Base de dados : LILACS
Pesquisa : Hanseníase
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d: biblio-846190 LILACS-Express
Autor: Leal, Danielle Rodrigues; Cazarin, Gisele; Bezerra, Luciana Caroline Albuquerque; Albuquerque, Ana Coelho de; Felisberto, Eronildo.
Título: Programa de Controle da Hanseníase: uma avaliação da implantação no nível distrital / Leprosy Control Program: assessment of implementation in districts
Fonte: Saúde debate;41(spe):209-228, Jan.-Mar. 2017. tab.
Idioma: pt.
Resumo: RESUMO Constitui objetivo deste estudo o de avaliar a implantação das ações do Programa de Controle da Hanseníase (PCH) em nível distrital no município de Recife, Pernambuco. Trata-se de avaliação normativa, baseada em critérios e parâmetros orientados pela construção de um modelo lógico. O grau de implantação do PCH no distrito foi classificado como parcialmente adequado. Os critérios pior avaliados quanto à estrutura foram os recursos humanos e o espaço físico e quanto ao processo, o acolhimento, a educação permanente e a cogestão. A avaliação evidenciou que avanços ainda são necessários na descentralização das ações do PCH para o nível local.

ABSTRACT This study aimed at assessing the implementation of the actions predicted by the Control Program of Leprosy (CPL) in district level of the city of Recife, state of Pernambuco. It is a normative assessment based on criteria and parameters guided by the construction of a logic model. The CPL degree of implementation in the district was ranked as partially adequate as a whole. As for structure, human resources and premises were the worst assessed criteria, and when the process is concerned, user welcoming, permanent education and co-management received the worst assessments. The evaluation showed that improvements are still needed in the CPL decentralization to local level.
Responsável: BR1.1 - BIREME


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d: biblio-846168 LILACS-Express
Autor: Sousa, Gutembergue Santos de; Silva, Rodrigo Luis Ferreira da; Xavier, Marília Brasil.
Título: Hanseníase e Atenção Primária à Saúde: uma avaliação de estrutura do programa / Leprosy and Primary Health Care: program structure assessment
Fonte: Saúde debate;41(112):230-242, Jan.-Mar. 2017. tab.
Idioma: pt.
Resumo: RESUMO O presente trabalho objetivou avaliar a estrutura do programa municipal de controle da hanseníase, em Canaã dos Carajás (Pará), no contexto da Atenção Primária à Saúde. Trata-se de um estudo de avaliação de programas de saúde, com foco na hanseníase, tendo como público-alvo os gestores do programa de hanseníase e os gerentes das unidades de saúde da atenção primária. Foram utilizados dois questionários diferentes, elaborados especificamente para esse fim. Concluiu-se que o município em questão possui uma estrutura classificada entre insatisfatória e regular, demonstrando várias fragilidades no programa avaliado, para o atendimento em hanseníase.

ABSTRACT Objective: to evaluate the structure of the municipal program of leprosy control in Canaã dos Carajás (Pará), in the context of Primary Health Care. Methods: this is an assessment of health programs, focusing on leprosy, targeting managers of the leprosy program and managers of health facilities of primary care. Two different questionnaires, developed specifically for this purpose, were used. Conclusion: the municipality in question has a structure classified between poor and regular, showing several weaknesses in the assessed program for the care of leprosy.
Responsável: BR1.1 - BIREME


