Azathioprine is an immunosuppressive drug for several inflammatory disorders. Due to its clinical relevance, to explore the solid-state properties for excipient compatibility in the product quality review process is essential. Fourier transform infrared spectroscopy, powder X-ray diffraction and thermal analysis (thermogravimetry/derivative thermogravimetry (TG/DTG), differential thermal analysis (DTA), and differential scanning calorimetry (DSC)) were applied. The compatibility studies evidenced that starch pregelatinized, colloidal silicon dioxide, and talc are fully compatible with azathioprine. However, stearic acid, magnesium stearate, and mannitol are incompatible after heat supply at temperatures easily reached by industrial processing. The nonlinear Vyazovkin isoconversional treatment performed the kinetic study of the thermal degradation. The activation energies were determined to clarify the influence of each excipient on the thermal drug stability, an essential procedure in the pharmaceutical development, and all over the commercial live span, in Good Manufacturing Practices.

Thermal analysis can be used to determine shelf-life and kinetic parameters in pharmaceutical systems. This work investigates the kinetic of lumefantrine thermal decomposition, an antimalarial, using non-isothermal and isothermal experimental data. The non-isothermal conditions are analyzed applying Vyazovkin method, while isothermal conditions employ models fitting procedure and artificial neural network. Lumefantrine was characterized by powder X-ray diffraction and Fourier transform infrared spectroscopy. The initial stage of lumefantrine thermal decomposition, about 5% of conversion, corresponds to the loss of chlorine and hydroxyl, being correctly predicted by the neural network as a complex event. At room temperature, the D3 model is appropriate to describe the process, once the half-life time is 19 months, in agreement with manufacturer. Isoconversional model determined the activation energy along the whole process while isothermal methodology determined the global value considering the entire process. The results provide important information for the pharmaceutical industry to assay levels of acceptable lumefantrine contents.

Abstract In a previous study, we reported the antispasmodic and gastroprotective effects of the Serjania caracasana (Jacq.) Willd., Sapindaceae, extract. In the present study, we evaluated the LD50, hemolytic and antispasmodic activities of its fractions and characterized its major constituents by isolation and GC–MS. The animals showed non-toxic symptoms with oral doses up to 2000 mg/kg, suggesting a safe oral administration. Furthermore, a low hemolytic activity was detected for the saponin fraction. Antispasmodic activity of the fractions was evaluated through carbachol-induced contractions in rat ileum. The hexane fraction was the most potent (IC50 68.4 ± 5.9 µg/ml) followed by the dichloromethane fraction (IC50 161.3.4 ± 40.7 µg/ml). Butanol fraction was the less effective (IC50 219.8 ± 60.3 µg/ml). The phytochemical study of the S. caracasana fractions afforded the isolation of friedelin, β-amyrin, allantoin and quercitrin. This is the first time that the presence of allantoin and quercitrin in the Serjania genus has been reported. Among the isolated compounds and those characterized by GC–MS, β-amyrin and β-sitosterol were present in the most active fractions, hexane and dichloromethane, and they may be related to its antispasmodic activity. In addition, spathulenol was only found in the hexane fraction and its presence might justify the highest antispasmodic activity observed for this fraction.

Lamivudina e efavirenz estão entre os fármacos mais utilizados em todo o mundo para o tratamento da síndrome da imunodeficiência adquirida (AIDS). Foram utilizadas as técnicas de ressonância magnética nuclear de estado sólido (ssNMR), espectroscopia no infravermelho por transformada de Fourier (FTIR), calorimetria exploratória diferencial (DSC), e análise termo-óptica (TOA) para estudar possíveis interações entre esses fármacos, visando o desenvolvimento de uma combinação em dose fixa dos mesmos. DSC e TOA evidenciaram deslocamentos significantes das temperaturas de fusão dos fármacos na mistura, o que sugere uma interação entre eles. Apesar de os resultados de DSC e TOA indicarem incompatibilidade entre as drogas, os espectros de FTIR não apresentaram modificações devido à sobreposição de bandas. As análises de ssNMR mostraram mudanças significativas nos valores de deslocamento químico da mistura quando comparados aos dos fármacos puros, especialmente nos sinais referentes a átomos de carbono deficientes em elétrons. Essses resultados confirmam as interações sugeridas pelo DSC e TOA, devido provavelmente a interações ácido-base entre átomos eletronegativos e deficientes em elétrons dos fármacos.

