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Artikel ; Online: Coronary Microvascular Dysfunction: Does it Really Matter in Chagas Disease?

Nunes, Maria do Carmo Pereira

2021 Band 115, Heft 6, Seite(n) 1102–1103

Titelübersetzung	Disfunção Microvascular Coronariana: Isso Realmente Importa na Doença de Chagas?
Mesh-Begriff(e)	Chagas Cardiomyopathy/diagnostic imaging ; Fractional Flow Reserve, Myocardial ; Humans ; Myocardial Ischemia
Sprache	Portugiesisch
Erscheinungsdatum	2021-01-20
Erscheinungsland	Brazil
Dokumenttyp	Editorial ; Comment
ZDB-ID	730261-7
ISSN	1678-4170 ; 0066-782X
ISSN (online)	1678-4170
ISSN	0066-782X
DOI	10.36660/abc.20201219
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Editorial: Clinical and Molecular Features of Infectious Cardiomyopathies: Implications for Prevention, Treatment and Management.

Nunes, Maria do Carmo Pereira / Passos, Lívia Silva Araújo / Dutra, Walderez Ornelas

Frontiers in cardiovascular medicine

2022 Band 9, Seite(n) 952189

Sprache	Englisch
Erscheinungsdatum	2022-06-10
Erscheinungsland	Switzerland
Dokumenttyp	Editorial
ZDB-ID	2781496-8
ISSN	2297-055X
ISSN	2297-055X
DOI	10.3389/fcvm.2022.952189
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Accuracy of Transthoracic Echocardiogram as a Screening Method in the Clinical Practice of Pulmonary Hypertension Investigation.

Rezende, Camila Farnese / Mancuzo, Eliane Viana / Nunes, Maria do Carmo Pereira / Corrêa, Ricardo Amorim

Arquivos brasileiros de cardiologia

2023 Band 120, Heft 7, Seite(n) e20220461

Abstract: Background: The transthoracic echocardiogram (TTE) plays a screening role in the diagnostic algorithm of pulmonary hypertension (PH). Studies have shown a significant disagreement between TTE measurements of the systolic pulmonary artery pressure (sPAP) ...

Titelübersetzung	Acurácia do Ecocardiograma Transtorácico como Método de Triagem na Prática Clínica da Investigação da Hipertensão Pulmonar.
Abstract	Background: The transthoracic echocardiogram (TTE) plays a screening role in the diagnostic algorithm of pulmonary hypertension (PH). Studies have shown a significant disagreement between TTE measurements of the systolic pulmonary artery pressure (sPAP) and right atrial pressure (RAP) and those obtained by right heart catheterization (RHC). Objective: To compare TTE measurements of sPAP and RAP with those obtained by RHC in patients being investigated for PH. Methods: Patients referred to a PH reference center with a high or intermediate TTE probability of PH upon admission were submitted to RHC. The agreement between sPAP and RAP from both procedures was assessed through the Bland-Altman test. Differences of up to 10 mmHg for sPAP and 5 mmHg for RAP were considered within the variability of the test. Receiver Operating Characteristic (ROC) curve was constructed to determine the most accurate sPAP and Tricuspid regurgitation maximal velocity (TRV)values associated with the diagnosis of PH by RHC. The adopted level of statistical significance was 5%. Results: Ninety-five patients were included. The Bland-Altman analysis showed a bias of 8.03 mmHg (95% CI:-34.9-50.9) for sPAP and -3.30 mmHg (95% CI:-15.9-9.3) for RAP. AUC for sPAP and TRV measured by TTE for discrimination of probable PH were 0.936 (95% CI: 0.836-1.0) and 0.919 (95% CI: 0.837-1.0), respectively. However, only 33.4% of the echocardiographic estimate of sPAP and 55.1% of RAP were accurate, as compared to the measurements obtained by RHC. Conclusion: TTE has a high discriminatory power as a screening diagnostic method for PH despite presenting disagreements between sPAP and RAP absolute values when compared to RHC measurements.
Mesh-Begriff(e)	Humans ; Hypertension, Pulmonary/diagnostic imaging ; Echocardiography, Doppler/methods ; Pulmonary Artery/diagnostic imaging ; Echocardiography ; Cardiac Catheterization/methods
Sprache	Portugiesisch
Erscheinungsdatum	2023-08-07
Erscheinungsland	Brazil
Dokumenttyp	Journal Article
ZDB-ID	730261-7
ISSN	1678-4170 ; 0066-782X
ISSN (online)	1678-4170
ISSN	0066-782X
DOI	10.36660/abc.20220461
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Correlation of blood-based immune molecules with cardiac gene expression profiles reveals insights into Chagas cardiomyopathy pathogenesis.

