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  1. Article: Differential modulation of IL-4, IL-10, IL-17, and IFN-γ production mediated by IgG from Human T-lymphotropic virus-1 (HTLV-1) infected patients on healthy peripheral T (CD4+, CD8+, and γδ) and B cells.

    Machado, Nicolle Rakanidis / Fagundes, Beatriz Oliveira / Fernandes, Lorena Abreu / de Oliveira, Augusto César Penalva / Nukui, Youko / Casseb, Jorge / Cunha, Fernando Roberto Machado / Nali, Luiz Henrique da Silva / Sanabani, Sabri Saeed / Victor, Jefferson Russo

    Frontiers in medicine

    2023  Volume 10, Page(s) 1239706

    Abstract: Human T-lymphotropic virus 1 (HTLV-1) infected individuals remain as asymptomatic carriers (ACs) or can develop the chronic neurological disorder HTLV-1-associated myelopathy/Tropical Spastic Paraparesis (HAM/TSP) or the adult T-cell leukemia/lymphoma ( ... ...

    Abstract Human T-lymphotropic virus 1 (HTLV-1) infected individuals remain as asymptomatic carriers (ACs) or can develop the chronic neurological disorder HTLV-1-associated myelopathy/Tropical Spastic Paraparesis (HAM/TSP) or the adult T-cell leukemia/lymphoma (ATLL), and the immunological mechanisms involved in this pathologies need to be elucidated. Recently, it has been demonstrated that induced or naturally developed IgG repertoires obtained from different groups of donors, grouped by immune status, can modulate human T and B cell functions. Here we aimed to evaluate if the IgG obtained from HTLV-1-infected ACs, HAM/TSP, and ATLL patients can differentially modulate the production of cytokines by human T and B cells. With this purpose, we cultured PBMCs with IgG purified from ACs, HAM/TSP, or ATLL donors and evaluated the frequency and intracellular cytokine production by flow cytometry. Our results indicate that IgG from HAM/TSP patients could induce an augment of IL-17-producing CD4+ T cells, reduce the frequency of IL-4-producing CD4+ T cells, increase IFN-γ-producing CD8+ T cells, and reduce IL-4-producing CD8+ T cells. IgG from ATLL could reduce the frequency of IL-4-producing CD4+ T cells, similarly to IgG from HAM/TSP /TSP, and could reduce the frequency of IFN-γ-producing γδT cells without influence on IL-17- and IL4-producing γδT and could reduce the frequency of IL-10- producing B cells. Finally, IgG from both HAM/TSP and ATLL patients could reduce the frequency of IFN-γ producing B cells. In conclusion, these results suggest that these preparations are active, partly overlapping in their effects, and able to elicit distinct effects on target populations.
    Language English
    Publishing date 2023-08-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2023.1239706
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Neurobrucellosis Mimicking Primary CNS Vasculitis-Should We Perform CSF Metagenomics Before Brain Biopsy?: A Case Report.

    Mathias, Marina Barrionuevo / Menezes, Fernando Gatti / Fernandes, Gustavo Bruniera Peres / Paes, Vitor Ribeiro / Silva, Gisele Sampaio / Braga-Neto, Pedro / Barbosa, Alcino Alves / De Oliveira, Augusto César Penalva / Baccin, Carlos Eduardo / Dutra, Lívia Almeida

    Neurology. Clinical practice

    2023  Volume 13, Issue 4, Page(s) e200167

    Abstract: Objective: To report a patient with neurobrucellosis mimicking primary CNS vasculitis (PCNSV) diagnosed by CSF metagenomic next-generation sequencing (mNGS).: Methods: A 32-year-old male patient with a prior stroke developed headache, dizziness, ... ...