Lamivudine and efavirenz are among the most worldwide used drugs for acquired immune deficiency syndrome (AIDS) treatment. Solid state nuclear magnetic resonance (ssNMR), Fourier-transformed infrared spectroscopy (FTIR), differential scanning calorimetry (DSC) and thermo-optical analysis (TOA) were used to study possible interactions between these drugs, aiming the development of a fixed-dose drug combination. DSC and TOA have evidenced significant shifts on the melting points of both drugs in the mixture, which may be due to interaction between them. Although DSC and TOA results indicated incompatibility between the drugs, FTIR spectra were mostly unmodified due to overlapping peaks. The ssNMR analyses showed significant changes in chemical shifts values of the mixture when compared with spectra of pure drugs, especially in the signals relating to the deficient electron carbon atoms of both drugs. These results confirm the interactions suggested by DSC and TOA, which is probably due to acid-base interactions between electronegative and deficient electron atoms of both lamivudine and efavirenz.

OBJECTIVES: To measure hepatitis B virus (HBV) infection rates among injection drug users in Rio de Janeiro, Brazil, and to report their knowledge of and attitudes toward hepatitis and HBV vaccination. METHODS: 609 injection drug users recruited in Rio de Janeiro between 1999 and 2001 answered a questionnaire and were tested for hepatitis B and other blood-borne infections. Questions covered sociodemographic information, alcohol and illicit drug consumption, drug injection and sexual practices, medical history, and knowledge about HIV, AIDS and viral hepatitis. RESULTS: The prevalence of HBV infection was 27.1% , with 3.4% of the sample positive for HbsAg (active infection) and 0.8% positive for anti-HBs (indicating previous HBV vaccination). Most interviewees (81.3%) were aware of at least one form of viral hepatitis and received information from many different sources. In agreement with laboratory findings, 96.7% of the interviewees stated they had never been vaccinated against hepatitis B, but almost all unvaccinated interviewees (97.8%) said they would volunteer to be vaccinated if HBV vaccination were available. CONCLUSIONS: Few of the injection drug users surveyed had ever been vaccinated against HBV. Although most were aware of the risks posed by viral hepatitis, this awareness seldom translated into consistent behavioral change. The participants' willingness to be vaccinated against HBV suggests that the implementation of vaccination for this population may help decrease rates of hepatitis B infection.

OBJETIVOS: Calcular las tasas de infección por el virus de la hepatitis B (VHB) en usuarios de drogas inyectadas en Río de Janeiro, Brasil, y dar a conocer sus conocimientos y actitudes en torno a la hepatitis y a la vacunación contra el VHB. MÉTODOS: Seiscientos nueve usuarios de drogas que se reclutaron en Río de Janeiro entre 1999 y 2001 respondieron a un cuestionario y fueron sometidos a pruebas para detectar la presencia de hepatitis B y de otras infecciones transmitidas por la sangre. Las preguntas versaban sobre aspectos sociodemográficos, el consumo de alcohol y de drogas ilícitas, el modo de inyección de las drogas y las prácticas sexuales, los antecedentes médicos y los conocimientos sobre el VIH, el sida y la hepatitis viral. RESULTADOS: La prevalencia de infección por el VHB fue de 27,1%; 3,4% de la muestra tuvo resultados positivos al HB Ag (infección activa) y 0,8% a anticuerpos anti-HBs (indicadores de que ya se ha recibido la vacuna contra el VHB). La mayor parte de las personas entrevistadas afirmaron no haber sido vacunadas contra la hepatitis B, pero casi todos las que no habían recibido la vacuna (97,8%) manifestaron estar dispuestas a vacunarse si se elaborase una vacuna. CONCLUSIONES: Pocos de los usuarios de drogas inyectadas habían sido vacunados contra el VHB. Aunque la mayor parte eran conscientes de los peligros que acarrea la hepatitis viral, ello raras veces se traducía en un cambio conductual invariable. La disposición de los participantes a vacunarse contra el VHB indica que si se implementase la vacunación en esta población se lograría reducir las tasas de hepatitis B.

