441 results on '"Costa JL"'
Search Results
2. Anelídeos poliquetas como isco vivo: caracterização da actividade de apanha em ambientes salobros costeiros portugueses
- Author
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Fidalgo e Costa, P, Sá, E, Alves, AS, Cabral, S, Castro, N, Picard, D, Castro, JJ, Cancela da Fonseca, L, Chainho, P, Canning-Clode, J, Pombo, AM, Costa, JL, Cancela da Fonseca, L, Garcia, AC, Pereira, SD, and Rodrigues, MAC
- Subjects
Gestão costeira ,Sistemas salobros ,Apanha de isco vivo ,Recursos biológicos - Published
- 2016
3. Assessing the size adequacy of a small no-take marine protected area (MPA) for Mediterranean moray and European conger
- Author
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Pereira, TJ, primary, Silva, AF, additional, de Almeida, PR, additional, Belo, AF, additional, Costa, JL, additional, Castro, N, additional, and Quintella, BR, additional
- Published
- 2017
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4. Projecto Groundscene: biodiversidade de lagoas costeiras e respectivas bacias hidrográficas como ecossistemas dependentes de águas subterrâneas
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Chainho, P, Félix, PM, Correia, MJ, Fernandes, CM, Costa, JL, Chaves, ML, Stigter, T, Hugman, R, Salvador, N, Costa, L, Domingos, I, Castro, J, Cruz, T, Costa, A, Monteiro, JP, Chambel, A, Nunes, L, Silva, A, Pinto, JR, Vidal, AM, Pinheiro, I, Costa, MJ, Cabral, HN, Ribeiro, LT, Cancela da Fonseca, L, Pereira, SD, Freitas, JG, Bergamaschi, S, and Rodrigues, MAC
- Subjects
sistemas lagunares ,água subterrânea ,gestão ,biodiversidade - Published
- 2014
5. Glyphosate retention in grassland riparian areas is reduced by the invasion of exotic trees
- Author
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GCM, Giaccio, primary, Laterra, P, additional, Aparicio, VC, additional, and Costa, JL, additional
- Published
- 2016
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6. Atomic force microscopy imaging of viscoelastic properties in toughened polypropylene resins (vol 78, pg 5956, 1995)
- Author
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Nysten, Bernard, Legras, Roger, Costa, JL., and UCL - FSA/MAPR - Département des sciences des matériaux et des procédés
- Published
- 2004
7. Anti-proliferative action of vitamin D in MCF7 is still active after siRNA-VDR knock-down
- Author
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Costa, JL, Eijk, PP, van de Wiel, MA, ten Berge, Derk, Schmitt, F, Narvaez, CJ, Welsh, J, Ylstra, B, Costa, JL, Eijk, PP, van de Wiel, MA, ten Berge, Derk, Schmitt, F, Narvaez, CJ, Welsh, J, and Ylstra, B
- Abstract
Background: The active form of Vitamin D, 1,25-dihydroxyvitamin D-3 (1,25D), has strong antiproliferative effects, yet the molecular mechanisms underneath this effect remain unclear. In contrast, the molecular mechanism of 1,25D for the regulation of calcium homeostasis has principally been resolved, demonstrating a pivotal role for the vitamin D receptor (VDR). Results: We first addressed the question whether the anti-proliferative effects of 1,25D are influenced by VDR. Knockdown of VDR by siRNA did not affect the anti-proliferative effects of 1,25D in MCF7 breast cancer cells. This unanticipated finding led us to take an alternative approach using genome wide screens to study the molecular mechanisms of 1,25D in proliferation. For that purpose, four independently developed and stable 1,25D resistant MCF7 cell lines were analyzed. Array CGH identified a copy number alteration in a region of 13.5 Mb at chromosome 11q13.4-14.1 common to all four 1,25D resistant cell lines. Expression arrays revealed that no single gene was differentially expressed between the sensitive and resistant cells, but multiple membrane receptor signaling pathways were altered in the 1,25D resistant cell lines. Importantly, in the genome wide experiments neither VDR, CYP24A1 nor other known vitamin D signaling pathway genes were associated with 1,25D resistance. Conclusion: In conclusion, siRNA and genome wide studies both suggest that the antiproliferative effects of 1,25D in MCF7 breast tumor cell lines do not rely on classical Vitamin D pathway per se.
- Published
- 2009
8. High-resolution aCGH and expression profiling identifies a novel genomic subtype of ER negative breast cancer.
- Author
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Chin, SF, Teschendorff, AE, Marioni, JC, Wang, Y, Barbosa-Morais, NL, Thorne, NP, Costa, JL, Pinder, SE, van de Wiel, MA, Green, AR, Ellis, IO, Porter, PL, Tavaré, S, Brenton, JD, Ylstra, B, Caldas, C, Chin, SF, Teschendorff, AE, Marioni, JC, Wang, Y, Barbosa-Morais, NL, Thorne, NP, Costa, JL, Pinder, SE, van de Wiel, MA, Green, AR, Ellis, IO, Porter, PL, Tavaré, S, Brenton, JD, Ylstra, B, and Caldas, C
- Abstract
BACKGROUND: The characterization of copy number alteration patterns in breast cancer requires high-resolution genome-wide profiling of a large panel of tumor specimens. To date, most genome-wide array comparative genomic hybridization studies have used tumor panels of relatively large tumor size and high Nottingham Prognostic Index (NPI) that are not as representative of breast cancer demographics. RESULTS: We performed an oligo-array-based high-resolution analysis of copy number alterations in 171 primary breast tumors of relatively small size and low NPI, which was therefore more representative of breast cancer demographics. Hierarchical clustering over the common regions of alteration identified a novel subtype of high-grade estrogen receptor (ER)-negative breast cancer, characterized by a low genomic instability index. We were able to validate the existence of this genomic subtype in one external breast cancer cohort. Using matched array expression data we also identified the genomic regions showing the strongest coordinate expression changes ('hotspots'). We show that several of these hotspots are located in the phosphatome, kinome and chromatinome, and harbor members of the 122-breast cancer CAN-list. Furthermore, we identify frequently amplified hotspots on 8q22.3 (EDD1, WDSOF1), 8q24.11-13 (THRAP6, DCC1, SQLE, SPG8) and 11q14.1 (NDUFC2, ALG8, USP35) associated with significantly worse prognosis. Amplification of any of these regions identified 37 samples with significantly worse overall survival (hazard ratio (HR) = 2.3 (1.3-1.4) p = 0.003) and time to distant metastasis (HR = 2.6 (1.4-5.1) p = 0.004) independently of NPI. CONCLUSION: We present strong evidence for the existence of a novel subtype of high-grade ER-negative tumors that is characterized by a low genomic instability index. We also provide a genome-wide list of common copy number alteration regions in breast cancer that show strong coordinate aberrant expression, and further identify novel frequ
- Published
- 2007
9. Sleep loss and acute drug abuse can induce DNA damage in multiple organs of mice
- Author
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Alvarenga, TA, primary, Ribeiro, DA, additional, Araujo, P, additional, Hirotsu, C, additional, Mazaro-Costa, R, additional, Costa, JL, additional, Battisti, MC, additional, Tufik, S, additional, and Andersen, ML, additional
- Published
- 2010
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10. Epidemiology and pathology of Anguillicoloides crassus in European eel Anguilla anguilla from the Tagus estuary (Portugal)
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Neto, AF, primary, Costa, JL, additional, Costa, MJ, additional, and Domingos, I, additional
- Published
- 2010
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11. Genetic diversity of Nostoc symbionts endophytically associated with two bryophyte species
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Costa, JL, Paulsrud, P, Rikkinen, J, Lindblad, P, Costa, JL, Paulsrud, P, Rikkinen, J, and Lindblad, P
- Abstract
The diversity of the endophytic Nostoc symbionts of two thalloid bryophytes, the hornwort Anthoceros fusiformis and the liverwort Blasia pusilla, was examined using the tRNA(Leu) (UAA) intron sequence as a marker. The results confirmed that many different, Addresses: Costa JL, Uppsala Univ, Dept Physiol Bot, Evolutionary Biol Ctr, Villavagen 6, SE-75236 Uppsala, Sweden. Uppsala Univ, Dept Physiol Bot, Evolutionary Biol Ctr, SE-75236 Uppsala, Sweden. Univ Helsinki, Dept Appl Biol, FIN-00014 Helsinki, Finland
- Published
- 2001
12. Cyanobiont diversity within coralloid roots of selected cycad species
- Author
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Costa, JL, Paulsrud, P, Lindblad, P, Costa, JL, Paulsrud, P, and Lindblad, P
- Abstract
The diversity and host specificity of the cyanobionts of several cycad species (Cycas circinalis L., C. rumphii Miq., Encephalartos lebomboensis I. Verd., E. villosus Lem., and Zamia pumila L.) collected in a botanical garden were examined using the tRNA(, Addresses: Lindblad P, Uppsala Univ, Dept Physiol Bot, Villavagen 6, S-75236 Uppsala, Sweden. Uppsala Univ, Dept Physiol Bot, S-75236 Uppsala, Sweden.
