Teses em Biologia de Agentes Infecciosos e Parasitários (Doutorado) - PPGBAIP/ICB

URI Permanente para esta coleçãohttps://repositorio.ufpa.br/handle/2011/4698

O Doutorado em Biologia de Agentes Infecciosos e Parasitários teve início em 2005 e funciona no Programa de Pós-Graduação em Biologia de Agentes Infecciosos e Parasitários (PPGBAIP) do Instituto de Ciências Biológicas (ICB) da Universidade Federal do Pará (UFPA).

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Acesso aberto (Open Access)
Imunopatologia hepática da infecção experimental do vírus dengue em Callithrix penicillata
(Universidade Federal do Pará, 2015-09-25) HENRIQUES, Daniele Freitas; VASCONCELOS, Pedro Fernando da Costa; http://lattes.cnpq.br/0973550817356564
Dengue is one of most important public health problem in the world, and one of the factors that contribute with this situation is the lack of an effective vaccine against the disease, and in part, this difficulty to obtain is due clinical the lack of an experimental model that mimic the infection and manifestation of the disease as those observed in humans. Then, the Evandro Chagas Institute showed the presence of dengue antigens using the Immunohistochemistry assay, in the liver of a non-human primate (NHP) of the species Callithrix jacchus, with a fatal outcome following dengue hemorrhagic fever. Based in the above considerations and in addition to the fact that the liver is the targetb organ for Dengue Virus (DENV) in humans, it is important to analyze the liver of primates of the genus Callithrix in order to study the pathogenesis and the immunopathology of sequential infection by DENV. A total of 26 NHP Callithrix penicillata were submitted to primary infection (PI) subcutaneously with DENV-3 (3.23 x 103 PFU/mL), and 13 of these animals anesthetized and sacrificed daily for seven days post-infection (dpi) (acute phase) and in random intervals until 60 dpi (convalescent phase); the secondary infection (SI) with DENV-2 (4.47 x 104 PFU/mL) was performed two months after the PI in the remaining 13 animals. Uninfected sentinels animals were reserved up ending of the experiment. The liver of the animals were processed for histopathology and Immunohistochemical assay using polyclonal antibodies to DENV and antibodies for analyses of the innate and cellular immune response as well as the cytokine expression . The NHP were susceptible to sequential infection by DENV-3 and DENV-2; in the liver viral antigens were expressed in hepatocytes, Kupffer cells and Councilman bodies; the histopathological changes in liver was characterized by the presence of apoptosis, focal lytic necrosis, steatosis, swelling cellular, inflammation (acinar, EP and HCV), hyperplasia/hypertrophy in Kupffer cells, hemosiderin in Kupffer cells and sinusoidal dilatation; the intensity of the liver damage was prominent in the acute phase of PI and SI resulting in acute hepatitis. In addition the apoptosis was the most frequent mechanism of death of hepatocytes; lytic necrosis and inflammatory infiltrate showed predominant distribution pattern in Z2. An increase of the acinar expression of activated macrophages, NK cells, S-100 protein and B-lymphocytes during the stages of PI and SI; as well as, increased acinar expression of TCD4 + lymphocytes during the acute phase of PI; as to the quantification of cytokines and molecules, was observed an increase in acinar expression of: IFN- during the stages of PI and SI, TNF-α and IL-8 with higher prevalence in SI, TGF-β and IL-10 with prevalence in acute phase of PI, Fas protein during the acute phase of PI and SI and VCAM in acute phase of SI, as well as increase in expression in the EP. These findings were similar to those observed in livers from fatal cases of dengue fever in humans, but with lower intensity and amplitude, thus indicating that NHP Callithrix penicillata species is a good experimental model for infection by DENV, involving immunopathologic studies.
Acesso aberto (Open Access)
Caracterização molecular de Klebsiella pneumoniae produtoras de ß-lactamases de espectro ampliado e Carbapenemase tipo KPC isoladas de pacientes hospitalizados em Belém, estado do Pará
(Universidade Federal do Pará, 2016-12-13) MARQUES, Patrícia Bentes; LOUREIRO, Edvaldo Carlos Brito; http://lattes.cnpq.br/2685418720563351
The antimicrobial resistance in Enterobacteriaceae is increasing worldwide. The K. pneumoniae constitute an important group of human patogen, causing of hospital and communitarian infections. In these bacteria, the production of extended spectrum beta-lactamases (ESBL) is one of the main mechanisms of resistance the antimicrobials, responsible for the imperfection of the therapy against infections for gram-negative bacilli. This work aimed to do the molecular characterization of the K. pneumoniae producing ESBL and KPC about antimicrobial resistence in pacients from Belém-PA. A total of 124 K. pneumoniae isolates were collected from public hospital from Belém-PA and susceptibility test was performed to detect its susceptibility patterns antibiotics. Phenotypic tests for extended-spectrum beta-lactamases (ESBLs) and carbapenemase-producing Klebsiella pneumoniae (KPC) producing strains were performed to detect the resistance phenotype of the isolates. Then PCR amplification and sequencing analysis were performed for the drug resistance determinants genes. The results showed that 83% strains harbored bla CTX-M gene, 85,5% carried bla SHV , 83% carried bla TEM and 5% carried bla KPC. The most frequent gene ESBL detected was bla CTX-M-71, which was observed in 60% of isolates. Other ESBL genes were bla SHV-38 (5% of isolates), bla SHV-100 (5% of isolates) and bla SHV-12 (3,5% of isolates). O gene bla KPC-2 was detected in 100% of isolates.These enterobacterias showed multidrug resistance phenotypes with high levels for quinolones and aminoglycosides. Associations between genotypes and antibiotic resistance were observed.The presence of multidrug resistant micro-organisms in hospitals, reinforces the need for measures for rapid containment of possibles infections caused by these pathogens.