O extrato etanólico das folhas de Nectandra grandiflora coletadas na Mata Atlântica, Brasil, mostrou atividade antioxidante frente ao b-caroteno em teste usando cromatografia em camada delgada. O fracionamento biomonitorado levou ao isolamento do ácido protocatecuico e de dois flavonóides glicosilados: afzelina e quercetrina, os quais exibiram atividade sequestradora de radicais livres frente ao DPPH (DA 32, 16 e 73% a 50 µmol L-1) e foram comparados aos antioxidantes comerciais rutina (81% a 50 µmol L-1) e BHT (9% a 50 µmol L-1), usados como substâncias de referência. Além disso, três neolignanas inativas, incluindo a nova neolignana biciclo[3.2.1]octânica 2'-oxo-piperol B, foram obtidas e caracterizadas por métodos espectrométricos.

The EtOH crude extract from the leaves of Nectandra grandiflora collected in the Atlantic Forest, Brazil, showed antioxidant activity towards b-carotene in a TLC assay. The bioassay-guided fractionation led to the isolation of protocatechuic acid and two flavonol glycosides: afzelin and quercetrin, which showed free radical scavenging activity towards DPPH (DA 32, 16 and 73% at 50 µmol L-1) and were compared to commercial antioxidants rutin (81% at 50 µmol L-1) and BHT (9% at 50 µmol L-1), used as standard compounds. Additionally, three inactive neolignans, including the new bicycle[3.2.1]octane neolignan 2'-oxo-piperol B were obtained and characterized by spectrometric methods.

Neste trabalho, analisamos o transexualismo dentro de uma abordagem psicanalítica, a partir do atendimento de um adolescente transexual. Subsidiando nossa discussão, apresentamos resumidamente algumas teorias sobre o assunto e alguns tópicos teóricos da psicanálise. O caso estudado sugere que nesse distúrbio a pessoa faz uso de mecanismos egóicos defensivos muito primitivos, que visam protegê-la de uma desorganização psíquica.

A psychoanalytical approach was used in analyzing transsexualism in the case of an adolescent transsexual. The discussion presented in the study is supported by some psychoanalytical theories as well as other theories on this subject. The results suggest that an individual suffering from this disturbance makes use of really primitive egoistic defense mechanisms to protect against psychic disorganization.

En este trabajo, analisamos el transexualismo adentro de un abordaje psicoanalitico, a partir del atendimiento de un adolescente transexual. Subsidiando nuestra discución, presentamos resumidamente algunas teorías sobre el asunto y algunos tópicos del psicoanalisis. El caso estudiado sugiere que en este disturbio la persona hace uso de mecanismos egoisticos defensivos muy primitivos, que visam protegerla de una desorganización psiquica.

Ce travail étudie le transexualisme dans une perspective psychanalytique, à partir de l’analyse du cas d’un adolescent transexuel. Pour approfondir la discussion, nous aprésentons théories sur ce théme et quelques topiques théoriques de la psychanalyse. Les cas étudié suggère que dans ce trouble, l’individu fait l’usage de mechanismes moïques defensifs très primitifs, qui cherchent à le protèger contre la désorganisation psychique.

Penetration of Trypanosoma cruzi into mammalian cells depends on the activation of the parasite's protein tyrosine kinase and on the increase in cytosolic Ca2+ concentration. We used metacyclic trypomastigotes, the T. cruzi developmental forms that initiate infection in mammalian hosts, to investigate the association of these two events and to identify the various components of the parasite signal transduction pathway involved in host cell invasion. We have found that i) both the protein tyrosine kinase activation, as measured by phosphorylation of a 175-kDa protein (p175), and Ca2+ mobilization were induced in the metacyclic forms by the HeLa cell extract but not by the extract of T. cruzi-resistant K562 cells; ii) treatment of parasites with the tyrosine kinase inhibitor genistein blocked both p175 phosphorylation and the increase in cytosolic Ca2+ concentration; iii) the recombinant protein J18, which contains the full-length sequence of gp82, a metacyclic stage surface glycoprotein involved in target cell invasion, interfered with tyrosine kinase and Ca2+ responses, whereas the monoclonal antibody 3F6 directed at gp82 induced parasite p175 phosphorylation and Ca2+ mobilization; iv) treatment of metacyclic forms with phospholipase C inhibitor U73122 blocked Ca2+ signaling and impaired the ability of the parasites to enter HeLa cells, and v) drugs such as heparin, a competitive IP3-receptor blocker, caffeine, which affects Ca2+ release from IP3-sensitive stores, in addition to thapsigargin, which depletes intracellular Ca2+ compartments and lithium ion, reduced the parasite infectivity. Taken together, these data suggest that protein tyrosine kinase, phospholipase C and IP3 are involved in the signaling cascade that is initiated on the parasite cell surface by gp82 and leads to Ca2+ mobilization required for target cell invasion.