Souza-Silva, Thaiany G / Neves, Eula G A / Koh, Carolina / Teixeira-Carvalho, Andrea / Araújo, Silvana Silva / Nunes, Maria do Carmo Pereira / Gomes, Juliana de Assis Silva / Gollob, Kenneth J / Dutra, Walderez Ornelas

Frontiers in immunology

2024 Band 15, Seite(n) 1338582

Abstract: Introduction: Understanding compartmentalized immune responses in target organs is crucial for elucidating the pathogenesis of various diseases. However, obtaining samples from affected vital organs often poses safety challenges. In this study, we aimed ...

Abstract	Introduction: Understanding compartmentalized immune responses in target organs is crucial for elucidating the pathogenesis of various diseases. However, obtaining samples from affected vital organs often poses safety challenges. In this study, we aimed to investigate potential correlations between the levels of disease-associated immune molecules in the bloodstream with their gene expression profiles in the hearts of patients suffering from Chagas Cardiomyopathy (CCC). This debilitating and often fatal condition is caused by infection with the protozoan Trypanosoma cruzi. Methods: Blood samples were analyzed using the Bio-Plex platform. Gene Expression Omnibus (GEO) database was used to determine gene expression profile in heart tissue from CCC and non-Chagas controls (CTRL). Results: Elevated levels of inflammatory cytokines were detected in the plasma of CCC patients, and these levels correlated with clinical indicators of deteriorating cardiac function. Notably, 75% of the soluble factors assessed in the plasma exhibited a consistent relationship with their gene expression levels in the cardiac tissue of CCC patients. Analysis of interactions and signaling pathways related to these molecules revealed an overrepresentation of inflammatory pathways in both blood and heart compartments. Moreover, we identified that differentially expressed genes in CCC cardiac tissue were primarily associated with T-cell signaling pathways and correlated with the presence of CD8+ T cells in the myocardium. Discussion: Our findings establish a strong correlation between relevant immune molecules and their signaling pathways in both the blood and heart tissue in CCC. This validates the use of blood as a non-invasive medium for understanding immunopathology and identifying markers for cardiac dysfunction in Chagas disease.
Mesh-Begriff(e)	Humans ; Chagas Cardiomyopathy ; Transcriptome ; Heart ; Myocardium/pathology ; Trypanosoma cruzi
Sprache	Englisch
Erscheinungsdatum	2024-02-08
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2606827-8
ISSN	1664-3224 ; 1664-3224
ISSN (online)	1664-3224
ISSN	1664-3224
DOI	10.3389/fimmu.2024.1338582
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Sydenham's chorea: from pathophysiology to therapeutics.

Teixeira, Antonio L / Vasconcelos, Luiz P / Nunes, Maria do Carmo Pereira / Singer, Harvey

Expert review of neurotherapeutics

2021 Band 21, Heft 8, Seite(n) 913–922

Abstract: Sydenham's chorea is an autoimmune chorea emerging after a group A beta-hemolytic streptococcal (GABHS) infection, i.e. a rheumatic chorea with or without the presence of carditis or arthritis. The disorder, defined by the presence of chorea, is also ... ...