- Published
- 1999
13. NMR, differential scanning calorimetry, and Fourier transform infrared characterization of the crystalline degree and crystallite dimensions of ethylene runs in isotactic polypropylene/ethylene-propylene copolymer blends (iPP/EP)
- Author
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UCL - FSA/MAPR - Département des sciences des matériaux et des procédés, Laupretre, F, Legras, Roger, Bebelman, Sabine, Daoust, Daniel, Devaux, Jacques, Costa, JL., UCL - FSA/MAPR - Département des sciences des matériaux et des procédés, Laupretre, F, Legras, Roger, Bebelman, Sabine, Daoust, Daniel, Devaux, Jacques, and Costa, JL.
- Abstract
High-resolution solid-state C-13-NMR, differential scanning calorimetry, and Fourier transform infrared spectroscopy were used to compare the very low crystalline degree and crystallite dimensions of ethylene runs in a series of isotactic polypropylene/ethylene-propylene copolymer blends exhibiting a range of properties. Results obtained from the three techniques on samples with the same thermal history are in a satisfying qualitative agreement. They show that the morphology of the polyethylene domains is only very slightly dependent on the viscosity ratio of the two blend components. On the opposite, it is largely governed by the ethylene content of the ethylene-propylene copolymer. (C) 1999 John Wiley & Sons, Inc.
- Published
- 1999
14. The effect of modafinil on self-esteem in spinal cord injury patients: a report of 2 cases and review of the literature.
- Author
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Mukai A and Costa JL
- Abstract
We report on 2 cases of the effect of modafinil on the self-esteem of patients with spinal cord injury (SCI). The first patient was a 33-year-old man with history of polysubstance abuse and a C6 American Spinal Injury Association (ASIA) grade A injury, who presented for follow-up to the outpatient rehabilitation clinic for depression, decreased motivation, and lowered self-esteem. The patient had tried a selective serotonin reuptake inhibitor (SSRI) without success, and reported increasing social and legal stressors. Within 1 month of starting on modafinil, he reported increased self-esteem and motivation, as well as decreased self-consciousness. The second patient was a 36-year-old woman with history of depression and a T11 ASIA grade A injury. She tried various SSRIs for depression and adjustment issues before she was started on modafinil. She lost weight and became more assertive and less self-conscious within 1 month after starting on modafinil. These 2 cases suggest that modafinil should be studied as a therapeutic option for treating lowered self-esteem in patients with SCI. Copyright © 2005 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation [ABSTRACT FROM AUTHOR]
- Published
- 2005
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15. Heterogeneity of human whole blood platelet subpopulations. III. Density-dependent differences in subcellular constituents
- Author
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Corash, L, Costa, JL, Shafer, B, Donlon, JA, and Murphy, D
- Abstract
Structurally intact platelet cohorts of differing densities can be isolated from normal subjects by the use of isosmolar arabinogalactan density gradients. Using platelets separated in this fashion, we have studied the density-dependent distribution of four subcellular organelles: mitochondria, lysosomes, dense bodies, and alpha granules. Mitochondria, which are not secreted during platelet release, demonstrate a slow decline in monoamine oxidase activity within the gradient. Lysosomal beta-glucuronidase does not vary significantly with platelet density. In contrast, dense body number and endogenous serotonin content decrease significantly with decreasing platelet density, primarily as the result of differences in the number of storage organelles. Platelet factor 4 content declines rapidly in comparison to lysosomal activities (P less than .001 from bottom to top of the gradient); but beta-thromboglobulin, also an alpha granule component, exhibits considerably less change than platelet factor 4 (P less than .001). Thus, specific platelet subcellular constituents have different density distributions. We postulate that these density differences may be due to differential in vivo loss of selective biochemical constituents from unique subcellular compartments.
- Published
- 1984
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16. A platelet abnormality in the Chediak-Higashi syndrome of man
- Author
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Costa, JL, Fauci, AS, and Wolff, SM
- Abstract
Platelets from two probands homozygous for the Chediak-Higashi syndrome have approximately 10% of the normal number of serotonin-containing dense bodies as visualized electron microscopically in air-dried whole mounts. Since transport of serotonin across the platelet plasma membrane proceeds at a normal rate, and the few dense bodies present appear to store normal amounts of serotonin, the absence of dense bodies may account for the low platelet serotonin values found in these patients.
- Published
- 1976
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17. A COMPARATIVE TRIAL OF SUBCUTANEOUS TERBUTALINE, Thll65a AND ADRENALINE IN BRONCHIAL ASTHMA
- Author
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Da Costa Jl and Goh Bk
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business.industry ,Terbutaline ,General Medicine ,Comparative trial ,medicine.disease ,Epinephrine ,Bronchodilator Agents ,Anesthesia ,Heart rate ,medicine ,Metaproterenol ,business ,Injections subcutaneous ,medicine.drug ,Asthma - Published
- 1973
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18. Rehabilitation of three patients after treatment for herpes encephalitis.
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Rao N and Costa JL
- Published
- 1991
19. Treatment to fulfill doctors' needs
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Costa Jl
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Education, Medical ,business.industry ,Medicine ,General Medicine ,Medical emergency ,Curriculum ,business ,medicine.disease - Published
- 1972
20. AGE AND GROWTH OF LIZA-RAMADA (RISSO, 1826) IN THE RIVER TAGUS, PORTUGAL
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Almeida, Pr, Moreira, Fm, Domingos, Im, Costa, Jl, Carlos Assis, and Costa, Mj
21. Comparative Evaluation of a Platelet Serotonin Assay Utilizing Ortho-Phthaldialdehyde for Fluorophore Production
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Richardson Js, Costa Jl, and Murphy Dl
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chemistry.chemical_compound ,Fluorophore ,chemistry ,Biochemistry ,Platelet ,Hematology ,Serotonin ,Comparative evaluation - Published
- 1975
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22. Correspondence
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Costa Jl, A.C. Barreto, P.D. Marsden, Cuba Ca, Roberto Badaró, and Eduardo Martins Netto
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medicine.medical_specialty ,Gluconates ,business.industry ,chemistry.chemical_element ,Dermatology ,Infectious Diseases ,Antimony ,chemistry ,Virology ,Amphotericin B ,Immunology ,medicine ,Parasitology ,Antimony Sodium Gluconate ,Mucosal leishmaniasis ,business ,medicine.drug - Published
- 1986
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23. Alterations in Vitamin D signalling and metabolic pathways in breast cancer progression: a study of VDR, CYP27B1 and CYP24A1 expression in benign and malignant breast lesions.
- Author
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Lopes N, Sousa B, Martins D, Gomes M, Vieira D, Veronese LA, Milanezi F, Paredes J, Costa JL, Schmitt F, Lopes, Nair, Sousa, Bárbara, Martins, Diana, Gomes, Madalena, Vieira, Daniella, Veronese, Luiz A, Milanezi, Fernanda, Paredes, Joana, Costa, José L, and Schmitt, Fernando
- Abstract
Background: Breast cancer is a heterogeneous disease associated with different patient prognosis and responses to therapy. Vitamin D has been emerging as a potential treatment for cancer, as it has been demonstrated that it modulates proliferation, apoptosis, invasion and metastasis, among others. It acts mostly through the Vitamin D receptor (VDR) and the synthesis and degradation of this hormone are regulated by the enzymes CYP27B1 and CYP24A1, respectively. We aimed to study the expression of these three proteins by immunohistochemistry in a series of breast lesions.Methods: We have used a cohort comprising normal breast, benign mammary lesions, carcinomas in situ and invasive carcinomas and assessed the expression of the VDR, CYP27B1 and CYP24A1 by immunohistochemistry.Results: The results that we have obtained show that all proteins are expressed in the various breast tissues, although at different amounts. The VDR was frequently expressed in benign lesions (93.5%) and its levels of expression were diminished in invasive tumours (56.2%). Additionally, the VDR was strongly associated with the oestrogen receptor positivity in breast carcinomas. CYP27B1 expression is slightly lower in invasive carcinomas (44.6%) than in benign lesions (55.8%). In contrast, CYP24A1 expression was augmented in carcinomas (56.0% in in situ and 53.7% in invasive carcinomas) when compared with that in benign lesions (19.0%).Conclusions: From this study, we conclude that there is a deregulation of the Vitamin D signalling and metabolic pathways in breast cancer, favouring tumour progression. Thus, during mammary malignant transformation, tumour cells lose their ability to synthesize the active form of Vitamin D and respond to VDR-mediated Vitamin D effects, while increasing their ability to degrade this hormone. [ABSTRACT FROM AUTHOR]- Published
- 2010
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24. Diversity and patterns of marine non-native species in the archipelagos of Macaronesia
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Castro, N, Carlton, JT, Costa, AC, Marques, CS, Hewitt, Chad, Cacabelos, E, Lopes, E, Gizzi, F, Gestoso, I, Monteiro, JG, Costa, JL, Parente, M, Ramalhosa, P, Fofonoff, P, Chainho, P, Haroun, R, Santos, RS, Herrera, R, Marques, TA, Ruiz, GM, Canning-Clode, J, and Briski, E
- Published
- 2022
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25. Simultaneous detection of lung fusions using a multiplex RT-PCR next generation sequencing-based approach: a multi-institutional research study
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Kelli Bramlett, Marjolijn J. L. Ligtenberg, Kazuko Sakai, Michel Bihl, Nicola Normanno, Alexander Boag, Cecily P. Vaughn, Susan Crocker, Harriet Feilotter, Andrea Mafficini, Varun Bagai, Bastiaan B J Tops, Anna Maria Rachiglio, José Carlos Machado, José Luis Costa, Aldo Scarpa, Ian A Cree, Hélène Blons, Delphine Le Corre, Orla Sheils, Rosella Petraroli, Pierre Laurent-Puig, Henriette M. Kurth, Roy R. L. Bastien, Federica Zito Marino, Astrid Hirschmann, Kazuto Nishio, Anne Reiman, Instituto de Investigação e Inovação em Saúde, Vaughn, Cp, Costa, Jl, Feilotter, He, Petraroli, R, Bagai, V, Rachiglio, Am, Zito Marino, F, and Et, Al.