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d: biblio-845866 LILACS-Express
Autor: Freitas, Bruna Hinnah Borges Martins de; Cortela, Denise da Costa Boamorte; Ferreira, Silvana Margarida Benevides.
Título: Trend of leprosy in individuals under the age of 15 in Mato Grosso (Brazil), 2001-2013 / Tendência da hanseníase em menores de 15 anos em Mato Grosso (Brasil), 2001-2013
Fonte: Rev. saúde pública = J. public health;51:28, 2017. tab, graf.
Idioma: en.
Projeto: State Secretariat of Health.
Resumo: ABSTRACT OBJECTIVE To identify the historical trend of leprosy epidemiological indicators in individuals under the age of 15 in the state of Mato Grosso. METHODS Descriptive study with trend analysis of leprosy indicators in individuals under the age of fifteen registered in the Mato Grosso’s System for Notifiable Diseases between 2001 and 2013. We used the Prais-Winsten procedure for analyzing generalized linear regression at a significance level of 5%. We considered as increasing time series when the annual percent change was positive, decreasing when negative and stationary when there was no significant difference between its value and zero. RESULTS We analyzed 2455 cases of leprosy and the average detection rate in individuals under the age of fifteen was 22.7 per 100 thousand inhabitants. The trend of the general coefficient of incidence was decreasing, with an average annual rate of -5.5% (95%CI -7.5–-3.5). Increasing trend was observed with an increase of 6.7% (95%CI 2.7–10.8) in the proportion of multibacillary cases, 9.4% (95%CI 4.4–14.7) of cases diagnosed with dimorphic clinical form and 14% (95%CI 7.9–20.4) of cases with physical disability level 2 at the time of diagnosis. There was an increasing trend in the average proportion of examined contacts, with a growth of 4.1% (95%CI 1.2–7.1) and average proportion of healing was precarious (39.7%), with stationary trend. CONCLUSIONS The historical trend of leprosy cases in individuals under the age of fifteen proved to be decreasing in the period, however the trends of epidemiological indicators such as the proportion of multibacillary cases, physical disability level 2 and healing, indicate late diagnosis with stay sources of transmission and consequent worsening of the disease in the state of Mato Grosso.

RESUMO OBJETIVO Identificar a tendência histórica dos indicadores epidemiológicos de hanseníase em menores de 15 anos no estado de Mato Grosso. MÉTODOS Estudo descritivo com análise de tendência dos indicadores de hanseníase em menores de 15 anos registrados no Sistema Nacional de Agravos de Notificação de Mato Grosso, no período de 2001 a 2013. Utilizou-se o procedimento de Prais-Winsten para análise de regressão linear generalizada, adotando-se nível de significância de 5%. Consideraram-se como série temporal crescente quando a annual percent change era positiva, decrescente quando negativa e estacionária quando não havia diferença significante entre seu valor e o zero. RESULTADOS Foram analisados 2.455 casos de hanseníase e o coeficiente médio de incidência em menores de 15 anos foi de 22,7/100 mil habitantes. A tendência geral do coeficiente de incidência foi decrescente, com uma annual percent change de -5,5% (IC95% -7,5–3,5). Observou-se tendência de crescimento, com incremento de 6,7% (IC95% 2,7–10,8) na proporção dos casos multibacilares, de 9,4% (IC95% 4,4–14,7) nos casos com forma clínica dimorfa e de 14% (IC95% 7,9–20,4) nos casos com incapacidade física grau 2 no momento do diagnóstico da doença. Verificou-se crescimento na proporção dos contatos de casos novos examinados, com incremento de 4,1% (IC95% 1,2–7,1) e média da proporção de cura considerada precária (39,7%) com tendência estacionária. CONCLUSÕES A tendência histórica dos casos de hanseníase em menores de 15 anos mostrou-se decrescente no período. Entretanto, as tendências dos indicadores epidemiológicos, como a proporção de casos multibacilares, de incapacidade física grau 2 e de cura, indicam o diagnóstico tardio com permanência de fontes de transmissibilidade e consequente agravo da endemia no estado de Mato Grosso.
Responsável: BR1.1 - BIREME