Acesso aberto (Open Access)
Estudo da ação da crotoxina sobre o perfil de ativação de macrófagos peritoneais infectados com Leishmania (Leishmania) amazonensis
(Universidade Federal do Pará, 2016-04-12) FARIAS, Luis Henrique Seabra de; SILVA, Edilene Oliveira da; http://lattes.cnpq.br/7410116802190343
American Tegumentary Leishmaniasis (ATL) is a parasitic disease widely spread in most countries of Latin America, and caused by different species of the genus Leishmania. This protozoan is an obligate intracellular parasite that developed mechanisms to subvert the microbicidal activity of macrophages, such as inhibition of reactive oxygen species (ROS) and nitric oxide (NO) production. The chemotherapy is one of the most effective treatments for this disease, although the antileishmanial drugs available are in general toxic, expensive and require long-term treatment. Thus, the development of new natural products to treat leishmaniasis has become a priority. Ophidian toxins are natural sources of bioactive products with therapeutic properties already described. Therefore, we considered analyze the activity of crotoxin (CTX), a dimeric protein and the main neurotoxic component of Crotalus durissus terrificus snake venom, against promastigotes of Leishmania (L.) amazonensis and macrophages. The toxin significantly decreasing of 32,5% on the growth of promastigotes at 1,2μg/mL and 24,9% at 4,8μg/mL after 96 hours of treatment (IC50= 22,86μg/mL). The colorimetric assay (MTT) showed that this compound presented no cytotoxic effects against macrophages. Interestingly, CTX treated macrophages presented a significant higher capacity to metabolize the MTT substrate (mean= 59,78% ±3,31, higher) when compared with untreated control. It was observed that treated macrophages presented intense production of ROS (mean= 35,95% ±2,76, higher) when compared with untreated cells. Treated macrophages presented increased phagocytic activity and were capable to eliminate intracellular parasites. Besides that, these cells had it NO and pro-inflammatory cytokines production increased and morphological alteration that characterizes the M1 cellular activation profile. That activation culminates with the parasite elimination throughout host response, reverting the anergic action promoted by L. amazonensis, thereby leading to a good disease prognostic, evidencing that this compound could be a promising antileishmanial agent.
Acesso aberto (Open Access)
Diversidade genética de isolados ambientais de Vibrio cholerae da Amazônia brasileira
(Universidade Federal do Pará, 2009-09-30) SÁ, Lena Líllian Canto de; VICENTE, Ana Carolina Paulo; http://lattes.cnpq.br/9393006603341915
Vibrio cholerae, the etiologic agent of cholera, is an autochtonus bacterium of aquatic environment in temperate and tropical regions of the world. Cholera is endemic and epidemic in many countries in Africa, Asia and Central and South America. In this study our goal was to detemine the genetic diversity of V.cholerae environmental isolates from aquatic ecosystems in the Amazon region of Brazil. A total of 148 environmental strains of V.cholerae non-O1 and non-O139 (NAG) and O1 serogroups, isolated from the Amazon region since 1977 to 2007, were characterized and compared with clinical strains of V.cholerae O1 from sixty and seventh cholera pandemic. PFGE (pulsed-field gel electrophoresis) was performed to determine the clonal relationships between V.cholerae non-O1, O1 environmental and clinical strains. The presence of virulence genes (hlyA/hem, hlyB, hlyC, rtxA, rtxC, tcp, ctx, zot, ace, stn/sto) and class 1, 2 and 3 integrons (intI 1, 2 e 3) was analyzed by polymerase chain reaction. Whole genome macrorestriction analysis revealed that the environmental V.cholerae NAGs were more diverse than the environmental O1 strains, both groups segregate in distinct clusters and most of environmental O1 strains show a clonal relationship with seventh cholera pandemic strains. The distribution of virulence genes in NAGs strains is largely different from that of O1 strains which, in general, were positive for all virulence genes analyzed excepting for stn/sto and class 1, 2 and 3 integrons. Some O1 environmental strains, belonging to the seventh pandemic lineage, went through an extensive gene loss. Distinct NAGs strains were stn/sto+ and intI 1+. Two alleles of aadA were found: aadA2 and aadA7. Interestingly, V.cholerae O1 environmental strains belonging to the pandemic lineage were only isolated during the period of cholera epidemic in the Amazon region of Brazil (1991-1996).
Acesso aberto (Open Access)
Soroprevalência de anticorpos e padronização do teste ELISA sanduíche indireto para 19 tipos de arbovírus em herbívoros domésticos
(Universidade Federal do Pará, 2010-09-30) CASSEB, Alexandre do Rosário; VASCONCELOS, Pedro Fernando da Costa; http://lattes.cnpq.br/0973550817356564
The brazilian Amazon region maintains the largest variety of arboviruses and the state of Pará is responsible for 26% of this territory, so the major goal of this work was to determine the prevalence and distribution of HI antibodies to 19 domestic arbovirus in domestic herbivores in the state of Pará and to standardize an indirect sandwich IgG ELISA test to serum samples of equines, cattle, buffaloes and sheep. In all species studied and throughout the State of Pará a large prevalence of HI antibodies to all arbovirus analyzed was observed and SLEV, ILHV, EEEV, MAGV and WEEV, showed higher prevalence, where the SLEV was the most prevalent. Regarding the virus families HI antibodies to MAGV was the most prevalent Bunyaviridae in all species, the most prevalent Flaviviridae was SLEV in all species and in the family Togaviridae the EEEV was more prevalent in horses. In order to analyze the prevalence of HI antibodies by animal species was observed that horses did not show significant differences compared to buffaloes, however, showed significant difference compared to cattle and sheep; there was not observed significant difference between the ruminant species. Using sandwich indirect IgG ELISA a large number of crossed reactions were found. This enzymatic test can be used to detect IgG antibodies among families of arboviruses studied.
