Federal University of Sao Paolo

São Paulo, Brazil

Federal University of Sao Paolo

São Paulo, Brazil

Time filter

Source Type

Petersson F.,National University of Singapore | Petersson F.,Charles University | Michal M.,Charles University | Grossmann P.,National University of Singapore | And 6 more authors.
International Journal of Clinical and Experimental Pathology | Year: 2010

A 30-year-old male with no previous history of neoplastic disease presented with a 5 cm large testicular tumor. Routine histopathological examination and immunohistochemical investigation showed a classical seminoma with a contiguous 8 mm large nodule. The nodule was separated from the tunica albuginea by tubuli seminiferi showing intratesticular germ cell neoplasi not otherwise specified (NOS). The nodule was composed of spindle cells with low-grade nuclear atypia, nuclear and cytoplasmic S100 protein immunoreactivity in 15% of the cells and a proliferative activity of up to 20%. No other germ cell tumor components were found. To the best of our knowledge, we herein present the first tumor of a pure classical seminoma with an associated low-grade sarcomatous component.


PubMed | University of Amsterdam, Federal University of Sao Paolo, University of Ljubljana, Jožef Stefan International Postgraduate School and 2 more.
Type: Journal Article | Journal: Biochimica et biophysica acta | Year: 2017

Glioblastoma (GBM) is the most aggressive primary brain tumor with poor patient survival that is at least partly caused by malignant and therapy-resistant glioma stem-like cells (GSLCs) that are protected in GSLC niches. Previously, we have shown that the chemo-attractant stromal-derived factor-1 (SDF-1), its C-X-C receptor type 4 (CXCR4) and the cysteine protease cathepsin K (CatK) are localized in GSLC niches in glioblastoma. Here, we investigated whether SDF-1 is a niche factor that through its interactions with CXCR4 and/or its second receptor CXCR7 on GSLCs facilitates their homing to niches. Furthermore, we aimed to prove that SDF-1 cleavage by CatK inactivates SDF-1 and inhibits the invasion of GSLCs. We performed mass spectrometric analysis of cleavage products of SDF-1 after proteolysis by CatK. We demonstrated that CatK cleaves SDF-1 at 3 sites in the N-terminus, which is the region of SDF-1 that binds to its receptors. Confocal imaging of human GBM tissue sections confirmed co-localization of SDF-1 and CatK in GSLC niches. In accordance, 2D and 3D invasion experiments using CXCR4/CXCR7-expressing GSLCs and GBM cells showed that SDF-1 had chemotactic activity whereas CatK cleavage products of SDF-1 did not. Besides, CXCR4 inhibitor plerixafor inhibited invasion of CXCR4/CXCR7-expressing GSLCs. In conclusion, CatK can cleave and inactivate SDF-1. This implies that CatK activity facilitates migration of GSLCs out of niches. We propose that activation of CatK may be a promising strategy to prevent homing of GSLCs in niches and thus render these cells sensitive to chemotherapy and radiation.


Pallesen L.-P.,TU Dresden | Gerber J.,TU Dresden | Dzialowski I.,TU Dresden | van der Hoeven E.J.R.J.,St Antonius Hospital Nieuwegein | And 94 more authors.
Journal of Neuroimaging | Year: 2015

BACKGROUND AND PURPOSE: The posterior circulation Acute Stroke Prognosis Early CT Score (pc-APECTS) applied to CT angiography source images (CTA-SI) predicts the functional outcome of patients in the Basilar Artery International Cooperation Study (BASICS). We assessed the diagnostic and prognostic impact of pc-ASPECTS applied to perfusion CT (CTP) in the BASICS registry population. METHODS: We applied pc-ASPECTS to CTA-SI and cerebral blood flow (CBF), cerebral blood volume (CBV), and mean transit time (MTT) parameter maps of BASICS patients with CTA and CTP studies performed. Hypoattenuation on CTA-SI, relative reduction in CBV or CBF, or relative increase in MTT were rated as abnormal. RESULTS: CTA and CTP were available in 27/592 BASICS patients (4.6%). The proportion of patients with any perfusion abnormality was highest for MTT (93%; 95% confidence interval [CI], 76%-99%), compared with 78% (58%-91%) for CTA-SI and CBF, and 46% (27%-67%) for CBV (P < .001). All 3 patients with a CBV pc-ASPECTS < 8 compared to 6/23 patients with a CBV pc-ASPECTS ≥ 8 had died at 1 month (RR 3.8; 95% CI, 1.9-7.6). CONCLUSION: CTP was performed in a minority of the BASICS registry population. Perfusion disturbances in the posterior circulation were most pronounced on MTT parameter maps. CBV pc-ASPECTS < 8 may indicate patients with high case fatality. © 2014 by the American Society of Neuroimaging.


