ABSTRACT HIV infection may be considered a chronic condition for people living with HIV with access to antiretrovirals and this has effectively increased survival. Moreover, this has also facilitated the emergence of other comorbidities increasing the risk for drug-drug interactions and polypharmacy. The profile of these interactions as well as their consequences for people living with HIV are still not completely elucidated. The objectives of this study were to describe the profile of these interactions, their prevalence and their classification according to the potential for significant or non-significant drug-drug interactions. From June 2015 to July 2016, people living with HIV on follow-up at an Infectious Diseases Referral Center in Belo Horizonte, Brazil have been investigated for the presence of drug-drug interactions. A total of 304 patients were included and the majority (75%) had less than 50 years of age, male (66.4%), and 37.8% self-defined as brown skinned. Approximately 24% were on five or more medications and half of them presented with drug-drug interactions. Patients older than 50 years had a higher frequency of antiretrovirals drug-drug interactions with other drugs compared to younger patients (p = 0.002). No relationship was found between the number of drug-drug interactions and the effectiveness of antiretrovirals. As expected, the higher the number of non-HIV medications used (OR = 1.129; 95%CI 1.004-1.209; p = 0.04) was associated with an increase in drug-drug interactions. The high prevalence of drug-drug interactions found and the data collected should be useful to establish measures of quaternary prevention and to increase the medication security for people living with HIV.

Pyrimidines and their derivatives are present in various biologically active molecules. Most of the synthetic methods employed to achieve the pyrimidinone ring consist of two stages: the synthesis of a Michael intermediate from an aldehyde and an "active methylene" containing compound; and the condensation of this intermediate with a molecule containing an uranium moiety. This may take one to two days of laboratory work. In this paper we describe a new methodology in which these derivatives are obtained via multicomponent synthesis mediated by ultrasound in only 2 hours. In order to obtain water-soluble pyrimidinone derivatives, our previous compounds were further converted into their sodium salts. In pharmacologic studies, these salts inhibited phenylephrine-induced contraction in isolated rat aorta, suggesting that they may act as alpha-1 antagonists and, therefore, are candidates for anti-hypertensive drugs.

RESUMO Corredeiras são habitats singulares no que se refere à estrutura das suas assembleias. Entretanto, a compreensão sobre como essas assembleias respondem às variações ambientais em pequenas extensões espaciais, como dentro de um riacho, ainda é um desafio. Avaliamos se a estrutura quantitativa das assembleias de peixes, assim como a sua composição trófica variam previsivelmente entre corredeiras de riachos. Predizemos que a variação nas condições ambientais explicará a abundância das espécies, assim como a sua composição trófica, entretanto, com uma maior proporção da variação explicada para a segunda, já que as espécies seriam filtradas de acordo com seus atributos (e.g. dieta). Além disso, esperamos que a pequena limitação para a dispersão entre as corredeiras de um mesmo riacho, associada à forte filtragem ambiental, resultaria em uma menor importância de variáveis espaciais na estruturação das assembleias de corredeiras. Para testar essas predições, estudamos 18 corredeiras de um rio do Brasil Central. As variáveis ambientais, e não as espaciais, foram mais importantes para explicar a variação na estrutura das assembleias. As variáveis ambientais explicaram uma maior proporção da variação da composição trófica (R2=0,62), em comparação com a abundância (R2=0,37), indicando maior previsibilidade na variação dos atributos relacionados a dieta em nível de comunidade. Esses resultados também indicam que essas assembleias são sujeitas a forte controle ambiental, destacando a importância das características desses habitats nos processos ecológicos dentro dos riachos.

ABSTRACT Riffles are unique habitats regarding to assemblage structure. However, understanding how these assemblages respond to environmental variations in small spatial extents, as within a stream, is a challenge. We assess whether the quantitative structure and the trophic composition of fish assemblages vary predictably among stream riffles. We predict that the variation of environmental conditions will explain species abundance and trophic composition, with the latter presenting higher predictive power, since species would be filtered according to their traits (e.g. diet). Moreover, we expect that the low among-riffle dispersal limitation within a stream and the strong habitat filtering would result in lower importance of spatial variables in the structure of riffle fish assemblages. We tested these predictions by studying 18 riffles of a stream in the Central Brazil. Environmental variables, but not spatial ones, were the most important in explaining the variation in assemblages structure. Environmental variables explained a greater portion of the trophic structure variation (R2=0.62) than of abundance (R2=0.37), indicating that the variation on the trophic traits at community level are more predictable. These results also indicate that these assemblages are subject to environmental control, highlighting the importance of riffle characteristics in driving ecological processes within streams.

Pesquisou-se a ocorrência, na parede das veias do plexo pampiniforme de chagásicos crônicos, de acúmulos intracelulares de Trypanosoma cruzi e sinais inflamatórios (flebite). Para tal fim, colheram-se, à necropsia, 23 pares de funículos espermáticos, epidídimos e testículos, sendo 17 de chagásicos crônicos e 6 de controles (não chagásicos). Em cada caso, foram feitos múltiplos cortes das gônadas e dos vasos; fez-se pesquisa de T. cruzi por imuno-histoquímica nos funículos espermáticos de todos os casos. Não se observaram parasitos nas paredes vasculares. Notou-se flebite crônica inespecífica, focal e discreta, em cinco chagásicos (bilateral em três pacientes) e dois controles; havia infiltração mononuclear discreta do interstício funicular em treze chagásicos e cinco controles. A análise estatística dos resultados (chi2) não revelou diferenças significativas. Conclui-se que o ambiente hormonal devido à testosterona não parece favorecer a infecção da parede dos vasos gonadais por Trypanosoma cruzi, embora, segundo a literatura, o referido hormônio pareça ter ações imunodepressoras.

The occurrence of Trypanosoma cruzi intracellular clusters and phlebitis was searched for on pampiniform plexus vein walls of chronic chagasic patients. For this purpose, 23 pairs of spermatic cords, epididymides and testes (17 from chagasic patients and 6 from non-chagasic controls) were obtained, at autopsy. Trypanosoma cruzi was investigated by immuno-histochemistry on slides obtained from several sections of the gonads and vessels of each case. Only discrete and focal undetermined chronic phlebitis was observed, with no parasites, in 5 chagasics (bilateral in 3) and 2 controls (chi2: p < 0.10), and discrete mononuclear interstitial infiltration in the funiculi of 13 chagasics and 5 controls (chi2: p < 0.75). In conclusion, on the contrary to that published regarding the supra-renal central veins, it seems that the hormonal environment provided by testosterone does not favor the infection of the gonadal vessel wall.

Infection of non-adherent TG180 murine sarcoma cells with Toxoplasma gondii was compared, at the ultrastructural level, in both in vivo and in vitro conditions. Suspensions of 3.0 x 10(6) TG180 cells infected in vitro with 1.0 x 10(6) parasites of the RH strain were harvested between the first and 6th day post-infection and processed for transmission electron microscopy. In vivo infection was made by intraperitoneal inoculation in mice of 1.0 x 10(6) TG180 cells, that were co-inoculated with a parasite suspension at the same cell concentration. Cells were harvested 10, 20, 30 min and 24, 48 h post-inoculation and processed for transmission electron microscopy at the same conditions of the in vitro culture. It was observed TG180 murine sarcoma cells with intense and equivalent intracellular parasitism in both conditions. Host cells with parasitophorous vacuoles containing up to 16 parasites, as well as parasites undergoing mitoses or presenting a bradyzoite-like morphology, were frequently seen in both culture methods.