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  1. Article: Morphological damage in Sertoli, myoid and interstitial cells in a mouse model of mucopolysaccharidosis type I (MPS I)

    do Nascimento, Cinthia Castro / Aguiar, Odair, Jr / Viana, Gustavo Monteiro / D’Almeida, Vânia

    Molecular biology reports. 2021 Jan., v. 48, no. 1

    2021  

    Abstract: Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease caused by a mutation in the IDUA gene, which codes α-L-iduronidase (IDUA), a lysosomal hydrolase that degrades two glycosaminoglycans (GAGs): heparan sulfate (HS) and dermatan sulfate ( ... ...

    Abstract Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease caused by a mutation in the IDUA gene, which codes α-L-iduronidase (IDUA), a lysosomal hydrolase that degrades two glycosaminoglycans (GAGs): heparan sulfate (HS) and dermatan sulfate (DS). GAGs are macromolecules found mainly in the extracellular matrix and have important signaling and structural roles which are essential to the maintenance of cell and tissue physiology. Nondegraded GAGs accumulate in various cell types, which characterizes MPS I as a multisystemic progressive disease. Many tissues and vital organs have been described in MPS I models, but there is a lack of studies focused on their effects on the reproductive tract. Our previous studies indicated lower sperm production and morphological damage in the epididymis and accessory glands in male MPS I mice, despite their ability to copulate and to impregnate females. Our aim was to improve the testicular characterization of the MPS I model, with a specific focus on ultrastructural observation of the different cell types that compose the seminiferous tubules and interstitium. We investigated the testicular morphology of 6-month-old male C57BL/6 wild-type (Idua+/+) and MPS I (Idua−/−) mice. We found vacuolated cells widely present in the interstitium and important signs of damage in myoid, Sertoli and Leydig cells. In the cytoplasmic region of Sertoli cells, we found an increased number of vesicles with substrates under digestion and a decreased number of electron-dense vesicles similar to lysosomes, suggesting an impaired flux of substrate degradation. Conclusions: Idua exerts an important role in the morphological maintenance of the seminiferous tubules and the testicular interstitium, which may influence the quality of spermatogenesis, having a greater effect with the progression of the disease.
    Keywords dermatan sulfate ; digestion ; disease progression ; epididymis ; extracellular matrix ; genes ; heparan sulfate ; hydrolases ; lysosomes ; males ; mice ; molecular biology ; mucopolysaccharidosis ; mutation ; spermatogenesis
    Language English
    Dates of publication 2021-01
    Size p. 363-370.
    Publishing place Springer Netherlands
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 186544-4
    ISSN 1573-4978 ; 0301-4851
    ISSN (online) 1573-4978
    ISSN 0301-4851
    DOI 10.1007/s11033-020-06055-5
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: Machine Learning-Based Virtual Screening of Antibacterial Agents against Methicillin-Susceptible and Resistant

    Fernandes, Philipe Oliveira / Dias, Anna Letícia Teotonio / Dos Santos Júnior, Valtair Severino / Sá Magalhães Serafim, Mateus / Sousa, Yamara Viana / Monteiro, Gustavo Claro / Coutinho, Isabel Duarte / Valli, Marilia / Verzola, Marina Mol Sena Andrade / Ottoni, Flaviano Melo / Pádua, Rodrigo Maia de / Oda, Fernando Bombarda / Dos Santos, André Gonzaga / Andricopulo, Adriano Defini / da Silva Bolzani, Vanderlan / Mota, Bruno Eduardo Fernandes / Alves, Ricardo José / de Oliveira, Renata Barbosa / Kronenberger, Thales /
    Maltarollo, Vinícius Gonçalves

    Journal of chemical information and modeling

    2024  Volume 64, Issue 6, Page(s) 1932–1944

    Abstract: The application of computer-aided drug discovery (CADD) approaches has enabled the discovery of new antimicrobial therapeutic agents in the past. The high prevalence of methicillin- ... ...