    Abstract Objective: To report a patient with neurobrucellosis mimicking primary CNS vasculitis (PCNSV) diagnosed by CSF metagenomic next-generation sequencing (mNGS).
    Methods: A 32-year-old male patient with a prior stroke developed headache, dizziness, fever, and memory complaints in the past 30 days. Physical examination was unremarkable except for slight apathy. He was investigated with brain MRI, cerebral digital angiography, CSF analysis with mNGS, and brain biopsy.
    Results: An examination of the brain MRI showed a left nucleocapsular gliosis compatible with prior stroke; MR angiogram showed circular enhancement of distal branches of the middle cerebral arteries. Digital angiogram revealed stenosis of intracranial carotid arteries and the left middle cerebral artery. The CSF disclosed 42 cells/mm
    Discussion: Brucellosis is an endemic disease in developing countries and may mimic PCNSV. Our patient fulfilled the criteria for possible PCNSV; however, brain biopsy was inconsistent with PCNSV, and CSF mNGS disclosed neurobrucellosis. This case illustrates the importance of CSF mNGS in the differential diagnosis of CNS vasculitis.
    Language English
    Publishing date 2023-05-05
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2645818-4
    ISSN 2163-0933 ; 2163-0402
    ISSN (online) 2163-0933
    ISSN 2163-0402
    DOI 10.1212/CPJ.0000000000200167
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Identification of miRnas with possible prognostic roles for HAM/TSP.

    de Souza, Daniela Raguer Valadão / Pessôa, Rodrigo / Nukui, Youko / Pereira, Juliana / Marcusso, Rosa Nascimento / de Oliveira, Augusto César Penalva / Casseb, Jorge / da Silva Duarte, Alberto José / Clissa, Patricia Bianca / Sanabani, Sabri Saeed

    Virulence

    2023  Volume 14, Issue 1, Page(s) 2230015

    Abstract: Human T-cell lymphotropic virus type 1 (HTLV-1)-associated myelopathy/tropic spastic paraparesis (HAM/TSP) is an insidiously progressive spinal cord disease for which there is no effective treatment. There is great interest in developing potential ... ...

    Abstract Human T-cell lymphotropic virus type 1 (HTLV-1)-associated myelopathy/tropic spastic paraparesis (HAM/TSP) is an insidiously progressive spinal cord disease for which there is no effective treatment. There is great interest in developing potential biomarkers to predict the pathogenesis of HAM/TSP disease. In this study, Illumina Massive Parallel Sequencing (MPS) technology was used to investigate the cellular global noncoding RNAome expression profile in HAM/TSP patients (
    MeSH term(s) Humans ; Prognosis ; Paraparesis, Tropical Spastic/genetics ; Paraparesis, Tropical Spastic/complications ; Paraparesis, Tropical Spastic/pathology ; Human T-lymphotropic virus 1/genetics ; MicroRNAs/genetics ; Biomarkers
    Chemical Substances MicroRNAs ; Biomarkers
    Language English
    Publishing date 2023-07-02
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2657572-3
    ISSN 2150-5608 ; 2150-5594
    ISSN (online) 2150-5608
    ISSN 2150-5594
    DOI 10.1080/21505594.2023.2230015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Small RNA Profiling in an HTLV-1-Infected Patient with Acute Adult T-Cell Leukemia-Lymphoma at Diagnosis and after Maintenance Therapy: A Case Study.

    Pessôa, Rodrigo / de Souza, Daniela Raguer Valadão / Nukui, Youko / Pereira, Juliana / Fernandes, Lorena Abreu / Marcusso, Rosa Nascimento / de Oliveira, Augusto César Penalva / Casseb, Jorge / da Silva Duarte, Alberto José / Sanabani, Sabri Saeed

    International journal of molecular sciences

    2023  Volume 24, Issue 13

    Abstract: Small RNAs (sRNAs) are epigenetic regulators of essential biological processes associated with the development and progression of leukemias, including adult T-cell leukemia/lymphoma (ATLL) caused by human T-cell lymphotropic virus type 1 (HTLV-1), an ... ...

    Abstract Small RNAs (sRNAs) are epigenetic regulators of essential biological processes associated with the development and progression of leukemias, including adult T-cell leukemia/lymphoma (ATLL) caused by human T-cell lymphotropic virus type 1 (HTLV-1), an oncogenic human retrovirus originally discovered in a patient with adult T-cell leukemia/lymphoma. Here, we describe the sRNA profile of a 30-year-old woman with ATLL at the time of diagnosis and after maintenance therapy with the aim of correlating expression levels with response to therapy.
    MeSH term(s) Adult ; Female ; Humans ; Leukemia-Lymphoma, Adult T-Cell/diagnosis ; Leukemia-Lymphoma, Adult T-Cell/genetics ; Leukemia-Lymphoma, Adult T-Cell/pathology ; Human T-lymphotropic virus 1/genetics ; RNA ; Lymphoma/complications
    Chemical Substances RNA (63231-63-0)
    Language English
    Publishing date 2023-06-26
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms241310643
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Hemorrhagic brain lesions in a newly diagnosed HIV-1 infected patient.

