (99mTc) in Wistar rats. Cell Mol Biol (Noisy-le-grand) 2003; 49:501-7. [PMID: 12899440] [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: 03/04/2023]
Abstract
The many desirable characteristics of technetium-99m (99mTc) have stimulated the development of labeling techniques for different molecular and cellular structures. It is generally accepted that a variety of factors other than disease can alter the bioavailability of radiopharmaceuticals and one such factor is the drug therapy. The use of medicinal plants has increased in the last decades all over the world. Punica granatum (pomegranata) is used as food or as medication in folk medicine for antiviral, anthelmintic, antifungal, antibacterial and antimicrobial activity. We have studied in rats, the effect of the medicinal plant Punica granatum on the bioavailability of the radiopharmaceutical 99mTc-sodium pertechnetate (Na(99m)TcO4). The infusion of pomegranata was administered by intragastric via into Wistar rats during seven days. After that, the animals received by ocular plexus via, 0.1 ml of the Na(99m)TcO4 (3.7MBq) and the animals were rapidly sacrificed after 5, 20 and 40 min. The organs were isolated (brain, heart, thyroid, liver, lungs, kidneys, stomach, testis, intestines, pancreas, spleen, bladder, muscle and bone), the radioactivity determined in a well counter, the percentages of radioactivity (%ATI) in the organs were calculated and statistical analyses were performed by Wilcoxon test (p < 0.05). The results have shown a significant (p < 0.05) increase of the activity of the Na(99m)TcO4 in spleen, heart, stomach, liver, stout bowel, pancreas, lungs and testis at 5 min. Twenty minutes after the administration of the radiopharmaceutical, the analysis of the results reveals a significant (p < 0.05) increase of the %ATI in heart, stomach, femur, pancreas, lungs and kidneys. Forty minutes after the administration of the Na(99m)TcO4, the results show a significant (p < 0.05) increase in spleen, brain, heart, stomach, liver, stout bowel, muscle, femur, lungs, pancreas, kidneys and testis. These results can be justified by therapeutic effect of this extract and/or by generation of active metabolites capable to interfere with the biodistribution of the studied radiopharmaceutical.
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Affiliation(s)
- L F Amorim
- Universidade Federal do Rio Grande do Norte, Centro de Biociências, Depto de Fisiologia. Av. Salgado Filho, 3000, Natal, RN 59078-970, Brazil.
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Xavier Holanda CMC, Cavalcanti Jales RL, Almeida Catanho MTJ, Holanda Leite RC, Lopes de Brito LM, Jales-Junior LH, Brandao KC, Amorim LF, de Brito Tiago GG, Gomes ML, Bernardo-Filho M. Effects of the glucantime on the kinetic of biodistribution of radiopharmaceuticals in Wistar rats. Cell Mol Biol (Noisy-le-grand) 2002; 48:761-5. [PMID: 12619972] [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: 03/01/2023]
Abstract
There are evidences that some drugs used for the human diseases can modify the biodistribution of radiopharmaceuticals. The N-methyl meglumine antimoniate, commercially known as glucantime (Rhodia, Brazil), is the elected drug for the treatment of all the clinical forms of leishmaniasis. As therapeutic drugs can present important toxic effects, we studied the effects of the glucantime on the kinetic of biodistribution of radiopharmaceuticals. To study the glucantime effect on the biodistribution of technetium-99m-methylenediphosphonic acid (99mTc-MDP), glucantime IM (80 mg/kg/day) was administered into male Wistar rats (3 months old age) in single dose during 7 days. 99mTc-MDP was injected 1 hr after the last dose. The animals (n = 24) were divided into two groups: treated (n = 12) and control (n = 12) and they were rapidly sacrificed, respectively, in 3 periods (5, 30 and 120 min) after administration of the 99mTc-MDP. The organs were isolated (brain, heart, thyroid, lungs, kidneys, testis, stomach, intestines, pancreas, spleen, liver, muscle, bone and bladder) and the percentages of radioactivity (%ATI) in each organ were calculated. The results were analyzed by the Wilcoxon test (p < 0.05). The analysis of the results has shown a significant increase of the %ATI after 5 min administration of the 99mTc-MDP in spleen, kidneys, testis, heart, liver and a reduction of %ATI in bladder. Thirty minutes after administration of the 99mTc-MDP, the analysis ofthe results reveals a significant reduction of the %ATI in femur, kidneys, thin bowel, lungs, heart, liver and an increase in abdominal muscle and stout bowel. One hundred-twenty min after administration of the 99mTc-MDP, the analysis of the results shows a significant reduction of the %ATI in spleen, thyroid, blood, femur, kidneys, liver and an increase in bladder, pancreas and lungs. Biochemical dosages were also performed before (control group, n = 12) and after (treated group, n = 12) treatment with glucantime. There was a significant (p < 0.05) decrease to the biochemical levels after the treatment with glucantime in following dosages: blood urea nitrogen, creatinine, alkaline phosphatase, lactic dehydrogenase, aspartate amino transferase, total creatine kinase, total protein, globulin and albumin. These results were compared with the control group, without glucantime, and statistical analyses were performed (t-student test, p < 0.05). These results could be associated with the biological effects and/or metabolization of the studied drug.