    Abstract The application of computer-aided drug discovery (CADD) approaches has enabled the discovery of new antimicrobial therapeutic agents in the past. The high prevalence of methicillin-resistant
    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Staphylococcus aureus ; Methicillin/pharmacology ; Methicillin-Resistant Staphylococcus aureus ; Microbial Sensitivity Tests
    Chemical Substances Anti-Bacterial Agents ; Methicillin (Q91FH1328A)
    Language English
    Publishing date 2024-03-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 190019-5
    ISSN 1549-960X ; 0095-2338
    ISSN (online) 1549-960X
    ISSN 0095-2338
    DOI 10.1021/acs.jcim.4c00087
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Morphological damage in Sertoli, myoid and interstitial cells in a mouse model of mucopolysaccharidosis type I (MPS I).

    do Nascimento, Cinthia Castro / Aguiar, Odair / Viana, Gustavo Monteiro / D'Almeida, Vânia

    Molecular biology reports

    2020  Volume 48, Issue 1, Page(s) 363–370

    Abstract: Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease caused by a mutation in the IDUA gene, which codes α-L-iduronidase (IDUA), a lysosomal hydrolase that degrades two glycosaminoglycans (GAGs): heparan sulfate (HS) and dermatan sulfate ( ... ...

    Abstract Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease caused by a mutation in the IDUA gene, which codes α-L-iduronidase (IDUA), a lysosomal hydrolase that degrades two glycosaminoglycans (GAGs): heparan sulfate (HS) and dermatan sulfate (DS). GAGs are macromolecules found mainly in the extracellular matrix and have important signaling and structural roles which are essential to the maintenance of cell and tissue physiology. Nondegraded GAGs accumulate in various cell types, which characterizes MPS I as a multisystemic progressive disease. Many tissues and vital organs have been described in MPS I models, but there is a lack of studies focused on their effects on the reproductive tract. Our previous studies indicated lower sperm production and morphological damage in the epididymis and accessory glands in male MPS I mice, despite their ability to copulate and to impregnate females. Our aim was to improve the testicular characterization of the MPS I model, with a specific focus on ultrastructural observation of the different cell types that compose the seminiferous tubules and interstitium. We investigated the testicular morphology of 6-month-old male C57BL/6 wild-type (Idua+/+) and MPS I (Idua-/-) mice. We found vacuolated cells widely present in the interstitium and important signs of damage in myoid, Sertoli and Leydig cells. In the cytoplasmic region of Sertoli cells, we found an increased number of vesicles with substrates under digestion and a decreased number of electron-dense vesicles similar to lysosomes, suggesting an impaired flux of substrate degradation. Conclusions: Idua exerts an important role in the morphological maintenance of the seminiferous tubules and the testicular interstitium, which may influence the quality of spermatogenesis, having a greater effect with the progression of the disease.
    MeSH term(s) Animals ; Disease Models, Animal ; Disease Progression ; Glycosaminoglycans/genetics ; Humans ; Interstitial Cells of Cajal/metabolism ; Interstitial Cells of Cajal/pathology ; Leydig Cells/metabolism ; Leydig Cells/pathology ; Lysosomal Storage Diseases/genetics ; Lysosomal Storage Diseases/metabolism ; Lysosomal Storage Diseases/pathology ; Male ; Mice ; Mucopolysaccharidosis I/genetics ; Mucopolysaccharidosis I/metabolism ; Mucopolysaccharidosis I/pathology ; Mutation/genetics ; Sertoli Cells/metabolism ; Sertoli Cells/pathology ; Spermatozoa/metabolism ; Spermatozoa/pathology
    Chemical Substances Glycosaminoglycans
    Language English
    Publishing date 2020-12-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 186544-4
    ISSN 1573-4978 ; 0301-4851
    ISSN (online) 1573-4978
    ISSN 0301-4851
    DOI 10.1007/s11033-020-06055-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Evidence that glycosaminoglycan storage and collagen deposition in the cauda epididymidis does not impair sperm viability in the Mucopolysaccharidosis type I mouse model.

    do Nascimento, Cinthia Castro / Aguiar, Odair / Viana, Gustavo Monteiro / D Almeida, Vânia

    Reproduction, fertility, and development

    2019  Volume 32, Issue 3, Page(s) 304–312

    Abstract: Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease caused by a deficiency of the lysosomal hydrolase, α-L-iduronidase (IDUA). IDUA degrades heparan and dermatan sulfates, two types of glycosaminoglycan (GAG), important signalling and ... ...

