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Patients with severe COVID-19 develop acute respiratory distress syndrome (ARDS) that may progress to cytokine storm syndrome, organ dysfunction, and death. Considering that complement component 5a (C5a), through its cellular receptor C5aR1, has potent proinflammatory actions and plays immunopathological roles in inflammatory diseases, we investigated whether the C5a/C5aR1 pathway could be involved in COVID-19 pathophysiology. C5a/C5aR1 signaling increased locally in the lung, especially in neutrophils of critically ill patients with COVID-19 compared with patients with influenza infection, as well as in the lung tissue of K18-hACE2 Tg mice (Tg mice) infected with SARS-CoV-2. Genetic and pharmacological inhibition of C5aR1 signaling ameliorated lung immunopathology in Tg-infected mice. Mechanistically, we found that C5aR1 signaling drives neutrophil extracellular traps-dependent (NETs-dependent) immunopathology. These data confirm the immunopathological role of C5a/C5aR1 signaling in COVID-19 and indicate that antagonists of C5aR1 could be useful for COVID-19 treatment., Introduction COVID-19 is the major acute global public health issue in this century. Patients with severe COVID-19 develop acute respiratory distress syndrome (ARDS), which may progress to organ dysfunction and [...]

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection triggers activation of the NLRP3 inflammasome, which promotes inflammation and aggravates severe COVID-19. Here, we report that SARS-CoV-2 induces upregulation and activation of human caspase-4/CASP4 (mouse caspase-11/CASP11), and this process contributes to NLRP3 activation. In vivo infections performed in transgenic hACE2 humanized mice, deficient or sufficient for Casp11 , indicate that hACE2 Casp11−/− mice were protected from disease development, with the increased pulmonary parenchymal area, reduced clinical score of the disease, and reduced mortality. Assessing human samples from fatal cases of COVID-19, we found that CASP4 was expressed in patient lungs and correlated with the expression of inflammasome components and inflammatory mediators, including CASP1 , IL1B , IL18, and IL6. Collectively, our data establish that CASP4/11 promotes NLRP3 activation and disease pathology, revealing a possible target for therapeutic interventions for COVID-19. [ABSTRACT FROM AUTHOR]

Background: Chronic kidney disease (CKD), also known as chronic renal insufficiency (CRI), can be defined by a glomerular filtration rate (GFR) less than 60mL/min/1.73m^2 associated with an albumin-to-creatinine ratio greater than 30mg of albumin per 1g of creatinine. CKD is a significant factor leading to a decline in the quality of life, increased morbidity, and a substantial reduction in life expectancy. Currently, it is estimated that there are 3.9 million patients worldwide on renal replacement therapy for CKD. Recent data indicates that in the United States of America (USA), more than 500,000 people suffer from renal failure or insufficiency. In Brazil, epidemiological data is incomplete and outdated. In 2016, there were 122,825 patients in Brazil on renal replacement therapy. Objectives: This literature review aims to assess the prevalence, severity, and therapeutic recommendations for obstructive sleep apnea (OSA) in patients with CKD undergoing hemodialysis. Methods: A literature review was conducted using PubMed, Web of Science, and SciELO databases with keywords including "Obstructive Sleep Apnea", "Chronic kidney disease", "End-stage renal disease", "sleep disorders", "hemodialysis", "CPAP", "Continuous positive airway pressure", and "Physiotherapy." Only studies published in the last twenty years and in the English language were included. Results: Despite scientific evidence demonstrating a high prevalence of OSA in CKD patients undergoing hemodialysis, there are still a lack of studies examining the effects of Continuous positive airway pressure (CPAP) therapy on the clinical outcomes of these patients. In the scientific literature, only three randomized clinical trials were found that investigated the impact of CPAP therapy on improving kidney function. Consequently, there is a critical need for clinical studies to assess the effects of CPAP therapy in CKD patients undergoing hemodialysis. It is also essential to highlight the role of physiotherapy in managing sleep disorders and aiding in the adaptation and monitoring of patients undergoing CPAP therapy. Conclusion: This literature review concluded that more randomized controlled studies are necessary to better define the optimal therapy for OSA in CKD patients, with the goal of preventing a decline in GFR progression, reducing morbidity and mortality, and enhancing overall quality of life. [ABSTRACT FROM AUTHOR]

Background: The choice of an exercise in clinical speech therapy practice must consider the clinical objectives to be achieved, therefore, it is important to identify and analyze the physiology of the muscles involved in the proposed action. Swallowing videofluoroscopy is a non-invasive radiological examination, which allows dynamic visualization of the swallowing phases, assists in defining therapeutic approaches and contributes to scientific research. Objective: to study the mechanical phenomena that occur in the oral cavity, oropharynx and laryngopharyngeal region under the action of blowing through an occluded straw and measure the spaces resulting from the exercise. Methods: This is a cross-sectional study, involving healthy individuals accordind according to the inclusion and exclusion criteria. The study will follow the recommendations of The Strengthening the Reporting of Observational studies in Epidemiology (STROBE). Anamnesis, clinical evaluation of the oral cavity and image capture will be carried out through videofluoroscopy of swallowing. Measurements will be carried out with the subjects at rest position, during the preparation and execution of the blowing exercise with an occluded straw and comparison of the measurements obtained to verify possible gains in amplitude in the intraoral, oropharyngeal and laryngopharyngeal space. Discussion: The blowing exercise with an occluded straw, used in the clinical practice of speech therapy, has shown positive results in terms of gaining muscle strength and improving the clinical condition of patients. However, this technique does not present scientific evidence that proves its application as a therapeutic resource favorable to gaining mobility and strength of the velopharyngeal, lingual and suprahyoid muscles. [ABSTRACT FROM AUTHOR]