    Pellegrino, D / de Lima, Patricia Picciarelli / de Oliveira, Augusto César Penalva / Vidal, José E

    International journal of STD & AIDS

    2019  Volume 30, Issue 9, Page(s) 930–933

    MeSH term(s) AIDS-Related Opportunistic Infections/complications ; AIDS-Related Opportunistic Infections/diagnostic imaging ; AIDS-Related Opportunistic Infections/pathology ; Adult ; Brain/diagnostic imaging ; Brain/pathology ; HIV Seropositivity/complications ; HIV Seropositivity/diagnosis ; HIV-1/genetics ; HIV-1/isolation & purification ; Humans ; Intracranial Hemorrhages/diagnostic imaging ; Intracranial Hemorrhages/etiology ; Intracranial Hemorrhages/pathology ; Magnetic Resonance Imaging ; Male ; Tomography, X-Ray Computed ; Toxoplasmosis, Cerebral/complications ; Toxoplasmosis, Cerebral/diagnosis ; Toxoplasmosis, Cerebral/diagnostic imaging ; Toxoplasmosis, Cerebral/pathology
    Language English
    Publishing date 2019-06-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1018089-8
    ISSN 1758-1052 ; 0956-4624
    ISSN (online) 1758-1052
    ISSN 0956-4624
    DOI 10.1177/0956462419845965
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Altered structural connectivity in olfactory disfunction after mild COVID-19 using probabilistic tractography.

    Bispo, Diógenes Diego de Carvalho / Brandão, Pedro Renato de Paula / Pereira, Danilo Assis / Maluf, Fernando Bisinoto / Dias, Bruna Arrais / Paranhos, Hugo Rafael / von Glehn, Felipe / de Oliveira, Augusto César Penalva / Soares, Alexandre Anderson de Sousa Munhoz / Descoteaux, Maxime / Regattieri, Neysa Aparecida Tinoco

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 12886

    Abstract: We aimed to investigate changes in olfactory bulb volume and brain network in the white matter (WM) in patients with persistent olfactory disfunction (OD) following COVID-19. A cross-sectional study evaluated 38 participants with OD after mild COVID-19 ... ...

    Abstract We aimed to investigate changes in olfactory bulb volume and brain network in the white matter (WM) in patients with persistent olfactory disfunction (OD) following COVID-19. A cross-sectional study evaluated 38 participants with OD after mild COVID-19 and 24 controls, including Sniffin' Sticks identification test (SS-16), MoCA, and brain magnetic resonance imaging. Network-Based Statistics (NBS) and graph theoretical analysis were used to explore the WM. The COVID-19 group had reduced olfactory bulb volume compared to controls. In NBS, COVID-19 patients showed increased structural connectivity in a subnetwork comprising parietal brain regions. Regarding global network topological properties, patients exhibited lower global and local efficiency and higher assortativity than controls. Concerning local network topological properties, patients had reduced local efficiency (left lateral orbital gyrus and pallidum), increased clustering (left lateral orbital gyrus), increased nodal strength (right anterior orbital gyrus), and reduced nodal strength (left amygdala). SS-16 test score was negatively correlated with clustering of whole-brain WM in the COVID-19 group. Thus, patients with OD after COVID-19 had relevant WM network dysfunction with increased connectivity in the parietal sensory cortex. Reduced integration and increased segregation are observed within olfactory-related brain areas might be due to compensatory plasticity mechanisms devoted to recovering olfactory function.
    MeSH term(s) Humans ; Diffusion Tensor Imaging/methods ; Cross-Sectional Studies ; COVID-19/pathology ; Brain/pathology ; White Matter/diagnostic imaging ; White Matter/pathology ; Magnetic Resonance Imaging
    Language English
    Publishing date 2023-08-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-40115-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Prevalence of cognitive impairment in HIV patients: vertical and horizontal transmission.