    Abstract Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease caused by a deficiency of the lysosomal hydrolase, α-L-iduronidase (IDUA). IDUA degrades heparan and dermatan sulfates, two types of glycosaminoglycan (GAG), important signalling and structural molecules of the extracellular matrix. Because many cell types store GAGs, MPS I has been investigated in human and animal models. Enzyme replacement therapy is available for MPS I patients and has improved their life expectancy, allowing them to achieve reproductive age. The aim of this study was to evaluate epididymal and sperm morphology and function in a murine model of MPS I. We used C57BL Idua+/+ and Idua-/- adult male mice (6 months old) to investigate epididymal morphology, sperm ultrastructure, GAG characterisation and mating competence. Epithelial GAG storage, especially in the cauda epididymidis, was seen in Idua-/- mice. Regardless of the morphologic change and GAG storage found in the cauda epididymis, sperm morphology and motility were normal, similar to wild types. In the interstitium, vacuolated cells were found in addition to deposits of GAGs. Mating was not impaired in Idua-/- males and litter sizes were similar between groups. At the time point of the disease evaluated, the deficiency in IDUA affected the morphology of the epididymis in male Idua-/- mice, whereas sperm appearance and motility and the male's capacity to mate and impregnate females were preserved.
    MeSH term(s) Animals ; Cell Survival ; Collagen/metabolism ; Disease Models, Animal ; Epididymis/metabolism ; Epididymis/ultrastructure ; Fertilization ; Glycosaminoglycans/metabolism ; Iduronidase/deficiency ; Iduronidase/genetics ; Male ; Mice, Inbred C57BL ; Mice, Knockout ; Mucopolysaccharidosis I/genetics ; Mucopolysaccharidosis I/metabolism ; Mucopolysaccharidosis I/pathology ; Sperm Motility ; Spermatozoa/metabolism ; Spermatozoa/ultrastructure
    Chemical Substances Glycosaminoglycans ; Collagen (9007-34-5) ; Iduronidase (EC 3.2.1.76)
    Language English
    Publishing date 2019-11-19
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1019913-5
    ISSN 1448-5990 ; 1031-3613
    ISSN (online) 1448-5990
    ISSN 1031-3613
    DOI 10.1071/RD19144
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: SÍNTESE E CARACTERIZAÇÃO DE NANOESFERAS DE POLIESTIRENO PARA ENCAPSULAMENTO DE NANOPARTICULADO MAGNÉTICO

    Gustavo Gonzaga Monteiro Elyseu / Marcello Rosa Dumont / Roberta Viana Ferreira

    The Journal of Engineering and Exact Sciences, Vol 3, Iss 8, Pp 1259-

    2017  Volume 1270

    Abstract: Nanopartículas com propriedades magnéticas podem atuar no combate oncológico por meio da hipertermia terapêutica a qual provoca a desnaturação de proteínas e, portanto, o enfraquecimento de células tumorais. A principal vantagem desta técnica é efeitos ... ...

    Abstract Nanopartículas com propriedades magnéticas podem atuar no combate oncológico por meio da hipertermia terapêutica a qual provoca a desnaturação de proteínas e, portanto, o enfraquecimento de células tumorais. A principal vantagem desta técnica é efeitos colaterais mais brandos do que os tratamentos convencionais. Objetivando uma ativação indesejada do sistema imune este trabalho propõe desenvolver uma rota para a obtenção de partículas nanométricas de poliestireno (PS) visando encapsular tais partículas. Foi utilizada uma rota livre de emulsificantes o que garantiria uma maior pureza do sistema. O material sintetizado foi analisado através microscopia eletrônica de varredura, granulometria por difração a laser, análise térmica e espectroscopia no infravermelho. Foi confirmada a obtenção de poliestireno no formato esférico com tamanho médio de partícula de 317 nm ± 58 nm adequada para o uso em sistemas biológicos
    Keywords Nanoesfera ; Poliestireno ; Hipertermia ; Technology ; T ; Science ; Q
    Language English
    Publishing date 2017-10-01T00:00:00Z
    Publisher Universidade Federal de Viçosa (UFV)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Altered Cellular Homeostasis in Murine MPS I Fibroblasts: Evidence of Cell-Specific Physiopathology.

    Viana, Gustavo Monteiro / do Nascimento, Cinthia Castro / Paredes-Gamero, Edgar Julian / D'Almeida, Vânia

    JIMD reports

    2017  Volume 36, Page(s) 109–116

    Abstract: Mucopolysaccharidosis type I (MPS I), a rare autosomal recessive disease, is caused by a deficiency of the lysosomal enzyme alfa-L-iduronidase. Impaired enzyme activity promotes glycosaminoglycans accumulation in several tissues and organs, leading to ... ...

