Submitted by (edna.saturno@ufrpe.br) on 2016-07-29T11:50:01Z No. of bitstreams: 1 Allan Vieira dos Santos Marques.pdf: 717930 bytes, checksum: aa978139a85c2cfa9f5a7df5d8379ad4 (MD5) / Made available in DSpace on 2016-07-29T11:50:01Z (GMT). No. of bitstreams: 1 Allan Vieira dos Santos Marques.pdf: 717930 bytes, checksum: aa978139a85c2cfa9f5a7df5d8379ad4 (MD5) Previous issue date: 2010-02-26 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / The aim of this research was to know serum and liver concentrations of Cu, Mo, Fe and Zn in sheep and goats slaughtered in the semiarid region of the state of Pernambuco, Northeastern Brazil, during the rainy and dry seasons, and to determine if Cu deficiency that occurs in the region is primary or secondary to high levels of Mo and/or Fe. Serum and liver samples from 141 goats and 141 sheep were submitted to wet digestion in nitric-percloric acid and analyzed by coupled plasma atomic absorption spectrophotometry. The mean concentration of serum Cu in sheep was 9.22±2.34 μmol/L in the dry period and 10.03±2.89 μmol/L in the rainy period, but females had significantly higher values (10.92±2.56 μmol/L) than males (9.42±2.67 μmol/L). Mean Cu concentrations in the liver were 185.1±88.28 mg per kg of dry matter (mg/kg) in the dry period and 137.95±87.04 mg/kg in the rainy period, and females had significantly higher concentrations (218.61±93.49 mg/kg) than males (133.45±92.37 mg/kg). In goats serum concentrations of Cu were of 11.74±2.36 μmol/L in the dry period and 11.05±2.74 μmol/L in the rainy period, and females (12.10±2.67 μmol/L) had higher concentrations than males (10.14±1.80 μmol/L). Liver concentrations were 155.2±93.40 mg/kg in the dry period and of 149.37±62.33 mg/kg in the rainy period. Mean serum concentrations of Cu in sheep (9.85±2.71 μmol/L) were significantlyt lower than in goats (11.37±2.57 μmol/L), but there were no differences in liver concentrations of Cu between sheep (158.45±83.05 mg/kg) and goats (152.46±79.58 mg/kg). Based in Cu serum and liver concentrations, and in the sporadic occurrence of enzootic ataxia, Cu suplementation is recommended in grazing sheep and goats during the dry and the rainy seasons. In sheep, serum concentrations of Fe were 36.99±15 μmol/L in the dry season and 34.52±14.86 μmol/L in the rainy season, with significant differences between females (29.92±11.06 μmol/L) and males (37.85±15.68 μmol/L). Liver Fe concentrations were significantly lower in the dry season (186.20±30.02 mg/kg) than in the rainy season (229.25±83.15 mg/kg), with no differences between females and males. In goats, serum concentrations of Fe were 25.61±9.35 μmol/L in the dry season and 24.57±6.96 μmol/L in the rainy season, and liver concentrations were of 170.52±56.91 mg/kg in the dry season and 139.73±51.30 mg/kg in the rainy season; there were no significant differences between females and males. Serum levels of Fe were significantly higher in sheep (35.58±14.89 μmol/L) than in goats (25.06±8.10 μmol/L). Also Fe concentrations of the liver were higher in sheep (210.53±121.99 mg/kg) than in goats (156.1±55.99 mg/kg). Considering that serum and hepatic concentrations of Fe are between normal ranges or marginal it is suggested that the low Cu concentrations are not related with high Fe ingestion. In sheep serum concentrations of Mo were 0.33±0.18 μmol/L in the dry season and 0.3±0.15 μmol/L in the rainy season and liver concentrations were 8.27±3.97 in the dry