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d: biblio-843099 LILACS-Express
Autor: Morano, S; Morano, M; Paredes, SN; Iribas, JL.
Título: Lepra en Santa Fe: Características clínico-epidemiológicas / Leprosy in Santa Fe: Clinical-epidemiological characteristics
Fonte: Rev. argent. dermatol;97(4):19-29, dic. 2016. graf, tab.
Idioma: es.
Resumo: La lepra es una enfermedad infecto-contagiosa crónica, no hereditaria, curable y controlable, causada por el Mycobacterium leprae, que afecta principalmente la piel, mucosas y nervios periféricos. En Argentina es un problema regional y nacional, por la migración que abarca a las provincias de Formosa, Chaco, Corrientes, Entre Ríos, Misiones, Santa Fe y Buenos Aires. Objetivo General: determinar el comportamiento clínico-epidemiológico de la lepra en la Provincia de Santa Fe, desde el 1º de Enero del año 2012 al 31 de Agosto del año 2016. Métodos y Materiales: la información se obtuvo de la revisión de las fichas epidemiológicas, de pacientes con diagnóstico de lepra en el período abarcado. Las variables utilizadas fueron: edad y sexo del paciente, residencia, foco epidemiológico, condiciones ambientales y económicas, clínica, tipo de lepra, grado de discapacidad general y tratamiento. Resultados: se diagnosticaron 86 casos de lepra; 59,3% correspondieron al sexo masculino y 40, 7% al sexo femenino. El promedio de edad fue de 56 años. El 86% de los casos fueron multibacilares y la lepra lepromatosa, fue la forma clínica más frecuente. El 26,7% presentó discapacidad al momento del diagnóstico, 16,3% grado 1 y 10,5% grado 2. Conclusión: la detección de nuevos casos en la Provincia de Santa Fe, fue en promedio de 18 casos anuales, excluido el año 2016, en vigencia. Rosario fue el departamento con más casos registrados. El 60% de los casos se comunicó entre los 35 y 66 años; el sexo masculino fue el más afectado. Los casos multibacilares prevalecieron sobre los paucibacilares; la forma clínica más frecuente fue la lepra lepromatosa. Se estableció discapacidad en uno de cada cuatro pacientes.

Leprosy is a chronic disease which, despite having a variable clinic, is diagnosable and treatable when receiving a multidrug therapy (MDT) as the one proposed by the World Health Organization (WHO). In Argentina, it is characterized by moderate endemicity and focus on certain geographic areas (provinces of northeastern, northwest and center of Argentina). General Objective: determine the clinical and epidemiological behavior of leprosy in the province of Santa Fe. Methods and Materials: the cases reported since 1º January 2012 to 31 August 2016, were retrospectively collected from the review of the epidemiological records of the Ministry of Health, Environment and Social Action of the Province of Santa Fe. The variables were: age and sex of the patient, residence, epidemiological focus, environmental and economic conditions, kind of leprosy, degree of disability and finally the treatment. Results: 86 cases of leprosy were diagnosed: 59,3% were male and 40,7% sex, were female. The average age was 56 years. 86% of cases were multibacillary and lepromatous leprosy was the most frequent clinical form. The 26,7% had disability at the moment of diagnosis, 16,3% 10,5% grade 1 and grade 2. Conclusion: in the Province of Santa Fe, the detection of new leprosy cases have been stable in the last years, with a minimun of 17 and a maximum of 29 cases per year. Rosario was the city with more registered cases, followed by: La capital, General Obligado y Nueve de Julio. The most affected patients were male, and 60% of cases reported between 35 and 66 years. Multibacillary cases prevailed over paucibacillary; the most frequent clinical form was lepromatous leprosy. One in four patients had disability at the moment of diagnosis.
Responsável: AR1.2 - Instituto de Investigaciónes Epidemiológicas


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d: biblio-842868 LILACS-Express
Autor: Araujo, Karelen; Berradre, María; Rivera, Johandry; Cáceres, Ana; Páez, Gisela; Aiello, Cateryna; Pérez, Delia.
Título: Fusión intergénica de protoplastos de Saccharomyces cerevisiae y Hanseniaspora guillermondii / Intergenic fusion of Saccharomyces cerevisiae and Hanseniaspora guillermondii protoplasts
Fonte: Rev. Soc. Venez. Microbiol;36(2):51-57, dic. 2016. ilus, tab.
Idioma: es.
Resumo: La fusión de protoplastos ha facilitado la obtención de nuevas cepas de levaduras con propiedades biotecnológicas muy interesantes. El principal objetivo de esta investigación fue obtener una levadura híbrida intergénica con potencialidades enológicas características de dos géneros diferentes. Para ello se fusionaron protoplastos de Saccharomyces cerevisiae autóctona de la región zuliana con Hanseniaspora guillermondii CECT 11102 de origen comercial. Saccharomyces es una levadura que produce altas concentraciones de etanol pero el perfil aromático es sencillo y común. Hanseniaspora no resiste las concentraciones de etanol, pero puede generar aromas agradables e intensos. La identificación de las levaduras antes y después de la fusión de protoplastos se realizó con la técnica PCR-RFLP del gen 5.8S rADN y las regiones intergénicas adyacentes ITS1 e ITS2 del ADN extraído, sometiendo los productos amplificados a un análisis de restricción con las enzimas HinfI, HaeIII, CfoI y DdeI. El polietilenglicol fue usado para inducir la fusión de protoplastos. La cepa híbrida presentó características de ambas levaduras parentales debido a que resistió altas concentraciones de etanol como S. cerevisiae y fue capaz de metabolizar el salicín como H. guillermondii. El análisis molecular PCR-RFLP de la levadura híbrida mostró un patrón de bandas diferente al de las levaduras parentales.