Acesso aberto (Open Access)
Epidemiologia descritiva de Salmonella em ecossistemas aquáticos de diferentes áreas do Estado do Pará
(Universidade Federal do Pará, 2007-09-20) LOUREIRO, Edvaldo Carlos Brito; ISHAK, Ricardo; http://lattes.cnpq.br/5621101706909450
Surveillance of Salmonella serotypes in aquatic environments is an important procedure for the monitoring of human and animal infections. The analysis of 694 samples of water collected from river, creek, bay, beaches, lake, well, nascent, provisioning water, stream, drainage and sewage distributed along 11 districts in the State of Pará, Brazil, yielded 212 (30,5%) contaminated samples with 91 serotypes and 2,115 strains of Salmonella. In Belém, 77 sorotypes were identified out of 1,300 isolates from freshwater and sewage; S. Saintpaul, S. Panama, S. Muenster, S. Hadar and S. Agona were the most frequent serotypes. In the National Forest of Caxiuanã, 69,4% of water samples were positive for Salmonella and 17 serotypes were identified, being S. Panama, S. Miami and S. Gaminara the most frequent ones. Antibiotic resistance was described in 64.8% of the Salmonella isolates from aquatic environments, with a special importance to streptomycin (97,1%) and tetracycline (10,8%). The presence of Salmonella and thermo-tolerant coliforms in superficial and underground water was frequently associated, but E.coli was not isolated in ten occasions. Rappaport-Vassiliadis enrichment broth was more efficient than Selenite Cystine for the isolation of Salmonella when kept at 42,5ºC. The serotypes isolated from sewage closely resembled the isolates originated from human fecal cultures during the same period. The results show the dissemination of Salmonella in aquatic environments in the State of Pará and the risk to the health of the human population.
Acesso aberto (Open Access)
Identificação molecular de espécies do complexo Anopheles albitarsis (Diptera, Culicidae, Anophelinae), coletadas em dois municípios da Amazônia brasileira, com análise de suscetibilidade natural a plasmódios humanos
(Universidade Federal do Pará, 2010-12-03) SILVA, Ana de Nazaré Martins da; ISHIKAWA, Edna Aoba Yassui; http://lattes.cnpq.br/3074963539505872; PÓVOA, Marinete Marins; http://lattes.cnpq.br/2256328599939923
Members of Anopheles cryptic species complexes may exhibit behavioral differences among them, the susceptibility to malaria infection, and resistance to insecticides, thus, the specific identification has epidemiological relevance, which is not always possible by morphological criteria. Alternative methods have been employed such as those that analyze highly conserved regions of ribosomal DNA, which varies among species, known as internal transcribed spacer (ITS). Anopheles albitarsis complex is currently composed of six species: An. albitarsis s.s., An. oryzalimnetes, An. albitarsis F, An. marajoara, An. deaneorum and An. janconnae. At least the last three are incriminated as malaria parasite vectors in the Brazilian Amazon. The aim of this study was to perform molecular identification of An. albitarsis complex species, for analysis of ITS2 rDNA sequences, in order to assess their importance in malaria transmission in the cities of Macapá, Amapa and Peixe-Boi, Para, including investigating the first time the occurrence of An. Albitarsis F in two epidemiologically distinct areas: the first with a history of high risk of malaria transmission and the second not (Peixe-Boi). All-night human landing catches of mosquitoes were carried out in the peridomestic environment, from January 2009 and April 2010. The females collected were morphologically identified and only An. albitarsis s.l. was dissected: head and thorax were separated for analysis of natural infection by ELISA; ovaries for parity analysis and the carcass, legs and wings for molecular identification. In Macapá were collected 584 mosquitoes: 366 An. albitarsis s.l. (62.7%), 167 An. darlingi (28.6%), 33 An. triannulatus s.l. (5.6%), 15 An. braziliensis (2.6%) and 3 An. nuneztovari (0.5%). It was possible to visualize the specific band An. marajoara in 320 specimens of An. albitarsis s.l. tested. Of the remainder, 33 were negative and 13 amplified a fragment of ~ 490pb, not allowing to reach the specific diagnosis. The An. marajoara specimens showed biological and behavioral characteristics that confirm their epidemiological importance in malaria transmission in Macapa, such as being the most prevalent species, with a higher proportion of parous females (73.0%), and therefore with the greatest chances of infected with Plasmodium, occur in both seasons (dry and wet), presenting biting activity in all hours worked, moreover, was found infected by P.vivax and P. falciparum (natural infection rate of 3.1%). In Peixe-Boi, were captured 43 anophelines: An. triannulatus s.l. (20 specimens, 46.5%), An. albitarsis s.l. (13, 30.2%) An. darlingi (8, 18.6%), and An. nuneztovari (2, 4.7%). All An. albitarsis s.l. collected were identified by ITS2 as An. oryzalimnetes. None was found infected by Plasmodium, and the vast majority was parous females (84.6%). Systematic entomological surveys are needed to analyse the importance of An. oryzalimnetes in malaria transmission in the city. The An. albitarsis F was not found in the two areas studied. Our results contribute to our understanding of the epidemiology of malaria in the Brazilian Amazon region.