season and 7.96±4.07 in the rainy season. In goats, serum concentrations of Mo were 0.31±0.12 μmol/L in the dry season and 0.26±0.10 μmol/L in the rainy season, and liver concentrations were 7.17±4.09 mg/kg in the dry season and 5.8±4.14 mg/kg in the rainy season. There were no significant differences in serum and liver Mo concentrations between sheep and goats and between males and females. Despite the variations found in this study and also in reference values, it is suggested that the low or marginal Cu concentrations are not due to high Mo intake. In sheep serum concentrations of Zn were significantly lower during the dry season (9.79±3.02 μmol/L) than in the rainy season (13.48±7.22 μmol/L). Also Zn concentrations in the liver were significantly lower in the dry season (109.96±30.23 mg/kg) than in rainy season (139.1±60.45 mg/kg). In goats, serum Zn concentrations were 12.01±9.61 μmol/L in the dry season and 11.6±4.93 μmol/L in the rainy season, and liver concentrations were 134.2±26.58 mg/kg in the dry season and 131.45±76.55 mg/kg in the rainy season. There were no significant differences between serum and liver concentrations of Zn between sheep and goats or between males and females. Taking into account that serum and liver Zn concentrations in sheep and goats are considered marginal, supplementation with this mineral it suggested in grazing sheep and goats, mainly during the dry season. / Objetivou-se conhecer os teores de Cu, Mo, Fe e Zn em soro e fígado de ovinos e caprinos, nas épocas de chuva e seca, criadas no semi-árido do estado de Pernambuco, e estabelecer se a carência de Cu é causada por deficiência primária de Cu ou secundária à ingestão de quantidades excessivas de Fe ou Mo. Amostras de soro e fígado de 141 ovinos e 141 caprinos foram submetidas à digestão úmida em ácido nítrico-perclórico e analisados em espectrofotômetro de absorção atômica acoplado a plasma. A concentração sérica média de Cu em ovinos foi de 9,22±2,34 μmol/L na seca e 10,03±2,89 μmol/L na chuva, sendo que as fêmeas tiveram valores significativamente maiores (10,92±2,56 μmol/L) do que os machos (9,42±2,67 μmol/L). Os valores de Cu em fígado foram de 185,1±88,28 mg/kg da MS na seca e 137,95±87,04 mg/kg na chuva e as fêmeas tiveram valores significativamente maiores (218,61±93,49 mg/kg) do que os machos (133,45±92,37 mg/kg). Em caprinos os valores séricos de Cu foram de 11,74±2,36 μmol/L na seca e 11,05±2,74 μmol/L na chuva, sendo que as fêmeas tiveram maiores valores (12,10±2,67 μmol/L) que os machos (10,14±1,80 μmol/L). Os teores do fígado foram de 155,2±93,40 mg/kg na seca e 149,37±62,33 mg/kg na chuva. Os teores séricos de cobre em ovinos foram significativamente menores que o dos caprinos, mas não se observaram diferenças nos teores hepáticos de Cu entre ovinos e caprinos. Baseado nesses valores, considerados marginais, e na ocorrência de surtos de ataxia enzoótica em caprinos e ovinos na região, recomenda-se a suplementação com Cu, em animais a campo, tanto na seca quanto na chuva. Os teores séricos de Fe em ovinos foram de 36,99±15 μmol/L na seca e de 34,52±14,86 μmol/L na chuva, diferindo entre fêmeas (29,92±11,06 μmol/L) e machos (37,85±15,68 μmol/L). Os teores do fígado foram significativamente menores na seca (186,20±30,02 mg/kg) do que na chuva (229,25±83,15 mg/kg), não havendo diferenças entre machos e fêmeas. Em caprinos os teores séricos de Fe foram de 25,61±9,35 μmol/L na seca e de 24,57±6,96 μmol/L na chuva