Protoplast fusion has facilitated the development of new yeast strains with very interesting biotechnological properties. The main objective of this research was to obtain hybrid yeast with potentialities of two different genera, that could be used in the wine manufacture. Saccharomyces cerevisiae protoplasts from the Zulian region were fused with Hanseniaspora guillermondii CECT 11102 of commercial origin. Saccharomyces is a yeast that produces high levels of ethanol but the aromatic profile is simple and common. Hanseniaspora does not withstand ethanol concentrations, but it can generate pleasant and intense aromas. Identification of yeast before and after the fusion of protoplasts was performed using the PCR-RFLP technique of the 5.8S rDNA gene and the adjacent ITS1 and ITS2 intergenic regions of the extracted DNA, subjecting the amplified products to a restriction with the enzymes HinfI, HaeIII, CfoI and DdeI. Polyethylene glycol was used to induce fusion of protoplasts. The hybrid strain showed characteristics of both parental yeasts because it resisted high concentrations of ethanol as S. cerevisiae and was able to metabolize the salicin as H. guillermondii. PCR-RFLP molecular analysis of hybrid yeast showed a different band pattern than those pertaining to parental yeasts.
Responsável: VE1.1 - Biblioteca Humberto Garcia Arocha


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d: biblio-842843 LILACS-Express
Autor: Rodrigues, Ricardo Wilson de Pinho; Ribeiro, Afonso Bezerra; Berber, Gilcele de Campos Martin; Sheng, LeeYun; Damazo, Amilcar Sabino.
Título: Analysis of clinical data and T helper 1/T helper 2 responses in patients with different clinical forms of leprosy
Fonte: Rev. Soc. Bras. Med. Trop;50(2):208-215, Mar.-Apr. 2017. tab, graf.
Idioma: en.
Projeto: Fundação de Amparo a Pesquisa de Mato Grosso; . FAPEMAT; . Conselho Nacional de Desenvolvimento Científico e Tecnológico.
Resumo: Abstract INTRODUCTION: Currently, there are no laboratory tests or sensitive and specific molecular markers for the early diagnosis of leprosy. The aim of this study was to analyze the clinical characteristics of patients with leprosy and investigate their immunological profile, comparing this with the type of lesion and the presence or absence of a Bacillus Calmette-Guérin (BCG) vaccination scar. METHODS: Statistical analyzes were performed by employing comparative tests (Pearson´s chi-square) to evaluate the variables in different clinical forms, considering significance at the 5% level. RESULTS: The study identified a predominance of lepromatous leprosy (26.9%) in patients aged between 34-53 years. Caucasians predominantly had borderline tuberculoid (BT) clinical forms (42%); a predominance of males with borderline lepromatous (19%) and lepromatous leprosy (26.9%) forms was observed; and the presence of BCG vaccination scars (27.5%) and lower limb nerves were more affected (38%) predominantly in the BT clinical form. Significant differences were identified, which included hypochromic lesions predominantly in the BT clinical form (24%); diffuse-type lesions predominantly in the tuberculoid (TT) clinical form (28%); ill-defined lesion border dominance in lepromatous leprosy (LL) clinical forms (30%); an irregular lesion limit predominantly in LL clinical forms (32%); and a predominant Th1 immune response in the BT clinical form (41.7%). CONCLUSIONS: The evaluation of the immunological profile in leprosy patients may contribute to the more detailed diagnosis and possibly better characterization of the prognosis for these individuals.
Responsável: BR1.1 - BIREME