Sampaio L.P.B.,Hospital of the Clinics | Caboclo L.O.S.F.,Federal University of Sao Paolo | Kuramoto K.,Hospital Israelita Albert Einstein | Reche A.,Hospital Israelita Albert Einstein | And 2 more authors.
Pediatric Neurology | Year: 2010

This study assessed the prevalence rate of epilepsy and its causes in children and adolescents in one area of high deprivation in São Paulo, São Paulo, in Southeast Brazil. Between July 2005 and June 2006, 4947 families from a population of 22,013 inhabitants (including 10,405 children and adolescents between the ages of 0 and 16 years) living in the shantytown of Paraisópolis, were interviewed. In the first phase, a validated questionnaire was administered, to identify the occurrence of seizures. In the second phase, clinical history, neurologic examination, electroencephalography, and structural neuroimaging were performed. The diagnosis of epilepsy, including etiology, seizure types, and epileptic syndrome classification, was according to criteria of the International League Against Epilepsy. The screening phase identified 353 presumptive cases. In the second phase, 101 of these cases (33.8%) received the diagnosis of epilepsy. Crude prevalence of epilepsy was 9.7/1000 and prevalence of active epilepsy was 8.7/1000. Partial seizures were the most frequent seizure type (62/101). Symptomatic focal epilepsy was the most common form, and hypoxic-ischemic encephalopathy the most common etiology, reflecting the socioeconomic conditions of this specific population. Adequate public policies regarding perinatal assistance could help reduce the prevalence of epilepsy. © 2010 Elsevier Inc. All rights reserved.


Petersson F.,National University Hospital Singapore | Petersson F.,Charles University | Michal M.,Charles University | Franco M.,Federal University of Sao Paolo | Hes O.,Charles University
International Journal of Clinical and Experimental Pathology | Year: 2010

Sarcomatous transformation of chromophobe renal cell carcinoma (CRCC) is a well recognized phenomenon. Of the published cases with sarcomatous transformation of CRCC, none have shown liposarcomatous differentiation. Out of a cohort of 250 cases of CRCC, 19 (7.6%) showed sarcomatous differentiation. In one case (female, age 46 years), the sarcomatous component of the tumor displayed histological features of a pleomorphic liposarcoma. Light microscopic examination revealed a biphasic pattern with a chromophobe renal cell carcinoma(CRCC) and a high-grade sarcomatous component containing large pleomorphic lipoblasts. In several areas both components were intermingled. The conventional CRCC component showed classic histological features with calcifications, medium-sized polygonal cells arranged in solid-alveolar structures with raisinoid nuclei, pale-eosinophilic flocculent cytoplasm with perinuclear haloes. In addition, a microcystic-adenomatous component had luminal spaces filled with erythrocytes. The CRCC was positive with Halés colloidal iron-stain whereas the sarcomatous component was negative. The CRCC component was diffusely positive for cytokeratin 7, parvalbumin and racemase but negative for cytokeratin 20, vimentin, CD10, carboanhydrase IX and S100-protein. The pleomorphic liposarcomatous component displayed immunereactivity for CD10, vimentin, racemase and focally for carboanhydrase IX. The proliferative activity (Mib-1/Ki-67) was 5% in the CRCC and 30% in the pleomorphic liposarcomatous component. No immunereactivity for MDM2 or CDK4 was detected. This is the first reported case of a sarcomatoid CRCC where the sarcomatous component displayed features of a pleomorphic liposarcoma. The patient died from widespread metastatic disease 12 months after nephrectomy.


Oliveira J.,Federal University of Sao Paolo | Felipe A.V.,Federal University of Sao Paolo | Chang P.Y.J.,Federal University of Sao Paolo | Pimenta C.A.M.,Federal University of Sao Paolo | And 3 more authors.
Molecular Medicine Reports | Year: 2012

The multidrug resistance 1 (MDR1) gene encodes P-glycoprotein, which confers resistance to antineoplastic drugs, but also affects the kinetic disposition of certain drugs and carcinogens. The C3435T polymorphism of the MDR1 gene may influence the transport and excretion of carcinogens, increasing the risk of cancer. The aim of this study was to evaluate the association between this polymorphism and the risk of gastric cancer (GC). Ninety-eight patients with non-cardia GC and 203 healthy subjects participated in the study. DNA was extracted from leukocytes and the MDR1 polymorphism was analyzed using PCR-RFLP. Serology was performed by ELISA for the investigation of infection with Helicobacter pylori. No significant difference in the genotype (p=0.668) or allele (p=0.745) frequency of the C3435T polymorphism was observed between the GC and control groups. There was no association between the genotypes studied and the risk of GC in patients infected with H. pylori (p=0.662). Patient survival was not correlated with the genotypes studied (p=0.454). No correlation was observed between the C3435T polymorphism of the MDR1 gene and GC risk or prognosis in the population studied.