e os teores do fígado de 170,52±56,91 mg/kg na seca e de 139,73±51,30 mg/kg na chuva. Nesta espécie não houve diferenças nos teores séricos e hepáticos de Fe entre machos e fêmeas. Os teores séricos e hepáticos de Fe foram significativamente maiores em ovinos do que em caprinos. Considerando que as concentrações séricas e hepáticas de Fe encontram-se dentro da normalidade ou são marginais sugere-se que as concentrações marginais de Cu não estejam diretamente relacionadas com o excesso de Fe. Os teores séricos de Mo em ovinos foram de 0,33±0,18 μmol/L na seca e 0,3±0,15 μmol/L na chuva e os teores no fígado de 8,27±3,97 na seca e 7,96±4,07 na chuva. Os teores séricos de Mo em caprinos foram de 0,31±0,12 μmol/L na seca e de 0,26±0,10 μmol/L na chuva e os do fígado de 7,17±4,09 mg/kg na seca e 5,8±4,14 mg/kg na chuva. Os teores médios de Mo de soro e fígado em ovinos, 0,31±0,17 μmol/L e 8,10±4,01 mg/kg, respectivamente, foram semelhantes aos teores séricos e hepáticos de caprinos, de 0,28±0,11 μmol/L e 6,53±4,13 mg/kg, respectivamente. Tanto em ovinos quanto em caprinos não houve diferenças significantes nos teores do soro e fígado entre machos e fêmeas. Apesar das variações encontradas tanto neste trabalho quanto nos dados da literatura os resultados sugerem que os teores marginais de Cu não são devidos a teores altos de Mo. Em ovinos os valores de Zn no soro foram significativamente diferentes na seca (9,79±3,02 μmol/L) do que na chuva (13,48±7,22 μmol/L). No fígado os valores de Zn foram, também, significativamente diferentes na seca (109,96±30,23 mg/kg) do que na chuva (139,1±60,45 mg/kg). Em caprinos os teores de Zn no soro foram de 12,01±9,61 μmol/L na seca e 11,6±4,93 μmol/L na chuva e os do fígado foram de 134,2±26,58 mg/kg na seca e 131,45±76,55 mg/kg na chuva. Os teores séricos e hepáticos de Zn foram semelhantes em caprinos e ovinos. Considerando que os teores de Zn sérico encontram-se abaixo dos valores considerados como marginais e os hepáticos dentro do limite de normalidade, embora próximos ao limite inferior da referência, recomenda-se a suplementação com Zn, principalmente durante o período da seca.

A deficiência de CD40 Ligante (CD40L) ou síndrome de Hiper-IgM ligada ao X (X-HIGM) é considerada uma imunodeficiência primária combinada de células T e B. O CD40L é expresso na superfície de linfócitos T ativados e interage com o CD40 expresso na superfície de linfócitos B, macrófagos, células dendríticas, células endoteliais e neutrófilos. A interação CD40L-CD40 transmite sinais que induzem ativação, diferenciação e proliferação celular. Nosso objetivo foi analisar as alterações genético-moleculares da molécula CD40L que acometeram indivíduos de 5 famílias brasileiras, ocasionando X-HIGM. Genotipamos 25 indivíduos, sendo 6 pacientes com X-HIGM, 13 parentes relacionados heterozigotos e 6 homozigotos sadios. Dentre os pacientes com X-HIGM dois eram de origem caucasóide e 4 eram mestiços. A idade dos pacientes variou de 2 a 20 anos e o quadro clínico de infecções de repetição teve início em média nos primeiros 4 meses de vida. As principais infecções recorrentes manifestadas pelos pacientes foram pneumonia e otite. O paciente TB apresentou blastomicose, observação original nesta imunodeficiência. A análise genético-molecular foi heterogênea. No paciente TB foi detectado um defeito de splicing levando a deleção do exon 3 (r.345_402del do gene CD40L (CD40LG) no paciente FS uma nova substituição missense