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Tuberculosis is one of the leading causes of global mortality, and the standard, prolonged, and intensive treatment can affect intestinal homeostasis. This study investigated amoxicillin-induced bacterial gut dysbiosis and its impact on the immune response of C57BL/6 mice to pulmonary infection by Mycobacterium bovis —BCG. It was observed that amoxicillin treatment resulted in bacterial gut dysbiosis, characterized by an increase in the phylum Proteobacteria and a reduction in Bacteroidetes and Firmicutes. This alteration was associated with a decrease in the animals’ body weight and a reduction in the expression of pro-inflammatory cytokines such as IL-1 β and IL-6 , suggesting a compromised immune response. Additionally, microstructural analysis revealed significant alterations in the caecum and pulmonary structure of the mice, indicating tissue damage associated with intestinal dysbiosis. The results indicate that amoxicillin-induced bacterial gut dysbiosis may negatively affect pulmonary immunity and exacerbate M. bovis -BCG infection, highlighting the need to consider the impacts of intestinal microbiota on the development and control of tuberculosis. This study contributes to the understanding of the interaction between intestinal microbiota, antibiotic treatment, and immunity in pulmonary infections.

Introduction Few studies have evaluated the impact of bariatric surgery (BS) on thyroid function and morphology, and how it correlates to inflammatory and metabolic markers. We aimed to evaluate all those parameters together. Methods A longitudinal study included 70 patients with severe obesity. The bariatric group (BG) enrolled 40 patients who underwent BS, and the control group (CG) enrolled 30 patients who did not undergo BS. Both were submitted (pre- and 2nd-year) to thyroid ultrasound and laboratory analyses to determine the levels of thyroid hormones, inflammatory, and metabolic markers. Results Thyroid volume (TV) decreased after BS (−1.5 cm 3 ), differing significantly from the CG (+0.6 cm 3 ; p = 0.003). ΔTV was independently and positively correlated with ΔHOMA-IR (0.41 (0.11/7.16) p = 0.007) and ΔIL6 (0.02 (0.01/0.3) p = 0.016). A nonsignificant correlation between ΔTV and ΔBMI was detected (0.38 (−0.01/0.09) p = 0.152). We also observed a negative correlation between ΔTV and ΔTSH (−2.03 (−2.87/−1.19) p = 0.000) and ΔT3/T4 ratio (−0.06 (−0.09/−0.02) p = 0.001). TSH had a nonsignificant reduction with BS (−0.3872 vs. −0.2483 p = 0.128). The conversion of T4 to T3 had a significant increase after BS, as demonstrated by the T3/T4 ratio (+5.16 p = 0.01). Despite an increase in the prevalence of thyroid nodules in the BG, it was not statistically significant ( p = 0.340). Conclusion BS was associated with a reduction in TV and a nonstatistically significant reduction in TSH. The variations in TV were related to the metabolic markers and inflammatory changes. An increase in the conversion of T4 to T3 with BS was detected, possibly related to inflammatory improvement. Graphical Abstract

Purpose Obesity is one of the major public health problems worldwide and bariatric surgery is considered the gold standard treatment for severe obesity. Although the literature supports the safety and efficacy of the very low-calorie ketogenic diet (VLCKD) in patients with obesity, there is no study analyzing the use in case of failure or weight regain after bariatric surgery. This work has the purpose of assessing the response to a VLCKD (Pnk® method) in this population. Methods We have conducted an observational, retrospective, and descriptive study with the analysis of medical charts of private offices where patients were examined between 2014 and 2019, totalizing 11 participants who underwent Roux-en-Y gastric bypass (RYGB) without a reduction of 50% in body weight excess or any weight regain after the surgery. The patients followed the first stage of a commercial weight loss program (Pnk® method) which consists of a VLCKD (600–800 kcal/day), low in carbohydrates and lipids. Results A significant reduction was observed ( p -value < 0.05) in weight, body mass index (BMI), abdominal circumference (AC), and glycated hemoglobin (A1C) post-ketogenic diet. Uric acid, transaminases, urea, and creatinine values did not show differences between pre- and post-ketosis. During the course of the study, no serious adverse events were reported. Conclusion This study has shown that the ketogenic diet can be recommended as an effective and safe treatment for patients who progressed with insufficient weight loss or regain after bariatric surgery. Graphical abstract