    Abstract Mucopolysaccharidosis type I (MPS I), a rare autosomal recessive disease, is caused by a deficiency of the lysosomal enzyme alfa-L-iduronidase. Impaired enzyme activity promotes glycosaminoglycans accumulation in several tissues and organs, leading to complex multisystemic complications. Several studies using animal models indicated different intracellular pathways involving MPS I physiopathology; however, the exact mechanisms underlying this syndrome are still not understood. Previous results from our group showed alterations in ionic homeostasis and cell viability of splenocytes and macrophages in Idua-/- mice. In the present study, we found altered intracellular ionic homeostasis in a different cell type (fibroblasts) from the same murine model. Idua-/- fibroblasts from 3-month-old mice presented higher cytoplasmatic and endoplasmic reticulum Ca
    Language English
    Publishing date 2017-02-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2672872-2
    ISSN 2192-8312 ; 2192-8304
    ISSN (online) 2192-8312
    ISSN 2192-8304
    DOI 10.1007/8904_2017_5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Temporal Reduction in COVID-19-Associated Fatality Among Kidney Transplant Recipients: The Brazilian COVID-19 Registry Cohort Study.

    de Sandes-Freitas, Tainá Veras / Cristelli, Marina Pontello / Requião-Moura, Lucio Roberto / Modelli de Andrade, Luís Gustavo / Viana, Laila Almeida / Garcia, Valter Duro / de Oliveira, Claudia Maria Costa / Esmeraldo, Ronaldo de Matos / de Lima, Paula Roberta / Charpiot, Ida Maria Maximina Fernandes / Ferreira, Teresa Cristina Alves / Franco, Rodrigo Fontanive / Costa, Kellen Micheline Alves Henrique / Simão, Denise Rodrigues / Ferreira, Gustavo Fernandes / Santana, Viviane Brandão Bandeira de Mello / Almeida, Ricardo Augusto Monteiro de Barros / Deboni, Luciane Monica / Saldanha, Anita Leme da Rocha /
    Noronha, Irene de Lourdes / de Oliveira, Lívia Cláudio / de Carvalho, Deise De Boni Monteiro / Oriá, Reinaldo Barreto / Medina-Pestana, Jose Osmar / Tedesco-Silva Junior, Helio

    Transplant international : official journal of the European Society for Organ Transplantation

    2022  Volume 35, Page(s) 10205

    Abstract: Data from the general population suggest that fatality rates declined during the course of the pandemic. This analysis, using data extracted from the Brazilian Kidney Transplant COVID-19 Registry, seeks to determine fatality rates over time since the ... ...

    Abstract Data from the general population suggest that fatality rates declined during the course of the pandemic. This analysis, using data extracted from the Brazilian Kidney Transplant COVID-19 Registry, seeks to determine fatality rates over time since the index case on March 3rd, 2020. Data from hospitalized patients with RT-PCR positive SARS-CoV-2 infection from March to August 2020 (35 sites, 878 patients) were compared using trend tests according to quartiles (Q1: <72 days; Q2: 72-104 days; Q3: 105-140 days; Q4: >140 days after the index case). The 28-day fatality decreased from 29.5% (Q1) to 18.8% (Q4) (
    MeSH term(s) COVID-19 ; Cohort Studies ; Humans ; Kidney Transplantation/adverse effects ; Registries ; SARS-CoV-2 ; Transplant Recipients
    Language English
    Publishing date 2022-02-01
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.3389/ti.2022.10205
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Cathepsin B-associated Activation of Amyloidogenic Pathway in Murine Mucopolysaccharidosis Type I Brain Cortex.

    Viana, Gustavo Monteiro / Gonzalez, Esteban Alberto / Alvarez, Marcela Maciel Palacio / Cavalheiro, Renan Pelluzzi / do Nascimento, Cinthia Castro / Baldo, Guilherme / D'Almeida, Vânia / de Lima, Marcelo Andrade / Pshezhetsky, Alexey V / Nader, Helena Bonciani

    International journal of molecular sciences

    2020  Volume 21, Issue 4

    Abstract: Mucopolysaccharidosis type I (MPS I) is caused by genetic deficiency of α-l-iduronidase and impairment of lysosomal catabolism of heparan sulfate and dermatan sulfate. In the brain, these substrates accumulate in the lysosomes of neurons and glial cells, ...