g.11856 G>C (c.476 G>C, pW140C), no paciente KC uma substituição nonsense g.11855 G>A (c.475G>A, p. W140X), e nos pacientes CH, FE e VIC uma deleção g. 3074_3077delTAGA, levando a alteração no processamento do RNA. A fenotipagem dos leucócitos demonstrou que a contagem de linfócitos T auxiliares (CD3+CD4+), linfócitos citotóxicos (CD3+CD8+), linfócitos B (CD19+CD40+) e linfócitos T ativados (CD3+CD69+) dos pacientes foram similares aos controles sadios. Contudo, foi observada uma redução significativa nos níveis de expressão de CD40L na superfície de linfócitos CD3+ e CD4+ dos pacientes. A análise dos linfócitos T por microscopia confocal revelou que as células dos homozigotos com expressão residual do CD40L em sua superfície também apresentam redução na densidade da expressão da molécula CD3, sugerindo a necessidade da integridade molecular do CD40L para a expressão normal do CD3. Concluímos que mutações no CD40L que levam à síndrome de X-HIGM são heterogêneas e a análise genético-molecular permitiu um diagnóstico preciso tornando possível o aconselhamento genético e a triagem dos recém-nascidos das famílias avaliadas. / CD40-Ligand (CD40L) deficiency or X linked Hyper-IgM syndrome (X-HIGM) is considered a T and B cell combined primary immunodeficiency. CD40L is expressed on the cell surface of activated T lymphocytes and interacts with CD40, expressed on the surface of B lymphocytes, macrophages, dendritic cells, endothelial cells, and neutrophils. The CD40L-CD40 interaction induces activation, differentiation, and cell proliferation. Our aim was to analyze the molecular-genetic alterations of CD40L molecule affecting individuals of 5 brazilian families, leading to X-HIGM. We genotyped 25 individuals, whom 6 were X-HIGM patients, 13 were heterozygote related patients, and 6 were healthy homozygotes. Within the patients with X-HIGM, two of them were of caucasoid origin and four were mestiços. The patients age ranged from 2 to 20 years and their recurrent infections started in average during their first 4 months of life. The main recurrent infections were pneumonia and otitis. The patient TB presented blastomycosis, a unique observation in this immunodeficiency. The molecular-genetic analysis revealed heterogeneity. TB patient presented a splicing defect causing a deletion of exon 3 (r.345_402del) of CD40L gene (CD40LG). Patient FS presented a new missense mutation g.11856 G>C (c.476 G>C, pW140C). Patient KC presented a nonsense substitution g.11855 G>A (c.475G>A, p. W140X). Patients CH, VIC, and FE presented a deletion g. 3074_3077delTAGA, causing an alteration on RNA processing. The leukocytes fenotyping demonstrated that T helper lymphocytes (CD3+CD4+), T cytotoxic lymphocytes (CD3+CD8+), B lymphocytes (CD19+CD40+), and T activated (CD3+CD69+) cell counts of patients were similar to healthy controls. However it was observed a significant reduction of CD40L expression on cell surface patients CD3+ and CD4+ lymphocytes. The T lymphocyte confocal microscopy analysis revealed that homozygotes with residual expression of CD40L in their surface also presented a reduction on the density of CD3 molecule expression, suggesting the need of molecular integrity of CD40L for normal CD3 expression. We conclude that mutations on CD40L leading to X-HIGM syndrome are heterogeneous and the molecular-genetic analysis allowed a precise diagnosis making possible the genetic counseling and newborn screening of the involved families.