- Subjects
0301 basic medicine ,Male ,Cancer Research ,Lung Neoplasms ,Oncogene Proteins, Fusion ,Biopsy ,FFPE ,Fusion gene ,0302 clinical medicine ,Tumours of the digestive tract Radboud Institute for Molecular Life Sciences [Radboudumc 14] ,Multiplex ,Anaplastic Lymphoma Kinase ,Membrane Glycoproteins ,Reverse Transcriptase Polymerase Chain Reaction ,High-Throughput Nucleotide Sequencing ,Protein-Tyrosine Kinases ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Detection ,Real-time polymerase chain reaction ,Oncology ,Technical Advance ,030220 oncology & carcinogenesis ,Adenocarcinoma ,Biomarker (medicine) ,Female ,Lung cancer ,Biology ,lcsh:RC254-282 ,03 medical and health sciences ,All institutes and research themes of the Radboud University Medical Center ,Cell Line, Tumor ,Proto-Oncogene Proteins ,Multiplex polymerase chain reaction ,Genetics ,ROS1 ,medicine ,Biomarkers, Tumor ,Humans ,Receptor, trkB ,Biomarker ,Gene fusions ,Next-generation sequencing ,Proto-Oncogene Proteins c-ret ,Receptor Protein-Tyrosine Kinases ,medicine.disease ,030104 developmental biology ,Cancer research ,Lymph Nodes ,Multiplex Polymerase Chain Reaction - Abstract
Background: Gene fusion events resulting from chromosomal rearrangements play an important role in initiation of lung adenocarcinoma. The recent association of four oncogenic driver genes, ALK, ROS1, RET, and NTRK1, as lung tumor predictive biomarkers has increased the need for development of up-to-date technologies for detection of these biomarkers in limited amounts of material. Methods: We describe here a multi-institutional study using the Ion AmpliSeq™ RNA Fusion Lung Cancer Research Panel to interrogate previously characterized lung tumor samples. Results: Reproducibility between laboratories using diluted fusion-positive cell lines was 100%. A cohort of lung clinical research samples from different origins (tissue biopsies, tissue resections, lymph nodes and pleural fluid samples) were used to evaluate the panel. We observed 97% concordance for ALK (28/30 positive; 71/70 negative samples), 95% for ROS1 (3/4 positive; 19/18 negative samples), and 93% for RET (2/1 positive; 13/14 negative samples) between the AmpliSeq assay and other methodologies. Conclusion: This methodology enables simultaneous detection of multiple ALK, ROS1, RET, and NTRK1 gene fusion transcripts in a single panel, enhanced by an integrated analysis solution. The assay performs well on limited amounts of input RNA (10ng) and offers an integrated single assay solution for detection of actionable fusions in lung adenocarcinoma, with potential savings in both cost and turn-around-time compared to the combination of all four assays by other methods. This work resulted from projects “Institute for Research and Innovation in Health Sciences” (POCI-01-0145-FEDER-007274), “GenomePT” (POCI-01-0145-FEDER-022184), “Advancing cancer research: from knowledge to application” (NORTE-01-0145-FEDER-000029) supported by COMPETE 2020 - Operational Programme for Competitiveness and Internationalisation (POCI), Norte Portugal Regional Programme (NORTE 2020), Lisboa Portugal Regional Operational Programme (Lisboa2020), Algarve Portugal Regional Operational Programme (CRESC Algarve2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF), and by FCT - Fundação para a Ciência e a Tecnologia (PTDC/DTP-PIC/2500/2014). This work was supported by a grant from the Associazione Italiana per la Ricerca sul Cancro (AIRC) to N. Normanno (Grant number: IG17135).
- Published
- 2018
26. Plasma α-melanocyte-stimulating hormone: sex differences and correlations with obesity
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Miles B. Brennan, Dalan R. Jensen, Jessica L. Costa, Teri L. Hernandez, Ute Hochgeschwender, Alison M. Morris, Robert H. Eckel, William T. Donahoo, Donahoo, WT, Hernandez, TL, Costa, JL, Jensen, DR, Morris, AM, Brennan, MB, Hochgeschwender, U, and Eckel, RH
- Subjects
Adult ,Blood Glucose ,Leptin ,Male ,medicine.medical_specialty ,endocrine system ,obesity ,Melanocyte-stimulating hormone ,Adolescent ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Thyrotropin ,Fatty Acids, Nonesterified ,Statistics, Nonparametric ,Young Adult ,Absorptiometry, Photon ,Sex Factors ,Endocrinology ,Internal medicine ,rodent experiments ,Blood plasma ,medicine ,Humans ,Insulin ,Obesity ,Young adult ,Aged ,Adiponectin ,integumentary system ,business.industry ,Middle Aged ,medicine.disease ,C-Reactive Protein ,alpha-MSH ,Body Composition ,Female ,business ,hormones, hormone substitutes, and hormone antagonists ,Hormone - Abstract
Rodent experiments raise the possibility of a regulatory role of peripheral alpha-melanocyte-stimulating hormone (alpha-MSH) in obesity and metabolism, but human data on peripheral alpha-MSH levels remain fragmentary. Because of the possible relationship between alpha-MSH and obesity, we endeavored to test the hypothesis that higher levels of alpha-MSH in obese patients would correlate with leptin levels and with other markers of obesity. Sixty normal-weight to obese healthy men and women participated. Weight, measures of body composition, and diet diaries were obtained; fasting blood was analyzed for alpha-MSH, lipids, glucose, insulin, leptin, and adiponectin. To begin to understand the source of peripherally measured hormones, alpha-MSH was also measured in serum samples from 5 individuals with untreated Addison disease. Levels of alpha-MSH were higher in men vs women (10.1 +/- 4.3 vs 7.6 +/- 3.4 pmol/L, P = .019), and alpha-MSH levels were higher in patients with Addison disease vs controls (17.7 +/- 2.3 vs 8.7 +/- 0.52 pmol/L, P < .001). Measures of adiposity correlated with insulin and leptin in men and women, and with adiponectin in women. alpha-Melanocyte-stimulating hormone levels did not correlate significantly with any parameter of adiposity or diet composition. The elevated alpha-MSH levels in patients with untreated Addison disease suggest possible pituitary secretion of alpha-MSH to the periphery. The lack of correlation between peripheral alpha-MSH and parameters of adiposity suggests that endogenous plasma alpha-MSH levels are not a metric for body composition per se.
- Published
- 2009
27. Reliability of roadside oral fluid testing devices for ∆ 9 -tetrahydrocannabinol (∆ 9 -THC) detection.
- Author
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Scherer JN, Vasconcelos M, Dalanhol CS, Govoni B, Dos Santos BP, Borges GR, de Gouveia GC, Viola PP, Carlson RLR, Martins AF, Costa JL, Huestis MA, and Pechansky F
- Subjects
- Humans, Chromatography, Liquid methods, Reproducibility of Results, Automobile Driving, Dronabinol analysis, Saliva chemistry, Substance Abuse Detection methods, Substance Abuse Detection instrumentation, Tandem Mass Spectrometry methods, Driving Under the Influence, Sensitivity and Specificity
- Abstract
Driving under the influence of cannabis (DUIC) is increasing worldwide, and cannabis is the most prevalent drug after alcohol in impaired driving cases, emphasizing the need for a reliable traffic enforcement strategy. ∆
9 -tetrahydrocannabinol (THC) detection in oral fluid has great potential for identifying recent cannabis use; however, additional data are needed on the sensitivities, specificities, and efficiencies of different oral fluid devices for detecting cannabinoids at the roadside by police during routine traffic safety enforcement efforts. At the roadside, 8945 oral fluid THC screening tests were performed with four devices: AquilaScan®, Dräger DrugTest®, WipeAlyser Reader®, and Druglizer®. A total of 530 samples screened positive for THC (5.9%) and were analyzed by liquid chromatography-tandem mass spectrometry at multiple cutoff concentrations (2 ng/mL, 10 ng/mL, and manufacturers' recommended device cutoffs) to investigate device performance. Results varied substantially, with sensitivities of 0%-96.8%, specificities of 89.8%-98.5%, and efficiencies of 84.3%-97.8%. The Dräger DrugTest® outperformed the other devices with a 96.8% sensitivity, 97.1% specificity, and 97.0% efficiency at a 5-ng/mL LC-MS/MS confirmation cutoff. The WipeAlyser Reader® had good performance with a 91.4% sensitivity, 97.2% specificity, and 96.4% efficiency. AquilaScan® and Druglizer® had unacceptable performance for cannabinoid detection, highlighted by sensitivity <13%. The choice of roadside oral fluid testing device must offer good analytical performance for cannabinoids because of its high prevalence of use and impact on road safety., (© 2024 John Wiley & Sons Ltd.)- Published
- 2024
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28. Environmentally friendly screen-printed electrodes for the selective detection of 4-bromo-2,5-dimethoxyphenethylamine (2C-B) in forensic analysis.