Background: As the scientific community grapples with the increasing symptomatology stemming from COVID-19, it is becoming increasingly evident that this systemic disease extends beyond its acute respiratory manifestations. While the world was still grappling with the immediate consequences of the pandemic, such as pneumonia, pulmonary thromboembolism, and heightened cardiovascular risk, a series of questions arose concerning the long-term sequelae. The mechanisms and implications of these sequelae remain elusive. Objective: This review explores the impact of COVID-19 on lung function and underscores the significance of thorough assessment and treatment for post-COVID-19 patients, often referred to as Post-Acute Sequelae of COVID-19 (PACS). COVID-19, caused by SARS-CoV-2, exerts its primary effects on the respiratory system and can lead to chronic complications affecting various organ systems. Methods: We carried out searches in three main databases and gray literature, in English, without date restrictions. Results: Lung function assumes a pivotal role, as a substantial number of patients report persistent dyspnea and other respiratory symptoms even after recovery from the acute infection. These lingering symptoms significantly impair patients' quality of life and functional capacity. This study underscores the necessity of precise assessments of lung function, encompassing pulmonary function tests and computed tomography scans, to identify abnormalities and guide treatment strategies. Moreover, we emphasize the vital role of therapeutic interventions and multidisciplinary rehabilitation programs aimed at enhancing the quality of life for PACS patients. Final Considerations: While there exist recommendations for post-COVID-19 rehabilitation, further research is imperative to validate the effectiveness of these interventions and establish a robust evidence base. In summary, this review underscores the enduring impact of COVID-19 on lung function and underscores the importance of individualized care and ongoing research efforts to cater to the needs of post-COVID-19 patients. [ABSTRACT FROM AUTHOR]

Wetlands provide vital habitat for biodiversity and relevant ecosystem services to human population. The rapid transformation of freshwater wetlands to grow food crops became the wetlands strongly threatened by human activities. Restoration efforts related to wetlands have been widely attempted; however, science‐based guidelines are relatively scarce. Here, we analyzed whether different levels of topsoil addition from natural wetlands in the sediment from rice fields influence the zooplankton communities. Our hypothesis was that the richness and abundance of hatchlings would be higher in treatments with high topsoil addition from natural wetlands, followed by treatments with low addition. In the laboratory, eight field sediment samples were incubated for zooplankton hatching in four treatments: rice fields, rice fields added with low (5%) and medium (30%) quantities of sediment from natural wetlands, and natural wetlands. A total of 4,493 hatchlings belonging to 24 taxa were observed in the experiment. While zooplankton richness and abundance did not differ between sediment treatments, significant differences in species composition associated with topsoil addition were observed. SIMPER analysis showed that topsoil addition from natural wetlands enhanced the abundance of cladocerans and larval copepods. Our results showed that sediments from natural wetlands have a bank of zooplankton dormant eggs that can help the recovery of wetlands disturbed by rice fields. The addition of natural wetland sediments in areas disturbed by rice fields modifies the zooplankton composition of the rice fields, aiding the recovery of disturbed natural wetlands for rice production. [ABSTRACT FROM AUTHOR]

Catabolism of sulfoquinovose (SQ; 6-deoxy-6-sulfoglucose), the ubiquitous sulfosugar produced by photosynthetic organisms, is an important component of the biogeochemical carbon and sulfur cycles. Here, we describe a pathway for SQ degradation that involves oxidative desulfurization to release sulfite and enable utilization of the entire carbon skeleton of the sugar to support the growth of the plant pathogen Agrobacterium tumefaciens. SQ or its glycoside sulfoquinovosyl glycerol are imported into the cell by an ATP-binding cassette transporter system with an associated SQ binding protein. A sulfoquinovosidase hydrolyzes the SQ glycoside and the liberated SQ is acted on by a flavin mononucleotide-dependent sulfoquinovose monooxygenase, in concert with an NADH-dependent flavin reductase, to release sulfite and 6-oxo-glucose. An NAD(P)H-dependent oxidoreductase reduces the 6-oxo-glucose to glucose, enabling entry into primary metabolic pathways. Structural and biochemical studies provide detailed insights into the recognition of key metabolites by proteins in this pathway. Bioinformatic analyses reveal that the sulfoquinovose monooxygenase pathway is distributed across Alpha- and Betaproteobacteria and is especially prevalent within the Rhizobiales order. This strategy for SQ catabolism is distinct from previously described pathways because it enables the complete utilization of all carbons within SQ by a single organism with concomitant production of inorganic sulfite. [ABSTRACT FROM AUTHOR]