    Abstract Mucopolysaccharidosis type I (MPS I) is caused by genetic deficiency of α-l-iduronidase and impairment of lysosomal catabolism of heparan sulfate and dermatan sulfate. In the brain, these substrates accumulate in the lysosomes of neurons and glial cells, leading to neuroinflammation and neurodegeneration. Their storage also affects lysosomal homeostasis-inducing activity of several lysosomal proteases including cathepsin B (CATB). In the central nervous system, increased CATB activity has been associated with the deposition of amyloid plaques due to an alternative pro-amyloidogenic processing of the amyloid precursor protein (APP), suggesting a potential role of this enzyme in the neuropathology of MPS I. In this study, we report elevated levels of protein expression and activity of CATB in cortex tissues of 6-month-old MPS I (
    MeSH term(s) Amyloid beta-Protein Precursor/genetics ; Amyloid beta-Protein Precursor/metabolism ; Animals ; Astrocytes/metabolism ; Astrocytes/pathology ; Cathepsin B/genetics ; Cathepsin B/metabolism ; Cerebral Cortex/metabolism ; Cerebral Cortex/pathology ; Glial Fibrillary Acidic Protein/genetics ; Glial Fibrillary Acidic Protein/metabolism ; Lysosomes/metabolism ; Lysosomes/pathology ; Mice ; Mice, Knockout ; Mucopolysaccharidosis I/genetics ; Mucopolysaccharidosis I/metabolism ; Mucopolysaccharidosis I/pathology ; Pyramidal Cells/metabolism ; Pyramidal Cells/pathology
    Chemical Substances APP protein, mouse ; Amyloid beta-Protein Precursor ; Glial Fibrillary Acidic Protein ; glial fibrillary astrocytic protein, mouse ; Cathepsin B (EC 3.4.22.1) ; Ctsb protein, mouse (EC 3.4.22.1)
    Language English
    Publishing date 2020-02-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms21041459
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The Mycophenolate-based Immunosuppressive Regimen Is Associated With Increased Mortality in Kidney Transplant Patients With COVID-19.

    Requião-Moura, Lúcio R / Modelli de Andrade, Luís Gustavo / de Sandes-Freitas, Tainá Veras / Cristelli, Marina Pontello / Viana, Laila Almeida / Nakamura, Mônica Rika / Garcia, Valter Duro / Manfro, Roberto Ceratti / Simão, Denise Rodrigues / Almeida, Ricardo Augusto Monteiro de Barros / Ferreira, Gustavo Fernandes / Costa, Kellen Micheline Alves Henrique / de Lima, Paula Roberta / Pacheco-Silva, Alvaro / Charpiot, Ida Maria Maximina Fernandes / Deboni, Luciane Mônica / Ferreira, Teresa Cristina Alves / Mazzali, Marilda / Calazans, Carlos Alberto Chalabi /
    Oriá, Reinaldo Barreto / Tedesco-Silva, Hélio / Medina-Pestana, José

    Transplantation

    2022  Volume 106, Issue 10, Page(s) e441–e451

    Abstract: Background: The chronic use of immunosuppressive drugs is a key risk factor of death because of coronavirus disease 2019 (COVID-19) in kidney transplant recipients (KTRs), although no evident association between the class of immunosuppressive and ... ...

    Abstract Background: The chronic use of immunosuppressive drugs is a key risk factor of death because of coronavirus disease 2019 (COVID-19) in kidney transplant recipients (KTRs), although no evident association between the class of immunosuppressive and outcomes has been observed. Thus, we aimed to compare COVID-19-associated outcomes among KTRs receiving 3 different immunosuppressive maintenance regimes.
    Methods: This study included data from 1833 KTRs with COVID-19 diagnosed between March 20 and April 21 extracted from the national registry before immunization. All patients were taking calcineurin inhibitor associated with mycophenolate acid (MPA, n = 1258), azathioprine (AZA, n = 389), or mammalian targets of rapamycin inhibitors (mTORi, n = 186). Outcomes within 30 and 90 d were assessed.
    Results: Compared with patients receiving MPA, the 30-d (79.9% versus 87.9% versus 89.2%; P < 0.0001) and 90-d (75% versus 83.5% versus 88.2%; P < 0.0001) unadjusted patient survivals were higher in those receiving AZA or mTORi, respectively. Using adjusted multivariable Cox regression, compared with patients receiving AZA, the use of MPA was associated with a higher risk of death within 30 d (adjusted hazard ratio [aHR], 1.70; 95% confidence interval [CI], 1.21-2.40; P = 0.003), which was not observed in patients using mTORi (aHR, 0.78; 95% CI, 0.45-1.35; P = 0.365). At 90 d, although higher risk of death was confirmed in patients receiving MPA (aHR, 1.46; 95% CI, 1.09-1.98; P = 0.013), a reduced risk was observed in patients receiving mTORi (aHR, 0.59; 95% CI, 0.35-0.97; P = 0.04) compared with AZA.
    Conclusions: This national cohort data suggest that, in KTRs receiving calcineurin inhibitor and diagnosed with COVID-19, the use of MPA was associated with higher risk of death, whereas mTORi use was associated with lower risk of death.
    MeSH term(s) Azathioprine ; COVID-19 ; Calcineurin Inhibitors/adverse effects ; Enzyme Inhibitors ; Humans ; Immunosuppressive Agents/adverse effects ; Kidney Transplantation/adverse effects ; Mycophenolic Acid/adverse effects ; Sirolimus/adverse effects ; TOR Serine-Threonine Kinases
    Chemical Substances Calcineurin Inhibitors ; Enzyme Inhibitors ; Immunosuppressive Agents ; TOR Serine-Threonine Kinases (EC 2.7.11.1) ; Mycophenolic Acid (HU9DX48N0T) ; Azathioprine (MRK240IY2L) ; Sirolimus (W36ZG6FT64)
    Language English
    Publishing date 2022-06-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0000000000004251
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Development and validation of a simple web-based tool for early prediction of COVID-19-associated death in kidney transplant recipients.

