Hematology and Hemotherapy Foundation of Pernambuco HEMOPE

Recife, Brazil

Hematology and Hemotherapy Foundation of Pernambuco HEMOPE

Recife, Brazil
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Schettini J.A.C.,Institute Medicina Integral Prof Fernando Figueira Imip | Gomes T.V.,Institute Medicina Integral Prof Fernando Figueira Imip | Santos Barreto A.K.,Institute Medicina Integral Prof Fernando Figueira Imip | da Silva Junior C.D.,Institute Medicina Integral Prof Fernando Figueira Imip | And 4 more authors.
Frontiers in Immunology | Year: 2017

Maternal RhD alloimmunization is an inflammatory response against protein antigens in fetal red blood cells (RBC). However, not all women become alloimmunized when exposed to RhD+ fetal RBC. Thus, this study aimed to evaluate levels of inflammatory chemokines in RhD- pregnant women with erythrocyte alloimmunization. CXCL8, CXCL9, CCL5, and CXCL10 levels were determined from cell culture supernatants by flow cytometry in 46 (30 non-alloimmunized RhD- and 16 previously alloimmunized RhD-) pregnant women. CXCL8 levels were significantly higher (P < 0.004), and CXCL9 (P < 0.008) and CXCL10 (P < 0.003) levels were significantly lower in alloimmunized pregnant women. No significant difference in CCL5 levels was detected between the groups. Fetal RHD genotyping was performed in the alloimmunized RhD- group by real-time PCR. Anti-D alloantibody was detected in 10 mothers and anti-D and -C in six mothers. Twelve fetuses were RHD positive and four were RHD negative. Further studies of serum chemokines and placenta tissue could provide a better understanding of the cells involved in the pathogenesis of maternal erythrocyte alloimmunization. © 2017 Schettini, Gomes, Santos Barreto, Silva Júnior, Matta, Coutinho, Oliveira and Torres.

Coelho A.V.C.,Federal University of Pernambuco | Brandao L.A.C.,Federal University of Pernambuco | Guimaraes R.L.,Federal University of Pernambuco | Loureiro P.,Hematology and Hemotherapy Foundation of Pernambuco HEMOPE | And 4 more authors.
Journal of Medical Virology | Year: 2013

Variations in genes involved in the immune response pathways may influence the interaction between viruses (such as Human T-lymphotropic virus, HTLV-1) and the host. The mannose binding lectin (MBL) and its associated serine protease type 2 (MASP-2) promote the activation of the lectin pathway of the complement system. As the interaction of complement system with HTLV-1 is not well understood, the MBL2 promoter/exon 1 polymorphisms and a MASP2 missense polymorphism were examined in a Northeast Brazilian population, looking for a possible relationship between these variations and the susceptibility to HTLV-1 infection. The present study describes an association between a polymorphism in the MASP2 gene and susceptibility to HTLV-1 infection, and provides further evidence of an association between the MBL2 gene and HTLV-1 infection. These findings suggest an important role of the complement system activation, via the lectin pathway, in the susceptibility to HTLV-1 infection. © 2013 Wiley Periodicals, Inc.

Rego M.J.B.M.,Federal University of Pernambuco | da Silva R.R.,Federal University of Pernambuco | Pereira M.C.,Federal University of Pernambuco | da Silva Araujo A.,Hematology and Hemotherapy Foundation of Pernambuco HEMOPE | And 4 more authors.
Cytokine | Year: 2015

Leg ulcers (LUs) are a debilitating complication of sickle cell anemia (SCA), with inflammation known to play a crucial role in their pathogenesis. Many studies have described the roles of T helper type 1 (Th1) and Th2 pathways in SCA; however, defects in anti-inflammatory responses are poorly understood. We evaluated interleukin (IL)-10 levels in serum and peripheral blood mononuclear cells (PBMCs) in SCA patients with leg ulcers (SCALU) and without leg ulcers (SCAWH) in addition to CD4+ CD25+FoxP3+ T cell populations and their its IL-10 expression. In stimulated and unstimulated PBMC cultures, SCALU patients produced higher levels of IL-10 than those in the SCAWH group. Higher levels of IL-10 in SCALU patients correlated with a history of osteonecrosis in stimulated and unstimulated cultures when compared with those in SCAWH. Immunophenotyping revealed that SCALU patients had a higher proportion of CD4+CD25+FoxP3+, Tr1 and CD4+CD25+FoxP3+IL-10+ T cells than other groups. Our findings revealed that IL-10 levels were increased in unstimulated cells from the SCALU group, and that this group also presented with a predominant CD4+ CD25+FoxP3+ cell population despite many of those cells being IL-10 negative. © 2015 Elsevier Ltd.

Mendonca T.F.,University of Pernambuco | Oliveira M.C.V.C.,Hematology and Hemotherapy Foundation of Pernambuco HEMOPE | Vasconcelos L.R.S.,Liver Institute of Pernambuco IFP PE | Pereira L.M.M.B.,University of Pernambuco | And 6 more authors.
Blood Cells, Molecules, and Diseases | Year: 2010

Vasoocclusive crisis (VOC) is the major cause of morbidity and mortality in sickle cell anemia (SCA), which is caused by the occlusion of blood vessels, followed by ischemia or infarct, resulting in progressive damage to organs. However, this clinical manifestation is variable, indicating that this process could be influenced by modifier genes. The gene MBL2 which codes for mannose-binding lectin (MBL) has been associated with modifications in the progression of infectious and inflammatory vascular diseases. The aim of this study was to determine the frequency of the polymorphisms of exon 1 (alleles A/O) and promoter region -221 (alleles Y/X) of MBL2 in children with SCA and to verify their association with VOC. The determination of the polymorphism of exon 1 and the promoter region of MBL2 was performed by SYBR GREEN® and Taqman® system, respectively. In the patients with SCA, the frequency of the genotype related to high production of MBL was 0.46 (YA/YA) and for intermediate/low production was 0.54 (YA/XA, XA/XA, YA/YO, XA/YO, YO/YO). The frequency of the genotypes and haplotypes of MBL2 in patients with SCA did not differ from control individuals. The populations were in Hardy-Weinberg equilibrium. The patients were divided into two groups. The groups were separated by the frequency of VOC, which was defined by the total of VOC episodes divided by the age of the children at the end of this study. Since, we choose a cut point in FVOC <1 (n=48) (which we considered of mild presentation of disease) and FVOC ≥1 (n=39) (higher severity). In children with SCA, the frequency of the genotypes of MBL2 of intermediate/low expression for MBL was associated with FVOC ≥1 (p=0.0188 OR=3.15 CI=1.19-8.50). The results suggest that MBL2 polymorphism at promoter and first exon of MBL2 associated with low serum levels and structural alterations of MBL could modify the phenotype of the child with SCA related to VOC. © 2010 Elsevier Inc.

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