Purpose: Lipid metabolism has been poorly explored in subclinical hyperthyroidism. The aim was to examine the effects of exogenous subclinical hyperthyroidism in women under levothyroxine treatment upon plasma lipids and aspects of HDL metabolism. Methodology: Ten women were studied in euthyroidism and again in exogenous subclinical hyperthyroidism. Thyroid function tests and plasma lipids were studied. Results: HDL-cholesterol (increased 21.6%, p = 0.0004), unesterified cholesterol (increased 12.3%, p = 0.04) and Lp(a) (increased 33,3%, P = 0.02) plasma concentrations were higher in subclinical hyperthyroidism compared to euthyroidism, but total cholesterol, LDL, non-HDL cholesterol, triglycerides, apo A-I, apo B were unchanged. PON1 activity (decreased 75%, p = 0.0006) was lower in subclinical hyperthyroidism. There were no changes in HDL particle size, CETP and LCAT concentrations. The in vitro assay that estimates the lipid transfers to HDL showed that esterified cholesterol (increased 7.1%, p = 0.03), unesterified cholesterol (increased 7.8%, p = 0.02) and triglycerides (increased 6.8%, p = 0.006) transfers were higher in subclinical hyperthyroidism. There were no changes in phospholipid transfers to HDL in subclinical hyperthyroidism. Conclusions: Several alterations in the plasma lipid metabolism were observed in the subclinical hyperthyroidism state that highlight the importance of this aspect in the follow-up of those patients. The increase in HDL-C and in the transfer of unesterified and esterified cholesterol to HDL, an important anti-atherogenic HDL function are consistently protective for cardiovascular health. The increase in Lp(a) and the decrease in PON-1 activity that are important risk factors were documented here in subclinical hyperthyroidism and these results should be confirmed in larger studies due to great data variation but should not be neglected in the follow-up of those patients. [ABSTRACT FROM AUTHOR]

Amphibians are the focus of a recent debate and public attention owing to the global decline in their populations worldwide. Amphibians are one of the most threatened and poorly known groups of vertebrates in several geographic areas, even though they play a central role in their own ecosystems. At different levels, amphibians make their contribution to proper ecosystem functioning. They act as regulators of the food web and nutrient cycling, and they also provide several valuable ecosystem services, e.g., as a food source and as animal models for lab research. In this sense, it seems clear that the maintenance of amphibian diversity should be one of the major goals for the several countries where their population decline is observed. However, we are still struggling with the very first step of this process, i.e., the correct identification of the amphibian species diversity. Over the past few decades, research on molecular identification of amphibians using DNA barcoding has encountered some difficulties related to high variability in the mitochondrial genome of amphibians, and a research gap is noticeable in the literature. We herein evaluated both COI and 16S rRNA mitochondrial genes for the molecular identification of frogs and tadpoles in a large fragment of the South American Atlantic Rainforest in Rio de Janeiro, Brazil. Our results suggest that both COI and 16S rRNA are informative markers for the molecular identification of the amphibian specimens with all specimens unambiguously identified at the species level. We also made publicly available 12 new sequences of Atlantic Rainforest amphibian species for the first time, and we discussed some conservation issues related to amphibians within the Atlantic Rainforest domains in the state of Rio de Janeiro, Brazil. [ABSTRACT FROM AUTHOR]

Background: Heart failure (HF) courses with chronic inflammatory process and alterations in lipid metabolism may aggravate the disease. The aim was to test whether the severity of HF, using brain natriuretic peptide (BNP) as a marker, is associated with alterations in functional aspects of HDL, such as lipid transfer, cholesterol ester transfer protein (CETP) and lecithin-cholesterol acyltransferase (LCAT) concentration. Methods: Twenty-five HF patients in NYHA class I/II and 23 in class III/IV were enrolled. Plasma lipids, apolipoproteins, CETP, LCAT, oxidized-LDL (oxLDL) and paraoxonase-1 (PON-1) activity were determined. Lipid transfer from a donor artificial nanoparticle to HDL was measured by in vitro assay. Results: Total cholesterol (p = 0.049), LDL-C (p = 0.023), non-HDL-C (p = 0.029) and CETP, that promotes lipid transfer among lipoproteins (p = 0.013), were lower in III/IV than in I/II group. Triglycerides, HDL-C, apo A-I, apo B, oxLDL, LCAT, enzyme that catalyzes serum cholesterol esterification, PON-1 activity, and in vitro transfers of cholesterol, triglycerides and phospholipids to HDL, important steps in HDL metabolism, were equal. IL-8 was higher in III/IV (p = 0.025), but TNFα, IL-1β, IL-6 and MCP-1 were equal. BNP was negatively correlated with CETP (r = - 0.294; p = 0.042) and positively correlated with IL-8 (r = 0.299; p = 0.039). Conclusions: Our results disclosed the relationship between CETP levels and HF severity, by comparing two HF groups and by correlation analysis. Lower CETP levels may be a marker of HF aggravation and possibly of worse prognosis. Practical applications of this initial finding, as the issue whether CETP could be protective against HF aggravation, should be explored in larger experimental and clinical studies. [ABSTRACT FROM AUTHOR]