Acesso aberto (Open Access)
Caracterização molecular e relação filogenética do genoma completo dos arbovírus Bussuquara, Iguape, Ilhéus e Rocio (Família Flaviviridae, Gênero Flavivirus)
(Universidade Federal do Pará, 2009-11-27) MEDEIROS, Daniele Barbosa de Almeida; NUNES, Márcio Roberto Teixeira; http://lattes.cnpq.br/0299116892743368; VASCONCELOS, Pedro Fernando da Costa; http://lattes.cnpq.br/0973550817356564
Flaviviruses have been known due their complex biological cycle and their relevance in public health and global economy. The ecologic aspected and clinic pictures are related with phylogeny and evolution of flaviviruses. This work aims the molecular characterization of Bussuquara (BSQV), Iguape (IGUV), Ilheus (VILH) e Rocio (VROC) flaviviruses genomes, determining their phylogenetic relationships with others members of genus Flavivirus. The study included: the full-length sequencing of the four Brazilian flaviviruses; analyzes of the predictive secondary structure of RNA and conserved sequences in the 3’NCR; determination of cleavage and glicosilation sites, cisteine residues and conserved motifs in the polyprotein; and similarity and phylogenetic analyzes. The BSQV, IGUV, VILH and VROC genomes present 10815 nt, 10922 nt, 10775 nt, and 10794 nt, respectively. The conserved standard sequences in 3’NCR of BSQV was RCS2-CS2-CS1, while to IGUV, ILHV and ROCV were CS3-RCS2-CS2-CS1. The secondary structure of RNA obtained for the Brazilian flaviviruses were similar to the other flaviviruses. The numbers of the glicosilation sites to PrM, E and NS1 proteins were distinct among the studied Brazilian flaviviruses, therefore the pattern 6,12,12 Cis residues and the cleavage sites were conserved. In the E protein, some singles mutations were observed in fusion peptide of BSQV, IGUV and ROCV, and the RGD motif were distinct for the flaviviruses under study. The motif that determines the MTase-SAM activity in NS5, as well as the helicase and protease activity in NS3 were conserved. Among the eight polimerase motifs in NS5, only the V, VI and VII motifs were observed single mutations in ILHV and ROCV. The similarity analyzes showed that BSQV presents high relationship with VIGU, while ILHV and ROV were more related among themselves, however those viruses were considerated distincts species. Based in the phylogenetic analyzes, molecular and biological characteristics, it was proposed the establishment of three distinct genetic groups: the Rocio group, grouping ILHV and ROCV, Bussuquara group formed by BSQV and Naranjal virus; and Aroa group, that include Aroa virus and IGUV.
Acesso aberto (Open Access)
Correlação dos níveis séricos e dos polimorfismos nos genes de citocinas (TNF-α, INF-γ, TGF-β1 e IL-10) com a apresentação clínica da hepatite B crônica
(Universidade Federal do Pará, 2010) CONDE, Simone Regina Souza da Silva; VALLINOTO, Antonio Carlos Rosário; http://lattes.cnpq.br/3099765198910740
Chronic hepatitis B has a wide spectrum of clinical manifestations resulting from various factors, such as the pattern of secretion and polymorphism in cytokine genes. This work aims to correlate the TNF-α -308G/A, INF-γ +874A/T, TGF-β1 -509C/T e IL-10 -1081A/G polymorphisms and serum levels of these cytokines with the clinical presentation of hepatitis B. It was selected 53 consecutive cases of hepatitis B divided into group A (inactive carrier= 30) and B (chronic hepatitis / cirrhosis= 23). As a control, we selected 100 individuals anti-HBc and anti-HBs positives. Serum levels of cytokines were determined by enzyme immunoassays (eBiosceince, Inc. California, San Diego, USA). The gene amplification of cytokines was carried out by PCR and histopathological analysis followed by METAVIR classification. It was identified that genotype TNF-α -308GA was more prevalent among B group than controls and that presence of A allele increased the risk for chronic disease (OR= 2,6). The serum levels of INF-γ and IL-10 were higher (p <0,001) in controls than others groups A and B and the TGF-β1 levels were lower (p < 0,01) in controls. It was noted that inflammatory activity > 2 correlated with higher levels of TNF-α and IFN-γ (p<0.01) and fibrosis > 2 with higher levels of INF-γ (p <0.01). In the studied population, lower INF-γ and IL-10 levels and higher TGF-β1 level were associated with chronic hepatitis B, and that the presence TNF-α -308 A allele increased in 2,6 the risk for chronic disease .
Acesso aberto (Open Access)
Estudo genotípico de Trypanosoma cruzi: epidemiologia e caracterização molecular de isolados do homem, triatomíneos e mamíferos silvestres do Pará, Amapá e Maranhão
(Universidade Federal do Pará, 2011) VALENTE, Vera da Costa; TEIXEIRA, Marta Maria Geraldes; http://lattes.cnpq.br/8067345143353691
The acute Chagas disease (ACD) is endemic in the Brazilian Amazon, and its main transmission route is oral, throughout family and multi-family outbreaks. This route is independent from the colonization of triatomine bugs in dwellings and its occurrence is regular, with mean rates of 100 cases per year and a lethality rate of 5%. The disease has a well-defined spatio-temporal distribution, which makes it a relevant public health concern in the states of Pará, Amapá and Amazonas. The existence of wild mammals and triatomine bugs naturally infected with Trypanosoma cruzi inhabiting different terrestrial and arboreal ecotopes maintains an intense enzootic cycle all over the Amazon region. Molecular profiles of T. Cruzi lineages in the region are associated with mammal reservoirs (including humans), triatomine bugs, ecotopes and clinical manifestations. We analyzed four ACD outbreaks in the municipalities of Barcarena, Belém and Cachoeira do Arari on Pará State, and Santana on Amapá State, based on epidemiologic features (laboratory, parasitological and serological diagnoses, clinical manifestations and the reservoirs and wild triatomines related to the outbreaks). We also investigated the domestic and wild transmission cycles of T. cruzi in São Luis on Maranhão State, without the occurrence of ACD cases. This study comprised molecular genotyping of T. cruzi on the mini-exon gene of the isolates associated with both transmission cycles (humans, mammals and wild triatomine vectors). Parasitological diagnosis was confirmed in 63 patients with the following sensitivity rates: 41.3% (26/63) for the thick blood film method; 58.7% (37/63) for QBC; 79.4% (50/63) for xenodiagnosis; and 61.9% (39/63) for blood culture. The serological diagnosis of 2648 individuals by indirect hemagglutination assay (IHA) was of 3.05% (81/2648), whereas the results of the indirect immunofluorescence test (IIF) were 2.49% (66/2648) for IgG and 2.37% (63/2648) for IgM. All tests carried out in São