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Macedo AA, Pimentel DM, Melo LMA, Rocha CM, de Fátima Â, Souza KAO, Costa JL, Arantes LC, and Dos Santos WTP
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- Humans, Graphite chemistry, Limit of Detection, Chitosan chemistry, Substance Abuse Detection methods, Substance Abuse Detection instrumentation, Electrodes, Electrochemical Techniques methods, Electrochemical Techniques instrumentation, Dimethoxyphenylethylamine analogs & derivatives, Dimethoxyphenylethylamine analysis, Dimethoxyphenylethylamine chemistry
- Abstract
In response to the growing need for sustainable analytical methods, this study explores the repurposing of screen-printed electrodes (SPEs) that would otherwise be discarded. This involves recoating the working electrode surface with a graphite (Gr) and chitosan (CTS) dispersion, creating a reusable SPE (SPE-Gr/CTS). Demonstrating its utility, SPE-Gr/CTS was employed for the detection of 4-bromo-2,5-dimethoxyphenethylamine (2C-B), a phenylethylamine commonly used for recreational proposes. Identifying 2C-B in fluid oral and seized samples is of great interest for forensic and toxicological applications. The 2C-B detection using SPE-Gr/CTS was optimized in Britton-Robinson buffer solution (0.1 mol L
-1 ) at pH 2.0, employing square-wave adsorptive stripping voltammetry. The electrochemical behavior of 2C-B on SPE-Gr/CTS exhibited one irreversible oxidation and a reversible redox process. The proposed method presented a dynamic linear range for 2C-B determination (0.05 to 7.5 μmol L-1 ) with a low LOD (0.015 μmol L-1 ). Moreover, the stability of 2C-B electrochemical responses on SPE-Gr/CTS was confirmed using the same or different electrodes ( N = 3), with a relative standard deviation of less than 5.0%. Interference studies with seventeen other illicit drugs and adulterants demonstrated that the proposed method is selective for 2C-B detection even in the presence of these substances. Real seized and oral fluid samples containing 2C-B were analyzed using this method, and the results were confirmed by LC-MS. The proposed device demonstrates to be an environmentally friendly and selective sensor for 2C-B detection in forensic analysis, offering a rapid and straightforward screening method for seized and biological samples. In addition, a portable and sensitive determination of 2C-B in forensic samples is presented with minimal sample consumption (50 μL).- Published
- 2024
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29. Electrochemical methods for the determination of acetaminophen in biological matrices: A critical review in the clinical field.
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Melo LMA, Souza KAO, Lopes JEB, Muñoz RAA, Costa JL, and Dos Santos WTP
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- Humans, Analgesics, Non-Narcotic analysis, Analgesics, Non-Narcotic urine, Analgesics, Non-Narcotic blood, Electrodes, Acetaminophen analysis, Acetaminophen urine, Acetaminophen blood, Electrochemical Techniques
- Abstract
Background: Paracetamol or acetaminophen (APAP), or acetaminophen, is a widely used medication for pain relief and fever reduction due to its analgesic and antipyretic properties. However, excessive APAP consumption can lead to severe hepatotoxicity and nephrotoxicity, posing overdose risks. Consequently, the development of analytical methods for an accurate and rapid detection of APAP in biological matrices is of great interest in the health-related fields. Electrochemical methods have emerged as efficient, cost-effective, and sensitive tools for APAP detection in biological samples. In the light of the reported insights, this review examines critically diverse electrochemical methods for PAR detection in different biological matrices, including serum, urine, oral fluid, and sweat., Results: The claimed benefits of chemically-modified electrodes towards the selective determination of paracetamol in such complex sample matrices are discussed. On the other hand, the possible use of unmodified carbon-based electrodes combined with flow methods is highlighted as an alternative that can find relevance in the analysis of biological fluids suspected of PAR overdose occurring in the forensic scenario. Furthermore, the details regarding the distinct techniques and working electrodes for APAP determination are presented, compared and discussed in separate sections for each biological sample (serum, urine, and oral fluid). Another aspect herein debated is the selective determination of APAP in the presence of electroactive drugs naturally found in biological samples, as uric acid, and ascorbic acid, are evaluated. In addition, we have discussed and emphasized the significance of matrix selection to ensure precise results, especially in potential overdose scenarios., Significance: This review article provides a critical discussion on the development of electroanalytical methods for biological fluids, with relevance to the fields of clinical analysis and forensics., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Published
- 2025
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30. The multidrug resistance protein 4 is expressed and functionally active in isolated bladder from pig.
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Gomes ET, Passos GR, Antunes NJ, de Oliveira MG, de Souza VB, Schenka AA, da Costa JL, Antunes E, and Mónica FZ
- Subjects
- Animals, Swine, Quinolines pharmacology, Cyclic AMP metabolism, Muscle Relaxation drug effects, Male, Muscle, Smooth drug effects, Muscle, Smooth metabolism, Female, Signal Transduction, Phosphodiesterase Inhibitors pharmacology, Propionates, Urinary Bladder metabolism, Urinary Bladder drug effects, Multidrug Resistance-Associated Proteins metabolism, Multidrug Resistance-Associated Proteins genetics, Cyclic GMP metabolism
- Abstract
Multidrug resistance proteins type 4 (MRP4) and 5 (MRP5) play pivotal roles in the transport of cyclic nucleotides in various tissues. However, their specific functions within the lower urinary tract remain relatively unexplored. This study aimed to investigate the effect of pharmacological inhibition of MRPs on cyclic nucleotide signaling in isolated pig bladder. The relaxation responses of the bladder were assessed in the presence of the MRP inhibitor, MK571. The temporal changes in intra- and extracellular levels of cAMP and cGMP in stimulated tissues were determined by mass spectrometry. The gene ( ABCC4 ) and protein (MRP4) expression were also determined. MK571 administration resulted in a modest relaxation effect of approximately 26% in carbachol-precontracted bladders. The relaxation induced by phosphodiesterase inhibitors such as cilostazol, tadalafil, and sildenafil was significantly potentiated in the presence of MK571. In contrast, no significant potentiation was observed in the relaxation induced by substances elevating cAMP levels or stimulators of soluble guanylate cyclase. Following forskolin stimulation, both intracellular and extracellular cAMP concentrations increased by approximately 15.8-fold and 12-fold, respectively. Similarly, stimulation with tadalafil + BAY 41-2272 resulted in roughly 8.2-fold and 3.4-fold increases in intracellular and extracellular cGMP concentrations, respectively. The presence of MK571 reduced only the extracellular levels of cGMP. This study reveals the presence and function of MRP4 transporters within the porcine bladder and paves the way for future research exploring the role of this transporter in both underactive and overactive bladder disorders. NEW & NOTEWORTHY This study investigates the impact of pharmacological inhibition of MRP4 and MRP5 transporters on cyclic nucleotide signaling in isolated pig bladders. MK571 administration led to modest relaxation, with enhanced effects observed in the presence of phosphodiesterase inhibitors. However, substances elevating cAMP levels remained unaffected. MK571 selectively reduced extracellular cGMP levels. These findings shed light on the role of MRP4 transporters in the porcine bladder, opening avenues for further research into bladder disorders.
- Published
- 2024
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31. Are vitamin D intake and serum levels in the mid-trimester of pregnancy associated with preeclampsia? Results from a Brazilian multicentre cohort.
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Mayrink J, Miele MJ, Souza RT, Guida JP, Nobrega GM, Galvão RB, Costa ML, Fernandes KG, Capetini VC, Arantes AC, Anhê GF, Costa JL, and Cecatti JG
- Subjects
- Humans, Female, Pregnancy, Adult, Brazil epidemiology, Case-Control Studies, Vitamin D Deficiency blood, Vitamin D Deficiency epidemiology, Young Adult, Pre-Eclampsia blood, Vitamin D blood, Vitamin D analogs & derivatives, Vitamin D administration & dosage, Pregnancy Trimester, Second blood
- Abstract
Objective: To explore the association between serum levels and food intake of Vitamin D (VD) among healthy women in mid-pregnancy and preeclampsia., Study Design: In a Brazilian multicentre cohort of healthy nulliparous pregnant women from five maternity centres we developed a nested case-control analysis comparing cases with and without preeclampsia. Women were enrolled and followed during prenatal care, including only singleton pregnancies, without any fetal malformations or previous chronic maternal disease. We matched 87 cases of preeclampsia to eligible controls randomly selected in a 1:1 ratio, by age and region., Main Outcome Measures: Blood samples from these were collected, and a 24-hour recall of food intake was obtained in mid-pregnancy, between 19 and 21 weeks. VD serum levels (25-hydroxyvitamin D) were measured by liquid chromatography-tandem mass spectrometry and were categorized as deficient, insufficient, and sufficient. The dietary intake of VD was estimated with the 24-hour diet recall applied at the same time and from supplementation. Maternal characteristics and VD levels were compared between cases and controls with OR and respective 95 %CI. Multivariate analysis using the Path method was used to assess relationships among VD, PE, BMI, skin colour/ethnicity, and diet., Results: The maternal characteristics of both groups were similar, except for the higher occurrence of obesity among women with preeclampsia (OR 3.47, 95 %CI 1.48-8.65). Dietary intake of VD was similar in both groups, and most of the women in both groups consumed insufficient VD (82.2 vs 79.3 % in the groups with and without PE)., Conclusions: Levels and dietary intake of VD were not associated with PE in this Brazilian sample of healthy pregnant women; however, BMI and skin colour/ethnicity were associated with PE., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
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32. Management of non-indigenous species in Macaronesia: Misconceptions and alerts to decision-makers.