    Gascón, Maria Rita Polo / Terra, Cauê Peter da Cruz / Guerra, Hestela de Lima / Gualqui, Carolina Fernandes / Lucia, Mara Cristina Souza De / Benute, Glaucia Rosana Guerra / Fonseca, Luiz Augusto Marcondes / Casseb, Jorge / Vidal, Jose Ernesto / de Oliveira, Augusto César Penalva

    Dementia & neuropsychologia

    2022  Volume 16, Issue 1, Page(s) 45–51

    Abstract: Antiretroviral treatment has significantly increased the survival of patients infected with HIV-1. However, with increased survival, cognitive changes associated with HIV are frequently observed in this population. The clinical manifestations of HIV ... ...

    Abstract Antiretroviral treatment has significantly increased the survival of patients infected with HIV-1. However, with increased survival, cognitive changes associated with HIV are frequently observed in this population. The clinical manifestations of HIV changes can vary as a result of several aspects, including the virus transmission route. Several studies have pointed out premature neurological changes in vertically infected patients, while the manifestation of cognitive damage in adults may take a longer time.
    Objective: The aim of this study was to verify the prevalence of cognitive changes in patients with HIV via vertical transmission after the highly active antiretroviral therapy and the cognitive performance of these patients compared to a group of sexually infected patients.
    Methods: A total of 48 patients were evaluated, 25 with vertical transmission and 23 with sexual transmission, between May 2013 and February 2015 at the Institute of infectology Emilio Ribas. Neuropsychological tests were applied to assess cognitive performance, scales to assess symptoms of anxiety and depression, and sociodemographic questionnaire.
    Results: The results demonstrate that the frequency of cognitive impairment in vertically transmitted patients was higher than in sexually transmitted patients.
    Conclusions: These findings suggest that the deleterious effects of the HIV virus on the development of the central nervous system reverberate more strongly than in patients who acquire it after adulthood.
    Language English
    Publishing date 2022-06-13
    Publishing country Brazil
    Document type Journal Article
    ISSN 1980-5764
    ISSN 1980-5764
    DOI 10.1590/1980-5764-DN-2021-0023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Neuropsychological profile of patients with infectious disease: characterization and comparison of patients with HIV, HTLV, and HCV.

    Gascón, Maria Rita Polo / de Oliveira, Giovana S / Laurence, Paulo Guirro / Gualqui, Carolina Fernandes / de Oliveira, Augusto Cesar Penalva / Smid, Jerusa / Fonseca, Luiz A M / Casseb, Jorge / Macedo, Elizeu Coutinho

    Journal of neurovirology

    2022  Volume 29, Issue 1, Page(s) 27–34

    Abstract: Understanding the effect of the HIV, HTLV-1, and HCV viruses on cognitive aspects can help in the better characterization of dementia, as well as the best conducts to be suitable for rehabilitation. Thus, the present study aimed to characterize and ... ...

    Abstract Understanding the effect of the HIV, HTLV-1, and HCV viruses on cognitive aspects can help in the better characterization of dementia, as well as the best conducts to be suitable for rehabilitation. Thus, the present study aimed to characterize and compare the neuropsychological profile of 3 groups of patients with infectious diseases: HIV, HTLV, and HCV. The results of neuropsychological assessments and depression assessment of 325 people treated at a referral hospital for infectious diseases were analyzed, being 120 HIV carriers (74 (61.7%) men) with an average age of 47.5 years (SD = 10.3), 65 patients with HTLV-1 (16 (24.6%) men) with a mean age of 49.9 years (SD = 12.9), and 87 HCV patients (47 (54%) men) with a mean age of 55.5 years (SD = 11.2). In addition, 54 people (26 (48.1%) men) with negative serology who made up the control group were evaluated. The results of the statistical evaluation of the sociodemographic factors of the four groups (HIV, HTLV-1, HCV, and control) showed that in addition to age, schooling was a significant factor among them and may have a strong influence on the performance of cognitive tests. The HTLV-1 group had the lowest neurocognitive performance and also the highest rate of depressive symptoms.
    MeSH term(s) Male ; Humans ; Middle Aged ; Female ; HTLV-I Infections ; HIV Infections ; Communicable Diseases ; Human T-lymphotropic virus 1 ; Hepatitis C
    Language English
    Publishing date 2022-12-17
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1283265-0
    ISSN 1538-2443 ; 1355-0284
    ISSN (online) 1538-2443
    ISSN 1355-0284
    DOI 10.1007/s13365-022-01108-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Brain microstructural changes and fatigue after COVID-19.