Luís were negative. A total of 24 mammals, 13 Didelphis marsupialis, 1 Marmosa cinerea, 5 Philander opossum, 3 Metachirus nudicaudatus, 1 Oryzomys macconnelli, 1 Oecomys bicolor and 433 R. rattus were captured. The infection rate for T. cruzi was of 7.14% (29/404). A total of 3279 triatomine bugs were captured: T. rubrofasciata (n=3008) and infection rate (IR) of 30.46%, (39/128) and R. robustus (n=137) IR of 76% (79/104), R. pictipes (n=94), IR of 56.9% (49/86%) E. mucronatus (n=6) and P. geniculatus (n=12) IR of 50% and the other non-infected species R. neglectus (n=5) and P. lignarius (n=6). Palm trees were the main ecotopes for the wild triatomine bugs. S. martiana was infested with 47.41% (101/213) of the triatomines; Maximiliana regia, 35,21% (75/213); Orbgnya speciosa, 5.16% (11/213); Eleas melanoccoca), 1.87% (4/213); and Oenocarpus bacaba, 10.32% (22/213). Genotyping was carried out using 46 isolates of trypanosomes obtained from humans, 31 from wild mammals and 74 from samples of triatomine bugs. All isolates were characterized as belonging to the Tcl lineage. All human cases in Pará were characterized as positive by parasitological testing. Not all the cases in Santana were tested positive because of the delay on diagnosis, but they were defined as positive. Xenodiagnosis, blood culture and QBC® were more sensitive than the thick blood film. Serological examinations by IHA and IIF (IgG and IgM) presented an optimal sensitivity to detect acute cases in different moments of infection. Mammals (D. marsupialis) and wild triatomine bugs (R. pictipes and P. geniculatus) infected with high infection rates of T. cruzi in the patients’ peridomicile area account for the importance of these reservoirs in the transmission cycle of the ACD, and are associated with its transmission. Even though several genotypes of T. cruzi circulate in the Amazon Region, only the Tcl lineage was identified in the patients, mammals and triatomines investigated in this study. In São Luís, in spite of these having no record of human cases of ACD, it has a domestic cycle associated with the black rat and the triatomine bugs of the species T. rubrofasciata, as well as a sylvatic cycle associated with didelphids. The Tcl cycles circulate in both cycles. Studies with isolates of local T. cruzi using markers with a higher definition might help clarify the transmission cycles, transmission routes and the reservoirs involved in cases of ACD in the Amazon Region.
Acesso aberto (Open Access)
Estudo epidemiológico de agentes virais (HIV, HTLV, VHB e CMV) identificados em adolescentes grávidas atendidas em um centro de referência do Sistema Único de Saúde de Belém, Pará
(Universidade Federal do Pará, 2010-11-05) GUERRA, Aubaneide Batista; MACHADO, Luiz Fernando Almeida; http://lattes.cnpq.br/8099461017092882
The prevalence of infection by viral agents such as HIV-1, HTLV1/2, VHB and CMV is not so much known in pregnant teenage population from the North region of Brazil. One of the objectives of this study was to describe the prevalence of infections HIV-1, HTLV1/2, VHB and CMV in pregnant adolescents, attended in a Reference Center in the State of Pará. To achieve the objectives, it was collected blood samples from 324 pregnant adolescents, who came from several cities of the State, from November of 2009 to February of 2010. The samples were submitted to an immuno-enzymatic test (ELISA), in order to detect antibodies Anti- HIV, Anti- HTL V1/2, Anti- VHB and Anti- CMV IgM/ IgG. The serological analysis revealed one serum positive sample for HIV-1, two positives samples for HTLV1/2, while the majority of samples showed antibodies Anti-CMV-IgG, although the occurrence of high infection was low (2.2%). The prevalence of infection for VHB in pregnant adolescents was 0.62%, however a great number (83.3%) of adolescents are susceptible to the infection by VHB, what means they probably were not immunized. The majority of adolescents (63.4%) continued their studies, even though they know about their pregnancy and 34.6% started prenatal later, so they only had a minimum number of four consultations of prenatal. The result reinforces the hypothesis that pregnant adolescents have prevalence for those viral type infections, what is similar to the national pregnant women rates. The prevalence of viral subtypes (HTLV-2 and HIV-1 subtype B) obtained by the molecular characterization of serum positive samples from pregnant adolescents agreed with the prevalence of subtypes from the North region.
Acesso aberto (Open Access)
Avaliação da terapêutica da malária por Plasmodium vivax: perfil cinético da cloroquina e primaquina
(Universidade Federal do Pará, 2011) TEIXEIRA, José Ribamar Mesquita; VIEIRA, José Luiz Fernandes; http://lattes.cnpq.br/2739079559531098; SOUZA, José Maria de; http://lattes.cnpq.br/6459204248879587
Today search - new strategies for improving the treatment and control of malaria. The monitoring of plasma concentrations of drugs is an important tool that aims to provide more knowledge on the kinetics of several antimalarial drugs, aiming to achieve rapid therapeutic effect with reduced risk of toxicity. Thus, this study aimed to evaluate the therapeutic response to chloroquine and primaquine for vivax malaria patients, the plasma concentrations correlate with parasitemia, epidemiological data and evaluation of liver and kidney function, aiming at the optimization of various therapeutic regimens employed, evaluating if the responses are due to ineffective treatment of Plasmodium resistance to chloroquine or the presence of sub-therapeutic concentrations of drugs. Thus, we evaluated 40 patients with vivax malaria in the Program in Clinical Trials of Malaria Institute Evandro Chagas (Belém, Pará) in the period 2008 to 2010. Hemogram and other biochemical parameters were performed. The research of plasmodia in blood smear was performed and the parasitemia averaged 7187.5 ± 6732.7 parasitos/mm3. The prevalence of males with 67.5% of cases. The locations of malaria infection ranged from 14 municipalities in the state of Pará, most of which originates in the city of Anajás. For 42.5% of patients it was the first episode of the disease and 57.5% of applicants. In the evaluation of anemia by hemoglobin, there - if the levels below reference values in 60% of patients and hematological and biochemical parameters showed that the mean values of hematocrit and red blood cells showed highly significant difference between subgroups of patients and non-anemic anemic. The determination of chloroquine and primaquine in patients on D0, D2, D7, D14 and D30 were performed. The mean values of 0, 1102.1, 546.7, 185.8 and 98.6 ng / ml for chloroquine and 0, 210.2, 345.0, 91.7 and 0 ng/ml for primaquine.