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Castro N, Félix PM, Gestoso I, Costa JL, and Canning-Clode J
- Subjects
- Animals, Decision Making, Ecosystem, Conservation of Natural Resources methods, Introduced Species
- Abstract
Human-induced pressures have led to substantial changes in marine ecosystems worldwide, with the introduction of non-indigenous species (NIS) emerging as a significant threat to ecological, economic, and social aspects. The Macaronesian islands, comprising the Azores, Madeira, Canary Islands, and Cabo Verde archipelagos, are regions where the regional economy is dependent on marine resources (e.g., marine traffic, ecotourism and fisheries). Despite their importance, concerted efforts to manage marine biological invasions in Macaronesia have been scarce. In this context, the current study aims to contribute to the much-needed debate on biosecurity measures in this unique insular ecosystem to prevent and mitigate the impact of NIS. By adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria, this work validated and analyzed 260 documents providing insights into the management of NIS in Macaronesia until 2022. These documents revealed the presence of 29 Invasive Alien Species (IAS), most of which are misconceptions regarding this terminology. Most studies focused on the stages of early detection, rapid response, and eradication across the archipelagos. Cabo Verde had comparatively fewer studies. The most common techniques include monitoring/sampling, literature reviews, and taxonomic reviews. NIS introduction pathways were mainly attributed to transport (stowaway) and unaided migration, with ship fouling, ballast water, rafting, ocean currents, and tropicalization being also identified as significant contributors. This systematic review highlights the current efforts to establish robust biosecurity protocols in Macaronesia and emphasizes the urgent need to safeguard the region's ecological, economic, and social well-being., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2024
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33. Long-term vinasse application enhanced the initial dissipation of atrazine and ametryn in a sugarcane field in Tucumán, Argentina.
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Portocarrero RLÁ, Chalco Vera J, Vallejo JI, De Gerónimo E, Costa JL, and Aparicio VC
- Subjects
- Argentina, Triazines, Soil chemistry, Agriculture methods, Saccharum, Atrazine chemistry, Atrazine analysis, Herbicides chemistry, Herbicides analysis, Soil Pollutants analysis, Soil Pollutants chemistry
- Abstract
The production of sugarcane bioethanol generates large volumes of vinasse, an effluent whose final disposal can produce an environmental impact that is of concern. The long-term disposal of vinasse in sugarcane fields could challenge crop management, such as the performance of traditional herbicides, by changing soil properties. This study aimed to evaluate the effect of long-term vinasse application on the field and the dissipation of atrazine and ametryn herbicides in a subtropical sugarcane agroecosystem, and to discuss the potential processes involved in it. Vinasse affected soil properties by increasing pH (12%), electrical conductivity (160%), and soil organic carbon (25%) at 0-10 cm depth of soil. Differences in the herbicide calculated sorption coefficient (Kd) varied according to the pedotransfer function applied and the herbicide type (atrazine or ametryn). During the first seven days after herbicide application, the soil underwent long-term vinasse application and increased atrazine and ametryn dissipation 45% and 33%, respectively, compared with the conventional fertilization scheme (control). The Pesticide Root Zone Model revealed that dissipation was mediated mainly by the degradation process rather than transport or other processes. The long-term application of vinasse in a typical sugarcane field of Tucumán, Argentina decreased the potential groundwater pollution of triazines and, adversely, reduced their bioavailability for weed control. For this, the present study presents original information about how long-term treatment with vinasse may require an adaptation of conventional management practices such as the application of herbicides in Argentina and other sugarcane-producing regions. Integr Environ Assess Manag 2024;20:1075-1086. © 2023 SETAC., (© 2023 SETAC.)
- Published
- 2024
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34. Green Analytical Toxicology procedure for determination of ketamine, its metabolites and analogues in oral fluid samples using dispersive liquid-liquid microextraction (DLLME).
- Author
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Oliveira JRIL, Rodrigues LC, Kahl JMM, Berlinck DZ, and Costa JL
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- Humans, Chromatography, Liquid, Substance Abuse Detection methods, Solvents chemistry, Reproducibility of Results, Green Chemistry Technology, Liquid Phase Microextraction, Ketamine analogs & derivatives, Ketamine analysis, Saliva chemistry, Tandem Mass Spectrometry, Limit of Detection
- Abstract
New psychoactive substances (NPS) are often synthesized via small changes in the molecular structure, producing drugs whose effect and potency are not yet fully known. Ketamine is one of the oldest NPS, with therapeutic use in human and veterinary medicine authorized in several countries, being metabolized mainly into norketamine and 6-hydroxy-norketamine. Furthermore, two structural analogues of ketamine have recently been identified, deschloroketamine and 2-fluorodeschloroketamine, marketed as drugs of abuse. To comply with Green Analytical Toxicology (GAT) fundamentals, miniaturized techniques such as dispersive liquid-liquid microextraction (DLLME) were employed to determine toxicants in biological fluids. An analytical method for determining ketamine, its metabolites and its analogues in oral fluid was fully developed and validated by using DLLME and liquid chromatography-tandem mass spectrometry (LC-MS-MS). The extraction parameters were optimized by multivariate analysis, obtaining the best conditions with 200 μL of sample, 100 μL of methanol as dispersive solvent and 50 μL of chloroform as extractor solvent. Linearity was obtained from 10 to 1,000 ng/mL, with limit of detection (LOD) and lower limit of quantification (LLOQ) at 10 ng/mL. Imprecision (% relative standard deviation) and bias (%) were less than 8.2% and 9.5%, respectively. The matrix effect did not exceed 10.6%, and the recovery values varied from 24% to 42%. No matrix interference and good selectivity in the evaluation of 10 different sources of oral fluid and 42 drugs at 500 ng/mL, respectively, were observed. The method was applied in the analysis of 29 authentic oral fluid samples and had its green characteristic evaluated by three different tools: the Green Analytical Procedure Index (GAPI), the Analytical Eco-Scale and the Analytical GREEnness (AGREE) metrics., (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site–for further information please contact journals.permissions@oup.com.)
- Published
- 2024
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35. Evidence of Cannabidiol Effectiveness Associated or Not with Tetrahydrocannabinol in Topical Administration: A Scope Review.
- Author
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Fava ALM, Souza CM, Santos ÉMD, Silvério LAL, Ataide JA, Paiva-Santos AC, Costa JL, Melo DO, and Mazzola PG
- Abstract
Cannabis sativa is a plant of the Cannabaceae family, whose molecular composition is known for its vast pharmacological properties. Cannabinoids are the molecules responsible for Cannabis sativa potential effects, especially tetrahydrocannabinol and cannabidiol. Scientific development has shown interest in the potential of cannabidiol in various health conditions, as it has demonstrated lower adverse events and great pharmacological potential, especially when administered topically. The present study aims to carry out a scoping review, focusing on the use of cannabidiol, in vivo models, for topical administration. Thus, the methodological approach used by the Joanna Briggs Institute was applied, and the studies were selected based on previously established inclusion criteria. Even though more information regarding the dose to achieve pharmacological potential is still needed, cannabidiol demonstrated potential in treating and preventing different conditions, such as glaucoma, atopic dermatitis, epidermolysis bullosa, and pyoderma gangrenosum.
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- 2024
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36. Solvent-free parallel artificial liquid membrane extraction for drugs of abuse in plasma samples using LC-MS/MS.