Caractérisation de CCX2, un élément de la super-famille des antiports cationiques CaCA et de son rôle dans l’homéostasie minérale.<p><p>L'homéostasie des métaux est importante pour les fonctions cellulaires. Elle dépend de la régulation stricte des transports cellulaires d'ions métalliques et des espèces métalliques complexées. Nous rapportons ici l'analyse fonctionnelle chez Arabidopsis thaliana d'un élément de la superfamille CaCA, CCX2 (Calcium Cation eXchanger 2) qui n’est pas encore caractérisé dans les plantes. Nous avons pu observer en utilisant une fusion aves la protéine fluorescente GFP (Green Fluorescent Protein) que la protéine AtCCX2 était localisée dans le réticulum endoplasmique. L’expression de CCX2 est régulée par des traitements en métaux divers et par la carence en magnésium en particulier. De plus, l'expression du gène est régulée par la photopériode mais n’est probablement pas sous le contrôle de l'horloge circadienne. La caractérisation d'un mutant knock-out d’Arabidopsis a révélé que l’absence de l’activité CCX2 entrainait une meilleure croissance pendant la carence Mg (dans les conditions testées) mais pas de phénotype particulier sur les milieux aves excès de Zn ou de Cd ou induisant un stress osmotique. A ce stade, nous de pouvons apporter une explication au phénomène de tolérance pendant la carence Mg. Par ailleurs, le mutant ccx2 montre une réponse altérée à des hormones telles l’auxine et l’éthylène. Parce ce que le phénotype ccx2 mutant est relativement discret, des doubles mutants avec les gènes homologues les plus proches (CCX1 et CCX3) ont été créés. Alors que les mutants ccx1 et ccx3 sont plus résistants à la carence en Mg et ccx1 plus résistant à la déficience Zn, aucun effet additif de ces mutations avec la perte de fonction de CCX2 n’a été observé. Les profils en minéraux du mutant ccx2 ne permettent pas de confirmer des différences significatives dans les concentrations d’éléments minéraux mesurés. Des tendances pour le Ca2+ en particulier sont observées et devraient être confirmés par d’autres expériences. La surexpression hétérologue dans la levure ou dans une suspension de cellules BY2 de tabac, la surexpression dans la plante et la production de protéine pour des études d’activité de transport dans des vésicules n’ont pu être possibles pour la caractérisation de CCX2. L’expression de CCX2 semble toxique pour les bactéries, la levure et les cellules de plantes; en effet les organismes hôtes sont morts lors de l'induction de l'expression (testé au niveau de la levure). Cet effet pourrait être lié à la perturbation de l’homéostasie du Ca2+ qui joue un rôle très important comme messager secondaire lors de la perception d’un stimulus et en particulier lors de l’apoptose. L’Analyse AhCAX8/CCX2 AhCCX2 est constitutivement plus exprimé dans les racines de l’hyperaccumulatrice de Zn et Cd, Arabidopsis halleri (accession d’Auby) par rapport à sa parente proche non tolérante non accumulatrice A. lyrata ssp petraea. L'expression plus élevée pourrait être liée à l'adaptation aux hautes concentrations de zinc et de cadmium dans le sol. Nous avons pu observer qu’avec une protéine GFP, AhCCX2 est également localisée au niveau du réticulum endoplasmique comme son homologue AtCCX2. Puisque une haute expression de CCX2 est toxique pour les organismes, nous avons exprimé la protéine sous le contrôle de son propre promoteur dans A. thaliana. Cette expression faible et spécifique a pu être atteinte sans signe de toxicité. La caractérisation de A. thaliana exprimant AhCCX2 dans le type sauvage ou le mutant ccx2 a montré une meilleure croissance lors d’une déficience Mg et, dans les plantes ccx2 qui expriment AhCCX2, une moins bonne croissance lors d’une carence en Zn. Les analyses minérales des plantes exprimant AhCCX2 n’ont pas montré de différence au niveau des concentrations en minéraux. Cependant, certaines tendances ont été observées pour les concentrations en Ca, Fe et Zn qui doivent être confirmées. Nos données suggèrent pour AhCCX2 un rôle dans l'homéostasie du Zn. Un niveau d'expression élevé d’AhCCX2 a un impact négatif sur la croissance lors d’une carence en zinc et pourrait être une partie des adaptations à un approvisionnement en Zn élevé. / Doctorat en Sciences / info:eu-repo/semantics/nonPublished