Acesso aberto (Open Access)
Associação entre marcadores da resposta inflamatória e a imunopatogênese de agentes infecciosos de natureza viral (Vírus da dengue, HTLV-1 e HTLV-2) e bacteriana (Chlamydia trachomatis e Chlamydia pneumoniae)
(Universidade Federal do Pará, 2010-11-29) FEITOSA, Rosimar Neris Martins; ISHAK, Ricardo; http://lattes.cnpq.br/5621101706909450
The genetic basis of diseases is frequently studied aiming the polymorphisms of cytocine genes. The present study investigated markers of the inflammatory response associated to the course of infection and disease caused by viruses and bacteria. Serum levels (measured by an ELISA assay) and the polymorphisms (using PCR, RFLP and allele specific PCR) of TNF-α (-308), TNF-β (+252), IFN-γ (+874) and C reactive protein were measured among persons with febrile disease, infected by dengue virus (n=80), not infected by DV (100), a group of HTLV infected (30 symptomatic and 47 asymptomatic), a group with coronary disease (58 seroreactive to Chlamydia and 31 with negative serology) and a control group (99 persons with no reaction to DV, HTLV and Chlamydia). No group showed association with demographic informations. Dengue virus 3 (66.2%) and HTLV-1 (90% symptomatic and 76.6% asymptomatic persons) were the most frequent agents found among their groups. The majority of those with coronary disease (65.1%) presented antibodies to Chlamydia (39.6% to C. trachomatis and C. pneumoniae, 58.6% solely to C. trachomatis and 1.7% to C. pneumoniae). Statistically significant levels of differences were found among: (i) serum levels of TNF-β, IFN-γ and PrtCR of positive and negative dengue and control groups (p< 0,01); (ii) serum levels of TNF-α, TNF-β and IFN-γ of HTLV (including its types) and control groups; (iii) serum levels of TNF-α, TNF-β, IFN-γ and PrtCR among patients with coronary disease, serum reactive to Chlamydia, and the control group; (iv) the presence of antibodies to C. trachomatis and C. pneumoniae and the control group comparing TNF-β, IFN-γ and PrtCR. Genotypic frequency distributions were statistically significant for the polymorphisms: (i) of TNF-α (p=0,0494) and IFN-γ (p= 0,0008) genes among positive, negative and control dengue groups and to IFN-γ (p= 0,0007) among groups DEN 1, DEN 2, DEN 3 and controls; (ii) of IFN-γ gene (p= 0,0023) among the group of patients with coronary disease and sero reactivity to C. trachomatis e C. pneumoniae, as well as to the mono reactants in the comparison between the positivity to C. trachomatis and the control group.
Acesso aberto (Open Access)
Hidatidose policística no Estado do Acre: contribuição para o diagnóstico, tratamento e prognóstico dos pacientes
(Universidade Federal do Pará, 2010-06) SIQUEIRA, Nilton Ghiotti de; PÓVOA, Marinete Marins; http://lattes.cnpq.br/2256328599939923
The echinococcosis is a zoonosis whose etiological agents are nematodes of the genus Echinococcus. There are five species of Echinococcus, two of them, E. oligarthrus (Diesing, 1863) and E. vogeli (Rausch & Bernstein, 1972) only occur in neotropical areas. The echinococcosis by E. vogeli causes multiple hydatid cysts, mainly in the liver of intermediate hosts, of which one is the human being. The lack of knowledge about the disease makes the diagnosis is delayed or even misleading. The lack of systematic information on treatment is also difficult to assess the results and prognosis of patients with peritoneal and hepatic lesions caused by E. vogeli. Here we describe the clinical features of patients, we propose a radiological classification protocol used in the classification of alveolar echinococcosis (E. multilocularis "PNM" Classification, Kern et al., 2006), which was also suitable for polycystic echinococcosis (E. vogeli) and describe a therapeutic option for the treatment of hydatid disease which previously had only been used for cases of cystic echinococcosis (E. granulosus, PAIR-Puncture, Aspiration, Injection, Reaspiration, Brunnetti et al., 2001). A prospective cohort study was initiated in 1999 and by 2009 included 60 patients. We describe the main symptoms and signs: pain in upper abdomen (65%) and hepatomegaly (60%) and patients were classified according to the "PNM" classification and submitted to three therapeutic modalities: (i) chemotherapy with albendazole at a dose of 10mg/kg/day, (ii) surgical removal of cysts or (iii) percutaneous puncture of the cysts- PAIR. After exclusion of two cases, due to inadequacy of the research protocol, the groups were distributed as follows: treatment with albendazole: n = 28 (48.3%, 28/58), surgical therapy: n = 25 (52.1%; 25/58) and PAIR: n = 5 (8.1%, 5 / 58). The results were stratified according to outcome of therapy: "Cure", represented by the disappearance of lesions after clinical or surgical treatment, "clinical improvement", defined as asymptomatic patients without weight loss and physiological functions preserved, "No Improvement" included patients who remained symptomatic, "Death" and "No Information", the monitoring did not allow a conclusion about the outcome. The three treatment groups together demonstrade lethality rate of 15.5% (9 / 58), "no improvement" 1.7% (1 / 58), "clinical improvement" in 40.0% (23/58) and "cure "in 32.8% (19/58). Regarding the outcome "death", there was no difference between therapies with albendazole or surgical treatment with 4 (14.2%) and 3 (12%) deaths respectively, but in the first group, albendazole, the outcome "cure" was 4.3% (1 / 23) and "clinical improvement" 74.0% (17/23), whereas in the "surgery" to "cure" represented 71.0% (17/24) and "clinical improvement" 16.7 (4 / 24). Therapy "PAIR" was associated with a lethality rate of 40% (2 / 5), cure in 20% (fifth) and clinical improvement in 40% (2 / 5). The "PNM" classification was useful to indicate such therapy in cases of polycystic hydatid disease. In conclusion, in the series studied surgical therapy has better results in the clinical therapy on the outcomes "cure" and "clinical improvement". The treatment for PAIR needs further studies.