Abstract	Sydenham's chorea is an autoimmune chorea emerging after a group A beta-hemolytic streptococcal (GABHS) infection, i.e. a rheumatic chorea with or without the presence of carditis or arthritis. The disorder, defined by the presence of chorea, is also associated with cognitive and behavioral symptoms, including emotional lability, anxiety, depressive and obsessive-compulsive symptoms. The authors review the pathophysiology, clinical characteristics, and available evidence on therapeutic strategies, the latter including the secondary prevention of GABHS infections, reduction of chorea, and immune modulation. Sydenham's chorea has been regarded as a model for pediatric autoimmune neuropsychiatric disorders, however, the field is marked by conflicting results and controversies. Regarding therapeutics, there are limited high-quality interventional studies and the selection of treatment strategy often relies on the clinician's experience. A serial treatment algorithm is presented based upon the severity of clinical presentation and response to symptomatic pharmacotherapy.
Mesh-Begriff(e)	Anxiety Disorders ; Autoimmune Diseases ; Child ; Chorea/drug therapy ; Humans ; Obsessive-Compulsive Disorder
Sprache	Englisch
Erscheinungsdatum	2021-08-18
Erscheinungsland	England
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2112534-X
ISSN	1744-8360 ; 1473-7175
ISSN (online)	1744-8360
ISSN	1473-7175
DOI	10.1080/14737175.2021.1965883
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Distinct CD4

Passos, Livia Silva Araújo / Koh, Carolina Cattoni / Magalhães, Luísa Mourão Dias / Nunes, Maria do Carmo Pereira / Gollob, Kenneth John / Dutra, Walderez Ornelas

Frontiers in immunology

2021 Band 12, Seite(n) 761795

Abstract: ... ...

Abstract	CD4
Mesh-Begriff(e)	Adult ; Aged ; Animals ; Antigens, CD1d/immunology ; Antigens, CD1d/metabolism ; CD4 Antigens/immunology ; CD4 Antigens/metabolism ; CD8 Antigens/immunology ; CD8 Antigens/metabolism ; Cells, Cultured ; Chagas Cardiomyopathy/immunology ; Chagas Cardiomyopathy/metabolism ; Chagas Cardiomyopathy/parasitology ; Chagas Disease/immunology ; Chagas Disease/metabolism ; Chagas Disease/parasitology ; Chlorocebus aethiops ; Electrocardiography ; Female ; Humans ; Interleukin-10/immunology ; Interleukin-10/metabolism ; Male ; Memory T Cells/immunology ; Memory T Cells/metabolism ; Middle Aged ; Trypanosoma cruzi/immunology ; Trypanosoma cruzi/physiology ; Ventricular Function, Left/immunology ; Ventricular Function, Left/physiology ; Vero Cells
Chemische Substanzen	Antigens, CD1d ; CD1D protein, human ; CD4 Antigens ; CD8 Antigens ; IL10 protein, human ; Interleukin-10 (130068-27-8)
Sprache	Englisch
Erscheinungsdatum	2021-11-11
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2606827-8
ISSN	1664-3224 ; 1664-3224
ISSN (online)	1664-3224
ISSN	1664-3224
DOI	10.3389/fimmu.2021.761795
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Analysis of Iron Metabolism in Chronic Chagasic Cardiomyopathy.

Miranda, Carla Paixão / Botoni, Fernando Antônio / Nunes, Maria do Carmo Pereira / Rocha, Manoel Otávio da Costa

Arquivos brasileiros de cardiologia

2019 Band 112, Heft 2, Seite(n) 189–192

Abstract: Changes in iron metabolism in heart failure (HF) have been described as an important prognostic marker. To check if the markers of iron kinetics are related to the morbidity and etiology of chagasic cardiomyopathy. Patients with Chronic Chagasic ... ...