- Author
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Fabris AL, Pedersen-Bjergaard S, Øiestad EL, Rossi GN, Hallak JEC, Dos Santos RG, Costa JL, and Yonamine M
- Subjects
- Chromatography, Liquid methods, Tandem Mass Spectrometry methods, Membranes, Artificial, Reproducibility of Results, Solvents, Limit of Detection, Liquid Chromatography-Mass Spectrometry, Liquid Phase Microextraction
- Abstract
Background: Parallel artificial liquid membrane extraction (PALME) is a 96-well plate setup variant of liquid-phase microextraction. Basic or acidic analytes are extracted in neutral form from the sample, through a supported liquid membrane (SLM), and into aqueous acceptor. PALME is already considered a green extraction technique, but in the current conceptual work, we sought to make it even greener by replacing the use of organic solvents with essential oils (EO). PALME was combined with LC-MS/MS for analysis of plasma samples and multiple drugs of abuse with toxicological relevance (amphetamines, phenethylamines, synthetic cathinones, designer benzodiazepines, ayahuasca alkaloids, lysergic acid diethylamide, and ketamine)., Results: Fourteen EO were compared to organic solvents frequently used in PALME. The EO termed smart & sassy yielded the best analyte recovery for all drugs studied and was thus selected as SLM. Then, factorial screening and Box-Behnken were employed to optimize the technique. The extraction time, concentration of base, sample volume, and percentage of trioctylamine significantly impacted analyte recovery. The optimum values were defined as 120 min, 10 mmol/L of NaOH, 150 μL, and 0%, respectively. Once optimized, validation parameters were 1-100 ng mL-1 as linear range, accuracy ±16.4%, precision >83%, 1 ng mL-1 as limit of quantitation, 0.1-0.75 ng mL-1 as limit of detection, matrix effect <20%, and recovery 20-106%. Additionally, EO purchased from different production batches were tested and achieved acceptable reproducibility. Data were in compliance with requirements set by internationally accepted validation guidelines and the applicability of the technique was proven using authentic samples., Significance: In this study, the use of an EO provided a solvent-free sample preparation technique suited to extract different classes of drugs of abuse from plasma samples, dismissing the use of hazardous organic solvents. The method also provided excellent sample clean-up, thus being a simple and efficient tool for toxicological applications that is in agreement with the principles of sustainable chemistry., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Published
- 2024
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37. Use of nitrate, sulphate, and iron (III) as electron acceptors to improve the anaerobic degradation of linear alkylbenzene sulfonate: effects on removal potential and microbiota diversification.
- Author
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Costa JL, Silva LG, Veras STS, Gavazza S, Florencio L, Motteran F, and Kato MT
- Abstract
Linear alkylbenzene sulfonate (LAS) is a synthetic anionic surfactant that is found in certain amounts in wastewaters and even in water bodies, despite its known biodegradability. This study aimed to assess the influence of nitrate, sulphate, and iron (III) on LAS anaerobic degradation and biomass microbial diversity. Batch reactors were inoculated with anaerobic biomass, nutrients, LAS (20 mg L
-1 ), one of the three electron acceptors, and ethanol (40 mg L-1 ) as a co-substrate. The control treatments, with and without co-substrate, showed limited LAS biodegradation efficiencies of 10 ± 2% and 0%, respectively. However, when nitrate and iron (III) were present without co-substrate, biodegradation efficiencies of 53 ± 4% and 75 ± 3% were achieved, respectively, which were the highest levels observed. Clostridium spp. was prominent in all treatments, while Alkaliphilus spp. and Bacillus spp. thrived in the presence of iron, which had the most significant effect on LAS biodegradation. Those microorganisms were identified as crucial in affecting the LAS anaerobic degradation. The experiments revealed that the presence of electron acceptors fostered the development of a more specialised microbiota, especially those involved in the LAS biodegradation. A mutual interaction between the processes of degradation and adsorption was also shown., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)- Published
- 2024
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38. Metabolic Stability and Metabolite Identification of N-Ethyl Pentedrone Using Rat, Mouse and Human Liver Microsomes.
- Author
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Godoi AB, Antunes NJ, Cunha KF, Martins AF, Huestis MA, and Costa JL
- Abstract
New Psychoactive Substances (NPSs) are defined as a group of substances produced from molecular modifications of traditional drugs. These molecules represent a public health problem since information about their metabolites and toxicity is poorly understood. N-ethyl pentedrone (NEP) is an NPS that was identified in the illicit market for the first time in the mid-2010s, with four intoxication cases later described in the literature. This study aims to evaluate the metabolic stability of NEP as well as to identify its metabolites using three liver microsomes models. To investigate metabolic stability, NEP was incubated with rat (RLM), mouse (MLM) and human (HLM) liver microsomes and its concentration over time evaluated by liquid chromatography-mass spectrometry. For metabolite identification, the same procedure was employed, but the samples were analyzed by liquid chromatography-high resolution mass spectrometry. Different metabolism profiles were observed depending on the model employed and kinetic parameters were determined. The in vitro NEP elimination half-lives (t
1/2 ) were 12.1, 187 and 770 min for the rat, mouse and human models, respectively. Additionally, in vitro intrinsic clearances (Clint, in vitro ) were 229 for rat, 14.8 for mouse, and 3.6 μL/min/mg in the human model, and in vivo intrinsic clearances (Clint, in vivo ) 128, 58.3, and 3.7 mL/min/kg, respectively. The HLM model had the lowest rate of metabolism when compared to RLM and MLM. Also, twelve NEP metabolites were identified from all models, but at different rates of production.- Published
- 2024
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39. Determination of drugs of abuse and metabolites in plasma microsamples by LC-MS/MS after microQuEChERS extraction.
- Author
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Smidt M, Bastiani MF, Hahn RZ, de Lima Feltraco Lizot L, Bondan AP, Peteffi GP, Dos Santos NC, da Costa JL, Lanaro R, and Linden R
- Subjects
- Humans, Chromatography, Liquid methods, Substance Abuse Detection methods, Liquid Chromatography-Mass Spectrometry, Tandem Mass Spectrometry methods, Illicit Drugs blood
- Abstract
Aim: Identifying drugs of abuse and their metabolites in plasma is vital in both forensic and clinical toxicology. While the QuEChERS (Quick, Easy, Cheap, Effective, Rugged and Safe) method offers an efficient approach to sample preparation, its application is complex due to the wide-ranging properties of target analytes and the challenges posed by biological matrix interferences. This study aims to develop a microQuEChERS approach for the quantification of 14 drugs of abuse and metabolites utilizing minimal sample and solvent volumes. Methods: The microQuEChERS method involved using 10 μl plasma samples, 25 mg of a salt mixture and 150 μl of acetonitrile. Extracts were analyzed by liquid chromatography-tandem mass spectrometry (LC-MS/MS), with a 7.5 min run. The assay was validated according to bioanalytical guidelines. Results: The accuracy was 96.8-112.4%. The within-assay precision was within 2.0-8.9% and the between-assay precision was within 3.2-8.2%. Matrix effects were found to range from -5.7 to 13.5%. The extraction yield was higher than 74.7%. Conclusion: This study described a microQuEChERS sample preparation approach for determining drugs of abuse and metabolites using plasma microsamples and LC-MS/MS. The approach is efficient, environmentally friendly and suitable for scenarios with limited amounts of biological samples.
- Published
- 2024
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40. Degradation of atrazine, glyphosate, and 2,4-D in soils collected from two contrasting crop rotations in Southwest Chaco, Argentina.
- Author
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Luzzi JI, Aparicio VC, De Geronimo E, Ledda A, Sauer VM, and Costa JL
- Subjects
- Glyphosate, Soil chemistry, Argentina, Tandem Mass Spectrometry, Glycine max, Crop Production, 2,4-Dichlorophenoxyacetic Acid, Atrazine analysis, Soil Pollutants analysis, Herbicides chemistry
- Abstract
Argentina stands as one of the leading consumers of herbicides. In a laboratory incubation experiment, the persistence and production of degradation metabolites of Atrazine, 2,4-D, and Glyphosate were investigated in a loamy clay soil under two contrasting agricultural practices: continuous soybean cultivation (T1) and intensified rotations with grasses and legumes (T2). The soils were collected from a long-term no-till trial replicating the influence of the meteorological conditions in the productive region. The soil was enriched with diluted concentrations of 6.71, 9.95, and 24 mg a.i./kg-1 of soil for the respective herbicides, equivalent to annual doses commonly used in the productive region. Samples were taken at intervals of 0, 0.5, 1, 2, 4, 6, 8, 16, 32, and 64 days, and analysis was conducted using high-resolution liquid chromatography UPLC MS/MS. An optimal fit to the first-order kinetic model was observed for each herbicide in both rotations, resulting in relatively short half-lives. Intensified crop sequences favored the production of biotic degradation metabolites. The impact of the high frequency of soybean cultivation revealed a trend of soil acidification and a reduced biological contribution to attenuation processes in soil contamination.
- Published
- 2024
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41. Green analytical toxicology method for determination of synthetic cathinones in oral fluid samples by microextraction by packed sorbent and liquid chromatography-tandem mass spectrometry.
- Author
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da Cunha KF, Oliveira KD, and Costa JL
- Subjects
- Chromatography, Liquid methods, Solid Phase Microextraction methods, Limit of Detection, Synthetic Cathinone, Tandem Mass Spectrometry methods
- Abstract
Purpose: We developed and validated a method for quantitative analysis of ten synthetic cathinones in oral fluid (OF) samples, using microextraction by packed sorbent (MEPS) for sample preparation followed by liquid chromatography‒tandem mass spectrometry (LC‒MS/MS)., Method: OF samples were collected with a Quantisal™ device and 200 µL was extracted using a C18 MEPS cartridge installed on a semi-automated pipette and then analyzed using LC‒M/SMS., Results: Linearity was achieved between 0.1 and 25 ng/mL, with a limit of detection (LOD) of 0.05 ng/mL and a limit of quantification (LOQ) of 0.1 ng/mL. Imprecision (% relative standard deviation) and bias (%) were better than 11.6% and 7.5%, respectively. The method had good specificity and selectivity against 9 different blank OF samples (from different donors) and 68 pharmaceutical and drugs of abuse with concentrations varying between 400 and 10,000 ng/mL. No evidence of carryover was observed. The analytes were stable after three freeze/thaw cycles and when kept in the autosampler (10 °C) for up to 24 h. The method was successfully applied to quantify 41 authentic positive samples. Methylone (mean 0.6 ng/mL, median 0.2 ng/mL), N-ethylpentylone (mean 16.7 ng/mL, median 0.35 ng/mL), eutylone (mean 39.1 ng/mL, median 3.6 ng/mL), mephedrone (mean 0.5 ng/mL, median 0.5 ng/mL), and 4-chloroethcathinone (8.1 ng/mL) were quantified in these samples., Conclusion: MEPS was an efficient technique for Green Analytical Toxicology purposes, which required only 650 µL organic solvent and 200 µL sodium hydroxide, and the BIN cartridge had a lifespan of 100 sample extractions., (© 2023. The Author(s), under exclusive licence to Japanese Association of Forensic Toxicology.)