Acesso aberto (Open Access)
Inquérito com paracoccidiodina em cinco cidades do Estado do Acre
(Universidade Federal do Pará, 2011-09-30) FIGUEIREDO, Mediã Barbosa; ISHAK, Ricardo; http://lattes.cnpq.br/5621101706909450
Paracoccidioidomycosis constitutes an important public health problem in Latin America. In Brazil, this disease is less frequent in North and Northeast regions, predominating the endemic areas in the Southeast. Despite the physiographic conditions of the North region favoring the development of Paracoccidioides brasiliensis, even so, the case reports are scarce. Perhaps this is due to the little consideration of deep mycoses about the differential diagnosis of chronic medical conditions, justified by the fact that the region is not considered endemic. With the objective of describing the prevalence of paracoccidioidomycosis in five cities of Acre, a cross-sectional population-based study was conducted, through a survey with the paracoccidioidin intradermal. The reading of the intradermal test was performed within 24 and 48 hours, being considered reactors the people with hardened areas of 5mm or more in diameter. Four hundred thirty-nine (439) people were studied and paracoccidiodomycosis-infection in the 48-hour reading was 41.2%. The findings of this study indicate that P. brasiliensis infection causes a considerable number of people in the study area to get infected, and therefore future clinical-epidemiological and mycological studies should better clarify the natural history of mycosis in this region.
Acesso aberto (Open Access)
Caracterização genética, correlação antigênica e ecoepidemiológica dos vírus do grupo C (Bunyaviridae, orthobunyavirus) isolados nas américas
(Universidade Federal do Pará, 2005-02-28) NUNES, Márcio Roberto Teixeira; ROSA, Amélia Paes de Andrade Travassos da; VASCONCELOS, Pedro Fernando da Costa; http://lattes.cnpq.br/0973550817356564
To date, no molecular studies on group C viruses (Bunyaviridae: Orthobunyavirus) have been published. The current work determined the complete small RNA segment and partial medium RNA segment nucleotide sequences for group C members. The full-length SRNA sequences ranged from 915 to 926 nucleotides in length, and revealed similar organization in comparison with other orthobunyaviruses. Based on the 705 nt of the N gene, group C members were distributed into 3 major phylogenetic groups, with the exception of Madrid virus that was placed outside of these 3 groups. Analysis of the Caraparu virus strain BeH 5546 revealed that it has an SRNA sequence nearly identical to that of Oriboca virus and is a natural reassortant virus. In addition, analysis of 345 nucleotides of the Gn gene for seven group C viruses and for strain BeH 5546 revealed a different phylogenetic topology, suggesting a reassortment pattern among them. These findings represent the first evidence for natural reassortment among the group C viruses, which include several human pathogens. Furthermore, our genetic data corroborate previous antigenic relationships determined using serologic assays (complement fixation, hemagglutination inhibition and neutralization tests), and suggest that a combination of informative molecular, serological and ecological data is a helpful tool to understand the molecular epidemiology of orthobunyavirus.
Acesso aberto (Open Access)
Diversidade de helmintos de Ageneiosus ucayalensis Castelnau 1855 (Pisces siluriformes) da foz do Rio Guamá e Baia do Guajará, Belém, Pará
(Universidade Federal do Pará, 2010-05-10) GIESE, Elane Guerreiro; SANTOS, Jeannie Nascimento dos; http://lattes.cnpq.br/4543897195525368; VALLINOTO, Antonio Carlos Rosário; http://lattes.cnpq.br/3099765198910740
Descriptive taxonomy studies of fish parasites in the Amazon Region are relevant, considering the great biodiversity of known hosts. The aim of this was to analyze parasites found in Ageneiosus ucayalensis, describing new helminthes species, redescribing species and finding new hosts for species of known helminthes, using Light Microscopy, Scanning Electron Microscopy and Molecular Biology. A. ucayalensis, a fresh water siluriform from South America, is poorly studied, despite its importance in the trophic chain of fresh water environment and the great value in the regular diet of Amazonian populations. Those hosts inhabit the base level of Guamá river and Guajará Bay being parasited by helminthes of Phyla Plathyhemintes, Acanthocephala and Nematoda, which are described for the first time. In this study two new species of Nematoda were described, Procamallanus (Spirocamallanus) belenensis and Cucullanus ageneiosus; new host and new occurrence were described for Procamallanus (Spirocamallanus) rarus; moreover, we described larval forms of nematoda of Families Anisakidae (Anisakis sp.), Cystidicolidae (Pseudoproleptus sp.) and Cucullanidae (Cucullanus sp.) parasiting A. ucayalensis. Parasites of phylum Plathyhelmintes, Class Cestoda, represented by metacestodes and adults of family Proteocephalidae were also described, as well as class Monogenea, represented by helminthes of family Dactylogiridae, subfamily Ancyrocephalinae and phylum Acanthocephala by specimens of Neoechinorhynchidae, family (Genus Neoechinorhynchus). We believe that the present study contributes with important data to parasite biodiversity from Amazon Region.