Magister Public Health - MPH / Human Immune-deficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) is a major public health problem. Globally, the number of new HIV infections is decreasing but the total number of people living with the disease is increasing. An estimated 5.7 million South Africans are currently living with the disease. The life expectancy of people living with HIV (PLHIV) in South Africa has slowly increased due to the availability of Anti-Retroviral Therapy (ART). The progressive "chronicity" of HIV may be associated with a variety of impairments and disabilities for people living with HIV. This emphasising the increasingly important role that physiotherapists play to minimize the disabling impact of the disease and improve quality of life for PLHIV. The aim of study was to determine the HIV/AIDS knowledge, attitudes and the occupational risk perception of physiotherapists practicing in the Eastern Cape Province, South Africa. This study utilized a cross sectional descriptive quantitative survey to collect data. The data was collected via a structured self-administered postal questionnaire. The questionnaires were captured in Microsoft Excel and analysed statistically using CDC Epi-Info version 3.5.1. Data was analysed descriptively and the chi-square test, T-tests and ANOVA was used to identify any statistically significant relationship between variables. The results of the study identified that the physiotherapists in the study have "high" general HIV related knowledge, although major gaps regarding HIV prevention and transmission still exists. The physiotherapists expressed a positive attitude towards PLHIV, while they perceive themselves to be at low risk of HIV transmission risk when managing PLHIV. The physiotherapists with more than 10 years' experience had significantly better HIV related knowledge compared to those with less than 10 years' experience while the attitudes of married physiotherapists towards PLHIV were significantly less favourable than those who were not married. There is a need for intervention strategies to address the HIV knowledge gaps of physiotherapists. Intervention strategies need to address physiotherapists HIV prevention and transmission knowledge.

京都大学 / 新制・課程博士 / 博士(医学) / 甲第23378号 / 医博第4747号 / 新制||医||1052(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 武藤 学, 教授 上杉 志成, 教授 篠原 隆司 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Purpose WCAG is a set of guidelines to assist in developing websites accessible for everyone, for example people with colour vision deficiency (CVD). However, there are few guidelines relevant for CVD and with increasing dependant on websites the importance of accessibility on these websites increases as well. The purpose of the research study is therefore to investigate the impact the relevant guidelines for CVD in WCAG 2.1 has on Swedish health care websites and what the consequences are for people who live with CVD. Method An initial literature study was conducted to gain knowledge of previous findings and also evaluate the best approach for the research study. The research study is based on a qualitative approach to gain a deep understanding of the area and to gain insight into the feelings and experiences of the people affected. The methods used to gain the necessary knowledge are an evaluation of 1177.se and e-tjanster.1177.se also observations and interviews around these two websites. Findings The results show that WCAG 2.1 has a positive impact on Swedish health care websites, as well as on users with CVD. From evaluations, interviews and observations it is concluded that 1177.se and e-tjanster.1177.se are easy to perceive for people with CVD. Implications This research study was limited to the mobile version of the websites. However, the results could be different if the research was conducted on the desktop version due to the different structure of the websites and the inclusion of a cursor on desktop. The evaluation could have been affected by the sampling of pages while the interviews and observations should not have been. Limitations The research study was limited to Swedish health care website 1177.se and its subdomain etjanster. 1177.se. Further it was decided to evaluate the mobile version of these websites, although the elements should look similar on desktop and mobile. While not the initial intention, due to over representation of red-green CVD the study was also limited to people with red-green CVD. Also, the experience of browsing the web on a mobile device was considered to reduce the variables for frustrations. Further research For further research, another selection of WCAG guidelines could be considered to evaluate etjanster. 1177.se since the results shows that 1177.se’s and e-tjanster.1177.se's weaknesses seems to be in the structure of the website. A study researching the “blue-yellow colour blindness” compared to websites could contribute with new, relevant knowledge as well.