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- 2024
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42. Development and validation of a sensitive LC-MS-MS method to quantify psilocin in authentic oral fluid samples.
- Author
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Cardoso MS, da Cunha KF, Silva IG, Fiorentin TR, de Campos EG, and Costa JL
- Subjects
- Humans, Chromatography, Liquid methods, Psilocybin, Tandem Mass Spectrometry methods
- Abstract
Psilocin is an active substance and a dephosphorylated product of psilocybin formed after the ingestion of mushrooms. The low stability caused by the quick oxidation of this analyte requires sensitive methods for its determination in biological matrices. In this work, we described the development, optimization and validation of a method for the quantification of psilocin in authentic oral fluid samples by liquid chromatography-tandem mass spectrometry. Liquid-liquid extraction was performed using 100 µL of oral fluid samples collected with a Quantisal™ device and t-butyl methyl ether as the extraction solvent. The method showed acceptable performance, with limits of detection and quantification of 0.05 ng/mL, and the calibration model was achieved between 0.05 and 10 ng/mL. Bias and imprecision results were below -14.2% and 10.7%, respectively. Ionization suppression/enhancement was lower than -30.5%, and recovery was >54.5%. Dilution integrity bias was <14.4%. No endogenous and exogenous interferences were observed upon analyzing oral fluid from 10 different sources and 56 pharmaceuticals and drugs of abuse, respectively. No carryover was observed at 10 ng/mL. Psilocin was stable in oral fluid at -20°C, 4°C and 24°C up to 24, 72 and 24 h, respectively, with variations <17.7%. The analyte was not stable after three freeze/thaw cycles, with variations between -73% and -60%. This suggests the instability of psilocin in oral fluid samples, which requires timely analysis, as soon as possible after the collection. The analyte remained stable in processed samples in an autosampler (at 10°C) for up to 18 h. The method was successfully applied for the quantification of five authentic samples collected from volunteers attending parties and electronic music festivals. Psilocin concentrations ranged from 0.08 to 36.4 ng/mL. This is the first work to report psilocin concentrations in authentic oral fluid samples., (© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2023
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43. A new application of the switchable hydrophilicity solvent-based homogenous liquid-liquid microextraction to analyze synthetic cannabinoids in plasma by LC-MS/MS.
- Author
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Fabris AL, Martins AF, Costa JL, and Yonamine M
- Subjects
- Solvents chemistry, Chromatography, Liquid, Sodium Hydroxide, Tandem Mass Spectrometry, Hydrophobic and Hydrophilic Interactions, Limit of Detection, Liquid Phase Microextraction methods, Cannabinoids
- Abstract
Synthetic cannabinoids are still a growing trend among drug users and consist of a group of hundreds of highly potent compounds. To investigate the use of such substances, sample preparation of biological matrices is a crucial step prior to instrumental analysis. Although different efficient extraction techniques have been proposed for that aim, they usually do not fit eco-friendly guidelines that have been gaining popularity in recent years, such as Green Analytical Toxicology. This work uses describes for the first time the use of switchable hydrophilicity solvent-based homogenous liquid-liquid microextraction (SHS-HLLME) for synthetic cannabinoids. This is a green technique that replaces highly toxic organic reagents for switchable hydrophilicity solvents (SHS), substances that can be either water-miscible or immiscible depending on their protonation. Thus, by simply adjusting the pH of the system, these SHS can be used as extraction solvents. A full optimization study including type of SHS, volume of protonated SHS, volume of NaOH, salting-out effect, and extraction time was performed. The optimized procedure consisted of precipitating the proteins of 300 µL of plasma with 300 µL of acetonitrile followed by centrifugation; evaporation of the organic solvent under N
2 stream; addition of 500 µL of the protonated DPA, DPA-HCl (6 M) (1:1, v/v); addition of 500 µL of NaOH (10 M); and finally centrifugation and evaporation. Validation results showed determination coefficients ≥ 0.99 for the 0.1-10 ng/mL linear range; 0.01-0.08 ng/mL as limit of detection; 0.1 ng/mL as limit of quantitation; accuracy and imprecision were within acceptable ranges; matrix effect, recovery, and process efficiency ranged from -55.6 to 185.9%, 36-56.7%, and 18.5-148.4%, respectively. The SHS-HLLME herein described was fully optimized providing satisfactory recoveries of 31 synthetic cannabinoids at low concentrations requiring only 300 µL of plasma. In addition, the validation results showed that the technique is a reliable eco-friendly alternative for clinical and toxicological analysis., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier B.V. All rights reserved.)- Published
- 2023
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44. Intraosseous Spindle Cell/Epithelioid Rhabdomyosarcoma with TFCP2 Rearrangement: A Recent Recognized Subtype with Partial Response to Alectinib.
- Author
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Valério E, Furtado Costa JL, Perez Fraile NM, Credidio CH, Taveira Garcia MR, Neto CS, and Costa FD
- Subjects
- Female, Adult, Humans, Child, Young Adult, Transcription Factors genetics, Mandible pathology, DNA-Binding Proteins genetics, Rhabdomyosarcoma diagnosis, Rhabdomyosarcoma drug therapy, Rhabdomyosarcoma genetics, Rhabdomyosarcoma, Embryonal
- Abstract
Rhabdomyosarcoma affects mainly pediatric patients and is currently classified into four categories: embryonal, alveolar, pleomorphic, and spindle cell/sclerosing. Recently, a molecular group of spindle cell/sclerosing rhabdomyosarcoma demonstrated new fusion transcripts involving FET -family genes with TFCP2 . In this report, we describe a rare case of spindle cell/sclerosing rhabdomyosarcoma in a 19-year-old woman, presenting as a destructive lesion involving the condyle of mandible. Next generation sequencing was performed, revealing a FUS::TFCP2 fusion and deletion of ALK gene. Alectinib therapy was initiated, which resulted in a favorable response for 4 months. However, the patient died due progression of the tumor. To make an accurate diagnosis and ensure appropriate patient management, it is necessary to be aware of this variant and use proper immunohistochemical stains when facing malignant mesenchymal bone lesions, expanding its differential diagnosis.
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- 2023
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45. What drives the recruitment of European sardine in Atlanto-Iberian waters (SW Europe)? Insights from a 22-year analysis.
- Author
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Ferreira A, Garrido S, Costa JL, Teles-Machado A, Brotas V, and Brito AC
- Subjects
- Animals, Europe, Biomass, Larva, Ecosystem, Fishes
- Abstract
The European sardine (Sardina pilchardus) is the most abundant and socio-economically important small pelagic fish species in Western Iberia Upwelling Ecosystem. As a result of a long series of low recruitments, sardine biomass off Western Iberia has greatly reduced since the 2000s. Recruitment of small pelagic fish is mainly dependent on environmental factors. In order to identify the key drivers of sardine recruitment, it is essential to understand its temporal and spatial variability. To achieve this goal, a comprehensive suite of atmospheric, oceanographic, and biological variables spanning 1998-2020 (22 years) were extracted from satellite datasets. These were then related to in situ recruitment estimates obtained from yearly spring acoustic surveys carried out along two different hotspots of sardine recruitment of the southern Iberian sardine stock (NW Portugal and Gulf of Cadiz). Sardine recruitment in Atlanto-Iberian waters appears to be driven by distinct combinations of environmental factors, although sea surface temperature was identified as the main driver in both regions. Physical conditions that favour larval feeding and retention, such as shallower mixed layers and onshore transport, were also seen to play a vital role in modulating sardine recruitment. Furthermore, high sardine recruitment in NW Iberia was associated with optimal conditions in the winter (January-February). In contrast, recruitment strength of sardine off the Gulf of Cadiz were associated with the optimal conditions during late autumn and spring. The results from this work provide valuable insights to further understand the dynamics of sardine off Iberia, with potential to contribute to the sustainable management of sardine stocks in Atlanto-Iberian waters, particularly under climate change., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2023
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46. Testing differences of marine non-indigenous species diversity across Macaronesia using a standardised approach.