For the first time, a survey on Giardia in the live-trapped small domestic and wild mammals was perfomed in four regions of state of the São Paulo, Brazil, with special attention to the parasitism of Rattus rattus rattus by Giardia. This species was found infected in all studied sites: Botucatu (15.4%), Conchas (28.5%), Itaporanga (38.7%) and São Roque (100 %). Two new hosts and their frequency of infection were described for Giardia in Nectomys squamipes, an aquatic rodent and in Bolomys lasiurus, a forest rodent (100 % and 14.3 %, respectively). Both G. muris and G. duodenalis groups were found in scrapings of intestinal mucosa of those rodents. Mixed infection was observed in some animals. It is important to emphasize the infection by G. duodenalis in the black rat as this species lives as a comensal with man and in N. squamipes as it may contaminate small streams used for domestic consumption. Therefore, further investigation will be necessary to elucidate the potential of these rodents to act as reservoirs of Giardia for man.

Ainda são raros os dados sobre a infecção pelo vírus da hepatite C (HCV) na região central do Brasil. Neste estudo, 2.350 doadores voluntários de sangue foram avaliados, resultando em prevalências para o anti-HCV de 2,2%, pelo ELISA de segunda geração, e de 1,4%, após o ensaio confirmatório "line immunoassay". Anticorpos contra os antígenos "core", NS4 e NS5 do HCV foram detectados em 81,8%, 72,7% e 57,5% das amostras positivas no "line immunoassay", respectivamente. A viremia do HCV foi observada em 76,6% dos doadores anti-HCV positivos. A positividade na reação em cadeia da polimerase (PCR) mostrou-se relacionada a reatividade aos diferentes antígenos do HCV no "line immunoassay". A maioria dos doadores positivos tiveram história prévia de exposição parenteral. A combinação de ALT> 50 UI/l e positividade ao anti-HBc parece não ser eficaz como marcadores indiretos para a infecção pelo HCV, entretanto a dosagem do ALT e a detecção de anti-HCV são indicadas na triagem de doadores de sangue brasileiros.

Data concerning HCV infection in Central Brazil are rare. Upon testing 2,350 voluntary blood donors from this region, we found anti-HCV prevalence rates of 2.2% by a second generation ELISA and 1.4% after confirmation by a line immunoassay. Antibodies against core, NS4, and NS5 antigens of HCV were detected in 81.8%, 72.7%, and 57.5%, respectively, of the positive samples in the line immunoassay. HCV viremia was present in 76.6% of the anti-HCV-positive blood donors. A relation was observed between PCR positivity and serum reactivity in recognizing different HCV antigens in the line immunoassay. The majority of the positive donors had history of previous parenteral exposure. While the combination of ALT>50 IU/l and anti-HBc positivity do not appear to be good surrogate markers for HCV infection, the use of both ALT anti-HCV tests is indicated in the screening of Brazilian blood donors.

Estudou-se sequencialmente, à microscopia eletrônica de transmissão, a interação entre Paracoccidioides brasiliensis (Pb) e células inflamatórias em hamsters inoculados por via intratesticular. Seis horas após inoculações havia predominância de neutrófilos, estando presentes algumas células mononucleares e eosinófilos. Os neutrófilos foram progressivamente substituídos por células mononucleares. Fungos viáveis apresentavam-se fagocitados ou circunscritos por células inflamatórias, geralmente com ampla interface hospedeiro-parasita. Fungos mortos ou degenerados eram acompanhados de interfase estreita. A camada externa da parede do Pb era às vezes quebrada quando em contacto com neutrófilos, em vários pontos, sendo os fragmentos dessa parede descamados e fagocitados. Células fúngicas pequenas com um único núcleo se relacionavam com ampla interfase enquanto as células maiores e multinucleadas apresentavam paredes irregulares, por vezes, contendo lomasoma e/ou estrutura semelhante à mielina. Diferentes padrões de interação do Pb com células do hospedeiro podem ser decorrentes do a fluxo de células inflamatórias funcionalmente diferentes ao local de inoculação ou à idade dos fungos ou ambos os fatores.