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d: biblio-842832 LILACS-Express
Autor: Aben-Athar, Cintia Yolette Urbano Pauxis; Lima, Sandra Souza; Ishak, Ricardo; Vallinoto, Antonio Carlos Rosário.
Título: Assessment of the sensory and physical limitations imposed by leprosy in a Brazilian Amazon Population
Fonte: Rev. Soc. Bras. Med. Trop;50(2):223-228, Mar.-Apr. 2017. tab, graf.
Idioma: en.
Resumo: Abstract INTRODUCTION Leprosy often results in sensory and physical limitations. This study aimed to evaluate these limitations using a quantitative approach in leprosy patients in Belém (Pará, Brazil). METHODS This epidemiological, cross-sectional study measured the sensory impairment of smell and taste through the use of a questionnaire and evaluated activity limitations of daily life imposed by leprosy through the Screening of Activity Limitation and Safety Awareness (SALSA) Scale. Data were collected from 84 patients and associations between the degree of disability and clinical and epidemiological characteristics were assessed. RESULTS The majority of patients were men (64.3%), married (52.4%), age 31-40 years old (26.2%), had primary education (50%), and were independent laborers (36.9%). The multibacillary operational classification (81%), borderline clinical form (57.1%), and 0 degrees of physical disability (41.7%) were predominant. SALSA scores ranged from 17 to 59 points, and being without limitations was predominant (53.6%). The risk awareness score ranged from 0 to 8, with a score of 0 (no awareness of risk) being the most common (56%). Evaluation of smell and taste sensory sensitivities revealed that 70.2% did not experience these sensory changes. Patients with leprosy reactions were 7 times more likely to develop activity limitations, and those who had physical disabilities were approximately four times more likely to develop a clinical picture of activity limitations. CONCLUSIONS Most patients showed no sensory changes, but patients with leprosy reactions were significantly more likely to develop activity limitations. Finally, further studies should be performed, assessing a higher number of patients to confirm the present results.
Responsável: BR1.1 - BIREME


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d: biblio-841803 LILACS-Express
Autor: Odriozola, Elisa Petri de; Quintana, Ana María; González, Victor; Pasetto, Roque Antonio; Utgés, María Eugenia; Bruzzone, Octavio Augusto; Arnaiz, María Rosa.
Título: Towards leprosy elimination by 2020: forecasts of epidemiological indicators of leprosy in Corrientes, a province of northeastern Argentina that is a pioneer in leprosy elimination
Fonte: Mem. Inst. Oswaldo Cruz;112(6):419-427, June 2017. tab, graf.
Idioma: en.
Resumo: BACKGROUND Corrientes, a province of northeastern Argentina with endemic leprosy, has improved its epidemiological indicators, however, a study of the dynamics over time is lacking. OBJECTIVES We analysed data of 1308 leprosy patients between 1991 to 2014, and the forecast for 2020. METHODS Descriptive statistics and stepwise Bayesian model selection were performed. Forecasts were made using the median of 100,000 projections using the parameters calculated via Monte Carlo methods. RESULTS We found a decreasing number of new leprosy cases (-2.04 cases/year); this decrease is expected to continue by an estimated 20.28 +/- 10.00 cases by 2020, evidenced by a sustained decline in detection rate (from 11 to 2.9/100,000 inhabitants). Age groups that were most affected were 15-44 (40.13%) and 45-64 (38.83%) year olds. Multibacillary forms (MB) predominated (70.35%) and while gradually declining, between 10 and 30% developed disability grade 2 (DG2) (0.175 (0.110 - 0.337) DG2/MB cases), with a time delay between 0 to 15 years (median = 0). The proportion of MB clinic forms and DG2 increased and will continuously increase in the short term (0.036 +/- 0.018 logit (MB/total of cases). MAIN CONCLUSIONS Corrientes is on the way to eliminating leprosy by 2020, however the increased proportion of MB clinical forms and DG2 signals a warning for disease control efforts.
Responsável: BR1.1 - BIREME