Abstract	Changes in iron metabolism in heart failure (HF) have been described as an important prognostic marker. To check if the markers of iron kinetics are related to the morbidity and etiology of chagasic cardiomyopathy. Patients with Chronic Chagasic Cardiomyopathy (CCC, n = 40), with indeterminate form (IND, n = 40), besides non-chagasic cardiomyopathy (NCh, n = 40). The mean age was 50.98 ± 5.88 in CCC, 50% were male, 49.68 ± 5.28 in IND, 52.2% were male, and 49.20 ± 10.09 in NCh, 12.5% were male. Lower levels of iron (FeSe) were observed in the CCC groups (93.15 ± 36.53), when compared to IND (125.30 ± 22.79) and NCh (114.77 ± 18.90) (p = 0.0004), lower IST transferrin saturation index in CCC (29.48 ± 6.59), when compared to IND (30.95 ± 7.06) and in the NCh group (39.70 ± 7.54) p = 0.0001), total binding capacity of the lower CTLF iron in the CCC group (297.30 ± 36.46), when compared to the IND group (196.52 ± 56.95) and the NCh group (275.18 ± 33, 48) (p = 0.0001), lower ferritin in the CCC group (134.55, 1.56-42.36), when compared to the IND group (156,25, 1,72-42,20) and the NCh group (112.95, 2.88-42.66) (p = 0.0004). It was also observed that FeSe (95% CI 1.00-1.04, p = 0.0014), IST (95% CI 1.02-1.22) (p = 0.0012) and gender (95% CI 1.07-14.43 p = 0.0038) were independently associated with the degree of ventricular dysfunction in chagasic cardiomyopathy. CCC patients showed greater change in iron metabolism regarding the indeterminate form and other forms of cariomyopathies.
Mesh-Begriff(e)	Adult ; Anemia/metabolism ; Anemia/physiopathology ; Chagas Cardiomyopathy/metabolism ; Chagas Cardiomyopathy/physiopathology ; Chronic Disease ; Female ; Humans ; Iron/blood ; Iron Metabolism Disorders/metabolism ; Iron Metabolism Disorders/physiopathology ; Male ; Middle Aged ; Reference Values ; Statistics, Nonparametric ; Ventricular Dysfunction, Left/metabolism ; Ventricular Dysfunction, Left/physiopathology
Chemische Substanzen	Iron (E1UOL152H7)
Sprache	Portugiesisch
Erscheinungsdatum	2019-02-14
Erscheinungsland	Brazil
Dokumenttyp	Journal Article
ZDB-ID	730261-7
ISSN	1678-4170 ; 0066-782X
ISSN (online)	1678-4170
ISSN	0066-782X
DOI	10.5935/abc.20190006
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Biomakers in Chronic Chagas Cardiomyopathy

Rodrigues, Angela Braga / da Gama Torres, Henrique Oswaldo / Nunes, Maria do Carmo Pereira / de Assis Silva Gomes, Juliana / Rodrigues, Aline Braga / Pinho, Laura Lopes Nogueira / Rocha, Manoel Otavio / Botoni, Fernando Antonio

Microorganisms. 2022 Aug. 09, v. 10, no. 8

2022

Abstract: The primary objective was to observe the relationship between serum levels of BNP, Ca-125, C-reactive protein and uric acid as prognostic and functional markers in patients with chronic Chagas cardiomyopathy (CCC). Circulating levels of cytokines: IL-1β, ...