    Modelli de Andrade, Luis Gustavo / de Sandes-Freitas, Tainá Veras / Requião-Moura, Lúcio R / Viana, Laila Almeida / Cristelli, Marina Pontello / Garcia, Valter Duro / Alcântara, Aline Lima Cunha / Esmeraldo, Ronaldo de Matos / Abbud Filho, Mario / Pacheco-Silva, Alvaro / de Lima Carneiro, Erika Cristina Ribeiro / Manfro, Roberto Ceratti / Costa, Kellen Micheline Alves Henrique / Simão, Denise Rodrigues / de Sousa, Marcos Vinicius / Santana, Viviane Brandão Bandeira de Mello / Noronha, Irene L / Romão, Elen Almeida / Zanocco, Juliana Aparecida /
    Arimatea, Gustavo Guilherme Queiroz / De Boni Monteiro de Carvalho, Deise / Tedesco-Silva, Helio / Medina-Pestana, José

    American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons

    2021  Volume 22, Issue 2, Page(s) 610–625

    Abstract: This analysis, using data from the Brazilian kidney transplant (KT) COVID-19 study, seeks to develop a prediction score to assist in COVID-19 risk stratification in KT recipients. In this study, 1379 patients (35 sites) were enrolled, and a machine ... ...

    Abstract This analysis, using data from the Brazilian kidney transplant (KT) COVID-19 study, seeks to develop a prediction score to assist in COVID-19 risk stratification in KT recipients. In this study, 1379 patients (35 sites) were enrolled, and a machine learning approach was used to fit models in a derivation cohort. A reduced Elastic Net model was selected, and the accuracy to predict the 28-day fatality after the COVID-19 diagnosis, assessed by the area under the ROC curve (AUC-ROC), was confirmed in a validation cohort. The better calibration values were used to build the applicable ImAgeS score. The 28-day fatality rate was 17% (n = 235), which was associated with increasing age, hypertension and cardiovascular disease, higher body mass index, dyspnea, and use of mycophenolate acid or azathioprine. Higher kidney graft function, longer time of symptoms until COVID-19 diagnosis, presence of anosmia or coryza, and use of mTOR inhibitor were associated with reduced risk of death. The coefficients of the best model were used to build the predictive score, which achieved an AUC-ROC of 0.767 (95% CI 0.698-0.834) in the validation cohort. In conclusion, the easily applicable predictive model could assist health care practitioners in identifying non-hospitalized kidney transplant patients that may require more intensive monitoring. Trial registration: ClinicalTrials.gov NCT04494776.
    MeSH term(s) COVID-19 ; COVID-19 Testing ; Humans ; Internet ; Kidney Transplantation/adverse effects ; ROC Curve ; Retrospective Studies ; Risk Factors ; SARS-CoV-2 ; Transplant Recipients
    Language English
    Publishing date 2021-09-02
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2060594-8
    ISSN 1600-6143 ; 1600-6135
    ISSN (online) 1600-6143
    ISSN 1600-6135
    DOI 10.1111/ajt.16807
    Database MEDical Literature Analysis and Retrieval System OnLINE

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