    Bispo, Diógenes Diego de Carvalho / Brandão, Pedro Renato de Paula / Pereira, Danilo Assis / Maluf, Fernando Bisinoto / Dias, Bruna Arrais / Paranhos, Hugo Rafael / von Glehn, Felipe / de Oliveira, Augusto César Penalva / Regattieri, Neysa Aparecida Tinoco / Silva, Lucas Scardua / Yasuda, Clarissa Lin / Soares, Alexandre Anderson de Sousa Munhoz / Descoteaux, Maxime

    Frontiers in neurology

    2022  Volume 13, Page(s) 1029302

    Abstract: Background: Fatigue and cognitive complaints are the most frequent persistent symptoms in patients after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study aimed to assess fatigue and neuropsychological performance and ... ...

    Abstract Background: Fatigue and cognitive complaints are the most frequent persistent symptoms in patients after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This study aimed to assess fatigue and neuropsychological performance and investigate changes in the thickness and volume of gray matter (GM) and microstructural abnormalities in the white matter (WM) in a group of patients with mild-to-moderate coronavirus disease 2019 (COVID-19).
    Methods: We studied 56 COVID-19 patients and 37 matched controls using magnetic resonance imaging (MRI). Cognition was assessed using Montreal Cognitive Assessment and Cambridge Neuropsychological Test Automated Battery, and fatigue was assessed using Chalder Fatigue Scale (CFQ-11). T1-weighted MRI was used to assess GM thickness and volume. Fiber-specific apparent fiber density (FD), free water index, and diffusion tensor imaging data were extracted using diffusion-weighted MRI (d-MRI). d-MRI data were correlated with clinical and cognitive measures using partial correlations and general linear modeling.
    Results: COVID-19 patients had mild-to-moderate acute illness (95% non-hospitalized). The average period between real-time quantitative reverse transcription polymerase chain reaction-based diagnosis and clinical/MRI assessments was 93.3 (±26.4) days. The COVID-19 group had higher total CFQ-11 scores than the control group (
    Conclusions: Quantitative d-MRI detected changes in the WM microstructure of patients recovering from COVID-19. This study suggests a possible brain substrate underlying the symptoms caused by SARS-CoV-2 during medium- to long-term recovery.
    Language English
    Publishing date 2022-11-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2022.1029302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Efficacy and safety of trimethoprim-sulfamethoxazole in HIV-infected patients with cerebral toxoplasmosis in Brazil: a single-arm open-label clinical trial.

    Pellegrino, Daniela / Gryschek, Ronaldo / de Oliveira, Augusto César Penalva / Marcusso, Rosa / Correia, Ademir / Vidal, José E

    International journal of STD & AIDS

    2019  Volume 30, Issue 12, Page(s) 1156–1162

    MeSH term(s) AIDS-Related Opportunistic Infections/drug therapy ; Adult ; Aged ; Anti-Infective Agents/adverse effects ; Anti-Infective Agents/therapeutic use ; Brain/diagnostic imaging ; Brazil ; Female ; HIV Infections/complications ; Humans ; Male ; Middle Aged ; Neuroimaging ; Tomography, X-Ray Computed/methods ; Toxoplasmosis, Cerebral/drug therapy ; Treatment Outcome ; Trimethoprim, Sulfamethoxazole Drug Combination/adverse effects ; Trimethoprim, Sulfamethoxazole Drug Combination/therapeutic use
    Chemical Substances Anti-Infective Agents ; Trimethoprim, Sulfamethoxazole Drug Combination (8064-90-2)
    Language English
    Publishing date 2019-09-27
    Publishing country England
    Document type Clinical Trial ; Journal Article
    ZDB-ID 1018089-8
    ISSN 1758-1052 ; 0956-4624
    ISSN (online) 1758-1052
    ISSN 0956-4624
    DOI 10.1177/0956462419865829
    Database MEDical Literature Analysis and Retrieval System OnLINE

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