Abstract	The primary objective was to observe the relationship between serum levels of BNP, Ca-125, C-reactive protein and uric acid as prognostic and functional markers in patients with chronic Chagas cardiomyopathy (CCC). Circulating levels of cytokines: IL-1β, TNFα, IL-10, IL6, IL-8 and IL-12 were determined and investigated regarding their association with hemodynamic parameters, clinical signs of heart failure and outcome. Chagas is still a neglected disease that affects numerous individuals, many of them in their most productive years. CCC with left ventricular dysfunction is the most severe presentation of Chagas Disease. BNP is a well-recognized prognostic and clinical biomarker, not only in chronic heart failure patients but also in patients with CCC. Previous studies have shown Ca-125, C-reactive protein, and uric acid to be potentially good prognostic markers in heart failure (HF). Fifty patients with left ventricular fraction less (LVEF) than 55% were selected and followed for a mean period of 18 ± 8.3 months. Patient’s mean age was 43.42 ± 10.3 years (32 male), their BNP was 293 (160–530) pg/mL, Ca-125 8.5 (5.5–16.75) U/mL, uric acid 6.2 ± 2 mg/dL, and C- reactive protein 4.5 (4.5–7.3) mg/L. Patients who had LVEF less than 35% had higher BNP (p = 0.0023), Ca-125 (p = 0.027) and uric acid (p = 0.01) serum levels. Patients who died also showed higher BNP (p = 0.01), uric acid (p = 0.05) and a trend towards higher Ca-125 serum levels (p = 0.056). All markers: BNP, Ca-125, uric acid and C-reactive had good predictability of death in Cox-regression univariate analysis, however, not on the final multivariate model. Of the inflammatory cytokines, IL-8 and IL-12 showed a relation to LVEF of less than 35%. IL-12 was related to adverse cardiovascular events and non-survival. IL-1β was a good predictor of mortality in the final Cox regression model. Determination of Ca-125, uric acid levels and C-reactive protein may add useful clinical and prognostic information and may help clinical decision making for patients with CCC.
Schlagwörter	C-reactive protein ; Chagas disease ; biomarkers ; blood serum ; cardiomyopathy ; death ; heart failure ; hemodynamics ; interleukin-10 ; interleukin-12 ; interleukin-6 ; interleukin-8 ; males ; mortality ; patients ; regression analysis ; uric acid
Sprache	Englisch
Erscheinungsverlauf	2022-0809
Erscheinungsort	Multidisciplinary Digital Publishing Institute
Dokumenttyp	Artikel
ZDB-ID	2720891-6
ISSN	2076-2607
ISSN	2076-2607
DOI	10.3390/microorganisms10081602
Datenquelle	NAL Katalog (AGRICOLA)

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Artikel ; Online: Parasite DNA and Markers of Decreased Immune Activation Associate Prospectively with Cardiac Functional Decline over 10 Years among

Sunderraj, Ashwin / Cunha, Luisa Marin / Avila, Matheus / Alexandria, Shaina / Ferreira, Ariela Mota / de Oliveira-da Silva, Léa Campos / Ribeiro, Antonio L P / Nunes, Maria do Carmo Pereira / Sabino, Ester C / Landay, Alan / Kalil, Jorge / Chevillard, Christophe / Cunha-Neto, Edecio / Feinstein, Matthew J

International journal of molecular sciences

2023 Band 25, Heft 1

Abstract: Parasitemia and inflammatory markers are cross-sectionally associated with chronic Chagas cardiomyopathy (CCC) among patients ... ...

Abstract	Parasitemia and inflammatory markers are cross-sectionally associated with chronic Chagas cardiomyopathy (CCC) among patients with
Mesh-Begriff(e)	Humans ; Animals ; Trypanosoma cruzi/genetics ; Parasites ; Brazil/epidemiology ; Parasitemia ; Stroke Volume ; Ventricular Function, Left ; Chagas Disease ; DNA ; Inflammation
Chemische Substanzen	DNA (9007-49-2)
Sprache	Englisch
Erscheinungsdatum	2023-12-19
Erscheinungsland	Switzerland
Dokumenttyp	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/ijms25010044
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Blocking activation of CD4

Neves, Eula Graciele Amorim / Koh, Carolina Cattoni / Lucinda, Pedro Paulo Diniz / Souza-Silva, Thaiany Goulart / Medeiros, Nayara I / Pantaleão, Alexandre / Mutarelli, Antônio / Gomes, Juliana de Assis Silva / Silva, Silvana de Araújo / Gollob, Kenneth John / Nunes, Maria do Carmo Pereira / Dutra, Walderez Ornelas

Clinical immunology (Orlando, Fla.)

2023 Band 251, Seite(n) 109331

Abstract: ... ...

Abstract	CD4
Mesh-Begriff(e)	Humans ; CD8-Positive T-Lymphocytes/metabolism ; Chagas Cardiomyopathy ; Trypanosoma cruzi/metabolism ; Chagas Disease ; Cytokines/metabolism ; Antineoplastic Agents
Chemische Substanzen	Cytokines ; Antineoplastic Agents
Sprache	Englisch
Erscheinungsdatum	2023-04-23
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1459903-x
ISSN	1521-7035 ; 1521-6616
ISSN (online)	1521-7035
ISSN	1521-6616
DOI	10.1016/j.clim.2023.109331
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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