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d: biblio-841781 LILACS-Express
Autor: Phillips, David Alexander; Ferreira, José Antonio; Ansah, Deidra; Teixeira, Herica SA; Kitron, Uriel; Filippis, Thelma de; Alcântara, Marcelo H de; Fairley, Jessica K.
Título: A tale of two neglected tropical infections: using GIS to assess the spatial and temporal overlap of schistosomiasis and leprosy in a region of Minas Gerais, Brazil
Fonte: Mem. Inst. Oswaldo Cruz;112(4):275-280, Apr. 2017. tab, graf.
Idioma: en.
Resumo: BACKGROUND Despite public health efforts to reduce the global burden of leprosy, gaps remain in the knowledge surrounding transmission of infection. Helminth co-infections have been associated with a shift towards the lepromatous end of the disease spectrum, potentially increasing transmission in co-endemic areas. OBJECTIVES Using this biologically plausible association, we conducted a geographic information systems (GIS) study to investigate the spatial associations of schistosomiasis and leprosy in an endemic area of Minas Gerais (MG), Brazil. METHODS Data on new cases of Mycobacterium leprae and Schistosoma mansoni infections from 2007-2014 were retrieved from the Brazilian national notifiable diseases information system for seven municipalities in and surrounding Vespasiano, MG. A total of 139 cases of leprosy and 200 cases of schistosomiasis were mapped to a municipality level. For one municipality, cases were mapped to a neighborhood level and a stratified analysis was conducted to identify spatial associations. FINDINGS A relative risk of 6.80 [95% confidence interval (CI) 1.46 - 31.64] of leprosy was found in neighborhoods with schistosomiasis. Incidence rates of leprosy increased with corresponding incidence rates of schistosomiasis, and the temporal trends of both infections were similar. CONCLUSIONS The associations found in this project support the hypothesis that helminth infections may influence the transmission of leprosy in co-endemic areas.
Responsável: BR1.1 - BIREME


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d: biblio-841779 LILACS-Express
Autor: Santana, Nadja de Lima; Rêgo, Jamile Leão; Oliveira, Joyce Moura; Almeida, Lucas Frederico de; Braz, Marcos; Machado, Lídia Maria Medeiros; Machado, Paulo Roberto Lima; Castellucci, Léa Cristina.
Título: Polymorphisms in genes TLR1, 2 and 4 are associated with differential cytokine and chemokine serum production in patients with leprosy
Fonte: Mem. Inst. Oswaldo Cruz;112(4):260-268, Apr. 2017. tab, graf.
Idioma: en.
Projeto: INCT-DT.
Resumo: BACKGROUND Leprosy or hansen’s disease is a spectral disease whose clinical forms mostly depends on host’s immune and genetic factors. Different Toll-like receptors (TLR) variants have been described associated with leprosy, but with some lack of replication across different populations. OBJECTIVES To evaluate the role of polymorphisms in genes TLR1, TLR2 and TLR4 and susceptibility to leprosy in a genetic case control study; to verify the association between genotypes of these markers and the immunological profile in the serum of patients with leprosy. METHODS Pre-designed TaqMan® assays were used to genotype markers at TLR1 (rs4833095, rs5743551), TLR2 (rs7656411, rs3804099) and TLR4 (rs1927914, rs1927911). A panel of cytokines and chemokines was accessed by enzime-linked immunosorbent assay (ELISA) test in the serum of a subgroup of patients with and without leprosy reactions. FINDINGS Our results show an association between the T allele of rs3804099 at the TLR2 gene and increased risk for leprosy per se [Odds ratio (OR) = 1.296, p = 0,022]. In addition, evaluating the association between different genotypes of the TLR1, 2 and 4 markers and cytokine/chemokine serological levels, IL-17 appears as an immunological marker regulated by the polymorphism of the three TLR genes evaluated, whereas different TLR1 genotypes were associated with differential production of IL-12p40 and MCP-1(CCL2). Furthermore, other relevant serum markers such as CXCL-10 and IL-6 seemed to be regulated by TLR2 variants and IL-1β was related to TLR4 genotypes. MAIN CONCLUSIONS All together our data points that the tested TLR markers may have a regulatory role in the immunity against Mycobacterium leprae, by driving the host’s production of key cytokines and chemokines involved in the pathogenesis of this disease.
Responsável: BR1.1 - BIREME



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