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Affiliation(s)
- C M C Xavier Holanda
- Universidade Federal do Rio Grande do Norte, Centro de Biociências, Departamento de Microbiologia e Parasitologia, Av. Salgado Filho, 3000, 59078-970, Natal, RN, Brazil.
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Lima EAC, Diré G, Mattos DMM, Freitas RS, Gomes ML, de Oliveira MBN, Faria MVC, Jales RL, Bernardo-Filho M. Effect of an extract of cauliflower (leaf) on the labeling of blood elements with technetium-99m and on the survival of Escherichia coli AB1157 submitted to the treatment with stannous chloride. Food Chem Toxicol 2002; 40:919-23. [PMID: 12065213 DOI: 10.1016/s0278-6915(02)00065-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [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: 10/27/2022]
Abstract
The labeling of red blood cells (RBC) with technetium-99m (99mTc) depends on a reducing agent and stannous chloride (SnCl(2)) and is widely utilized. This labeling may also be altered by drugs, and SnCl(2) reduces the survival of Escherichia coli cultures. Cauliflower (Brassica oleracea L. var. botrytis) is used in folk medicine and we evaluated its influence on (i) the labeling of blood elements with 99mTc, and (ii) on the survival of an E. coli strain. Blood was withdrawn from rats that drank the extract of cauliflower (15 days). Blood was incubated with SnCl(2) and with 99mTc, as sodium pertechnetate, centrifuged and plasma (P) and RBC were isolated. Samples of P and RBC were also precipitated, centrifuged and soluble and insoluble fractions isolated. E. coli culture was treated with SnCl(2) in the presence of cauliflower. The extract of cauliflower did not alter the fixation of 99mTc on blood fractions; however, it abolished the lethal effect of SnCl(2) on the E. coli culture. We suggest that the substances present in the extract of cauliflower probably, would have redox property with different mechanisms of action. The oxidant action of the substances of the extract would not be strong enough to oxidise the stannous ions altering the 99mTc-labeling. However, the referred substances could oxidise these ions sufficiently to protect the E. coli culture against the lethal effect of the stannous ion.
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Affiliation(s)
- E A C Lima
- Universidade do Estado do Rio de Janeiro, Instituto de Biologia Roberto Alcantara Gomes, Departamento de Biofísica e Biometria, Av. 28 de setembro, 87, Brazil
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Abstract
Eighty-one cerebrospinal fluid (CSF) samples mainly from cases of aseptic meningitis and motor deficiency syndrome were sent to the Virology Section of Evandro Chagas Institute, Belém Pará, in the period of January 1995 to January 1996 in order to isolate viruses. All samples were inoculated onto HEp-2 cell culture and newborn mice, with negative results. The probability of isolating viruses by these methods is reduced because of the low concentration of viral particles in these specimens. In order to obtain more information about the etiology of these cases, a group of 23 samples were selected to be tested by a more sensitive technique than the virus isolation - the reverse transcription polymerase chain reaction (RT-PCR). Specific primers directed to conserved regions in the enterovirus genome were used, considering that this group of viruses is frequently associated with these neurological disorder. The age of the patients ranged from 1 to 55 years and nearly all of them lived in Belém, State of Pará, North of Brazil. Of 15 samples analyzed by RT PCR nine (60%) were positive; of these, 6 (66.6%) had motor deficiency and 3 (33.3%) developed aseptic meningitis. These results show that it is important to investigate enterovirus as cause of these syndromes.
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Affiliation(s)
- M L Gomes
- Seção de Virologia, Instituto Evandro Chagas, Fundação Nacional da Saúde, Belém, PA, Brasil.
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Braga LL, Gomes ML, Da Silva MW, Façanha FE, Fiuza L, Mann BJ. Household epidemiology of Entamoeba histolytica infection in an urban community in northeastern Brazil. Am J Trop Med Hyg 2001; 65:268-71. [PMID: 11693867 DOI: 10.4269/ajtmh.2001.65.268] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
The natural history of infection with Entamoeba histolytica was studied in 2 slum communities in northeastern Brazil. Twenty-eight index patients colonized with E. histolytica were identified. Three stool specimens from the index patients and their household contacts were gathered over a 45-day period and tested for E. histolytica by means of a specific enzyme-linked immunosorbent assay-based detection kit. The detection kit is an antigen capture assay that has been shown to be highly specific for E. histolytica and does not detect nonpathogenic Entamoeba dispar or other enteric organisms. Blood samples were also collected at the start of the study, at 45 days, and at 6 months and analyzed for E. histolytica-specific antibody. High rates of colonization were seen in the family units. Colonization was self-limited, with 85% of colonized patients clearing their infections within 45 days. Reinfection appeared to be low during this time; however, previous seropositivity did not prevent colonization.
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Affiliation(s)
- L L Braga
- Clinical Research Unit-University and Department of Medicine Federal University of Ceará, Fortaleza, Brazil
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