- Author
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Castro N, Gestoso I, Ramalhosa P, Lopes E, Almeida C, Costa A, Parente M, Cacabelos E, Herrera R, Costa JL, and Canning-Clode J
- Subjects
- Phylogeny, Azores, Portugal, Ecosystem, Biodiversity
- Abstract
The introduction of non-indigenous species (NIS) induces severe impacts on marine biodiversity and ecosystems. Macaronesia is an ecologically relevant region where several NIS were detected recently. For the first time, a standard experimental approach was designed to examine biofouling assemblages and investigate NIS across the region. In this context, sessile biofouling assemblages were examined in four recreational marinas in all the Macaronesian archipelagos from 2018 to 2020: the Azores, Madeira, Canary Islands, and Cabo Verde. We hypothesised that NIS numbers, abundance, and recruitment differed in each location due to abiotic and biotic features. From the Azores (higher latitudes) to Cabo Verde (lower latitudes), NIS recruitment and percentage cover decreased following a partial latitude gradient. The present study unveiled 25 NIS, with new records for the Azores (two cryptogenic species), Canary Islands (one NIS and two cryptogenic species), and Cabo Verde (three NIS and three cryptogenic species). The present research represents a pioneer and relevant step in advancing our current understanding of marine biological invasions in Macaronesia, employing a standard and low-cost approach., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2023
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47. Is There Enough Knowledge to Standardize a Cannabis sativa L. Medicinal Oil Preparation with a High Content of Cannabinoids?
- Author
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Gouvêa-Silva JG, Costa-Oliveira CD, Ramos YJ, Mantovanelli DF, Cardoso MS, Viana-Oliveira LD, Costa JL, Moreira DL, and Maciel-Magalhães M
- Subjects
- Terpenes pharmacology, Plant Extracts pharmacology, Cannabinoids pharmacology, Cannabis, Oils, Volatile, Hallucinogens
- Abstract
Introduction: Cannabis sativa L. medicinal oils are good therapeutic options due to their wide spectrum of pharmacological applications and the easy adjustment of individual doses. The lack of standardization of methodology in the preparation of medicinal oil using the Cannabis crude extract results in elevated variability of cannabinoid concentration in the final product. The elevated variability impairs the understanding of beneficial and adverse effects related to dose-response pharmacological activities. Objective: This study aimed to conduct a review on the current methods of Cannabis oil preparation present in the literature, to demonstrate the most appropriate methodologies to ensure a product with high content of cannabinoids and terpenes. Results: The decarboxylation stage is essential for the conversion of acid cannabinoids into neutral cannabinoids, which are substances with the highest bioavailability. Lower temperatures for longer periods of time instead of high temperatures in less time are highly recommended to ensure that all the acidic cannabinoids have passed through decarboxylation. For the guarantee of a high terpene content, the separate addition of essential oil to the fixed oil prepared from the crude extract should be considered. Ultrasound-assisted extraction is one of the best performing methodologies because it is cheaper than other techniques, such as supercritical fluid extraction, besides that, ultrasound extraction is effective in short extraction times and uses small amounts of solvent when compared with other techniques. Conclusion: Although the literature about the methods of preparation of Cannabis medicinal oil is scarce, it is possible to standardize an optimized, low-cost, and effective Cannabis extractive methodology from the results found in the literature; however, this will depend on new research for methodological validation.
- Published
- 2023
- Full Text
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48. Effectiveness and color stability of non-vital dental bleaching photoactivated by violet LED on blood-stained teeth.
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de Almeida ENM, Silva AM, Besegato JF, de Sousa Gomes Costa JL, Manzoli TM, de Andrade MF, and Kuga MC
- Subjects
- Animals, Cattle, Color, Hydrogen Peroxide, Photosensitizing Agents, Photochemotherapy methods, Tooth Bleaching, Tooth Bleaching Agents
- Abstract
Background: Few studies have investigated the effect of violet LED irradiation associated or not with bleaching agents on blood-stained teeth. This in vitro study aimed to evaluate the whitening efficacy and color stability of non-vital dental bleaching using 35% hydrogen peroxide (HP) photoactivated with violet LED (VL) compared to 35% HP alone and 35% HP photoactivated with blue LED (BL)., Methods: Fifty bovine dental crowns were used to obtain specimens of 5 × 5 × 2 mm. After selection based on a previous colorimetric analysis, the specimens were blood-stained and randomly assigned into five groups (n = 10): control (no treatment); 35% HP, 35% HP/BL; 35% HP/VL; and VL. Three bleaching sessions were performed and the colorimetric analysis (∆E
ab, ∆L, and ∆WID ) was recorded after 7 days, 30 days, and 9 months of the last bleaching session. Two-way repeated measures ANOVA followed by Bonferroni post-hoc test was used at a significance level of 5%., Results: 35% HP, 35% HP/BL, and 35% HP/VL showed higher values of ∆Eab, ∆L, e ∆WID (P < 0.05), without intra- and intergroup differences (P > 0.05). C and VL were similar in all the evaluation times (P > 0.05), showing lower values of ∆Eab, ∆L, and ∆WID (P < 0.05)., Conclusions: 35% HP/VL can be a viable alternative for dental bleaching in endodontically-treated teeth, showing bleaching efficacy similar to 35% HP solely used, even after a 9-month follow-up. VL used alone was not effective to bleach blood-stained teeth., Competing Interests: Declaration of Competing Interest The authors declare no any conflict of interest in this paper, (Copyright © 2023 Elsevier B.V. All rights reserved.)- Published
- 2023
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49. Development of a Dispersive Liquid-Liquid Microextraction for Synthetic Cathinones in Biological Fluids Based on Principles of Green Analytical Toxicology.
- Author
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Fabris AL, Lanaro R, Costa JL, and Yonamine M
- Subjects
- Chromatography, High Pressure Liquid methods, Limit of Detection, Mass Spectrometry, Solvents chemistry, Liquid Phase Microextraction methods, Synthetic Cathinone chemistry
- Abstract
The present work describes a practical application of Green Analytical Toxicology (GAT) during the development of an eco-friendly dispersive liquid-liquid microextraction (DLLME) avoiding the use of highly toxic chlorinated solvents that are commonly used in this type of the technique. The purpose was to further consolidate GAT guidelines during method development. Thus, a full method optimization using a multivariate statistical approach and validation were performed. To that end, synthetic cathinones (SCs), one of the major classes of new psychoactive substances, were the target analytes due to their relevance and chemical diversity. Furthermore, whole blood and urine samples were the matrices of choice due to their clinical relevance. The sample preparation step prior to DLLME consisted of protein precipitation of whole blood samples, while urine specimens were centrifuged and diluted with ultrapure water. Then, borate buffer, sodium chloride and ethyl acetate:acetonitrile were added and vortexed. Finally, vials were centrifuged and the organic layer was transferred to autosampler vials, evaporated to dryness and resuspended with mobile phase prior to injection into the ultra-high performance liquid chromatography-tandem mass spectrometry system. Once optimized, the proposed DLLME was fully validated: 0.2 and 1 ng/mL as the limit of detection and 1 and 10 ng/mL as the limit of quantitation for urine and blood samples, respectively. The linear range was established as 1-100 and 10-1,000 ng/mL for urine and blood samples, respectively (r2 > 0.99), while the bias and precision were within acceptable limits (≥80%). The matrix effect was of 1.9-260.2% and -12.3-139.6%; while the recovery was of 27.4-60.0% and 13.0-55.2%; the process efficiency ranged from 45.0% to 192.0% and 17.9% to 58.4% for whole blood and urine, respectively. Finally, the method was applied to real case samples as proof of applicability. Thus, a simple, cheap and fast eco-friendly technique to analyze SCs in two biological specimens was described., (© The Author(s) 2023. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2023
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50. Cloner 3D photogrammetric facial scanner: Assessment of accuracy in a controlled clinical study.
- Author
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Nogueira BR, Oliveira Junior OB, de Sousa Gomes Costa JL, Zanetti TF, and Pretel H
- Subjects
- Humans, Reproducibility of Results, Research Design, Imaging, Three-Dimensional, Face, Photogrammetry
- Abstract
Objective: To evaluate the accuracy of facial measurements on three-dimensional images obtained using a new photogrammetric scanner., Material and Methods: A total of 11 participants were included in the study. Nine customized adhesive labels were used to identify the facial landmarks: Trichion (Tri), Glabella (G), Right (Exr) and Left (Exl), Pronasal (Pn), Subnasal (Sn), Chelion right (Chr) and left (Chl) and Mentonian (Me). Two trained and calibrated examiners were responsible for performing seven linear measurements for each participant (Tri-G, Sn-Me, Exr-Exl, Chr-Chl, Exr-Chr, Exl-Chl, Pn-Sn) first with a digital caliper and later with a three-dimensional model obtained after digitalization with photogrammetric technology. The intraclass correlation coefficient (ICC), mean difference, SD, and Bland-Altman correlation were used to compare the measurements performed., Results: Intra and inter-examiner reliability were excellent (ICC >0.9). In general, the measurements presented a variation of a minor 2.0 mm. However, only three measures (Sn-Me, Exr-Exl, and Exr-Chr) were outside the clinical acceptability range., Conclusions: The 3D Cloner scanner showed clinically acceptable accuracy comparable to the digital caliper with a variation of -0.8 ± 1.2 mm. Inter- and intra-examiner agreement on digital measurements was also observed., Clinical Significance: Scanners with accurate 3D model reproductions associated with reliable digital measurements provide a more precise diagnosis and better planning in orofacial treatment., (© 2022 Wiley Periodicals LLC.)
- Published
- 2023
- Full Text
- View/download PDF
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