Acesso aberto (Open Access)
A importância do Anopheles darlingi Root, 1926 e Anopheles marajoara Galvão e Damasceno, 1942 na transmissão de malária no município de Macapá/AP - Brasil
(Universidade Federal do Pará, 2010-03-11) GALARDO, Allan Kardec Ribeiro; PÓVOA, Marinete Marins; http://lattes.cnpq.br/2256328599939923
Malaria in the municipality of Macapá is mainly peri urban, which are characterized by flooding area, presence of forest fragments and disorganized settlements. The aim of this study was to determine the importance of Anopheles darlingi e Anopheles marajoara in the malaria transmission in Macapá. The study was carried out from October 2007 to September 2008, in the Lagoa dos Índios community, Macapá. It was collected 4,601 mosquitoes, from which 3,029 were Anopheles marajoara (65,8%), 917 Anopheles darlingi (19,9%), 429 Anopheles braziliensis (9,3%), 208 Anopheles triannulatus (4,5%), 18 Anopheles peryassui (0,4%) and 5 Anopheles nuneztovari (0,1%). Only 32.8% (1.511) of the adult mosquitoes were collected indoors and 67.2% (3.090) outdoors. The index of the bites by man and by hour for An. darlingi in the intradomicile had ranged from 0 to 6.5 and in the peridomicile from 0 a 22. As for the An. marajoara the range was from 0 to 22 in the intradomicile and from 0 to 175.5 in the peridomicile. The analysis of the exuvia and the genitalia dissecation had resulted in the confirmation of the two species, An. darlingi and An. marajoara, and that the An. marajoara is the only albitarsis complex specie that is circulating in the study area. The vectors abundance had flutuated associated with the sazonal pattern of the rain. An. darlingi is the most frequent at the beginning and end of the rain, while An. marajoara was present, in high density, during the rainy season. From the 4,601 tested mosquitoes, 100 were positive for human malaria parasites by the ELISA method with a infection index of 2.17%. The infection index for An. marajoara was 2,34% (71/3,029) and for An. darlingi 3.05% (28/917). This study had demonstrated that the two studied species are responsible for the malaria transmission maintenance during the whole year, thus confirming the importance of both.
Acesso aberto (Open Access)
Caracterização molecular dos vírus do grupo Gamboa (Bunyaviridae, Orthobunyavirus) isolados nas américas e infecção experimental em pintos (Gallus gallus domesticus) com o vírus Gamboa cepa Be AN 439546
(Universidade Federal do Pará, 2010-03-31) CHIANG, Jannifer Oliveira; VASCONCELOS, Pedro Fernando da Costa; http://lattes.cnpq.br/0973550817356564
Presently, little information on Gamboa serogroup viruses (Bunyaviridae, Orthobunyavirus) is available. Thus, in this work, it was performed a comparative phylogenetic study on the members of the Gamboa serogroup and with other orthobunyaviruses to the level of the gene Gn (M-RNA); an experimental infections in the domestic bird (Gallus domesticus) using the strain Be AN 439546 of the Gamboa Virus (GAMV); and a serologic study using the Hemagglutination Inhibition (HI) test in serum samples of wild animals and humans collected in Tucuruí - Pará. The phylogenetic analysis of Gamboa group viruses demonstrated that they are genetically closely related to group Turlock viruses and less related to the Simbu group viruses. The group Gamboa viruses were distributed in two clades (I and II), that it is in agreement with the current serologic classification; the clade I correspond to the Gamboa complex and the clade II to the Alajuela complex. The strain Be AN 439546 presented tropism for chikens lung and liver, with viral replication in this organs confirmed by detection of viral antigens by immunohistochemistry. These results, demonstrate that this bird species is a susceptible host for GAMV replication. The detection of HI antibodies against GAMV, confirmed by neutralization tests were found in wild bird plasmas and reinforces the hypothesis that these animals constitute the main amplification hosts in the maintenance cycle of GAMV. Full length genome studies of the Gamboa serogroup viruses, as well as on the ecoepidemiology of their vectors and potential vertebrate hosts are needed to generate new data and to reinforce the understanding of the information already existent on those viruses.
Acesso aberto (Open Access)
Dirofilariose canina em dois municípios da Ilha do Marajó, Estado do Pará, Brasil: um enfoque epidemiológico, morfológico e molecular
(Universidade Federal do Pará, 2009-04-03) FURTADO, Adriano Penha; LANFREDI, Reinalda Marisa; http://lattes.cnpq.br/5488452069004649
Filarids are elongate and filiforms nematodes parasites. Canids filarids parasites belong to the Onchocercidae Family and are represented mainly by Genus Acanthocheilonema, Dipetalonema and Dirofilaria. These filarids develop in different places in the vertebrate host, and need for haematophagus invertebrate host to complete your cycle. Different infection levels can occur, since assintomatic, until the death of dog. The filarids parasites of dogs are found mainly in the region between the tropics. In the Amazon region a little is known about the distribution of these parasites, and until this moment, a study of distinguishing diagnosis was not performed. With this objective, we choose two cities in the Marajó Island (Salvaterra and São Sebastião da Boa Vista) and carry through a epidemiologic, morphologic and molecular studies. The percentage of microfilaremics dogs was of 37.34% in Salvaterra and 6.67% in São Sebastião da Boa Vista, resulting in a total prevalence of 32.45%. Analyzing the morphologic characteristics of the collected adult filarids, we concluded that these worms are of the Dirofilaria immitis species. For analysis of genic region, we conclude that the microfilariaes found in the dogs blood studied are also D. immitis species, and that these dogs had not presented mixing infection.