Chronic granulomatous disease (CGD) is associated with defective function of the NADPH-oxidase system in conjunction with phagocytic defects which leads to granuloma formation and serious infectious complications. This is often associated with significant morbidity and mortality. The association of defective phagocyte function with other coincidental immune defects is unknown. Defects in innate pathways seen with CGD, including complement systems, and toll-like and dectin receptor pathways, have not been described before. We present the case of a 2-year old male patient hospitalized with recurrent pneumonia, a non-healing skin ulcer, necrotizing lung granulomas, and epididymo-orchitis. Defective neutrophil chemiluminescence was detected by dihydrorhodamine (DHR) testing. Further evaluation demonstrated characteristic molecular mutations of CYBB consistent with CGD. Immune evaluation demonstrated polyclonal hyperglobulinemia, but a greatly reduced mannose binding lectin (MBL) level. Six biallelic polymorphisms in MBL gene and its promoter were analyzed using Light Cycler™ Real-time PCR assay. The LXPA/LYPB haplotype of MBL was detected in our patient; the latter is the defective haplotype associated with low MBL levels. Due to the implications for innate immunity and the protection against bacterial, viral, and fungal infections provided by MBL, a deficiency of this protein may have disastrous consequences on the long term outcomes of CGD. MBL deficiency can also complicate other disorders affecting the immune system, significantly increasing the risk of infection in such patients. Further studies looking at the frequency and implications of MBL deficiency in CGD are needed.

Indiana University-Purdue University Indianapolis (IUPUI) / Globally, protein malnutrition remains problematic, adversely affecting several systems including the immune system. Although poorly understood, protein restriction severely disrupts host immunity and responses to infection. Induction of high-affinity, long-lasting immunity depends upon interactions between B and T lymphocytes. B lymphocytes exploit several pathways including endocytosis, macroautophagy, and chaperone-mediated autophagy to capture and deliver antigens to the endosomal network. Within the endosomal network antigens are processed and loaded onto major histocompatibility complex (MHC) class II molecules for display and recognition by T lymphocytes. To examine the effect of macronutrient malnutrition on MHC class II antigen presentation, we grew B lymphocytes in media containing amino acids, sugars and vitamins but lacking serum, which contains several types of macronutrients. Our studies show macronutrient stress amplified macroautophagy, favoring MHC class II presentation of cytoplasmic antigens targeted to autophagosomes. By contrast, macronutrient stress diminished MHC class II presentation of membrane antigens including the B cell receptor (BCR) and cytoplasmic proteins that utilize the chaperone-mediated autophagy pathway. The BCR plays a critical role in MHC class II antigen presentation, as it captures exogenous antigens leading to internalization and degradation within the endosomal network. While intracellular protease activity increased with macronutrient stress, endocytic trafficking and proteolytic turnover of the BCR was impaired. Addition of high molecular mass macronutrients restored endocytosis and antigen presentation, evidence of tightly regulated membrane trafficking dependent on macronutrient status. Cytosolic chaperone HSC70 has been shown to play a role in endocytosis, macroautophagy, chaperone-mediated autophagy and proteolysis by the proteasome, potentially connecting distinct routes of antigen presentation. Here, altering the abundance of HSC70 was sufficient to overcome the inhibitory effects of nutritional stress on BCR trafficking and antigen presentation suggesting macronutrient deprivation alters the availability of HSC70. Together, these results reveal a key role for macronutrient sensing in regulating immune recognition and the importance of HSC70 in modulating distinct membrane trafficking pathways during cellular stress. These results offer a new explanation for impaired immune responses in protein malnourished individuals.

No description available.

This study was conducted to assess what type of intervention is most effective for enhancing attitudes in college students toward people living with HIV and AIDS. The assigned groups consisted of either a live presentation or a video presentation emphasizing content that was either emotional or factual. A male HIV-positive speaker made a presentation to participants in the four experimental conditions. The AIDS Compassion and Empathy Scale (ACE) developed by Pollard (1997) to measure attitudes of college students toward people living with HIV and AIDS, was administered. The AIDS Phobia Scale developed by Pleck (1998) was used as the second measure. ANOVAs were performed to determine any significant differences between groups. It was hypothesized that a live presentation would enhance attitudes more than a video presentation and that emotional content would enhance attitudes more than factual content. It was also hypothesized that a live presentation with an emotional theme would be more effective (the ACE and AIDS Phobia Scale scores being significantly higher) for attitude enhancement than the other three groups. Results of the study showed that a live presentation was most effective for improving attitudes toward individuals living with HIV and AIDS versus a video presentation. Contrary to what was predicted, emotional versus factual presentation had no significant effect.