Mehta P.S.,Baylor College of Medicine | Wiernikowski J.T.,McMaster Childrens Hospital | Petrilli J.A.S.,Federal University of Sao Paolo | Barr R.D.,McMaster Childrens Hospital | Barr R.D.,McMaster University
Pediatric Blood and Cancer | Year: 2013

The burden of cancer in children in low and middle income countries (LMICs) is substantial, comprising at least 80% of incident cases globally, and an even higher proportion of cancer-related deaths. With survival rates exceeding 80% in high income countries, it is imperative to transfer these successes to LMICs. A major challenge is the poor availability of safe, cost-effective chemotherapy. A list of 51 drugs-chemotherapeutics, infectious disease agents, and supportive care medications-is proposed as essential to improving the survival of children with cancer in LMICs with an additional 13 drugs identified as being of further value. © 2013 Wiley Periodicals, Inc.


Theocharis I.P.,Primevision.gr | Lima L.H.,Federal University of Sao Paolo
Acta Ophthalmologica | Year: 2012

Purpose: To investigate the frequency and patterns of vitreoretinal adherence in central serous choroidopathy (CSC) using spectral domain optical coherence tomography (SD-OCT) imaging and compare them with normal subject. Methods: A descriptive observational analytical retrospective case-control study. The study patients were split into non-chronic and chronic CSC groups and compared with an age- and gender-matched control group composed of healthy individuals without CSC. Five patterns of vitreoretinal adherence were defined: lacunae, partial posterior vitreous detachment (partial-PVD), epiretinal membrane (ERM), focal vitreomacular adherence (VMA) and no recognizable pattern. Statistical analysis was performed. Results: One hundred and four eyes of 52 patients were included in this study. Forty-eight eyes of 24 patients had chronic CSC and 56 eyes of 28 patients had non-chronic CSC. The control group for chronic CSC included 96 normal eyes of 48 subjects, and the control group for non-chronic CSC included one hundred and twelve normal eyes of 56 subjects. We found a recognizable pattern of the vitreoretinal interface (lacuna, partial-PPV, VMA or ERM) more often in non-chronic CSC (p = 0.0001, OR = 6.51 and CI = 2.71-15.62) and in chronic CSC patients (p = 0.001, OR = 4.05, CI: 1.77-9.57) than in normal subjects. Conclusion: The proportion of patterns of vitreoretinal adherence and interface found in CSC changes with age and manifests differently compared with normal eyes. The results indicate early changes in CSC patients younger than 40 years of old bilaterally. © 2012 Acta Ophthalmologica Scandinavica Foundation.


Leonardi G.R.,Federal University of Sao Paolo | Perrechil F.A.,Federal University of Sao Paolo | Silveira L.P.,Federal University of Sao Paolo | Brunca H.O.,Federal University of Sao Paolo | Friberg S.E.,Norwegian University of Science and Technology
Journal of Colloid and Interface Science | Year: 2015

Several aspects were studied of the formation and destabilization in bulk of silicone/vegetable oil, SO/VO, Janus emulsions, stabilized by Tween 80. In the formation of the emulsions, it was unexpectedly found that the dispersions tended to contain both single and flocculated drops irrespective of the emulsification intensity. Microscopy of the emulsions with no cover glass revealed flocculated drops of a large (200-500. μm) central SO drop with many small VO drops attached. Applying a cover glass did not significantly change the drop size; instead two-oil Janus drops of well-defined contact angle were found. The emulsions showed rapid creaming irrespective of the preparation method, but a few days storage did not significantly change the drop size in the creamed layer, nor was separation of the oils detected. The total interfacial free energy of the Janus drops at equilibrium was compared to the two relevant alternatives; engulfed and separate drops. The Janus drop free energies were found less for all volume ratios of the oils, when the surfactant concentrations in the aqueous phase was sufficient to prevent spreading of VO on SO. Changing the surfactant concentration to bring the interfacial tensions closer to the critical value for spreading gave declining interfacial free energy difference to that of engulfed drops. © 2014 Elsevier Inc.


PubMed | Federal University of Sao Paolo
Type: Journal Article | Journal: Molecular medicine reports | Year: 2012

The multidrug resistance 1 (MDR1) gene encodes P-glycoprotein, which confers resistance to antineoplastic drugs, but also affects the kinetic disposition of certain drugs and carcinogens. The C3435T polymorphism of the MDR1 gene may influence the transport and excretion of carcinogens, increasing the risk of cancer. The aim of this study was to evaluate the association between this polymorphism and the risk of gastric cancer (GC). Ninety-eight patients with non-cardia GC and 203 healthy subjects participated in the study. DNA was extracted from leukocytes and the MDR1 polymorphism was analyzed using PCR-RFLP. Serology was performed by ELISA for the investigation of infection with Helicobacter pylori. No significant difference in the genotype (p=0.668) or allele (p=0.745) frequency of the C3435T polymorphism was observed between the GC and control groups. There was no association between the genotypes studied and the risk of GC in patients infected with H. pylori (p=0.662). Patient survival was not correlated with the genotypes studied (p=0.454). No correlation was observed between the C3435T polymorphism of the MDR1 gene and GC risk or prognosis in the population studied.

Loading Federal University of Sao Paolo collaborators
Loading Federal University of Sao Paolo collaborators