Interaction between Paracoccidioides brasiliensis (Pb) and inflammatory cells in hamster testis was studied sequentially by transmission electron microscopy. In early lesions (six hours after inoculation), polymorphonuclear neutrophils (PMNs) were the major and mononuclear cells and eosinophils were the minor constituents of the inflammatory cells. PMNs were later replaced by mononuclear cells. Viable Pb cells were phagocytosed or surrounded by inflammatory cells. Preserved Pb cells usually had broad host-parasite interphases, whereas dying ones had narrow interphases. The outer layer of the fungus wall was sometimes broken by PMN in some focal points, broken pieces being peeled off and phagocytosed. Small Pb cells were uninuclear, and were often related to broad interphase. Large Pb cells were multinucleated with irregularly shaped wall, and sometimes had lomasome and/or myelin like structures. Different interaction patterns of Pb with inflammatory cells may be due to functionally different host cell flow to the inoculation site or due to the age of Pb cells or both.

A new parasite species of Leishmania is described, L. (Leishmania) forattinii sp. n., which was isolated from a pooled triturate of liver and spleen of a opossum (Didelphis marsupialis aurita) and from skin samples from a rodent (Proechmys iheringi denigratus), captured in primary forest on the Atlantic Cost of Brazil. Our results on the basis of biological and molecular criteria indicate that this taxonomically distinct parasite ias a new species of the L. mexicana complex, but closely related to L. (L.) aristidesi Laison & shaw, 1979, as revelated by phenetic and phylogenetic numerical analyses of the enzyme data. L. forattinii was clearly distinguishable from other Leishmania species of the genus usisng enzyme electrophoresis, monoclonal antibodies, molecular karyotypes, analysis of restriction enzyme digestion patterns of kinetoplast DNA (kDNA), as well as the use of kDNA hybridization procedures.

Foi determinada a prevalência de marcadores de hepatite B em amostras representativas de duas comunidades, Niterói (397) e Nova Iguaçu (680), encontrando-se 9,1% (1,0% de HBsAg e 8,1% de anti-HBs) em Niterójl e 11% (1,7% de HBsAg e 9,3% de anti-HBs) em Nova Iguaçú. Por estudo comparativo em relação à idade, foi verificada maior prevalência de HBsAg no grupo etário de 21 a 50 anos. Em relação a anti-HBs, foi demonstrado um aumento gradual com a idade, alcançando 14,9% em Niterói e 29,1% em Nova Iguaçú nos grupos de indivíduos acima de 51 anos de idade. Em relação a Hepatite A, em 259 amostras de Niterói, foi encontrada a prevalência de 74,5% de anticorpos anti-HAV. Esta prevalência aumentou gradualmente, alcançando 90% a partir de 30 anos. Em 254 amostras de Nova Iguaçu, a prevalência foi de 90,5%. Estes valores já são alcançados em crianças a partir de 10 anos. Todos os testes foram feitos em sistema imunoenzimático padronizado em nosso laboratório.

Hepatitis B markers were determined in 397 individuals from Niterói and 680 from Nova Iguaçu and prevalences of 9.1% (1.0% of HBsAg and 8.1% of anti HBs) and 11.1% (1.8% of HBsAg and 9.3% of antiHBs) were found, respectively. The comparative prevalence of both markers in relation to age showed a higher prevalence of HBsAg in the group 21-50 years old. Considering the antiHBs antibody, it was demostrated a gradual increase with age, reaching 14.9% in Niterói and 29.1% in Nova Iguaçu in individuals over 51 years old. For hepatitis A, in 259 samples from Niterói, equally distributed by age groups, an overall prevalence of 74.5% of anti-HAV antibodies was found. This prevalence increases gradually reaching 90.0% at age over thirty. In 254 samples from Nova Iguaçu analysed, a prevalence of 90.5% of antibodies was encountered when the same criteria of distribution of samples were used. This level of prevalence reached 90.0% already in the age over ten years old. The tests were performed by enzyme immunoassay with reagents prepared in our laboratory.