The Amazon Continental Shelf (ACS) stretches for more than 2500 km along the coast of northern Brazil, where it is influenced directly by the discharge of the Amazon River, which deposits enormous quantities of organic matter at its mouth. Despite the extraordinary importance of this region, it is still among the least-studied sectors of the Brazilian coast. The present study, which is based on the data generated by the continuous monitoring conducted by the National Center for Research and Conservation of the Marine Biodiversity of Northern Brazil (CEPNOR/ICMBio) and the systematic review of the databases of reference collections, provides the most comprehensive inventory of the marine biodiversity of the ACS compiled up to now. A total of 3286 species were identified, 1247 more than previous studies, including primarily bony fish (28%) microorganisms (15%) and molluscs (14%). Considering the conservation status of the species, 67 of which are threatened at some level according to the list of endangered species in Brazil, mainly cartilaginous fish (40%), bony fish (31%) and seabirds (11%). The results of the present study reveal hotspots of biodiversity, especially near offshore oilfields and fishing grounds, raising concerns about the potential impact of human activity in the region. These findings emphasize the need for systematic ecosystem management combined with continuous monitoring, to mitigate these threats to the biodiversity of the ACS, while also reinforcing the importance of integrating scientific and conservation efforts to protect this unique, but vulnerable biome.

Background Pharmacologic therapy is the primary treatment used to manage Parkinson’s disease (PD) symptoms. However, it becomes less effective with time and some symptoms do not respond to medication. Complementary interventions are therefore required for PD. Recent studies have implemented transcranial direct current stimulation (tDCS) in combination with other modalities of interventions, such as physical and cognitive training. Although the combination of tDCS with physical and cognitive training seems promising, the existing studies present mixed results. Therefore, a systematic review of the literature is necessary. Aims This systematic review aims to (i) assess the clinical effects of tDCS when applied in combination with physical or cognitive therapies in people with PD and; (ii) analyze how specific details of the intervention protocols may relate to findings. Methods The search strategy detailed the technique of stimulation, population and combined interventions (i.e. cognitive and/or physical training). Only controlled studies were included. Results Seventeen of an initial yield of 408 studies satisfied the criteria. Studies involved small sample sizes. tDCS protocols and characteristics of combined interventions varied. The reviewed studies suggest that synergistic effects may be obtained for cognition, upper limb function, gait/mobility and posture when tDCS is combined with cognitive and/or motor interventions in PD. Conclusion The reported results encourage further research to better understand the therapeutic utility of tDCS and to inform optimal clinical use in PD. Future studies in this field should focus on determining optimal stimulation parameters and intervention characteristics for maximal benefits in people with PD.

C. canephora exhibits high genetic variability, and to estimate this variability, morphological descriptors associated with coffee quality are used. Bean size is a physical trait of great importance for coffee classification. Manual classification is known to be inaccurate and time-consuming, which is why researchers have adopted digital imaging techniques to improve classification efficiency. The objective of this study was to quantify the genetic diversity in 43 C. canephora clones using the Ward-MLM strategy and to estimate genetic parameters and correlations from digital phenotyping of beans and cherries. The experiment was conducted on a crop consisting of 43 C. canephora genotypes, where the cherries were manually pulped and dried until they reached 12% moisture content. Using GroundEye® equipment, four replicates of 50 beans and cherries were evaluated for each treatment, and the software generated spreadsheets with the results of the geometric traits. To determine the existence of genetic variability among the genotypes, the data obtained were subjected to analysis of variance, estimation of genetic parameters, Ward-MLM analysis, and Pearson correlation. The genotypic variance was higher than the environmental variance for all variables analyzed, both for beans and cherries, indicating that the genotypes evaluated have high genetic variability. The greatest genetic distance was observed between groups I and IV, suggesting favorable conditions for crosses between the genotypes of these groups. Phenotypic correlation analysis revealed significant positive and negative correlations between the variables. Digital seed analysis successfully detected genetic divergence among the 43 C. canephora clones. The variables ‘area’, ‘maximum diameter’, and ‘minimum diameter’ are the most suitable for selecting genotypes with larger beans.

Personality traits have been shown to contribute to the development and persistence of fibromyalgia (FM)-related symptoms. The aim of this study was to identify the most prevalent personality factor in Brazilian female FM patients, using the Factorial Personality Battery (FPB) and comparing patients to age-matched healthy controls. This was a cross-sectional study based on 40 FM patients and 40 age-matched controls. The FPB is a Brazilian self-reporting questionnaire based on the Big Five Inventory, containing 126 items and scored on a Likert scale. The study included 80 participants aged on the average 46.6 ± 6.7 years (FM) and 45.6 ± 13.8 years (controls) (p = 0.121). The groups differed significantly with regard to schooling (p = 0.013). Time of disease and time to diagnosis was 11.3 ± 7.3 and 6.6 ± 4.5 years, respectively. Fourteen patients (35%) had hypertension and 52% reported sedentary lifestyle. Many had generalized anxiety disorder (82.5%) and/or major depressive disorder (35%). Three facets of Neuroticism were highly significant: vulnerability (p = 0.008), emotional instability (p < 0.001), and depression (p < 0.001). A significant association was found between Openness and time to diagnosis (p < 0.033). Using multiple linear regression, we identified the independent associations Extraversion x systemic arterial hypertension (OR = − 0.65, p = − 0.013) and Openness x sedentary lifestyle (OR =  − 0.48, p = 031). Neuroticism was the predominant factor, while Openness was found to be negatively correlated with time to diagnosis, suggesting personality assessments can help identify FM patterns used to tailor treatment and enhance compliance.

Tuberculosis is one of the leading causes of global mortality, and the standard, prolonged, and intensive treatment can affect intestinal homeostasis. This study investigated amoxicillin-induced bacterial gut dysbiosis and its impact on the immune response of C57BL/6 mice to pulmonary infection by Mycobacterium bovis-BCG. It was observed that amoxicillin treatment resulted in bacterial gut dysbiosis, characterized by an increase in the phylum Proteobacteria and a reduction in Bacteroidetes and Firmicutes. This alteration was associated with a decrease in the animals' body weight and a reduction in the expression of pro-inflammatory cytokines such as IL-1[beta] and IL-6, suggesting a compromised immune response. Additionally, microstructural analysis revealed significant alterations in the caecum and pulmonary structure of the mice, indicating tissue damage associated with intestinal dysbiosis. The results indicate that amoxicillin-induced bacterial gut dysbiosis may negatively affect pulmonary immunity and exacerbate M. bovis-BCG infection, highlighting the need to consider the impacts of intestinal microbiota on the development and control of tuberculosis. This study contributes to the understanding of the interaction between intestinal microbiota, antibiotic treatment, and immunity in pulmonary infections.

CAR-T-cell therapy has shown considerable advance in recent years, being approved by regulatory agencies in US, Europe, and Japan for the treatment of refractory patients with CD19+ B-cell leukemia or diffuse large B-cell lymphoma. Current methods for CAR-T-cell production use viral vectors for T-cell genetic modification and can take up to 15 days to generate the infusion product. The development of simple and less costly manufacturing protocols is needed in order to meet the increasing demand for this therapy. In this present work, we generated 19BBz CAR-T cells in 8 days using a protocol based on the non-viral transposon-based vector Sleeping Beauty. The expanded cells display mostly a central memory phenotype, expressing higher levels of inhibitory receptors when compared with mock cells. In addition, CAR-T cells were cytotoxic against CD19+ leukemia cells in vitro and improved overall survival rates of mice xenografted with human RS4;11 or Nalm-6 B-cell leukemias. Infused CAR-T cells persisted for up to 28 days, showing that they are capable of long-term persistence and antitumor response. Altogether, these results demonstrate the effectiveness of our protocol and pave the way for a broader application of CAR-T-cell therapy.

Duplex stainless steels (DSS) and superduplex stainless steels (SDSS) are important classes of stainless steels, because they combine the benefits of austenite and ferrite phases. This results in steels with better mechanical properties and higher corrosion resistance. Owing to these characteristics, DSS and SDSS are widely employed in industry. However, the appearance of undesirable intermetallic phases in their microstructure impairs the properties of DSS and SDSS. Among the undesirable intermetallic phases, the main one is the sigma phase (σ), which can be nucleated when the steel is exposed to the temperature range between 650 °C and 900 °C, reducing the steel’s toughness and resistance to corrosion. In a previous work, Fonseca and collaborators used two descriptors of the microstructural path to analyze the formation of sigma phase (σ), the interfacial area per unit volume between sigma phase and austenite (SV), and the mean chord length of sigma (<λ>), both as a function of VV, the volume fraction of sigma, known in the literature as the microstructural partial path (MP). In this work, the contiguity ratio is applied for the first time to describe the microstructural path in the study of sigma phase precipitation in SDSS. The contiguity ratio shows that the distribution of the ferrite/sigma boundaries is homogeneous. Thus, it is reasonable to infer that one has a uniform distribution of sigma phase nuclei within the ferrite. About the kinetics of sigma phase formation, the DSS can be described by the classical Johnson-Mehl, Avrami, and Kolmogorov (JMAK) equation, whereas for the SDSS, the kinetics tend to follow the Cahn model for grain edge nucleation. Finally, we present the three-dimensional (3D) reconstruction of the sigma phase in SDSS. The results demonstrate that the sigma phase nucleates at the edges of the ferrite/austenite interfaces. Moreover, the sigma phase grows and consumes the ferrite, but is not fully interconnected.